Inspection on 26/07/06 for Woodlands Care Home

This inspection was carried out on 26th July 2006.

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

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

Other inspections for this house

Woodlands Care Home 16/04/07

Woodlands Care Home 22/11/05

Woodlands Care Home 28/06/05

Woodlands Care Home 08/09/04

Woodlands Care Home 29/04/04

Woodlands Care Home 04/06/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Woodlands Care Home Main Road Sandleheath Fordingbridge Hampshire SP6 1TD Lead Inspector Sue Maynard Unannounced Inspection 26th July 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands Care Home DS0000011612.V300513.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 Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Care Home Address Main Road Sandleheath Fordingbridge Hampshire SP6 1TD 01425 652710 01425 652950 alison@wait2223.freeserve.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) Woodlands House Retirement Limited Mrs Alison Sarah Wait Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (3) Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category PD(E) may only be accommodated on the ground floor 22nd November 2005 Date of last inspection Brief Description of the Service: Woodlands Care Home is located in the village of Sandleheath, a rural area of the New Forest approximately one and a half miles from Fordingbridge. Woodlands House provides accommodation for 30 older persons in 24 single bedrooms and 3 double bedrooms. The house sits in spacious grounds, which are in the process of being re landscaped. Residents have varying needs with aspects of daily living. Mr P Reynolds is the named responsible individual. Mrs A Wait is the registered manager responsible for the daily running of the home. Fees for the home are £390-£415. There are additional charges for hairdressing services, chiropody and cost of transport for hospital appointments etc. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day with a total of six and half-hours spent in the home. The inspection was unannounced and was the key inspection for 2006/2007. One inspector conducted the inspection. The manager Mrs Alison Wait and the named Responsible Individual, Mr Reynolds, were present during the visit. The atmosphere in the home was relaxed and the staff were friendly and approachable. The residents appeared to be content, and well cared for. As part of the inspection process the records for four residents and three members of staff were examined. The inspector spoke to both residents and visitors to the home. All those spoken to were satisfied with the care and services being provided. Two requirements made from the last inspection have not been addressed and these have been made repeat requirements. Additional requirements from this inspection have been made and are documented at the end of this report. Written feedback was received from one person only. This was very positive and confirmed that the standard of care provided in the home is good. What the service does well: What has improved since the last inspection? Many of the bedrooms have been refurbished and redecorated with new carpets, furniture and washbasin units. The garden to the rear of the home has been landscaped and made secure to enable the residents to use this very pleasant area. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands Care Home DS0000011612.V300513.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 Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. The lack of a pre-admission assessment of prospective residents will put them at risk if their needs cannot be met. Standard 6 is not relevant to this home. EVIDENCE: Of the four residents records examined only one contained an assessment. One resident had moved to the home from another area of the country and information had been provided by their previous care home. The records for two residents contained assessments that had been provided by their Social Service care manager. However these assessments were not detailed and provided limited information. For the one resident who had been assessed all aspects of their physical and psychological needs had been addressed. This assessment did not provide any evidence that the resident or a member of their family had been included in the assessment process. There was also no documentary evidence of who had provided the information for the assessment. The importance of undertaking the assessment was discussed Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 9 with the manager. The pre-admission assessments must be undertaken to ensure that the home is able to meet the assessed needs of the resident. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Care plans and risk assessments do not reflect accurate and up to date information for their care and may put the residents at risk. The lack of individual nutritional assessments to accurately monitor weight gain or loss and what action has been taken puts residents at risk. Members of staff who do not adhere to the home’s procedure for the accurate recording and administration of medication put the residents at risk. Staff training ensures that the residents are treated with dignity and that their privacy is maintained at all times. EVIDENCE: The records for four residents were examined. The personal details of the residents were documented and contact details for their next of kin were recorded. Pre-admission assessment had only been undertaken for one resident. Care plans were available in all the files examined but none of these Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 11 had the residents name on them and only provided limited information. They were not dated and no review dates were included. The person who had completed them had signed none of the care plans and there was no evidence that the resident or a member of their family had been included in the planning process. Each set of records contained a risk assessment for moving and handling but did not identify if the residents was at risk from falling. Again none of these documents were named, dated or signed and there was no evidence that the assessment had been reviewed. There were no nutritional assessments available. The manager informed the inspector that the home does not have a set of scales to weigh the residents and is therefore unable to undertake comprehensive nutritional assessments. There was evidence in the records that visits from doctors, chiropodists, district nurses and opticians had been recorded. The home maintains a separate record of daily events, which is completed by the care staff. Doctors visit residents from the local practice in Fordingbridge. Residents who have lived in other areas are able to have visits from their existing doctor if the doctor is prepared to visit the home. The chiropodist visits the home every six weeks. An optician visits the home annually and examines the eyes of all the residents who wear glasses and those residents who are identified with sight problems. Some of the residents are taken by their family to visit local opticians. The home is experiencing problems obtaining domiciliary dental care for the residents. In an emergency residents are seen by an NHS community dentist based at Salisbury hospital. Residents who are able do visit their own dentist if their family are able to take them and the dental surgery is accessible. Residents’ medication records were examined. It was noted by the inspector that there were omission of signatures evident on many of the record sheets (MAR). During the examination of the medications and the records the inspector identified that the home is dispensing residents medications into small pots to be given at a later time in the morning when the resident comes to the dining room for breakfast. The manager explained that a senior carer is not always available to administer the medications when the resident comes to the dining room. The medication is being signed as being given at the time stated on the MAR sheets when in fact it is being given much later. The inspector reminded the manager that this inappropriate administration of medication and poor practice. The inspector was informed that one member of staff responsible for the administration of medicines had not received training. A requirement has been made that all staff responsible for the administration of medications must undertake further training. The residents’ medication records did not contain a recent photograph of the resident. The home does employ staff from an agency on occasions and this would assist in safeguarding the residents should the agency staff member have to be responsible for administering medication. Currently an Adult Protection investigation by Social Services as the lead agency, is taking place concerning the inappropriate administration of medications. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 12 Staff were observed knocking before entering a resident’s room. Residents spoken to all confirmed that the staff were very caring and treated them with respect. Woodlands Care Home DS0000011612.V300513.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The management of the social and recreational programme is creating a positive and varied life for the residents, which appears to meet their expectations for living in the home. The lack of evidence does not confirm that the residents are supported and encouraged to make choices about how they live their lives including choosing from a daily menu that provides them with a well balanced and varied diet. EVIDENCE: The home does not currently have a formal programme of social and recreation activities. The afternoon staff are responsible for organising the activities chosen by he residents. The residents are able to join in quizzes, board games, puzzles and arts and crafts. All activities take place within the home. The home has a secure garden, which has recently been landscaped. Some of the residents spoken to said how much they enjoyed being able to sit in the summerhouse or walk around the garden. The inspector was able to observe the staff interaction with the residents during the afternoon. The residents appeared relaxed and enjoying the company of the staff. Following the success of a garden party held at the home last year a further garden party has been Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 14 arranged for the residents and their families. A resident spoken to said how much she was looking forward to the party. Clergy from a church in Fordingbridge visit the home every month and hold a service and give communion to those residents that wish to attend. The manager told the inspector that these services were always well attended by the residents. The home has no restrictions on visiting to the home. Visitors to the home confirmed that they were always made to feel welcome at all times. The residents records seen did not identify any of their personal preferences about what time they liked to get up and go to bed, what clothes they like to wear or if they had any meal preferences. Residents spoke to could not confirm that they were offered any choice about these aspects of their daily life. At this time the home does not provide the residents with a written menu of the meals to be provided. The manager stated that there is four-week meal plan but that this is not always adhered to. A visitor, who spoke to the inspector, said that the residents did not have a choice of food and that alternatives were not provided. She did confirm however that that the quality of the food was good and that it was well presented. The manager said she would discuss the menus with the cook and would arrange for the residents to have the opportunity to have a choice of food at each mealtime. Woodlands Care Home DS0000011612.V300513.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The complaints procedure for the home ensures that residents and their families are assured that their complaints will be listened to and acted upon appropriately. Lack of accurate knowledge and regular training for staff awareness for the reporting of possible abuse puts residents at risk. EVIDENCE: The home maintains a record of any complaints that are received. The records demonstrate that the complaints are investigated according to the home’s complaints procedure. The manager has an open door policy and addresses issues as they arise. Minor issues are not documented in the complaints records. Visitors to the home confirmed that they were very satisfied with the way that the staff has addressed any problems they have raised and that they have never had to make a formal complaint. The home has an Adult Protection and a whistle blowing procedure. Staff have been made aware of these procedures during their induction training. No additional training has been provided for the staff since this original training. This was discussed with the manager who informed the inspector that she was arranging training to take within the next seven days. A member of staff spoken to confirmed that she was aware of the procedure to be followed if she Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 16 suspected that a resident had been abused but confirmed that she had not had any training updates for the recognition of abuse. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Systems are in place that ensures that the residents live in a clean, safe and well-maintained environment EVIDENCE: A tour of the building was made and all areas were noted to be clean and tidy. Many of the bedrooms have been redecorated and new furniture has been supplied. There was evidence that the residents had personalised their rooms with small items of furniture and pictures and ornaments. There are plans to re-carpet and redecorate the main corridors in the home. The home has six bathrooms but only one has an assisted bath that can be used for the residents. The remaining five bathrooms are not used. This was discussed with the Registered Person for the home who told the inspector that he is considering converting one bathroom to a “walk in” shower room and Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 18 installing another assisted bath in one of the other bathrooms. This would provide the residents with an additional choice of a bath or a shower. Systems are in place to control the spread of infection in the home. staff are provided with gloves and aprons for use when giving personal care to the residents. The laundry area is situated on the lower ground floor away from food preparation areas. The care staff are responsible for the washing of household linen and residents clothes. Residents and visitors spoken to stated they were satisfied with the laundry services provided in the home and that their clothing was always returned to them undamaged after washing. The laundry area was clean and tidy. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Staff are employed in sufficient numbers by the home meet the residents’ needs. A formal training programme that identifies the specific learning needs of the staff will ensure that the staff are competent to do their job and meet the needs of the residents. Lack of appropriate recruitment checks for all new staff is placing the residents at risk. EVIDENCE: The home employs staff from an agency for night duty shifts to ensure that the numbers of staff on duty over a twenty-four hour period are sufficient to meet the needs of the residents. To maintain continuity of care, where possible, the same staff are requested for all shifts that have to be covered. The manager confirmed that she is seeking to recruit additional permanent staff. Currently there is only one member of staff employed in the home who has NVQ level 2 in care. This does not meet the 50 level of staff that are required to be trained at this level. The manager informed the inspector that other staff employed by the home are applying to undertake level 2 but that this has not yet been arranged. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 20 Samples of three staff recruitment records were examined. These were found to be incomplete. All the staff had completed an application form. Two written references were seen for two members of staff, only one reference was in place for the third staff member. There was no evidence that checks had been undertaken with the Criminal Records Bureau (CRB) or the Protection of Vulnerable Adults register (POVA). The manager said she had applied for these checks after the staff had commenced employment at the home. The manager was reminded that it is a requirement that no new member of staff may commence employment without these checks being undertaken and a positive result obtained from the checks. Only one of the staff records provided evidence that induction training had been undertaken. The manager told the inspector that the two members of staff who had not received induction training had been employed before she came into post. A requirement was made at the last inspection that the manager was to submit a programme of staff training to the Commission by 30-1-06. This has not been received and the manager confirmed that the training programme is not in place. A further requirement will be made from this inspection. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The manager is able to demonstrate that she is suitably qualified to ensure that the home meets the needs of the resident. A quality assurance system is in place that ensures that home is run in the best interests of the service users. Staff are not being formally supervised at least six times a year to identify their training and career development needs are met ensuring that the residents are cared for by staff that are suitably trained and competent to do their job. Close monitoring of practices within the home safeguard the health, safety and welfare of residents, staff and visitors to the home. EVIDENCE: Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 22 The Registered manager for the home, Mrs Alison Wait, has been in post for four years. Currently she does not hold her Registered Managers award but has undertaken a City and Guilds qualification in Advanced Management. In April 2006 Mrs wait attended a Dementia Care workshop with a senior care worker from the home. Information from the workshop has been cascaded to other members of staff in the home. A survey questionnaire was sent out to the families of the residents in 2005. Mrs Wait reported that the feedback from the survey was very positive. Another questionnaire is due to be sent out within the next week. Visitors to the home spoken to by the inspector reported that they were satisfied with the care provided in the home and had no complaints. The manager told the inspector that she operates an “open door” policy for residents, staff and visitors. Members of staff spoken to confirmed that they always felt able to approach the manager at any time and that she always acted promptly to address issues as they arose. The home does not look after any money for the residents. A requirement was made at the last inspection that staff are to receive formal supervision at least six times a year. The timescale for this to be introduced by was 1-1-06. The manager informed the inspector that this is not being undertaken for all the staff. The inspector saw one supervision record in a staff recruitment file. Neither the member of staff or the supervisor had signed this. A further requirement will be made that all the staff is to receive formal supervision at least six times a year. A requirement was made at the last inspection that the home was to comply with the work recommended made by the Hampshire Fire and Rescue Service (HFRS) This requirement has been met and HFRS has confirmed in writing to the Commission that the work has been completed to a satisfactory level. All staff undertakes regular fire safety training twice a year. Regular checks and testing of fire safety equipment and alarms are undertaken. Service sheets for equipment and systems in the home demonstrated that regular servicing and maintenance is undertaken. Staff are provided with protective gloves and aprons to minimise the risk of infection when giving personal care to the residents. On the day of the inspection the kitchen area was found to be clean and tidy. Recommendations made by the Environmental Health officer at a visit in April 2006 have been addressed. Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 23 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 X X 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 1 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 1 X 3 Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 24 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 OP3 Regulation Requirement 14(1) The registered person must not offer accommodation to a service user unless a full assessment has been undertaken. 15(2) All service users care plans must be reviewed at least once a month to reflect their changing care needs. All care plans must be signed by the person undertaking the review and evidence of the service user or their representative’s involvement must be provided. 17(1) A nutritional assessment of all Schedule service users must be 3 undertaken on admission to the home and regularly reviewed thereafter to maintain a record of weight gain or loss and any action taken. 17(1) A signed record of the date on Schedule which medication was 3(k) administered to service users must be maintained. 13(2) In the interest of safe medication handling, all medications must be administered directly from the original labelled container to the service user and not placed into secondary containers and later DS0000011612.V300513.R01.S.doc 15/09/06 2 OP7 15/09/06 3 OP8 15/09/06 4 OP9 15/09/06 5 OP9 15/09/06 Woodlands Care Home Version 5.2 Page 25 6 OP15 12(2) 7 OP18 13(6) 8 OP28 18 9 OP29 Schedule 2 10 OP30 18 (1a) & 19 (5b) 11 OP36 18 (2) administered by another person. The registered person must supply a menu in written or other format to enable the service users to make a choice of the meals that are provided. The registered person must make suitable arrangements for the regular training of staff working in the home to prevent service users being placed at risk of abuse. The registered person must ensure that all staff working in the home undertake training appropriate to the work they are to perform. 50 of all staff working in the home must be qualified at NVQ level 2 or above. No person must be employed by the home until suitable and satisfactory police (CRB) and POVA checks have been undertaken. The home’s staff training programme for 2006 is to be provided to the commission by the stipulated timescale. This is a repeat requirement from the last inspection with a time scale of 30-1-06 Staff must to receive formal supervision at least six times a year. To re commence by the stipulated timescale. This is a repeat requirement from the last inspection with a time scale of 1-1-06 15/09/06 15/09/06 31/12/06 15/09/06 15/09/06 15/09/06 Woodlands Care Home DS0000011612.V300513.R01.S.doc Version 5.2 Page 26 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 DS0000011612.V300513.R01.S.doc Version 5.2 Page 27 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 DS0000011612.V300513.R01.S.doc Version 5.2 Page 28 - 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!