Inspection on 01/06/05 for Sherwood Lodge

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sherwood Lodge 17/01/06

Sherwood Lodge 07/02/05

Sherwood Lodge 25/05/04

Sherwood Lodge 04/12/03

Sherwood Lodge 19/08/03

Sherwood Lodge 28/01/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Sherwood Lodge 71 Athledene Road Wandsworth London SW18 3BU Lead Inspector Louise Phillips Unannounced 1st June 2005 9:50am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sherwood Lodge Address 71 Athledene Road Wandsworth London SW18 3BU 020 8874 4251 020 8870 3815 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Servite Houses Mrs Nelly Iweha Care home only (PC) 47 Category(ies) of Dementia over 65 years of age (DE(E)) registration, with number Old age not falling within any other category of places (OP) Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th February 2005 Brief Description of the Service: Sherwood Lodge provides care and support for up to 47 service users who may also have dementia care needs. The home is purpose-built and accommodation is provided over two floors divided into the four units of Jasmine, Bluebell, Rosemary and Lavender. Each unit has its own kitchen/ dining area, lounge, bathroom and toilet facilities. The home is situated in a quiet residential road and is close to transport links and public amenities. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day for approximately 5.5 hours. A tour of the premises took place and staff and care records were inspected. Ten of the staff on duty and six of the service users were spoken to. What the service does well: What has improved since the last inspection? What they could do better: There are a number of areas that the home needs to improve upon. One area relating directly to the service users is the need for more activities through the recruitment of a dedicated activities worker. It is required that this person is appropriately trained and be able to structure activities in accordance with the wishes and needs of the service users living at the home. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 6 Another area requiring development is the documentation relating to the care plans for each service user. The current format is difficult to understand and needs to be simplified so that it can be easily understood by the staff, service users and relatives, where applicable. A significant area that the home needs to focus on is the state of the décor and the maintenance issues identified during this and the previous inspection. Work needs to be done to improve the décor throughout the home as the paintwork has become shabby through wear and is chipping off in areas. The toilets and bathroom areas on each unit were observed to require work ranging from complete redecoration to the replacement of flooring. Other areas requiring attention include the annexe area bathroom and the sluice on Bluebell unit. Both areas were found to be in a very poor state of décor and requiring complete refurbishment. A new television is Required to replace the one in current use on Lavender unit, as this does not give a clear picture to the service users. Regarding the staffing, the areas requiring improvement include carrying out appropriate checks on new staff starting work at the home and ensuring that staff are adequately trained for their work. It has also been recommended that the number of staff on duty during the night is increased to three waking (including one senior staff), to ensure that the needs of the service users are adequately met. In addition it is has been recommended that the organisation implement a quality assurance system to gain feedback from service users, relatives, staff and other professionals involved with the service to use for the planning the future development of the home. On the day of inspection an Immediate Requirement was made where COSHH (Control of Substances Hazardous to Health) products were found in unlocked cupboards beneath the sinks of the kitchen areas on the units. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 4 There has been good progress to develop the Statement of Purpose and Service Users Guide to include the relevant information. EVIDENCE: Since the last inspection progress has been made to develop the Service Users Guide to include the qualifications and experience of the staff team. The Statement of Purpose contains all the required information, with the recent inclusion of the terms and conditions for service users living at the home. Four service users files were inspected and each were found to include documentation to demonstrate that service users are appropriately assessed prior to moving to the home. The deputy manager described that Servite Houses is in the process of implementing a new format for the assessment of potential service users to the home. The new documentation was seen and found to consist of 38 pages of assessment. This will enable a thorough assessment of all aspects of daily living including physical needs, mental health needs, medication treatment and an assessment of any risks. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 The current care planning system is difficult to understand and does not demonstrate the involvement of service users. EVIDENCE: Four service user care plans were examined. The standard of record keeping in all files was found to be erratic. The care plans and risk assessment for one service user were dated as having been reviewed in March 2004 and February 2004 respectively. The care plan for another service user was dated as having been reviewed in December 2003. The care plans in the other two service users’ files were dated as having been reviewed in 2005, although neither having been reviewed in the past month. The care planning system in use at Sherwood Lodge was found to be difficult to understand due to a focus on relating the service users’ needs to the National Minimum Standards for Older People (NMS). The care plans are also related to core care objectives. Relating care plans to both of these areas is hard to follow and confusing when trying to establish the support required for each service user. A member of staff discussed that they did write the care plans but experienced difficulty when cross-referencing the service users’ needs to the NMS and the care objectives. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 10 Two members of staff described that they did not feel able to explain the care planning system to the service users. One staff commented that because of this the service users are not involved in planning their care. One staff member stated that “…it is easier for us to try and write the care plans on our own…”. The deputy manager informed the inspector that a new format of care planning is to be introduced by the organisation. This new format consists of 23 pages of care planning documentation that includes information about the service users’ life history, hobbies and preferences in relation to clothes and food. The current care planning system focuses on relating the service users’ needs to the National Minimum Standards for Older People which was found to be hard to follow and confusing. With the new format of care plan proposed for Sherwood Lodge the inspector is concerned about the length of the care plan documentation and the design format of the individual plans of care. It was observed that the recording of the assessed need of the service user is identified through the use of a tick box, where the reader would need to refer back to the 38 page assessment document in order to fully find out about the actual need of the service user. The use of the tick box does not describe the need in any way or demonstrate that the need is individualised to each service user. Following the tick boxes there are a number of boxes with the need as a heading followed by an area to state the service to be provided and the objective of this. The format of the boxes is continuous and does not allow space for recording when each individual need is reviewed or amended without re-writing all of the care plans. There is a separate review sheet to record the review of each area of need, however it is envisaged that this could cause confusion if there are changes to the care plan and that these are recorded on a separate sheet. The inspector did not discuss the new format with the service users but is concerned over how the format and length of the document will be used when jointly planning care with individual service users. The previous inspection required that the medication records are maintained accurately for medicine administered. The medication administration records (MAR) charts on two units were examined and the records for medication administered were found to be up-todate and no discrepancies were noted. The deputy manager discussed that following the last inspection she now carries out spot checks of the medication records and supplies although this is not recorded at present. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 The activities provided by the home have decreased significantly. EVIDENCE: Two service users spoken to stated that the home “…could do with more activities…”. By discussing these comments with the deputy manager it is understood that since the previous inspection the activities co-ordinator has left the service. Activities are currently provided by a member of staff who arranges activities once they have completed their care duties. The nature of this leads to activities being unplanned and unstructured, as the occurrence is dependent on the care responsibilities of the staff member. The deputy manager discussed that it is anticipated that the role of activities worker will become permanent for the staff member, but that this has not been confirmed by the organisation. The deputy manager described that a weekly bingo session takes place every Saturday and that quizzes are carried out by staff on each unit. This was confirmed by one service user who said that “…I enjoy the quizzes…”. The deputy manager stated that when staff are available they take individual service users out for walks in the local area. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 12 At present there is little offered by way of activities in the home. It is recommended that the service is provided with a dedicated activities worker who is appropriately trained and supported in their role. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Sherwood Lodge has a satisfactory complaints procedure and format for the recording of complaints. EVIDENCE: The home has a satisfactory complaints procedure on display at various sites around the home. The procedure is included in the Service Users Guide. A record is maintained for all complaints received at the home and satisfactory record kept the outcomes of these. The complaints procedure was observed displayed in each unit around the home. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 24 and 26 The standard of décor in the units is ‘tired ‘, poor in areas and in need of redecoration. EVIDENCE: One service user commented that the décor of the home had “…worn over time…”. This observation was confirmed by the findings of the inspector who carried out a tour of the home. The bathroom on Jasmine unit is in need of re-decoration as the wallpaper was observed to be peeling away from the walls. The skirting board in the female toilet was found to be coming away from the wall and the flooring stained and in need of replacing. The alcove area where service users are allowed to smoke was found to be in a poor state of décor, in perticular where paint had been worn away from the walls and also there was an area above the radiator in need of plastering. The carpet in Bedroom 30 was observed have creases and is regarded as a potential trip hazard. A Requirement has been made to repair this carpet. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 15 The bathroom of the annexe area of the home is in a very poor state of repair and unusable. The deputy manager stated that the whole annexe area of the home is due for refurbishment beginning in July 2005. At the time of inspection this was still within the timescale of the previous Requirement and therefore this has been restated. On Bluebell unit the flooring of the sluice area was found to be in a very poor state where it was badly stained with limescale. The taps and sinks in the sluice area are coated in limescale and the whole area is in need of refurbishment. The last inspection highlighted that the flooring of the male toilet on Bluebell unit was badly stained and this is still the case. Following the last inspection the toilet roll holders in the male toilets on Rosemary unit have been installed. The television on Lavender unit is in need of replacing due to the picture being poorly distorted and permanent lines on the television screen that indicate the picture quality and colour is deteriorating. The walls throughout this unit were observed to be stained and paint chipped in some areas. The deputy manager said that each unit had been fitted with a new kitchen area since the last inspection. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The staff files do not demonstrate that new staff are appropriately checked prior to commencing employment. Staff at the home have not received adequate training for their role. EVIDENCE: Since the last inspection a number of new carers have commenced at the home. The deputy manager described that a recruitment campaign is currently underway to fill the outstanding vacancies of carer, one senior carer, one domestic staff and one laundry staff. She stated that these vacancies are currently being covered by bank staff. The previous inspection recommended that there should be a third staff member on a waking night shift. The deputy manager stated that this has been agreed by the organisation and the staff is due to commence within the next couple of months. A Requirement from the last inspection was to ensure that all new staff are checked against the POVA (Protection of Vulnerable Adults) list of staff unsuitable to work with service users. The deputy manager stated that three new staff started work at the home in March 2005 but they had not been checked against the POVA list and that she was not aware of how to carry the check out. Written information regarding the procedure to follow was given by the inspector to ensure that the home/ organisation carries out these checks in future. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 17 Following the findings of the previous inspection it was required that staff receive training in food hygiene, first aid and dementia care. Three staff files were examined and there was no evidence to indicate that staff had received recent training in any of these areas. One file indicated that first aid and dementia training had been received in 2003. The other two staff files did not indicate that any of the above training had been received or planned for. The timescale for the Requirement is to have this completed by July 2005, therefore this has been restated. Servite Houses offer training in a number of areas including statutory and health and safety courses. It is essential that the manager access this, plus training from external providers to ensure that the staff team are adequately trained for their role. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36 and 38 The systems for recording meetings and checks around the home need to improve. EVIDENCE: The deputy manager discussed that supervision has recently been implemented at the home and the aim is for all staff to receive this at least six times a year. The manager must ensure that a record is maintained of all supervision sessions. The previous inspection recommended that service user meetings be held monthly on each unit. The records of these meetings are held on each unit and indicate that monthly meetings commenced in April 2005 where areas such as food, activities and complaints are discussed. Since April only one record (on Rosemary unit) was found to demonstrate that a meeting had been held in May. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 19 In the kitchen/ dining area of two units a number of COSHH (Control of Substances Hazardous to Health) products were found in an unlocked cupboard underneath the kitchen sink. An Immediate Requirement was made at the inspection to remove these products to the lockable COSHH cupboard. The First Aid box on all units were examined. The records indicate that the checking of the equipment is erratic. The First Aid box on Jasmine unit was last checked in February 2005 and on Bluebell unit in January 2001. A Requirement has been made to ensure that these are checked monthly and a record maintained. It is strongly recommended that the organisation implement a quality assurance system that enables the auditing of records and procedures around the home. The quality assurance system should also allow for feedback from service users, relatives, staff and other professionals involved with the service. The feedback received should be used to inform the annual development plan for the home and organisation. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 2 2 x x 2 x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 2 x x 2 x 2 Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 & OP8 Regulation 15(1)(2) Requirement The Registered Persons must ensure that the new care plan format to be implemented at the home is in a format that is easily understandable and accessible to the staff and service users. The Registered Persons must ensure that a range of suitable activities within and outside the home are offered to service users on a regular basis.Full records must be maintained of activities provided. Staff providing activities must receive training appropriate to the work they are asked to perform. The Registered Persons must ensure that the bathroom located in the annexe area of the home is fully refurbished. (Requirement from last inspection within timescale at time of this inspection restated). The Registered Persons must ensure that the following maintenance/ hygiene issues are addressed: - the bathroom on Jasmine unit is redecorated - the skirting board in the female Timescale for action 31/08/05 2. OP12 16(2) (m)(n) & 18(1) 31/07/05 3. OP19 23(2) 01/07/05 4. OP19 & OP21 23(2) 31/12/05 Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 22 5. 6. 7. OP20 OP24 OP26 23(2)(c) 23(2)(c) 23(2)(b) 8. OP29 7, 9, 19 9. OP30 18(1) 10. 11. OP36 OP38 18(2) 13(4) 12. OP38 13(4) toilet on Jasmine unit is repaired - the commmunal areas to all units are redecorated - the flooring to the male toilet on Bluebell unit is to be replaced The Registered Persons must ensure that a new television is provided on Lavender unit The Registered Persons must ensure that the carpet in Bedroom 30 is repaired. The Registered Persons must ensure that the sluice area on Bluebell unit is refurbished throughout. The Registered Persons must ensure that all care staff are checked against the POVA list prior to commencing employment at the home. (Previous tmescale of 01/04/05 not met) The Registered Persons must ensure that all care staff receive up-to-date training in food hygiene, first aid and dementia care. (Requirement from last inspection within timescale at time of this inspection restated). The manager must ensure that a record is maintained of all supervision sessions. The Registered Persons must ensure that all cleaning products are kept in the locked COSHH cupboard (Immediate requirement issued 01/06/05) The Registered Persons must ensure that all First Aid boxes are checked on a monthly basis with a full record kept. 30/06/05 30/06/05 31/12/05 30/06/05 01/07/05 30/06/05 01/06/05 31/07/05 Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP9 OP12 OP27 OP33 OP33 Good Practice Recommendations It is recommended that a record is maintained of spot checks carried out on medication records and supplies The organisation should have dedicated hours for a member of staff to provide activities. It is recommended that the home have three waking staff (including one waking senoir) on duty during each night shift The manager should ensure that a record of monthly service user meetings is maintained on each unit It is strongly recommended that the organisation implement a quality assurance system to enable the auditing of records and procedures around the home and to seek feedback from service users, relatives, staff and other professionals involved with the service. These responses should be used to inform the annual development plan for the home and organisation. Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Ground floor 41-47 Hartfield Road Wimbledon SW19 3RG London National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sherwood Lodge G54-G04 S10223 sherwood Lodge V228928 010605 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!