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Inspection on 16/03/06 for Woodland Park Nursing Home

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

This inspection was carried out on 16th March 2006.

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

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

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 and relatives asked said the staff team are very friendly and supportive towards them and they always treated them with respect. The staff observed during the inspection appeared to have a genuine rapport with the residents they were caring for.

What has improved since the last inspection?

The lounge carpet had been replaced since the last inspection. Extra cleaning staff are now employed on a weekly basis. The home was fresh and clean on both days of the inspection. The manager has arranged several activities for the residents to participate in. The records of who participated were available and residents appeared to enjoy the activities arranged for them. The personal and health care plans for the residents have improved. Clear care planning was in place for residents whose health needs had increased; these have been reviewed on a regular basis. Prescribed treatment creams being used by the residents the time of the inspection had been prescribed for them.

CARE HOMES FOR OLDER PEOPLE Woodland Park Nursing Home Babbacombe Road Torquay Devon TQ1 3SJ Lead Inspector Rachel Proctor Unannounced Inspection 16th March 2006 10:15 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 Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 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 Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodland Park Nursing Home Address Babbacombe Road Torquay Devon TQ1 3SJ 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) 01803 313758 01803 313758 Woodland Healthcare Ltd Phyllis Irene Wilton Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (31), Physical disability of places over 65 years of age (31) Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Registered for max OP 3 Registered for max PD 31 Registered for max PD (E) 31 resident’s 65 years and over Date of last inspection 13th September 2005 Brief Description of the Service: Woodland Park nursing home is an Edwardian dwelling, established as a nursing home in the Babbacombe area of Torquay. It is located approximately 100 yards from Babbacombe Downs with its excellent views over the bay. There is a small shopping area just a short walking distance away. The original building has been extended is to enable it to accommodate up to 31 resident’s. There are 19 single and 6 double rooms available, some with en suite facilities. The rooms are spread over three levels each being accessed by a centrally located shaft lift. Some rooms have sea views. A stair lift is also present between the ground and mezzanine floor. The home has been further adapted to meet the needs of the physically disabled resident’s it provides nursing care for. Meals are prepared in a hotel type kitchen located in the centre of the home. There are disabled bathing facilities on each level and mobile hoist that can be moved between rooms. The home has car parking to the front and side of the building and a small walled garden area for resident’s to sit in, weather permitting. A Registered Nurse manages the home and Registered Nurses are in charge of each shift, supported by a team of Health Care Assistants. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission for social care inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. This unannounced inspection took place over two days the second visit was arranged to enable the inspector to view staff files. Four residents, three relatives, two staff members and the manager were spoken to during the inspection. A tour of the home was completed and some records were inspected. What the service does well: What has improved since the last inspection? What they could do better: The carpets in some resident’s rooms and first-floor corridors remain stained detracting from an otherwise pleasant environment. The homes recruitment policies and procedures must be adhered to. All information required for staff must be provided in order to ensure that the residents continue to be protected from unsuitable staff. The fire plan doesnt include information regarding where oxygen is being used or stored. Warning notices have not been placed where oxygen was stored. This would put residents and staff at risk should a fire occur. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 6 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 Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 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 Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 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): 3, The residents care plans clearly state how their health and personal care needs should be met. These had been developed from an assessment of need, which had involved the resident. EVIDENCE: Three resident’s care plans were viewed during the inspection as part of case tracking for these residents. Each of these contained an assessment of need. Where social services shared assessment had been completed a copy of this was available with the resident’s care plan. One resident admitted recently had an assessment of need and a plan of care develops from this. One resident whose overall health had deteriorated had had a reassessment of their health and personal care needs completed. The plans of care had been updated with the changes recommended by the GP. The manager advised that since the last inspection she had put new systems in plae for reviewing the resident’s plans of care and ensuring they had all the necessary information and were kept up-to-date. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 9 The majority of the residents rooms entered had divan style beds, which had been raised to allow hoist access. The statement of purpose had not been amended to reflect this. The manager provided a training matrix, which identified the training staff, had received since the last inspection. It showed that two members of staff had completed a care of the dying course. The manager further advised that the local hospice trainer was due to provide training for the staff in relation to the Liverpool care pathway. The manager also told the inspector that she had the initial information about this care pathway and felt it would help staff to care for the dying patients in a holistic way. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 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, 11 The residents are cared for by a staff team who assess and monitor their health and personal care needs through care planning, in a way that respects their dignity and choice. EVIDENCE: The way the residents plans of care are recorded and their health care needs identified has improved since the last inspection. The involvement of the multidisciplinary team with the residents care had been clearly documented. The tissue viability nurse specialist advice had been recorded in one residents plan of care who required wound care. The manager advised the speech and language therapist provides training for the staff regarding swallow reflex problems. The last training session took place in September 2005. The manager confirmed that the speech and language service would provide further training if required. The Parkinsons disease specialist nurse had visited one residents who’ Parkinsons disease had been poorly controlled. The manager confirmed that with their advice and support the resident’s condition had stabilised. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 11 The manager told the inspector that she had asked advice from the tissue viability specialist nurse regarding one resident wound care. This resident told the inspector that the manager had asked a specialist to look at his wound to ensure they were doing the right things to help it heal. The tissue viability nurse advised that the home were managing the wound care well and she was pleased that they had adopted a proactive approach. One resident was being assessed by an NHS nurse to determine their NHS funding. She advised that the health care needs of the resident residents she visited were being met. She further commented that the plan of care developed for this resident identified clearly their health care needs. The resident’s medication is stored in a treatment room in locked cupboards and a locked medicine trolling. The controlled drug records were checked against the stock for one resident as correct. The inspector viewed three residents’ medication records. These had been completed and signed by the registered nurse administering the medication. Where new medication had been prescribed this had also been recorded in the residents plan of care relating to contact or visit from the residents GP. One resident had an oxygen cylinder in the room, which was stored in a corner of their room. This resident advised that they no longer use the oxygen and that it was left there in case of emergency. No warning notices were posted on the resident door. Four of the residents spoken to during a tour of the home said the staff are always polite to them and treat them with respect. The inspector heard staff using one residents preferred name, which had been recorded in their plan of care. The three residents plans of care included their personal likes and dislikes. Two of these residents spoken to said there had been consulted about their plan of care and had spoken to staff about their preferences for food and other things that were important to them. One resident’s health had deteriorated over the previous week. This resident’s plan of care had been updated regularly to reflect the changes in their health and the advice given by the GP. Contact with family had been recorded. The resident was being cared for in their own room. The staff had left a radio quietly playing music and the resident was asleep in bed and looked comfortable. The resident was being nursed on a high dependency pressure relief mattress. Equipment for maintaining mouth care was also available in the room. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 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, 14, The majority of the residents were satisfied with the activities provided for them. The staff team take the personal preferences and choices of the residents into account when activities are planned. EVIDENCE: A group of residents spoken to during the inspection told the inspector they were satisfied with the activities provided for them. However one resident specifically requested to be enabled to go outside the home more often. The manager advised that where possible residents are unable to take part in activities in the community and go outside the home. A list of activities the residents had planned was provided for inspection. Visitors were coming and going throughout the inspection. The residents asked said they had regular visitors who they could see in their own rooms or in one of the communal areas. Two visitors spoken to during the inspection said they felt the home staff were meeting the needs of the resident. One resident spoken to told the inspector that they had been able to choose the time they got up and went to bed. They further advised that they had recently been admitted to the home and the staff had been helpful and listened to them. Four other residents spoken to told the inspector that the food has improved and they now looked forward to their meals. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The manager must follow recruitment policy to ensure that the residents continue to be protected from unsuitable staff. EVIDENCE: The manager provided a training matrix, which identified that three members of staff had completed training for managing challenging behaviour. The manager confirmed that all staff had completed protection of vulnerable adult training. Three staff records reviewed during the inspection contained information about the training they had completed. Copies of certificates were available on the file. Each of the three staff files contained a job application form and evidence that the manager had obtained proof of identity. However not all the records listed in Schedule 2 were available in the staff files viewed. Records that CRB checks had been completed for the staff files were not provided. One staff members file contained a copy of the CRB check provided by previous employer. Following the inspection the manager provided a lists of all staff members, which included when their CRB check was applied for and when it was returned. This showed that the majority of staff had had a criminal records bureau check returned. The staff observed during the inspection was speaking to the residents in a respectful friendly manner. The residents asked said staff are always polite to them and treat them with respect. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The stained carpets, chipped paintwork and worn chair arms and cushions detract from an otherwise pleasant environment for the residents living. EVIDENCE: A tour of the home revealed that carpets in some resident’s rooms and communal corridors remain stained and worn. The lounge carpet had been replaced since the last inspection. However the chairs with stained cushions and arms were still in use in the lounge. The residents who were in the lounge at the time of the inspection commented that they liked the new carpet. The ground floor of the home and communal areas appeared fresh and clean and no dust was seen in the resident’s rooms. The laundry floor had been cleaned and the dust removed. The manager advised that the company now used contract cleaners twice a week to assist with the cleaning of the home. A member of staff advised that new flooring was due to be fitted in the laundry the following week. This staff member advised that the carpets in the corridors on the first floor and in some of the resident’s rooms were so badly stained that the stain remover no longer worked. The manager advised that there Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 15 were plans to replace the carpets in the home although she wasnt aware of the timescales the company had set to complete this. During a second visit to the home the flooring for the laundry was being fitted. The home employs a maintenance man to carry out routine repairs. The manager confirmed that he also carries out decorating for the home. The home was free from odour during the inspection and the residents asked confirmed that the home is usually fresh smelling. However carpets in some resident’s rooms and first-floor corridors remain stained. Some of the paint work was chipped on door frames and paintwork on walls in some rooms had scratches and other marks on them. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 27,29,30 The residents are cared for by staff team who treat them with respect and value their opinions. However the homes recruitment practices may not protect the residents from unsuitable staff if the policies arent followed and all employment checks completed prior to their appointment. EVIDENCE: The duty rota was provided for inspection. This showed the number of staff on duty throughout the day and in what capacity they worked. The manager rota showed that the manager didnt have any supernumerary time to complete management tasks. Manager confirmed that these are completed during the normal working week or additional hours as required. The home employs bank nurses who worked between the three Woodland Healthcare nursing homes. Staff records for some of these bank nurses identified on the rota were not available at the home. The manager advised that the home that initially appointed the bank staff member currently had their staff files. The three staff files viewed had interviewed pro-forma’s, photographs of staff and the references applied for. The manager advised that one member of staff who had been appointed had not started work yet because she was awaiting the return of the CRB. Three staff files were viewed during the inspection. One staff members file contained a copy of the CRB check provided by previous employer. Following inspection the manager provided a lists of all Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 17 staff members, which included when their CRB check was applied for and when it was returned. This showed that the majority of staff had had a criminal records bureau check returned. The manager provided a training matrix, which showed the training staff had attended in the last 12 months. These included mandatory training such as manual handling, health and safety, fire safety and food hygiene. Specialist training the staff had undertaken included infection control, adult protection, nutrition training and swallowing/feeding. The manager confirmed that she uses the specialist nurses available for advice and support in relation to the care of the residents. A record of their involvement was seen in to of the tresidents case tracked. The inspector was told that a trainer from the local hospice would be providing training regarding the Liverpool care pathway on the 29th of March 06. The manager also advised that she had discussed training for staff with the tissue viability specialist nurse. When the tissue viability nurse was spoken to by the inspector she advised that she had offered training for the staff at the home in relation to wound care management and tissue viability. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 38, The manager continues to foster an open atmosphere where the residents, their family and friends, and staff feel valued. However the residents could be at risk should a fire occur if where oxygen is stored isnt clear in the homes fire plan. EVIDENCE: The manager advised that she had started the NVQ 4 management award but had been let down by the assessors. She further advised that the new training organisation had been found and she hoped to recommence the course. The training matrix also provided the dates of the training manager had completed in the last 12 months. These included managing challenging behaviour, infection control, nutrition training and swallowing/feeding. The manager confirmed that shes committed to ensuring she and the staff receive the training they need to care for the residents. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 19 One resident spoken to told the inspector that staff understood their care needs and were always helpful towards them. The manager advised that the annual quality plan for 2005- 2006 was in the process of being completed. She further stated that comments received recently from the residents and their supporters were positive. The inspector had seen negative comments in the past regarding the decorations and carpets within the home. One comment seen stated, Pleased to see that decorations are taking place The manager explained how the accident records are used to look at trends and any specific problems. She commented that one resident had moved rooms as a result of this audit and the number of accidents had reduced since they had moved rooms. The health and safety policies and procedures are easily available for the staff in the office of the home. A tour of the home revealed that cleaning chemicals had been labelled and were being stored appropriately. The cleaning chemicals the cleaners were using were being kept with them as they went round the home. One relative spoken to during the inspection said the cleanliness of the home had improved and they were pleased that the carpet in the lounge had been changed. The staff were using manualhandling hoists to assist residents during the inspection. Two residents commented that staff use the hoist to transfer them in and out of bed. The training matrix supported that staff had received manual handling training. The date fire extinguishers were checked was recorded on them. One resident who had oxygen stored in a room didnt have a warning notice on the door of its presence. The fire plan didnt indicate which room the oxygen was stored in. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 20 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 2 Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 21 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 OP9 Regulation 13(2) 23(4)(v) Requirement The resident’s rooms where oxygen is used must have warning notices to identify them to reduce the risk for residents and staff should a fire occur. Registered person shall having regard to the number the needs of the resident’s ensure that-the premises to be used as the care home are of sound construction and kept in good state of repair externally and internally. (Extended from 31.04.06) The registered person shall not employ a person to work at the home unless he has obtained in respect of that person the information and documents specified in Schedule 2 The manager must provided confirmation of CRB checks being completed for all staff Timescale for action 16/03/06 2. OP19 23(2b) 31/07/06 3 OP18 19(1b) Sch 2 31/03/06 4. OP26 23(2d) All parts of the care home must 31/07/06 be kept clean and reasonably decorated. Stained carpets must be cleaned, DS0000028764.V270417.R01.S.doc Version 5.1 Page 22 Woodland Park Nursing Home (Extended from 30/11/05) 5. OP29 19(1b) Sch 2 The registered person shall not employ a person to work at the home unless he has obtained in respect of that person the information and documents specified in schedule 2 (Extended from 30/11/05) The manager must provided confirmation of CRB checks being completed for all staff The fire plan must be reviewed to include where oxygen is stored and warning notices must be displayed. 31/03/06 6 OP38 23(4c )(v) 16/03/06 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 Refer to Standard OP31 Good Practice Recommendations The manager should complete a recognised management award. Woodland Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 23 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 Park Nursing Home DS0000028764.V270417.R01.S.doc Version 5.1 Page 24 - 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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