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Inspection on 25/05/06 for Woodland Court Nursing Home

Also see our care home review for Woodland Court Nursing Home for more information

This inspection was carried out on 25th May 2006.

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.

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

What the care home does well

The residents have access to spacious personal rooms, the majority of which have en-suit facilities. There is a spacious lounge/dining room, which overlooks the garden. The home is kept fresh and clean and free form odour and is pleasantly decorated. There is a friendly staff team who have the best interests of the residents at heart.

What has improved since the last inspection?

Residents who had been admitted prior to the last inspection have comprehensive care plans in place, which provide information regarding the health and personal care they require. These had been revised and up dated since the last inspection. Wound care planning is clearer and the dressing used for individual residents are prescribed and available.

What the care home could do better:

To ensure that new residents receive the care they need care plans should be completed in a timely manor. Polices and procedures for wound care management must be provided for staff to provide a consistent approach to wound management. Those residents identified as at risk of dehydration should have their fluid intake monitored as per the homes policy. The resident`s hot food should be kept hot regardless of where they choose to eat their meal to ensure their meal offers them a pleasant experience. Staff training and information provided should ensure that staff are up to date with current practices for care of residents health problems and disease processes relevant in old age. The results of the quality audits, which take place, should be available for the residents and the commission. And thelatest inspection report should be brought to the attention of visiting professionals, residents and visitors to ensure openness.

CARE HOMES FOR OLDER PEOPLE Woodland Court Nursing Home 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ Lead Inspector Rachel Proctor Unannounced Inspection 25th May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodland Court Nursing Home DS0000028762.V292418.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 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. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Court Nursing Home Address 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ 01803 613162 01803 615192 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) Woodland Healthcare Ltd Mr John Robert Lyle Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (39), Physical disability of places over 65 years of age (39) Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Registered for max OP 3 Registered for max PD 39 Registered for max PD (E) 39 service users over the age of 65 Date of last inspection 6th January 2006 Brief Description of the Service: Woodland Court has been a nursing home for just over 14 years. The home is part of a group of homes providing personal and nursing care. It is sited in a residential area on the outskirts of Torquay with easy access to the Torbay ring road, which is half a mile away. This home provides personal and general nursing care to people over the age of retirement. It is registered to care for up to 39 people mainly in single room accommodation. There are 25 single rooms all with en-suite facilities and 7 double rooms, mostly with en-suite facilities. The present configuration has four of the double rooms used, as singles therefore there are 29 singles and 3 double rooms. The home has a shaft lift, centrally located, making access between the ground and first floor easy for the less able bodied Service Users. There is one large lounge with dining space on the ground floor at the rear of the building. The terrace immediately outside the lounge that looks over the garden that has disabled and wheel chair access. The home has recently been redecoration throughout the communal areas and some bedroom areas, which included fitting good quality carpets in the communal areas and passageways. Some of the bedrooms have also been re-carpeted as part of the homes redecoration program. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two Random inspection were also completed on 21.03.06 and 26.04.06 to follow up the requirements made from the unannounced inspection on 06.01.06 A second Regulation inspector Mandy Norton accompanied the lead inspector. This was an unannounced key inspection, which covered the key standards for older people. Four residents of Woodland Court were case tracked/followed up in order to assess the way their health and personal care was being planned and delivered. The staff on duty and the manager were spoken to during the inspection. A tour of the home was completed and some records were inspected. Comment cards were sent to the GP practices who have patients at Woodland Court. Other Health professionals visiting Woodland Court were also contacted. Four relative comment cards were also sent out. What the service does well: What has improved since the last inspection? What they could do better: To ensure that new residents receive the care they need care plans should be completed in a timely manor. Polices and procedures for wound care management must be provided for staff to provide a consistent approach to wound management. Those residents identified as at risk of dehydration should have their fluid intake monitored as per the homes policy. The resident’s hot food should be kept hot regardless of where they choose to eat their meal to ensure their meal offers them a pleasant experience. Staff training and information provided should ensure that staff are up to date with current practices for care of residents health problems and disease processes relevant in old age. The results of the quality audits, which take place, should be available for the residents and the commission. And the Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 6 latest inspection report should be brought to the attention of visiting professionals, residents and visitors to ensure openness. 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. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 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 the following standard(s): 1, 3 The quality in this outcome area is adequate. The way residents care needs are assessed and recorded have improved, however care plans for new residents had not all been provided with in seven days of their admission. This may prevent these residents having all their care needs met. EVIDENCE: Woodland Health Care has introduced a comprehensive assessment system, which includes risk assessment for, nutrition, pressure sore development, manual handling and falls. A tick list system, which enables the risk assessments to be reviewed monthly, is in use. Once completed these give a visual overview of the residents identified risks. The four plans of care viewed during the inspection had these completed. However two of the four care plans did not have a care plan in place for all the risk elements identified in the risk assessment. These included risk of falls and nutrition risk. One relative comment card indicated that they had not seen a copy of the homes inspection report. All three GP comment cards indicated that they had not seen a copy of the homes inspection report. One commenting they had not asked to see one. The manager was able to provide a copy of the last inspection report, which Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 9 was displayed in the reception area of the home. One newly admitted resident had a welcome card in their room signed by the manager. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality in this outcome area is adequate. The clear system of care planning introduced, should ensure that the service users receive the care they need. Prompt completion of new service users care plans will further improve the way new service users care is directed and delivered. EVIDENCE: One resident who had been admitted six days earlier did not have a plan of care completed. Although information provided in the admission assessment identified their basic care needs. The tissue viability nurse specialist who had accompanied the inspector at a previous inspection reported that the wound care planning had improved and the manager had asked for training for the staff team. A wound care plan was viewed for one resident. This showed the type of dressings used and the healing achieved. Medication records of prescribed dressing were the same as those applied. This resident was able to tell the inspectors that the manager had discussed the type of pressure relief that would best suit their needs. They also reported that staff helped them to turn over in bed, which helped to Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 11 reduce the soreness. This was clearly recorded in the resident’s plan of care, which the resident had signed. Information for staff relating to disease processes is available for staff in the treatment room. However these had not been updated with current information. The folder included copies of articles about care of diabetic patient, care of stroke patients and infection control; however these were dated 2002 or sooner. A stoma care specialist nurse visiting the home during an inspection had commented that the homes staff appeared to understand the care of patients with stomas. She went on to say that the home’s Registered Nurse were good at contacting her for advise if they were concerned. She had provided up to date information relating to stoma care for the staff. The controlled drug record for one resident was checked against the records held and stock provided as correct. Discussion with the manager revealed how the home disposed of unwanted medication. A record of the drugs disposed of were available, these had been signed by the manager. Three GP comment cards received indicated that they were satisfied with the level of care provided for their patients one commenting that they were “very satisfied excellent home” Three relatives comment cards received indicated that they were satisfied with the level of care their relatives received at Woodland Court. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, The quality in this outcome area is adequate. The residents have access to apropriate activities. However personal preferences of the residents are not always facilitated by the staff. This may result in the residents not feeling valued. EVIDENCE: Discussion with the resident’s in the lounge revealed that on the whole they were satisfied with the activities provided for them. One commenting that at their age they prefer to spend time talking to each other or listening to the radio. Another service users commented that they would prefer to go to their rooms after lunch but this was not always possible, as the staff preferred them to stay in the lounge for the afternoon. The manager commented that he felt that those resident’s who required monitoring for their fluid intake benefited from more time in the lounge, as they were more likely to drink. The residents have access to a pleasant lounge dining room, which overlooks the garden. The tables are attractively presented with tablecloths, napkins and a large print copy of the lunchtime and supper menu for each table. Two residents who preferred to eat their meals in their own rooms commented that the food isn’t always hot when it reaches them. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 13 The lunch time meals observed during the inspection was unhurried with residents eating their meals at their own pace. Those that needed assistance to cut their food were given this. Four residents spoken to in the lounge commented that they enjoyed their food. The lunchtime meal was a set menu however one resident commented that when they had not liked what was on offer an alternative had been found for them. However two other residents said they were not offered alternatives if they did not like the lunchtime meal. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality in this outcome area is adequate. The residents are cared for by a staff team who are approachable and friendly and have their best interests at heart. However the lack of current information and training relating to disease management for older people may result in care giving not always following best practice guidlines. EVIDENCE: Five complaints have received by the Commission since December 05. These complaints related to the care of residents and the number of staff on duty. The way resident care is directed and delivered has improved since the complaints were received. Residents spoken to during the inspection said staff were friendly and helpful towards them and they did not have any concerns about expressing their concerns to them. The staff observed caring for the residents were doing so in a friendly respectful manor. The complaints procedure was easily available for the residents in the home. This included name and contact details of Commission. During this inspection the home staff appeared to have time to talk to the residents they were caring for sharing jokes and talking about topical news. Two resident commented that staff are very busy and they did not like to bother them unless they had to. One resident who had difficulty communicating used their call bell to call for assistance while the inspector was in their room. The staff that attended were polite and friendly giving the resident time to express themselves. The home did not have up to date information available for staff in the home relating to all the health care problems the residents they cared for had. This included care of residents with a stroke. Although training had increased for staff for clinical practices, wound care training had still not been provided for staff. The Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 15 manager confirmed that all staff were in the process of completing infection control training and was waiting costing for wound care training. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 19,26 The quality in this outcome area is good. The resident have a clean fresh homely environment to live in, which helps them to settle into the routines and way of life at Woodland Court EVIDENCE: The Reg 26 report from April 2006 indicated that repairs and renewals have continued. The garden pond had been filled in; this was being used to create a raised flower border that residents could work with if they wished. Three residents spoken to said how much they enjoyed the garden in the summer and were looking forward to seeing the summer plants. The home was fresh and clean in all areas entered during the inspection. The manager confirmed that some resident’s rooms had had new carpets fitted. The bathrooms and en-suit facilities entered were clean and smelt fresh. The manager advised that staff were in the process of completing an infection control training course. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality in this outcome area is adequate. The way staffing levels are organised may mean that on occasions staff are unable to respond to calls for help from the residents in a timely manner. EVIDENCE: At two previous inspections in January and March 06 the staff appeared to be very busy and two commented they were finding it difficult to complete all their work. The staffing at all the previous inspection visits this year appeared to be planned around the numbers occupying rooms rather than the dependency of the residents. The manager confirmed this. The manager does not have any supernumerary time and his shifts did not appear to overlap with other RGNs managing shifts. The manager and the RGN in charge of the shift confirmed this. The staffing rota showed the number of staff on duty through out the day and in what capacity they were employed. Ancillary staff are employed to complete laundry, domestic duties and cooking. The manager confirmed that there are normally three Health Care Assistant’s on duty with the Registered nurse. However he acknowledged that it was better for the residents if there were four Health Care Assistant’s and a Registered nurse for the morning shift as this benefited the residents. The staff spoken to at the time of the inspection confirmed it was better if four Health Care Assistant’s were on duty for the morning shift. Two of the five residents spoken to on 25th May said that staff are too busy to talk to them some times. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 18 Staff did not return the comment questionnaires before the inspection report was completed. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality in this outcome area is adequate. Once the Improvements introduced by the manager had been fully implemented; this should enable the residents to be cared for by a knowledgeable staff team who understand their needs. EVIDENCE: The manager advised that he had not started the NVQ manager’s award. He further commented that he was awaiting the Woodland health Care Group senior manager to agree the training provider before proceeding with registration on a course. He commented that he was committed to doing the training and hoped to be able to start soon. Although the training for staff had increased not all staff had received training up dates in health care management of the residents i.e. wound care, diabetes and care of stroke patients. Very little up to date information on the diseases that affect older people was available for staff. However there was evidence Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 20 that the manager and Registered nurses regularly sought the advice of specialist nurses and other members of the multidisciplinary team to help them provided care for the residents. Two staff records viewed during the inspection indicated that staff had received the mandatory training and instruction required. In addition to the mandatory training staff were in the process of completing in infection control training course. Both staff had personal supervision records with themes listed as personal life versus work, manual handling, care principles, personal care and safety. The manager confirmed that training and development plans are developed following supervision/appraisals. Examples of this have been seen at previous inspections. The manager advised appraisals for this year were due to be undertaken later in the year The staff at the home were friendly and supportive towards the residents. There are clear lines of accountability within the home. A quality assurance system is in place, which is designed to seek the views of the residents about the care they receive. Copies of completed questionnaires were available however analysis of the results had not been completed and were not available for the service users. The manager confirmed that the residents are encouraged to manage their own money were possible. For those that are unable, a family member or other representative manages finance. Secure facilities can be provided for the safekeeping of money and valuables on behalf of the residents in the office of the home, for short periods. Although the section 26 reports were available in the home this had not been forwarded to the Commission. The previous inspections in January 06 and March 06 individual residents care planning records had not been completed fully. At this inspection care plans had been reviewed and updated as required. The inspectors noted real improvements to the way residents individual records are kept. A tour of the home revealed that all areas the residents had access to were clean and fresh. A cleaner was seen working in the home during the inspection. A member of staff advised that the washing machine had broken down and a replacement had been provided. They further advised that the sheets pillow cases and towels are contracted out to an external laundry service so most of the washing completed by the staff at the home is resident’s individual clothing. Residents were wearing their own clothes, which had been laundered, at the home. One resident commented that the home look after their clothing well and it is always crease free. The manager confirmed that the hoists are regularly serviced and provided copies of invoices. Fire extinguishers were provided in the home and staff records confirmed they had received fire training. The manager also confirmed that a process had been put in place to reduce the risk of legionella. Records of maintenance checks were available. Risk assessments for the environment had been reviewed and recorded as expected. Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 21 Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x x 3 Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 23 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. 4. Standard OP8 Regulation 18(1)(c)1 4(1)(a) Requirement Policies and procedures for wound care management and pressure sore prevention must be in place to guide staff. Wound care planning must be consistent and reflect clear evaluation of wound healing. Timescale for action 02/08/06 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 Refer to Standard OP1 OP8 OP15 Good Practice Recommendations Visiting professionals should be made aware of how to access a copy of the homes inspection report The service users who’s plans of care identify a risk of dehydration should have their fluid intake and output monitored The manager should review how food can be kept hot while it is being transported to service users in their own rooms and how service users choice can be facilitated at the lunch time meal DS0000028762.V292418.R01.S.doc Version 5.2 Page 24 Woodland Court Nursing Home 4. 5. OP27 OP18 The number of staff on duty should be decided by the care needs and dependency of the service users The manager should continue to provide training updates to include vulnerable adult and training relevant to the residents health care needs for all grades of staff The training staff receive should ensure that the service users are in safe hands at all times All the information listed in schedule 4 should be available in staff files The manager should ensure that staff receive training for wound care management The manager should complete the registered manager award The manager should make the results of quality assurance and service users questionnaires available to the Commission, service users and their representatives. The Regulation 26 notices should be sent to the Commission. 6. 7. 8. 9 10 11 OP28 OP29 OP31 OP31 OP33 OP38 Woodland Court Nursing Home DS0000028762.V292418.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Woodland Court Nursing Home DS0000028762.V292418.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. 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