Inspection on 09/08/07 for Wynhill Lodge Short Break Service

This inspection was carried out on 9th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wynhill Lodge Short Break Service 09/10/06

Wynhill Lodge Short Break Service 23/08/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Wynhill Lodge Short Break Service Wynhill Court Forest Road Bingham Nottinghamshire NG13 8RL Lead Inspector Richard Ramsden Unannounced Inspection 9th August 2007 10:00 Wynhill Lodge Short Break Service DS0000064092.V340807.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 Wynhill Lodge Short Break Service DS0000064092.V340807.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. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wynhill Lodge Short Break Service Address Wynhill Court Forest Road Bingham Nottinghamshire NG13 8RL 01949 838492 01949 831608 jane.wardle@nottscc.gov.uk 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) Nottinghamshire County Council Mrs Jane Wardle Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (10) of places Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users shall be within category LD Service users shall be within category LD (E) Date of last inspection 9th October 2006 Brief Description of the Service: Whynhill Lodge is a registered care home providing short term breaks to 10 adults with learning disabilities. The home is situated in a residential area in Bingham Nottinghamshire. The building is secure and has an enclosed garden area. Accommodation comprises of 10 bedrooms with en-suite facilities, two of which are adapted for service users with physical disabilities. There are two lounge/dining rooms with kitchen facilities, a well-equipped sensory room, main kitchen and adapted bathrooms and toilet facilities and laundry room. The building is well maintained and furnishings, fittings adaptations and equipment are of good quality. The home is owned and managed by the Local Authority. Information about fees given in the pre inspection document in 2007 indicates that fees are mean tested on an individual basis. A copy of the most recent inspection report was available in the home on the day of inspection. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 6 1/2 hours. It included the inspection of care and other records a discussion with two team leaders and two members of care staff. The inspector spoke with two residents and one visitor to the home. A partial tour of the building was also completed. Three residents were Case tracked, which means that their care plans were examined against the actual care they receive. Before completing this visit the inspector assessed the homes service history, the information provided by the registered manager and the last inspection report. The inspector also discussed the possibility of the commission for social care inspection reducing some of the restrictions placed on the homes registration categories. However as this home’s Registration Certificate is relatively new it is unlikely that any changes will need to be made. What the service does well: The service users spoken with during this inspection stated that they enjoy staying at Wynhill Lodge. They said that the staff are always friendly and that they enjoyed the activities and entertainment provided. The observed interaction between staff and residents was an excellent standard. The inspector observed service users being treated with respect at all times. The manager is well qualified and experienced, service user and staff stated that she is very approachable and supportive. The home is run in the best interests of the service users. People are encouraged to make decisions about their daily lives and the routines within the home are flexible to meet each service users individual needs. People are encouraged to voice their opinions and ideas about the way in which the home is managed. All areas of the home viewed during the inspection had been extremely well maintained, there were comfortably furnished and pleasantly decorated. Both Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 6 of the service users spoken with during the inspection and the visitor to the home said that the home is always a lovely and clean. There are comprehensive health and safety policies and procedures and other areas a clear commitment to staff training and development. There were many aspects of good practice highlighted in the main body of the report. What has improved since the last inspection? What they could do better: The emergency lighting must be checked more regularly and appropriate records maintained. People should be asked before each meal what food they would like, this will help to ensure that they always have a genuine choice about what food they eat. The variety of food provided could be expanded to ensure that service users who are in the unit for more than two weeks do not have a repetitive diet. Photographs of the individual residents should be attached to their medication administration records this will help staff to ensure that they are giving the medication to the correct service user. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 7 Staff training records should be kept up to date and the manager should produce an annual development plan for the home. 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. Wynhill Lodge Short Break Service DS0000064092.V340807.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 Wynhill Lodge Short Break Service DS0000064092.V340807.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): 2,5. Staff are ensuring that they can meet the needs prospective service users by obtaining comprehensive preadmission assessments. Statements of terms and conditions of residence are provided to all residents or their representatives each time the resident is admitted to the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three resident records were assessed as part of this inspection. All the records contained preadmission assessments, which had been completed by a social worker. The team leader stated that residents are never admitted without a preadmission assessment. She confirmed that staff always contacts the service users carers/relatives prior to the service users admission, to ascertain if there have been any changes to the way in which care and support needs to be provided. (This is good practice). Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 10 Staff were able to provide evidence that new Terms and Conditions of Residence documents are sent to residents or their carers before each admission to Wynhill Lodge. However these documents had not been signed and returned to the home for the service users whose records were checked as part of this visit. Wynhill Lodge Short Break Service DS0000064092.V340807.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. The individual service user care plans contain sufficient information and are updated frequently enough to ensure that staff always have up-to-date information about what care and support each service user requires. Appropriate risk assessments have been completed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three service users records were assessed as part of this inspection, the care plans contain sufficient information and were reviewed regularly enough to ensure that staff are always aware of what support and assistant each service user requires. Care plans and risk assessments are sent to the service users home with an agreement form, for carers or where possible the residents themselves, to Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 12 sign. Service users or their representatives can contact a key worker if they wish to discuss or alter any of the information contained in the care plan. None of the service users whose care plans were viewed during this visitdisplayed behaviour, which would challenge the services provided. However other service users records were viewed and these contained detailed risk assessments and instructions for staff how to manage potentially challenging situations. (This is good practice). Staff were able to demonstrate how they promote choice and decision-making with service users during their stay at Wynhill Lodge. All service users are now being risk assessed to ascertain whether they are safe to have a key to their bedroom doors. Two of the service users whose records were viewed as part of this inspection, had been assessed as safe and were choosing to lock their bedroom doors at night. Wynhill Lodge Short Break Service DS0000064092.V340807.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): 12,13,15,16,17. There have been considerable improvements in the implementation of social and recreational activities provided at Wynhill Lodge. People are encouraged to make decisions about their daily routines. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user plans viewed as part of this inspection detailed the leisure activities that people enjoy doing. Two members of staff had been given specific responsibility for devising a stimulating programme of activities, which is reviewed once every two weeks, to ensure that it remains relevant to the people who will be using the service. The programme of activities is prominently displayed within the home. (This is good practice). Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 14 An activities record has also been included in each service users care plan. The records detail what activities they have participated in and whether they enjoyed the activities. Staff consult with service users about the type and frequency of activities they would like to be provided. They use pictures and photographs to assist in the communication process. During the inspection service users were observed participating in a range of activities including pottery, gardening and a trip to the local market. The service users spoken with said that they are very happy with the activities and entertainment provided at Wynhill Lodge. One person was continuing to attend their normal day services, whilst at Wynhill Lodge to provide continuity and reduce the stresses person may experience. People are encouraged to maintain contact with their family and friends and visitors are made welcome at any time. One visitor was spoken with during the inspection; she said that the staff are always welcoming and provide refreshments. The service users spoken with said that they liked the food provided at the home. There is a two weekly rotating the menu, which is satisfactory for most people, as they usually only stay at the home for one or two weeks at a time. However on occasions people do stay for longer periods and the menu could become a very repetitive. The menu shows a choice of food at each meal time, however when the cook was asked how she knows how much food to prepare she stated that she had been advised to cook six portions of each meal. This potentially means that not all service users have a genuine choice about what food they eat. The senior staff stated that they would normally ask people on a daily basis what food they would like so that this information can be provided to the cook. Wynhill Lodge Short Break Service DS0000064092.V340807.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. Efforts are made to ensure that service users receive personal support in a way they prefer; their health care needs are met. The management and administration of medication is well maintained. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The individual care plans viewed as part of this inspection show that efforts have been made to ensure that people receive personal support and assistance in a way that they prefer. Records show that service users health care and emotional needs are being appropriately met. This was confirmed by one of the service users spoken with during the inspection. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 16 The homes medication systems have been well maintained and risk assessments are available for those residents who wish to administer their own medication. None of the people using the service at the time of this inspection had been assessed as safe to administer their own medication. The records of receipt and disposal of medication have been well maintained, the medication is stored securely and an air-conditioning unit has been fitted to ensure that it is stored at an appropriate temperature. The facility for the storage of controlled medication was broken at the time of inspection. However the senior staff stated that new storage facilities have been ordered and that no service users who require controlled medication will be admitted until safe storage is provided. It was noted that there were no photographs of the service users attached to their medication Administration records. It would be useful if photographs were attached to the individual medication records, as this would help to reduce the risk of medication being administered to the wrong person. Incident records show that there had been one medication administration error since the last inspection; this had been dealt with appropriately. The senior staff were reminded that all medication errors must be reported to the Commission for Social Care Inspection under Regulation 37. The homes drugs error policy have been updated to include the reporting process. Wynhill Lodge Short Break Service DS0000064092.V340807.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. The home has a robust accessible complaints procedure and staff are ensuring that residents are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The literature supplied to residents and their carers contains a copy of the complaints procedure; this procedure is also displayed in the main reception area of the home. The homes complaints records show that there have been no formal complaints since the last inspection. The manager is now recording all informal complaints/concerns to proved an overview of the nature and frequency of issues raised. (This is good practice). One of the service users and a visitor spoken with during the inspection said that they were confident that their complaints or concerns would be dealt with promptly and appropriately. The policies for Safeguarding Adults were satisfactory and the staff spoken with had a clear understanding of their roles and responsibilities. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 18 There have been no allegations of abuse in the home in the last 12 months. Care plans show that staff have been given guidance on how to deal with service users who are physically or verbally aggressive. All staff have received ‘MAPA’ which is accredited training in physical interventions. The staff spoken with during the inspection said that they feel confident in there abilities to appropriately responded to all service users whose behaviour challengers the services provided. One service users, financial records were checked as part of this inspection these had been well maintained. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 19 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): 24,30. The purpose-built and recently refurbished accommodation has been maintained to a very good standard it was pleasant and hygienic at the time of this inspection. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises was completed as part of this visit. The purpose-built accommodation has been maintained to a very good standard. Both of the service users spoken with stated that they like their bedrooms and confirmed that they can use them at any time. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 20 The bedrooms and bathrooms are well equipped for service users with physical disabilities and new ramps have been provided to assist easy access to the home and the garden areas. All areas of the home were pleasant and hygienic at the time of this visit. The garden areas are enclosed providing pleasant, safe, outside areas for service users. The laundry room was not assessed as part of this inspection. Staff have received training in infection control and the home has a comprehensive Infection Control Policy. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 21 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. There are sufficient, competent and qualified staff supports service users. It was not possible to fully assess staff recruitment procedures as staff records were not available at this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rota provided for the week of this inspection showed that adequate staffing levels are being provided to meet the assessed needs of the service users. The registered manager stated in the information provided prior to this inspection that there are a number of staff vacancies, which have not been filled. The senior staff stated that since this information was provided staff have been recruited but unfortunately one of them resigned shortly after commencing employment. There are some relief bank staff which can be used to provide additional staffing when necessary and occasionally agency staff will be used. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 22 The staff spoken with during the inspection confirmed that they had not commenced employment until two references and a satisfactory Criminal Records Bureau Clearance had been received. However it was not possible to check the staff records as these had been placed in a filing cabinet in the managers office and staff did not have the appropriate keys. The manager telephoned the inspector the day after this inspection to confirm that all staff records are now available for inspection at all times. The staff spoken with confirmed that they had received a considerable amount of training over the last year. However when the training records were checked one person’s records did not contain details of any training in the last 12 months. It is important that training records are kept up-to-date so that staffs future training needs can be monitored and updated. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 23 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. The home is well managed and run in the best interests of the service in users. Where checked the health and safety of residents and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is well qualified and experienced. The service users and staff stated that the manager is a very approachable and that she seeks their views about the way in which the home is run. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 24 The home has an effective quality monitoring system, which seeks the views of service users and their carers. There is evidence that the manager users the information gathered to constantly review and improve the services provided. (This is good practice). It was suggested that the manager should use the information gathered to produce an annual a development plan for the home. This could be made available to service users and their representatives to show them how the contributions they make, are being used to improve the services provided. There are comprehensive health and safety policies and procedures and staff have received appropriate training. A health safety audit was completed at Wynhill Lodge on 29th of May 2007. A positive report was produced following that inspection. The homes Fire records had generally been well maintained, however it was noted that the homes emergency lighting systems were only being checked once every six months. The homes Fire Risk Assessment states that this system must be checked visually at least once a month. The homes Legionella risk assessment appeared satisfactory on superficial inspection and a record of water temperature tests had been well maintained. Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 25 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 3 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 3 X 3 X X 2 X Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 26 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. 1. Standard YA34 Regulation 17 (1) Requirement Staff records must be kept in the home available for inspection at all times. Note the inspector has now received confirmation that this requirement has been complied with. The homes emergency lighting must be visually tested at least once every month & the results of the tests accurately recorded in the homes fire records. Timescale for action 09/08/07 2. YA42 23 (4) (c) 09/08/07 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 YA5 Good Practice Recommendations Staff must try to ensure that there is a copy of the Terms and Conditions of Residence form, which has been signed by the service user or their representative on each resident’s personal file. Service Users should be asked before each meal what food DS0000064092.V340807.R01.S.doc Version 5.2 Page 27 2. YA17 Wynhill Lodge Short Break Service they would like, to ensure that everyone has a choice of diet. Pictures of the food to be provided may help with this process. 3. YA17 A four or six weekly rotating menu should be produced to ensure that the food provided does not become repetitive for those service users who are staying at the unit for more than two weeks. A photograph of each service user should be attached to their medication administration records to help staff to ensure that they are giving the medication to the correct person. All staff training records should be kept up to date to enable managers to constantly assess the staffs training needs. The manager should use the information gathered as part of the Quality Assurance System to produce a development plan for the home. 4. YA20 5. YA35 6. YA39 Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Wynhill Lodge Short Break Service DS0000064092.V340807.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!