Inspection on 08/06/05 for Woodlands

This inspection was carried out on 8th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodlands 16/05/06

Woodlands 01/04/05

Woodlands 25/10/04

Woodlands 17/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE WOODLANDS 33 - 35 Fox Lane London N13 4AB Lead Inspector Georgia Chimbani Unannounced 8 June 2005 @ 14.00 pm 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 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 G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodlands Address 33 - 35 Fox Lane, London, N13 4AB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8886 8725 Mr Hemunjit Ramparsad Mr Hemunjit Ramparsad PC - Care Home 20 beds Category(ies) of OP - Old age registration, with number of places WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users: The number of persons for whom accommodation and care is provided at any one time shall not exceed 20 older people of either gender who are over 65 years of age. 2. Older people requiring to use wheelchairs may only be accommodated on the ground floor. 3. Specific Service User: One specific service user who uses a wheelchair and currently occupies a room on the first floor may continue to do so. This condition will need to be reviewed when s/he leaves the home. Date of last inspection 1 April 2005 Brief Description of the Service: Woodlands is a care home registered to provide care to twenty older people. The home is located in the residential areas of Palmers Green and is a short walk from local shops, public transport links and is close to a park. The home has fourteen single bedrooms and three double rooms located on the ground and first floors. The main lounge and sitting area is on the ground floor however there is a smaller additional lounge on the first floor. There is a passenger lift to enable service users with mobility difficulties to get to the first floor and there is a garden at the rear of the property. The stated aim of the home is to provide a caring home that offers choice and independence, encourages residents to exercise fully their rights and enables them to lead a fulfilling and comforatable life. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was 2 hours and 45 minutes in duration. Present was the registered person Mr Ramparsad. The purpose of this inspection was to assess compliance with matters identified at previous inspections. 21 requirements were issued following the last inspection. Of these 2 are met and 17 are restated with shorter timescales. Of the 17 restated requirements, 5 were within the timescales set at the previous inspection. A further 2 are issued bringing the total number of requirements following this inspection to 19. Requirements issued covered issues such as review of the statement of purpose and medication policy, staff supervision and training, activities, food, service user care plans, risk assessments and health records. What the service does well: What has improved since the last inspection? There has been considerable improvement in the bathing facilities in the home. A shower has been installed in one of the ground floor bathrooms but the inspector was unable to view it as it was in use. A fence has been erected and rubbish has been cleared in the garden. The service user guide has been reviewed and to contain information required by the Care Homes Regulations2001. The policy on service user property and money has been reviewed and it reflects the home’s position, which is to encourage service user to administer their finances. Induction training records are now available for the newest member of staff. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 standard(s) 1 and 4 Prospective service users at the home are unlikely to make informed choices about the admission criteria and services offered at the home from the present statement of purpose. There is no written confirmation from a profession as to whether two service users have a diagnosis of dementia. This in addition to lack of staff training makes it unlikely that the needs of service users who may develop dementia while living at the home will be effectively met. EVIDENCE: The home’s statement of purpose and service user guide were examined. The service user guide was found to contain sufficient information. The statement of purpose had been reviewed but lacked clear information on the criteria for admission and the arrangements in place regarding therapeutic activities for service users. The registered person is required to review the statement of purpose to ensure that it contains all the information required under schedule 1 of the Care Homes Regulations 2001. A discussion with the most recent service user to be admitted to the home WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 9 revealed that she had not been able to visit the home before admission as she was in hospital. Her daughter had managed to visit the home on her behalf. A discussion with the manager revealed that training for staff in dementia is still to be arranged as they were waiting to hear from the trainer. An immediate requirement is made relating to this. There are two service users currently living at the home who are thought to have dementia. A Psychogeriatrician assessed one service user and the results of this assessment are due to be discussed at a meeting to be held with various professionals on 4 July 2005. The second service user has been confirmed as having a diagnosis of dementia and the manager is confident that the home is able to meet their needs. The registered person must ensure that written confirmation is sought on whether the two named service users have a diagnosis of dementia. This information will be used to form the basis of whether the registered person is required to submit an application for variation to the commission as the home is currently not registered to admit service users who have a diagnosis of dementia. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 9 The lack of care plans, risk assessments and health related records is putting service users at risk. It is questionable as to how their needs can be adequately met in the absence of this documentation. The medication policy must be reviewed to promote the independence of service users. EVIDENCE: Three files were examined for service users who had been admitted to the home between the months of January and May 2005. Pre-admission assessments and a care plan were available for two service users who had been admitted during the month of May. There were however no risk assessments despite information on file stating that one service user was unsteady on their feet and suffered from swollen ankles. There was also no evidence that both service users had been consulted regarding their care. The third file did not contain care plan or risk assessment documents despite the fact that the service user had been living at the home for 4 ½ months. The inspector was extremely concerned, as the requirement at the previous inspection for these documents to be available had not been complied with. The registered person must ensure that a care plan and risk assessment are available for the service user admitted in January 2005. The registered person WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 11 must also ensure that all service user files contain comprehensive risk assessments. An immediate requirement was issued relating to this. The inspector interviewed the most recent service user to be admitted to the home. She stated, “ I love it here” and she confirmed that staff treated her well. At the previous inspection the inspector noted that there were no records of recent dental appointments for a named service user. The registered person was required to ensure that clear and accurate records are maintained. The inspector was informed that the dentist had recently visited this service user. A record of this visit had been made in the daily record log but this was difficult to locate and not up to date. This requirement is restated. At the previous inspection it was required that the medication policy is reviewed to include information that encourages service users to take responsibility for their medication. This requirement is within the timescales set at the previous inspection. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 standard(s) 12 and 15 There has been no progress made to consult with service users regarding the provision of varied and appropriate activities within the home. The lack of effective communication regarding food means that service users are not able to identify dietary options and choices available to them. EVIDENCE: At the previous inspection the activities timetable was examined. Activities listed included, bingo, beauty treatments, puzzles and keep fit with music. Service users interviewed expressed a desire for activities such as knitting, crocheting and “going out somewhere on a bus.” This information was relayed to the registered person who agreed to review the activities provided at the home in consultation with service users. At this inspection this requirement was still outstanding therefore an immediate requirement was issued. At the previous inspection comments received from service users regarding the quality of food were very positive. Service users told the inspector that they were unaware what they would be served at meal times until it was on their plates. A discussion with the registered person revealed that communication with service users regarding the food offered to them at the home had not been improved. The registered person advised that appropriate methods of communication with service users regarding food were still to be implemented. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 13 Interviews with two service users revealed that they enjoyed the food provided by the home. One service user described it as “delicious.” WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 standard(s) 18 Lack of adult protection training for staff leaves service users at risk of harm and abuse. EVIDENCE: There has been no progress following a requirement made at the last inspection that staff receive training in adult protection. A discussion with the registered person revealed that this is still to be arranged. This requirement is restated for the third time. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 standard(s) 19, 21, 24 and 26 The current poor condition of the garden and laundry room does not create pleasant surroundings and has potential risks on service user’s health and safety. Similarly bedrooms supplied with incorrect mattresses, poor quality lace curtains and lampshades do not offer universally comfortable and attractive facilities for service users. EVIDENCE: The inspector was able to view the garden. A garden fence had been put up and rubbish cleared from the garden. The resident’s lounge overlooks the garden and it is the inspector’s opinion that the garden in its current state is not a welcoming sight. The registered person advised there are plans to make the garden attractive by planting flowers. This requirement is within the timescales set at the last inspection. A shower has been installed on the ground floor but the inspector was unable to view it as it was in use by a service user. At the previous inspection the registered person was required to replace various items of furniture and fittings in rooms 3, 8 and 18. This had not been done therefore an immediate requirement was issued relating to this. Through discussion, the most recent WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 16 service user to move into the home advised that she occupied a shared room and she loved the room and was very comfortable. At the previous inspection a requirement was made for the registered person to ensure that the washing machine used in the home has a sluice cycle and that the laundry flooring is replaced. This requirement is within the timescales set at the last inspection. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standards 27-30 were not assessed on this occasion. Standards 27, 29 and 30 will be assessed at the next inspection as they are key standards to be inspected at least once during a 12 month period. EVIDENCE: Not applicable WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35, 36 and 38 The health and safety of service users living in the home must be maintained through portable appliance testing and maintaining records of chemicals used in the home. Although staff induction records are now available, irregular and poorly documented supervision has resulted in low levels of support for staff. There has been no formal consultation with service users and other stakeholders on the quality of care offered by the home. This coupled with little progress in financial policies and other related documentation leaves service users vulnerable. EVIDENCE: Despite previous discussions with the registered person regarding the implementation of a quality assurance exercise, this is still outstanding. This requirement remains within the timescales set at the previous inspection. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 19 The home has reviewed its policy on service user’s property and money. The policy encourages service users to administer their finances but there is no clarity on the home’s position with regard to the manager acting as an appointee for service users. The registered person must ensure that persons working at the home do not act as the agent of a service user. The requirement for the home to maintain inventories of service users’ personal belongings is still outstanding. This requirement is restated for the third time. The registered person supplied the CSCI with a business plan for the home but with no estimates of costs and timescales the information supplied was not meaningful. An immediate requirement was issued relating to this. At the previous inspection a requirement was made requiring induction records to be maintained for a new member of staff. These were viewed and the inspector was informed that no new members of staff had been employed since April 2005. At the last inspection an immediate requirement was made requiring the registered person to ensure all staff receive regular supervision. The inspector was shown the revised format for supervision and was advised that would be used to record future supervision sessions. This requirement is restated for the third time. At the previous inspection a requirement was made that the registered person maintain a record of control of substances hazardous to health [COSHH chemicals]. As this requirement was still outstanding from the previous three inspections, an immediate requirement was issued. A requirement was made at the previous inspection that tests are carried out on portable appliances. This requirement is within the timescales set at the previous inspection. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x 1 x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 x 14 x 15 1 COMPLAINTS AND PROTECTION 1 x 3 x x 1 x 1 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 1 x x 1 1 1 1 x 1 WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 21 Yes 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 1 Regulation 6, Schedule 1 Requirement The registered person must ensure that the statement of purpose is revised and contains all the information detailed under schedule 1 of the Care Homes Regulations. The registered person must ensure that all staff receive training in meeting the needs of people with dementia. [previous timescales of 31/1/05 and 15/5/05 not met] The registered person must ensure that written confirmation is sought on whether two service user currently living in the home have been diagnosed with dementia. In the event that the 2 service users are diagnosed with dementia, the registered eprson must submit an application for variation to the commission in respect of this. [previous timescale of 15/5/05 not met] The registered person must ensure that a care plan and risk assessment are available for the service user admitted in January G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Timescale for action 8/9/05 2. 4 18(1) 22/6/05 Immediate requiremen t 15/7/05 3. 4 12(1)(a) (b) 4. 7 15 22/6/05 Immediate requiremen t Page 22 WOODLANDS Version 1.30 2005. The registered person must also ensure that all service user files contain comprehensive risk assessments. These documents must be reviewed regulary in consultation with the service user or where appropriate their representative. [previous timescale of 30/11/04 and 15/5/05 not met] The registered person must ensure that clear, accurate and up to date records are maintained of visits to service users by health professionals. [previous timescale of 15/5/05 not met] The registered person must ensure that a review is carried out of the current activities programme which incorporates the views of service users to ensure an appropriate and varied level of stimulation is offered to all service users. [previous timescale of 15/5/05 and 31/12/04 not met] The registered person must ensure that there is appropriate and regular communication with service user regarding the food offered to them on a daily basis. [previous timescale of 30/5/05 not met] The registered person is required to ensure that all staff working in the home receive adult protection training. [previous timescales of 15/5/05 and 28/2/05 not met] The registered person must ensure that the garden is kept safe, tidy, attractive and accessible to service users. This requirement is within the 5. 8 12(1)(a)( b)(2), 13(1)(b) 6/7/05 6. 12 16(2)(m) (n) 22/6/05 Immediate requiremen t 7. 15 12(3) 15/7/05 8. 18 13(6) 15/7/05 9. 19 23(2)(o) 30/6/05 WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 23 10. 24 11. 26 12. 33 timescales set at the last inspection. 23(2)(d) The registered person must ensure that the a new matress is provided in room 14, new lace curtains in room 3 and a new lightshade in room 8. [previous timescales of 15/5/05 and 30/11/04 not met] 13(3)(4) The registered person must (23)(2)(b) ensure that the washing machine (k) available in the home has the option of a sluice cycle. The laundry floor must be replaced. This requirement is within the timescales set at the last inspection. 24 The registered person must ensure that a quality assurance exercise is carried out to seek the views of service users, relatives and visiting professionals about the home. A copy of the report of the findings and action to be taken must be forwarded to the CSCI. This requirement is within the timescales set at the last inspection. The registered person must ensure that a business plan containig appropriate timescales and costs is made available to the CSCI by 22/6/05. [previous timescale of 15/4/05 and 30/11/04 not met] The registered person must ensure that persons working at the home do not act as the agent of a service user. The registered person must ensure that an inventory of service users personal belongings is maintained. [previous timescales of 15/5/05 and 31/12/04 not met] 22/6/05 Immediate requiremen t 15/7/05 15/7/05 13. 34 25(1)(2) (3) 22/6/05 Immediate requiremen t 14. 35 20(3) 10/7/05 15. 35 17(1)(a) 30/6/05 WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 24 16. 36 18(2) 17. 38 13(4)(c) 18. 38 23(2)(c) 19. 9 13(2) The registered person must ensure that staff receive regular documented supervision six times a year. [previous timescales of 15/4/05 and 31/12/04 not met] The registered person must ensure that safety data sheets are available for each product avaialble in the home. [previous timescales of 15/5/05 and 30/11/04 not met] The registered eprson must ensure that portable applicance testing is carried out. This requirement is within the timescales set at the last inspection. The registered person must ensure that the medication policy has a statement that :- service users, where appropriate, are encouraged to take responsibility for their own medication. If this is considered to be appropriate for a service user then the standard assessment and agreement forms must be completed. The ability of a service user to administer their own medication must be reviewed with the service user and their GP at least every six months. This requirement is within the timescales set at the last inspection. 30/6/05 22/6/05 Immediate requiremen t 30/6/05 30/6/05 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 G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 25 WOODLANDS 1. WOODLANDS G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Solar House, 1st Floor, 282 Chase Road, Southgate, London, N14 6HA 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 G59 S32662 Woodlands N13 V230895 08.06.2005 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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