Inspection on 24/01/07 for Woodham Lodge

This inspection was carried out on 24th January 2007.

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

Woodham Lodge 12/01/09

Woodham Lodge 08/12/05

Woodham Lodge 21/01/05

Woodham Lodge 30/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Woodham Lodge Burn Lane Newton Aycliffe Durham DL5 4PJ Lead Inspector Mr Paul Emmerson Unannounced Inspection 24 January 2007 10:30 th Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 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 Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 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 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. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodham Lodge Address Burn Lane Newton Aycliffe Durham DL5 4PJ 01325 319899 P/F No e-mail londonroad@tiscali.co.uk Milbury Care Services Limited 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) Mrs Carol Brittain Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a named individual as set out in a letter to the registered person dated 30th October 2003, which establishes the basis on which the individual’s needs will be met by the home. Where necessary the home’s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individual, who falls outside the registered category. 8th December 2005 Date of last inspection Brief Description of the Service: Woodham Lodge is a large converted and extended bungalow, which is situated in its own grounds and is owned by Milbury Care Services Limited. The home is registered to provide care for up to 6 adults who have learning disabilities, 1 of whom is over 65, in four single and one double bedroom. The home is in the Woodham area of Newton Aycliffe, within walking distance of the town centre and local amenities. From information provided by the home, the current scale of charges ranges from £1107 to £1292 per week. Additional charges, between £8 (if service users receive lower rate Disability Living Allowance benefit) and £25 (if service users receive higher rate Disability Living Allowance benefit) per week are made as a contribution towards the home’s wheelchair adapted minibus. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 hours, on the morning and afternoon of Wednesday 24th January 2007. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The inspector looked around the building and a number of records were examined. The manager, 5 members of staff and a district nurse visiting the home were interviewed. Within the limits of their communication and understanding service users were also spoken to. 3 relatives / visitors completed and returned CSCI’s ‘Comment Cards’ about the service. What the service does well: What has improved since the last inspection? To make Woodham Lodge look better, most carpets and floor coverings throughout the home have been replaced. The dining room and a service user’s bedroom have been redecorated. There are new tables and chairs in the kitchen and dining room. So that staff are well-trained, a lot of training courses have been arranged. The effort required to do this is acknowledged. To make sure medicines are properly stored, a small refrigerator has been purchased to store any medicines that need to be kept cool. Previous CSCI inspection reports highlighted difficulties experienced by the home when it came to fixing maintenance problems and other issues raised in audits carried out in the home. Milbury Care Services Ltd. has addressed this. Staff and management feel that revised systems are working well. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home are appropriately managed. Service users’ needs are assessed prior to any admissions. EVIDENCE: Woodham Lodge is registered to accommodate up to 6 people with learning disabilities. There are no vacancies. The 6 people who live at Woodham Lodge have been there for nearly 14 years, when the home first opened. The inspector was unable to communicate with the 6 people who live at Woodham Lodge about their experience of moving in to the home. However, appropriate assessments have been conducted. The home has its own assessment and care planning documents for this purpose. These are informing the delivery of people’s care. Copies of assessment documentation, care plans and other relevant information from the local authority social services department and health professionals, confirm that people’s care needs are regularly reviewed. Although the inspector was unable to communicate with service users to any significant degree, the inspector spent time in their company and spoke to the manager and staff on duty in the home. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 9 The service users accommodated have a high level of care needs. However, service users were seen to be well cared for and comfortable in their living environment. All of the home’s staff have worked at Woodham Lodge for a number of years and know the service users well. Service users considering a move to Woodham Lodge would be welcome to visit with relatives, have a meal and stay overnight if necessary. In this way service users could get to know the home before moving in. Any move into Woodham Lodge would be on a six-week trial basis. At the six-week stage a formal review meeting would be held to consider permanency. Woodham Lodge has a Statement of Purpose and a Service Users’ Guide to provide service users and any potential service users with information about the home. These documents are available in a pictorial format. However, it should be noted that these should be reviewed to ensure updated information, for example about fees, is available in the home. Standard ‘Service Agreement’ / ‘Contract’ forms have been prepared by the parent company. However, these should be amended to include the current fees payable and any other additional payments required. For example, to reflect recent increases in additional charges made for use of the home’s transport - £8 per week for people on Lower Rate Disability Living Allowance (DLA) and £25 per week for those on the Higher Rate of DLA. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are met. They are offered choice and any decision-making is appropriately supported. EVIDENCE: The service users accommodated are on the whole dependent upon staff, family and significant others to make choices and decisions on their behalf and best interests. Most decisions are limited by the individuals’ learning disability and understanding, however such limitations and any restrictions are noted on personal files. From observations made during the inspection, within the limits of their communication and understanding, service users are offered choice and preferences are provided for. When the inspector arrived at Woodham Lodge, 2 people were going shopping with staff, 4 people were in the house, 1 was having a lie in bed. Food choices were offered at lunchtime. In this albeit small way, staff were seen to be respecting service users’ rights to choose. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 11 Care plans have been prepared for all service users and these documents contain much information. Likes, dislikes and lifestyle preferences are recorded. Since admission, care reviews have been held for all the service users. Risk assessments have also been prepared and risk management arrangements ensure that service users can live as independent a lifestyle as possible. The home operates a key-worker system, and from discussions with staff and observations made by the inspector, staff are familiar with the needs of the people accommodated. Day-to-day communication within the home ensures that any changes in need are identified and brought to the attention of other staff. To enhance this communication, and provide an additional forum to consider care planning arrangements and any other issues in the home, house meetings are also held. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wherever possible (the availability of car drivers permitting) appropriate activities are arranged. Service users live as part of the local community. Contact with family / friends is supported. Dietary needs are met. EVIDENCE: Activities plans are kept for all service users and these record activities arranged and their evaluation. These plans are followed wherever possible. Service users have the benefit of ‘sensory equipment’ in the home’s conservatory. Since the last inspection of Woodham Lodge service users have enjoyed holidays to Blackpool and the Lake District. Wherever possible, contact with family and friends is supported. One service user is being supported in visiting a parent in hospital. Another person’s only family live abroad, so staff assist by writing and reading letters with him so he can keep in touch with his family. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 13 Service users’ rights are upheld. One service user regularly goes to church. Responsibilities are also recognised. As part of their care planning arrangements, service users’ bedroom management is diarised – with appropriate support provided by staff where required. A wholesome and nutritious diet is provided. Fresh fruit was seen to be available. Where service users require assistance with dining it is provided. The inspector saw that this was given appropriately. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are appropriately met. Any medicines required are dealt with correctly. EVIDENCE: Although the inspector was unable to communicate with service users to any significant degree, the inspector spent time in their company. The service users accommodated have a high level of care needs. However, they were seen to be well cared for and comfortable in their home. A district nurse visiting the home provided positive feedback. The people who live at Woodham Lodge are on the whole dependent upon staff and others to make choices and decisions on their behalf and best interests. However, within the limits of their communication and understanding, service users’ preferences are accommodated. The inspector observed that staff’s commitment to team-working, and good communication between them, ensures that service users’ personal and health care needs are met. From discussions with management and staff, where personal support is required it is provided appropriately. Care plans show that wherever possible, Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 15 service users are provided with guidance and encouragement to undertake their own self-care tasks, thus promoting independence in a dignified and respectful manner. Care plans in the home are detailed and well written. They document service users’ personal and health care needs and the actions required and being taken to meet them. Care plans are thus a record of the care provided, but are also informing the delivery of care within the home. Copies of assessment documentation, care plans and other relevant information from the local authority social services department and health professionals, confirm that people’s care needs are regularly reviewed. Although none of the service users accommodated retain, control or administer their own medication, because of their needs and dependency this is considered appropriate. Appropriately trained senior support workers administer medication in the home. Other staff also receive instruction to understand the medicines prescribed, potential side effects etc. There are adequate policies, procedures and systems in place relating to the receipt, recording, storage, handling, administration and disposal of medicines. Medicines are stored appropriately. The home uses a monitored dosage system. Since the last inspection, a small refrigerator has been purchased to store any medicines that need to be kept below a certain minimum temperature. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and adult protection systems in the home serve to safeguard service users. EVIDENCE: The home, through its parent company Milbury Care Services Limited, has detailed complaints and adult protection procedures. Copies of these were seen to be available for staff use. Information about complaints, how and who to make them to, is also provided in the home’s ‘Service Users Guide’. Milbury has ‘I’m Worried Please Contact Me’ cards for service users to contact senior managers. Any complaints or concerns are appropriately managed. Policy and procedure documents relating to adult protection provide information and guidance to staff. Staff interviewed voiced a commitment to the service users they work with and to upholding service users’ rights. Most staff have NVQ (National Vocational Qualifications) and have recently attended updated POVA (Protection of Vulnerable Adults) training. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodham Lodge is homely, well-maintained, clean, tidy and safe. Service users’ rooms are personalised. EVIDENCE: Woodham Lodge is a large converted and extended bungalow, which is registered to provide care and accommodation for up to 6 adults who have learning disabilities, in four single bedrooms and one double bedroom. The home is in the Woodham area of Newton Aycliffe, within walking distance of the town centre and local amenities. The property was purchased and converted about 14 years ago and is in generally good order. Woodham Lodge has a homely environment. Since the last inspection, most carpets and floor coverings throughout the home have been replaced. The dining room and a service user’s bedroom have been redecorated. New dining furniture has been purchased for the kitchen and dining room. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 18 The inspector had a good look around the property, which was found to be clean, tidy and free from odour. Service users’ bedrooms have been personalised to reflect their personal styles. Bedrooms and communal living areas are spacious. There is a conservatory with sensory equipment to the rear of the house, which overlooks a large garden area. The home’s main bathroom has a high / low bath, ceiling hoist and changing table. Woodham Lodge is homely and is a pleasant place to live. Certain areas have been adapted so that people with disabilities can get around. However, as people living there get older some further adaptations may be needed. For example, to provide a shower room and to make heavy doors between the kitchen, dining room and lounge easier for people to open. As highlighted in the previous inspection report, a review of the homes living environment should be carried out to consider any adaptations required to meet the changing needs of the service users accommodated. Where necessary, advice should be obtained from occupational therapists, the fire officer or other professionals. The financial implications associated with this should be considered within any business plans and budgetary arrangements for the continued running of the home. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed. The home has a settled, well-trained and well-led staff team. Recruitment procedures are satisfactory and appropriate staff training is provided. EVIDENCE: Care is provided by a committed, well-trained staff team. Many of the staff have worked at Woodham Lodge for a number of years and know the service users well. Virtually all staff have NVQ (National Vocational Qualification) qualifications at level 2 or 3. Most staff have also completed LDAF (Learning Disability Award Framework) training courses. Since the last inspection staff training updates have been arranged in areas such as First Aid, People Handling and POVA (Protection of Vulnerable Adults). In house instruction, for example about medication to give if a service user has a seizure has also been arranged. Although no recent staff appointments have been made, recruitment procedures through Milbury’s regional office are considered to be satisfactory and safe. Appropriate references are obtained and CRB (Criminal Records Bureau) disclosure checks are carried out. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 20 Due to the needs of the service users accommodated, the agreed staffing levels for the home require three to four staff to be on duty throughout the waking day. With night staffing arrangements (1 person awake, 1 person asleep) this equates to 442 weekly care hours for the home. It is noted that the home is currently recruiting to fill posts that have recently become vacant. Although staffing levels should be kept under review, in particular as service users get older, from discussions with staff, rosters and other documents examined these staffing levels are considered to be adequate to meet the current needs of the people currently accommodated. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodham Lodge is a wellrun care home. Quality assurance systems are in place to rectify issues raised. EVIDENCE: The home’s manager has an NVQ (National Vocational Qualification) level 4 in care. She originally trained and qualified as a nurse and also has a Registered Managers Award qualification. She provides leadership to the home’s staff team. Staff interviewed spoke of good communication and effective teamwork. Appropriate systems are in place to ensure service users’ health and safety is protected. For example, risk assessments and control measures relating to activities outside the home are appropriately carried out. Milbury Care Services Limited has policies, procedures and systems relating to quality assurance. Regular audit checks are undertaken and forwarded to the regional office. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 22 Previous CSCI inspection reports highlighted difficulties experienced by the home when it came to fixing maintenance problems and other issues raised in audits carried out in the home. Milbury Care Services Ltd. has addressed this. Staff and management feel that revised systems are working well. Monthly reports required under Regulation 26 of the Care Homes Regulations 2001 are now being provided to CSCI detailing the action being taking to address any shortfalls in the home. However, to ensure that the home is competently managed and accountable, annual development, business and financial plans for the establishment should be prepared and be available for inspection on the premises. Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 Good Practice Recommendations The home’s Statement of Purpose and Service Users’ Guide should be reviewed to ensure updated information about fees is available in the home. Standard ‘Service Agreement’ / ‘Contract’ forms should be amended to include the current fees payable and any other additional payments required. For example, to reflect recent increases in additional charges made for use of the home’s car - £8 per week for people on Lower Rate Disability Living Allowance (DLA) and £25 per week for those on the Higher Rate of DLA. As highlighted in the previous inspection report, a review of the homes living environment should be carried out to consider any adaptations required to meet the changing needs of the service users accommodated. The financial implications associated with this need to be considered within any business plans and budgetary arrangements for the continued running of the home. YA5 3. YA24 Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Woodham Lodge DS0000007525.V325326.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!