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Inspection on 12/02/07 for Woodlands Nursing Home

Also see our care home review for Woodlands Nursing Home for more information

This inspection was carried out on 12th February 2007.

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.

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

Although, as has been mentioned, there have been numerous visits to this home in the past 10 months, the major issues of concern surrounded the management as oppose to the actual care being provided. As on other visits it was felt on this inspection that the staff team were kind, supportive and attentive. This is particularly notable given the considerable criticism that has been directed at the home following earlier inspections.

What has improved since the last inspection?

CARE HOMES FOR OLDER PEOPLE Woodlands Nursing Home Woodlands Nursing Home 38 Smitham Bottom Lane Purley Surrey CR8 3DA Lead Inspector Margaret Lynes Key Unannounced Inspection 12th February 2007 10:30 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 Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Nursing Home Address Woodlands Nursing Home 38 Smitham Bottom Lane Purley Surrey CR8 3DA 020 8645 9339 F/P 020 8668 9371 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) Guidebefore Limited Post Vacant Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow one specified resident with a learning disability to be admitted for as long as the home can continue to meet all of the resident’s assessed needs. Date of last inspection Brief Description of the Service: Woodlands is a home registered for up to eighteen service users who, because of their age and general infirmity, require nursing care. Its relatively small size lends itself to the creation of a homely atmosphere not always seen in larger establishments. The home is situated in the pleasant suburb of Purley, within reasonably easy reach of the centre of Croydon and well placed for access to road and rail links. The home provides information about its services in a Service User Guide, which is made available to current and potential Service Users. Additional information can be found in the home’s Statement of Purpose. The current weekly fees (as provided at the time of this inspection) range from £525 to £550. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over the course of 6.5 hours, and consisted of meeting with service users and staff, a tour of the premises and examination of documentation. This was actually the home’s second key inspection, and seventh inspection visit in total this year – which illustrates the considerable concerns of the Commission with regard to some aspects of the management of this establishment. Over the course of those previous six visits, the number of outstanding/new requirements had gradually decreased. The inspection visit that preceded this key inspection indicated that there were just four outstanding requirements, and indeed progress had been made with regard to three of them. This visit has resulted in 16 new requirements and 3 recommendations. While this might seem to be a high number, none of them are difficult to achieve and in doing so the home will raise the quality of its service. It was felt that further progress has again been made with regard to the previously made requirements relating to staff training, however errors were again noted on the medication administration records. It is to be hoped, with the recent appointment of a new manager, that the home can continue to improve, and that the hard work of the care staff is mirrored by appropriate management. Evidence to support the comments below was gathered from a range of sources – the service users themselves, members of staff and inspection records. What the service does well: What has improved since the last inspection? Progress has continued with regard to staff training and development – issues that were highlighted in a number of previous inspection reports. The appointment of a new manager should also be considered in a positive light. It Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 6 is considered that the home has sufficiently improved for it to be deemed to be providing an adequate as opposed to poor service. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 is not applicable) Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Just one new service user had been admitted to the home since the last inspection visit. From inspection of their file it was felt that the home should have obtained more detailed information regarding this individual prior to admission. Failure to do so means that it is feasible that the home may not be able to meet all of the service user’s individual needs, and also that staff may not be as familiar with the specific care needs as they should be. EVIDENCE: Although the home has the luxury of being able to contact family members of the newest resident with ease, this should not detract from the need to conduct a thorough pre-admission assessment before a placement is agreed. While it is only fair to note that an assessment was carried out, it was lacking in detail, and needed improvement. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. While there was still room for further improvement, the service user plans were better than at the previous visit, and to a greater or lesser extent they set out the health, personal and social care needs of each resident. This means that staff should be better informed as to the individual care they need to provide to each service user. Although an outstanding requirement, the accuracy of the medication charts had not improved. Clearly any errors with regard to medication can have serious consequences for service users. Staff must be more diligent in this respect. Service users generally felt that they were treated with respect and their right to privacy upheld. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 10 EVIDENCE: The service user plans for three service users were examined. While each of the residents did have a plan, and it was being reviewed monthly, it was not felt by the Inspector that they were sufficiently detailed or individualised to the extent that they should be. This is largely due to the fact that the home uses a pre-printed standard care plan – the same for each service user. These should then be amended as necessary, but in several cases either the amendments had not been done, or had not been done but not quite well enough. The newly appointed manager had, in the short while she had been in post, identified that there was a need for a revamp of the care planning system, and she is already starting to implement her changes. It is anticipated that by the time of the next inspection the service user plans will more than adequately cover the specific health, personal and social needs of each resident. Examination of the aforementioned files indicated that in most instances the expected health care documentation had been completed. This included assessments regarding continence, risk, moving and handling and pressure area care. The exceptions to this were with regard to one file lacking a pressure area assessment, and another having an outdated moving and handling assessment. Although it has been a requirement in a number of previous reports, examination of the medication administration records revealed that staff were still making some errors re recording. Several gaps were found were staff had failed to sign to say medication had been given. It was also noted that on occasion staff had signed to say medication had been given, then overwritten this to indicate it had been omitted. This gives the impression that staff are signing the record before giving the medication rather than after it. Such practice should be avoided. The new manager has introduced a medication receipt and a medication disposal book. This is good practice. The medication procedure has also recently been reviewed. Several residents kindly took the trouble to speak with the Inspector. None raised any concerns as to the way that they were being cared for. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. A number of activities are provided for service users, including visits from external entertainers. While this is commendable, it is still felt that there needs to be more specific information ascertained and recorded with regard to each service users individual social care needs. One this is done staff will be able to match activities to personal choice. Visitors are encouraged and made welcome. The service users benefit from good home-cooked meals, and following previous comments regarding menu choice, the menus have been reviewed. This means that individual preferences are better catered for, and service users right to choice is further promoted. EVIDENCE: As mentioned above, the home provides a number of various activities for its residents. A record of all that has been provided is maintained. While this is Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 12 good practice, the need to fully assess each service users’ individual needs was discussed with the manager. The service user plans that were examined contained reference to social care needs, but a standard pre-printed care plan had been used, which meant that the plans lacked individuality. The manager was in agreement that more specific assessment and recording needed to take place. This must also include how each service user’s religious needs are to be met. Although the opportunity to talk with relatives and other visitors did not arise on this visit, previous discussions have shown that staff encourage family and friends to maintain contact, and they are made welcome in the home. Following the last key inspection, comment was made regarding the lack of meal choice for service users. Although the quality of the meals was good, the menus themselves lacked variety. This has improved, and it was pleasing to see that the home was adequately catering for a client with specific (religious) dietary needs. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has appropriate procedures in place re complaints and the protection of vulnerable adults. This means that service users and their relatives/friends should be confident that their complaints will be listened to and dealt with appropriately; and also that the service users are as protected as is possible from abuse. EVIDENCE: The new manager has put into place a new complaints record book, albeit there have not been any complaints made since she took up her post, and none have been received by the Commission since September 2006. It was pleasing to note that the proprietors had made it clear on the notice board that they were happy to be approached by any service user or their representative if they had concerns. Following earlier inspection visits it was required that steps be taken to ensure that staff underwent appropriate training in adult protection. After much delay, a course has now been booked with the Local Authority’s adult protection coordinator, who is visiting the home at the end of February to provide training for the majority of the staff team. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. A tour of the premises indicated that although the home is now looking a little worn, and in need of general refurbishment, in most areas it was clean, safe and provided a homely environment for its residents. EVIDENCE: The proprietors have acknowledged that Woodlands is in need of redecoration/ refurbishment, and this is included in their long term development plans for the home. In the interim, every effort must be made to ensure that the premises are kept as clean and safe as is possible. A number of relatively minor issues were noted on the walk around the home. These related to the need to ensure that all lights are working, all sinks are Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 15 fitted with plugs, to ensure that the edges of over bed tables are not cracked and broken (thus posing a risk to residents), to ensure all extractor fans are regularly cleaned and to deep clean some of the bedroom and hallway carpets. Somewhat surprisingly, on entry to the home on this visit there was a noticeable odour. The manager concurred and indeed had already asked ancillary staff to take action. Although certain carpets were quickly washed, the odour persisted, therefore further investigation and cleaning is required. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The rota examined indicated that the previously arranged staffing levels were being maintained. This means that the needs of service users should be attended to promptly. The home has achieved the minimum 50 of care staff with an NVQ award, as outlined in the National Minimum Standards. This means that the carers should have the competencies to carry out their duties to a satisfactory standard. With one relatively minor exception, the staff files inspected contained the required documentation. This means that the service users are both supported and protected by the home’s recruitment policy and practices. One the new manager has been able to put into place her plans re staff training, the home should be able to fully meet the Standards regarding staff development. EVIDENCE: The rota provided indicated that there were usually five staff on duty in the morning, four in the afternoon/evening and two at night. At present the new Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 17 manager is supernumerary to the rota. It would be good practice for this to remain the case. The files of two new staff were examined. With the exception of a missing photograph in one, both contained all of the documentation required in the Regulations. It was noted that in both cases the staff had indicated, via a simple tick box, that they did not have any health problems. However the home does have a more comprehensive health declaration, which is normally used. The manager was advised that it would be good practice to use this documentation for all new staff members. Of the twelve carers in the home, it is commendable that seven have already achieved NVQ awards (one level I, three level II, two level III and one level IV), while two are working towards a level II award. Mention has been made of the forthcoming adult protection training course that has been arranged for staff. In addition refresher training has been held for some staff in moving and handling, and there are plans to arrange a Food Hygiene course. The new manager acknowledged that there was a need for a staff training and development plan to be drawn up, and she is currently discussing training needs with the staff team. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. It is promising that a new manager has been recruited, and it is to be hoped that this will lead to a period of stability for the home. Once the manager has had a chance to introduce her own management style, compliance with this Standard can be assessed. The manager has introduced a number of quality monitoring systems, however there remain a number of areas still to be covered, including determining the views of service users, their family and friends and other relevant persons. Once these systems are in place, the registered persons should be able to ensure that Woodlands is run in the best interests of the service users. One of the issues that the new manager has already started to tackle is staff supervision. Once this is established on a regular basis, both staff and service Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 19 users can be confident that the care practice in the home is in keeping with Woodland’s philosophy of care and its Statement of Purpose. While in most areas the home was deemed to provide a safe environment for service users and, indeed, staff, there were several issues where action needed to be taken before the Standards and Regulations are fully met. EVIDENCE: The new manager has only been in post for a matter of weeks, therefore it is unreasonable, at this stage, to try to ascertain her ability to run this home. What is already noticeable, however, is that her arrival has had a positive impact on the staff team, and she has already begun to introduce new systems and practice which should, over time, enable the home to improve the overall quality of the service provided. One way to determine if the quality of the service is satisfactory is to make use of quality assurance systems. Some have already been newly introduced – such as audits of the laundry, medication, food and nutrition. The manager acknowledged that there was a need to seek the views of service users, their families and friends and other relevant stakeholders in the very near future. The proprietors must also ensure that they visit the home on a monthly basis, and produce a report of each visit. The financial records for service users were not examined on this visit. At previous inspection visits it was determined that the majority of service users had their finances looked after by their family or by their placing authority. Just a couple had pocket money looked after by the home. For all expenditure, receipts are obtained and annually the records passed to an accountant for auditing. It was previously required that the amount of staff supervision be increased, so that the level recommended in the Standards be achieved. The manager has already drawn up a supervision plan, which should enable all care staff to receive formal supervision on a two-monthly basis. The documentation relating to maintenance was well kept and up to date. This included the servicing of the lift; hoists; Parker bath; electrical equipment, fire fighting equipment and the fire alarm system. There were, however several issues that require attention. Firstly, the bath hot water temperature was measured at 48˚C, which is too hot. Secondly, all dangerous (COSHH) substances must be kept in a locked cupboard – including cleaning fluids. Thirdly, regular health and safety risk assessments must be carried out; and finally staff must undergo regular fire drills (on a quarterly basis, with at least one at night). Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X 3 X 2 Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 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. 2 Standard OP30 Regulation 18 Requirement The registered person must ensure that there is an adequate training and development programme in place for staff. While not yet fully met, further progress has been made. The registered person must ensure that medication is administered appropriately. Previous timescale not met. The registered person must ensure that a full pre-admission assessment is carried out. The registered person must ensure that service user plans are specific to each resident. The registered person must ensure that all health care assessments are carried out and regularly updated. The registered person must ensure that the social care needs, including religious needs, of each service user are identified, recorded and acted DS0000019048.V330168.R01.S.doc Timescale for action 31/03/07 4 OP9 13 12/02/07 1 2 3 OP3 OP7 OP8 14 15 12 12/02/07 31/03/07 31/03/07 4 OP12 16 31/03/07 Woodlands Nursing Home Version 5.2 Page 22 5 6 7 8 9 OP19 OP19 OP19 OP19 OP19 23 23 23 23 23 10 OP26 16 11 OP29 19 12 OP33 24/26 13 OP38 13 14 15 OP38 OP38 13 13 16 OP38 13 upon. The registered person must ensure that all light fittings are in working order. The registered person must ensure that all over bed tables are in a good state of repair. The registered person must ensure that all extractor fans are cleaned on a regular basis. The registered person must ensure that all sinks are fitted with plugs. The registered person must ensure that where appropriate carpets are regularly cleaned (and replaced when necessary). The registered person must ensure that steps are taken to ensure that there are no malodours in the home. The registered person must ensure that all new staff supply all of the documentation listed in the Regulations. The registered person must ensure that there are appropriate quality assurance systems in the home, including ascertaining the views of service users and conducting Regulation 26 visits. The registered person must ensure that the bath hot water temperature does not exceed 43˚C. The registered person must ensure that all COSHH substances are securely kept. The registered person must ensure that health and safety risk assessments are periodically carried out and recorded. The registered person must ensure that fire drills are carried out on a quarterly basis, with at least one of these being at night. DS0000019048.V330168.R01.S.doc 12/02/07 31/03/07 12/02/07 15/02/07 31/03/07 13/02/07 28/02/07 28/02/07 12/02/07 12/02/07 31/03/07 31/03/07 Woodlands Nursing Home Version 5.2 Page 23 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 OP19 OP19 OP19 Good Practice Recommendations It would be good practice to ensure that the adhesive residue on the new shower tiles is removed. It would be good practice to monitor the quality of the linen and discard any that is stained. It would be beneficial for service users if the extractor fans in en-suite WC’s are regularly serviced so that they run quietly. Woodlands Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Nursing Home DS0000019048.V330168.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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