Inspection on 25/09/06 for Woodlands Care Home

This inspection was carried out on 25th September 2006.

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

Other inspections for this house

Woodlands Care Home 20/02/08

Woodlands Care Home 01/12/05

Woodlands Care Home 18/07/05

Woodlands Care Home 09/02/05

Woodlands Care Home 20/12/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Woodlands Care Home 375 Woodlands Road Netley Marsh Totton Hampshire SO40 7GB Lead Inspector Laurie Stride Unannounced Inspection 25th September 2006 10:30 Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 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 Care Home DS0000055845.V311208.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 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 Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Care Home Address 375 Woodlands Road Netley Marsh Totton Hampshire SO40 7GB 023 80 871704 023 80 871704 woodlands@truecare.co.uk 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) Truecare Group Limited Mrs Danniella Kirsty Uden Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Woodlands Care home is registered to provide personal care and accommodation for up to six people with learning difficulty and associated mental health disorder. Currently, all service users are female. The home is located in the village of Netley Marsh, close to the local shops and pub. The home is a large detached property with bedrooms on the first floor and communal areas on the ground floor. All bedrooms are for single occupancy and have en-suite shower facilities. Service users and members of staff share a large lounge/dining area with adjoining conservatory, leading to an enclosed garden. The home has a large kitchen and separate laundry room. The current range of fees is £1300 - £2500 per week. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection visit was carried out on 25/09/06 and lasted six-and-a-half hours. During this time the inspector had the opportunity to observe some of the service users at home and interacting with staff members and speak in depth with one service user, a service user’s relative, two staff members, the registered manager and deputy manager. A tour of the communal areas of the premises was undertaken and samples of documents held in the home were seen. What the service does well: 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. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 6 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 Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 7 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): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice whether to move into the home. The home has a comprehensive system for assessing prospective service users’ needs and aspirations. EVIDENCE: The home has a detailed Statement of Purpose and Service User Guide, which is available to service users and their representatives. The deputy manager explained that the Service User Guide was being updated with current details of the organisational structure and staffing information. The deputy manager was also in the process of developing an audio CD version of the Service User Guide to make information more accessible to some service users. Since the last inspection there had been no new service users admitted to the home and the registered manager confirmed that there had been no change to the assessment and admission procedure. Through the previous two inspections evidence was seen that a detailed assessment procedure is undertaken, to ensure as far as is practicable that the home can meet the needs of those people who are admitted. Care managers and health professionals are involved in pre-admission assessments and visits are arranged with the prospective service user to see whether they choose to move to the home. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 8 During this inspection three service users’ care files were seen and further evidence of the initial assessment was seen together with the care management assessment. Service users records also contained a copy of the terms and conditions of residence that had been signed by the service user and a copy of the Service User Guide. The case was discussed about one service user whose needs the management had decided the home could no longer meet. Meetings were being held with the person’s family, care manager and advocate and interim support measures were in place until suitable alternative accommodation was found. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 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, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are met through thorough and detailed risk assessments and care plans, which also clearly record any restrictions on individual choice and freedoms. EVIDENCE: During this inspection a sample of three service users’ care plans was seen in order to track their needs and the care they received. The home has a comprehensive system linking care plans with risk assessment and management plans. Details of where to find any information held in the home but not in the care plan is also given. Records of recent individual support sessions, monthly evaluations and multi-disciplinary reviews were seen. A service user confirmed knowledge of her care plan and that she took part in review meetings to discuss the support she received. Care plans are divided into accessible sections under the sub-headings of physical health, behavioural, life skills, socialisation and leisure, and occupational issues. Risk assessments and behavioural guidelines give clear guidance for staff members, who may work with service users with complex and challenging Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 10 behaviours and support needs. The guidance states the behaviour, identifies any indicators of when such behaviour is likely to occur, for example stressful situations, and lists the interventions to be used, which consist mainly of diversion and de-escalation techniques. On occasions the staff at the home have to use restraint. Any instance of restraint is recorded and reported to the Commission for Social Care Inspection through Regulation 37 notices. An instance where restraint had had to be used was discussed and records showing the reason for, duration and outcome of restraint were seen. All members of staff receive training in understanding the causes of challenging behaviours and working effectively with service users. (See also section on Protection and section on Staffing: training and development). Care plans clearly identify any necessary restrictions to service users’ personal freedoms, in a section called “restrictions rationale” that records the instances and reasons for any such restrictions. The registered manager is further developing person centred approaches to care planning. Members of staff assist service users to make decisions about how to spend their time within and outside the home. This includes guidance and support on how to enjoy a variety of activities, how to dress appropriately, how to maintain personal relationships and how to deal with personal finances. Step by step progress is identified as well as reasons why progress may be limited in some instances. Service users were observed accessing their personal finances and staff members were seen assisting service users to make choices. Guidelines on individual service users’ preferred methods of communication were also included in their care plans. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit through the home providing opportunities to take part in suitable activities, access the community and maintain relationships. Service users rights and responsibilities are recognised in the daily routines of the home and meal planning promotes choice and healthy eating. EVIDENCE: The three service users tracked through the inspection were found to have programmes of activities meeting their leisure and personal development needs. For example, activities included life skills, horse riding, visits to the gym, trampoline, community access, pub nights with live music, colleges and day services. A service user talked enthusiastically to the inspector about her leisure and occupational activities. (See also section on Conduct and Management of the Home: quality assurance). One service user was planning to move on to an alternative placement, having ‘outgrown’ her current placement. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 12 Each service user has a care plan relating to community access. Two vehicles (including a 7-seater) are available for transporting service users and members of staff when visiting leisure centres and other locations. Staff members and service users were observed coming and going from the home throughout the inspection. The registered manager said that service users are supported to vote if they wish to and the home had provided service users with information about the different parties they could vote for. There are written leisure guidelines on individual ‘likes’ and ‘areas/situations to avoid’. Leisure activities inside the home included art and craft and watching videos. Each service user has the opportunity to go away on holiday once a year and photographs of these events were seen decorating the walls of the home. Holiday destinations included Butlins, Euro-Disney, Paris and a cottage in Swansea. Information about significant relationships and contact details are contained within care plans. All of the service users have contact with their families and are supported to maintain these relationships. There was evidence on one of the care plans of a service user being supported with a personal relationship. The daily routines of the home promote service user’s independence and the development of life skills. Housework tasks are clearly scheduled and form part of each service users’ agreed timetable of activities, through a rolling rota showing whose turn it is to help with each task and the level of staff support required. Staff and service users were observed interacting throughout the visit and service users could choose when to be alone or in company and when not to join an activity. People are allowed to keep pets and the home currently accommodated a rabbit and a guinea pig. Smoking for service users and staff is restricted to the conservatory or outside the house. The home provides food menus that include alternative options and promote healthy eating. Records were seen of individual service users’ requests for various meals. Records of people’s individual food and drink intake are also kept and special diets, such as two service users with diabetes, are catered for. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 13 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): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ healthcare and personal support needs are met both by members of staff and through referral to healthcare specialists. Service users are protected by the home’s medication handling policies and procedures. EVIDENCE: Service users care plans and programmes showed their needs and preferences with regard to staff support with washing and dressing, daily, evening and night routines. Through conversation with one service user it was evident that she was aware she could ask to see someone, such as her doctor, if she felt unwell and knew where the relevant contact details were kept. The service user also confirmed that staff supported her well. Care plans showed that regular multi-disciplinary reviews of service users health and wellbeing take place involving, for example, a senior member of the home’s staff, a consultant psychiatrist, care manager and community psychiatric nurse, the service user and their relatives. Staff members were observed telephoning on behalf of service users to make appointments and writing these in the office diary. Appointment records were on file showing the outcomes of visits, for example medication reviews, dentist, doctors and opticians. Each service user has a GP from one of three surgeries. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 14 Medication is securely stored with medication administration record (MAR) sheets maintained accurately. The medication administration procedure was observed during the inspection. All of the staff members who administer medication have been trained. Service users are assessed as to whether they can administer their own medication through a risk assessment process. One of the service users observed during the visit has assistance from the staff to manage their medication. The home has a metal medication cabinet that is kept locked with the senior member of staff on duty holding the key. The cabinet was seen and medications that had been dispensed by the pharmacist into blister packs were stored correctly. The medication administration records for one of the service users were seen and correctly recorded with no gaps within the records. The procedure for the administration of ‘as required’ (PRN) medication is that authorization must be granted from a manager within the organization. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 15 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has effective systems for ensuring that service users views are listened to and responding to their concerns, demonstrating that service users’ and other stakeholders concerns are taken seriously. Service users and staff members are protected by the home’s policies and procedures for managing challenging behaviour and for responding to any form of abuse. EVIDENCE: The complaints procedure is displayed in the hallway and gives the address and telephone number of the Commission for Social Care Inspection (CSCI). A pictorial version is contained within the Service User Guide and each service user is given a copy of this document when they move into the home. The home has a record of complaints made together with the outcome of assessments and investigation. A concern from a service user’s relative was being dealt with through arranged meetings between the relative and manager (see also section on Conduct and Management of the Home: quality assurance). Through discussion with one service user it was evident that she knew who to speak to if she had any concerns and was comfortable in approaching the manager or deputy manager. An open and inclusive atmosphere was evident in the home, which would contribute to people feeling free to talk about any concerns. The home has a copy of the local authority adult protection procedures. Staff members receive training in adult protection issues as part of their induction and two staff members demonstrated through discussion that they understood Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 16 the procedures for reporting and recording any allegations or suspicions of abuse. There is an organisational policy regarding the use of physical interventions and records are kept of instances when it has been necessary for staff to restrain people. Procedures for using restraint were discussed with two members of staff, who both demonstrated their knowledge and understanding of not only the procedures but of individuals who may require restraining. Staff said they and service users were offered support sessions following incidents and that the initial training in physical interventions, which lasts four or five days and is renewed each year, gave them confidence in difficult situations. (See also section on Staffing: training). There was a discussion about the use of restraint in the prone position, following two regulation 37 notifications received by CSCI in relation to one service user and a subsequent telephone call to the home on 06/06/06. The deputy manager explained that the use of prone restraint as a last resort had been agreed as being in the service users’ best interests, through meetings with the organisation’s physical interventions manager, the persons’ family, care manager and community psychiatric nurse, although joint consent was not documented. CSCI had been informed that arrangements were being made for the person to move to a suitable alternative placement. An interim measure of 2:1 staff support was in place. The deputy manager further explained that all staff members at the home were aware of the dangers of positional asphyxiation when prone restraint is used. Also that it had been agreed that the home would be operating a policy of only using non-prone physical interventions and behavioural de-escalating techniques in future. The home has two safes, the second one into which the manager can decant smaller sums of money for the staff and service user to have access. A service user was observed having easy access to her personal allowance. The home keeps records of transactions that are signed by the individual service user and staff member on duty. The managers regularly check the balances of service user’s individually stored monies and sign and date the ledger sheets. There is a procedure to follow if any discrepancies are noticed. The home assists service users to access their bank or building society accounts. The deputy manager confirmed that only he and the registered manager have access to service user’s PIN numbers. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy living in an attractive, comfortable and safe environment. EVIDENCE: Through the previous two inspections evidence was seen that the overall physical environment is of a very good standard and a tour of the communal areas confirmed this. The registered manager reported that there had been no changes to the premises since the last inspection. Bedroom accommodation is on the first floor with communal facilities on the ground floor. The previous report showed that each service user has a single bedroom with en-suite and shower. There is a bathroom on the ground floor. As well as soap dispensers and paper towels, alcohol-based gel dispensers are used throughout the premises. Good procedures and storage in relation to cleaning materials contributes to safety levels at the home. The home was clean and tidy at the time of this inspection. The fire officer had visited the premises on 01/08/06 and had made no requirements or recommendations. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 18 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, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support from an effective, well-trained and supervised staff team and the home supports and encourages staff to undertake relevant care qualifications. Service users are protected by the home’s staff recruitment procedures. EVIDENCE: A sample of the home’s staff recruitment records was seen in relation to three staff members. The organisation has an agreement with CSCI that the original documents are held centrally and the information is transferred to a form that is held in the home for inspection. The information seen indicated that the organisation carried out required checks on staff before they worked with service users in the home, such as Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults). Also that new staff completed application forms with employment histories and two written references were obtained for each staff member. The organisation has its own training department and a comprehensive staff training and development plan was seen, which suitably equips staff to meet service users’ needs. This gave a clear record of training attended by each member of staff and when updates were due. New staff members receive structured induction and foundation training including Learning Disability Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 19 Award Framework (LDAF) for staff new to the field of learning disabilities and the homes’ own induction procedures. Staff members are also given training in breakaway techniques, management of violence, medication, person-centred planning, aspects of learning disabilities and mental health difficulties, adult protection and mandatory health and safety courses. NVQ level 2, 3 and 4 are also provided as part of the rolling programme. The system enables the organisation’s training manager to identify any non-attendance of training by individual staff members and relevant updates can be arranged, ensuring that service users are supported by suitably trained staff at all times. Through discussion with two staff members it was confirmed that relevant training is provided during the induction period and both confirmed that the training was good and had increased their knowledge and confidence. The staff members demonstrated clarity with regard to their roles and responsibilities and felt they were part of a supportive team. There are established arrangements for staff supervision and these were confirmed through discussion with staff. Comments from the staff and service users indicated that the registered manager and deputy manager are always accessible and supportive. Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 20 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): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home that seeks their views and promotes the health, safety and welfare of service users and staff. EVIDENCE: The registered manager and the deputy manager are completing the Registered Manager’s Award. Currently, the deputy manager is completing the management element and the registered manager is completing the care element. Good working relationships were observed between the staff group and the service users and staff. Staff members confirmed that they found the management approachable and supportive. The organisation operates a quality assurance system that includes anonymous questionnaire surveys sent out to people who use the services, their next-ofkin, care managers and staff. The results of the most recent of these had been evaluated and given to the manager who had subsequently written a development plan for the home, which was seen. This identified areas for Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 21 improvement, such as ensuring that service users’ next-of-kin are fully informed and involved; producing the Service User Guide in an audio format; and promoting a greater range of in-house occupational activities. The home also obtains service users views through meetings, which are recorded. Regular staff meetings are also held and recorded. Last year, a manager from another home within the organisation visited, observed and gave objective feedback on the running of the home; and this was reciprocated. Records of regulation 26 visits by an appointed person within the organisation were seen and these included asking the views of service users and staff, observations of working practices, inspection of care plans, health and safety and maintenance of the premises. Safe working practices are maintained in the home for the safety of service users, visitors and staff. Staff members receive training and updates in mandatory health and safety subjects as part of the rolling programme of training. This includes First Aid, Moving and Handling, Food Hygiene, Fire Safety and Infection Control. A fire safety risk assessment and current records of fire drills and equipment checks were in place. A file containing up-to-date certificates relating to tests and services of equipment and appliances, such as gas, electric and fire safety systems was also seen. Woodlands Care Home DS0000055845.V311208.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 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 Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 23 NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlands Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Care Home DS0000055845.V311208.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!