Inspection on 13/03/07 for Woodlarks Workshop

This inspection was carried out on 13th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodlarks Workshop 06/12/07

Woodlarks Workshop 19/05/06

Woodlarks Workshop 30/08/05

Woodlarks Workshop 04/05/05

Woodlarks Workshop 09/12/04

Woodlarks Workshop 15/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Woodlarks Workshop Lodge Hill Road Farnham Surrey GU10 3RB Lead Inspector Vera Bulbeck Unannounced Inspection 13 March 2007 10:00 th Woodlarks Workshop DS0000013841.V330041.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 Woodlarks Workshop DS0000013841.V330041.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. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlarks Workshop Address Lodge Hill Road Farnham Surrey GU10 3RB 01252 714041 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) Woodlarks Workshop Trust Mrs Moira Joan Woodage Care Home 22 Category(ies) of Physical disability (18), Physical disability over registration, with number 65 years of age (4), Sensory impairment (1) of places Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 18 RESIDENTS WITHIN THE AGE RANGE OF 18 - 64 YEARS & 4 RESIDENTS 65 YEARS & OVER One service user with a sensory impairment Date of last inspection 19th May 2006 Brief Description of the Service: Woodlarks Workshop is a care home offering personal care for people with physical disabilities who are mostly below the age of 65 years. The purpose of Woodlarks Workshop is to provide opportunities for service users to develop personal and independent skills in a setting where their social and emotional needs are met in a safe and supportive environment. The sheltered workshop facility is pivotal to the daily activities for service users, and the service additionally offers respite care. Communal lounges are light and spacious and there is a dining area where meals are served in two sittings. Bedroom accommodation is in single rooms. All have a designated living area, facilities for making drinks, a private telephone and a lockable storage facility. The building is on two levels served by two passenger lifts. The design of the environment is suitable to meet the specific needs of the service user group, many of whom have lived at Woodlarks for many years. There is a small gymnasium used for physiotherapy sessions and personal exercise. Woodlarks Workshop is situated in a semi rural location on the outskirts of Farnham, surrounded by well-maintained spacious grounds. Local shops and community amenities are within a short distance by car, and the home is accessible by rail, the station being located in the town. There is ample car parking facilities in the front of the building. The range of fees is from £575.00 - £650.00 per week. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over seven hours commencing at 10.10 am and ending at 17.15pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Three care plans were sampled and the care observed for the three individuals. The majority of individuals were spoken too and a number of staff was spoken with during the visit. The registered manager was on duty Mrs M Woodage on the day of the site visit and the assistant manager was also on duty and both were present throughout the inspection. There were twenty-one residents living in the home and one vacancy. The vacant bedroom is mainly used for respite residents. The inspector would like to thank the residents and staff for their co-operation and hospitality during the inspection. The service users living in the home wish to be called residents, therefore service users will be referred to as residents throughout the report. What the service does well: Resident’s views are continually sought to improve the service the home provides. Regular meetings are held with residents in the home and in the workshop. The inspector spoke to the majority of residents; and mainly residents were complimentary towards the staff, regarding the care provided and the staff team. Residents’ living in the home appeared to be happy; they were well dressed and some stated they enjoyed their lunch on the day of the site visit. Resident’s are able to exercise their choice in the home. The inspector spoke with a number of staff on duty who commented they feel supported by the management of the home and work as a stable team. The home was homely and welcoming and all areas in the home were nicely decorated and furnished. Some resident’s had some items of furniture in their bedrooms, which they had purchased. The registered manager and staff team are committed to providing a safe and homely environment for residents. Resident’s are encouraged to engage in the daily running of the home and their views are continually sought to improve the service the home provides. This is maintained by the use of listening, and talking to residents. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 6 It was observed at the time of the site visit that residents and staff have a good rapport. What has improved since the last inspection? 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. Woodlarks Workshop DS0000013841.V330041.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 Woodlarks Workshop DS0000013841.V330041.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make individual choices about the level of care they receive. The majority of residents lead an independent lifestyle. Residents’ needs and aspirations are assessed and met. EVIDENCE: Individual assessments are carried out for each resident and these are reviewed every six months or more frequently if necessary. The assessments cover all aspects of the person’s needs and provide detailed information and guidance for staff members to follow in order to meet residents needs. There have not been any new residents in the home for two years. The home uses an assessment tool to ensure the home is able to meet the residents needs. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The resident’s individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences and choices, and also include in-depth risk assessments. EVIDENCE: All residents are involved with their care planning. The majority of the residents are able to live independently and one resident plans to move into independent living in about eight weeks time. Another resident is working towards moving into independent living in the very near future. Two residents plan on moving out of Woodlarks Workshop to be near their family when there is a vacancy in the home already identified. Relatives are made aware of the care plan and invited to be involved. However, the registered manager stated that relatives are generally happy with the care provided and this was evidenced in the comment cards received from relatives at the previous inspection. The registered manager informed Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 10 the inspector that she has a good working relationship with relatives and keeps them up to date with any areas that need to be discussed by telephoning or writing. Resident’s care plans are in the process of being updated and completed in a number of formats to enable residents who have difficulty reading the care plan. There are regular six monthly reviews with residents involved. The deputy manager informed the inspector one resident has an advocate this has been arranged by the home, because the resident has no family contact. Staff informed the inspector that residents are supported to make decisions affecting their lives in a number of ways. Each resident has an allocated key worker, who is trained to offer one to one support and who knows the residents well and understands their needs. The residents confirmed this information during a discussion. Formal residents meetings are held and staff are able to discuss with the residents, any planned activities to enable residents to make decisions and choices, for holidays, menu planning and outings. For example a resident spoke of going out with staff to Farnham to a shopping centre. The majority of residents are able to take control of their finances, the administrator manages residents finances and the registered manager is the appointee. The responsible person monitors this process on a regular monthly basis. . All residents are aware of the fire drill and move out of the building when necessary, this was demonstrated in the fire record book of all residents being involved and indicating residents were out of the building within a few minutes. Residents are able to access the garden at all times. The home has an automatic closure on the front door. A missing person procedure is in place in the event of an emergency. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s rights are taken seriously and staff responsibilities are recognised by the residents and appropriate action is taken to ensure residents are protected from harm and abuse. EVIDENCE: The majority of residents attend the workshop on a daily basis with a half-day on Fridays. Two residents have retired and no longer work in the workshop. Six residents attend the Adult Education centre and three residents attend music sessions. Another resident works in Guildford in a local charity shop. All the residents are going to Chichester in April to have lunch with the Mayor. This is an annual all day event and afterwards residents are able to go shopping and have afternoon tea. Several residents stated they were looking forward to going to the event. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 12 A number of residents went on holiday last year and there are plans for holidays this year with no definite arrangements yet made. Some residents prefer to go out for days rather than go away on holiday. This is a matter of resident’s choice. Residents seem to have a very busy social life. Outings are arranged by the management of the home to concerts, theatre, trips on the canal and a favourite of the majority of the residents to go shopping. It was observed, that staff knock before entering residents bedrooms and that personal care is offered discreetly. Residents are addressed in the way that they prefer. Residents are registered on the electoral roll. Some household routines are undertaken by the residents with staff support to enable residents to share their home’s facilities and to maintain harmony within the household. Resident’s individual choices of meals were recorded on the weekly menu plan. A dietician is involved with the menu planning and also has input with all the residents. Staff advised that information is provided to residents to assist with decision making and this is in a format to suit their individual needs. The cook has worked in the home for a number of years and knows all the residents well and is able to offer meals residents enjoy. A number of residents stated the food is very good. The food looked nourishing and nutritional. The cook explained on a monthly basis she cooks for theme days for example on St Patrick’s day a few days following the inspection, she is cooking an Irish stew and soda bread, the dining area will be decorated in the traditional Irish manner. A number of residents hold a key to their bedroom and they mainly lock their bedroom doors when out of their room. Care plans are documented to include the reasons for any resident who does not hold a key to their bedroom. One resident has a budgie named Tommy who speaks; the resident informed the inspector she looks after him well. He would appear to be a very pampered budgie who takes pride of place on the window sill of the residents bedroom. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: The inspector was informed by several residents they are able to choose when to go to bed and when to get up and staff support residents to choose their own clothes, hairstyles and other aspects of personal grooming. The inspector was informed that residents are able to choose the members of staff who accompany them on holiday. It was also noted that a number of agency staff work in the home, all the agency staff are employed on a regular basis to ensure residents have the opportunity of knowing the staff well. Healthcare needs were met this was evidenced in the care plans; all the residents have regular checks by various health professionals and a regular yearly check by the GP. Medication records were well documented and stored appropriately. There are currently eleven residents who are able to self medicate, all residents have Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 14 been risk assessed to ensure they receive their medication as directed by the doctor. One resident is on controlled medication this was seen to be documented with two required signatures and the total number of tablets were well recorded. The pharmacist gives regular advice and all staff has received appropriate training. The deputy manager stated she has the overall responsibility to ensure medication is administered appropriately staff are trained and records are documented as required. It was noted that two members of staff are to complete medication training. However, the deputy manager confirmed that staff are not permitted to undertake administering medication without having the appropriate training. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse, and to ensure that resident’s views will be listened to. EVIDENCE: There were six recorded complaints in the home since the last inspection; the registered manager stated the complaints had been received mainly from residents and one from a relative. The complaints had been dealt with efficiently and appropriately within the twenty-eight days response time. The home has produced its own complaints procedure, which is also in picture form and has been discussed with the residents to ensure they have an understanding and all the residents have been provided with a copy. The inspector was informed that the complaints procedure has also been discussed with relatives It was also noted that the home had a copy of Surrey Multi Agency procedures, which were dated April 2001, these need to be updated. The three staff on duty confirmed they had received the training. They were also aware of the whistle blowing policy, and staff confirmed they would take action if necessary. One resident spoken to on the day of the site visit confirmed he feels safe and knows he can speak with the staff if he has any concerns. It was noted on a list of staff training to be undertaken that some staff need to complete this training. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 16 Systems are in place to ensure resident’s finances are safe, the registered manager is the appointee and the administrator manages the resident’s finances. All residents have their own bank account. One resident wants to go on holiday but is spending too much money on other items. The registered manager stated she has discussed with the resident the need to save for a holiday and spend less money on other items. Resident’s finances were not inspected on this occasion. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A number of improvements have been made to some areas of the home in order to ensure a safe and well-maintained environment for residents. The home was observed to be clean and hygienic at the time of the visit. EVIDENCE: The environment is homely and the residents spoken to confirm they enjoy living in the home. Three or four bedrooms have been newly decorated and new flooring has been fitted in one residents bedroom. The registered manager informed the inspector there are plans to change the premises to be more supported living and bedrooms to have en-suites fitted. Some new furniture has been purchased for the workshop new desks and a computer. A resident has had new bedroom furniture. It was pleasing to be informed by the registered manager that the residents use the physiotherapy room in the evening to make drinks and sandwiches. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 18 They use this area to have a quiet area away from the television, which is mainly on in the lounge. All communal bathrooms, toilets and the kitchen have soap dispensers and paper hand towels fitted. A lock needed attention in a lower floor toilet. The floor in the kitchen storeroom in front of the freezer and behind the tall fridge was noted to have been torn and needs replacing. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 19 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 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive staff recruitment procedure, which is designed to ensure, as far as reasonably possible, that residents are supported and protected. Staff are trained and competent to support residents EVIDENCE: Three staff files were inspected and it was noted that the records were well documented and contain full details of the persons. Copies of the Criminal Record Bureau (CRB) checks were on file. A Staff training plan was not available on the day of the site visit, the inspector was informed by the registered manager, the second deputy manager who was not on duty on the day of inspection had taken the training plan home to up date it. Training records must be available in the home at all times including staff certificates. The pre inspection questionnaire states seven members of staff have completed NVQ Level 2 and some have higher qualifications. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 20 The three members of staff spoken to confirm they are aware of the different needs of the residents, and staff work with residents in this area to ensure their needs are being met. Interaction between staff and residents was observed to be good. The majority of staff and residents have undertaken equality and diversity training and have a good understanding of the meaning. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 21 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The monitoring systems in the home are varied and have been devised specifically to enable the residents to be involved in the home and make their views known. EVIDENCE: It was pleasing to note that management of the home have made vast improvements to the overall management of the home. Systems are in place to ensure the home is meeting the required standards required by the Commission for Social Care Inspection (CSCI). The registered manager is experienced and competent to manage Woodlarks Workshop. However, the registered manager informed the inspector she plans to retire in August 2007. The home is currently advertising for a new manager. In the interim, arrangements are in place for the deputy manager to Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 22 manage the home. The deputy manager has completed the Registered Managers Award in January 2007 and is currently completing NVQ Level 4. The home has an effective quality audit system in place. Regular monthly visits by a designated responsible person is proving to be beneficial to the home and the overall management of the home, the contents of the report need to be expanded to include residents. An annual development plan for the home is in place. The home also sends out to relatives a yearly questionnaire seeking the views of family and friends. A number of records were observed and it was noted they were well documented. The maintenance book was being used and recorded in an efficient manner, however, the work undertaken needs to be dated and signed when jobs have been completed. An emergency contingency plan needs to be in place to ensure in the event of an emergency, instructions would be clear for all concerned. The testing of the fire alarm system needs to be undertaken on a regular weekly basis, and must be recorded. The new administrator has been designated to undertake this role. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 X X 3 X Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 5 Refer to Standard YA2 YA24 YA34 YA35 YA41 Good Practice Recommendations Care plans need to be updated and regularly reviewed. The floor in the kitchen storeroom needs replacing. Staff recruitment files need sorting into some order and there is a need to include an up to date photograph. All staff to receive regular up dates to training. Resident’s files need sorting into some order. Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 4630 Kingsgate Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Woodlarks Workshop DS0000013841.V330041.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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