Inspection on 27/09/05 for Woodgate

This inspection was carried out on 27th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodgate 18/04/07

Woodgate 11/01/06

Woodgate 03/12/04

Woodgate 28/07/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Woodgate Queens Road Maidstone Kent ME16 0JG Lead Inspector Lynnette Gajjar Announced Inspection 27th September 2005 09:45 X10029.doc Version 1.40 Page 1 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 Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 2 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 and Care Homes for Adults 18 – 65*. 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. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodgate Address Queens Road Maidstone Kent ME16 0JG 01622 677235 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) MCCH Society Limited Miss Caroline O`Brien Care Home 6 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Care for 2 service users with Learning Disability who are over the age of 65 whose dates of birth are: 4 December 1935 and 31 August 1939. Service users with a Learning Disability may also have have a physical disability, age range 40 years and over. Care is restricted to one person with a learning disability who has been diagnosed with dementia whose date of birth is 22 December 1949 who was admitted on 18 October 2004. 3rd December 2004 Date of last inspection Brief Description of the Service: Woodgate is one of a group of small care homes managed by MCCH Society Ltd in the South East of England. It is a care home providing service residential and personal care for six adults with learning and physical disabilities. The home provides care for those persons over 40 years of age and predominately of the older person age range. Two service users are over the age of 65 years. The home is staff by a small team of support workers as well as the manager and 1 senior support worker. All staff work on a 24-hour shift roster, which includes a sleep in duty; the home does not provide waking night cover. Woodgate is a detached bungalow set off the main Queens Road in Maidstone. The accommodation comprises of six single rooms, a lounge, kitchen with dining area and purpose built adapted bathroom and separate shower room. The home has adequate parking for approximately five cars. There is a garden to the front and patio to the rear; the later is currently not as accessible for those with limited mobility and wheelchair users. The home is located close to a local pub and shop approximately ¼ mile away, with bus services to the town centre. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The visit lasted from 09.45am until 16:20pm. The home currently has 5 people in residence, and has one vacancy. The visit was spent talking directly with those living at the home privately, through staff interpretation and support; five care workers. Due to the nature of the service, it is difficult to reliably incorporate accurate reflections of the service users in the report. Some judgements about quality of life and choices were taken from direct conversation with people living in the home and observation followed by discussion with staff and evidencing records held at the home. Additional information was obtained through receipt of the manager’s preinspection questionnaire, a tour of the premises and conducting a case tracking exercise, by reading the care plans of the two service users. Comment card feedback was also received from service users, their relatives, care managers, GP and other professionals working with the home. What the service does well: Service users living here feel well supported and encouraged by staff to be totally involved in all aspects of their daily lives to the best of their ability. Being encouraged to take part in the local community, follow personal interests through a varied social and leisurely lifestyle. Service users through positive interaction with staff and managers feel genuinely liked and respected. Service users expressed how they felt safe and secure at the home. There are good relationships with other professionals and G.P to ensure up to date assessments, health care and equipment is assessed and made available to promote a safe and supportive lifestyle. Comments received from GP, Care manager OT included: “Excellent!” “ Staff show exceptional standards of care Caroline O’Brien Manager has very high standards with regards to the well being of her service users”. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 6 “The house manager and team appear to provide a high standard of care. They always seek advice and follow through recommendations.” “Good at communicating with District Nurses, Respect and dignity shown to clients” 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. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Service users and their families are given all the information they need to make an informed choice about whether to live at Woodgate. EVIDENCE: The homes statement of purpose and service user guide gives clear information about the services provided. Due to recent changes some minor updating is required and in hand. Both documents are in both written word and object reference pictorial formats. The key working and person centre planning process continues to develop, to offer clear promotion and support in identifying personal aspirations and meeting individual care needs. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 9 New service users have full assessments, including other professionals prior to moving into the home, to ensure that the home can meet their care and social needs. Care plans contained a written tenancy agreement, which gives the service user’s security and rights of residency and details the tenants and landlord’s rights and responsibilities. Not all service users would be able to understand or followed this document, so would require representative’s support to sign on their behalf. The home does not provide intermediate care. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Clear, structured and directive guidance is in place to ensure consistent and respectful style of care is provided to personal wishes and preference. EVIDENCE: Two individual care plans were inspected. Staff maintain a comprehensive care plan, guidance and supporting risk assessments to ensure consistent, safe care and support is given. Those over 65 years are reviewed monthly with yearly reviews with Care Management from the local authority. Care Plans seen were easy to understood and follow. Records are stored securely. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 11 Interaction between service users and staff is good showing genuine respect, friendship and appropriate familiarity with each other. Service users discuss daily as well as getting together formally through service user meetings, what they would like to do, daily routines and chores, activities and issues for the home. Service users are involved in making decisions and participate in all aspects of the home today, to the best of their abilities. The home has had on trial an epilepsy-monitoring pad, which has not proved to be successful, often going off when not in the room. Staff have returned to using an audible devise. Clear guidelines and agreement must be in place to ensure correct use of this whilst maintaining the individual’s confidentiality and privacy. Safe medication practice is promoted by staff and the manager with internal auditing and checks in place. The manager and staff have shown genuine respect and dignity following the recent death of a service user and friend. Staff have respected their personal wishes, through supporting peers, family, friends and each other with genuine empathy and sensitivity. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users are given encouragement and support to make choices about aspects of their daily lives, including a range of local social and recreational interests. Menus provide wholesome and nutritious food. EVIDENCE: Continued support from staff enables individuals to access local amenities and surrounding area including shopping, walks, and trips out to lunch, garden centres, cinema, bowling, woodwork, fitness groups and various activity centres. All service users were out for the morning, bowling, doing personal budgets and shopping and attending fitness is fun and art groups. One service user returned late afternoon having been to art group, very happy and Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 13 showing the pictures they had done with great pride, and giggling loudly to themselves. Due to their maturing age, current service users do not aspire to attend education or work environments but to concentrate their time in social, leisure and recreational activities. All service users have had a holiday (going away separately). Some shared their personal experiences and photographs with some happy memories. Service user families are in regular contact, with an open door visiting policy. There is high regard from families towards the staff team and care provided. Service users are supported to visit or meet relatives outside the home. “(Name of Service user) is very happy living at Woodgate. We are more than pleased with the care (Name) gets. The staff are always very kind to the clients that live there. You may pass on my comments to the manager please.10/10 ” Service users have pets, a cat, fish and new addition to the home, a guinea pig, where two service users have taken particular interest and responsibility for feeding and cleaning. The kitchen is stocked with fresh produce and meals were served with ample portions. Service users were supported to help themselves to drinks and snacks as and when they wanted. All had dinner out today with a light tea planned for the evening. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Systems are in place to enable those living and visiting the home to raise concerns or complaints with staff. Protection from abuse is promoted through staff training and understanding of actions they may need to take. EVIDENCE: Copies of the complaint procedure are available in the home in formats easily understood by those living there. Complaint records evidenced no formal complaints being received. Due to the nature of the service and those living here, using this system can be limiting. One-service user was able to indicated through discussion, who they would talk to if they were unhappy about something. Service users can also rely on others such as relative/ advocates to identify concerns and raise them on their behalf. Staff spoken with continue to showed a good understanding of how to protect and prevent abuse, including reporting under local procedures. There are no current adult protection alerts relating to this home. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Service users live in a warm, safe and clean home, which will be enhanced further with the completion of works to the rear garden to make access safe. EVIDENCE: The home is a purpose built bungalow, well presented, and bright, with adequate internal space and equipment for those requiring full physical care. There are good standard of hygiene and cleanliness. Ongoing work continues to try to address leaking shower tray. A detailed home repair and maintenance programme is in place. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 16 Service users share the open plan kitchen/dining area and separate lounge. Individual specialist equipment is assessed through Occupation Therapists and purchased on an individual basis, from comfortable chairs, beds, and hoists, grab rails and bathing equipment. Service users received visitors in communal areas or privacy of their rooms. Bedrooms are personalised to individual taste and personal choice. The home and garden is well maintained, with work due to start on the rear garden to make safer access for those with physical disabilities. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Service users have benefited from the recent stabilizing of the staff team, resulting in good morale and enthusiasm to improve the service users whole quality of life. EVIDENCE: The home has benefited from the stabilizing of staff team through two new staff in recent weeks and achieving full staffing numbers. All have undertaken a thorough and comprehensive recruitment and induction programme including all core training. The organisation continues to encourage and support care staff to completed their NVQ 2 and 3 in care, but new staff have to achieve full probation before being put foreword for this. The home currently has three staff holding NVQ 2 or 3 in Care and a further two working towards this at present. Staff feel supported by the manager and senior managers of the organisation. Care staff spoken with and directly observed evidenced clear and good understanding of different individual care needs. Service users reacted fondly Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 18 towards individual staff and their help. Staff were seen to support individuals respectfully but also with respectful familiarity resulting in some fun joking and banter from both parties. Staffing rosters have reflected changing care needs of individuals. Full-recorded supervision takes place at least monthly including set action points and goals. New staff have additional 3 and six monthly appraisals as part of their probation period. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,38 People living here have their personal preferences, support and care needs encouraged through the registered managers open leadership and the promotion of a safe home and working environment. EVIDENCE: Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 20 The manager has worked with this service user group for many years. She is nearing completion of NVQ 4 in Care and the three units required for verification for the Registered Managers Award. Service users, families, other professionals and staff expressed a high regard for their management approach to the home. (See summary) Service users through the interaction observed appeared very comfortable and well supported by the manager. Monitoring health and safety in the home is to a good standard, with health and safety walking routes taking place, and equipment serviced as required to maintain a safe home and facilities. Risk assessments are completed for individual’s activities but little are formally recorded for staff activities and duties. Full fire protocols and records are maintained satisfactorily. Staff evidenced a good understanding of accident/incident recording and reporting under regulation 37 to the Commission, as well as assessment and monitoring of falls. Regulation 26 Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 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 Standard No Score 1 3 2 3 3 4 4 X 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 2 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 37 X 38 3 Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 22 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 YA24 Regulation 23(o) Requirement The registered person shall having regard to the number and needs of service users ensure that: External grounds, which are suitable for, safe for use by. Service users are provided and appropriately maintained. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations It is recommended that where a listening devise is used to monitor nocturnal epileptic seizures, full consultation and agreement is sought through multi-disciplinary team but also clear guidelines are in place to the use and maintain confidentiality and privacy. It is recommended that poor drainage from the shower tray be corrected It is recommended that a private area for visitors, consultations or treatment. It is recommended that the stained kitchen sink be DS0000024095.V250072.R01.S.doc Version 5.0 Page 23 2 3 4 Woodgate YA27 YA27 YA28 5 YA29 6 YA37 replaced. (This has been a recommendation from the last two inspections) It is recommended that Homes providing a service to people with a physical disability provide specialist equipment as needed for each individual in particular a call system It is recommended that the registered person has completed qualification NVQ 4 in care and management by 2005. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Woodgate DS0000024095.V250072.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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