Inspection on 03/10/06 for Woodland Manor

This inspection was carried out on 3rd October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodland Manor 06/08/08

Woodland Manor 25/09/07

Woodland Manor 08/12/05

Woodland Manor 29/06/05

Woodland Manor 11/03/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Woodland Manor Woodland Manor Whitton Park, Thurleston Lane Ipswich Suffolk IP1 6TJ Lead Inspector Claire Hutton Unannounced Inspection 3rd October 2006 09:50 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 Manor DS0000060707.V314486.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 Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Manor Address Woodland Manor Whitton Park, Thurleston Lane Ipswich Suffolk IP1 6TJ 01473 461622 01473 462298 lesley.tournay-godfrey@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust 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) Miss Lesley Tournay-Godfrey Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 One named individual to be accommodated with learning disability (LD) 8th December 2005 Date of last inspection Brief Description of the Service: Woodland Manor is situated within Whitton Park and is set in extensive grounds. There is adequate parking to the front and the nearest public bus stop is a walk from the home. The building is a large Victorian House, which has been extended to incorporate a three-storey block comprising two floors of care home accommodation. The ground floor of this block comprised a mixture of care home bedrooms and a privately occupied flat that was not part of the registered premises. The accommodation comprises 32 single rooms and 2 double rooms. Four single bedrooms were reported in the Statement of Purpose to be under 10m². There is also a large lounge with dining room adjoining. There is also a further lounge/dining area near to the kitchen in the main house and two smaller quiet lounges in the extension. The Home offers accommodation in the category of elderly people who require personal care. Fees for this home range from £331.00 to £600.00 per week. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that focused upon the core standards relating to Older People. It took place on a weekday between the hours of 9.50am and 4.15pm. The process included a tour of most of the building, discussions with residents, staff and the deputy manager, observations of staff and service user interaction, and the examination of a number of documents including residents care plans, medication records, the staff rota, and records relating to maintenance, health and safety, recruitment and training records. The report has been written using accumulated evidence gathered before and during the inspection. Six completed surveys were received back from the current resident group. Five completed comment cards were received back from relatives and one comment card was received back from a staff member. There are currently 25 residents accommodated at the home. What the service does well: What has improved since the last inspection? The home now has a registered manager in place. The registration certificate has been revised to reflect the correct circumstances at the home. A programme of development environmentally continues and as a result the main office is nearer the communal areas of the home and near the front door to receive visitors. Action was seen to have been taken on two of the three requirements made at the last inspection. Care plans viewed did reflect the health care needs of those individual residents. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodland Manor DS0000060707.V314486.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 Manor DS0000060707.V314486.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): 2, 3, 4 and 5. 6 is not applicable. Quality in this outcome area is good. People who use this service can expect to visit before deciding and be provided with terms, conditions and a contract. The home does routinely assess prospective residents needs before moving in therefore all concerned can expect the home to meet those needs. EVIDENCE: Records and information for four residents were examined. This found that contracts and terms and conditions for individuals were in place and appropriately signed. Anchor who own the home have newly developed contracts and terms and conditions in place. There is a contract for those people who are self-funding and a slightly different one for those who are placed by the local authority. These documents conform to the newly revised regulations. Residents and their families were encouraged to visit the home and spend time there. During the inspection prospective residents and their families were visiting and making appointments to visit. The staff were seen to be helpful and friendly towards these visitors. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 9 In terms of a thorough assessment being completed by the home before a resident moved in, this was routinely found to be in place. There was evidence that reports from other professionals were sought, and this included assessments from placing social Workers and from nurses from hospital. Therefore the home could meet those residents’ needs that they have assessed and agreed to accommodate. Woodland Manor DS0000060707.V314486.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 and 10 Quality in this outcome area is adequate. Residents can expect that their healthcare needs will be met, but may not find that their needs are routinely set out in a care plan and reviewed regularly. Residents and their relatives can be assured that staff will uphold residents’ right to respect, dignity and privacy. Residents can expect that their medicines are stored securely and administered by trained staff, but records to support self-medication could further be developed. EVIDENCE: Four residents and six staff were met and spoken with. Records relating to four residents were examined. Care plans were in place for each individual at the home and these were stored securely in a filing cabinet. The care planning format used was based around headings such as hygiene, dressing, elimination, communication, mobility, safety, behaviour, recreation, sexuality and spirituality. Other records examined included: nutritional monitoring, hospitalisation and serious illness records, mobility assessments and safer handling assessments. The files were not tidy and therefore staff recording was sometimes not in the same order. Evaluation of these records was difficult to assess due to lack of consistency. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 11 Not all records had a record called ‘night care’ or risk assessments. As part of the tracking of residents, each resident was met and spoken with about their experience of the home and their individual care needs. Primary care needs of the residents were ascertained from these discussions, discussed further with staff for clarification and then care plans examined to find the record and understanding of the staff group. Some primary care needs of the residents such as a broken hearing aid, management of diabetes and management of dementia were not adequately recorded in the care plan. One out of the four plans examined had been consistently reviewed and updated to reflect the changing needs of the resident. One care plan had been written in May 2006 and had no evidence of review. Another care plan for a resident was inadequate. This individual had complex needs that the home do not normally accommodate and action was being taken to address the situation, but in the meantime there must be an adequate plan of care in place to instruct staff on how best to care for the individual. The daily record kept on each resident of the care given by staff had some good entries this stated the care and support given to individuals, but there was a statement repeated by a few staff that was not informative. The term ‘No problems’, does not explain what care was given. One resident spoken with said ‘Staff really care for you’. One resident had their own individual routine for the day. Residents were able to get up when they wanted. Staff were seen to routinely knock and wait before entering a bedroom. Staff were seen to walk residents in the grounds and around the home. Staff were observed to use manual handling equipment appropriately with residents to move them from wheelchair to chair and to standing positions. Staff were seen to take their time, give respect and concentrate on each individual they were caring for. Residents spoken with stated how they were enabled to access healthcare appointments. One resident said ‘The GP is here very quickly when you need him’. Records showed that all residents are registered with a GP and have access to opticians and chiropody. The district nursing service regularly visits the home. Medication at the home is generally well managed. It is stored appropriately and securely. The home has a monitored dosage system in which the nine staff that administer medication have been trained. The end of the morning drug round was observed. This takes some two hours to complete. The senior carer asked each resident if they would like their medication and the whole process was unhurried and showed respect to each individual. Medication was left with one individual for them to take later at their convenience. The Senior carer explained that this was acceptable because the resident was capable, it was not in a communal area and the medication left was not thought to be of great harm. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 12 However this was not documented as a risk assessment to give the resident the independence they required nor the carer authorisation and protection should the event not work out as planned. Records were on the whole good, with the medication administration record being consistently completed. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is good. Independent residents at this home are able to choose a lifestyle and develop their own pastimes that suit them, but those residents who wish to have activities supplied may be dissatisfied. Residents and relatives can expect that the home will provide a choice of wholesome and appetising meals in a sociable setting convenient to the individual resident. EVIDENCE: Four residents and six staff were spoken with during this inspection. Six resident surveys were received back and five relative comment cards were received back. Two relatives and one resident felt that more could be done in terms of the activities available for residents. One resident said how they loved their crochet. In the main lounge there was a television for residents to enjoy. A resident explained about a recent trip out that had been had, organised by the home. Other residents spoke about how they would like a regular activity and gave examples such as baking and gardening. The staff member explained that a member of staff was designated as an activities co-ordinator, but currently did not have dedicated hours for this role. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 14 One resident said they did not like being at the home – but that was not because it was not a nice home – they said it was nice and the staff were especially nice. The reason was that they wanted to be back in their own home, but being at the home was made better by having regular visits from their son. Several visitors and family were seen to be visiting throughout the day. Visitors were made welcome and a steady stream of refreshments was offered both to residents and their visitors. A bowl of fresh fruit was in the lounge for residents to help themselves. The tea trolley had snacks available for residents to choose. Choice and control over individual’s lives was evident in how residents freely behaved and how they spoke of their daily routines. Choice was present in deciding what time to get up, if medication should be taken and what to eat and when to eat lunch. Lunch on the day was either beef casserole with dumplings, carrots, cauliflower and mash potatoes or mushroom risotto. These were served in the dining room straight from a hot trolley to keep the food piping hot. A plate of each meal was presented to residents for them to choose from according to what they fancied at the time. The Inspector had the casserole and vegetables and found them to be of good quality. The pudding available was lemon sponge and custard or fruit and cream. Residents spoken with enjoyed their meal. The dining room is spacious and was able to accommodate the nineteen residents for lunch. The other residents had decided to have their meals in their room. The intercom system was used to ask their preferred option of meal. The kitchen was visited and the cook spoken with. All recordings of food and health and safety monitoring were in place. Kitchen staff are well trained. This included training in nutritional profiling as well as obtaining the intermediate food hygiene award. The kitchen was clean and food stocks good. A menu was on display outside the kitchen for anyone to view. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 15 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 and 18 Quality in this outcome area is good. Residents and relatives can expect the home to have policies and procedures in place to protect them and, they can be assured processes for safeguarding residents are routinely followed. EVIDENCE: Woodland Manor has a complaints procedure in place that forms part of the terms and conditions given to each resident. Also displayed in the entrance to the home were leaflets called complaints, concerns and compliments. The commission has also not received any complaints about this home. In relation to protection of residents at this home, the manager is aware of the local procedure on how to deal with possible protection issues. This is a county procedure agreed with local social services and police. There was evidence that the manager has appropriately referred matters through this reporting procedure for action by the necessary authorities. Staff spoken to stated that they had undertaken the necessary protection training and evidence of certificates was seen. There was evidence of skills for care induction for new staff that also covered protection matters. Upon examination of staff recruitment records there was evidence to show that all staff were routinely checked on the national POVA (protection of vulnerable adults) list before entering the home to work and that an enhanced CRB check was done on all staff. Woodland Manor DS0000060707.V314486.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 and 26 Quality in this outcome area is good. Residents can expect to live in a home, that is generally clean and comfortable, is well decorated, maintained and has an ongoing plan of upgrade in place. EVIDENCE: A tour was made of all communal areas and some bedrooms with the permission of the residents. The home throughout is comfortable, clean and generally meets the resident’s needs. A programme of decoration and refurbishment is planned. This includes future developments of moving the laundry from the cellar. The kitchen and laundry room are well equipped. The laundry room should have a washable floor that is sealed to prevent any potential infections being spread. The laundry floor is currently carpeted and does not ideally meet hygiene standards. Cleanliness was very good throughout the rest of the home. One resident said ‘I’ve been here four years and I love that the home is so clean. They clean my room every day.’ Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 17 In order to make the home level access the home has a shaft lift in place. Individual bedrooms are personalised and those that have addition accommodation such as kitchenette and en suite are particularly homely. At the time of the inspection twenty new armchairs footstools and wardrobes were being delivered. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. Residents and relatives can expect that the numbers and skill mix of the staff will meet their needs. However this is with the use of agency staff. Staff are trained and competent to do their jobs. Residents are safeguarded as far as is possible, because the recruitment procedure for staff is routinely robust. EVIDENCE: Staff rosters were examined. All staff employed at the home were included up on the rosters and were available to staff to see. The home currently accommodates twenty-five residents and during the day there are four care staff available on an early shift and three care staff on a late shift. At night there are two carers. At all times there is a senior carer on duty. In addition there is the deputy manager and the manager both of whom work full time. The home does use agency staff to ensure the above staffing levels are maintained. The current vacancies are for three full time carers, one of which is a senior post. There is also a vacancy for a part time carer on nights. In addition the home employs catering and housekeeping staff in sufficient numbers. Recruitment of more staff is underway. In relation to training of staff the home has concentrated on staff obtaining their NVQ qualification. Eight staff either have or are currently doing NVQ 3, Six staff have NVQ 2 and two staff have started NVQ 2. Therefore the home has achieved the target of 50 . One staff member spoken to spoke about the good availability of training to staff and said they had training in Skills for Care had her medication and Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 19 dementia care training, but the common theme with all her training had been to offer the residents choice. There was evidence of staff completing fire and health and safety training in September 2006. First aid refresher training is planned for February 2007. Five new staff were due to commence their Skills for Care training. Recruitment records for five staff that had recently started at the home were examined. There was good evidence of systematic robust recruitment procedures being followed for each individual. Training in manual handling was evidenced along with supervision records for three of these new staff. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 20 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, and 38 Quality in this outcome area is good. Residents and relatives can expect that a person who is fit to be in charge and of good character manages the home. The home operates a quality assurance system that could be more widely understood by staff at the home. EVIDENCE: The registered manager was not present throughout this inspection. However the Commission earlier this year had completed the fit person process and a new certificate has been issued to the home to reflect that the current manager is assessed as fit to manage this home. Staff spoken to felt that if they had any problems then the manager would help them to resolve matters. With regard to a quality assurance system, this was discussed with the deputy manager who was not fully aware of the systems in place, but knew that Anchor did survey relatives on their views, as she was aware of questionnaires being sent out. Also that there were resident and relative meetings. Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 21 The Chef manager at the home was aware of quality audit systems in place within the catering department and had a catering support manager who visited once a month to audit practices in place in the kitchens. There was evidence of action plans that she put in place. One area that should be considered for regular auditing is the quality of care plans. This matter was discussed with the deputy manager, who thought this would be a constructive way forward. The Commission does receive regular Regulation 26 reports. These are reports prepared by the organisation who visit the home unannounced once a month and report on the functioning of the home. Health and safety matters were examined. The home had received a visit from the environmental health department in February 2006 and everything was satisfactory. All fire precautions were found to be acceptable with alarms and equipment being regularly serviced throughout 2006. A current gas safety certificate was seen. Servicing records for all seven hoists within the home were examined. The shaft lift was serviced in June 2006 and the nurse call was serviced the end of 2005. The home employs a handyman and a grounds person, both of whom had been spoken to on previous occasions at the home. And they are known to take their role and responsibilities seriously and keep records up to date. Matters relating to staff training in health and safety matters are covered in the staffing section. Woodland Manor DS0000060707.V314486.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 X 2 2 2 2 N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1) Requirement The registered person must prepare a care plan that reflects the needs of service users. The registered person must keep service users plan reviewed and reflect changing needs. (This is a repeat requirement) The service users must be enabled to take responsibility for their own medication if they wish, within a risk management framework. Activities must be made available and be flexible and varied to suit service users’ expectations, preferences and capacities. Timescale for action 20/11/06 2. OP7 15(2)(b) 20/11/06 3. OP9 13 (2) 20/11/06 4. OP12 16 (2)(m) 20/11/06 Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The daily statement written by staff should be more informative of the care actually given based upon the presenting needs that day. The laundry floor should have an impermeable finish and be readily cleanable. The quality assurance systems within the home should be more widely understood by staff within the home. Quality audits should include monitoring quality of care plans. 2. 3. OP26 OP33 Woodland Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Manor DS0000060707.V314486.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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