Inspection on 01/06/05 for Woodhaven Residential Home

This inspection was carried out on 1st June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodhaven Residential Home 21/07/09

Woodhaven Residential Home 04/08/08

Woodhaven Residential Home 26/04/07

Woodhaven Residential Home 23/05/06

Woodhaven Residential Home 14/12/05

Woodhaven Residential Home 01/02/05

Woodhaven Residential Home 07/09/04

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

CARE HOMES FOR OLDER PEOPLE Woodhaven Residential Home Beacon Way Walsall Wood Walsall. WS9 9HZ Lead Inspector Maggie Bennett Unannounced 01 June 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. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodhaven Residential Home Address Beacon Way Walsall Wood Walsall West Midlands. Ws9 9HZ 01543 377548 01543 453734 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) Woodhaven Homes Ltd. Linda Tye Care Home 30 Category(ies) of Dementia (30) registration, with number of places Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/02/05 Brief Description of the Service: Woodhaven provides personal care and accommodation for 30 people over the age of 55 who have dementia. The home is situated in the Walsall Wood area of Walsall, in a quiet street, with easy access to bus routes and local amenities. The property underwent extensive renovation in 1999/2000 and consists of a two-storey building with 30 single bedrooms, all of which have an en suite toilet and wash hand basin. There are lounge and dining facilities on the ground floor and a small quiet lounge on the first floor. There is a small, lawned garden, but this is not large enough to accommodate all the service users at one time. There is a passenger lift to the first floor. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Woodhaven Residential Home was carried out on a weekday between 8.30 a.m. and 7.00 p.m. A random sample of records were seen, including assessments and care plans. The staff files of newly recruited staff were inspected. Five relatives were spoken to during the inspection, as well as eight residents, four members of staff and one of the registered persons. The tour of the premises was concentrated on communal areas and a number of individual bedrooms were seen. What the service does well: What has improved since the last inspection? Since the last inspection the Area Manager and Registered Manager have been proactive in accessing more staff training. Training in moving and handling has now taken place and training in dementia care has been arranged for June 2005. A cook has been employed to cover all tea-time meals, including weekends. There was evidence that full assessments are now being obtained from professional staff prior to residents being admitted to the home. Six new armchairs have been purchased. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 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. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.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 Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.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 and 4 Although admission procedures have improved, the home is not using its own assessment format. There is, therefore, no assurance that all care needs will be met. The provision of specialist training in dementia care is to be welcomed and will assist staff in understanding the needs of their residents. EVIDENCE: The assessment details of two recently arrived residents were seen during the inspection. These demonstrated that the home had obtained an assessment by a trained professional (social worker or nurse) prior to the person being admitted. The home has its own detailed assessment format, but this had not been completed in either case. Important information appeared to have been overlooked. One resident spoke of the importance to her of her religion and how she had regularly attended Church, but details of how this need was to be met was not referred to in the assessment details. A nursing assessment stated “likes to wear make-up”, but the resident was not wearing any make-up during the inspection. There are a number of staff who have not received any training in dementia care, but training has been arranged for June 2005. The home obtains written information from the Alzheimer’s Society and the Journal of Dementia Care. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 9 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 Of the files seen, care plans were not complete and did not provide up to date information on how personal and healthcare needs were to be met. There has been a deterioration in the way medication is stored and recorded. A number of the staff who administer medication have not received accredited training. These shortfalls have the potential to place residents at risk. EVIDENCE: Although the home has a good care planning system in place, it was found that care plans had not been completed for two recently admitted residents. There was no evidence of individual risk assessments. There was no indication as to how the individual needs of the residents were to be met. Daily records had been made, but these could not be cross-referenced to care plans and, in some cases, confusing information was given. One record stated: “…..she is not cooperating at all, no problems”. Given that the home cares for people with severe dementia, expecting “co-operation” may indicate a lack of understanding and poor care planning. As with care plans, the system the home has in place to plan for healthcare needs is not being adequately utilised. One resident was unwell during the inspection and the G.P. had been called the previous day and had prescribed antibiotics. There was no record of this visit on the care plan or any indication Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 10 of the G.P.s instructions as to how the resident should be monitored. Another resident had a pressure area and had an airflow mattress, but the care plan gave no indication of this, or of how the pressure area was being monitored and dealt with. During the medication inspection it was found that one resident had run out of medication that day. Although the manager had written to the G.P. requesting that he continue to keep the resident on his books, this had not been followed up. Personal dietary requirements are noted and residents are weighed each month. The home still only has one mobile hoist and staff feel that a second hoist is needed, given the physical needs of some of the residents. There was evidence that the use of bed rails is regularly reviewed and that the bed rails are regularly checked. One resident was observed to be in a wheelchair with no footrests. It is strongly recommended that one resident, who was observed to be particularly agitated and concerned throughout the day, is referred for either Community Psychiatric Nurse or Psychology assistance. The recording of medication administration contained some unexplained gaps. The medication room was found to be unlit and untidy. The medication refrigerator was sited on the floor and had de-frosted at some point, as some containers were found to be wet. There was no evidence that the temperature of the refrigerator was taken and recorded on a daily basis. The drugs trolley was untidy and sticky. A box marked “antibiotics” contained a number of differing types of medication in blister packs. An uncovered box of false teeth was in the medication room. One resident, who had been at the home for sometime, still had a handwritten medication administration sheet, rather than a printed sheet. Timolol eye drops had no note of the date they had been opened. None of the staff members on the afternoon shift had taken part in Accredited Medication Training. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 The provision of appropriate social activities has deteriorated. This may be as a result of insufficient staff and results in some individuals being denied the opportunity for stimulation through recreation. Meals are well managed and food provided is of good quality. EVIDENCE: Brief details of residents’ former interests and hobbies were found in some care plans. Of those seen, there was no indication as to how the residents would continue to be given opportunities for stimulation through recreational activities. Some relatives felt that leisure activities had deteriorated since the departure of the Activities Co-ordinator and this feeling was echoed by the staff. Staff spoken to said that there were a number of in house games and activities available, but that they felt residents would benefit from more “one to one” and opportunities to go outside the home. Any trips out are funded by money raised by staff. An outside entertainer visits the home on a two monthly basis (this used to be monthly but has recently been cut back). With the current staffing levels (see Standards 27 – 30) there are insufficient staff to take individuals or small groups out. One resident spent the majority of the inspection day frequently requesting to be “let out” so that she could catch a bus. No diversionary activities were available and there were no staff available to take her out for a walk. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 12 Two mealtimes were observed during the inspection. Residents were offered choices and seconds and those who needed help were assisted discreetly. A new cook has recently commenced and she is in the process of preparing new menus, which will offer a choice of two hot meals for the main meal of the day. Since the last inspection additional kitchen staff have been employed to prepare the tea-time meal on seven days a week. The kitchen was found to be clean and in good order. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 13 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 There is an adequate complaints procedure in place, which ensures that concerns by residents and their relatives will be acted upon. EVIDENCE: There is an appropriate complaints procedure in place and records are made of all complaints made. Since the last inspection one complaint has been made and this has been satisfactorily addressed by the manager. In addition the home keeps a record of more general areas of concern expressed by residents and relatives and how these have been resolved. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 and 25 There have been no significant improvements to the décor and furnishings of the home since the last inspection. This results in some communal areas being dirty and unpleasant (despite the hard work of the cleaners). The communal space (both internally and externally) is poorly arranged, meaning that there are insufficient armchairs for all residents and not enough space in the garden. EVIDENCE: None of the requirements made with regard to the physical environment of the home, made at the last inspection, have been met. The requirements of the Fire Officer (with regard to “green boxes”) have not been met. Outside paintwork (window frames) has not been renewed. The drain outside the laundry continues to overflow and create a hazard. A programme of routine maintenance and renewal of the fabric and decoration of the premises has not been forwarded to the Commission. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 15 The carpet in the small lounge area is extremely dirty and unhygienic and requires replacement. Some relatives expressed concern about the dirty carpets and chairs. Another relative has complained about the overflowing drain. Six new armchairs have been purchased, but many of the remainder are soiled require replacement. The two fabric chairs in the hallway must be replaced. There are only 28 easy chairs for 30 residents, meaning that at least 2 residents are required to sit on dining chairs during the day time. The arrangement of the communal space does need to be re-considered and there must be sufficient numbers of easy chairs. The outside area is very small and cannot accommodate all the residents. This means that the majority are denied the opportunity to sit outside in the summer months. One member of staff said: “It’s like a prison in summer”. There is a large unused yard area and consideration should be given to turning this into a secure garden area. All rooms are single and naturally ventilated. All are centrally heated. Water temperatures are regularly checked to ensure that they do not exceed 43 degrees at outlets accessible to residents. At the inspection the water temperatures were found to be low, at 31 degrees. It was stated that this was not usually a problem and that the water was normally comfortably warm. One area of the home was chilly, particularly in the corridors. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 16 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, 29 and 30 The number of staff available on day time shifts is not sufficient to fully meet the needs of the residents. Recruitment procedures are not robust and do not provide sufficient safeguards to protect the residents. EVIDENCE: Rotas seen showed that there are usually 4 care staff on day time shifts and 2 waking night staff. The manager’s hours are supernumerary. Sufficient kitchen and domestic staff are employed. It was observed during the inspection that 4 care staff are insufficient to fully meet the needs of the residents and this is confirmed by use of the Residential Forum Staff Calculation Tool. A number of residents need 2 care staff to assist them. Several had to wait at the breakfast table for a considerable period before staff were able to assist them to the lounge. All of the staff spoken to felt that more care staff were needed. They clearly felt that an increase in care staff would greatly benefit the residents. Staff were observed to be cheerful, patient and very hardworking. One staff member said that on occasions there didn’t seem to be enough time to even go to the toilet. Visiting relatives, spoken to during the inspection, were full of praise for the staff, one calling them “golden”. Although staff have signed an exemption declaration stating that they are willing to work in excess of 48 hours a week, concern must be expressed at staff working 14 hour shifts. As at the last inspection, it was found that satisfactory recruitment checks had not been made prior to recruiting new staff. This places residents at risk. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 17 Evidence was seen that new staff receive comprehensive induction training. Although the standard with regard to training it not yet fully met, there is evidence that the home have been accessing additional training. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.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) 38 The provision of training in safe working practices has improved since the last inspection. The health, safety and welfare of service users and staff is promoted. EVIDENCE: Staff spoken to during the inspection confirmed that they had either taken part, or were booked to take part, in training in safe working practices, including moving and handling, fire safety, first aid, food hygiene and infection control. Some certificates were seen to verify this, but improved record keeping is needed in this area (some staff said that they had brought in certificates to be photocopied, but that these were not available on file). Evidence was seen of required fire safety checks being carried out and of annual maintenance checks. A monthly room risk assessment is carried out. All accidents are recorded and the Commission is notified of accidents, injuries, incidents of illness or communicable disease. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 1 1 x x x x 3 x STAFFING Standard No Score 27 2 28 x 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 20 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 14(1)(a)( b) Requirement The home must carry out its own assessment of prospective residents prior to them being admitted (unless it is an emergency placement). (Previous immediate requirement of 01.02.05. not met). A plan of care, generated from a comprehensive assessment, must be drawn up on admission, or as soon as practical following admission. (Previous immediate requirement of 01.02.05. not met). Care plans must give clear and up to date instructions as to how individual healthcare needs are to be met. Records must be maintained of pressure sores and of the treatment provided to the resident. The registered manager must ensure that residents are registered with a general practitioner. (This matter was dealt with during the inspection). Residents must not be transported in wheelchairs without footrests. Timescale for action With immediate effect. 2. 7 15(1) With immediate effect. 3. 8 12(1)(a) 30/06/05 4. 8 17(1)(a) Schedule 3 (p) 13(1)(a) 10/06/05 5. 8 With immediate effect. With immediate effect. Page 21 6. 8 13(5) Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 7. 8. 9 9 13(2) 13(2) 9. 9 13(2) 10. 11. 9 9 13(2) 13(2) 12. 9 13(2) 13. 12 16(2) 14. 19 23(2)(b) 15. 16. 19 19 23(4) 23(2)(b) There must be no unexplained gaps in medication administration record sheets. The medication room must be cleaned and tidied. The drugs trolley must be cleaned and tidied. The medicines refrigerator must be cleaned and placed off the floor. The temperature of the refrigerator must be taken on a daily basis with a maximum/minimum thermometer and the temperature recorded. Eye drops must have the date they were opened written on the container. All staff who administer medication must receive accredited medication training. Until this training can be provided, staff must receive training from the Pharmacist. A professional audit must take place of the medication and the medication administration system in the home. The home must offer a more varied programme of activities, specifically designed for people with dementia. There must be more opportunity for trips out and for residents to be taken for walks, if they wish. Outside paintwork (window frames) must be renewed. (Previous timescale of 30.04.05. not met). The recommendations of the Fire Officer must be met. (Previous timescale of 28.02.05. not met). A programme of routine maintenance and renewal of the fabric and decoration of the premises must be produced and a copy forwarded to the Commission. With immediate effect. With immediate effect. With immediate effect. With immediate effect. 30/06/05 03/06/05 30/06/05 31/07/05 30/06/05 30/06/05 Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 22 17. 19 13(4)(c) 18. 19. 20. 20 20 20 16(2)(c) 16(2)(c) 16(2)(c) 21. 27 18(1)(a) 22. 29 19 The overflowing drain outside the laundry must be remedied as it presents a hazard. (Previous timescale of 28.02.05. not met). The carpet in the small lounge area must be replaced. (Previous timescale of 31.03.05. not met). Dirty and soiled armchairs must be replaced. There must be sufficient armchairs for all residents. The home must re-consider the use of the communal space to enable all residents to be provided with a comfortable chair. There must be sufficient care staff on duty to meet the needs of the residents. Care staff numbers must be increased to 5 on day time shifts. (Previous timescale of 18.02.05. not met). Staff must not be employed at the home until two written references have been obtained and satisfactory Criminal Records Bureau and POVA checks received. (Previous timescale of 01.02.05. not met). 17/06/05 17/06/05 30/06/05 31/07/05 30/06/05 With immediate effect. 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. 3. 4. 5. Refer to Standard 4 8 21 20 25 Good Practice Recommendations Staff training in dementia care should be provided on a regular, ongoing basis. It is recommended that referral for Community Psychiatric Nurse or Psychology input is made for one resident. Consideration should be given to purchasing a second mobile hoist. Consideration should be given to turning to unused yard area into a safe and secure garden area. A check should be made of the central heating system to ensure that it is working adequately in all areas of the E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 23 Woodhaven Residential Home 6. 27 7. 27 home. The home are recommended to carry out an assessment of the needs of residents during the night to determine whether the numbers of waking staff on duty should be increased from 2 to 3. A copy of this assessment should be forwarded to the Commission. The registered persons are recommended to re-consider the practice of staff working 14 hour shifts. Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 Page 24 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Woodhaven Residential Home E55 S20843 Woodhaven V230860 010605 Stg4.doc Version 1.30 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. 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!