Inspection on 23/02/06 for Woodlands (Colchester) Ltd

This inspection was carried out on 23rd February 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 (Colchester) Ltd 27/02/09

Woodlands (Colchester) Ltd 28/02/07

Woodlands (Colchester) Ltd 12/10/05

Woodlands (Colchester) Ltd 23/03/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Woodlands (Colchester) Ltd 76 Lexden Road Colchester Essex CO3 3SP Lead Inspector Pauline Dean Unannounced Inspection 23rd February 2006 09:30 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodlands (Colchester) Ltd Address 76 Lexden Road Colchester Essex CO3 3SP 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) 01206 571200 01206 505450 sam@woodlandsrh.freeserve.co.uk Woodlands (Colchester) Limited Mrs Julie Wells Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Twenty three female service users, aged 65 years and over, who require care by reason of old age only Date of last inspection Brief Description of the Service: Woodlands is located within the Lexden area of Colchester, an established residential area to the west of the town centre. There is approximately a tenminute walk between the home and the town centre. Public transport, passing to the front of the home, is frequent. The nearest train station is Colchester Town, approximately half a mile distant. The early 1900’s property was a former large family dwelling and has been developed to present the current accommodation. The home is solely for women. The accommodation is arranged on two floors, the upper floor is accessed via a passenger lift. Single and shared bedrooms are available and there are various communal rooms. There is a rear garden incorporating a sun terrace and lawn. The front of the property, enclosed by trees and shrubs, includes parking and seating areas. The garden also extends along one side of the home. Mrs Julie Wells is the Registered Manager. Miss Samantha Racey, the Responsible Individual of the company, is also involved in the day to day running of the care home. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one day in February 2006. This was the second inspection of the inspection year 2005 – 2006. Throughout the day there was discussion with Mrs Julie Wells, Registered Manager. Miss Samantha Racey, the Responsible Individual of the company, was on duty in the afternoon during this inspection. During the inspection two care staff were interviewed and two residents were spoken with. In addition, brief conversations were had with several residents in the main lounge area. Throughout the day there were several visitors to the home. A total of six visitors were seen and three relatives were spoken with briefly. Twenty-one residents were living at Woodlands on the day of the inspection A tour of the premises was conducted, and both resident and staff records were sampled and inspected, at this inspection. Policies and procedures were also sampled and inspected. Thirteen of the thirty-eight standards were inspected, of these five were met, with eight nearly met. Over the two inspections of the inspection year 2005 – 2006, all of the key standards were inspected, with several of the standards inspected on both occasions. Some improvement is noted, but it was disappointing to find that in spite of some progress ten of the twenty-two key standards were not fully met. Whilst it is recognised that four of these key standards relate to premises issues and there is ongoing work to eliminate these problems, it is disappointing to find that these matters continue to require attention. It is hoped that they and the other key standard requirements are met in full at the next inspection. What the service does well: Woodlands presents as an attractive, well maintained care home. Decoration and maintenance are ongoing, with particular attention paid to the communal areas of the home. Residents and visitors, spoken with during this inspection, spoke of both management and staff being approachable and cheerful. This was evident during the inspection as both Mrs Wells and Miss Racey were ‘hands-on’, working as seniors on the floor. Nutrition and the food served at Woodlands are given high consideration. Ample food supplies, with good stock control, were seen at this inspection. Home cooking is promoted with home baked desserts and cakes popular. The Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 6 home employs two cooks who plan menus taking into account likes and dislikes of the residents and any special dietary needs. What has improved since the last inspection? What they could do better: On completion of the new conservatory mentioned above, the Inspector was informed that thought is being given to the current hairdressing arrangements. Current arrangements do not fully respect both privacy and dignity of residents, as the home is currently using an occupied double bedroom and bathroom facilities for hairdressing. Mrs Wells said that the home plans to install a wash hand basin in the small lounge area off the dining room to offer a hairdressing saloon in this area. Attention is still required to premises issues regarding hot water pipes and hot water temperatures. This was ongoing on the day of the inspection and consideration needs to be given to the provision of bedroom door locks as detailed in care plans and risk assessments. Six care staff now have a National Vocational Qualification (NVQ) level 2 in Care, with a further seven staff working on this training. Mrs Wells said that four of these staff are due to complete this training in April 2006 and then the home will have a total of ten care staff out of sixteen care staff with NVQ level 2 in Care. Whilst it is acknowledged that there is regular contact with the home by the Responsible Individual, Miss Samantha Racey, the practice of completing and sending a Regulation 26 visit and report to the Commission is erratic. This requirement is detailed within this report. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 7 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 8 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 9 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): None of these Standards were inspected in full at this inspection. EVIDENCE: The Key Standards relating to the ‘Choice of Home’ were not considered in full at this inspection. They were inspected at the last inspection. However, during this inspection, the Inspector spoke with two residents and three relatives and all spoke positively regarding the admission process into the home. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 & 10 A plan of care has been generated from an initial assessment. This detailed the action that needs to be taken by care staff to help ensure that all aspects of the health, personal and social care needs of the resident are met. With the exception of the current hairdressing arrangements, residents are treated with respect and dignity and are actively supported to maintain control of their care and health needs, as appropriate. EVIDENCE: Care planning records were sampled and inspected for three residents. Mrs Wells said that care planning had undergone revision and this was found to meet requirements. Care plan objectives covered all aspects of physical, health and social care needs. Care staff spoken with were fully aware of these documents and spoke of reading daily notes and making notes in records. As at the last inspection, the arrangements for hairdressing within the home were not acceptable. The use of an occupied double bedroom and bathroom facility does not respect the privacy and security of the residents occupying this private room. Mrs Wells spoke of changes to the current accommodation, Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 11 namely the fitting of a wash hand basin in a small lounge conservatory off the dining room. With the completion of the new large conservatory, Mrs Wells said that this would be completed. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 the following standard(s): 12 & 15 The daily routine in the home was flexible, with residents being encouraged to maintain contact with family and friends. Residents spoke of some social and leisure activities in the home and being able to exercise choice over what they wished to do. Woodlands provides varied, good quality food in sufficent quantities and residents are provided with a well balanced diet to suit their individual needs. EVIDENCE: Mrs Wells spoke of wishing to promote in-house activities and entertainment in the home. A flip-chart programme of activities has been created and was on display in the main lounge. A record of resident attendance and participation is kept in the home with entries made by care staff on duty. On the day of the inspection a quiz and activity session took place. The majority of the residents and all of the care staff on duty were involved in this activity. From observation it was clear that the majority of the residents enjoyed this session with staff joining in the fun. Activities on offer regularly in the home include activity exercise cards, quizzes, different varieties of bingo, Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 13 including Memory Lane Bingo and Musical Bingo, and card games, crosswords and beanbag exercises. Regular monthly entertainment is also offered. Woodlands has a fourteen-week menu plan, with at least two choices available at lunch and teatime. Roast lunches are served twice a week and seasonal vegetables and fruit are included in the menu planning. Homemade cakes and desserts are produced and served regularly in the home. Local suppliers supply meat and vegetables and a wholesaler is used for dried and frozen goods. Specialist diets and likes and dislikes are catered for and are detailed in nutrition records. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 the following standard(s): 18 An adult protection procedure is in place to help ensure that residents are protected from abuse. EVIDENCE: The adult protection procedure at Woodlands has been reviewed and revised since the last inspection. Reference is made to local authority guidance. Mrs Wells said that all staff are issued with guidelines, as issued by Essex County Council for care staff. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 the following standard(s): 19, 24 & 25. Woodlands is a clean and well-maintained property. There were, however, some shortfalls in the home’s environment that present issues for the welfare and safety of the residents. EVIDENCE: A tour of the premises was conducted on the day of inspection. The home was light, bright and airy. Ongoing maintenance and decoration ensures that the accommodation is maintained to a high standard with regard to decoration. Since the last inspection, corridor walls in the bungalow extension of the home and some bedroom ceilings have been painted. A programme of restoration for the main house bedroom doors is ongoing. Some doors have been taken off to remove the coats of paint and curtaining has been fitted over the bedroom door entrance. Since the last inspection, a new conservatory has been built at the rear of the property. At the time of this inspection, this was nearing completion. The home had failed to notify the Commission for Social Care Inspection (CSCI) of Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 16 this additional communal space. Prior to writing this report, however, the home has notified the Commission and inspections by the fire service and the environmental health service have taken place. On receipt of this documentation and the inspection reports the Commission will take a view as to the suitability of this accommodation. The conservatory is to provide an additional lounge sitting area for the residents. It is located off the dining room with easy access to the sun terrace area of the garden. As at the last three inspections, there is a shortfall regarding the option of a lockable facility in their rooms for all residents and having, unless otherwise determined and recorded, a key to their doors. Detailed care planning and risk assessments need to be implemented immediately to cover this aspect of care. On the day of inspection a plumber was present in the home fitting a new wash hand basin with a hot water tap that had a fail-safe device to ensure that hot water is close to 43°C. Mrs Wells said that this work is ongoing and nearing completion. She said that radiator covers are now in place throughout the home and hot water pipes are being boxed in or covered as required. As at the last inspection, any outstanding work needs to have clearly detailed risk assessments in place, with timescales for completion of the work. In addition, completion of the planned work regarding the fitting of fail-safe devices on all remaining hot water taps accessed by residents is required. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 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 Staffing levels and skills are appropriate to the needs of the residents. Staff are trained and competent to do their work through an ongoing training programme that includes National Vocational Qualifications (NVQ) training. EVIDENCE: A staff rota was inspected and throughout the day there were to be either three or four care staff on duty. At night there were two awake care staff members. Mrs Wells said that staffing levels are determined according to the assessed needs of residents and in accordance with the Residential Forum Guidance issued by the Department of Health. The home is currently recruiting for two awake night staff, with cover being provided by the staff group. As at the last inspection, National Vocational Qualification (NVQ) training is being progressed. Six care staff have completed an NVQ level 2 qualification in care and seven staff are working on this qualification. Four of these staff hope to complete this training in April 2006. At this point Woodlands will have achieved a minimum ratio of over 50 trained members of care staff with NVQ level 2 or equivalent. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 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 & 38. The management approach of Woodlands is open, positive and inclusive to ensure residents are able to access the manager. There is a need to introduce an effective quality assurance and quality monitoring system to help ensure that the home is run in the best interests of the residents. The health and safety of residents and staff are protected through the renewal and updating of health and safety certifications, although not all certifications were complete. EVIDENCE: Two care staff spoken with said that they found the management approach of Mrs Wells open, positive and approachable. Two residents also commented that she and Miss Racey were easily available as they were both in the home Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 19 frequently. All three relatives spoken with said that they were able speak with the manager as they wished and they always found her accessible. Mrs Wells said that she and Miss Racey had completed the Registered Manager’s Award (Adults) in January 2005. It would appear, however, that she did not hold a level 4 NVQ qualification in care. A copy of the Commission’s guidance was left with Mrs Wells to ascertain the registration requirements. Copies of an admission questionnaire and an annual questionnaire entitled ‘Living in the Home’ were seen. Mrs Wells was not clear if the detail of these surveys had been added to the current copy of the Service Users’ Guide and she was not able to find supporting evidence that the results had been published. Health and safety certification was sampled and some shortfalls were found. The only gas record located related to the installation and commissioning of a new gas boiler in July 2004. Copies of gas safety and gas maintenance certification were to be sent to the Commission for Social Care Inspection (CSCI) prior to writing this report, but they have not been received. Electrical safety certification, such as the Electrical Periodic Inspection Report, was seen. This was completed in January 2003 and had a five-year span. Records were seen for small electrical appliances i.e. Portable Appliance Testing (PAT). These were seen to have been completed by the financial director of the home in April 2004 and were said to have over a two year lifespan, they were set to be re-inspected in October 2006. The home is advised to check out this length of inspection, as it would seem to be longer than the norm of one year in some circumstances. Fire Detection and Alarm System Inspection, and Servicing Reports, were seen dated May 2004. Emergency Lighting Inspection and Test Certificate was seen and dated May 2004. Both of these certificates would seem to have expired, as at least an annual inspection would be expected. Certification for Fire Extinguishers was dated September 2005. Whilst it is acknowledged that Regulation 26 visits by the Registered Provider are completed. There is some delay in copies of these monthly reports being sent to the Commission. At the time of writing this report, the February inspection report is outstanding. The Registered Provider is reminded of the need to visit and report on a regular monthly basis, with copies sent to the Commission on completion. Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X 2 2 X STAFFING Standard No Score 27 3 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X X X 2 Woodlands (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 21 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 OP10 Timescale for action 10, 12 The registered manager must 05/06/06 ensure that arrangements for personal care needs i.e. hairdressing arrangements, ensure that residents’ privacy and dignity are respected at all times. (This is a repeat requirement from the last inspection. Previous timescale of 25/11/05 not met.) 23 The registered provider must 05/06/06 ensure that the premises i.e. the new conservatory, complies with the requirements of the fire service and the environmental health department. 14, 16, 23 The registered person must 05/06/06 provide private accommodation for each resident, which is equipped to assure comfort and privacy, and meets the assessed needs of the resident; specifically, lockable facilities and a key to the bedroom door, unless in the case of the latter there is are reasons for not doing so detailed in the care plan. (This is a repeat requirement from the last two inspections. Previous timescales of 23/05/04 DS0000061910.V284524.R01.S.doc Version 5.1 Page 22 Regulation Requirement 2. OP19 3. OP24 Woodlands (Colchester) Ltd 4. OP25 5. OP28 6. OP31 7. OP33 8. OP38 & 25/11/05 were not met.) The registered person must ensure that the heating and water supply meet relevant environmental health and safety requirements and the needs of the individual residents. This is with regard to hot water pipe covers and hot water temperatures. (This is a repeat requirement from the last two inspections. Previous timescale of 23/05/04 & 25/11/05 were not met.) 18 The registered person must ensure that a minimum of 50 trained members of care staff have NVQ level 2 or equivalent. 18, 19 The registered person must ensure that the registered manager has the required qualification that is a level 4 NVQ in care within 2006. 21 The registered person must develop an effective quality assurance and quality monitoring systems, based on seeking the views of service users, to measure the homes’ success in meeting aims, objectives and it’s statement of purpose. (This is a repeat requirement from the last two inspections. Previous timescales of 23/05/04 & 25/11/05 were not met.) 16, 17, 26 The registered manager must ensure so far as is reasonably practicable the health, safety and welfare of residents and staff, as detailed within the National Minimum Standards for Care Homes for Older People Standard 38. This is with regard to gas safety and maintenance certification, portable appliance testing and the Fire Detection and Alarm System Inspection and Servicing Reports and the 16, 23 DS0000061910.V284524.R01.S.doc 05/06/06 05/06/06 05/06/06 05/06/06 05/06/06 Woodlands (Colchester) Ltd Version 5.1 Page 23 9. OP38 26 Emergency Lighting Inspection and Test Certificate. The registered person must 05/06/06 ensure that the monthly visits as detailed under The Care Homes Regulations 2001 - Regulation 26 are completed and reports sent to Commission for Social Care Inspection (CSCI) monthly. 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 (Colchester) Ltd DS0000061910.V284524.R01.S.doc Version 5.1 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. 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