Inspection on 09/04/08 for Woodview

This inspection was carried out on 9th April 2008.

CSCI found this care home to be providing an Adequate service.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodview 26/06/07

Woodview 01/12/06

Woodview 19/02/06

Woodview 18/08/05

Woodview 09/03/05

Woodview 07/10/04

Woodview 17/03/04

Woodview 23/09/03

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

CARE HOME ADULTS 18-65 Woodview 58a Park Road West Birkenhead Wirral CH43 8SF Lead Inspector Debbie Corcoran Key Unannounced Inspection 9th April 2008 09:30 Woodview DS0000018957.V362009.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 Woodview DS0000018957.V362009.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. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodview Address 58a Park Road West Birkenhead Wirral CH43 8SF 0151 653 6566 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) Alternative Futures Limited Gary David Knowles Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection 26th June 2007 Brief Description of the Service: Woodview is registered to provide residential care for up to 4 adults who are learning disabled. The service is provided by Alternative Futures. The home is a two storey detached house which backs onto Birkenhead Park, with the back of the house and the large garden having attractive views across the park. It is on a busy main road, less than half a mile from Claughton Village where there are local shops and bus services. The home has a lounge and dining area on the ground floor. There is also a shower room, toilet and laundry on the ground floor. Each of the people living at the home has large single bedroom on the first floor, which also houses an office, toilet and bathroom. Woodview has its own minibus for the use of people living at the home. The fee for staying at Woodview is £1,027.90 per week. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This visit to the home was not announced beforehand. During the visit 3 of the people living at the home were met. Two members of the staff team and the manager were also met. Resident’s plans, staff training records, health and safety records and other relevant records were examined. A tour of the home was carried out. The manager returned a questionnaire on the service to the Commission and some of the information in this has also been used to inform the findings of the inspection. Before the visit surveys had been sent out to staff to comment on the service provided. A number of these were completed and returned and feedback in these has also been used to inform the findings of the inspection. What the service does well: Woodview is a small home and most of the people living there have done so for many years. There is information available to give to people who are new to the home. This information describes what the home offers and what is available in the local community. New people also have the chance to visit the home as many times as need be, so that they can get to know what the home is like and decide if they would like to move in for a trial stay. Each of the people living at the home has a care plan or person centred plan (pcp). The care plans are clear, informative and easy to follow. The plans include information on the person’s skills and needs, daily routines, likes and dislikes and information as to how to support the person with their personal care. People living at the home are supported to go out and about. The home has a mini bus which is for the use of the residents. People go shopping on a regular basis and go out on occasional trips. People living at the home are supported by staff who know them well. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 6 Staff are well trained and well supported through staff meetings and supervisions. Each of the people living at the home has their own bedroom and these are nicely decorated and have furniture to suit their needs. The home has a large lounge and a separate dinning area and it has a good amount of space both indoor and outdoor. What has improved since the last inspection? What they could do better: Some of the people living at the home should be supported to visit a dentist and optician and other health professionals on a more regular basis.This will make sure the people living in the home have their health care needs met. There is still room for improvement to the variety of activities which people living at the home are supported to be involved in. Ways in which activities can be expanded to become meaningful and imaginative need to be explored The home provides spacious accommodation to but there is room for improvement to the home to make it more homely and some areas are in need of maintenance.work There was no training information available for a member of staff. And some of the training for other members of staff needs updating. The manager should produce a training plan to show how staff training needs will be met. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 8 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 Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 9 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, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to provide residents, prospective residents, and their representatives with information on the home and help them to decide whether or not the home is right for them. New people only move in to the home when there has been sufficient information gathered to make sure that their needs can be met at the home. EVIDENCE: A statement of purpose and a service user guide are available and these describe the services offered at the home and in the local community. In addition to this the company has produced a handbook, which describes the services offered by the company. Information provided for service users includes the use of pictures and is written in plain English. One new person has moved into the home since the last inspection visit. Records showed that an assessment of needs had been carried out with this person, by a representative from the company, before the person moved in to the home. Assessments information is also attained from the referring agency for example Social Services. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 10 People have the opportunity to visit the home on numerous occasions, as per the needs of the individual, before deciding whether or not to move in. They are then offered a trail period in which to decide if they wish to move in to the home on a long term basis Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 11 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 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each of the people living at the home has a care plan which provides a good level of information on their needs and these are reviewed regularly to reflect changes to the person’s needs. When people living at the home involved in an activity which involves taking risks the risk is assessed and plans are put in place to manage the risk but these plans have not been reviewed and updated. EVIDENCE: Each of the people living at the home has a care plan or person centred plan (PCP). The care plans are clear, informative and easy to follow. The plans include information on the person’s skills and needs, daily routines, likes and dislikes and information as to how to support the person with aspects of their personal care. Where a person requires support with managing situations or interactions then guidelines are in place which inform staff of how to support the person to the Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 12 best effect. One member of staff surveyed reported that ‘The service supports the individual needs of each of the service users as detailed in each care plan’. During discussions with a member of staff they stated that they keep up to date on what information is in the care plans. Resident’s support and their care plans are being reviewed on a six monthly basis. The most recent review of care plans involved the person concerned and a family member or representative. The reviews took the form of a meeting and new goals were set for the person to be supported to achieve. Care plans include a good level of detail to describe the choices and preferences of the person concerned and include a section on communication, in which people’s individual means of communication is clearly recorded. The staff team is stable and staff appear to know the needs of the people living at the home well because they have supported them for some time. When a person living at the home is thought to be at risk then a risk assessment is carried out and plans are put in place to manage the risk. The risk assessments cover different aspects of the persons support. For example support with communication, keeping safe, managing medication. The risk assessments include information on what the potential risk is and what steps need to be taken to prevent the risk from occurring. Risk assessments read were found to have been carried out a number of years ago and there was no evidence that they had been reviewed or updated. This should be addressed so as to ensure the safety of people living at the home. Personal and confidential information was maintained securely so at to protect the interests and confidentiality of the people living at the home. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 13 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, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to use local community facilities, to maintain relationships and to develop their skills. People are supported to have a balanced and varied diet and to use their independence in choosing and shopping for food and meals. EVIDENCE: Each of the people living at the home has a care plan and these include information on the skills and needs of each person. Discussions with the manager indicated that there has been some improvement in the opportunities for people living at the home to learn and develop new skills. However, further discussions indicated that there is room for improvement to this and to ensure that staff work consistently in supporting people to achieve new skills. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 14 A member of staff surveyed stated that people living at the home could be ‘encouraged to do more for themselves as far as they are capable with assistance if needed’. Each of the people living at the home has a person centred plan and these include information on activities which the person likes to be involved in. A member of staff surveyed stated that they ‘encourage people to do activities they like such as shopping, going to Saturday Clubs, Cinema etc.’ Daily records regarding the people’s care and support are maintained. These were examined to assess the frequency of leisure opportunities and community access for three of the people living at the home. The records indicated that the residents are having the opportunity of a greater level and variety of outdoor activities than at the previous inspection visit. However, as discussed with the manager there is still room for improvement in the variety of activities. Residents are supported to maintain relationships. Residents and care staff maintain regular contact with resident’s family members where this is appropriate. In assessing the diet and meals available to residents, records were checked and the availability of food was checked. Information on the resident’s likes, dislikes, strengths and needs regarding food and eating are recorded in the resident’s care plan. Menus showed an appropriate variety of meals are being provided. There was an appropriate amount of food in stock. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s physical and emotional health needs appear to be met as issues arise but there is little evidence of staff acting proactively in preventing health problems as there are omissions in some primary health checks. Medication is appropriately and safely managed. EVIDENCE: Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 16 Care plans of people living at the home include guidelines for supporting people with their personal care needs. The plans include a good level of information on the individual’s likes and dislikes and preferred routines. During discussions with a member of the staff team they felt confident that they knew the needs of the people they support well and keep up to date with the information on how to meet people’s needs. Each of the resident’s has a ‘health passport’ which describes how their health care needs are to be met. However, some of the information in these was not up to date. Although it was clear that residents see a GP or nurse regularly there was limited information to support that the residents are being supported in all aspects of their health care needs. For example it was not possible to determine that one person had been seen by a dentist on a regular basis. For another person there was no evidence that they had seen an optician for some time and none of the people living at the home had been supported in a general health check. The manager stated that he was in the process of arranging these. Polices and procedure used for the receipt, storage, and documentation of medications within the home are in place. Medication storage and administration practices were looked at. Staff only administer medication when they have received medication training and staff administer medication alongside a second member of staff. A random sample of medication in stock was checked against medication administration records and these indicated that medication is being well managed. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints which aim to protect service users against abuse or neglect, and systems are in place for dealing with allegations of abuse. EVIDENCE: The home has a complaints procedure which is time scaled appropriately. Information on how to make a complaint is provided in the service user’s guide to the home. There have been no complaints since the previous inspection visit. The home has an adult protection policy and information on the protection of vulnerable adults. The home also has a copy of the Local Authority adult protection procedures and the home’s procedures link in to this. Staff have been provided with adult protection training and it was reported that all staff are scheduled to undertake further adult protection training in the near future. During previous discussions with the manager he has demonstrated that he is aware of the reporting systems which need to be implemented when there is a potential adult protection issue raised. A record of key events is maintained for example incident reports and accident reports. A sample of these were checked and there were no particular issues identified as a result. Woodview DS0000018957.V362009.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, 25, 28, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is spacious and generally presented to an appropriate standard. Not all areas of the home are appropriately maintained. EVIDENCE: The home is an ordinary domestic property. It is a two storey detached house with a large garden at the rear which has views across a public park. The home has a large lounge and dining area on the ground floor. The kitchen adjoins the dining room. There is a shower room, toilet and laundry on the ground floor. Each of the people living at the home has a large single bedroom on the first floor. Bedrooms were looked at and found to be personalised and presented to suit the needs of the person. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 19 A tour of the home revealed that there have been some improvements to the home environment as there have been some items of furniture and furnishings purchased. However, a number of areas required attention; The home appears spacious but the amount of space and lack of furnishings in some areas makes it appear bare and empty in parts. The home therefore does not feel homely. The manager has made some attempts to address this but there is room for further improvement. Some kitchen cupboards need to be repaired or replaced. One of the bedrooms was found to be malodorous. The lounge needs to be redecorated and a window in the lounge is in need of repair. The home has health and safety practices and procedures which are aimed at ensuring the home is safe and clean and free from hazards to the health and safety of service users and staff. At the previous inspection it was noted that a number of areas of the home were not being maintained to an appropriate level of cleanliness. There has been improvement in this, however, there continues to be room for improvement as discussed with the manager. Woodview DS0000018957.V362009.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, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by trained and qualified staff. Staff are supported in their role through team meetings and supervisions. EVIDENCE: The staff team consists of 8 care staff. All members of the staff team have attained a National Vocational Qualification (N.V.Q) in care at level 2. Staff have been provided with training in topics such as abuse awareness, supporting people, person centred planning, understanding learning disability, health and safety, first aid, food hygiene and moving and handling. There was no information on the training for one member of staff and it was evident that some of the training for other members of staff requires updating. The manager has reported that he has identified the training needs of members of the staff team and that a training plan is in place. The manager has reported that the head office of the organisation takes some responsibility for ensuring staff are provided with up to date training. Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 21 The staff team is stable and there has been only one new member of staff employed at the home since the last inspection visit. The recruitment and selection procedures used when employing this person were looked at and found to be appropriate. As a result of the staff team being stable there is a good level of consistency for people living at the home and staff have had the opportunity to get to know the needs of the people they support well and visa versa. A member of staff surveyed stated ‘staff and clients get on very well together and staff know the needs of clients very well. We have a good manager and staff team who always go the extra mile when needed and support each other well and support people well in their everyday lives’. It was reported that staff meetings take place on a regular basis and a random sample of records showed that staff also have the opportunity of one to one supervision meetings with the manager. However, the records for one member of staff showed that this has not been on a regular basis. Team meetings were reported to take place on a monthly basis but no minutes of these were available as they were reported to be at head office. Woodview DS0000018957.V362009.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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people living at the home. Procedures, practices and checks are in place which aim to safeguard and protect the health and safety and well being of residents and staff. EVIDENCE: The registered manager has been in post as manager for approximately 3 years and has attained a relevant qualification. The manager had worked at the home for a significant number of years prior to becoming manager. The home is visited on an unannounced basis at least once per month in line with Regulation 26 of the Care Home Regulations 2001. These visits form part of a quality assurance process. The manager reported that a quality assurance Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 23 survey has been carried out recently and this involved seeking the views of family members in order to form an opinion on the standard of care provided. The results of this go to head office and the manager does not see these. This does not allow the manager to use this feedback for service development. The home has numerous policies and procedures in relation to the health and safety of the people living at the home and staff. Staff are provided with training in some core health and safety related skills. However, the frequency of these need to be reviewed so as to ensure that training is provided on regular basis. Fire safety and health and safety practices are adopted. A sample of records of fire and health and safety checks were looked at. These were found to be up to date with the exception of the water temperature checks which had not been carried out for a number of months. This may result in a risk to the health and safety of residents and staff and therefore must be addressed. Woodview DS0000018957.V362009.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 X 4 3 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 2 25 3 26 X 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 3 LIFESTYLES Standard No Score 11 2 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 x Woodview DS0000018957.V362009.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 YA19 Regulation 12 (1) (a) Requirement People living at the home must be supported to access all appropriate primary care resources to maintain their health and welfare. Areas for repair or improvement to the home environment as identified in the body of the report must be addressed so as to ensure a homely, safe and comfortable environment is provided for the people living at the home. All areas of the care home must be clean and hygienic to ensure the health and welfare of people living at the home and staff. Water safety checks must be carried out at regular intervals so as to safeguard the health and well being of the people living at the home and staff. Timescale for action 11/06/08 2 YA24 (2) (b) 11/07/08 3. YA30 23 (2) (d) 11/05/08 4. YA42 13 (4) (c) 11/05/08 Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 26 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. Refer to Standard YA9 Good Practice Recommendations Risk assessments must be reviewed and updated on a regular basis so as to ensure the safety of people living at the home. The manager should be provided with the findings of the quality assurance surveys in order to use this information in service development. 2. YA39 Woodview DS0000018957.V362009.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Woodview DS0000018957.V362009.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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