Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 11/07/06 for Woodlands Lodge And Cottage

Also see our care home review for Woodlands Lodge And Cottage for more information

This inspection was carried out on 11th 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home ensures residents have choices and are involved in decision making within their abilities. The home has good links with community health services. The home has a low turnover of staff so therefore the staff get to know the residents well.

What has improved since the last inspection?

Residents care plans are monitored and reviewed in relation to their changing needs.

CARE HOME ADULTS 18-65 Woodlands Lodge And Cottage 95b Byrons Lane Macclesfield Cheshire SK11 7JS Lead Inspector Ms Julie Porter Key Unannounced Inspection 11th July 2006 10:00 Woodlands Lodge And Cottage DS0000006618.V296008.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 Lodge And Cottage DS0000006618.V296008.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 Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Lodge And Cottage Address 95b Byrons Lane Macclesfield Cheshire SK11 7JS 01625 610049 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) Rossendale Trust Rachel Windelinckx Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (1), Physical disability (4), of places Physical disability over 65 years of age (4) Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for up to 16 people including: * Up to 16 people in the category of LD (learning disabilities) * 1 named person in the category of LD(E) (learning disabilities over the age of 65) * Up to 4 people in the category of PD (physical disability) * Up to 4 people in the category of PD(E) (physical disability over the age of 65) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The registered provider must provide staff to meet the dependency needs of service users at all times and shall comply with any guidelines which may be issued through the Commission for Social Care Inspection The matters detailed in the attached schedule of requirements must be completed within the stated timescales 7th December 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Woodlands Lodge and Cottage is registered with the CSCI to provide care for 16 service users within the category of learning disability, 15 of whom must be under the age of 65 and one over the age of 65 years of age. The home is a detached property on the outskirts of Macclesfield town centre. The service is set within pleasant surroundings in a quiet residential cul de sac off the main road. The home is part of the service provided by the Rossendale Trust, a charitable body. The Rossendale Trust was established in 1973 and provides both residential and day care for adults with learning disabilities. On the day of this site visit there were 15 service users living at Woodlands Cottage and Lodge. Accommodation is in single and shared bedrooms situated on the ground and first floors. A number of these bedrooms are smaller than the sizes identified in the National Minimum Standards (Standard 25 of the National Minimum Standards for Care Homes for Younger Adults). However, as the home was registered and in use before 31 March 2002, the home does not have to meet this standard. Local amenities, in the village of Sutton and at other Rossendale Trust services, are a short drive away. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, which was part of the key unannounced inspection for this service, took place on 11 July 2006. The manager had provided CSCI with information about the service and six residents had completed CSCI questionnaires, “Have your say about Woodlands Lodge and Cottage”, with support from their families. Ten relatives and two health care professionals completed CSCI comment cards about the home. All residents of the home were available on the day of the visit and were enjoying a birthday party. Four residents were spoken with at length regarding their feelings of living in the home. Two residents’ care plans were inspected and a number of the homes records were seen. The visit included a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: A guide explaining the service must be produced in a format suitable for adults with learning disabilities. Information provided for and about the residents should be in a suitable format. Contracts must be available to ensure residents and staff are aware what is and is not included for the cost of their care. Improvements need to be in place for assessment of risk both for the environment and for the residents’ activities. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 6 Mandatory training for staff needs to updated and they also need to receive specialist training to ensure they can meet the needs of the residents. The environment must be assessed and monitored for all potential hazards. Action must be taken to ensure hazards are minimised to ensure residents and staff are kept safe. Level access must be provided into the Cottage, broken windows must be replaced and kitchen units posing a risk in relation to hygiene must be repaired. Checks on staff must take place before they are employed to ensure residents’ safety. Action must be taken by the organisation to monitor the service provided by the home, including seeking the views of the people and other interested parties who use the services offered by the home. 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 Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 7 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 Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 8 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 is adequate. This judgement has been made using the available evidence including a visit to the service. Written information is available so residents and their relatives have enough information to make a choice about where they will live. EVIDENCE: The home has written information available regarding the service the home can offer, but this is not written in a suitable format for residents with learning disabilities. See recommendation 1 No new residents have been admitted to the home since the last inspection. The home has one vacancy in a shared room. Assessments for prospective residents include local authority assessments and the home’s own assessment plan that takes into account compatibility with the current residents in the home. The organisation has been re- negotiating the fees for individual residents and the manager said that two residents’ contracts are still not available. This is an outstanding requirement from the last inspection. See requirement 1 Woodlands Lodge And Cottage DS0000006618.V296008.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 is adequate. This judgement has been made using the available evidence including a visit to the service. Although residents have care plans and there have been improvements in undertaking risk assessments, some risks associated with daily living have not yet been assessed and therefore residents may not be adequately safeguarded. EVIDENCE: Two residents’ care plans were inspected and contained information regarding the residents’ needs and how those needs will be met. A written timetable was available about the residents’ activities each day. Information could be developed further to include photographs, symbols and pictures to assist residents with poor or no literacy skills. Both care plans were last reviewed in May 2006. CSCI questionnaires that had been completed by residents were generally positive regarding their care. See recommendation 2 Residents in the home have learning disabilities and are supported to make decisions within their capabilities. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 10 Some improvements have been made in order to minimise potential risks to residents. Risk assessments were in place, but they did not adequately cover all aspects of the residents’ activities. The manager she confirmed that this will be addressed shortly as somebody has been commissioned to undertake this work with the home, and to deliver training to staff. This is an outstanding requirement from the last inspection. See requirement 2 Woodlands Lodge And Cottage DS0000006618.V296008.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): 11, 12, 13, 15, 16, 17 Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the service. Residents are supported to make choices so they maintain control over their lives within their individual abilities. EVIDENCE: Residents living in the home have various abilities and staff encourage them to do as much as possible for themselves. One questionnaire returned stated that the resident “I like doing some things for myself. Making my packed lunch, changing my bed and putting away my own washing and clothes.” Residents have a full timetable Monday to Friday and attend activities at the day centre organised by Rossendale Trust or at the Oakwood project, a horticultural project that is also part of Rossendale Trust. A number of residents spoken with enjoy going to church and are either supported by staff from the home to attend the local church or, in the case of one resident who attends Chapel, supported by a volunteer from the church. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 12 One resident spoken with said that she really enjoyed reading. Her sister visited her every three weeks and they spend the day together at the library choosing books and shopping. During the visit one resident had a friend visiting her; she said that they spend a lot of time together. Relatives’ comment cards indicate that they always feel welcome in the home and have the opportunity to visit their relative in private. On the day of this visit, residents were enjoying a buffet tea for one of the residents’ birthdays. Usually they have a snack or packed lunch and the main meal is served in the evening. The record showed that meals were varied and nutritious. Four residents spoken with said that they enjoyed the food in the home. Woodlands Lodge And Cottage DS0000006618.V296008.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 is adequate. This judgement has been made using the available evidence including a visit to the service. Residents receive their care from staff that they know well and care professionals are involved in their care to ensure their health needs are met. However, staff have not received updated training on medicine administration which could leave residents and staff vulnerable. EVIDENCE: Staff support some residents with all aspects of their personal care. The level of assistance required is dependent on their assessed needs. Care plans inspected provided evidence that the residents receive advice and treatment from a number of health care professionals. Doctors, physiotherapists, epilepsy nurses, continence advisors, dieticians, speech therapists and chiropodists are involved in the care of the residents. Two comment cards were returned in respect of health care and both practitioners were satisfied with the care provided by the home. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 14 A “key worker” system is in operation in the home. The low staff turn over and the fact most staff have worked in the home for a number of years ensures they know the residents well. Residents and staff were observed laughing and joking with each other throughout the visit. Medication records were inspected. Medication is provided by the pharmacy in a monitored dosage system. The medication administration record was available but alterations had been made to signatures by using liquid paper. See recommendation 3 The manager confirmed that no recent training has been available to staff in relation to medication administration. See requirement 3 Woodlands Lodge And Cottage DS0000006618.V296008.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 is poor. This judgement has been made using the available evidence including a visit to the service. The lack of training for staff on the protection of vulnerable adults may leave the residents at risk of harm. EVIDENCE: Information provided by the home stated that the home had not received any complaints. All relatives’ questionnaires stated that they knew the home’s complaints procedure and two stated that they had made a complaint. No record was available in the home as to the nature of the complaints. See requirement 4 Residents spoken with said that if they were unhappy about anything they would talk with the staff or the manager. Information provided by manager confirmed that adult protection training is a priority but she has not yet been able to establish a date for training. This is an outstanding requirement from the last two inspections. See requirement 5 Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 16 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 is poor. This judgement has been made using the available evidence including a visit to the service. Although some improvements have been made to the fabric of the building, areas of risk remain that have not been thoroughly assessed, leaving residents and staff exposed to unnecessary risk. EVIDENCE: A guided tour of the home done with the manager. It included all communal areas and with residents’ bedroom, with their permission. All areas of the home were clean and fresh. The home has three double bedrooms and although the current residents have shared for a number of years, the manager should review this arrangement at the next opportunity The addition of the laundry and ramped access to the home improves the facilities offered, although work is still incomplete. The paintwork is unfinished and some pipes are exposed. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 17 The Environmental Health Officer visited the home on the 21 June 2006 and inspected the kitchen in Woodlands Lodge. The report states that the home should “progressively renew the worn kitchen units.” The glass in the lodge lounge window and one of the bedrooms was cracked and poses as risk to residents’ welfare. The manager gave her assurance that this would be replaced as a matter of urgency. Decoration in four areas of the home was poor. These were the hall and kitchen in the lodge and three bedrooms identified to the manager. One resident in the Cottage uses a wheelchair and has a ground floor bedroom but there is no level access to the home. The step accessing the rear garden from the Cottage was unsafe for residents and staff. The gardens are mainly to the front of the property. Outside space around the home was generally well maintained, except at the rear of the home where the ground was uneven and poses a risk to residents with mobility difficulties. The gate at the rear of the property gives direct access via a steep embankment to the railway line. This must be secured with a lock. See requirements 6, 7, 8 & 9 Woodlands Lodge And Cottage DS0000006618.V296008.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): 31, 32, 34 & 35 Quality in this outcome is poor. This judgement has been made using the available evidence including a visit to the service. Problems with recruitment processes and staff training not being available could lead to residents being at risk of harm or poor practice. EVIDENCE: Job descriptions are available for all staff in the home. Information provided before the site visit took place identifies that 20 of staff have achieved NVQ level 2 or above. Staff have not undertaken any training since the last inspection and the home does not have a plan to ensure staff achieve the minimum mandatory training in relation to health and safety, moving and handling, emergency aid, food hygiene and protection of vulnerable adults. There was no evidence available to suggest that staff are offered training relating to the specific needs of the residents in the home. See requirement 10 Two staff personnel records were inspected and contained application forms, two written references for each employee, and recent Criminal Record Bureau check. However these had been supplied by the employee relating to their previous employment. This is an outstanding requirement from the last inspection. See requirement 11 Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 19 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 is poor. This judgement has been made using the available evidence including a visit to the service. Health and safety training for staff has not been updated and internal monitoring processes are not in place to ensure continuing development of the service in the best interests of the service users. EVIDENCE: The manager is registered with the Commission for Social Care Inspection and has started the NVQ level 4 Registered Managers Award. She has limited responsibilities in relation to managing a budget for the home. She has responsibility for the food budget, but maintenance and renewal of furniture fixtures and fittings need authorisation from Rossendale Trust trustees. There is no formal process in place to consult with the residents/relatives and other interested parties regarding the quality of care in the home. See requirement 12 Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 20 The manager confirmed that visits by a nominated person under Regulation 26 of the Care Homes Regulations do not take place. This is an outstanding requirement from the last inspection. See requirement 12 The home does not have a rolling programme to cover mandatory training in relation to health and safety, moving and handling, food hygiene, first aid. See requirements 5 & 9 Information provided by the manager show that service contracts are up to date in relation to gas supply, electrics and hoists. The home’s records were inspected and are maintained appropriately relating to the fire equipment, emergency lighting, alarms and fire extinguishers. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 21 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 2 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 1 X X 2 X Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 22 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 YA5 Regulation 5 Timescale for action Residents must be given a 31/08/06 written contract or statement of the terms and conditions of residence at the home. These should include information about the accommodation provided and the method of payment of their fees. Previous timescale of 31/08/05 not met Risk assessments should be in 31/08/06 place to minimise risk for activities that the residents are involved in. Previous timescale of 31/05/05 not met. Staff must receive training in 30/09/06 relation to medication administration A record must be kept of all 31/08/06 complaints that includes details of the nature of the complaint, the investigation undertaken and the outcome All staff must receive training on 30/09/06 protecting people from abuse and on adult protection procedures. Plans must be drawn up for each member of staff to receive training relevant to the role they perform. DS0000006618.V296008.R01.S.doc Version 5.2 Page 23 Requirement 2 YA9 13 3 4 YA20 YA22 18 22 5 YA23 18 Woodlands Lodge And Cottage 6 7 8 9 10 YA24 YA24 YA24 YA24 YA32 YA35 23 23 23 23 18 11 YA34 19 12 YA39 24 13 YA39 26 Previous timescale of 00/00/00 not met. Level access for people who use wheelchairs must be provided to the Cottage. The home must be kept in a good state of repair, in relation to the windows and the kitchen The home must be kept clean and reasonably decorated. The grounds of the home must be suitable for, and safe for the residents and staff in the home A training plan must be developed to ensure that staff receive training appropriate to the work they perform Criminal Records Bureau disclosures must be obtained for all new staff working in the home before they start work. The registered person must ensure that full information regarding staff (as set out in Schedule 2 of the Care Home Regulation 2000) is available before they commence employment. Previous timescale of 30/05/06 not met. The responsible person must establish and maintain a system for seeking the views of residents and other interested parties regarding their care Visits to the home must be undertaken by a nominated person for the trustees at least once a month and a report produced and supplied to the Commission for Social care Inspection. Previous timescale of 31/07/05 not met. 30/10/06 30/10/06 30/10/06 30/10/06 30/09/06 30/09/06 30/10/06 30/09/06 Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA1 YA6 YA20 Good Practice Recommendations Details about the services the home can offer, i.e. service user guide and statement of purpose should be produced in a format suitable for people with learning disabilities. Care plans should be produced in a format the residents can understand. Medicine records should not be altered using liquid paper. Woodlands Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Lodge And Cottage DS0000006618.V296008.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!