Inspection on 04/08/05 for Woodbury Court

This inspection was carried out on 4th August 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

Woodbury Court 14/01/08

Woodbury Court 17/01/07

Woodbury Court 12/01/06

Woodbury Court 15/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Woodlands Tavistock Road Laindon Basildon Essex, SS15 5QQ Lead Inspector Ann Davey Vicky Dutton Unannounced Thursday 4 August 2005 th 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. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodlands Address Tavistock Road Laindon Basildon Essex SS15 5QQ 01268 546230 01268 564231 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) Runwood Homes Plc Ms Karen Allen CRH Care Home 93 Category(ies) of DE(E) Dementia -over 65 (48) registration, with number OP Old Age (45) of places Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th October 2005 Brief Description of the Service: Woodlands is a purpose built 2 storey establishment which accommodates 93 persons. The home has surrounding grassed areas, a secure patio area and a large car park. The 1st floor accommodates residents with dementia and the ground floor accommodates residents over the age of 65 years. All bedrooms are single and have ensuite facilities. Laindon town centre is situated near to the home. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of 11 hours. As there were three inspectors, this equated 30 hours input. The inspection mainly focused on the progress the home had made since the last inspection, although a number of other standards were also considered. A partial tour of the home took place. Staff, residents and visitors were spoken with. Records were selected at random and viewed. A notice was displayed in the main entrance area advising all visitors to the home that an inspection was taking place with an open invitation to speak with an inspector. What the service does well: What has improved since the last inspection? Although still needing considerable development work, the quality of information within the care planning system(s) is getting better. The home has addressed the problems with the medication system on the ground floor. The home has improved the quality of nutrition records. The home now Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 6 systematically informs the Commission of any information required by regulation. 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. Woodlands I56-I06 S61614 Woodlands V235636 040805 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 Woodlands I56-I06 S61614 Woodlands V235636 040805 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) 3,4,5 & 6 Prospective residents care needs are assessed before admission. Whenever possible, residents and/or their families can visit the home before admission to see if the home is suitable. In-house management systems on the 1st floor need to be developed to ensure that the needs of those residents with dementia are fully met. EVIDENCE: Although not viewed, the home’s Statement of Purpose and Service User’s Guide were available in the main entrance and within the visitor’s room. Pre-admission assessments take place, but the home should ensure that all relative information is held on the respective individual resident’s file. The practice of holding some information on file and other supportive admission documentation in a different place is not good practice and could lead to confusion. The home is registered to care for residents with dementia. Records confirmed that staff are trained to meet these needs. However, the home must develop Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 9 their case record recording system and orientation/directional signage/aids to ensure that the specific needs of these residents are met. The home does not provide intermediate care. Woodlands I56-I06 S61614 Woodlands V235636 040805 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 & 11 In general, residents’ health and care needs were identified. However, development work is needed on the recording systems. At present, residents could potentially be at risk due to the disorganised recording system(s) in place. Staff training is required to ensure that residents and/ or families will be treated with care, sensitivity and respect at times of death. In addition, training must be provided to ensure that all residents are cared for in a dignified, safe manner at all times. EVIDENCE: A random selection of care plan documentation and other associated records were inspected. It was clear that some progress had been made in improving the quality of recording. The quality of care plan recording varied from adequate to inadequate. Further development work remains particularly on the 1st floor, as the system(s) in place is repetitive in nature and disorganised, care plan reviews and risk assessments were out of date, entries of significance were not always ‘followed through’ and daily observational records were noted on care plans. Generally, recording was disjointed and fragmented. It was however, positive to hear from residents and visitors that the key worker system works well and that the home encourages participation in the Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 11 care planning process. Case records and information held on residents was stored in a secure area. A random selection of medication records on the ground floor was viewed. It was positive to establish that records were in good order, information/guidance was available, staff were trained and medication storage facilities were clean and tidy. Residents were wearing blue plastic aprons at mealtimes and not all female residents had leg coverings. These practices must be addressed to uphold residents’ rights of dignity. Housekeeping staff were observed to enter occupied bedrooms without knocking. Those residents able to voice an opinion said that they were satisfied with the care at Woodlands and that they were treated with respect. Understandably, Woodlands is a very large home and residents views, expectations and experiences of residential care varied. An appropriate ‘feedback’ of residents views and comments were given to the manager, and the Inspectors’ were satisfied that individual reported matters would be looked into and dealt with sensitively. Positive comments about the care at Woodlands were received from visitors to the home. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 12 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) 13,14 & 15 Family and friends are able to visit the home at any reasonable time. Systems must be reviewed on the 1st floor to ensure that residents are able to exercise choice and control. Issues about menus and mealtimes are currently being developed to benefit residents. EVIDENCE: The home’s activities programme was not assessed on this occasion but residents on the ground floor spoke positively about their experiences. The home should however develop systems whereby residents are able to go out into the community. Activities and social events tend to be ‘in house’. The home has developed a very pleasant ‘reminisance’ room on the ground floor. The home has a pleasant visitor’s room. Visitors and residents said that the home is welcoming to all guests. The inspection coincided with a ‘relatives evening’ whereby relatives had been invited to the home to hear a presentation on the subject of dementia. The home should be commended on this initiative. In-house management systems on the 1st floor must be reviewed as it was noted that the majority of communal lounge and dining rooms were locked and not accessible to residents. The inspectors were told that this practice is to keep residents safe and grouped in areas that are staffed. This practice is not Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 13 acceptable. All areas designated for residents use should be available to them and sufficient staffing should be in place to provide a safe environment for residents. Residents must be allowed to exercise as much choice and control over their daily lives as possible. The home is currently reviewing the current menu system. Comments from residents concerning the food were varied, but particular constant mention was made of the repetitive supply of sandwiches at teatime. Nutrition records selected at random were adequate. The manager said that drinks and snacks in the evening and an early morning cup of tea are available, but those records seen showed no entries from teatime until breakfast the following morning. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 14 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 & 18 All staff spoken with had an acceptable knowledge base concerning Adult Protection issues. The home’s complaints procedure is made available to residents, families and staff. EVIDENCE: Staff spoken with were comfortable and familiar with the correct procedure should an adult protection issues be suspected. Residents said that they would be happy to raise any issues of concern with the manager. The home is currently involved in assisting with dealing with a complex complaint/concern issue that has engaged different professional agencies. The Commission is satisfied with the manner in which the home is addressing the situation. The home has appropriately updated the Commission at each stage. The home’s complaint record was not viewed on this occasion. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 15 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) 19,20,21,23,24,25 & 26 The general overall standard of furnishings, décor and fitments within the home is of a good standard. The use of effective signage must be addressed on the 1st floor to assist and enable residents. The system whereby call bells are responded to must be addressed for the safety and well being of residents. The standard of housekeeping and the management of infection control issues within the laundry area was poor. Some communal areas on the 1st floor are not accessible to residents and the agreed provision of furniture within the secured designated garden area has not materialised. EVIDENCE: Residents’ bedroom in the main were decorated, furnished and equipped to a good standard. The vast majority were very personalised and homely. The inspection day was very warm, but the home was well ventilated and the air temperature was comfortable for residents. Generally, there were no unpleasant odours. It was positive to note that the 1st floor had identified storage facilities. The main reception area to the home is bright and welcoming. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 16 On the 1st floor there are notices on walls asking for contributions from visitors of items such as paint, mirrors and towel rails to enhance the bathroom areas. This is inappropriate as the registered person is responsible for ensuring the home is adequately furnished and fitted. In one bedroom and in the laundry area, bedding was being used with the ‘BHR’ (Basildon Hospital) logo printed on it. This practice is inappropriate. Call bells were activated 4 times during the inspection to assess staff response time. On 2 occasions, there was no response after a reasonable period and the inspectors cancelled them. Residents also commented on call bell response delays. This must be addressed as current practice could place residents at risk. The home must develop the directional signage system on the 1st floor. Signage is too small, too high and on 1 occasion the text and picture beside it was contradictory. All residents on the 1st floor have dementia care needs and current practice is inadequate. The Inspectors’ became disorientated because of lack of signage and 1 member of agency staff was initially unable to locate the stairs. Management must urgently review the housekeeping arrangements within the laundry area(s) as there were fire and infection control implications. There were no protective aprons within the immediate area, soiled linen was left in heaps on the floor, both hand washing sinks were dirty, a stained/soiled disposable cloth was nearby, there were thick layers of grey dust/fluff behind and down beside washing/drying machines, skirting boards were covered in grey dust/fluff, at the back of one machine a dirty foam cushion had been left and down beside another there was a box of latex gloves which was covered in grey dust. One pest control box was submerged under a blanket of cobwebs and grey fluff. There was no evidence of any cleaning schedule. The home’s roller and domestic iron were left on unattended. There were no safe working practice assessments in the immediate area. It is recommended that the home develops a system whereby regular premises audits are carried out to identify and address such issues as missing bin lids, unclean shower trays, stained/dirty aids and broken light switches for example. During the inspection, a faulty call bell connection was detected. It was positive to note that staff immediately took appropriate action to address this. Systems on the 1st floor must be reviewed as it was noted that the majority of communal lounge and dining rooms were locked and not accessible to residents. The inspectors were told that this practice is to keep residents safe and grouped in areas which are staffed. This practice is not acceptable. All areas designated for residents use should be available to them and sufficient staffing should be in place to provide a safe environment for residents. This matter has also been referred to under standard 14. At the time of registration (12 months ago), the registered person agreed to furnish and equip the area of garden designated for residents with dementia with appropriate furniture. The Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 17 matter was raised at the last inspection and it is disappointing that at this inspection, still no furniture has been provided. This is not acceptable. In one fridge on the 1st floor, the fridge temperature had been recorded as ranging from 10 – 20 degrees centigrade, for the last 3 days it was recorded as 20 degrees. The guidance next to the fridge clearly states that the temperature should be less than 8 degrees. Management should review the process by which these temperatures are recorded and what action should be taken if a fault is detected. Woodlands I56-I06 S61614 Woodlands V235636 040805 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) 27,28,29 & 30 Insufficient staff are provided to meet residents choices, needs and expectations. Residents are protected by safe recruitment procedures. Core training is provided, but other specific awareness training is required. EVIDENCE: It was positive to note that the current staffing group is now more stable. The current staff vacancies are shortly to be filled, which will bring the use of agency staff down to a minimal level. It was noted that some staff are working double shifts, this is not good practice. Information on the ground floor staffing rota was accurate, but the information on the 1st floor rota floor was inaccurate both for the week of the inspection and the previous week. Further rotas were not examined, as clearly there was an issue to be addressed by management. There was no evidence that current staffing levels are adequate as call bells were left unanswered and residents on the 1st floor are not permitted to use all designated areas including the secure garden area because of staffing resources. The registered person must demonstrate that a full review of staffing numbers, deployment and distribution of staff has been carried out and that the home has sufficient staff on duty at any one time to provide adequate care. It was noted that staff working within the home wore many different uniform styles and designs. There seemed to be no identified style/model. This was Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 19 quite confusing to the Inspectors. As the home is registered to provide care for those with dementia, every effort must be made to address this issue. Residents said that staff were kind and approachable and the inspectors’ observed good care practices. Staff said that they attend staff meetings and that they had regular supervision sessions. The home provides good core training opportunities, but management should consult staff about their other training/awareness needs. Staff recruitment files selected and viewed at random were compliant with regulatory requirements. The home continues to develop NVQ training opportunities. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 20 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) 31,32,33,37 & 38 Internal management structures/systems with the home require review to ensure and develop effectiveness. EVIDENCE: Woodlands is a large home caring for 93 residents. The registered manager is competent, experienced and committed to raising standards within the home. At present there is no deputy manager, this role is being filled in part by the home’s Operational Manager. Staff reported their confidence in the manager and said that her management style and approach is supportive, pleasant and helpful. An urgent review must take place concerning the ‘in house’ management structure particularly on the 1st floor which accommodates residents with dementia. Issues were identified on this floor that require attention. The Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 21 restricted use of communal areas on the 1st floor, although for good intention, is not in the best interests of residents accommodated on this floor. In general staffing levels must be reviewed to ensure that sufficient staff are on duty at all times. The registered person must review all aspects of health and safety within the home to ensure that the health, safety and wellbeing of residents are paramount. Woodlands I56-I06 S61614 Woodlands V235636 040805 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 x x 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 1 15 2 COMPLAINTS AND PROTECTION 3 1 3 x 3 3 2 1 STAFFING Standard No Score 27 1 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 3 x 3 3 3 2 x x 2 2 1 Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 23 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 3 Regulation 14 Requirement The registered person must ensure that the home can meet all the needs of those residents admitted with dementia. At the last inspection, an immediate request was made to meet this requirement, this has only been addressed in part. The registered person must ensure that all residents have a plan of care and risk assessments which contain relevant information and deatil. All documentaion must be kept under review. Timescale for action 4/9/05 2. 7 15 4/9/05 3. 10 & 14 16 The previous timescale to meet this requirement was 15/11/05. This has not been achieved. The registered person must 4/9/05 ensure that the dignity, privacy and choice of all residents is respected and upheld. This is with reference to residents wearing plastic aprons at mealtimes, staff entering occupied bedrooms without knocking, residents prohibited from using designated communal rooms because of lack of staff. I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 24 Woodlands 4. 15 16 The registered person must review the current recording system concerning the provision of food and drink. At present records do not evidence that residents receive any form of food and drink from 5pm until the following days breakfast. The previous timescale to meet this requirement was 15/11/05. This has not been achieved. 4/9/05 5. 20 & 25 23 6. 26 13 The registered person must ensure that residents have full access to all designated communal areas, provide suitable garden furniture, provide effective directional/orientation signage, ensure that call bells are answered quickly, remove the notices asking for mirrors, paint and towel rails (and provide any such items if required) and remove (and replace if necessary) bedding with a hospital logo printed on them. The registered person must urgently review the infection control/housekeeping/maintenan ce/fire prevention/safe working practice systems within the laundry area. All issues detailed within the report must be addressed without delay and systems put in place to monitor compliance. The registered person must also review the processess by which fridge temperatures are taken and recorded on the 1st floor and what systems are in place to report any faults. The registered person must review and demonstrate that sufficient staff are on duty at all I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc 4/9/05 4/9/05 7. 27 18 4/9/05 Woodlands Version 1.40 Page 25 times to meet the needs of residents with dementia. The home could not evidence that there are adequate numbers of staff on duty on the 1st floor to meet the needs of residents with dementia. Communal rooms were not accessible to residents because of staff numbers and deployment, and residents are unable to use the designated secure garden area on ground level because of staffing implications and the lack of garden furniture. The previous timescale to meet this requirement was 15/11/05. This has not been achieved. The registered person must carry 4/9/05 out a full review of the quality of care provided at the home. This should include aspects such as in-house management systems particularly on the 1st floor, the provision of care to those residents with dementia (the home is registered to provide care to those with dementia), develop care practice audit/monitor systems. The home must demonstrate that the safety and welfare of all residents is promoted and protected. The home must be managed in a manner which is in the best interests of all residents and in accordance with its stated policies and procedures. 8. 36,37 & 38 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Woodlands Refer to Good Practice Recommendations I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 26 1. 2. Standard 3 11 3. 4. 5. 15 12 & 13 19 & 26 The registered person should ensure that all assessment/admission documentation is held in one place. The registered person should arrange staff training sessions concerning the care of residents who are dying and also provide assurance of the staff support systems in place during such occasions. The registered person should review the current food menu to ensure that residents are receiving a choice of food which is pleasing to them. The registered person should review the current activities programme to ensure that those residents wishing to use the community facilities are able to do so. The registered person should ensure that regular premises/environment audit systems are developed. Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend-on-Sea Essex, SS2 6BG 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 Woodlands I56-I06 S61614 Woodlands V235636 040805 Stage 4.doc Version 1.40 Page 28 - 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!