Inspection on 05/07/07 for Woodlands

This inspection was carried out on 5th July 2007.

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

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

Other inspections for this house

Woodlands 17/05/06

Woodlands 11/01/06

Woodlands 26/08/05

Woodlands 10/02/05

Woodlands 08/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodlands 66 Bridle Road Stourbridge West Midlands DY8 4QE Lead Inspector Ms Linda Elsaleh Unannounced Inspection 10:30 5 & 31st July 2007 th 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 Woodlands DS0000024980.V339773.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. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Address 66 Bridle Road Stourbridge West Midlands DY8 4QE 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) 01384 394851 F/P01384 394851 Mrs Siobhan Shroff Mr John Wall Davies Mrs Siobhan Shroff Care Home 19 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (18) of places Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One resident at any one time can be accommodated who has needs which fall within the category of DE(E) 17th May 2007 Date of last inspection Brief Description of the Service: Woodlands Care Home comprises of two converted detached properties (known as Woodlands 1 and 2) that are adjoined by a conservatory. Woodlands is situated in a quiet residential area of Stourbridge. The local village of Wollaston, which has numerous shops, public houses and other amenities, is within walking distance or can be easily accessed by local public transport. There is a small driveway and off road car parking facilities. The home has large well-maintained gardens to the front and rear of the property. Ramps are available for access to the home and garden area. The home was initially registered in 1986 by the current owners and provides care for 19 older people. Residential accommodation is situated on the ground and first floors. This comprises of fifteen single and two double bedrooms. A passenger lift is available between floors in Woodlands 1 only. The home has a number of bathrooms and toilets. One bath provides assisted facilities and a shower is available on the ground floor. The home has two attractive lounges, a dining area and additional dining space in the conservatory. The fees for this home range from £393.00 to £404.00 per week. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 5th & 31 July 2007. The purpose was to assess the home’s performance against the key standards in the National Minimum Standards for Care Homes for Older People and report on the progress made in addressing requirements from the previous inspection. The inspector’s findings are based on the information received by the Commission for Social Care Inspection, examination of relevant records and documents kept at the home, discussions with the manager, staff and service users, responses received from relatives and other professionals and a tour of the premises. The atmosphere within the home was relaxed and friendly and service users expressed satisfaction with the care being provided. What the service does well: Prospective service users are provided with detailed information about the home. The home continues to carry out assessments to identify the needs of prospective service users. The home’s ‘open’ policy enables service users to receive visitors any time during the day. Service users continue to be provided with well-maintained garden and communal areas. Aids and adaptations are available to enable service users to navigate around the home safely. Care is provided by a stable management and staff team who are familiar with individual service users care needs, preferred routines and likes and dislikes. Health care needs are met and regular arrangements are made for service users to consult with relevant healthcare professionals. Activities continue to be monitored and revised to meet the needs and interests of service users. The views of service users, relatives and stakeholders are sought as part of the home’s quality assurance system. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 6 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. Woodlands DS0000024980.V339773.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 Woodlands DS0000024980.V339773.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, 2 & 3 Quality in this outcome area is good. Prospective service users are provided with information about the home to enable them to make an informed choice about where to live. The needs of each service user is assessed and the home provides assurance, prior to a placement being offered, that it is able to meet the needs of the individual. A contract/statement of terms & conditions is agreed between the home and each service user. This judgement has been made using available evidence including a visit to this service. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home has a detailed Statement of Purpose. This was last reviewed in December 2006 and contains relevant information about the service they provide. The Service User Guide was reviewed in November 2006. Evidence is available on files to show service users have been provided with a copy of the Statement of Purpose and Service User Guide. The random selection of service users’ files contained detailed assessments of their needs from the referring authority, healthcare professionals and the home. Following each assessment the home provides the prospective service user with a written statement that it is able to meet their needs. Each service user is provided with a contract/statement of terms & conditions and a copy of the home’s visiting policy and complaints procedure. Prospective service users and/or their relatives informed the inspector they were able to visit the home to meet other service users and staff before a making a decision whether they would like to live there. Woodlands DS0000024980.V339773.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 & 11 Quality in this outcome area is adequate. Individual care plans are produced and regularly reviewed with service users and/or their relatives to ensure their changing health, personal and social care are identified. The home has suitable policies; procedures and arrangements for ensuring service users health care needs are appropriately met. These must be followed at all times to ensure the well being of service users is fully protected. The home needs to demonstrate more fully how it assures service users their right to dignity and privacy is upheld at all times. This judgement has been made using available evidence including a visit to this service. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 11 EVIDENCE: The home has produced detailed care plans based on the assessments of the needs of established service users. The plans include how service users personal care, health care and social needs are to be met. Risk assessments are undertaken about how care is to be delivered. For example if service users require assistance with mobilising. Notes of the assessment carried out by the home for a recently admitted service user were examined. These handwritten notes need to be provided in an accessible format for staff to follow. The manager stated this was an oversight, as these notes should have been transferred onto the home’s assessment form. She stated a care plan was in the process of being produced. Staff regularly monitor care plans against the changing needs of the service users. Care plans are reviewed with the service user and her/his relative at least twice a year and whenever changes to the plan are identified. Staff and service users sign care plans. Discussions were held with the manager and senior staff about giving consideration to how these plans could be produced in alternative formats for service users. All service users have access to community health care professionals such as chiropodist, dentist and optician. Records are kept of all health care appointments and include consultations with health care specialists, for example the district nurse and incontinence advisor. A general practitioner (GP) was visiting a service user on the day of the inspection. This consultation took place in private. The home reviewed its policy and procedures for the safe handling and administration of medication with its pharmacy arrangements. The policy contains information about how service users who manage their own medication are to be supported. Completed medication administration records (MAR) sheets are kept on service users files together with details of when medication was prescribed and, where applicable, discontinued. Senior members of the staff team are responsible for managing and administering medication once they have completed training. Staff demonstrated a good understanding of the home’s procedures. Two discrepancies between procedure and practice where observed when medication was being administered. This was discussed with the staff of staff concerned and the manager. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 12 Service users are addressed by their preferred name and good interaction was observed between staff and service users. Adequate arrangements are made for service users who share a bedroom. However, records should be kept of regular discussions held with these service users, and others, to ensure their right to privacy and dignity continues to be met. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. Service users are provided with opportunities to follow their preferred routines and participate in a varied programme of activities. The home supports service users to maintain contact with family and friends. Service users are consulted about their individual care and different aspects of the day-to-day running of the home. Meals are provided that meet the individual dietary needs and personal preferences of service users. This judgement has been made using available evidence including a visit to this service. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 14 EVIDENCE: Information gathered at the assessment stage is included in the individual’s care plan, such as her/his preferred routines, interests, activities and life history. Service users spoken to confirmed they are able to follow their preferred routines and participate in their own leisure pursuits. One service user said s/he continues to visit her/his local social club each week. Another service user prefers to spend most of the time in her/his bedroom. The majority of service users, who expressed an opinion, stated they select the particular activities they choose to participate in. The home has daily recording systems for staff to complete about how service users care and social needs have been met. The daily records are also used to keep staff fully informed of any changes made to an individual’s care plan. A communal activities book is kept by the home. This details activities that service users have participated in such as bingo, sing-a-long sessions, and movement to music and beauty sessions. The manager and senior staff monitor the Activities Book to ensure the programme remains of interest to the service users. Regular meetings are held with service users to discuss activities and social functions. The minutes of the last meeting contained ideas raised by service users about the food and entertainment for a forthcoming garden party. The village of Wollaston is within walking distance and can be accessed by local transport. It has a selection of shops and local amenities such as a library, places of worship, post office and public houses. Service users, who wish to, make use of the local ring and ride bus service for trips into Stourbridge or to visit friends. The home welcomes visitors at any reasonable time during the day. A number of visitors were seen arriving throughout the inspection. Visitors are requested, for safety reasons, to sign the book in the reception on their arrival and departure. The dietary needs and personal preferences of service users are recorded and made available to the catering staff. Menus are available in the home and the manager is monitoring service users response to the recently introduced pictorial menu. The main meal is served at lunchtime, for which a choice is provided. A nominated member of the care staff team serves the evening meal that has been prepared by the catering staff. Service users who commented were complimentary about the food provided. Alternative options to the menu of the day are provided wherever possible. All staff attend training for Basic Food Hygiene. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Service users and/or relatives are provided with information about how to raise concerns and how these will be acted upon. The home has suitable procedures in place to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose and Service User Guide includes information about how to make a complaint. A copy of this policy and procedure is available in the home. The manager stated no complaints had been received by the home during the last twelve months. No concerns or complaints have been reported to the Commission for Social Care Inspection (CSCI). The home has produced an in-house policy that reflects the Local Authority’s multi-agency policy on safeguarding adults. It also provides clear guidance on what action is to be taken by staff and the manager. Arrangements are made for all staff to receive training in the protection of vulnerable adults. No adult protection concerns have been raised by the home or reported to the Commission of Social Care Inspection during the last twelve months. Woodlands DS0000024980.V339773.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. In general service users are provided with a safe, well-maintained environment that is clean, pleasant and hygienic. There are sufficient facilities to meet service users needs and specialist equipment to maximise their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the building found good standards of cleanliness is maintained and there are no offensive odours. Service users expressed satisfaction with the facilities provided by the home. The gardens are very well maintained with a variety of flowers, shrubs and lawn areas that service users can enjoy without being overlooked. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 17 During this inspection the service users were observed making use of the benches, table and chairs in different parts of the garden. Off-road parking is available. The driveway is currently being used as a permanent storage area for a car. The home is advised to make more suitable arrangements for this vehicle. The home has adequate communal areas comprising of two lounges, conservatory and dining areas. The decoration and furnishing provide a homely atmosphere. The front lounge has very recently been redecorated and new furniture is due to be delivered and the carpet replaced within the next few days. Service users bedrooms are in the process of being redecorated and new furniture and fittings have been ordered. One service user, who spends most of the time in her/his bedroom, stated staff had made her/him comfortable in a vacant bedroom, but was looking forward to returning to her/his newly decorated bedroom the following day. Lockable facilities are provided in all bedrooms. However, these are situated in a low position making it difficult for service users to access. The manager is advised to review the positioning of these facilities. Each bedroom has a view of the grounds and are personalised with service users individual belongings and small pieces of furniture. Toilet and bathing facilities are available on both floors. Each are fitted with appropriate aids and adaptations. Hand washing signs are displayed next to all communal wash hand basins. The tower bolt fitted to the bathroom door on the first floor in Woodlands 2 must be replaced with a suitable pass lock. Of all the home’s facilities, the kitchen is the most in need of refurbishment. Handles are missing of drawers and cupboard doors and some work surfaces are in need of replacement. This presents a challenge to staff in maintaining the standards of cleanliness kept in other areas of the home. The manager stated she had sought quotes for a re-fit. She was waiting for these to be provided before making a decision on commissioning this work to be carried out. Procedures for the control of substances hazardous to health (COSHH) have recently been reviewed. The laundry area is adequately equipped and cleaning materials are stored in a locked cupboard. Staff are familiar with the home’s infection control procedures and training is provided in this area. Although the home has secure storage facilities for files and records it has yet to identify a suitable area where administration tasks and discussions can be carried out in private. A small changing area has been identified for staff and the manager confirmed lockers have been purchased and are in the process of being installed. Woodlands DS0000024980.V339773.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 adequate. The home provides sufficient, experienced and trained staff to meet the needs of the service users. The manager must ensure appropriate recruitment processes are followed at all times to ensure service users are fully protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current staff team is female, of varying ages and different life experiences. Service users described staffing levels as being “generally good”. There is always a minimum of four care staff are on duty in the morning, three during the afternoon and evening and two during the night-time hours. The manager is advised to ensure regular monitoring of staffing levels take place around teatime to ensure service users choice of evening meals can be met. The home has policies and procedures for the recruitment of staff. The random selection files examined contained appropriate details such as completed application forms, references and interview notes. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 19 However, there are instances when newly appointed applicants have commenced duties when a clear Protection of Vulnerable Adults (POVA) First Checks has been received but prior to receipt of a satisfactory Criminal Records Bureau (CRB) disclosure. Records show newly appointed staff work under the supervision of an experienced staff members. As detailed in the previous report, the manager must ensure all safety checks are satisfactorily completed prior to applicants commencing employment. All newly appointed staff are provided with an induction programme and Skills for Care Workbook. The home keeps records of training undertaken and due to be attended by staff. A training programme is identified from this making planning easier. Staff stated arrangements are made for them to receive training in client centred issues such as caring for people with dementia. More than 60 of care staff have completed the National Vocational Qualification (NVQ) Level 2. Woodlands DS0000024980.V339773.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 good. Service users live in a home that is suitably managed. They would benefit from being provided with feedback on the home’s performance and plans for developing the service. Service users financial interests are safeguard by the home’s robust systems for managing personal allowances. The health, safety and welfare of service users and staff are promoted and protected by the home’s procedures for identifying and managing risks. This judgement has been made using available evidence including a visit to this service. Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home is managed by one of its co-owners since it opened in 1986. The manager holds relevant qualifications and has completed the Registered Manager’s Award. The home has developed a detailed quality assurance system for assessing the home’s performance. This includes the analysis of satisfaction questionnaires issued to service users and relatives. The manager and senior staff also monitor staff practice through regular supervision, staff meetings and residents’ meetings. In general the comments received by the home are positive about the service provided. Discussion was held with the manager about the need to develop a system for reporting back to service users, relatives and other stakeholders on its findings and plans to development the service. The home has robust procedures in place to ensure any personal allowance looked after by the home on behalf of service users is safe. Examination of records and receipts kept by the home demonstrated the process is being followed. A folder is kept for recording jobs that need to be completed about the home. The manager’s attention was brought to floorboards on the landing of Woodlands 2 that needs relaying to prevent a trip hazard. Appliances and equipment in the home are regularly serviced and maintained. Staff are provided with equipment and personal protective clothing. Policies and procedures are reviewed on a regular basis, copies of which are provided to staff. A selection of policies and procedures are discussed in detail throughout the year with staff to ensure they are familiar with the content of these. Woodlands DS0000024980.V339773.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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement Procedures for administering and recording medication must be followed at all times. The positioning of the lockable facilities provided in bedrooms need to be situated at appropriate levels for service users to access. A suitable pass lock must be fitted to the bathroom door on the first floor of Woodlands 2. A suitable area for carrying out administrative tasks and discussions in private must be identified. (Original requirement first made August 2002) The broken drawers and cupboard doors and damaged work services in the kitchen must be replaced. Timescale for action 04/09/07 2 OP19 16 27/11/07 3 OP19 23 27/11/07 4 OP19 23 25/02/08 5 OP26 23 27/11/07 Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 24 6 OP29 19 Satisfactory Criminal Record Bureau checks should be obtained prior to staff commencing duty. (Requirement made May 2006 not met) Action must be taken to ensure the floorboards on Woodlands 2 landing are made safe. 04/09/07 7 OP38 23 27/11/07 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. 2 Refer to Standard OP7 OP10 Good Practice Recommendations Consideration should be given to producing care plans in alternative formats better suited to each service user. Regular consultation should be carried out with service users who share a bedroom and outcome of theses discussions recorded. The owners are advised to arrange for the unused car to be removed from the garden. Staffing arrangements during the evening meal should be regularly monitored. A system for reporting back to service users and stakeholders on surveys carried out and plans for the service should be developed. 3 4 5 OP19 OP27 OP33 Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Woodlands DS0000024980.V339773.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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