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Inspection on 26/05/05 for Woodend Nursing & Residential Centre

Also see our care home review for Woodend Nursing & Residential Centre for more information

This inspection was carried out on 26th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Procedures relating to pre admission and assessment of need ensure prospective residents primary care needs are determined and assist in the development of plans on how their needs will be met. Residents accommodated at the home stated that the staff were "kind and compassionate", "always willing to help". Relatives spoken to were also very complimentary regarding the attitude of the staff towards themselves and their relatives. The individual plans of care including risk assessments were well detailed and reviewed on a regular basis. On the unit where nursing and personal care is delivered the care plans are colour coded to distinguish which residents are residential and which are nursing. Staff were observed to positively interact with residents and care was delivered in a manner which respected their rights and privacy. The arrangements for care in Dunham Unit ensured residential clients had support where required and that residents were encouraged to be independent. The staffing levels on each other unit were appropriate to meeting the needs of residents. Staff spoken to during the inspection were very positive of the support and management they received to carry out their role. Training and support offered to staff also confirmed a commitment by the organisation to assist and support staff in the roles.

What has improved since the last inspection?

What the care home could do better:

The home must ensure that all colour coded files, used to distinguish nursing and personal care residents are checked to ensure the information is accurate. On the date of the inspection some files needed clarification as to the primary care need of the individual. Some of the administration and recording practices regarding medication were unacceptable, and the home was advised that a visit would be conducted by the Pharmacist inspector to advise on medication issues.

CARE HOMES FOR OLDER PEOPLE Woodend Nursing & Residential Centre Bradgate Road Bowdon Cheshire WA14 4QU Lead Inspector Elizabeth Holt Unannounced 26 May 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. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodend Nursing & Residential Centre Address Bradgate Road Bowdon Cheshire WA14 4QU 0161 929 5127 0161 929 5664 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) ANS Homes Ltd Responsible Individual - Mr Geoff Daly Neil Hooley CRH Care home N Care home with nursing 79 79 Category(ies) of OP Old age registration, with number of places Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: All service users will be aged 60 years or over. A maximum of 64 service users will require nursing care. A maximum of 6 older people who require personal care only may be accommodated in the agreed designated area (lower ground floor). A further 9 service users who require personal care only may be accommodated in the main body of the home. Minimum nursing staffing levels as specified in the Notice issued under Section 25(3) of the Registered Homes Act 1984 on 10 April 2000 shall be maintained. Date of last inspection 17 November 2004 Brief Description of the Service: Woodend Nursing and Residential centre is registered to provide nursing care and personal accomodation for a maximum of 79 older people. Within this maximum number, accomodation is provided for 15 older people who require personal care only. The home is divided into four designated units, each having a designated staff team. Dunham, six residential reisdents. Stanford, 23 residents. Tatton, and Arley, 25 residents respectively Woodend Nursing and Residential Centre is owned by ANS Homes Ltd. The home is situated in the residential area of Bowden, a suburb of Altrincham and is South to the city of Manchester. There is ease of access to the Manchester ring road and the motorway system. Altrincham town centre is easily reached by car and there is access to the public transport system within walking distance of the home. The passenger lift provides access to each floor. The grounds to the front are pleasently landscaped and there are well maintained gardens to side and rear of porperty. There are two patio areas accessible to wheelchair users. There is ample parking within the grounds of the home. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out by two inspectors between 9.30 and 16.30. The inspection commenced with a brief tour of the home lead by Ms Clare Harty, Head of Nursing. The home was fully occupied at the time of the inspection. There was one member of staff assigned to Durham Suite, caring for the six residential residents and a nurse and four carers on duty on each of the remaining three units. During the course of the inspection time was spent talking to a number of residents, relatives and several staff members. Time was spent examining records, documents and resident’s care plans. A tour of the premises was conducted. It was pleasing to see that only one of the previous requirements had not been fully addressed. A selection of the key standards were assessed. In order to gain a full picture of how the home meets the needs of the residents this report should be read together with the previous and any future reports on the home. What the service does well: Procedures relating to pre admission and assessment of need ensure prospective residents primary care needs are determined and assist in the development of plans on how their needs will be met. Residents accommodated at the home stated that the staff were “kind and compassionate”, “always willing to help”. Relatives spoken to were also very complimentary regarding the attitude of the staff towards themselves and their relatives. The individual plans of care including risk assessments were well detailed and reviewed on a regular basis. On the unit where nursing and personal care is delivered the care plans are colour coded to distinguish which residents are residential and which are nursing. Staff were observed to positively interact with residents and care was delivered in a manner which respected their rights and privacy. The arrangements for care in Dunham Unit ensured residential clients had support where required and that residents were encouraged to be independent. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 6 The staffing levels on each other unit were appropriate to meeting the needs of residents. Staff spoken to during the inspection were very positive of the support and management they received to carry out their role. Training and support offered to staff also confirmed a commitment by the organisation to assist and support staff in the roles. 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. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 4 5 and 6. The admission procedure ensured a full assessment of needs for new residents would be conducted by the home. Residents were assured there needs would be met. Prospective residents, relatives and friends had the opportunity to visit the home prior to admission to assess its suitability. EVIDENCE: A pre admission assessment form was in use to ensure that prospective residents were admitted on the basis of a full assessment. Enquiry forms were completed initially and relatives were encouraged to visit the potential residents bedroom. Care plans contained copies of the pre admission assessment and there was evidence that this information was incorporated into the activities of daily living assessments. Inspection of the records for two new admissions demonstrated detailed assessment information. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 9 A staff member and one of the new residents admitted to the home confirmed that a home visit had been undertaken as part of the admission process. Residents stated that their admission had been as personal as possible and they had been encouraged to bring in some of their belongings. Multi-disciplinary Assessments were held within the care plans and contained detailed information. Two of the residents spoken to confirmed that they had received adequate information in order to make an informed choice about residing at Woodend Nursing Home and that visitors were always made welcome. Care plans were held in appropriate storage with a lockable facility. The home did not offer intermediate care services. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 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 9, The care planning system is clear and provides staff with information required to meet the residents needs. The medication policies and procedures are clear but there were some medication practices resulting in potential unsafe practices. EVIDENCE: Examination of a number of care plans showed these were developed from comprehensive assessments. Risk assessments available included; falls, moving and handling, pressure risk assessment, bed rails and nutrition. Environmental risk assessments were included in line with Health and Safety of Work Regulations 1992. It was pleasing to see that one residents risk assessment for swallowing difficulties had been updated as her condition had improved and included evidence of advice having been sought from the Speech and Language therapist. Residents’ records included evidence of the involvement of other healthcare professionals e.g. chiropodists, opticians and tissue viability nurse. Identified needs within the care plans included monthly reviews and daily statements to Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 11 reflect the care given over a 24 hour period. The review process is overseen by nurses who are assigned a case load of six residents to review. Some evidence was seen of residents or relatives signatures to evidence that the plan of care is drawn up with their involvement. Where it is not possible for residents or their relatives to sign, it is recommended that this is recorded. One resident’s next of kin spoke highly of how well the staff communicated with them regarding any changes in their relatives healthcare needs. Discussions with some staff members highlighted that the recent change for registered nurses being responsible for individually named patients has led to improvements in the updating of the care plans. Care staff members spoken to felt they were not as involved in the care planning process as much as they could be and they did not regularly find time to read the care plans and write in them. It was pleasing that a newly appointed senior care staff member to a team leaders position has been created to assist in the development of care staff involvement in this process. The care plans of two residents indicated they received support in relation to pressure sores, a further four residents received pressure care support at the time of the inspection. The information viewed at the time of the inspection indicated that both were being well managed and the records were clear and prescriptive. Examination of the accident book showed a high number of un-witnessed accidents/incidents. A discussion with the manager highlighted that a monthly audit was being carried out within the home. The home was advised to monitor the time between 2.00p.m and 4.00p.m where the highest number of accidents/incidents occurred. Evidence was seen that the medication administration records (MAR) were appropriately completed with codes used as required. Controlled drugs were found to be satisfactory. A specialist pharmacy inspection was carried out following this inspection where a number of requirements were made. A separate letter has been sent to the service provider for these requirements to be addressed. These requirements were in relation to providing an adequate audit trail. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 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, 14and 15 Contact with families and friends are encouraged and meals are generally well managed providing a relaxing social occasion. EVIDENCE: Residents were seen to be able to freely move around the home. The care plans included information regarding the residents’ interests and hobbies. An entertainer was heard in the afternoon on the day of the inspection. Residents who had expressed a wish not to join in had their wishes respected. One resident’s family dog visited the home for a brief visit much to the pleasure of this resident. The manager holds an evening surgery on a weekly basis for relatives where areas of concern can be discussed. The inspector observed positive communication between residents and staff. Staff clearly knew the residents well. Residents spoken to said; ”the staff are wonderful”, “the staff are very kind and extremely pleasant” and “nothing is too much trouble for the staff here”. The homes’ menus showed that a varied and wholesome diet was provided with alternatives. Lunch at the time of the inspection was fish cakes or pork in Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 13 mushroom sauce with accompanying vegetables. Two dining rooms were available which provided small tables, pleasantly laid to seat up to four residents at each table. The menu plan confirmed that an alternative was offered at each meal and the menu plan addressed specialist dietary requests. One person newly admitted to the home commented on how friendly the staff were however she was a little concerned that her tea the previous evening had been brought up to her bedroom rather than encouraging her to mix in the dining room. This was discussed with the manager who said he would raise this with the staff. A number of residents spoken to were complimentary about the food provided including the quantity and frequency of food and drinks offered. Satellite kitchens are available on each floor which were well socked and equipped to provide snacks and drinks. One resident said “ everytime I look round I am being offered another drink”. The manager sampled the food, which he considered to be appetising. A number of service users confirmed they do access the local community and that ministers visit the home for religious services. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 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 and 18 Complaints are handled appropriately in an objective way. Updates in staff training are required to protect residents from abuse more fully. EVIDENCE: A detailed complaints procedure was available in the home and it was clear from a number of residents that they were aware of this procedure. During the course of the inspection residents and relatives made positive comments about the staff and felt they could approach the managers with any issues of concern. The Commission for Social Care Inspection has received one complaint in the past 12 months in relation to medication practices. Requirements were made and the home are addressing the concerns in a positive way. The home had a copy of the Trafford Multi-Agency policy for the Protection of Vulnerable Adults from abuse. It was clear from discussions with a number of staff that they had not actually read the policy or recently received updates on adult protection training. Some of the staff spoken to however could explain how they would respond to an allegation of abuse and were aware of the policy. The home is required to ensure all staff have received appropriate training in adult protection procedures. The home is advised to retain a tracking sheet to record the staffs signatures when they had read the policy. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 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, 25 and 26 The home was fit for its stated purpose and provided clean and comfortable surroundings. EVIDENCE: There was evidence that the home had undergone routine maintenance and renewal since the last inspection. The carpets in the corridors had been replaced since the last inspection. A number of bedrooms had been redecorated and residents were positive about these improvements. A requirement at the last inspection included that all residents bedrooms on the Stamford and Tatton suites must be fitted with locks. This has not yet been addressed however the home are planning to send out a letter to resident’s/relatives in relation to choosing to have a lock. Staff confirmed that the fire safety system is checked on a weekly basis and that the fire drill includes a partial evacuation. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 16 The laundry facilities were situated away from the food preparation areas and were clean and well organised. The home had two washing machines with sluicing facilities. The home had a contractor for the disposal of clinical waste. All satellite kitchens on each unit were suitably stocked with provisions. Externally, the grounds were well maintained although at the rear of the grounds they appeared overgrown by trees from the golf course and neighbouring properties. The grounds to the rear of the property are on a gradient however two small assembly areas have been created for residents. The home is advised to investigate who is responsible for the positioning of a fence to demark the grounds to the home and the grounds of the golf course. The area is over grown and may present as a risk to a resident who may wander into the overgrowth. During discussions with residents they indicated that they did go out with support from their family members. One resident stated that she went into Altrincham with her friend for shopping and coffee mornings. On touring the building it was noted that a number of doors were wedged open. This required monitoring in the home. The home is advised to check an apparent lack of emergency lighting back up in the laundry facility. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 17 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 The number and deployment of staff was sufficient to meet the needs of the residents accommodated. EVIDENCE: At the time of the inspection the home accommodated 64 residents assessed as requiring nursing care and 15 residents assessed as requiring personal care only. Six Residents were in hospital at the time of the inspection. The numbers and skill mix of the staff were in line with the staffing notice issued by the previous registering authority. The duty rota included the names and designation and hours worked of the staff. The inspector raised the issue of the majority of the staff working long days and whether this practice provides the best outcome for the residents accommodated. The home was advertising for staff for domestic duties and was using agency staff to fill vacancies at the time of the inspection. The home employees staff working 62 hours per week to manage all laundry arrangements. There were appropriate arrangements to transfer laundry to and from this facility. The manager indicated that the home had dealt with some complaints about the service. The service had been affected by a shortage in overall domestic hours worked at the home. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 and 36 The manager is able to fully discharge his responsibilities and is competent to do this. Systems were in place to protect the financial interests of the residents accommodated. A system for the formal and informal supervision of staff was in place to assist staff to develop the skills required to meet the residentss needs. EVIDENCE: The registered manager had responsibility to manage only one home. The residents were in receipt of their personal allowances and the records showed these monies to be accurately recorded and receipted for. As a policy the relatives of residents are encouraged to maintain control of finances and will deposit amounts of money for use on daily and weekly purchases such as papers, toiletries and hairdressing. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 19 Staff confirmed with the inspectors that they received formal supervision at least six times per year. The staff supervision records confirmed this. This supervision practice was linked to training and assisted the home to identify staff training needs. Staff also confirmed that staff meetings take place on a regular basis. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x 2 3 STAFFING Standard No Score 27 3 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 2 3 x x x 3 3 x x Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 21 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement The home must meet the requirements regarding the administration of medication detailed in the letter dated 1.07.05. The home is requied for staff to have training or refresher courses in the Protection of Vulnerable Adults. The home is requried to provide an action plan regarding the provision of a boundary fence between the garden and the local golf course. The home must cease the practice of wedging doors open. Timescale for action 8 August 2005 2. OP18 12 (6) 8 August 2005 8 August 2005 3. OP19 23 4. OP25 23 8 August 2005 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. Refer to Standard OP7 Good Practice Recommendations All staff are encouraged to read care plans and to contribute to this process. A record should be made in the care plan to show that the plan of care has been discussed with residents/relatives if they are not prepared to sign this document. F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 22 Woodend Nursing & Residential Centre 2. 3. 4. OP8 P18 OP19 The home is advised to monitor the time between 02.00p.m and 04.00 p.m fro accident to residents and to provide an appropriate action plan. The home was advised to set up a tracking sheet to be used by staff to sign once they have read and understood the Adult Protection Policy of the Local Authority. The home is advised to check on the provision of emergency lighting in laundry facility. Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Woodend Nursing & Residential Centre F55 F05 s6731 woodend v228536 260505 stage 4.doc Version 1.30 Page 24 - 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. 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