Inspection on 19/09/06 for Ashring House

This inspection was carried out on 19th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashring House 15/08/07

Ashring House 04/01/06

Ashring House 22/06/05

Ashring House 08/09/04

Ashring House 14/04/04

Ashring House 20/01/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Ashring House Lewes Road Ringmer East Sussex BN8 5ES Lead Inspector Nigel Thompson Key Unannounced Inspection 19th September 2006 09:30 Ashring House DS0000021034.V305612.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 Ashring House DS0000021034.V305612.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. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashring House Address Lewes Road Ringmer East Sussex BN8 5ES 01273 814400 F/P 01273 814400 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) Ashring House Limited (Beacon Care Holdings Plc) Miss Margaret Ann Goodwin Care Home 6 Category(ies) of Learning disability (6), Physical disability (4) registration, with number of places Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of residents to be accommodated is six (6). Residents with a learning disability only to be accommodated. The residents must be aged under fifty-five (55) years on admission. There may be a maximum of four (4) people who also have a physical disability. 4th January 2006 Date of last inspection Brief Description of the Service: Ashring House is a detached single storey house located along the main road in the village of Ringmer. It is a short walk to the village where there are shops, local services and the local community college. It is one of a group of homes owned by Beacon Care Holdings for adults with learning disabilities and physical disabilities who are aged between 18 and 55. Ashring House aims to enable its residents to lead a fulfilling life in which they are empowered to make choices and their abilities and rights are promoted. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees at Ashring House, as of 19 September 2006, is £920 - £1,600 per week. Additional charges are made for hairdressing, chiropody, reflexology, toiletries and holidays. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in September 2006. It found that all key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were six service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. Four service users and three members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Through working closely and consistently with service users, staff have developed a sound understanding of their individual care and support needs. Service users are encouraged and supported to make decisions about their lives. Where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. Ashring House DS0000021034.V305612.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. Ashring House DS0000021034.V305612.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 Ashring House DS0000021034.V305612.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 Quality in this outcome area is poor. This judgement has been made using available evidence, including a visit to this service. Unsatisfactory documentation, including the ‘Statement of Purpose’ and ‘Service Users’ Guide’ does not provide prospective service users and their relatives with sufficient accurate and up to date information about the home and the services provided. There is a potential risk for service users and staff from inadequate admission policies and procedures. EVIDENCE: The manager confirmed that nobody has been admitted to Ashring House for over four years. However, from examination of relevant documentation, it was evident that the information made available to prospective service users and their relatives is out of date and inaccurate and the current admission policy and procedures are unsatisfactory. It was noted that the brochure refers to a nearby ‘large leisure park with twelve screen cinema, within easy walking distance’. From discussion with the manager, it is evident that this actually refers to another residential service, within the group, located in Bexhill. The Statement of Purpose and Service User Guide are to be reviewed after it was noted that certain information is out of date, including references to the National Care Standards Commission (NCSC – the previous organisation Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 9 responsible for regulating care services). As discussed with the manager, it is important that details contained in these documents are kept under review, so as to accurately reflect the services provided and the current situation within the home. Unsatisfactory policies and procedures were noted for the admission of service users into the home. The most recent review of these documents was evidently carried out in March 2003. The manger confirmed that in line with many of the organisational policies and procedures, the home’s admission policy is currently in the process of being reviewed by the Operations Manager for Beacon Care. The importance of service specific, as opposed to generic information was discussed with the manager and it is hoped that policies currently under review will reflect the situation at Ashring House. Ashring House DS0000021034.V305612.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 at least once during a 12 month period. 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. Service users’ care plans enable staff to meet their assessed needs in a structured and consistent manner reflecting individual current and changing support needs. Satisfactory and effective systems for consultation enable service users to make choices and decisions about their day-to-day living. EVIDENCE: Service users individual care plans that were examined contained comprehensive details of their personal, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. The manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in three monthly ‘Client care plan reviews’. It was evident that these reviews are recorded and plans are amended appropriately to reflect changing needs or circumstances. In addition to these formal reviews, it is evident that the manager completes Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 11 a ‘Monthly Summary Sheet’ in respect of each service user, including: ‘personal health’ and ‘individual support required’. A social diary is also maintained including the individual’s ‘life and leisure plan’, college commitments’, ‘family contact and visits’. Independence and individuality is evidently encouraged and promoted within the home and is reflected in the personalising of service users’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Service users are encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day: ‘I like the day centre’. Staff spoken to during the inspection confirmed that, despite the variable and limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting service users in a professional, sensitive and respectful manner. The manager emphasised the importance of staff developing close working relationships with individual service users and being aware of changes in mood or any subtle movements, as in some cases a smile or eye contact may be the only response or indication of a choice made. To further reinforce this, she added, ‘A raspberry sound from one service user indicates happiness and pleasure, where a similar sound from another resident is a sign of unhappiness or possibly even distress’. Ashring House DS0000021034.V305612.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users maintain contact with family and friends as they wish and benefit from appropriate occupation and leisure activities and from good quality menus, that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The manager confirmed that, where appropriate, service users’ family links are encouraged and supported, however not all service users have regular family contact. This was supported by positive comments received from service users’ relatives: ‘Staff are very supportive of us as a family’. ‘We are very happy with the standard of care provided’. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 13 The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Individual care plans examined and comments from staff and service users confirmed that activities and facilities used include painting, football, attending a local day centre, various trips out and a variety of other leisure activities. Menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. A member of staff confirmed that service users are not generally involved in meal preparation. Ashring House DS0000021034.V305612.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 at least once during a 12 month period. 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. Staff demonstrate an awareness and sound understanding of service users’ individual care and support needs. Service users are protected by the home’s medication policies and procedures and their physical and emotional needs are met in a structured and consistent manner and in a way they choose. EVIDENCE: In accordance with their care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with service users in a professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs are continuing to be met within the home. All service users are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 15 Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no service user currently self-administers their own medication. Ashring House DS0000021034.V305612.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 at least once during a 12 month period. 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 open and inclusive atmosphere and effective communication systems within the home enable service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: A copy of the home’s complaints procedure is in place in the entrance hall for the benefit of service users’ relatives and other visitors to the home. However it was noted that the procedure makes reference to the NCSC. Following discussion with the manager, it is recommended that the policy and procedure be reviewed and amended to include updated contact details for the CSCI. All complaints are recorded and include actions taken and outcomes achieved. Regular service users’ meetings provide an opportunity for concerns to be raised and discussed before they become complaints. Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 17 It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The organisation has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. In line with other policies in the home it is recommended that such policies be reviewed and updated. The manager confirmed that staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: It is evident that there has been little change in the physical environment at Ashring House since the previous inspection and standards remain satisfactory throughout. The premises, including the lounge, conservatory, kitchen, dining area and large garden are accessible, safe and clearly meet their stated purpose. During my ‘guided tour’ of the premises it was evident that the generally well maintained décor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for service users. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 19 The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. It was noted that infection control policies and procedures are in place and clearly adhered to. Levels of cleanliness remain satisfactory throughout. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected and benefit from the home’s recruitment policy and procedures and from sufficient trained, competent and appropriately supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: In addition to the comprehensive induction programme undertaken by all newly appointed staff, the manager confirmed that appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: ‘There is always plenty of training here – which is no bad thing!’ There are currently eight members of staff who hold the National Vocational Qualification (NVQ) level 2. This represents an impressive 98 of all care staff in the home. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 21 In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager: ‘Supervision is good. I find it very useful and the manager is always very supportive’. It is evident, from discussions with members of staff that the manager also operates an ‘open door’ policy, with staff feeling confident and able to discuss any issues at anytime. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Through discussions with members of staff, it is evident that the manager also operates an ‘open door’ policy, with staff feeling confident and able to discuss any issues at anytime. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective management, comprehensive quality monitoring systems and are protected by thorough health and safety checks and guidelines and generally efficient record keeping. EVIDENCE: The experienced manager is clearly competent to run the home. She has worked at Ashring House for the past five years and has been in her current post for three years. The manager confirmed that as well as holding the Advanced Management in Care (AMC) qualification, she has recently commenced studying for the NVQ level 4, in Management and Care and expects to complete by January 2007. From direct observation and through discussions with service users and members of staff, it is evident that the manager continues to demonstrate a Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 23 clear sense of leadership and direction. She is clearly motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including six monthly satisfaction questionnaires for both service users and their relatives. Collated responses from the most recent survey indicate a high level of satisfaction with the home and the care and support provided: ‘He has ‘bloomed’ since he has lived at Ashring House’. ‘The manager and staff at the home are very good. The home is going from strength to strength’. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Service users’ monies are held securely and it was noted that a ‘Residents’ Monies Control Register’ is generally well maintained, ensuring that all financial transactions are recorded. Following discussion with the manager, it is recommended that the frequency of ‘balance checks’ be increased. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 24 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 1 3 2 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 X 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 2 3 X Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation 6 (a) Requirement Timescale for action 30/11/06 2. YA2 14 (1) (a)(b) & (c) It is required that all information made available to prospective service users and their relatives, including the Statement of Purpose and Service User Guide, be accurate and up to date. It is required that no service 30/11/06 user is admitted to the home unless a full assessment of their care and support needs has been carried out, by a person suitably qualified to do so. 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. 2. 3. Refer to Standard YA3 YA22 YA41 Good Practice Recommendations It is recommended that prospective service users know that the home is able to meet their needs and aspirations. It is recommended that the home’s complaints procedure be reviewed and amended to include updated contact details for the CSCI. It is recommended, for the protection of service users’ interests, that the frequency of financial ‘balance checks’ DS0000021034.V305612.R01.S.doc Version 5.2 Page 26 Ashring House be increased. Ashring House DS0000021034.V305612.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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. 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