Inspection on 19/12/07 for Woodlands Villa

This inspection was carried out on 19th December 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodlands Villa 20/03/07

Woodlands Villa 01/11/05

Woodlands Villa 17/02/05

Woodlands Villa 16/01/05

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Woodlands Villa 496 Loose Road Maidstone Kent ME15 9UF Lead Inspector Eamonn Kelly Unannounced Inspection 19 December 2007 11:00 th Woodlands Villa DS0000024084.V352367.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 Villa DS0000024084.V352367.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 Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Villa Address 496 Loose Road Maidstone Kent ME15 9UF 01622 746295 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) Mrs Ellen Russell Mrs Ellen Russell Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13) of places Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th March 2007 Brief Description of the Service: Woodlands Villa provides accommodation on the ground and first floors for up to 13 residents. Four residents live in shared bedrooms, the remainder have single bedrooms. The premises are located about 1½ miles from Maidstone town centre. There are a number of services and amenities within walking distance, a bus stop nearby and car parking available at the front. Weekly fees are £490. Residents meet additional costs, for example, for holidays, hairdressing, travel, entry charges to external amenities and personal spending. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 19th December 2007. It consisted of meeting with Mrs Russell (owner/registered manager), support workers and residents. Care practices were observed and discussed. A variety of records was seen during the visit principally those that supported the care of residents. The commission received a completed annual quality assurance assessment (AQAA). Residents are well supported by members of staff. They live in a comfortable and relaxed environment in the company of support workers and members of the owner’s family. Some members of the owner’s family live on the premises. It was difficult to gain access to all relevant documents and the premises are not maintained throughout in a sufficiently safe way. Some documents relating to staffing arrangements were not available for inspection. Care plan records are not sufficiently detailed but case tracking of some resident’s support indicated that this is not detrimental to their essential support. The requirement in the report is repeated from the previous inspection and remains unmet. This and the other improvements in the last paragraph below needs to be addressed so that the business’s statement of purpose is valid. What the service does well: What has improved since the last inspection? What they could do better: Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 6 Previous inspection reports and evidence of appropriate contacts with social and healthcare services indicate that the service provides good outcomes for residents. They are at the centre of service provision but shortfalls remain in maintaining the required records that evidence practice standards. Medication administration should be recorded when it happens. Care plan records should be more up-to-date and accurate. They must also contain accurate information about pre-admission assessments without undue reliance, as now, on the care management order/assessment. The premises, particularly communal areas and passageways, should be maintained more safely and staff certificates should not be displayed on walls. A list of all support staff and family member’s CRB’s must be maintained. A staff file with relevant up-todate information must be maintained for every person who works on the premises. There must be sufficient records maintained relating to staff training and supervision: this is additionally important as aspects of these activities have been delegated by Mrs Russell to a visiting trainer. 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 Villa DS0000024084.V352367.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 Villa DS0000024084.V352367.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Prospective residents can be confident that their needs will be assessed to such an extent as to enable their support requirements to be properly met. EVIDENCE: Prospective residents and their supporters receive a written guide to the home as part of admission procedures. Assessment procedures are in place and, in the rare event where a resident must leave, the appropriate agencies are closely involved. New residents are gradually introduced over an agreed period of time and they visit as often as necessary before taking up residence. However, care plan records contain inadequate information about pre-admission assessments although the procedure described by Mrs Russell is appropriate. There should be less reliance on the order/care schedule obtained from the placement agency. Each resident receives a personal contract that outlines the rights and responsibilities of both parties (the owners and the resident). This is in addition to any contract the owner has with local authorities on behalf of residents sponsored by that placing organisation. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 9 Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents are helped to make decisions and to express themselves as part of developing their confidence and quality of life. However, care plan records do not fully reflect the levels of support in place or planned. EVIDENCE: Residents are helped and encouraged to have paid and voluntary employment, learning opportunities within and outside the premises, an agreed and active lifestyle, and appropriate leisure opportunities. Members of staff outlined examples of these in a number of cases. Residents are encouraged to assist with household tasks and agreements are in place in this respect. All activities are subject to change depending on the progress and current disposition of individual residents. The identification of personal goals and measurement of the extent of achieving these goals are not sufficiently outlined in care plan records. However, these contain some detail around routines and support. Health and Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 11 social care professionals referred to in care plan records suggest that specialist advice and guidance is incorporated into the support plans appropriately. This is particularly relevant in relation to guidance received from the mental health centre. Support staff complete daily records towards the end of their shifts to note how residents are progressing. Mrs Russell and members of staff outlined how residents are helped to address difficulties they are experiencing and how it is important to prepare them for living successfully in the community. To achieve these objectives, the business promotes resident independence and development of their living skills. There is an expectation that residents undertake household tasks and take responsibility for their own daily routines. Some resident referred to the household tasks and their responsibilities for daily routines. These tasks include participation in laundry tasks, assisting with meal preparation, using kitchen appliances, maintaining their bedrooms, planning expenditure including payment of additional costs they incur. Residents are helped to take responsible risks and the key-worker, owner/manager and the resident discuss these. Progress or lack of progress against projected goals is reassessed at least quarterly but also when necessary. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11-17. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Routines and activities developed with each resident give them opportunities to exercise preferences on a day-to-day basis. They are helped to take part in activities they enjoy and to be a part of community life. Restrictions within daily routines need to be evidenced within support plans and agreed with care managers as part of each persons support plan. EVIDENCE: Residents have a varied and active lifestyle. All have individual and agreed responsibilities for household tasks (cleaning their bedroom, doing their own laundry and ironing, preparation of meals). They participate in activities in the community; examples are work placements, paper round, employment and attendance at local activities. Residents make use of public transport and are helped to be independent travellers; members of staff help with some route orientation when residents are first admitted or subsequently change their travel routines and plans. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 13 Residents say they are encouraged to retain contact with friends and relatives. Members of staff say that supervision and guidance is sometimes necessary in helping residents deal appropriately with some new friends. Similarly, discreet guidance is provided in helping residents with assistance when they enter into new friendships. The atmosphere at the premises is relaxed; residents and staff co-operated with each other and there was a high level of harmony at the time of the inspection visit. The previous inspection report referred to some aspects of restraint (for example, bedroom doors left unlocked/some residents requesting a key). Residents do not have lockable spaces in their bedrooms for storing articles they regard as private. Mrs Russell is aware that reasons for restraints should be included in care plan records and indicated she would do so when care plan recording is improved in early 2008. Residents are involved with planning menus and meal preparation; some take turns in helping to prepare/serve meals. Some say they make their own breakfast and several were using the kitchen at the time of the inspection visit. It is understood that residents and staff eat together for the evening meal. A resident said they can use the kitchen into late in the evening and that they are responsible for cleaning up afterwards. Part of the mid-day meal was observed and residents say they are content with meals provided and with how they take part in all aspects of meal preparation. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents receive good physical, emotional and personal support. However, procedures relating to medication administration need to be improved for the continuing safety of residents. EVIDENCE: Residents undertake their own personal care routines; this may on occasion require some additional prompting or supervision by staff. Care plan records suggest good access by residents to GP’s and they have routine dental and optician appointments. The records also confirmed the availability of specialist appointments particularly where contact with the mental health service is required. Chiropody is provided to those who need it. Mrs Russell outlined how, in the case of three residents whose support needs were discussed, their metal health requirements are kept under constant review and professional assistance is obtained to supplement current levels of staff support and knowledge of their conditions. Where a resident can look after his/her medicines, support is provided to help the resident do so safely. MAR sheets are updated after a member of staff Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 15 confirms he/she has taken the prescribed medication. A new safe has been obtained to hold a resident’s medicines and this will be placed within the existing locked cupboard. Some MAR sheets were not updated properly and Mrs Russell said this would be rectified immediately. She also undertook to review all aspects of storing and administering medicines. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents are protected from abuse and are able to make their views known to members of staff. Staff records should indicate more clearly how members of staff receive the training and support needed for assisting residents in this important area. EVIDENCE: No complaints or serious concerns were received since the last inspection. Residents say they would speak with staff or a friend if they were unhappy or had concerns that were not being addressed. They are encouraged to express their views and have private meetings to deal with specific issues. Resident meetings provide opportunities to discuss issues routine arrangements or matters of concern with staff. Most residents have access to social and healthcare staff outside of the home and can also raise concerns through this route. Members of staff are confident that they receive appropriate training in local authority adult protection procedures. There is an awareness of what constitutes adult abuse and of how to deal with concerns about resident’s safety. The home has a complaints procedure. Discussion with the provider indicated that there has been at least one occasion where a service user has exhibited extreme violence towards a member of the staff team, whilst this was unusual, discussions with staff Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 17 indicated that they would in such cases try to de-escalate the situation and remove other users safety. As stated in the previous inspection report, whilst support workers have experience of behaviour monitoring there should be evidence that appropriate support and training (and updates) is provided. The lack of suitable staff records indicates the possibility that training and support may not be consistent for all staff. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28, 30. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. The premises are broadly suitable for the support of residents. However, the premises should be maintained better and infection control measures improved. EVIDENCE: Two bedrooms are shared. One of the shared bedrooms has suitable privacy screens. Some communal areas are used for storage and this could be unsafe for residents and staff. Parts of the premises are a little run-down and do not match the photographs or descriptions published in the written pre-admission guide. Several walls in communal areas including the kitchen have staff training certificates displayed. Elsewhere there are many signs and instructions to staff and residents on doors and walls. This adds to the confusing nature of the premises. The previous inspection report suggested that improvements be made but this has not happened. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 19 There are good communal facilities for staff, residents and visitors. Paper hand towels are not provided in hand wash areas (cloth towels are used). The previous inspection report suggested that infection control measures be improved but these improvements have not been implemented. Residents have responsibility for their own laundry and facilities are provided for this. Some clothes are dried on a line in the garden. Unusually laundry facilities are at the entrance door rather than in an enclosed area. The premises have a stair lift that is not currently used; it is retained for use by older residents and for those who may in time have reduced mobility. A new fire risk assessment was completed in November 2006; the commission understands that recommendations from that assessment have been implemented. The annual quality assurance assessment (AQAA) states that essential safety measures have been put into place. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. The home is still to achieve expected standards of qualified staff. Staff confidence in dealing with some challenging behaviours by residents should be improved by access to more specialised training. The business should have clear records of formal supervisions carried out with staff. EVIDENCE: The business is able to demonstrate a commitment to the training of staff. It is said that all staff have achieved NVQ Level 2 in Care and other training appropriate to the support needs of residents. In the continuing absence of appropriate staff files for all members of staff, it is not possible to check the sources and levels of such training. From the sample of staff records seen, it is not possible to assess the standards of formal supervision and induction. The commission was not provided with access to an up-to-date list of staff showing names, the date and reference number of CRB checks and outcomes. Some files still contained copies of CRB checks dating back to 2002 and there is no policy about requiring staff to undertake new checks. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 21 Mrs Russell says all members of staff have completed NVQ Level 2 in Care and that each holds an “appointed person” first aid certificate, up-to-date lifting/moving of vulnerable people training, infection control training, medication training and training in health & safety and fire safety. A member of the owner’s family is an NVQ verifier; another is a trained trainer in moving/handling vulnerable people. Mrs Russell has delegated much of the staffing arrangements to a visiting trainer. It is probable that the low turnover of staff in recent years has contributed to the lack of appropriate procedures and records for recruitment, supervision and training. This was also taken into account in the previous inspection report. Members of staff are able to work effectively with residents and say they are familiar with procedures to be followed. It is necessary for the business to now have all required records available for inspection and up-todate. The previous inspection report indicates that whilst staff work well with residents they would benefit from additional mental health training particularly around working with residents who may challenge the service (for example, refusal to medicate, self-neglect, non participation, other areas that staff experience most difficulty in working with residents). In addition to better recruitment, supervision and “Skills for Care” standard induction, residents and staff are likely to benefit from this additional personal development. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. The home is conducted primarily in the interests of residents. Updating of policies and procedures and improved recording of key events is necessary. Some aspects of safety within the premises need to be addressed. EVIDENCE: The service is family run with various family members taking roles within the staff team and some providing support (for example, counselling, moving and handling training, night-time support, NVQ training). Mrs Russell has not pursued NVQ4 or registered manager award (RMA) training in view of plans for retirement. She has significant experience in caring for people with mental health difficulties and, prior to this, in supporting older people in residential accommodation. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 23 There is a supportive and caring atmosphere at the premises that obviously enables residents to develop daily routines and practical skills at their own pace and level. Residents are asked for their views about the service through questionnaires and user meetings. The business does not produce a report analysing resident feedback or how this influences service development. The annual quality assessment (AQAA) suggests that this is an area that will be developed. Policies and procedures are not routinely reviewed in line with changes to legislation and guidance although the business can evidence that resident’s support needs are identified and addressed. Whilst some records relating to the health and care needs of service users are maintained, this report refers mainly to areas in policy and procedure development and staff recruitment/supervision/training improvements that need further reflection and progression. Mrs Russell stated that all necessary servicing of equipment and services has been undertaken. Examples of servicing certificates, portable appliance tests (PAT), gas/electrical installation/electrical equipment/fire alarm/extinguishers were made available for inspection and the AQAA states that safety measures have been addressed. A fire safety log is maintained; this records appropriate testing of call points and fire drills and premises evacuation tests. This report refers to blockages of corridors and some communal areas and the many confusing written instructions on walls and doors for staff and residents (including the display of staff certificates on walls throughout the premises). Infection control measures should be improved for the safety of residents and staff. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 2 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 2 29 x 30 2 STAFFING Standard No Score 31 x 32 2 33 x 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 x 3 x 2 2 x Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 25 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 YA41YA41 YA6YA6 YA34YA34 Regulation 17 Requirement The business must ensure that it routinely updates and maintains all required records. This includes the need for clear individual care plan records and staff files. Also a list of all staff showing the date of CRB’s, the reference number and date of the check and outcome should be maintained. This requirement is carried forward from the previous inspection report and remains unmet. Timescale for action 15/02/08 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. Refer to Standard YA2YA2 YA16YA16 Good Practice Recommendations The business should evidence information gained during assessment visits that informs decisions around admission and development of support plans. Restrictions around provision of keys to bedrooms, DS0000024084.V352367.R01.S.doc Version 5.2 Page 26 Woodlands Villa 3. YA23YA23 4. 5 YA30YA30 YA24YA24 smoking etc need to be clearly evidenced within individual care plans. The development of behaviour guidelines for those residents who challenge the service would aid staff in providing a consistent support in keeping with advice from health and social care professionals. Infection control measures would be improved by the provision of paper hand towels in wash areas. Communal areas and corridors should be kept free of obstructions. Woodlands Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Villa DS0000024084.V352367.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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