Inspection on 16/08/05 for Glenfield Woodlands

This inspection was carried out on 16th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Glenfield Woodlands 27/04/07

Glenfield Woodlands 02/08/06

Glenfield Woodlands 06/01/06

Glenfield Woodlands 08/02/05

Glenfield Woodlands 22/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Glenfield Woodlands 11 Holmwood Drive Glenfield Leicester LE3 9LG Lead Inspector Kim Cowley Unannounced 16 August 2005 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. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glenfield Woodlands Address 11 Holmwood Drive Glenfield Leicester LE3 9LG 0116 2871696 0116 2871696 linda.streather@tinyworld.co.uk Holmwood Residential Care Limited 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) Mrs Rena Lewis Care Home 17 Category(ies) of OP Old age(17); MD/E Mental Disorder, registration, with number excluding learning disability or dementia - over of places 65 years of age (5); DE/E Dementia - over 65 years of age (5); PD/E Physical disability over 65 years of age (5)) Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18.02.05 Brief Description of the Service: Glenfield Woodlands is a privately owned residential home situated off the A50 Groby Road between County Hall and Glenfield Hospital.The home, which was built in the 1920s, caters for older people, some of whom may have mental health needs and/or physical disabilities. The home has 15 single bedrooms and one double, all of which have en-suite facilities. Downstairs there are two lounges and a dining room. To the rear of the home is nearly an acre of landscaped gardens with places to walk and sit. Shops, a post office, bus stops and parks are close to the home. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. The inspector talked to five residents, one of the Owners, the General and Registered Managers, and one of the care staff. The premises were toured and communal areas and bedrooms inspected. Care and medical records were examined. The meals, the quality and cleanliness of the premises, and the staff team are commended. What the service does well: Glenfield Woodlands is maintained, decorated, and furnished to a high standard. Communal areas, and those residents’ bedrooms inspected, were found to be homely and comfortable. It is evident that great care has been taken to make the premises attractive and pleasant. Residents’ comments about the premises included, ‘This is like a hotel, not a care home’, ‘Everyone who comes to visit me comments on home beautiful this home is’, and ‘The garden is spectacular.’ All areas inspected were exceptionally clean. The garden is a feature of the home, being nearly an acre in size. It is professionally landscaped and maintained. It has a number of walking and seating areas, extensive lawns, mature trees, and well-stocked flowerbeds. Residents said they enjoyed watching the wildlife in the garden including squirrels and a family of foxes. One resident has her own bird table in the garden and buys seeds to go on it. Residents’ care needs are met by a team of well trained, friendly and professional care workers who were praised by all the residents interviewed. Comments included, ‘We’re well looked after here’, and ‘The staff are very good and very willing.’ An allocated District Nursing Team, two local GPs, and other health care professionals meet residents’ health care needs. A varied activities programme is provided including trips out, visiting entertainers, and film shows. A full-time and a relief cook provide a varied and wholesome diet with most food being homemade. Meals are served in the dining room, which overlooks the garden. This room is furnished with small dining tables which seat four and residents choose where they sit. The dining room is well presented with flowers and menus on each table and coordinated place settings. Residents can also dine in one of the lounges, or in their own rooms, if they prefer. All residents interviewed praised the food and the Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 6 following comments were made, ‘The food here is very good’, and ‘Lunch today was lovely.’ Twelve Service Users Comment Cards were returned. All respondents said they liked living at the home, felt well cared for, and had their privacy respected. One Relatives/Visitors Comment Card was returned. The respondent was satisfied with all aspects of the service and wrote, ‘I think Glenfield Woodlands is excellent. I have been kept informed of any problems and they have helped in every way possible to sort my (relative) out. The staff are 1st class and very efficient.’ What has improved since the last inspection? What they could do better: 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. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 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 Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 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) 1,2,3,4,5 A brochure containing essential information about the home and a copy of the Terms and Conditions are sent out to interested parties. Residents are fully assessed by the Manager or Deputy prior to entering the home to ensure their needs can be met. Prospective residents are invited to visit the home with their relatives/carers. EVIDENCE: Prospective residents and other interested parties are sent a brochure, which provides basic information about the home and facilities, and includes directions and a map. A copy of the Terms and Conditions is included with this. Residents who are considering coming to Glenfield Woodlands are invited to visit with their relatives prior to making a decision. Some prospective residents come for day care before moving in so they can get used to the home. The Manager or Deputy assesses all prospective residents either in their own homes, or in hospital, or during a visit to Glenfield Woodlands. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 9 One resident commented, ‘My son found this home and I came to have a look at it. I was made to feel very welcome so I decided to move in permanently.’ The home has a waiting list, which is periodically reviewed Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 10 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) 7,8,9,10 Care plans are up to date and of good quality. They clearly set out residents’ needs and explain how staff are to meet them. Staff ensure residents’ health needs are met. Medication is properly kept and administered. Staff treat residents with respect and maintain their privacy. Residents’ files are in need of improvement. EVIDENCE: Detailed care plans, based on residents’ assessments, are written and referred to on a daily basis by care staff. They are updated as necessary and at least once a month. Risk assessments are carried out using the home’s risk assessment form. The Registered Manager said staff always sit and talk to residents about their care plans before they are implemented. Once they give their agreement they have the opportunity to sign the plans if they are able to. Three plans of care were inspected in detail and found to be comprehensive with clear instructions to staff about how best to meet care needs. Daily care Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 11 needs were summarized and appropriate risk assessments in place. Care plans are kept in the Manager’s office and are accessible to care staff. Other residents’ records are kept securely in the home’s main office. Some residents’ files do not contain photographs of the residents in question. This must be addressed. The home has an allocated District Nursing Team who work from a local health centre and visit every week or when necessary. The Manager said staff have a good relationship with the District Nurses and can go to them for advice whenever they need to. District Nurses provide staff training when required. If residents are unable to keep their former GPs on admittance to the home they are registered with a local GP practice. New residents have a full audit of their health needs carried out and every resident is seen routinely every three months for a further health audit. The home has a range of equipment to relieve pressure sores. All staff receive training in pressure sore care during induction and have access to a specialist training video to enhance this. The emphasis in the home is on the prevention of pressure sores, and advice is sought from health care professionals where necessary. Residents are weighed on admission, and then as required. The Manager said staff weigh residents regularly if their weight appears to be fluctuating All residents are seen by a chiropodist (private or NHS depending on their preference) at least every three months. A dentist and optician also visit the home when necessary. Since the last inspection a new medication cabinet has been purchased. Staff are trained to administer medication during their six weeks induction. When the Manager is satisfied they have reached an appropriate level of competency they take a test. If they pass they are ‘signed off’ as fit to administer medication. The contract pharmacist provides additional training in medication administration. The Manager said she checks medication records weekly to make sure they are being properly kept. The contract pharmacist inspected medication systems on 10.02.05. Medication stocks, MAR sheets, receipts and returns were inspected and found to be satisfactory. Staff receive training during their induction on maintaining residents’ privacy and dignity. This is first done through discussions with the Manager or another senior member of staff, and then by giving staff the opportunity to shadow Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 12 experienced members of staff on duty. When staff have completed their induction they fill in an Induction Training Questionnaire, which includes sections of promoting choice, independence, dignity and respect, and awareness of professional boundaries. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 13 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) 12,13,14,15 A programme of activities is provided to suit residents’ needs. Visitors are made welcome at the home and have a choice as to where they see residents. Residents are encouraged to make choices about their lifestyles. The cooks provide a varied and wholesome diet, which was praised by all the residents interviewed. EVIDENCE: The home has a varied activities programme, which is chosen by residents. Recent activities have included: Visiting entertainers (singers, organist) Classic films on a ‘big screen’ Videos of old Leicester, the Royals etc Trips out (eg an annual summer barge trip) Board games, bingo, jigsaws Reading newspapers/books (the latter supplied by the WRVS) Entertainment by local children Parties for residents and their relatives/friends Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 14 A hairdresser visits once a week. The home has a small library. Communion is held once a month. One resident commented, ‘The activities are there for the taking.’ The Manager said visitors are welcome at the home at any time, although they may wish to avoid mealtimes. Residents receive visitors in their own rooms or in one of the lounges, the dining room, or the garden. Residents take an interest in each other’s families and enjoy watching children who visit playing in the garden. Residents are encouraged to make choices about their lifestyles while in the home. For example, with regard to bedtimes, getting up times, and how they spend their time. The Manager said some residents like to have an identified chair in one of the lounges, which is ‘theirs’. This is agreed by negotiation. The home employs a full-time and a relief cook. There is a five-weeks rotating menu based on residents’ preferences. Menus were inspected and the home was found to offer a varied and wholesome diet with most food being homemade. The cooks talk to residents on a daily basis, asking them for their menu choices and discussing future meals. Special diets are catered for and diabetic alternatives provided where required. A list of residents ‘likes and dislikes’ is displayed in the kitchen. Most residents have their meals in the dining room, which overlooks the garden. This room is furnished with small dining tables which seat four and residents choose where they sit. The dining room is well presented with flowers and menus on each table and coordinated place settings. Residents who wish to can dine in one of the lounges or in their own rooms. Meal/refreshment times are as follows: 6am – 7.45am Hot drink in own room 8.15am – 9.30am Breakfast 11am Morning coffee 12 noon Sherry 12.30pm Lunch 3pm Afternoon tea 5.15pm Tea 8pm Evening drink Lunch was served during the inspection and consisted of cod in butter sauce, Duchess potatoes, carrots and peas. Dessert was rhubarb and custard or ice cream. All residents interviewed praised the food and the following comments were made: ‘The food here is very good.’ Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 15 ‘Lunch today was lovely.’ ‘I’m always satisfied with the food.’ The meals are commended. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 16 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) EVIDENCE: These Standards will be inspected at the next inspection. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 17 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, 26 The premises are maintained, decorated, and furnished to a high standard. The extensive gardens are an impressive feature of the home. The premises are exceptionally clean. EVIDENCE: Communal areas, and those residents’ bedrooms inspected, were found to be homely, comfortable and well decorated and furnished. It is evident that great care has been taken to make the premises attractive and pleasant. The home’s has a maintenance programme and staff record details of any repairs necessary on a weekly maintenance list. One of the Directors carries out routine maintenance. Contractors carry out more specialised work. Since the last inspection the landing and an upstairs bathroom have been redecorated. If a bedroom becomes vacant it is redecorated before another resident moves in. The garden is a feature of the home, being nearly an acre in size. It is professionally landscaped and maintained. It has a number of walking and seating areas, extensive lawns, mature trees, and well-stocked flowerbeds. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 18 Residents said they enjoyed watching the wildlife in the garden including squirrels and a family of foxes. One resident has their own bird table in the garden and buys seeds to go on it. Residents’ comments about the premises included: ‘This is like a hotel, not a care home.’ ‘Everyone who comes to visit me comments on how beautiful this home is.’ ‘We are looked after in style.’ ‘My room’s just right and it overlooks the garden.’ ‘My room is quiet and comfortable.’ ‘The garden is spectacular.’ This was an unannounced inspection and the home was found to be immaculately clean throughout. The Registered Manager said cleanliness is a top priority in the home and residents’ rooms are cleaned every morning. A window cleaner is employed for two hours per week. The home has a part-time housekeeper and care staff also help with the cleaning. In addition there are good systems and equipment (including a carpet shampooer) in place to ensure that the premises are kept clean, hygienic, and free from odour. Carpets are professionally cleaned when necessary. Night staff do the laundry. Residents’ comments included: ‘I can’t fault the cleanliness of this home.’ ‘This home is immaculate.’ ‘The staff are always cleaning and it shows!’ The standard, quality and cleanliness of the premises and the extensive, well-maintained gardens are commended. The Fire Officer inspected the premises on 20.06.05. The Manager said a number of recommendations were made which have either been met or are in hand. The Environmental Health Officer inspected on 22.07.05. The Manager said all recommendations made were met except one (the fitting of a fly screen on the kitchen window) and this is due to be carried out. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 19 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) 27,28,29,30 The home is staffed by a team of well trained, friendly and professional care workers who were praised by all the residents interviewed. Good recruitment procedures are in place. Staff files are in need of improvement. EVIDENCE: The home’s management team consists of the Owner, the Registered Manager, the Operations Manager, senior carers, carers, and ancillary staff. Staffing is arranged on a continental shift system, which means that all staff have an opportunity to work all shifts on a rolling programme. The Manager said that as a result training can be effectively organised and all the staff get to know all the residents. Flexibility is built into the staff rota so that extra hours can be provided should a resident need them. The home achieved its Investors in People Award in 2002 and will be assessed again this year. Relationships between staff and residents were seen to be excellent in that they were warm, caring, and respectful. All resident interviewed praised the staff and one commented ‘The staff are very good and very willing.’ The home is commended for its staff team. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 20 Recruitment procedures were discussed. Vacant posts are advertised in the local newspaper. Candidates are interviewed by the Manager and if successful references are applied for including one from the most recent employer. CRB checks are applied for once a new member of staff starts work. While waiting for clearance staff sign a criminal records declaration form and work under supervision at all times. Since the last inspection a new staff induction-training programme has been introduced. This covers fire safety, food hygiene, moving and handling, health and safety, first aid, and infection control. Managers receive additional training in risk assessment and pressure sore care. Training records are kept. The Manager has the NVQ Level 4 Registered Manager’s Award and the Deputy has NVQ Level 3. Staff files were inspected and found to be in good order with most of the required information in place. However not all staff files contain photographs of the members of staff in question. This must be addressed. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 21 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) EVIDENCE: These Standards will be inspected at the next inspection. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 22 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 23 No 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 Regulation Requirement Timescale for action 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. Refer to Standard 7 29 Good Practice Recommendations All residents files must contain a photograph of the resident in question. All staff files must contain a photograph of the member of staff in question. Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 Page 24 Commission for Social Care Inspection The Pavilions 5 Smith way, Grove Park Leicester LE19 1SX 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 Glenfield Woodlands C51 C01 S6397 Glenfield Woodlands Unannounced V243734 160805 STAGE 4.doc Version 1.40 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. 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