Latest Inspection
This is the latest available inspection report for this service, carried out on 17th September 2008. 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.
For extracts, read the latest CQC inspection for Woodlands.
What the care home does well The Home provides good support to the client living at there. The support is provided in a way which meets the needs and individual choices of the client and her views are sought about all aspects of the support provided. The client said that she is asked her opinion about lots of things that happen at the Home. The client has been supported to start accessing a range of leisure and educational activities since she has lived at the Home. The organisation follows appropriate recruitment procedures and provides good training and ongoing support for the staff which enables them to carry out their roles effectively. The client said that the staff are kind and that they give her good support. She said that she feels that she can speak to any of them about things that might concern her. The bungalow provides comfortable accommodation which the clients are encouraged to make more homely through personalising with their own style. The client said that she really likes having an ensuite attached to her bedroom. The Home is well managed by a Manager who has the appropriate skills, training and qualifications. Staff and the client said that the Manager is approachable and supportive. What has improved since the last inspection? This is the first Inspection of this service. What the care home could do better: The Manager has plans in place to ensure that the current good standard of care is maintained once other clients move into the Home. The Manager has plans to review some of the documents, such as the Service Users Guide and the Contracts, and to involve the clients in providing these in a format which is easier for clients to understand. CARE HOME ADULTS 18-65
Woodlands 13 Spurdens Crescent North Walsham Norfolk NR28 9JD Lead Inspector
Lella Hudson Unannounced Inspection 17th September 2008 10:00 Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Woodlands Address 13 Spurdens Crescent North Walsham Norfolk NR28 9JD N/A N/A alanac@newboundariesgroup.co.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) New Boundaries Alana Callaghan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection This is the first Inspection of this service Brief Description of the Service: Woodlands is a three bedded bungalow in the town of North Walsham. It is situated in a quiet residential cul-de-sac close to the amenities of the town. Each of the bedrooms is ensuite and there is a communal bathroom, lounge/diner and kitchen as well as office space. The bungalow has parking to the side and a small garden to the front with a paved garden/patio area at the back. The Home provides accommodation and support for up to three adults with a learning disability. The fees are negotiated on an individual basis depending on the needs of the client. Currently the fees range from £1,150 to £2,400 per week. The Home is owned and managed by New Boundaries Community Services Ltd who own several other Homes for people with learning disabilities. Woodlands DS0000071712.V371346.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 TWO STAR. This means that the people who use this service experience GOOD quality outcomes. This is the first Inspection of this service as it was first registered in March 2008. This report includes information that we have gathered about the service since it was registered. This includes the Manager completing and returning the Annual Quality Assurance Assessment (AQAA) and surveys completed by two members of staff and one client. The surveys all contain positive information about the service. Information was also gathered during a visit to the Home which was carried out between 3pm and 7.30pm on the 17th September 2008. We had visited the Home on the 12th September unannounced but there was no-one there as the client was on holiday. We contacted the Manager and gave her two days notice that we would visit again on the 17th September. The Manager of the Home also manages the day centre which the organisation owns which is situated in the same town. There is currently only one client living at the Home but another person will be moving in during the week after our visit. What the service does well:
The Home provides good support to the client living at there. The support is provided in a way which meets the needs and individual choices of the client and her views are sought about all aspects of the support provided. The client said that she is asked her opinion about lots of things that happen at the Home. The client has been supported to start accessing a range of leisure and educational activities since she has lived at the Home. The organisation follows appropriate recruitment procedures and provides good training and ongoing support for the staff which enables them to carry out their roles effectively. The client said that the staff are kind and that they give her good support. She said that she feels that she can speak to any of them about things that might concern her. The bungalow provides comfortable accommodation which the clients are encouraged to make more homely through personalising with their own style. The client said that she really likes having an ensuite attached to her bedroom. The Home is well managed by a Manager who has the appropriate skills, training and qualifications. Staff and the client said that the Manager is approachable and supportive.
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective clients have their needs assessed effectively so that it is clear that the Home will be able to meet these needs prior to them moving in. EVIDENCE: The Home has a Statement of Purpose and Service User Guide which provide clear information about the service provided at the Home. The Manager said that they are going to involve the clients in putting together another document which will contain the information that the clients feel is important about the Home. This will be in a simple format which the clients may find easier to understand. The client who lives at the Home has a contract which specifies what is covered within the fees and what needs to be paid for separately. Again, the Manager has plans to provide a simpler format of this document which the clients will find easier to understand. The client told us that she had come to visit the bungalow before she moved in and that she already knew some of the staff as she had been living in one of the other Homes within the organisation. Staff told us about the introductory
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 9 period that another person is currently going through prior to moving into the Home within the next few days. This has included an assessment carried out by the Manager and the prospective client visiting the Home for an overnight stay. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The clients needs are detailed within the care plan and risks are identified and assessed. The client is very involved in making decisions about all aspects of life within the Home. EVIDENCE: The client told us that the staff always ask her opinion about what she would like to do, what she wants to eat, where she would like to spend her time and about whether she would like support or not to do something. We observed lots of positive communication between staff and the client with regard to offering choices about a range of issues. The client was encouraged to take part in the Inspection and to be as involved in the process as she wished to be. She showed us her care plan and the start of a new Person Centred Plan. She explained the process for this and said that she was enjoying being part of this work.
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 11 The care plan contains a lot of information about the clients needs, some of which is repetitive. The Manager plans to review the format in which this information is kept and to make some changes which will mean that the information that the staff need to have access to will be easier to locate. The Person Centred Planning process has just started for the client and will be used alongside the more formal care plans and risk assessments. Risks associated with the clients behaviour are recognised and assessed with guidance available to staff about how to manage these risks. The staff told us that they are involved in the process of reviewing the care plan or the Person Centred Plan and that they are aware of the content. They said that they have regular discussions about the clients needs so that they are all aware of the current care plans and can provide consistent care. The client has her own bank account and records are kept of expenditure on her behalf. We saw the records kept and checked these with the cash held and these were accurate. The client has signed her agreement for the staff to look after the majority of her money but the Manager said she is encouraged to have her own money when she is away from the Home so that she can spend it on what she needs/wants. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The client is supported to take part in a range of activities which are meaningful to her. The client is involved in all aspects of meal planning, shopping and preparation. EVIDENCE: When the client first moved into the Home she spent five days per week at the organisations day service which is close to the Home. However, over the last few months she has tried new activities and has started to take part in a wider range of leisure and educational activities. She told us that she is really enjoying these and that she gets the support that she needs to access them. The client was on holiday at the time of our first visit to the Home. She said that she had really enjoyed this. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 13 The rota indicates which staff are responsible for supporting the client to specific activities and discussions with staff show that thought is given as to which member of staff would best be able to support her depending on what the activity is. The Home has a car to use for the clients. Staff said that the town has good public transport so that once there are other clients living at the Home they will use this as well as the car will need to be shared between all of the clients. The client is encouraged to be involved in all aspects of the household tasks such as shopping, cooking, cleaning and laundry. She said that she likes to be responsible for these and that the staff encourage her to do things for herself. She said that the staff are all nice and that they all speak to her kindly. The client chooses the menu for the forthcoming week and is then involved with shopping for food and the cooking. She told us that when other clients move into the Home the household tasks will be shared and that they will have a weekly meeting to agree the menus. The care plan contains information about the clients needs with regard to activities and her dietary needs. The daily notes are used to record information about how the client has spent her day. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of the client are met in a supportive and kind way. This includes the safe administration of medication. EVIDENCE: The care plan contains information about the clients personal and healthcare needs and how these should be met. The staff who spoke to us are aware of this information and described a consistent way of providing the support that the client needs. The staff said that regular discussions take place about how best to meet the clients needs and the importance of providing care in a consistent manner. The care plan contains evidence of health professionals being involved in specific aspects of the clients life. There is also evidence that she is registered with the local GP practice. The staff have recently started to use the Health Action Plan document which will provide information about the clients health needs and a clear record of appointments with healthcare professionals. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 15 The staff are aware of the importance of providing consistent support with regard to the clients emotional needs as well as physical needs. The client said that she feels that she can talk to any of the staff about any issues. The medication is stored securely and appropriate records are kept of medication received at the Home and that which is administered to the client. The staff all receive training prior to being able to administer medication. The guidance about the use of PRN medication needs to be a bit more detailed so as to provide very clear guidance to staff about when it should be given. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The client feels that she is able to raise issues with staff as they arise. Procedures and staff training are in place to protect the client from abuse. EVIDENCE: The client told us that she feels comfortable talking to any of the staff and that the staff are “always asking me what I think about something”. The Home has records for recording any concerns or complaints. The Manager said that there has been one complaint made and that this was about the poor state of the front garden. She said that this was addressed immediately and that plans are in place to prevent future complaints about this. The staff all receive training within their induction with regard to Safeguarding vulnerable people. Staff who spoke to us were aware of the correct procedure to follow if they have any concerns about any forms of abuse. The Manager has received appropriate training and is aware of the procedure with regard to making referrals to the statutory authorities about allegations of abuse. The Manager intends to provide the complaints procedure in a simpler format so that clients will find it easier to understand. The complaints procedure and whistle blowing procedure are on display in the entrance hall of the bungalow. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home provides comfortable and homely accommodation which meets the needs of the client. EVIDENCE: The bungalow has had some adaptations made to it prior to it being registered as a Care Home. The client showed us around the bungalow. Office space, including sleep in accommodation for staff has been provided. The clients bedrooms are all single and have ensuite toilets. One of the bedrooms also has a shower in the ensuite. The client living at the Home has brought her own furniture and her bedroom is very personalised. She said that she is waiting for some more cupboards and shelves so that her ornaments and other personal items will look more tidy and be easier to access. She said that she can have the key for her bedroom is she wants to.
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 18 The bathroom is small and functional. There is a kitchen which has lots of storage and also has room for a small table and chairs. The lounge/diner is large and has been furnished in a modern and comfortable style. The majority of the bungalow is fairly bare and lacking personalisation but the Manager explained that they want the clients to be able to put their own sense of style on the bungalow so this will develop as clients move in. The large entrance area is bare and functional with a notice board which makes it look rather institutionalised. The Manager has plans to alter this area to make it more homely and attractive but in which the necessary information will still be available. The sleep in room is not located close to the bedroom area and is accessed through the kitchen. The fire risk assessment which was carried out for the bungalow recommends that the kitchen door is kept locked at night. Therefore, a door bell has been fitted to the kitchen door so that the client can contact the staff during the night. The client told us that she knows how to do this. This situation is not very satisfactory and the Manager is carrying out a risk assessment of the situation in order to find a suitable alternative. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 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. The client is supported by staff who receive appropriate training and support to enable them to carry out their roles effectively. EVIDENCE: As there has only been one client living at the Home since it was first opened there has usually been only one member of staff on duty but this is due to change when the next client moves into the Home. The Manager said that the client moving into the Home needs to have 1:1 staff support during the day so that when both clients are at Home during this period of time there will be two members of staff on duty. There is one member of staff sleeping in at night. The staffing team was at first a mix of permanent staff and agency staff. At that time the agency were providing consistent staff so that they knew the client. However, the Manager has recently completed recruitment for new staff needed now that another client is moving into the Home and said that only one member of agency staff is currently working at the Home. The duty rota shows which care staff are on duty but does not show the Managers hours.
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 20 A look at a selection of personnel records show that appropriate recruitment procedures are followed, including obtaining evidence of identification. The staff receive appropriate induction and ongoing training which includes both mandatory training such as Safeguarding and First Aid but also training which is more specific to the needs of the clients. The staff who spoke to us were enthusiastic about working at the Home and spoke very positively about working with the client. The client told us that the staff are kind and that they help her when she needs help but that they encourage her to do things for herself if she can. Staff said that they feel that they work in a good team and all work consistently together. They also said that they receive good support from the Manager. They said that they do receive formal supervision but that the Manager regularly spends time at the Home and is always approachable if they want to speak to her at any time. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 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 well managed in a way which puts the needs of the client first. EVIDENCE: The Manager has suitable previous experience of managing a Care Home. She has recently completed her Registered Managers Award and is just waiting for the final assessment to be carried out on this work. She attends ongoing training provided by the organisation, both mandatory and that which is specific to her role as Manager. The Manager takes part in the on call system which is provided and also regularly meets with the other Managers within the organisation. The staff and client who spoke to us spoke highly of the Managers style of management and of the support that she provides to them. They said that she
Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 22 is regularly in the Home and that she is always available if they want to speak to her. The Manager currently manages the organisations day service which is located in the same town. She said that she spends time at the Home most days and that she works there on alternate weekends. She is aware of the need to monitor her own workload and said that she discusses this during supervisions with her line manager. The Home has a Team Leader who takes on a lot of the day to day running of the Home and liases with the Manager about management issues. The staff regularly ask the client her views about the service provided and plan to continue this once other clients move in to the Home in a variety of informal ways as well as more formal client meetings. The organisation has a quality assurance system which involves monthly visits to assess various aspects of the service provided as well as the use of questionnaires which can be sent to relatives/professionals on an annual basis. The staff regularly monitor the systems that in place to protect the health and safety needs of the client and the staff. The Manager said that the hot water temperature is regulated and that regular monitoring of this takes place. There is a radiator on the wall in the bathroom which the Manager said she will do a risk assessment for as it may need covering considering its location. The Home has linked fire smoke alarms and records are kept of the regular checks on these. As previously mentioned in this report the Manager is going to carry out a risk assessment with regard to locking the kitchen door at night. Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 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 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 2 X Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 24 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 YA33 Regulation 17 (2) Requirement The Managers hours must be recorded on the duty rota to ensure that an accurate record is kept of the staff on duty A risk assessment must be carried out for locking the kitchen door at night to ensure that all risks have been considered and that the most appropriate course of action is taken to manage the risks Timescale for action 30/09/08 2 YA42 13 (4) 30/09/08 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 YA1 2 3 YA5 YA7 YA20 Refer to Standard Good Practice Recommendations It is recommended that the Service User Guide and Contracts are provided in an alternative format It is recommended that the format of the care plan is reviewed to make it easier for staff to locate information It is recommended that the guidance with regard to PRN medication is more detailed
DS0000071712.V371346.R01.S.doc Version 5.2 Page 25 Woodlands Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodlands DS0000071712.V371346.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!