Inspection on 06/07/05 for Wood House

This inspection was carried out on 6th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wood House 26/07/06

Wood House 12/01/06

Wood House 21/02/05

Wood House 14/10/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wood House 7 Laurel Close London SW17 9QT Lead Inspector Louise Phillips Announced 6th July 2005 10:00am 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. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wood House Address 7 Laurel Close London SW17 9QT 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) 020 8672 4332 020 8767 5966 Servite Houses Julius W Seid Care Home only (PC) 34 Category(ies) of Old age (not falling with any other category) registration, with number (OP) of places Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1- One specified female resident under 65 years of age. Date of last inspection 21st February 2005 Brief Description of the Service: Wood House is a care home managed by Servite Houses, registered to provide personal care and accommodation for up to 34 older people. The home is situated in a road behind Tooting High Street, within walking distance of Tooting Broadway shopping centre and the public transport links served by the area. The main accommodation at Wood House is on the first floor which is accessed by a lift and stairs. The home is divided into four units (A, B, C and D), each with their own dining room/ lounge area, kitchenette, bathroom and toilet facilities. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day for approximately 6.5 hours and was carried out by Louise Phillips, Lead Inspector and Gunga Chumun, Regulation Manager. A tour of the premises took place and staff and care records were inspected. Nine of the staff on duty, fifteen of the service users and one visitor was spoken to during the inspection. At the time of inspection there were two service users in hospital and two vacancies at the home. Twelve comment cards were received in respect of the service. Five of these were from relatives/ visitors, one from a General Practitioner and six from residents. These are referred to throughout the report. What the service does well: What has improved since the last inspection? Since the last inspection the home has developed the Service Users Guide to include relevant information about the service to existing and potential residents. Progress has been made to ensure that staff receive appropriate training for their role and that this is kept up-to-date. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 6 The manager has also applied to the CSCI to become registered and this is currently being processed. Health and safety checks have generally been well-maintained along with external contractors checking the gas and electrical safety checks. 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. Wood House G54-G04 S10240 Wood House V228893 060705 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 Wood House G54-G04 S10240 Wood House V228893 060705 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, 3 and 4 The home has developed the Service Users Guide to include the required information about the service provided. The home has not demonstrated that it can meet the needs of all the residents accommodated. EVIDENCE: The Service User Guide was seen to have been updated since the last inspection. This now serves as a useful guide to Wood House, providing information on the current manager, the terms and conditions of the services provided and the complaints procedure. It is recommended that a copy of the Service Users Guide is provided to the current residents of Wood House. The manager described in detail the assessment process for potential residents to Wood House where new residents are referred through the local authority care management process. This is then followed by the manager or a senior carer going to meet the potential resident and carrying out an assessment of their needs. If the home can meet their needs then visits are arranged to spend time with other residents and staff. The move to the home is followedup after six weeks through a meeting between all parties to ensure that the resident is happy to stay at the home and that their needs are being met. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 9 The recording of the process for moving to the home was examined in two residents files and these were found to be well-documented and ensured that the move was satisfactorily managed. The manager stated that home does have two residents with primary mental health care needs. The CSCI is currently processing an application from the home to vary the registration category to accommodate one resident with mental health needs. It is required that a further application is submitted for the other service user. In addition to this, the organisation must look at the long terms aims of the service – whether the home is intending to admit residents with mental health needs permanently. Wood House G54-G04 S10240 Wood House V228893 060705 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 and 11 The current care planning system is difficult to understand, allowing for significant areas of care to be missed and inadequate record keeping. The residents wishes in relation to their death are not consistently recorded. Residents generally feel well cared for and that their privacy is respected. EVIDENCE: The care plans for five residents were looked at across the four units of the home. The content of information in each file was good and appropriate to enable easy identification of the needs of each resident. However, the system in use for the transferring of these needs into care plans is difficult to understand by focussing on relating the residents’ needs to the National Minimum Standards for Older People (NMS). The care plans are also related to core care objectives dependant on the needs of the resident. Relating care plans to both of these areas is hard to follow and confusing when trying to establish the support required for each resident. The use of this was described as “…confusing…” by one member of staff. A further member staff stated that: “…people high up in the organisation should come and work here and try to write the care plans…”. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 11 These comments are significant and reflect the difficulties encountered with the current care planning system. A further inadequacy of the current system is reflected in the daily notes for each resident, whereby the staff record care and activities in relation to each care objective. This leads to entries being made in a ‘list’ fashion, as opposed to an adequate summary of the daily activities carried out by, and with, the resident. Examples of the current recording are: “Assistance with personal care.” “Self-caring, some assistance given.” “Transfer by wheelchair.” “Suitable diet given.” As mentioned above, this style of recording does not provide adequate information on the actual care given to the resident, the activities they have been involved in or foods consumed. Following on from this, in one residents’ file a weight chart had been maintained, with their weight being recorded monthly. The records indicate that the resident had lost 2kgs in weight since March 2005. Despite this there was no care plan in place to address this, nor any entry in the daily notes on the date they were weighed to describe the actions taken. It was also identified that only three of the files examined had a care plan in place to identify the resident’s wishes in relation to terminal care and what they would like to happen in the event of their death. The manager discussed the new format of care planning that is proposed to be introduced by the organisation. This new format consists of 23 pages of care planning documentation that includes information about the residents’ life history, hobbies and preferences in relation to clothes and food. The new care plan format allows for more individualised information, however the inspector is concerned that the documentation is very lengthy regarding the formatting of the care plans, and confusing when trying to relate these to the assessed needs. These concerns are initially regarding the format for the recording of the assessed need of the resident. On the care plan this is recorded through the use of a tick box, where the reader would need to refer back to the 38 page assessment document (discussed earlier in the report) in order to fully find out about the actual need of the resident. The use of the tick box does not elaborate on the need or demonstrate that this is individualised to the actual need of the resident. 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 objectives for the care. 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. A separate review sheet is in place to Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 12 record where each area of need has been reviewed, however this could cause confusion if changes to the care plan are recorded on a separate sheet. The previous inspection recommended that the care planning system is reviewed to ensure that support needs are presented in a more accessible format. The newly proposed care planning system does not demonstrate that the information will be more accessible and it is required that the new format be designed to be more understandable and accessible to staff and service users. The previous inspection required that the risk assessments for each resident are regularly reviewed. Of the five files examined each were seen to have an adequate risk assessment in place regarding risk of falls, going out for walks; dependant on the needs of the resident. Four were seen to have been reviewed recently, however one was found to have been last reviewed in February 2002, therefore this Requirement has been restated. Comment cards received from six residents described that they feel their privacy is respected by the staff at the home. Five comment cards state that they feel well cared for, though one stating that “…it depends on the carer…”. A response from a General Practitioner in relation to Wood House identified the home works in partnership with them; that they are able to see residents in private and are satisfied with the overall care provided by the home. Five comment cards were received from relatives and visitors to the home. Responses from these indicate that they are consulted about the care of their friend/ relative, are informed of important matters and are satisfied with their overall care. Wood House G54-G04 S10240 Wood House V228893 060705 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 and 15 Activities provided by the home are adequate but need to be of a wider range to allow the opportunity for more residents to be involved. The food provided at the home does not take into account preferences and the cultural needs of individual residents. EVIDENCE: Prior to the inspection six comment cards were received from residents living at the home. In response to the question “Does the home provide suitable activities?” three residents replied “yes” and three responded with “sometimes”. On the day one resident stated: “…I’m not really interested…” , and a staff member commented that “…most people are not interested in activities…”. The activities provided by the home were discussed with the manager where he showed the timetable of planned activities for the home over the following four weeks, which included in-house activities and external outings to the pub and a day trip to Brighton. One resident stated that she was happy with the activities provided and discussed previous trips that had been organised by the home. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 14 The home maintains a record of residents who have participated in the activities organised by the home. The attendance for each activity varied and indicated that often the same residents participated in the activities offered. These findings reflect the responses received on the comment cards, and demonstrate that the service should look at providing a wider range of activities to cater for all needs, and enable all residents the opportunity to be involved in an activity. One visitor to the home was spoken to and discussed that they are able to visit their friend at any time, and are always made to feel welcome by the staff. Five comment cards from relatives and visitors comment cards confirm that they are also made to feel welcome and are able to visit their friend/ relative in private should they wish Two of the six comment cards received from residents’ state that they would like to be more involved in decisions about the home and a Requirement has been made to address this. The meals provided at Wood House are supplied through an outside contractor. One inspector had lunch with some of the residents. Discussion with residents during the lunch were that “…lunch was good…”, a further comment being “…the food is good, lots of it…”. The inspector noted that the meal was of sufficient portion size, but that the carrot served with the roast lamb was grated. This was not described on the menu and there was no alternative option available in the form of chopped carrot. One service commented that such food preparation means the “…food is too mincy…”. A further comment was that there was “…no mint sauce and mustard…” to accompany the roast lamb. Of the six comment cards received from residents, in response to the question “Do you like the food?” three said “yes” and three said “sometimes”. This is an area of concern as it represents that half of those who responded only sometimes like the food provided at the home. The choice of food was discussed with one resident who stated that they “…would like Guyanaese food…”, to reflect their cultural tastes. A Requirement has been made to ensure that this request is met and foods reflective of cultural backgrounds are catered for. A further Requirement has been made to ensure that the residents are consulted about their food preferences and that these are included in the meals provided at the home. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 15 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 and 18 Complaints are investigated appropriately and promptly by the organisation. Staff have an awareness of adult abuse issues. EVIDENCE: There were six comment cards received from residents, five of whom identified that if they were unhappy with an aspect of the service they would know who to speak to. The complaint procedure for the home was observed displayed in appropriate areas around the home and a copy provided in the Service Users Guide. A recent complaint received by the CSCI was referred to the organisation to investigate. This is considered to have been dealt with appropriately within the Servite Houses complaint procedure and to the satisfaction of all parties. The home has a copy of the Wandsworth Protection of Vulnerable Adults procedures and the organisation has its own abuse policies. Training records indicate that staff receive training in abuse awareness. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 16 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, 22, 23, 24, 25 and 26 The standard of the décor within the home is of a high standard and presents as an attractive, homely and comfortable environment for residents. There is a good standard of hygiene throughout and all equipment is generally wellmaintained for the safety of the residents. EVIDENCE: On arriving at the home you are met with a bright pleasant entrance area and a sign saying “welcome” in a number of different languages. The bright décor is continued throughout the home with individually decorated units and bedrooms. The home has a light, airy feel that contributes to a relaxed and pleasant environment throughout. The bathrooms on each unit are tastefully decorated, with different styles of bath-aids observed; also walk-in showers for use of the residents. One bedroom was observed to contain the relevant furnishings and equipment, including a lockable storage area for valuables and a telephone point. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 17 Two areas that were seen to require attention are the replacement of the toilet seat in the staff toilet on the ground floor, as it was worn and is an infection risk. The main kitchen on the ground floor was observed to have five tiles missing on the wall, which require replacing. The previous inspection recommended that an enclosed outside seating area be provided for use by the residents. It was observed that there is a small seating area near the entrance and the manager described plans to adapt a small area immediately in front of the entrance to enable more residents to sit outside when they wish. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 18 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) 29 and 30 The recruitment practices ensure the protection of the residents. Staff at the home receive training that is appropriate to meeting the needs of the residents. EVIDENCE: The files relating to three staff were examined and found to contain information demonstrating that appropriate recruitment practices had been followed. This includes records of the staffs’ job application, employment interview, references, copy of identification and satisfactory Criminal Records Bureau check confirmation. The previous inspection required that staff receive a minimum of three days training, and refresher training where necessary. The training records for three staff demonstrate that they have undertaken recent training in first aid, manual handling and food hygiene. Two staff spoken said that they were satisfied with the training they receive, and that it is relevant to their job. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 19 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) 31, 32, 36 and 38 The manager promotes an open atmosphere in the home that enhances positive teamwork and a good approach to care. Further work is needed to ensure that the home meets all health and safety requirements. EVIDENCE: Since the previous inspection the manager has submitted an application to the CSCI and this is currently being processed for him to be the Registered Manager for the service. There was positive feedback regarding the approach of the manager at the home, where staff spoken to stated that the manager is approachable, one stating that they “…feel able to approach him with any concerns…” One staff member also said that they felt able to go to the duty officer with any concerns they have during the shift. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 20 Further adding to this, one relative/ visitor comment card stated that: “…the manager and staff are friendly and approachable…” In addition, two staff spoken to said they felt that there was good teamwork at the home and that the care practices work well to meet the residents’ needs Good teamwork at the home is promoted through the regular supervision that staff receive, where staff files indicate that individual sessions with staff are held at least every 8 weeks, and that there are also regular staff meetings. The previous inspection identified a number of health and safety issues that were followed up. Two Requirements had been met regarding the carrying out of an electrical installation check and gas safety check. The first aid boxes throughout the home should be checked monthly, however the first aid box in the main kitchen was found to have been last checked in February 2003 and contained a number of items that were out of date. The first aid box on each unit around the home is recorded as being checked monthly, however this seems to be on the content only as a number of bandages were observed to be out of date and need replacing. This Requirement has been restated. Regular checks to ensure residents safety are carried out on the hot water temperatures around the home and action taken where temperatures are recorded as being too high. The temperatures of the fridges and freezers around the home is recorded on a daily basis to ensure that food is stored at appropriate levels. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 21 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 2 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 x 2 Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 22 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 OP3 & OP4 Regulation 12(1) Requirement The Registered Persons must ensure that an application is submitted to the CSCI for any residents outside the category of registration. Documentary evidence in support of this application must also be submitted. Along with this, the organisation must clarify, in writing, to the CSCI whether the home is intending to admit residents with mental health needs permanently or vary the registration category on a temporary basis for the identified residents only. 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 residents. The Registered Persons must ensure that a care plan is in place for all the care needs of the residents. The Registered Persons must ensure that risk assessments are regularly reviewed (Previous Timescale for action 31/08/05 2. OP7 & OP8 15(1)(2) 30/09/05 3. OP8 13(4) 31/08/05 Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 23 timescale of 30/06/05 not met). 4. OP14 12(2), 16(2)(m& n), 24(3) 16(2)(i) The Registered Persons must make provisions to ensure that residents are involved in decisions about the service. The Registered Persons must ensure that suitable food, that takes into account the cultural backgrounds of residents is provided at the home. 30/09/05 5. OP15 The Registered Persons must ensure that the residents are consulted about their food 31/08/05 preferences and that these are included in the meals provided at the home. The Registered Persons must ensure that food is suitably prepared to cater for individual preferences and needs. This is with particular reference to providing preparation options for the style of vegetables to accompany meals. The Registered Persons must ensure that the missing tiles in the main kitchen are replaced. The Registered Persons must ensure that the toilet seat in the staff toilet on the ground floor is replaced. The Registered Persons must ensure that first aid boxes are checked monthly, including the expiry date of the contents (Previous timescale of 30/0/05 not met) 6. 7. OP19 OP26 23(2)(b) 13(3) 30/09/05 30/09/05 8. OP38 13(4) 31/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 24 Wood House 1. 2. 3. 4. Standard OP1 OP11 OP12 OP19 It is recommended that a copy of the updated Service Users Guide is provided to the current residents of Wood House. The Registered Persons should ensure that a care plan is in place for each resident regarding their wishes in the event of their death. It is recommended that the home provide a a wider range of activities to cater for all needs and enable each resident the opportunity to be involved in an activity. It is recommended that an enclosed outdoor space with seating be provided for residents. Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Ground Floot 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Wood House G54-G04 S10240 Wood House V228893 060705 Stage 4.doc Version 1.40 Page 26 - 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!