Inspection on 24/05/06 for Woodland Villa

This inspection was carried out on 24th May 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.

Other inspections for this house

Woodland Villa 16/04/08

Woodland Villa 06/11/07

Woodland Villa 13/02/07

Woodland Villa 10/02/06

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

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 Villa 93 Alma Road Plymouth Devon PL3 4HE Lead Inspector Doug Endean Unannounced Inspection 24th April 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodland Villa DS0000064463.V290416.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 Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Villa Address 93 Alma Road Plymouth Devon PL3 4HE 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) 01752 669625 01752 250123 Denmax Ltd Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability over 65 years of age of places (34) Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Old age, not falling within any other category (19) Physical Disability over the age of 65 years of age (34) Date of last inspection 10th February 2006 Brief Description of the Service: Woodland Villa is a care home with nursing that is registered to provide personal care for up to 19 clients, and nursing care for up to 34 clients. It can therefore admit up to 53 clients over the age of 65 years old and of either gender. It has been developed over several years from a terrace of houses that have been linked internally, and has been adapted to meet the demands placed upon it by the clients, many being disabled through illness. Ramping and passenger lifts have been provided to enable clients to access to all parts of the home. The home is on the outskirts of Plymouth city and is on the bus route to the city centre. There is access also to some local amenities. The home passed into new ownership nine months ago and has began a program of refurbishment that is progressing well to a high standard of finish and includes total rewiring, a new fire detection system and a new nurse call system. The home presently has a residential unit at one end and the nursing home takes up approximately two thirds of the property. The units share the same main kitchen and laundry services. There is shared communal space’s of good proportion’s at each end of the building that are attractively decorated and offers several separate areas for the clients to sit in with other clients or their visitors. There is a small outdoor area that has some seating for the clients to use in times of good weather and also an ample sized car park for people using the home. The nursing unit is managed by registered nurses 24 hours a day who are supported by social care staff. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This “Key Inspection” took place over two days, the 24th & 25th April 2006. Present were the new Manager, Mrs McGlew, and Mr Patel, the Registered Individual also attended on the second day. During the inspection four service users were interviewed and a further four were conversed with. Three staff members were chosen at random and interviewed. Staff and service users records were chosen and their content reviewed and information verified. A selection of maintenance records was looked at and the inspector carried out a full tour of the home. The views of relatives, General Practitioner’s and health and social care professional’s were obtained through the use of questionnaires. The inspectors overall impression is that the home is gradually improving the standards of care it provides using improved clinical records to plan and record the care given. The environment is also better with the refurbishment well underway. The only area that has not improved is the recruitment record and staff files, including the evidence of training. This is an important issue that has not received the attention required. This was made known to the administrator responsible and the Registered Individual. It is for this reason that the inspector has assessed the quality of the home as adequate. What the service does well: What has improved since the last inspection? Care planning and service users records have improved in structure and content and the staff have welcomed this. The culture of the home, the service users offer great praise of the Registered Individual and the staff at the home who make them feel at home and respected. The environment through the refurbishment program that is advancing well. Woodland Villa DS0000064463.V290416.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 Villa DS0000064463.V290416.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 Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Standard 6 is not applicable to this home. Quality in this area is adequate. The Statement of Purpose is complete but fragmented across several documents. The pre admission assessment is very through and does provide the assessor with the information required to make an appropriate decision regarding the acceptance of a referred client. EVIDENCE: The home has a Statement of Purpose that is satisfactory. It is made up of several documents including the contract and brochure. The inspector has copies of each of the documents. The Statement of Purpose is given to each client along with the contract of residency when they enter the home and this was verified during conversations with the clients at the home. The home does have a computer aided initial assessment that is through and does result in producing the cost of care for individual clients. It is a professionally produced assessment tool that includes physical, social and psychological areas of assessment that do aid the decision to admit clients or not. The information is also aided by information provided by the General Practitioner, District Nurse, and Care Management. Copies of completed Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 9 assessments were seen in the notes of clients and cross referenced with their care plans. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this area is good. The homes documentation relating to the care of clients is satisfactory. The staff have an approach to care that includes the client and maintains their dignity. The overall medication arrangements are good. EVIDENCE: The care plans are of a good structure and provide the staff with information on what care is needed and how it should be delivered. There is evidence that the care plans have been reviewed regularly and most have now been produced in the new format adopted by the home. The care plans have comments on such issues as tissue viability (Waterlow score), mobility, manual handling, eliminations care plan and sleep. There was evidence seen that showed that clients are seen in the privacy of their own rooms when visited by a health care professional when a General Practitioner called to see a client who was escorted to her room by staff for the consultation. The views of the General Practitioner’s who responded to questionnaires was that the home has worked well with them in meeting the needs of the clients. The views of other visiting professionals were favourable Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 11 but did suggest that staff do not always demonstrate a clear understanding of the needs of the clients. This was not the view of the General Practitioner’s. The chiropodist attends every six weeks, the District Nurse and Community Psychiatric Nurse will attend as needed to provide nursing care to any resident who has been assessed as needing it where the home is only contracted to provide personal care. The optician will attend annually or when requested to do so. There were good medication procurement, administration and disposal records for each of the files that were seen. Only one client self medicates at the time of the inspection and there were adequate arrangements in place for the safe keeping of the supply. The inspector did comment that there was one client who was case tracked who did not have a clear progression in their records of a treatment from beginning to end as the outcome of a course of antibiotics had not been assessed or commented upon. The 11 clients that were spoken to gave very positive feedback on the way they are approached and dealt with by the staff. They all felt that the staff attends to their needs, whatever they may be, in a way that is respectful and maintains their dignity. Staff were observed in conservation with clients and also aiding them such as during the main meal. At all times they did seem to have a calm and inclusive approach involving the clients in whatever was occurring. Where a room can provide for two people to share this is only done with their agreement or that of their advocate. Screens were seen to be in use in double rooms. The records have a specimen signature sheet with the names and signature of those who are providing care to individuals so as to identify anyone who has made a record of care in a clients file. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this area is excellent. The home provides an atmosphere where clients feel that they are not loosing their independence of choice yet can receive care on their terms. The food provided is of a high standard and meets with the clients approval. EVIDENCE: The clients reported during conversations with them that the day is planned around their needs with flexibility in the general routine carried out by the staff to meet their individual requirements. The clients also praised the balance between allowing independence and providing support and care. One client commented on the ability to move freely in the community, visiting her General Practitioner’s surgery and shopping for personal needs whilst having her care needs, that could not be met by herself, met by the staff. The views expressed by the majority of client were that the activities at the home are varied, meet social and physical needs, and are entertaining. They include music and also exercise sessions on a regular basis with the right not to attend if an individual wishes. The keyboard player attends weekly and there are armchair exercises weekly. Birthdays are celebrated with a cake that is produced by the cook at the home. There is also a library that is regularly topped up by the Plymouth Library service. The home has its own hairdressing salon that is in operation once a week. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 13 The clients have commented verbally in conversation and also in writing, in the returned questionnaires, that the choice and quality of the food is of a high standard. The clients records viewed each had a nutrition assessment included in the package of assessments. The assessments have improved as a result of one complaint that did highlight the needs of a clients from the Far East with respect to dietary needs. Menus were seen posted around the home and each client is given a choice that can be changed right up to the actual meal time. The clients files were checked and were found to have nutritional assessments that corresponded to the meals they were given i.e. the diabetic spoken to had a meal that was suitable in construction and also looked nice as well as met with the clients approval. The home does not manage the affairs of any client. However they do have safe keeping facilities for short term storage of any valuables. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this area is adequate. There is a positive approach to responding to complaints that is clearly demonstrated in the complaints book. The homes evidence of adult protection training is not satisfactory as certificates could not be found. EVIDENCE: The home has an up to date complaints procedure displayed that has time scales and the contact details of the Commission for Social Care Inspection office in Ashburton. They have also demonstrated that they do acknowledge complaints and address them in a positive way, recording the complaint and how it is progressed to a conclusion by the management of the home, in a complaints book. During the previous inspection the inspector saw evidence that staff have attended the Adult Protection training carried out by Plymouth City Council. The inspector was told that this training has continued but the office administrator could not provide evidence of this as the certificates could not be found. National Vocational Qualification trained staff have also discussed the issue of abuse in their training. The home does have clear policies and procedures for addressing any allegations of abuse that were made available to the inspector. See Standard 29 regarding recruitment. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 15 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. Quality in this area is good. The home is suitable for the purpose of providing personal and nursing care and is developing, through total refurbishment, into a more attractive and functional home. EVIDENCE: The home is located close to Plymouth City and on the main bus route. It is on the level with a main road passing in front of it and ample parking to its rear that is entered via the one way system that operates in the area. The doctors surgery is in close proximity to the home and can be accessed by ambulant clients if they so wish. The home has been developed from a terrace of houses that have been adapted over nearly two decades for its present use. It is large and has several communal spaces. At the present time the home has operated as “Residential care” on one side and “Nursing care” on the other. This situation is under review. The home is well adapted to provide either level of care in any part of it with suitable bathing facilities, toilet facilities and call system. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 16 The tour of the home showed it to be clean, tidy and odour free. There was evidence that general maintenance does take place and the inspector saw evidence of regular servicing of such items as the 2 shaft lifts, hoists and the fire systems. All the radiators are guarded to prevent contact with a hot surface and the new standard that the home is choosing to achieve is for all wash hand basins to have a thermostatic mixer valve fitted. This has occurred in one half of the home that has under gone full refurbishment that has also included a new nurse call system, full rewiring and rooms redecoration of all areas. The clients have commented that they are very satisfied with results and that they have had the choice of how their own rooms were redecorated. The inspectors view is that the standard of redecoration is very good and that the attention to Health & Safety issues (total rewiring and thermostatic mixer valves) has improved the environment that the clients live in. At the time of the inspection the nursing side of the home had not yet been refurbished. It will be refurbished as part of the ongoing program planned by the Registered Individual. At present it is satisfactory and has adequate facilities part from disinfecting sluices. The Registered Individual provided evidence that this had been addressed and that disinfecting new sluice’s will be fitted along with the refurbishment program. New boilers are to be fitted when summer has established itself to improve the heating and hot water system. The present system is just adequate. One toilet was identified as requiring a working locking device. The home was reported to comply with the Fire and Environmental Health requirements when it changed hands in October 2005. The home has its own laundry that is adequately fitted out including a washing machine with a sluicing cycle. There is a commercial dryer in the laundry and each client has there own named laundry basket to assist in the delivery of cloths back to the right person. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. The quality in this area is poor. The staff appear to be sufficiently experienced and trained to meet the assessed needs of the clients although the evidence of some training was not accessible do to poor filing arrangements. Staff recruitment records and evidence of training are of a poor standard. EVIDENCE: The home is staffed by registered nurses with current pin numbers who are supported by Social Care Staff some of which have a National Vocational Qualification in care at level 2 or above. This information was verified by the inspector using staff files and also through interview with a random selection of the staff during the inspection. The duty rosters also provided evidence of the numbers of staff who are on duty over the 24 hour day. The clients felt that staffing was at an adequate level as their needs are met and should they use the call system the response time was acceptable to them. The inspector could not find evidence of the percentage of staff who hold a National Vocational Qualification in care on this occasion. The present staff team is made up of a multicultural group who have different skills and experiences that they bring to the home. Although the home does have a robust recruitment procedure there was evidence that this had not been followed. Staff records were fragmented around the Office Administrators room, not kept securely and not complete. This had been reported during the last inspection but no significant changes were in place. Files that were Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 18 sampled did not have the information required of them by Schedule 2 and there was no evidence that requests for references had been followed up. Also it had not been recorded how the result of one Criminal Records Bureau check had been addressed. Interviews with a selection of staff did provide evidence that substantial training has taken place and that the staff were generally prepared for their duties. However again the sampled files of these staff did not always provide collaborative evidence. One new member of staff had not been adequately inducted into the home and the new Manager acted immediately on this and provided the staff member with a newly reintroduced induction booklet for competencies to be taught and signed off as appropriate. The inspector was also informed by the Office Administrator that formal Induction Training was being purchased from a local company but the evidence of this could not be provided and the content of the training was also not available. The comments of some health care professionals were that staff does not demonstrate a clear understanding of the needs of the service users although the service users and General Practitioner’s did not support this view. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this area is good. The new Manager has made good headway and is establishing priorities so as to maintain and improve the services offered. The Registered Individual has maintained good progress in the total refurbishment of the home to a high standard. EVIDENCE: The post of Registered Manager is vacant and the home has recruited an experienced nurse for this position. She has begun the task of establishing where the home is at present in terms of staff skills beginning with establishing a staff record filing system that is robust, meaningful and satisfy legislation. This is being done with the assistance of the Home Administrator. She has other priorities that she intends to address and has used the staff meetings to do this. This person is also experienced in other areas such as occupational health and business and has worked at this home in the past as a registered Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 20 nurse. The Manager does not have a National Vocational Qualification at level 4 in management. The home does have a good system of quality assurance but it has not been maintained by the previous registered person. The inspector was told that his will be re-established at the appropriate time when other more pressing priorities have been dealt with. The home is not financially responsible for the financial affairs of any of the clients. They do have robust procedures for handling any monies held for clients and have secure facilities for its storage and good records are kept. The home provided evidence that items of equipment have been serviced by an appropriately trained and competent person where necessary. It also provided information and visual evidence that the environment is being upgraded to a high standard to include total electrical rewiring, new nurse call system and thermostatic mixer valves to wash hand basins. This has followed a full inspection of the building by the Registered Individual and the construction of a business plan that included the aforementioned improvements. The inspector has seen the business plan and established that work is progressing as planned. Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 21 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 3 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 X X 3 Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 22 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 OP29 Regulation 19(1)(5) Schedule 2 Timescale for action The Registered Person shall not 30/06/06 employ a person to work at the home unless he has obtained in respect of that person the information and documents specified in Paragraphs 1 to 7 of Schedule 2. The staff files seen did not hold this level of information. The Registered Person shall ensure that staff receives training appropriate to the work they are to perform including structured induction training. The Registered Person shall establish and maintain a quality assurance system. 30/06/06 Requirement 2 OP30 18(1)(c) 3 OP33 24 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 23 1 2 OP18 OP26 The staff should continue with Adult Protection training until all the care/nursing staff have attended. The registered person shall make suitable arrangements to prevent infection,toxic conditions and the spread of infection at the care home. 26(6) The home has a sluicing facility and, in care homes providing nursing, a sluicing disinfector. The home does not have a mechanical sluicing disinfector. The home should be able to provide clear evidence of any training undertaken that will include those who have achieved a National Vocational Qualification in care. The Manager should apply to complete the process required for the position of Registered Manager. 3 4 OP28 OP31 Woodland Villa DS0000064463.V290416.R01.S.doc Version 5.2 Page 24 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 Villa DS0000064463.V290416.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. 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