Inspection on 10/10/07 for Woodhouse Road Care Home

This inspection was carried out on 10th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodhouse Road Care Home 09/10/09

Woodhouse Road Care Home 26/07/06

Woodhouse Road Care Home 20/10/05

Woodhouse Road Care Home 27/04/05

Woodhouse Road Care Home 03/12/04

Woodhouse Road Care Home 26/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Woodhouse Road Care Home 31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY Lead Inspector Joanna Carrington Unannounced Inspection 10 October 2007 10:00 th Woodhouse Road Care Home DS0000008769.V341188.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 Woodhouse Road Care Home DS0000008769.V341188.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. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodhouse Road Care Home Address 31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY 01623 651398 F/P 01623 651398 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) www.mencap.org.uk Royal Mencap Society Audrey Baranski Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Home for 8 Service Users with Learning Disabilities Date of last inspection 26th July 2006 Brief Description of the Service: 31 Woodhouse Road provides long-term personal care and accommodation for 8 adults who have a learning disability. The home is located near Mansfield town centre and is close to shops, pubs, the post office and other amenities. The premises consist of a large end of terrace house. Bedrooms are single with no en-suite facilities and are located on the second and third floors. There is not a lift so the home would not be appropriate to wheelchair users. There is an enclosed garden and greenhouse, for service users to enjoy. The fees for accommodation and support are £357.49 per week. Previous inspection reports are available to service users on request. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 10th October 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant three residents were selected and their support was tracked through discussion with them and with staff, checking their care records and observing practice. Altogether four residents and two staff members were spoken with. The manager was available throughout the inspection for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet residents’ needs. Information about a home that is collected before the site visit is also used as evidence to make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. One relative survey and one service user survey were returned at the time of writing this report. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was also returned before the site visit and was used to plan the site visit and used to support judgements made in this report. What the service does well: Over the past two years the registered manager and staff team have earned a sustained track record of providing good outcomes for service users and in managing improvement. At this inspection a number of areas have been assessed as providing excellent outcomes. People that use the service are involved in making day-to-day decisions about the running of the home and in how their support is given. The staff team are skilled in understanding the communication needs of service users. There is a lot of accessible information using photos, pictures and symbols, which helps service users feel involved and their views valued. There are regular house meetings and the minutes are written up using pictures and plain English. There is also an interactive board, which service users can use to say what they want to talk about at the next house meeting. The Service User Guide is up to date and provides people interested in moving to the home with the information they need to decide if the home is suitable for them. Service users are involved in planning menus, activities and holidays. Service users are supported to live their lives they way they want to. There are regular organised trips out and service users are encouraged to follow their own personal interests. Families and friends are welcome to visit anytime and Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 6 service users can be taken to see their relatives if that is their choice or if relatives are unable to visit the home due to poor health. Service users’ individual wishes and preferences are at the forefront of support with personal and healthcare. Specialist professionals such as occupational therapist, continence nurses and psychiatrists are called on when necessary to make sure that service users get all the support they need. Service users know they can pass on their concerns and complaints and that these will be taken seriously and acted on using the home’s complaints procedure. All forms of abuse including bullying between service users are not tolerated. This issue is regularly discussed at house meetings. The home is kept clean and well maintained, which means residents have a safe, comfortable and homely place to live. The staff team are well trained, which means they understand the needs of service users and have the skills to work with people with a learning disability and to provide the right support. 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. The summary of this inspection report can Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 8 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 Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 9 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): 1, 2 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are excellent admission arrangements, which means prospective service users can make an informed decision to live at the home and are then assured the home will meet their needs, and their legal rights and responsibilities are protected. EVIDENCE: There have been no new admissions to the service since the last inspection. All three case tracked service users have a copy of their pre-admission assessment on their file, along with a signed tenancy agreement. In accompaniment to the tenancy agreement there is an easy read document using pictures, which explains to service users what their responsibilities are in relation to the tenancy agreement. Both the Statement of Purpose and Service User Guide have been updated this year and are presented using photographs of the home and pictures. Both documents are very useful and informative for prospective service users trying to find a new home. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 10 From talking with staff and service users and from looking at minutes of previous house meetings it is evident that current service users would be involved in any decision to accept a new service user to the home. There is currently one vacancy. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 11 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, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The key principle of the home is that people using the service are in control of their lives and they direct the service but care planning arrangements are not effective enough in ensuring service users needs are met. EVIDENCE: Staff members spoken with demonstrated they understand the communication needs of individual service users and know how to engage with service users to enable them to make choices for example, what meals to have, activities and holidays. There are communication books for individuals, a displayed ‘interactive board’ using pictures and some people use signs and symbols. House meeting minutes are presented using pictures and the staff team have become familiar with individuals’ own non-verbal gestures. This was observed. Service users spoken with confirmed they are supported to be in control of their lives and also said that they are fully aware of their care plans and are involved in developing and reviewing them. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 12 The care plan files themselves are not very user-friendly. They are bulky and contain plenty of guidance documents alongside care plans, which can then make it difficult to find the actual care plans or in some cases there are guidance documents but no care plan. For example, a case tracked service user that has epilepsy there is guidance on epilepsy and information on what to do if there is a prolonged seizure but no specific care plan for the individual on how best to support the service user during and after the seizure. A case tracked service user currently having support from a specialist team on how to manage particular behaviour, has guidance on their file produced by this team, dated from 2005. This guidance has not been used to develop a specific care plan / strategies, which would then be reviewed in order to assess whether the adopted strategies are effective. All three case tracked service users have risk assessments in place that cover various activities of daily living such as laundry, cleaning, holidays and individuals’ chosen activities such as swimming and gardening. A case tracked service user that has had a recent history of falls does not have a falls risk assessment or mobility plan. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 13 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 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The rights and responsibilities of service users are central to all that goes on in the home and the staff team are dedicated to ensuring service users experience a fulfilling and meaningful lifestyle that satisfies their individual social interests and goals. EVIDENCE: Staff members spoken with reported that there have been recent trips to Whitby, Blackpool, Skegness and Matlock. The females of the house have just returned from a holiday in Spain. House meeting minutes and the interactive meetings board indicates that service users are involved in planning for activities and holidays. The staff team are in the process of devising with service users their own ‘adventure file’, which contains information on personal interests and photos of them doing their chosen activities, for example gardening and going for walks in the countryside. The interactive board shows Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 14 that service users and staff are currently planning for a party to celebrate the home being open for twenty years. Families and friends will be invited along to the party. A staff member reported that ex-service users, at the say so of current service users, are often invited along to birthday parties and some service users have recently been supported to attend an ex-service user’s party. There is an excellent menu-planning book, which contains photos of different meals and types of foods, so that all service users have a say. Every week each service user has a day in which they assist the staff member to cook and prepare dinner and this is identified on the displayed board. A service user was observed going to the kitchen when she was ready to make a sandwich for her lunch. A service user talked excitedly about a job they are soon starting, which will be working in an office doing mainly reception work and answering the telephone. Two older service users go to generic day services for older people two days per week and choose to spend the rest of their time relaxing in the home. Others attend day centres or go to college. Staff members were observed spending time and engaging with service users in a meaningful and respectful way. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place for meeting the health and personal care needs of service users in a way that accommodates their preferences and wishes. EVIDENCE: Daily records show that there is flexibility with when service users choose to go to bed and get up, which was confirmed by those service users spoken with. Support with personal hygiene and tasks such as dressing and washing are clearly identified in relevant care plans. A care plan for bathing states “I have decided to revert back to one bath every other day, staff can still ask me every day…” Discussion with staff members and the daily records seen show that specialist health and social care professionals such as psychiatrist, community nurse, continence nurse and occupational therapist are involved in service users care when necessary. Appointment records show that service users have regular health checks. A relative comments in a survey that the home gave excellent after care when her relative-in-care returned to the home after a stay in hospital. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 16 The registered manager showed a booklet, which was devised for the late service user, prior to his death, which identified through pictures and photos his final wishes. The registered manager reported that these final wishes were respected and formed the basis of the service user’s funeral. The registered manager also explained that this has helped other service users to talk about death and shown to them the importance of expressing these wishes. Individual booklets are being done with other service users that choose to. For the service user that has ‘as required’ medication for alleviating anxiety and agitation there is now a detailed care plan specifying how to defuse a situation and provide emotional support, highlighting the need for medicine as the last resort. A record is kept of when and why this medicine has been given. Service users spoken with reported they are happy with the support they get with taking their medication. Medicines were seen stored securely. The medication administration records examined are clear and are being used properly. Stocks of medication are being monitored on a daily basis, which means there is an audit trial to check that medicines are being given as prescribed. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 17 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assured that their concerns, complaints and allegations are taken seriously and appropriately acted on. EVIDENCE: The Complaints Procedure is displayed in both written and picture format. Service users spoken with confirmed that they know how to make a complaint and feel confident that action would be taken to resolve any concern they had. There has been one complaint made since the last inspection and records show that this was dealt with satisfactorily. Since the last inspection there has been one incident between two service users that resulted in the local authority being notified in accordance with Safeguarding Adults procedures. Records show this to be a one off incident. A specialist team are currently involved in providing support on how to best manage and respond to the service user’s challenging behaviour. House meeting minutes show that the issue of bullying is regularly discussed and reiterated to service users that it is not tolerated. Training on adult abuse is provided to new staff members during their induction and staff members have either attended a course providing by the local authority on the Nottinghamshire procedures or are booked to go on it. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 18 All staff members spoken with demonstrated an understanding of what is abuse and of their duty to report all allegations of abuse and to whistle-blow. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe and comfortable home. EVIDENCE: When walking around the premises it was evident that the home is kept clean and hygienic. The laundry facilities are well organised and appropriate to the needs of service users. Service users have some responsibilities for doing their own laundry each week. The home is decorated pleasantly throughout, and there is a choice of communal areas for service users to use. One service user explained how the conservatory is often used for listening to music and dancing. There is also a good-sized and well-presented garden for service users to access. The kitchen and dining room have been redecorated since the last inspection. There is a green house and a vegetable patch, which some service users look after. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 20 All service users have their own key to their bedrooms and are encouraged to keep their rooms locked and secure. Two service users were happy to unlock and show their bedroom. Both bedrooms were decorated to suit their individual tastes, and decorated with their own pictures and personal items. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 21 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): 32, 34 and 35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are protected by robust recruitment practices and are supported by an effective, well trained and dedicated staff team. EVIDENCE: The Annual Quality Assurance Assessment confirms that nine of the eleven staff either already have at least National Vocational Qualification (NVQ) level 2 Social Care or are working towards it. Both staff members spoken with made very positive remarks about the level of training they are required to go on. In addition to mandatory health and safety training other courses relevant to supporting people with a learning disability are attended. A staff member talked about a course on Emotions that she went on, which helped her to understand the experiences of loss people with a learning disability go through and the impact this can have. The training records seen show that the staff team are trained in risk assessments, person-centred care, professionalism, falls awareness, deescalating techniques, adult abuse, medication and have regular updates on fire safety, first aid, moving and handling and food hygiene. A new staff Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 22 member is currently going through the Skills for Care / Learning Disability Award induction. This process is tailored around the training needs and relevant previous experience of each staff member. Staff members spoken with commented on how supportive the registered manager is and confirmed they have regular supervision sessions. A criminal record bureau check and two written references were seen on the new staff member’s file and all checks were dated before the staff member commenced their employment. A service user talked about being on a Mencap recruitment panel and how she has recently been involved in the selection of a new manager of a service. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 23 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): 37, 39 and 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is excellently run and in the best interest of service users. EVIDENCE: The registered manager has a clear vision for the home based on the organisation’s values and priorities and in line with best practice principles. This vision has been communicated well with the staff team, who also share the same values and drive. The inclusion of service users in the running and development of the service is embedded throughout day-to-day practice. There are excellent systems for quality assurance that are based on continuous improvement and on seeking the views of service users. Feedback questionnaires are sent out to service users and relatives on an annual basis Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 24 and staff and service users from other Mencap homes visit other Mencap services to speak with people about their home and the quality of care. The area manager undertakes a monthly, unannounced visit to examine a sample of records, to speak with staff and residents and to review the continuous improvement plan. The annual quality assurance assessment indicates that gas and electrical systems are serviced and maintained as required by health and safety legislation. Fire safety records show that weekly fire alarm tests are undertaken and fire extinguishers and system are serviced as required. There is an up to date fire risk assessment. Substances hazardous to health were seen stored securely and records seen also indicate that appropriate measures are in place for the control of legionella. Incident records and the service history for the home indicate that the registered manager and staff team are now fully aware of what incidents must be notified to the Commission, which is an improvement since the last inspection. Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 25 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 4 2 3 3 X 4 X 5 4 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 3 32 3 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 X 4 X 3 3 X Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 26 no 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 YA6 Regulation 15 Requirement Care plans must be developed for all assessed areas of need, which are then kept under review. There must be risk assessments in place for all areas of risk identified, with particular attention to the risk of falls. Timescale for action 01/12/07 2 YA9 13 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Woodhouse Road Care Home DS0000008769.V341188.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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