Care Home: Woodlands

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What the care home does well Woodlands provides a homely, supportive environment that helps to promote independence, responsible risk taking and choice. It is person centred in its approach. Positive comments were received from service users, relatives and staff about all aspects of the service. It is well established and there are good links with the local community. It has a minibus, which helps service users to go on outings. Typical comments received from service users and relatives included: "The care home does well by letting X do as he would normally do in life, such as letting him go to town and buying CDs etc." "They keep a happy home environment for all the service users." "The care home supports our daughter`s every need and really cares about her wellbeing." "I am highly satisfied with the love and attention given to my daughter and others like her who reside at Woodlands Care Home. They also enjoy a social life that the staff provide them with." "My bedroom is the best and I love all the staff." "I am going to Rievaulx tonight and I am going to buy some sweets." "I like painting and drawing." "There have been handrails fitted to help me get about. Everyone made me feel welcome when I moved in." "I have lived at Woodlands for a long time and I like it here. I get on well with others that live here and the staff." What has improved since the last inspection? A minibus has been purchased and a number of areas within the home have been redecorated, re-carpeted and refurnished. A new manager has been appointed (Lee Fairman). He has applied for registration with the Commission for Social Care Inspection (CSCI). Personal support plans have been reviewed and improved. Risk assessments have been completed and improvements made to the storage and administration of medicines. What the care home could do better: Further consideration should be given to the fitting of suitable locks to bedroom doors in the interest of promoting privacy and dignity. The tumble dryer in the laundry must not vent into the laundry room, in the interest of health and safety. A vent tube must be fitted so that the tumble dryer either vents directly to the exterior of the building or into a condenser. Radiator guards must be fitted to all radiators where there is a risk of service users being burnt, unless that action has been deemed unnecessary by an up to date, written risk assessment. CARE HOME ADULTS 18-65 The Woodlands 41 Yarm Road Stockton-on-Tees TS18 3NP Lead Inspector Mr Stephen Ellis Unannounced Inspection 30th May 2008 10:00 The Woodlands DS0000071647.V366566.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 The Woodlands DS0000071647.V366566.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. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Woodlands Address 41 Yarm Road Stockton-on-Tees TS18 3NP 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) 01642 608036 01642 672222 Potensial Limited Lee Paul Fairman Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - Code LD, maximum number of places 10 The maximum number of service users who can be accommodated is: 10 First inspection following re-registration 13/05/08 Date of last inspection Brief Description of the Service: Woodlands is a care come for 10 adults with a learning disability. The property is a large Victorian terraced house on four floors. There are six single and two shared rooms; none has en-suite facilities but all have a washbasin. The home is situated on the fringe of a residential area close to Stockton town centre and is well placed for easy access, either by bus or walking. Residents have access to a secure and secluded garden area to the rear of the property. Weekly fees vary between £452.03 and £782.08, plus top-up fees for additional inputs where appropriate. The actual amount payable will depend on individual circumstances. The weekly fee covers all accommodation, personal care and meals and drinks. Service users each have a weekly personal allowance of £21.15. The Woodlands DS0000071647.V366566.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 2 stars. This means the people who use this service experience good quality outcomes. This unannounced fieldwork visit to Woodlands took place over 5.25 hours on 30th May 2008 as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, examination of a sample of some of the records that the home is required to keep, and discussions with service users and staff. Comments were received during the visit and from surveys that we carried out before the visit. In total, there were comments received from 8 service users, 5 relatives and 7 staff, including the manager. What the service does well: Woodlands provides a homely, supportive environment that helps to promote independence, responsible risk taking and choice. It is person centred in its approach. Positive comments were received from service users, relatives and staff about all aspects of the service. It is well established and there are good links with the local community. It has a minibus, which helps service users to go on outings. Typical comments received from service users and relatives included: “The care home does well by letting X do as he would normally do in life, such as letting him go to town and buying CDs etc.” “They keep a happy home environment for all the service users.” “The care home supports our daughter’s every need and really cares about her wellbeing.” “I am highly satisfied with the love and attention given to my daughter and others like her who reside at Woodlands Care Home. They also enjoy a social life that the staff provide them with.” “My bedroom is the best and I love all the staff.” “I am going to Rievaulx tonight and I am going to buy some sweets.” “I like painting and drawing.” “There have been handrails fitted to help me get about. Everyone made me feel welcome when I moved in.” “I have lived at Woodlands for a long time and I like it here. I get on well with others that live here and the staff.” The Woodlands DS0000071647.V366566.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. The Woodlands DS0000071647.V366566.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 The Woodlands DS0000071647.V366566.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. People who use the service experience good quality outcomes in this area. Prospective service users and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comprehensive and detailed assessments were found in service users’ case files. The manager and staff confirmed that the home’s admission policy is followed, so that only people whose needs are known and whose needs can be met, are admitted, bearing in mind the needs of other service users. Prospective service users have a gradual introduction to the home, coming on introductory visits, shared activities and overnight stays etc. Service users and relatives said they felt there was enough information provided by the service to enable them to make a decision about the suitability of Woodlands for them. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There were numerous examples of responsible risk taking by service users. Service users lead active lives, participating in a variety of recreational and educational activities, including attendance at adult centres, holidays and outings to places of interest. Residents exercise choice and act independently, with support and encouragement from staff (such as choice of clothing, times of getting up and going to bed, choice of menu, choice of activities). It was observed that service users were treated with respect and their individuality was acknowledged. Members of staff adopt a ‘person-centred’ approach, with attention given to promoting people’s dignity and privacy. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 10 These values were reflected in the service users’ plans of care/support plans. These were in the process of being updated and transferred into new, more accessible formats. Several residents confirmed that they discussed their needs and personal goals with members of staff, such as their key workers, who took note of these issues and helped them. There was evidence of such communication and personal care planning found in the plans of care. The home is trying to introduce person centred planning for each service user, so that people’s individual needs and personal aspirations can be fully known, understood and reviewed. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. People who use services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals’ expectations. We have made this judgment using a range of evidence, including a visit this service. EVIDENCE: It was observed that residents were treated with warmth and respect and were addressed in an appropriate manner by their preferred name. Residents and staff got on well together. There was an easygoing and relaxed atmosphere in the home, with routines that were flexible and allowed residents to exercise personal choice and control over their own lives. Each resident had an individual programme of daytime activities, either based in the home, at an educational or work centre, or in the local community. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 12 to Staff at the home were good at providing each resident with a wide range of opportunities that allowed them to lead interesting and fulfilled lives. Care plans, as confirmed by residents and staff, showed that a wide range of activities was available: TV and videos, karaoke, pool etc. Residents were able to access local and wider community facilities either by public transport or the home’s minibus: pubs, shops, craft fair, day trips to the coast and countryside, local parks, railway museum, football matches, visits to local theatres etc. Staff recognised the importance of residents maintaining contact with relatives and friends and encouraged visitors to the home. Menus showed residents were offered a varied and balanced diet, with alternatives readily available should people not like the main meals. Residents said that they liked the food at the home and felt their preferences were well catered for. Typical comments received from service users and relatives included: “The care home does well by letting X do as he would normally do in life, such as letting him go to town and buying CDs etc.” “They keep a happy home environment for all the service users.” “The care home supports our daughter’s every need and really cares about her wellbeing.” “I am highly satisfied with the love and attention given to my daughter and others like her who reside at Woodlands Care Home. They also enjoy a social life that the staff provide them with.” “My bedroom is the best and I love all the staff.” “I am going to Rievaulx tonight and I am going to buy some sweets.” “I like painting and drawing.” “There have been handrails fitted to help me get about. Everyone made me feel welcome when I moved in.” “I have lived at Woodlands for a long time and I like it here. I get on well with others that live here and the staff.” The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments from service users, relatives and staff indicated good levels of satisfaction concerning the health care, personal care and social care of service users. Medical and community nursing care was described as being readily available and very helpful. All residents are registered with a GP, optician and dentist and each has a health action plan. Professional input has also been provided over the past year by external health and social care personnel, such as physiotherapists, occupational therapists and social workers. Residents spoke highly of the staff, describing them as friendly, understanding and supportive. Each resident has a named key worker of their choice from the home’s team of staff. Staff members confirmed that they have defined roles and responsibilities and are encouraged to recognise their own professional limitations. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 14 Senior members of care staff had either completed Safe Handling of Medicines training or medicine awareness training. Staff members were also trained in the home’s own policies and procedures for the safe handling of medicines. Further training and development in the safe handling of medicines is planned. Policies and procedures for the safe storage, administration and disposal of medicines are satisfactory and good practices were observed. An independent pharmacy audit was carried out earlier this year and the findings were satisfactory. In practice, residents tend to delegate responsibility for their medicines to the staff, although they may administer their own medicines, subject to risk assessment. The medicine trolley was observed to be well organised with medicines stored safely and securely. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau plus Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Residents and relatives indicated a caring, supportive atmosphere in the home, and this was observed during the fieldwork visit. They said that they got on well with each member of staff and felt they could confide in them. The home has a user-friendly complaints procedure that was developed with the needs of the residents in mind. Staff expressed confidence in the manager and seniors, describing them as being supportive, approachable and understanding. They would not hesitate to approach the manager and/or seniors about any suspected abuse or neglect of residents. Most members of staff have undergone training in the Protection of Vulnerable Adults (POVA), such as ‘No The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 16 Secrets’ training, and are aware of the local multi-agency safeguarding adults policy and the lead role taken by the Adult Social Services Department. The Woodlands DS0000071647.V366566.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, 26 and 30. People who use the service experience adequate quality outcomes in this area. The physical design and layout of the home enables people who use the service to live in a mainly safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home was clean, hygienic and free from unpleasant odours. All areas of the home, including the kitchen were accessible to residents. Lounges were pleasantly decorated and comfortably furnished and bedrooms had been individualised by the inclusion of personal effects such as posters, photographs, CD players, TV etc. However, it was observed that bedroom doors did not have locks (the type that are safe and easy to use) and that some radiators needed guards to be fitted, to protect service users from burns. Also, the laundry room in the basement needed to ensure that the tumble The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 18 dryer did not vent into the room, in the interests of health and safety. home is understood to be addressing these issues. The The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels were found to be appropriate, in accordance with the guidance issued by the Commission for Social Care Inspection and residents’ assessed needs. At the time of inspection, there were 10 residents being accommodated, with staffing levels being typically 2 to 3 members of care staff on duty throughout the day. At night (9.15 pm to 7.45 am) there is one member of staff awake on duty, and another on-call off the premises within easy reach of the home. Comments received from both residents and staff confirmed that staffing levels and skills were sufficient for the needs of the home. An experienced carer is always deployed on each shift. A full staff-training programme is provided, including managing challenging behaviour, safe handling of medicines, protection of vulnerable adults, food The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 20 hygiene, moving and handling, first aid, risk assessment, fire safety and National Vocational Qualifications in health and social care at levels 2, 3 and 4. Comprehensive induction and foundation training is provided for all staff. Individual records of staff training and development are kept, as well as staff group records. 46 of permanent members of care staff have achieved National Vocational Qualification (NVQ) level 2 or above in health and social care. Another 46 are working towards their qualifications. The home’s recruitment policy and practice is sound, ensuring that all preemployment checks are carried out as required, including Criminal Record Bureau enhanced checks, Protection of Vulnerable Adults checks and the taking up of two written references. Service users’ views concerning the suitability of new staff are taken into consideration and there is a probationary period of 3 months for new staff to serve. The Woodlands DS0000071647.V366566.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 and 42. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect and has effective quality assurance systems, being developed by a capable manager who hopes to complete his registration and qualification in management soon. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home had policies and procedures that complied with current legislation and recognised professional standards and covered all aspects of the management of the home. Records were kept to safeguard service users’ rights and best interests and to ensure the safe and effective running of the home. The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 22 The manager has only been appointed within the past year. He has substantial, senior experience of working with service users with learning disabilities in a variety of service settings and employment sectors. He has applied for registration with the Commission for Social Care Inspection (CSCI) and is working towards achieving a recognised management qualification. Staff, residents and relatives spoke highly of the manager and felt the home was well managed and that their individual contribution was appreciated. The home had various systems, both formal and informal, to measure success in meeting its aims, objectives and statement of purpose. These included a monthly audit conducted by the company’s Operations Manager, regular resident reviews, residents’ meetings, staff meetings and feedback from residents’ relatives. The manager plans to introduce more accessible questionnaires for service users to use, to help encourage feedback from residents on all aspects of the service. The Woodlands DS0000071647.V366566.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 2 3 3 X X 2 X The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 13 (4) (a) (b) (c) (6) Timescale for action Radiator guards must be fitted to 30/07/08 all radiators where there is a risk of service users being burnt, unless that action has been deemed unnecessary by an up to date, written risk assessment. The tumble dryer in the laundry must not vent into the laundry room, in the interest of health and safety. A vent tube must be fitted so that the tumble dryer either vents directly to the exterior of the building or into a condenser. 30/07/08 Requirement 2 YA24 YA30 13 (3) (4) (a) (b) (c) (6) 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 YA26 Good Practice Recommendations Further consideration should be given to the fitting of suitable locks to bedroom doors in the interest of promoting privacy and dignity. DS0000071647.V366566.R01.S.doc Version 5.2 Page 25 The Woodlands 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 The Woodlands DS0000071647.V366566.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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