Inspection on 23/01/06 for Woodlands Manor

This inspection was carried out on 23rd January 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 Manor 04/06/07

Woodlands Manor 05/10/06

Woodlands Manor 10/08/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodlands Manor 21-23 Chambres Road Southport Merseyside PR8 6JG Lead Inspector Daniel Hamilton Unannounced Inspection 23rd January 2006 10:00 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 Manor DS0000064444.V279435.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 Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodlands Manor Address 21-23 Chambres Road Southport Merseyside PR8 6JG 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) 017045544848 Woodlands Manor Ltd Miss Lyndsey Emma Dee Care Home 27 Category(ies) of Dementia (27), Old age, not falling within any registration, with number other category (19) of places Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection No service users can occupy rooms on the second floor until such time as the Commission for Social Care Inspection is satisfied that they are suitable for occupation. Until such time that a lift serves the second floor, the rooms once converted may only be used by ambulant service users. No further service users within the OP category may be admitted into the home. 10th August 2005 Date of last inspection Brief Description of the Service: Woodlands Manor is a privately owned care home which is registered to provide personal care and support for up to 19 older people or a maximum of 27 older people with dementia. The home consists of two large houses joined together by a central link and is situated in a quiet residential area, not too far from the centre of Southport and all its amenities. Public transport is available close by. The home has three levels. The basement and ground floor are serviced by a passenger lift. The communal areas in the home consist of two lounges, one of which is attached to a conservatory and a dining room. The home is equipped with a hoist and assisted bath and toilet facilities are located throughout. A call bell system with an alarm facility is fitted in each bedroom and also the communal areas. There is a large garden to the rear, which is well maintained. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8 hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. There had been no cause for any visits to the home since the last routine inspection in August 2005. A partial tour of the premises took place and observations were made. A selection of care, staff and service records were also viewed. The manager, deputy manager, two staff members and six of the 19 residents were spoken with during the visit and their views obtained of the home. Comment cards were also left in the home to enable residents and others to comment on the service provided. What the service does well: What has improved since the last inspection? Care plans had been developed for all the people living in the home. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 6 Medication records had been completed correctly, to record the administration of all prescribed medication and the details of medication entering the home. The manager had also established an audit system, to monitor medication practice. Furthermore, risk assessments had been completed for residents who self-administered their medication. Staff had been correctly recruited and employment records had been brought up-to-date in accordance with the Care Home Regulations. The fire alarm system had been tested on a weekly basis and an up-to-date gas safety and fire alarm service certificate had been obtained. Risk assessments had been completed to address the absence of pre-set thermostatic valves in some areas of the home and systems had been established, to ensure staff received fire instruction training at appropriate intervals. A legionella risk assessment had also been commissioned. The home had received continued investment both internally and externally and the environment was looking more attractive and homely. One resident said; “There is no doubt about it, this home is improving for the better.” What they could do better: Overall, pre-admission assessments had improved since the last inspection, however some parts of the assessment documentation had not been completed. Likewise, some care plans were vague and lacked detail of the support required by staff to meet resident’s individual needs. These issues should be addressed in order to ensure all the needs of residents are identified and planned for. Although there was evidence that the organisation was working to ensure staff received appropriate training for their role, a number of staff had not completed all the necessary training to ensure competency at the time of the visit. Furthermore, the manager did not have a qualification equivalent to the Registered Manager’s Award. Action should be taken to ensure all staff are appropriately trained for their jobs. Records of personal money held on behalf of residents were maintained however they did not detail all financial transactions and some records were incomplete. Likewise, receipts were not in place for all expenditure. These matters must be addressed, in order to protect the interests of residents. Furthermore, residents had not signed to confirm they had received money. This issue should be addressed, to ensure the interests of residents and the provider are safeguarded. In order to improve health and safety practice, the emergency lighting should be tested and the fire extinguishers visually inspected on a monthly basis and records maintained. Furthermore, the hot water temperature outlets should be tested and recorded on a monthly basis. Woodlands Manor DS0000064444.V279435.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 Manor DS0000064444.V279435.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 Manor DS0000064444.V279435.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): 3 Assessments had been completed, in order to identify the care needs of residents prior to admission. EVIDENCE: Three files were viewed for residents who had moved into the home since the last inspection. Each file contained pre-admission assessment information and a health and functional mental health assessment. One assessment had been completed following a resident’s admission to the home. The manager reported that this was because the resident had been admitted on an emergency basis. A copy of a social work assessment was in place for the resident, which had been obtained by the home before the resident had moved in. Assessments had been completed for the other two residents however some of the assessment criteria (for example social and life history) had not been completed. Woodlands Manor DS0000064444.V279435.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, 8 and 9 Some care plans did not provide adequate information, to clarify the support required by staff. Residents had access to health care services according to individual health requirements. Medication was well managed and arrangements were in place to safeguard the welfare of residents. EVIDENCE: Four residents had moved into the home since the last visit. Files were viewed for three of the new residents. Each file contained a plan of care that identified assessed needs, aims of care and staff instructions. Some of the information recorded lacked detail of the action required by staff. For example, “Personal Care” was recorded as an assessed need for one resident and the care plan stated; “X [Resident] has assistance of one carer to maintain good personal hygiene.” Systems were in place to ensure each plan of care was kept under monthly review. Staff spoken to confirmed that they referred to care plans to understand the needs and support requirements of residents. Residents spoke highly of the care provided and one resident stated; “They understand the help we need.” Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 11 Supporting information including; risk assessments, day and night care plans, daily record sheets, records of professional visits and weight records were also maintained. Health care records viewed showed that residents had accessed Chiropodists and General Practitioners. Residents spoken with confirmed that they were supported to access health care professionals subject to need. Comments included: “The staff are very good with medical appointments”; “They bring the doctor in if you are not so good” and “An optician comes to the home to test our eyes.” A medication policy had been developed to provide guidance to staff. Likewise, a record of staff authorised to administer medication was in place. Since the last visit, the manager had introduced a new Monitored Dosage System and a ‘Problem / Report file’, to monitor and identify any issues regarding medication practice within the home. A system to verify the identity of residents prior to administering medication was in place. At the time of the visit, there were no controlled drugs in the home. All medication checked during the visit was appropriately stored and accounted for via medication administration records. Records were in place to account for medication returned to the pharmacist. Risk assessments had been completed for residents who self-administered medication. Woodlands Manor DS0000064444.V279435.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 and 15 Activities within the home were flexible and varied to meet the expectations, preferred routines and needs of residents. The dietary needs of service users were well catered for, with a balanced and varied selection of food available that met residents’ needs and choices. EVIDENCE: The home had a Social Activities Timetable, which was displayed in the reception area of the home for residents to view. The timetable showed that a minimum of three activities were facilitated each day for residents. The activities included: hairdressing, board and ball games, bingo, quiz, nail care, musical movement and exercise, musical entertainment and nostalgia sessions. Discussion with the manager and residents confirmed that additional activities were also arranged. For example, the home had organised a clothes party during October 2005. Suitable arrangements were also in place to enable residents to receive visitors / representatives from local churches and for residents to visit churches, subject to their individual religious beliefs / preferences. The home’s daily report book was used to record activities, however this had not always been completed and did not confirm that activities had been provided on a daily basis. The manager reported that she would establish an activities record book, to ensure the date, details of activities provided and participants was recorded. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 13 Residents spoken with were satisfied with the range of activities provided. The views of two residents included: “I’m quite happy with the activities” and “They have bingo, exercise, snake and ladders and other activities. You never get bored.” Residents who did not wish to participate in activities confirmed that their wishes were respected. The home had four-week rolling menu, which showed that residents received a nutritious, wholesome and varied diet. A minimum of two choices were available for the lunch and tea-time meal and a record of choices / meals provided was maintained. One resident spoken with reported that the home was also able to cater for her special dietary needs. Meals were served in the home’s dining room at set times, however arrangements were flexible to suit individual needs. The dining room had been pleasantly redecorated and re-furbished since the last visit. Tables were set with tablecloths, napkins and condiments. Residents interviewed were satisfied with the standard of food provided. Comments included; “The food is very good. You have two choices each day”; “We have a good cook and a choice of meals”, and “The meals are good and the cook is excellent.” Woodlands Manor DS0000064444.V279435.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): 16 The home has a complaints system in place, with some evidence that residents feel that their views are listened to and acted upon. EVIDENCE: The home had a ‘Complaints, Suggestions and Compliments Policy’ which was displayed on the home’s notice board in the reception area. A Service Users’ handbook had also been developed, which included details of ‘Making a Complaint and Giving Compliments’. The home’s Complaints Record was viewed which showed that no complaints had been received since the last visit, however a resident had expressed five concerns and these had been documented and responded to promptly. The Commission for Social Care Inspection had received no complaints about the home in the last six months. A compliment had been recorded in the home’s compliment’s book during December 2005. Residents spoken with during the visit had no complaints about the home or the service provided. Feedback from three residents included; “I have no complaints. I am very satisfied”; “I am sure Lyndsey [Manager] would satisfy my concerns if I had to complain” and “Lyndsey [Manager] sorts things straight away. I can’t fault anything here.” Woodlands Manor DS0000064444.V279435.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 and 26 The environment is improving through continued investment and planning. This practice is providing residents with a more attractive and homely place to live. EVIDENCE: The new owner and manager had developed a maintenance plan for 2006, to identify work in need of priority attention. Work required by the home’s handyperson was clearly documented by the manager and records maintained. The home continued to benefit from ongoing investment and maintenance as required. Since the last visit a new ramp had been installed to improve access to the front entrance; radiator covers had been fitted throughout; the reception area, hallways and dining room had been redecorated and new furniture had been purchased for the dining room. Furthermore, five bedrooms had been fitted with new carpets; new light fittings had been installed to the landings, corridors, basement and conservatory and the laundry had been repainted and supplied with a new Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 16 tumble drier. The kitchen serving area had been re-tiled and a stainless steel unit had been installed. Areas viewed during the visit appeared free from obvious hazards and the fabric, fittings and decoration in some areas of the home had significantly improved. The external grounds were well maintained. Residents were pleased to see the home benefiting from investment. One resident said; “There is no doubt about it, this home is improving for the better” and another resident stated; “The new owner and manager are improving the home. They are doing very well considering the time they have had the home.” Areas viewed were clean and hygienic. Infection control policies and cleaning schedules were in place. The home employed two domestics and residents reported that the home was kept clean and tidy. One resident reported; “We have a housekeeper and she is fabulous.” Woodlands Manor DS0000064444.V279435.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): 28, 29 and 30 The welfare of residents was protected via the home’s recruitment procedures and practice. Some staff had not received the necessary training, to ensure competency in their role. EVIDENCE: One member of staff had commenced employment since the last visit. All preemployment checks and records required under the Care Home Regulations had been obtained. Since the last visit, the manager had obtained Protection Of Vulnerable Adults (POVA) checks for three staff that were not in place at the previous inspection. Examination of records and discussion with staff confirmed that new employees completed in-house induction training and also attended a ‘Working in Care Induction Standards’ training course. The manager reported that the home employed 10 care staff. Records showed that three staff had completed a National Vocational Qualification (NVQ) at level 2 or above (30 ). A fax from a training provider was viewed which confirmed that an additional three staff were studying the award and were due to complete by February 2006. Since the last inspection, a ‘Training Coordinator’ had been appointed to identify the training needs of staff and to coordinate training courses. A comprehensive training matrix had been developed by the Coordinator, which highlighted training completed by all staff to date and training required. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 18 Although a number of staff had not completed all Safe Working Practice training, provisional dates had been set to provide the outstanding training for some staff. Records showed that at the time of the visit, only two staff had completed dementia awareness training and no dates had been set for additional training. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 19 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 The home regularly reviews aspects of its performance through a programme of self-review and consultations, which includes seeking the views of residents. Some administration / records within the home require further attention, to ensure the welfare of residents are safeguarded. EVIDENCE: The manager (Miss Lyndsey Dee) was registered with the Commission for Social Care Inspection and had managed the home since approximately June 2005. Prior to her appointment, she had gained experience as a deputy manager in another home within the Cedars Care Group. The manager did not have the Registered Managers Award, however Miss Dee had completed a National Vocational Qualification (NVQ) level 4 in Management. At the time of the visit, the manager had not yet registered to complete the care element of the award. Records showed that the manager had completed a range of additional training that was relevant to the management of a residential care home for older Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 20 people with dementia care needs. There were clear lines of accountability within the home. Staff and residents interviewed spoke highly of the manager and her leadership qualities. One staff member said; “Lyndsey [Manager] is fair and approachable. The home is improving under her leadership.” Likewise a resident said; “Lyndsey [Manager] and the staff are lovely and willing to assist in any way they can.” The home commissioned an external organisation to undertake an annual quality assurance assessment. Quality assurance questionnaires were also distributed to residents and /or their relatives every three months. Summary records were completed and displayed on the home’s notice board. Resident meetings had been established and the manager reported that meetings were usually coordinated every 4-to-6 weeks. Minutes were available to provide a summary of the matters discussed. A suggestion box was also in place, to encourage residents to share their views privately. Residents spoken with during the visit expressed their appreciation of the consultation processes in the home. For example, a resident said; “They have a meeting and they ask for our views as to any complaints or how they could improve the home. They are trying to improve all the time. If you suggest anything they listen to you.” The home had a ‘Service User Finances Policy and Procedure’ in place. At the time of the visit, the manager was an appointee for one resident. All the other residents looked after their financial affairs independently or with support from family members or solicitors. The organisation’s head office was responsible for invoicing and administering fees. The manager looked after the personal allowances of 6 residents. Three records were viewed. One record had not been completed to record the balance of transactions and some transactions / receipts had not been recorded / obtained for the record sheet. Furthermore, the remaining two records contained recording errors and residents had not signed for money received. Since the last visit, the home had obtained a gas safety and fire alarm service certificate. Furthermore, a Legionella Risk Assessment had been commissioned and a certificate of cleaning and disinfecting of the cold water storage tanks was in place. Fire records showed that the fire alarm system was being tested on a weekly basis. The manager had produced a record, to monitor that staff received fire instruction training at appropriate intervals. Records showed that the emergency lighting was not being tested on a monthly basis and the water temperature outlets had last been tested on Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 21 1/09/05. Furthermore, some staff had not completed all safe practice and refresher training as identified in Standard 30. All other certificates were checked at the last inspection. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 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 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 23 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 OP30 Regulation 18 Requirement Safe practice training must be completed by all staff and refresher training must be completed periodically. [Previous timescale of 10/12/05 not met]. All financial transactions must be recorded on individual record sheets and receipts must be obtained for all money handled on behalf of residents. Timescale for action 23/03/06 2. OP35 17 (2) 23/02/06 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. 4. Refer to Standard OP3 OP7 OP28 OP30 Good Practice Recommendations All sections of the pre-admission assessment should be completed, prior to admission. Care plans should be updated to detail the support required by staff to meet all the assessed needs of residents. 50 of the care staff should have a NVQ in Care at level 2 or equivalent. All care staff should complete specialised training in the DS0000064444.V279435.R01.S.doc Version 5.1 Page 24 Woodlands Manor 5. 6. 7. 8. OP31 OP35 OP38 OP38 care of older people with dementia. The Manager should complete an award equivalent to the Registered Managers Award. Residents should sign transaction record sheets, to confirm they have received their money. The emergency lighting and fire extinguishers should be visually inspected on a monthly basis and records maintained. The hot water temperature outlets should be tested on a monthly basis. Woodlands Manor DS0000064444.V279435.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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