Care Home: Woodfield House - North Yorkshire County Council

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What the care home does well The home is welcoming people tell us that, `This home is lovely I am very lucky to be here" "staff are very good and always have time for you." The care records are clear and well recorded this makes sure that important care information is not missed and people are cared for safely. People are encouraged to be involved in the planning of their care and to make choices in many areas of their lives. People say, " I choose when I get up and go to bed" " I sometimes go down to join in activities but mostly I prefer to be with my friends upstairs." Staff are safely recruited and well trained to make sure that they can meet the needs of the people and have the necessary skills and ability to care for people. The staff are committed to making sure the home is a comfortable and clean place to live. A good choice of food and drinks are available. This ensures that people receive a varied and nutritious diet. What has improved since the last inspection? The staff are better at making sure that paper work is regularly updated, including risk assessments and care plans and recruitment. This makes sure everyone in the home is kept informed and up to date with information. Recruitment information was also up to date and available at the home this is important to show that people are employed safely at the home. The home has an up to date electrical wiring certificate to show that the wiring in the home is safe so that people are not at risk. People living at the home are more involved in the planning of their care, this enables them to maintain some independence and care in the way they prefer. What the care home could do better: The home both inside and outside is in need of improvement. The quality of the decoration inside some areas of the home is not good. Carpets were threadbare and in some placed unsafe. Outside the home the gardens and the seating area/ courtyard garden are not well maintained. People no longer had access to a minibus and this has limited their opportunities to enjoy activities beyond the home. CARE HOMES FOR OLDER PEOPLE Woodfield House - North Yorkshire County Council Woodfield House Woodfield Square Harrogate HG1 4LY Lead Inspector Linda Trenouth Key Unannounced Inspection 8th September 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodfield House - North Yorkshire County Council Woodfield House Woodfield Square Harrogate HG1 4LY Address 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) 01423 568728 01423 522 858 woodfield.house@northyorks.gov.uk www.northyorks.gov.uk North Yorkshire County Council Ms Hazel Lynn Shepherd Care Home 29 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (24) of places Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2006 Brief Description of the Service: Woodfield House is a care home run by North Yorkshire County Council for 29 service users aged 65 years old and above. Woodfield has four separate units; three are for people who live permanently in the home. The other offers a short stay for people with dementia. The home was purpose built about 40 years ago and provides accommodation in four separate flats. Service users have single bedrooms and share a small lounge/dining area. The upper floor is accessible via passenger lift. There is a large day-centre located on the ground floor of the home, which service users are able to use if they wish. Outside there is ample parking and gardens. At the time of the inspection the weekly charge is 395.42 per week, this amount is dependent upon income and savings. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We visited the service over one day for approximately 5 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. We looked at the records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure that the service provides a good standard of care. We sent comment cards to people who use the service and staff, to give them the opportunity to comment on the service. 12 comment cards were returned. The manager of the home completed a self-assessment form called an AQAA, which is information we ask for every year and is used as part of the inspection process. The returned self-assessment documentation provides information about staffing and people who use the service. Feedback was given during the inspection to the team leader and requirements and recommendations made during this visit can be found at the end of the report. What the service does well: The home is welcoming people tell us that, ‘This home is lovely I am very lucky to be here” “staff are very good and always have time for you.” The care records are clear and well recorded this makes sure that important care information is not missed and people are cared for safely. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 6 People are encouraged to be involved in the planning of their care and to make choices in many areas of their lives. People say, “ I choose when I get up and go to bed” “ I sometimes go down to join in activities but mostly I prefer to be with my friends upstairs.” Staff are safely recruited and well trained to make sure that they can meet the needs of the people and have the necessary skills and ability to care for people. The staff are committed to making sure the home is a comfortable and clean place to live. A good choice of food and drinks are available. This ensures that people receive a varied and nutritious diet. 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 Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 7 be made available in other formats on request. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. People who use the service experience good quality outcomes in this area. People receive information about what the home has to offer and their needs are assessed to make sure that these can be met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The service user guide and statement of purpose provide good information about the home. People say that they are well informed and had good information before they moved into the home. During the visit people were being shown around the home and staff were reassuring and answering questions to help them make a decision about the suitability of the home. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 10 The statement of purpose and brochure is available in all bedrooms.People sign the, “statement of terms and conditions” when they move into the home. This is important to make sure that people are aware of their rights whilst living at the home. Staff say that people are offered introductory visits to the home to help them decide about the home. People are also offered overnight and weekend stays where appropriate. Comments cards that were received confirmed that people felt that they had enough information about the home before they made a decision to move in. Some people said that families had helped them make their decision and had visited the home. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. People who use the service experience good quality outcomes in this area. People’s care is based on their individual needs. The principles of respect, dignity, and privacy are put into practice. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People say that they are happy with the care they receive, “Very pleased with everything” “Staff are very supportive with my care” Staff were observed sitting and spending time with people. They respected people’s confidentiality by closing bathrooms and bedroom doors, speaking discreetly when necessary and knocking when entering their rooms. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 12 People said that staff are always friendly and speak to them respectfully. “ They are very good to me and are always cheering me up” During the tour of the home people who needed more support were clearly well cared for and appropriately dressed. Staff ensured people’s dignity. One person said that they have help with their personal care and bathing. They also say that they do as much as they can for themselves. “ Staff do help me but I can do a lot for myself” Another said “the food is excellent and there is always a good choice I have no complaints.’” Three care records were looked at in detail and all contained the information necessary to meet people’s health and social needs. The care plans have good assessments including manual handling, medication, and pressure care. People also indicated if they wished to be helped and observed through the night. Care plans were regularly reviewed and there was evidence that people were involved with their care plans. People spoken to say that staff do involve them and talk to them about their care plan. The medication storage and records were reviewed and found to be well organised and maintained. The staff have divided medication sheets into the separate units of the home and included photographs of each person to make sure that medication errors are reduced. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. People who use the service experience good quality outcomes in this area. People can choose from different activities in the home but the lack of transport means that there is little chance of any activities beyond the home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During the visit some people where enjoying listening to music and a sing along. Others were spending time in their room, one person said, “ I like to do my puzzles and keep my mind going I also go down the corridor to sit and talk with my neighbour” The care plans had information about people’s individual social needs and included their religious and cultural needs. Religious needs are respected and the local religious groups visits on a regular basis People are encouraged to be involved with their families and friends. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 14 People make their own choices about their daily routines, such as the times of rising and retiring to bed. It is clear that people can get up and go to bed, have a bath, or wash when they want. The routines are very relaxed and people are clearly comfortable and relaxed at the home. People tell me that there are “house meetings,” where they can discuss any activities. The manager makes sure that information is displayed on the notice boards including The “ Golden Oldie” in house newspaper every 3 months. The staff say that there has recently been a themed holiday week, different foods taster sessions were tried and take always. People also join in a lottery weekly that is run by the home. Staff also say that they organise all activities themselves and feel that there are generally good resources available. Staff do a lot of fund raising to make sure people have a good activities and experience at the home. There is no longer a mini bus available for the home and people do not go out for trips and outings. Staff say they have no one who can drive a minibus at the home and do not have the resources to hire a minibus. This limits people’s opportunities for leisure and recreational activities outside the home. The manager says that people are taken out in smaller groups when the staffing allows for a drive to Ripley for ice cream or a shopping trip for clothes. Any trips and hire of taxis have to be paid for out of the amenities fund, which is money, raised by the staff and people living at the home. People said the food was good; people said they had choice of hot meal at lunchtime and hot light tea or a choice of sandwiches. The menu is displayed on the white board on the unit. People say that they are very happy with the standard of food and drink provided. “ They provide a good well balanced meal with plenty of variety.” People say that the food is good and that there is plenty of it. “ The lunch today was good, it always is good, there is also good teas and breakfasts, and the staff write what the choices are on the board” The chef is aware of any special diets and arranges their food to make sure they have the same options as everyone else. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 15 The lunchtime meal was observed and tasted. The food served was good with staff asking people if they wanted more. Staff join people to have their meal and assist people who need support appropriately and in a dignified manner. The dining areas are comfortable and the meal time is relaxed and unhurried allowing people to eat at their own pace. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. Complaints are listened to and acted upon. People feel safe and protected in their environment. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: A complaints procedure is available in the complaints leaflet, brochure and, Statement of Purpose and displayed on notice boards. There are many cards sent to the home thanking staff and praising them for their kindness. People spoken to say that they feel safe living at the home and say they are happy to raise any concerns with the manager. The home has not received any complaints in the last inspection year. The home has an adult protection procedure in place and the manager is aware of the action to take if an allegation of abuse is made. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 17 There has been one safeguarding issue, which has been appropriately managed by the home and passed onto the local authority. Staff have had training in the understanding of different types of abuse and the action they would take if they witnessed an incident of abuse. A whistle blowing procedure is in place and staff have completed training in understanding and protecting vulnerable adults. A qualitive questionnare is sent to people and their relatives annually and in addition to this regular house meetings are held. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 25 and 26. People who use the service experience adequate quality outcomes in this area. Not all people at the home experience a well-maintained and comfortable environment and do not access comfortable outdoor facilities. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: This was an unexpected visit and communal areas and bedrooms were well maintained and clean. People tell us that they think the home is clean; Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 19 “The rooms are clean” and “ The home has a good standard of cleanliness and hygiene” People are relaxed and free to wander around the different areas of the home. There is a choice of lounges and comfortable chairs situated throughout the home. The manager said that the following improvements have been made, decoration of downstairs corridors and new carpet, dining room tables and chairs. Some new carpets have been purchased for bedrooms along with new bedding and curtains. Two bathrooms have been refurbished. One with a high/low bath and one a new wet room, this ensures that people with limited mobility can be easily assisted. There is some useful signage in the home to help people orientate themselves around the home. The laundry was clean and well organised with one side of the area for soiled clothing and separate area to iron and sort clean clothing. Staff tell us that they keep the sluice doors locked when not in use and are aware of infection control guidelines when handling any soiled linen. Staff wear appropriate protective clothing when entering the kitchen and wear tabards whilst serving food. There is a good supply of protective clothing for staff including, disposable gloves, wipes, paper towels, and antibacterial hand wash. The home has a hand rub dispenser placed in the entrance area with a sign asking everyone to sterilise their hands. People say that they have very comfortable rooms and are able to use their rooms whenever they wish. Many people during the visit were enjoying reading or watching television in their own rooms. There is a hairdressing salon area and also in the main dining a reminiscence table with memorabilia to promote memory and discussion. The kitchen was clean and well maintained; the cook confirmed that Environmental Health had visited recently and were happy with food hygiene management. Some other areas of the home could however be better maintained and decorated. The first floor particularly was in need of redecoration, and wallpaper was ripped on several corridors and in communal rooms. Paintwork was badly scuffed by wheelchairs and hoists. The carpets on the corridors were threadbare and a potential trip hazard for everyone at the home. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 20 The units are small and thought needs to be given to the future decoration to make this area more pleasing and comfortable to live in. The present decoration is aged and in some places looks scruffy. Future redecoration must include the choices of people who live at the home. The gardens surrounding the home were untidy and overgrown and did not give the home a good appearance in the community. The garden space within the courtyard of the home was also unkempt, overgrown and not welcoming for people to sit in. This was an important outdoor area for the people who live at the home and good comfortable outdoor communal facilities must be provided. The manager said that these areas are usually managed by a group of workers who have been unable to help at the home for some months. She is aware of the need to address this area. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. People’s needs are met by a trained and competent staff team. We have made this judgement using a range of evidence including a visit to the service. EVIDENCE: The staff recruitment records were reviewed and confirmed that staff are recruited safely. Staff say that recruited is good but were frustrated that the process took along time. There are five vacancies at the home and the manager is presently recruiting to these posts. These hours have been worked by staff and the use of agencies. The rota was reviewed and staffing levels have been well maintained. Staff say that they are provided with the good induction and general training and have regular supported to provide good care. All staff have completed adult protection training. The pre inspection questionnaire shows most of the staff have achieved NVQ (National Vocational Qualification) level 2 or above in care. Staff told us that Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 22 “Staff Induction was very good and overall training was positive and service encouraged people to move forward to have the right skills for the job” “ Just finished nvq2” and “ Woodfield house are very happy to put you forward for training to enhance your skills as a carer” The home has two staff in the dementia care unit and one for the other units. People say that their call bells were answered quickly. Comment cards returned stated that staff are always available when they need them. “ The staff are always around never keep you long when you need them, they are really lovely” Staff however said that they wished they were better staffed at times, staff say when dependency levels are high it is sometimes difficult to manage in the home. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. People who use the service experience good quality outcomes in this area. The home is run in the best interests of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager was not present at the home during the visit however the outcomes in this report have evidenced a well managed home. The team manager and records showed the home operates a quality review system. People living at the home and their relatives are asked about their views about the home annually. House Meetings (held in each unit) were also held regularly so people could have a say in the running of the home. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 24 The manager completes a monthly report to her manager so that they know about the homes performance. There are regular staff meetings held at the home and staff felt that the management was supportive and positive. Staff had regular supervision and training updates. “I meet with manager to discuss my training and any problems I may have” “ All the managers are very approachable and will help with any questions and problems. They are not afraid to admit if they do not know the answer to something and they always follow it up and come back to you with a result” A number of health and safety certificates were checked and found to be up to date including gas and electricity. Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23 Requirement All parts of the home must be decorated to a good standard to ensure that people have a good quality of environment to live in. The worn carpets must be replaced to make sure that people are kept safe. Timescale for action 09/11/08 2 OP19 23 09/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations Activities and outings should be developed for people beyond the home. People should have the opportunity and choices of leisure and recreation both in the local and wider community. The gardens and grounds must be kept tidy to ensure people have access to comfortable outdoor facilities. 2 OP22 Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Woodfield House - North Yorkshire County Council DS0000034598.V371471.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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