Inspection on 31/01/07 for Woodland Vale

This inspection was carried out on 31st January 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodland Vale 13/01/06

Woodland Vale 10/08/05

Woodland Vale 06/10/04

Woodland Vale 04/06/04

Woodland Vale 22/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Woodland Vale Woodland Vale Community Care Support Centre New Street Torrington Devon EX38 8DN Lead Inspector Susan Taylor Key Unannounced Inspection 09:15 31 January & 5th February 2007 st 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 Vale DS0000033150.V328762.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 Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Vale Address Woodland Vale Community Care Support Centre New Street Torrington Devon EX38 8DN 01805 622206 01805 622713 thea.stach@devon.gov.uk http/www.devon.gov.uk Devon County Council 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) Mrs Thea Stephanie Stach Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23), Old age, not falling within any other category (23), Physical disability over 65 years of age (23) Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2006 Brief Description of the Service: Woodland Vale is a new purpose built home run by Devon County Council, which provides 24-hour care to older people, some of whom may have dementia. The home overlooks the River Torridge and is on the outskirts of Great Torrington. Outside there is a garden. There is level access into the main entrance of the home. There is ample car parking available. Internally, the home is on one level. It is divided into two separate units; each has its own lounge, dining area and conservatory. All bedrooms are ensuite with either a disabled access shower or assisted bath. All of the bedrooms are single. Three are large enough to accommodate couples or people wishing to share. The current fees range from £556.57 per week. Additional charges are made for hairdressing (dependent upon individual requirements), chiropody (£10 per session), toiletries and newspapers (dependent upon individual requirements) Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Woodland Vale is a care home for older people, some of who may have dementia or mental health problems. A key unannounced inspection took place on the 31st January 2007 and 5th February 2007 beginning at 09:15 a.m. lasting approximately 9 hours. The inspection included a full tour of the home and discussion with the manager and care staff. Two hours were spent particularly observing the care given to some service users and any the activities undertaken. After which staff were spoken with and comparisons to care records were made. Three service users had their care needs studied in detail - their records were examined in detail. The inspector observed the care given to one of the service users that had dementia. The other two service users were spoken with in depth about the care and services they receive. The inspector also spoke to people receiving care and who gave their opinions on the care, activities, food, environment and staff. The inspector also observed care that three people received. Surveys were sent to six residents, six relatives, eight staff and five health and social care professionals. Comments from the people who responded are incorporated within the report. What the service does well: Woodland Vale is a very well run service. Older people, some of who have dementia that lives at the home are cared for by a team of staff that are very experienced and skilled. The team of staff work in partnership with healthcare professionals, which benefits the people living at the home. People living at the home say that the staff are “always there to help and when I need help I ask for it”. Similarly, they say that “people are very kind” to them and make them “feel comfortable”. At the inspection, people were doing crafts, quizzes and games. People say “there’s always something going on”. Their relations are made welcome and are encouraged to visit often. The home is spacious and people can move about freely and safely there. Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 6 Overall, people felt that there is “lovely food, company and nice things to do.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodland Vale DS0000033150.V328762.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 Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People that live at Woodland Vale receive person centred care that meets their needs. Intermediate care is not provided at the home. EVIDENCE: The home has a statement of purpose booklet which sets out the aims and objectives of the home and provides information about the service. This booklet was available in the entrance of the home. The document is comprehensive and provides information about what users can expect from the service. Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 9 Three care files were inspected. An assessment of care needs of prospective service users takes place prior to admission to the home. Documents seen provided evidence that the home had obtained a summary of the care management assessment and care plan had been obtained prior to each individual’s admission to the home. Additionally, people had been sent a ‘preadmission questionnaire’, which is excellent practice. In doing so, the home had obtained information about the individual’s social networks, preferences, hobbies and interests so that care was tailored to their needs. A high proportion of service users residing at the home had dementia that needed skilled input from staff. Two hours were spent in the lounges observing service users and how staff interacted with them. This highlighted examples of excellent practice. During the period of observation, staff involved service users in small groups to participate in a choice of activities. The activities were sensory or cognitively based, for example one group was involved in an art project and the other in a reminiscence quiz. Staff engaged with service users continuously at the right speed and demonstrated genuine warmth and attention, which people appeared to respond to and enjoy. Two health and social care professionals responding in a survey verified that the home communicates clearly and works in partnership with them. Additionally, they felt that staff demonstrate a clear understanding of the care needs of service users. Both respondents were satisfied with the overall care provided to service users within the home. Similarly, relatives that took part in a survey were satisfied with the overall care provided to their relation. The manager verified that intermediate care is not provided at the home. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Woodland Vale has a good care planning process that provides clear information about the needs of the residents and how they are to be met. The home maintains good professional relationships with specialist people and implements their advice to the benefit of the people living there. People receive the right medication, as prescribed, at the right time. Staff deliver care in a way that maintains the dignity and respect of the people that live in the home. EVIDENCE: Care plans were well maintained, accessible to service users and/or where applicable their next of kin. 100 of relatives responding in a survey verified that they were kept fully informed about their relation’s care. Care plans inspected had been kept under review. The inspector tracked the care for three residents and saw evidence of good outcomes for the people concerned. Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 11 Two health and social care professionals responding in a survey felt that Woodland Vale staff communicate clearly and work in partnership with them. Additionally, both verified that specialist advice they have given is incorporated into the service user’s plan of care. A service user responding in a survey verified that there are always staff available to help them and that they get medical support when needed. Health and social care professionals responding in a survey felt that medication is appropriately managed in the home. The inspector was told that only senior staff administer medications. Training records verified that people had undertaken training and had been assessed as competent to handle medicines safely. The inspector observed an assistant manager administering medication during lunchtime. Good practice was seen. The home uses a monitored dosage system. Secure storage facilities were seen that meet legal requirements. One person is responsible for stock taking and the inspector examined records that demonstrated that this is done on a monthly basis. Records of ordered drugs and a register of controlled drugs were seen and tallied with those being stored. The system was easy to audit and the inspector tracked medication administered to three residents. Records accurately reflected medication having been administered as prescribed by the GP. Staff were seen and heard knocking on doors before entering bedrooms and were carrying out personal care for service users in private. All staff observed in conversation with service users were heard to be courteous and respectful interacting continuously with people that have some limited communication due to dementia. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14 & 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Routines and activities are flexible and suited to individual people’s needs. The people that live at Woodland Vale have choice and control over their lives and benefit from regular contact with their friends and family. The preferences and tastes of people living at the home are known and meals are an enjoyable social event. EVIDENCE: During the site visit, two hours were spent in the lounges observing how staff interacted with the people living there. This highlighted examples of excellent practice. During the period of observation, staff involved service users in small groups to participate in a choice of activity. Staff engaged with service users continuously at the right speed and demonstrated genuine warmth and attention, which people appeared to respond to and enjoy. People made comments like, “there’s always something going on” and “lovely food, company and nice things to do.” Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 13 Records held about service users included information about their social, economic and cultural histories. This approach was person centered providing the staff with in-depth knowledge about the people they care for such as their family and working history as well as their hobbies and interests. Service users spoken with confirmed social activities are arranged, they spoke of occasional trips out of the home. Service users said that activities are advertised by word of mouth, with staff telling them what’s available; a notice advertising these was seen in the main hallway and was up to date. 100 of relatives in a survey verified that they were always made welcome and were able to visit their relative or friend in private. The feedback about food was positive, all of the service users spoken to said how good it was. Staff said that a choice of menu is available and notices in the lounge/dining rooms indicated the choices available on menu. The food served at lunchtime looked and smelt appealing. Service users requiring assistance with their meals were given this in an appropriate manner. During the period of observation, all service users appeared to be enjoying their meal and were in a positive mood. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at Woodland Vale are protected and able to voice their concerns, if they have any, safe in the knowledge that these will be dealt with in an appropriate manner. EVIDENCE: The pre-inspection questionnaire verified that no complaints had been received in the previous 12 months. The complaints procedure was displayed in the entrance hall and complaints forms were also available. Two people who had their care ‘case-tracked’ said they were aware of how to make a complaint and knew who to speak to; if they were not happy they said they would talk to ‘the manager or staff’. Both said they had nothing to complain about and that they feel safe living in the home. Of the four surveys returned to the Commission from relatives/visitors, five indicated they know how to make a complaint. Five of those indicated that they had never needed to make a complaint. Similarly, in a survey 66 of relatives were aware that the home had a complaints procedure but went on to qualify that they had never needed to make a complaint. All of the relatives Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 15 were satisfied with the overall care provided to their relation. A record of complaints was examined. The policies and procedures seen included information on adult protection. Staff training records show that staff have recently received training on the protection of vulnerable adults. In a survey all of the staff were aware of adult protection procedures. Interactions between staff and service users were kind and caring. People that the inspector met made comments like, “people are very kind”. Another person spoke about how the staff had helped them settled into life at Woodland Vale, “they made me feel comfortable. I was very worried about whether I’d done the right thing, but they took my stress away”. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at Woodland Vale live in comfortable accommodation that is clean and maintained to a high standard. Minor changes to the décor would be beneficial to people that have dementia to improve their orientation in the home. The risk of cross infection is minimised for people living at the home because the staff working there have received training and implement good practice. EVIDENCE: Environmental and fire risk assessments have been performed on all areas of the home. Records show that all equipment and systems are regularly serviced. The inspector toured the building and met maintenance staff. Records examined verified that maintenance is carried out in a timely manner. The home was spotlessly clean and free from odours. Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 17 Staff that the inspector met had recently been on a ‘positive dementia’ course. As a result of this people felt that more could be done to improve the environment for people with dementia. Similarly, staff in surveys had written about the floral pattern wallpaper in bedrooms and had highlighted that it “is not good for service users with dementia.” At the same time, people felt that it would be “a good idea for more picture signs to be placed around” as people “frequently get lost and have a fear of leaving the lounge area. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 & 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. A team of highly skilled and experienced staff cares for people living at Woodland Vale. EVIDENCE: The duty roster for the week beginning 4/2/07 was examined. accurately recorded the names of staff, and duties that had been worked. The inspector observed that staff attended to residents’ needs in a timely and unhurried manner. Four relatives responding in a survey were satisfied with the level of care provided and felt that there were sufficient numbers of staff on duty to meet the needs of their relation. People living at the home made comments such as “they’re always there to help and when I need help I ask for it”. Similarly, the inspector observed staff engaging people continuously at the right speed and in ways that demonstrated genuine warmth and attention. Three personnel records were examined. The home had obtained satisfactory references including CRB and POVA pre-employment checks. All of the staff that the inspector met verified that they had an individual portfolio and that their training needs are discussed through the supervision process. Individual training records provided evidence that training is provided Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 19 and ongoing. All of the staff responding in a survey indicated that the home provides funding and time for them to receive training. Most recent training that staff had undertaken included conflict resolution and ‘positive dementia’ courses. Management staff had also had training in recruitment procedures, quality dementia review, and health & safety risk management and falls awareness. Observation of interaction between the staff and service users was undertaken for a 2 hour period during this visit. All of the staff communicated and interacted very well with service users demonstrating an excellent level of skills and experience when caring for people with dementia. According to information provided in the pre-inspection questionnaire 86 of the care staff hold an NVQ level 2 in care. Additionally, the manager and assistant managers hold the registered manager’s award and NVQ level 4 in management. 100 of staff in a survey verified that they received one-to-one supervision. However none of the staff had been observed as part of this supervision. two staff had been observed as part of their supervision and had attended the group meeting. None of the staff had been to any group meeting. Woodland Vale DS0000033150.V328762.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The registered manager is experienced and qualified to run the home and does so effectively for the people who live there. Quality assurance systems are evident and ensure that people’s views are respected in this home. Similarly, people’s interests are safeguarded and efficiently managed. Health and safety is paramount and is effectively managed, which ensures that the people living there are protected. EVIDENCE: The registered manager’s portfolio verified that she held the Registered Manager’s Award and NVQ level 4 in Care and Management. All of the staff, relatives and healthcare professionals responding in a survey indicated that the Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 21 home is well run. Communication systems are in place, there are regular staff handovers and regular staff meetings; minutes of these were seen and contained positive reassuring messages for the staff team. Two health and social care professionals responding in a survey indicated that the home communicates clearly and works in partnership with them. An annual development plan made links to the national minimum standards and regulatory requirements, and set out clear plans showing how shortfalls within the home would be met. In addition to this, the inspector read the development and quality plan for 2006-7 that had resulted from a satisfaction survey conducted in 2005. The manager told the inspector that two internal audits had been carried out in 2006, and there were plans to send a satisfaction survey to everyone that had involvement with the home. A suspense account is held known as ‘Woodland Vale residents’ account’. The inspector was shown records that demonstrated that a weekly reconciliation had been completed. Three residents whose records were examined had their own savings accounts. The inspector was able to easily track transactions against balances, and found these to be correct. The pre-inspection questionnaire completed by the manager verified that contractors had carried out maintenance to hoists, electrical, gas, fire and water systems during the last 12 months. Comprehensive Health & Safety policies and procedures were seen, including a poster displayed stated who was responsible for implementing and reviewing these. Certificates seen on files examined verified that staff had attended infection control and manual handling training in the past 12 months. The fire log was examined and demonstrated that fire drills, had taken place regularly. Similarly, the fire alarm had also been regularly checked. People living at the home and staff told the inspector that the alarm was regularly checked. Certificated evidence verified that the hoists had been regularly maintained. First aid equipment was clearly labelled. Some of the staff on duty verified that they held a current first aid qualification having completed the National Vocational Qualification in Care. Good manual handling practice was observed as carers transferred residents from wheelchairs to chairs in the dining room at lunchtime. Electrical appliance checks and risk assessments had been reviewed in the last twelve months. Data sheets were in place and staff spoken to understood the risks and how to minimise these in respect of chemicals used in the building mainly for cleaning and infection control purposes. The home has an accident procedure that had been followed. Entries tracked by the inspector established that appropriate action had been taken following reported accidents. The manager told the inspector that she regularly audited accidents and incidents occurring in the home to ensure that these were kept to a minimum. Woodland Vale DS0000033150.V328762.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 3 x 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 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 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 4 Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP19 Good Practice Recommendations Floral patterned wallpaper should be replaced as research has shown that it is disorientating for people with dementia. Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodland Vale DS0000033150.V328762.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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