Inspection on 30/11/05 for Woodlands

This inspection was carried out on 30th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodlands 17/10/07

Woodlands 05/01/07

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Woodlands Blundell Avenue Freshfield Formby Merseyside L37 1PH Lead Inspector Ms Lorraine Farrar Unannounced Inspection 30th November 2005 1.20pp Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 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 Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 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 Adults 18-65. 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. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodlands Address Blundell Avenue Freshfield Formby Merseyside L37 1PH 020 8788 8084 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) The Frances Taylor Foundation Mr Simon Mahoney Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/a Brief Description of the Service Woodlands provides accommodation and support with nursing for 12 adults who have a learning disability. Many of the people living there also have physical disabilites and the home provides aids and adaptations to accommodate their needs. There are care staff available 24 hours a day, during the day there is a registered nurse on the unit whilst at night they share the registered nurse with the other two homes located nearby. Woodlands is owned and operated by the Francis Taylor Foundation, a national organisation who provide a service to people with a variety of support needs. The registered manager of the home is Mr Simon Mahoney and the registered responsible individual for the organisation is Mr Terry Maguire. The home is located in the middle of Formby Pinewoods and shares the site with, two other registered homes, a day centre for 65 people and a convent. All the services are for adults who have a learning disability. Services share transport, kitchen facilites, large grounds and administrative support. Most of the bedrooms are single rooms, where two people share there are screens provided for privacy. Where needed all service users have their own toilet, which is either in or near to, their bedroom and is adapted to meet their needs. There is a dining room, several seating areas, bathrooms and a small kitchen within the unit and a small, private, courtyard outside. The home has operated for many years as part of a larger care home registered as St Josephs Adult Services. In June 2005 the three units within this service were seperatly registered as part of the organisations aim to modernise the service. Woodlands has a named manager and staff team and operates its own budget. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over several hours and included, individual discussion with service users, relatives and staff, attending a staff meeting, reading records and files and a partial tour of the building. What the service does well: What has improved since the last inspection? This is the first inspection of Woodlands as a separately registered home. However a relative and staff spoken with all said that improvements included a more permanent staff team and less use of agency staff. This was further evidenced in discussion with the manager who confirmed that there was only 1 staff vacancy. The environment has improved in recent months with some refurbishment and redecoration and other works planned for forthcoming years. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 6 Care plans have been updated and are regularly reviewed with some clear information about the persons support needs. 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. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not looked at during this inspection. EVIDENCE: Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The home has individual, up to date, clear care plans in place for all residents, which cover most of the persons support needs. It was identified that one care plan needed up dating to cover a specific behaviour management issue and that other plans should be expanded to include more information regarding the persons individuality. Staff have a good understanding of service users support needs and how to meet these. EVIDENCE: The home have individual care plans in place for all service users based on the Person Centred Planning system, which looks at the persons individual needs and choices. Three plans were read and all contained assessments of the person’s needs, which had been up dated monthly. One care plan contained some information regarding the equipment used to help a service user with managing their behaviour and two members of staff were able to give a good explanation as to how this was used and monitored, however the home must write a separate care plan for this to make sure that all staff are aware of how and when to use the equipment and that use is monitored closely. Other plans were well written, clear and contained sufficient information to support the person, in particular service users health care needs were well documented and recorded. The home have worked hard to update and review Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 10 all plans and two relatives spoken with said that they regularly discuss their relatives care with staff and had been involved in care reviews. There is a named Nurse and keyworker for each service user and one service user spoken with was able to tell the Inspector who their keyworker was and what they did to help. Staff spoken with were clear and knowledgeable about individuals support needs and the information they gave was in line with that written in the care plans. There is less information in the plans regarding the person’s personality, areas of independence and what they can do, the home should expand their current system to include this information and provide a more rounded picture of the person. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,17 The home meets service users spiritual needs and provides an on site resource centre to meet their educational and occupational needs. Use of community facilities for both daily activities and leisure activities has increased and staff have a good understanding of individuals choices. Routines in the home are under review by the staff team and the manager displayed an awareness of the need to make these as individual as possible. Service users have little choice of meals, which limits the control they have over their daily life. EVIDENCE: The home is part of the Francis Taylor Foundation, an organisation with a Christian ethos and any spiritual needs service users have are well catered for, with a chapel on site which service users are supported to attend. The home works with other professionals to support service users with complex needs, this includes psychiatrists and the learning disabilities health care team. A relative spoken with explained that staff are supporting service users to “get out more” and staff spoken with confirmed this explaining that the home has a vehicle every third day and also make use of taxis and public transport. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 12 All of the people who live on Woodlands attend the on-site resource centre several days a week, this facility is attended by other people living on site and other people who have a learning disability and live in the local community. Relatives and friends of the site have successfully raised funds to replace the hydrotherapy pool. The new pool is an excellent facility that is well adapted to meet individuals’ needs and provide both a pleasant leisure facility and therapy. The pool is managed by the resource centre manager who explained that all service users are in the process of being assessed to use the facility and staff from the centre have received training to support service users. A relative said that they would like to see the pool available at hours other than those used by the resource centre and both the home manager and resource centre manager explained that there are plans to train staff from the home to support service users to use it safely. Service users individual records recorded recent activities as, church, shopping, attending resource centre, eating out and going for a walk and a party. Staff spoken with were able to give clear explanations about the different things that service users like to do in their leisure time and how they meet these. One keyworker was able to give a very good explanation about the different things she had tried to interest the service user in based on her knowledge of the person. Good practice was also noted in that staff now support service users to use local facilities such as opticians and doctors rather than arranging on-site visits. Daily routines were discussed during the staff meeting and it was evident that staff had clear views about how these should be managed to make sure that service users needs were met fairly. All of the people who live at Woodlands require a lot of support to meet their personal hygiene and healthcare needs and this requires a lot of staff time. Staff discussed the issue openly and everyone views were taken into account. An agreement was reached that on each shift each member of staff would be responsible for providing care for a named group of people and it was stressed by the manager during this meeting that agreed routines must include taking individuals preferences and any issues arising into account. During the inspection staff were seen to talk with and include service users and to knock on their bedroom doors before entering. When asked about the choices they make in the home one service user said that they “like the people and the staff” but when asked said they d not have choice at mealtimes and would like one. Staff spoken with confirmed that the main kitchen sends meals and there is no alternative although a light meal can be made in the smaller kitchen if needed. In order to give service users more Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 13 control over their daily lives and help them to develop these skills the home must offer a choice of meals at mealtimes. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 The home are aware of and monitoring service users healthcare needs and staff work well with other healthcare professionals to obtain information and advice. Medication is well stored and records of medication dispensed are in order, however there is not a clear permanent audit trail for all medications and there are no clear guidelines for medication prescribed as “when required” EVIDENCE: Care plans contain clear assessments and information about the persons healthcare needs and include, assessments of their pressure areas, moving and handling needs and nutrition, all of these had been reviewed monthly. Service users weight is monitored regularly and records show that the home works well with other health care professionals and obtains appointments and advice for the service user when needed. Where possible service users are supported to use local healthcare facilities such as the GP, dentist and optician. Staff spoken with were clear about the support they provide to service users in meeting their healthcare needs. The home has a separate room to store medication, which was clean and tidy with medications locked up. Records of medication given are clear and signed for. The home are in the process of obtaining a licensed company to take away unused medication and this was stored on the unit. They need to set up Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 15 a system to record all medication that is to be returned so that there is a clear audit trail. At present the home order prescriptions from the GP and these go to the Pharmacist, under new guidelines they need to make sure that they see the prescription and that it is correct before sending it to the pharmacist, they also need to make a permanent record of the prescription on the medication sheet and not use the labels provided as these can become detached leaving no permanent record. Some service users have medication prescribed “as required” (PRN) the home must provide guidelines for giving this so that all staff know when it is needed. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has copies of adult protection procedures available, the manager has a good knowledge of these, and staff receive training in this area. Service users monies are well managed by the home. EVIDENCE: The organisation have a complaints system in place which explains how to make a complaint and what will happen once this is received and there is a user friendly guide available on the unit. The home has copies of the local authorities adult protection procedures and the manager has an awareness of how to access these. There has been a recent adult protection investigation within the home. Staff in the home have received training in the protection of Vulnerable Adults (POVA). Most of the service users’ monies are managed by the Francis Taylor Foundation and the on-site administrator, their systems for managing these are in keeping with legal guidelines and service users are given the personal allowance part of their benefits as soon as it is due. A small safe is provided on the unit and records of monies held on the unit and the amounts were checked and in order. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 The home provides sufficient space for both shared and private use. Private areas are decorated and furnished to a high standard with shared areas beginning to benefit from the homes redecoration and refurbishment plan. There are sufficient bathroom facilities available and individual aids and adaptations are located throughout the home to meet people’s mobility needs. Areas of concern regarding the safety of the home were identified during the inspection, these are explained later in this report and serious concerns have been dealt with since the inspection, by the home. EVIDENCE: The home provides enough communal space for service users, visitors and staff, this includes a dining area, two lounges and a seating area. One of the lounges has been refurnished and carpeted and is used partly as a sensory room with lights and equipment provided, the other lounge was nicely decorated and the manager explained that as part of their 5 year plan for the home new furniture will be provided for this room. The home was clean and generally well maintained, there were areas of concern regarding health and safety, which are discussed later in this report. The corridors in the home are dimly lit with every other light bulb removed, in Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 18 order to make sure there is adequate lighting in this area the home must carry out a risk assessment of the lighting in this area and act on any findings. The home is in the middle of Formby pinewoods and although in lovely surroundings it is quite isolated from the nearby community, staff are aware of this and support service users to go out either using transport or where practical by walking to nearby facilities. As a purpose built home Woodlands does not fit in with other properties in the local area and is recognisable as a care facility. However the fact that it is now separately registered from the other homes on site means that the home is beginning to take on its own identity as a separate facility. The home has one double bedroom and 10 single rooms, screens are provided for privacy in the double room. Bedrooms are all furnished and decorated to a high standard and staff and relatives said that decisions about this are taken with the service user were possible, relatives and the keyworker. These rooms provide sufficient space for the person and any adaptations they need are available, including adapted beds and overhead hoists. The home is well suited to meeting the needs of people who have a physical disability, all accommodation is on ground floor level and doorways are wide enough to accommodate wheelchairs. There are adapted bathing facilities and individually adapted toilet facilities. The home has a private courtyard area, which can be used to sit in during warmer months and they share extensive grounds and gardens with the other facilities on site. There is a laundry room within the home providing industrial machines and a small kitchen area for preparing drinks and snacks. Main meals are provided by a central kitchen, which serves all of the facilities on the site. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35 The organisation has a training department, which provides appropriate training. Not all staff hold appropriate qualifications however the manager is aware of this and working towards providing the training required. Staff have a good knowledge of individual service users and the skills to communicate with them, however some staff have an institutional approach to parts of their work, again the manager is aware of this and training is planned. EVIDENCE: The organisation have a training department in Liverpool, which is used, by the home to arrange appropriate training for staff. One of the Registered Nurses working on the unit has undertaken a training course in learning disabilities (Learning Disabilities Award Framework, LADAFF) and on the day of the inspection the manager was arranging for other staff to undertake this award. After the inspection the manager wrote to the CSCI to advise that three dates, starting on December 05 had been arranged for staff to start working towards this qualification. The manager and deputy manager explained that there are also plans in place for care staff to obtain a care qualification (NVQ), a couple of staff have this qualification and they hope to register all other care staff within the next 6 months. The home must provide a plan demonstrating how they intend to meet the national standard of having 50 of the care team holding a care qualification. Recent training for staff has included, protection of vulnerable adults, moving and handling, ethos and values and recording, further training is planned in fire awareness and moving and handling and the home have arranged for a Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 20 local advocacy group People First to give a training session on Attitudes and Terminology. Staff spoken with were knowledgeable and enthusiastic about their role in supporting service users and motivated to provide a good service. However some staff have an institutional approach at times to the support they provide, during the staff meeting a member of staff referred to some service users as “heavies” and persisted in using the term despite the Nurse on duty pointing out that there were other ways to explain what she meant. The planned training from People First should address this issue. The home has four staff working during the day including a qualified Nurse, with the manager having some supernumerary shifts and others as the Nurse in charge. Staff and relatives spoken with during the inspection all said that staffing was much better than in the past with less use of agency staff and a regular staff team and a service users stating they “like the staff”. Two new staff were spoken with and both explained that they had had a good induction to the home, spending the first few days as extra staff and being introduced to service users and their preferred routines. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 At the time of the inspection the home had failed to ensure the environment was safe for service users and there were serious concerns regarding the required checks to ensure the safety of service users and the premises. The home have met requirements relating to these that were given on the day of the inspection. EVIDENCE: During the inspection there were several areas of serious concern raised regarding health and safety issues within the home. No records of fire tests, fire drills or emergency light testing could be found and staff on the unit said that to their knowledge these did not take place regularly. Small electrical appliances (Such as lamps and televisions) had stickers on which stated they were last tested in April 04 and were due for testing in April 05. This test had not been carried out and the testing was 7 months overdue. The CSCI gave the home immediate requirements relating to the above issues, stating that:Fire, lights and alarm tests were to be carried out within a week (by 8/12/05) Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 22 Staff fire drills were to be carried out within 28 days (by 28/12/05) and small electrical appliances must be tested within a week (by 8/12/05). The home manager has since written to the CSCI with evidence that these requirements have been met and that plans have been put into place to make sure regular testing takes place in the future. Records of regular testing of the water temperatures could not be found, although water in baths and sinks was tested by hand and was satisfactory the home must arrange for testing to take place and be recorded regularly to make sure safety valves are working and there is no risk of scalding. There was evidence that the gas supply had been checked by an engineer however it was not clear if this was the yearly landlords gas safety check, the home must forward evidence of this yearly check being carried out, to the CSCI. The homes electrical certificate was in date and satisfactory. Hoists and adapted baths had been checked and serviced recently. Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 X LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 X 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Score X 3 2 X Standard No 37 38 39 40 41 42 43 Score X X X X X 1 X DS0000063026.V265104.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15(1) Requirement The home must expand on the care plan identified at inspection with regard to equipment used to support a service user to manage their behaviour. The home must offer service users a choice at meal times. The home must set up a system for recording medication to be returned. The home must set up a system to ensure they see the prescription before it is dispensed by the pharmacist. The home must ensure a permanent record of medication is recorded on the medication sheet. The home must provide written guidelines for as required (PRN) medication. The home must carry out a risk assessment of the lighting in corridor areas and act on any findings. Timescale for action 20/01/06 2 3 4 YA11 YA20 YA20 12(2) 13(2) 13(2) 31/03/06 20/01/06 17/02/06 5 YA20 13(2) 20/01/06 6 7 YA20 YA24 13(2) 13(4)(c) 17/02/06 17/03/06 8 YA32 18(1)(c) The home must formulate a plan 17/02/06 for providing appropriate training for all staff including, LADAFF and NVQ DS0000063026.V265104.R01.S.doc Version 5.0 Page 25 Woodlands 9 10 YA42 YA42 13(4)(a) 13(4)(c) The home must forward a copy of their gas certificate to the CSCI. The home must test and record hot water temperatures weekly. 14/01/06 14/01/06 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 YA6 Good Practice Recommendations The home should expand their care plans to include more information about the person as an individual Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Woodlands DS0000063026.V265104.R01.S.doc Version 5.0 Page 27 - 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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