Care Home: Woodleigh Rest Home

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What the care home does well The home has a warm friendly and homely atmosphere and people living there and visiting relatives said that this is always the case. Everybody said that they were well looked after and that staff attend to their needs in a way that suits them. The home is well maintained and clean throughout. People are encouraged to display their personal possessions in their bedrooms to make them feel at home. A wide range of activities are available for people to join in with if they choose to do so. People are asked what activities they would like and said that they enjoy the variety of things to do.People can follow their own routines and relatives and friends are welcome to visit at any time. The staff are well trained and provide care to people in a sensitive manner. They take time to sit and talk to people. Everybody said that the staff were kind and relationships between everybody are relaxed and friendly. People are protected by the recruitment procedures in the home which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. What has improved since the last inspection? The new owners have embarked on a major programme of refurbishment and redecoration. The lounges and dining room have been completely refurbished and are bright and welcoming. All of the bedrooms will also be refurbished. The rooms completed to date are furnished and fitted to a high standard. When the owners took over the home there was a lot of work to complete to comply with fire safety regulations, this work has now been completed. New working practices have been introduced and the home is now run in the best interests of the people living there. Examples of this are more relaxed routines at mealtimes and restrictions on the number of staff taking breaks together. Everybody said that changing the routines have improved the atmosphere in the home. New care planning systems have been put in place. People living at the home and their relatives are now fully involved in saying what their care needs are and how the support is to be given to meet them. What the care home could do better: There is no Registered Manager in the home. The owners are currently managing the home. A member of staff has been identified to be appointed to manage the home. This person must be formally appointed as manager and an application must be made to us to be registered. CARE HOMES FOR OLDER PEOPLE Woodleigh Rest Home Brewery Lane Queensbury Bradford West Yorkshire BD13 2SR Lead Inspector Cheryl Stovin Key Unannounced Inspection 10:00 15th November 2007 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 Woodleigh Rest Home DS0000001251.V346710.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 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. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodleigh Rest Home Address Brewery Lane Queensbury Bradford West Yorkshire BD13 2SR 01274 880649 F/P 01274 880649 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) N/a Woodleigh Rest Home Ltd *** Vacant *** Care Home 33 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (33), Physical disability over 65 of places years of age (11) Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2006 Brief Description of the Service: Woodleigh is a care home situated in the Queensbury area of Bradford. The home does not provide nursing care. The property has been adapted and extended to provide personal care only for 33 older people both in single and double rooms on the ground and first floors. The rear entrance provides disabled access to the ground floor with a stair lift enabling access to the first floor. There are two lounges and one dining room on the ground floor. The weekly charge is £379. Additional charges are made for hairdressing, chiropody, and personal newspapers. A copy of the last inspection report, Service user guide and Statement of purpose are all prominently displayed in the reception area of the home. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Woodleigh. This included an unannounced visit I made to the home on 15th November 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a full tour of the building was undertaken, records were examined and we spoke to management, staff and the people living at the home. In addition comment cards were sent out to give people an opportunity to share their views of the service with us. Nine people living at the home returned their surveys and eight relatives replied, The last inspection of Woodleigh was on 13th September 2006 no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. We would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The home has a warm friendly and homely atmosphere and people living there and visiting relatives said that this is always the case. Everybody said that they were well looked after and that staff attend to their needs in a way that suits them. The home is well maintained and clean throughout. People are encouraged to display their personal possessions in their bedrooms to make them feel at home. A wide range of activities are available for people to join in with if they choose to do so. People are asked what activities they would like and said that they enjoy the variety of things to do. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 6 People can follow their own routines and relatives and friends are welcome to visit at any time. The staff are well trained and provide care to people in a sensitive manner. They take time to sit and talk to people. Everybody said that the staff were kind and relationships between everybody are relaxed and friendly. People are protected by the recruitment procedures in the home which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. 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. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 7 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 Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 8 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): 1,2,3,6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are fully assessed before moving in. This makes sure that the home is suitable and can meet their needs. EVIDENCE: Everybody has an assessment before moving into the home to make sure that the staff can meet their needs. People are encouraged to visit before making a decision to move in. This gives everybody an opportunity to meet the staff and other people living at the home and to sample the daily routine. Detailed information about the home and the facilities provided is displayed in the entrance hall of the home and people said that they received enough information about the home before moving in. One person said that they had Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 9 received good reports about the home from other people and this was the reason they decided to choose this home. The admission procedure is thorough. An admission checklist is completed to make sure that people know who everybody is, know where things are and important information, for example, about mealtimes and facilities in the home. This helps people to settle in and feel at home. Everybody is provided with a licence agreement which clearly sets out what the home does and does not provide and the rights and responsibilities of people living there. Intermediate care is not provided in the home. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met and personal support is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: Everybody has an individual care plan. The care records of five people were looked at, including one person who has only just moved into the home. New care planning documentation has been introduced and includes all activities of daily living in addition to personal and health care support needs. Information is included about the person’s previous lifestyle, this means that staff have information to make sure that people’s previous interests are followed. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 11 Risk assessments are completed which show what staff need to do to make sure that risks are minimised and help ensure that the people using the service are kept safe. People’s health care needs are being met. There was evidence that GPs, district nurses and other health care providers were seeing people when necessary. Everyone who returned a survey said they always received the care and support that they need. Relatives also said that in their opinion, people’s needs were being met. One person said “It is unbelievable, the care they receive, the girls are very good”. They said they were always informed about important issues, for example any accidents, hospital appointments or hospital admissions. They all said that the home provided the support and care that they expected. Medication practices in the home are safe. Medication is supplied in a Monitored Dose System (MDS) from a local pharmacy. The medication is securely stored and stocks checked tallied with records held. All the senior staff have been trained to make sure that medication is given safely. Nobody is currently handling their own medication although suitable facilities are provided for safe storage in their rooms if they wished, and were able to do so. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: The atmosphere in the home is warm, welcoming and friendly. One person living at the home said the home has “a nice comfortable atmosphere”, another said “the new owners have really pulled it round and everybody is getting used to the new routine”. One relative said “There is always a happy feeling when you go in”. Another relative said that the “atmosphere has improved since the new owners took over”. People choose how they want to spend their time each day. Some people prefer to spend time in their room; others prefer to sit together in the lounge. The staff regularly call on people who are in their rooms, to offer drinks and to make sure everyone is alright and to ask if they need anything. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 13 Visitors were seem to be warmly welcomed into the home and said that this is always the case. Relatives made the following comments about their impression of life in the home: “The residents are well looked after and are always clean and tidy”. “The home is always warm and clean. My mother speaks highly of all the staff and I feel that I made the right choice for her needs at Woodleigh”. “From what I see when I visit I would say all residents are treated equally and with respect”. “The staff are very caring and friendly. They take time to talk to all the residents”. “Things have greatly improved since the new owners took over, much friendlier”. “They keep her warm, clean, well fed and safe. We don’t have any need to worry, they take it away from us”. There are a wide range of activities provided for people to join in with if they choose to do so. The activities on offer are displayed and the weekly programme includes: quizzes, music and movement, manicures, table games, hand massage and sing a longs. On the day of the visit a reminiscence session was taking place which stimulated lively conversation between the people taking part. People said that they enjoyed the activities, one person said “We are given a choice of activity, we then can join in or not. I enjoy the quizzes, hand massage, nails and music”. One relative said: “They encourage X to sing along with the old tunes, which she loves to do. As she is blind it’s one of her pleasures that she can do”. Mealtimes are a relaxed social occasion. The majority of people sit together in the dining room at attractively set tables. The main meal of the day is served at lunchtime. The meal being served during the visit was: chicken soup followed by steak pie, new potatoes, cauliflower and cabbage, followed by rhubarb and custard. People who require assistance with eating are helped in a sensitive manner. Everybody said they enjoyed their meals, one person said: “the meals are marvellous”. Special diets can be catered for and an alternative is always available if a person doesn’t want what is on the menu. One relative thought that the meals could be improved and said “the residents used to enjoy fried fish and chips on a Friday but they don’t get them anymore”, and didn’t think that this was fair. Another relative said that people “don’t have a choice of either brown or white bread”. These issues could easily Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 14 be discussed with people living at the home as menus are talked about at residents’ meetings. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 15 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): 16,18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have an awareness of adult protection procedures. EVIDENCE: The people who completed surveys said they knew about the complaints procedure and who to speak to if they were unhappy about anything. They also said the staff listen to them and act on what they say. The relatives who completed surveys said they knew how to complain and they knew who they would speak to if they had any concerns. A record is kept of any complaints received and of the outcome of the investigation. A recent complaint has been handled appropriately and resolved. The home has recently investigated an allegation of verbal abuse by a member of staff working at the home. The staff were aware that the issue should be reported promptly and the owners took immediate action to protect the people living at the home. The member of staff was suspended and statements taken from the alleged victim and staff. Once the statements had been finalised the owners contacted us and the local authority adult protection team. Current guidance is that the local authority and the CSCI should be notified immediately. The owners are now aware of this and of the updated Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 16 safeguarding procedure. The matter has now been satisfactorily resolved, with the local Adult Protection Team saying that they were satisfied that the home handled the allegations correctly. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 17 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): 19,20,21,23,24,25,26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a safe, clean and comfortable home that is well maintained. EVIDENCE: Woodleigh is a large detached property set in a semi rural position with easy access to the shops and facilities of the village of Queensbury. The new owners have started a programme of refurbishment. The lounges and dining room have been totally redecorated and furnished and are bright and welcoming. All of the bedrooms will also be refurbished, the rooms already completed are fitted with good quality fixtures and fittings. All of the bedrooms have had new flooring and new bed linen has been purchased. People who want to have a key to their rooms are given one, this makes sure that their possessions are kept securely and their privacy respected. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 18 Everybody is encouraged to bring with them personal possessions and small items of furniture to make sure that they feel at home and that their rooms reflect their individual interests and tastes. People said that they liked their rooms and one person said “it’s like home from home”. There is a designated smoking area in the home for people living there who are smokers. This is greatly appreciated by the people who use this area. Staff and visitors cannot use this facility and have to leave the grounds if they wish to smoke. There are safe and accessible garden areas for everybody living at the home to enjoy in the warmer weather with panoramic views over the surrounding countryside. The new owners have completed the fire safety requirements which were outstanding when they took over the home. All areas of the home now meet with fire safety regulations. All areas of the home are clean and tidy and hygienic. People living at the home and their visitors said that this is always the case. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty at all times to meet the needs of the people living at the home. There are always four members of staff, plus the owners, on duty during the daytime. During the night there are two waking night staff. As well as the care staff domestic and catering staff are employed along with a handyperson and laundry assistant. This makes sure that the care staff have time to sit and talk to people. Relationships between staff and everybody living at home are relaxed and friendly with appropriate use of informality and humour. People said that all the staff were kind to them and attend to their needs promptly. Everybody said that the staff listen to what they say and are available when they need them. Some additional comments made included: “Very attentive staff”. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 20 “Cannot think of a time when staff were not available”. “A good bunch of staff”. “Very helpful and caring”. “The staff make it”. Members of staff said that they enjoyed working at the home and said that they work together as a team. They have a good awareness of people’s needs and provide care in a sensitive and caring manner. They said that the new owners have implemented new working practices, for example limiting how many people can go for a break at the same time. They all said that this had improved the care given to the people living at the home. The staff team are well trained which makes sure that care is given in a consistent and safe manner. There is a programme of National Vocational Training (NVQ) in care in the home. Over 50 of the staff have their award which means they are qualified and competent. Staff recruitment files were seen which showed that all the required preemployment checks had been carried out. All staff are subject to Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures before an offer of employment is made. Two written references are also required. This makes sure that only suitable staff are employed at the home. Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and it is run in the best interests of the people living there. Work practices promote the health, safety and welfare of people who live there. EVIDENCE: The home is currently being managed by the owners. They are both Registered Nurses with many years experience of owning and managing care homes. Since taking over the home earlier in the year they have implemented many new working practices and routines. Staff and people living at the home Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 22 say these have improved the choices and the care given to everybody living in the home. There are financial procedures in the home to make sure that people’s money is held safely. The owners are very keen on staff development and a member of staff at the home has been identified as having the competence and ability to be the registered manager of the home. This person is shortly to start the National Vocational Qualification (NVQ) level 4 in management and care. To comply with the Care Homes Regulations an application must be made to us to be registered as manager. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. All of the outstanding fire safety requirements have been met. Everybody is routinely consulted as to their opinions about how the home is run and any suggestions for improvement are acted on promptly. Woodleigh Rest Home DS0000001251.V346710.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 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 x x 3 Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 9 Requirement To make sure that the home is run in the best interests of the people living there a manager must be appointed. An application must then be made to us to be registered as manager of the home. This remains outstanding from the last inspection. Timescale for action 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodleigh Rest Home DS0000001251.V346710.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Woodleigh Rest Home DS0000001251.V346710.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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