Inspection on 29/09/05 for Little Ingestre

This inspection was carried out on 29th September 2005.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Little Ingestre 18/06/08

Little Ingestre 30/11/06

Little Ingestre 17/01/06

Little Ingestre 23/03/05

Little Ingestre 07/01/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Little Ingestre Ingestre Park Near Great Haywood Stafford Staffordshire ST18 0RE Lead Inspector Lorraine Mavengere Announced Inspection 29th September 2005 09:00 Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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 Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Little Ingestre Address Ingestre Park Near Great Haywood Stafford Staffordshire ST18 0RE 01889 270410 01889 270410 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) Platinum care Homes Ltd Mrs Alison Jane Giles Care Home 15 Category(ies) of Learning disability (3), Physical disability (15) registration, with number of places Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Service user over the age of 65 years Date of last inspection 23rd March 2005 Brief Description of the Service: Little Ingestre is registered to care for 15 younger adults with physical disabilities including 3 who may have associated learning disability. The home is managed by Platinum Care Homes, based in Wolverhampton. Little Ingestre has been established for 20 years and many of the residents have lived there long term. The home caters for people with a range of disabilities, including visual impairment, epilepsy, cerebral palsy and head injury. The home is originally part of the Little Ingestre Estate and has extensive and well laid out gardens. The property has been extended and provides 13 single bedrooms, 6 with ensuite facilities and 2 double rooms, both with ensuite facilities. In addition there are assisted bathing facilities on both floors and adequate toilet facilities on both floors. A new shower room has been added to the ground floor. There are two lounge/dining areas on the ground floor, one smaller and quieter than the other. The home is situated in a rural setting on the outskirts of Great Heywood, Nr. Stafford. Access is via on unadopted road that, despite being re-laid several times is potholed. The home does not currently have access to a mini bus, consequently there is a reliance on staff vehicles and taxi transport to access the community and attend appointments. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Thursday morning and into the afternoon. At the time of inspection, all the residents were at the home. There were twelve residents in total. The home is registered for fifteen. During the inspection, most of the residents were spoken to and were able to comment on the quality of the service and on their own involvement in the home. Their comments are included in the report. Some staff were spoken to as well, they commented on their experience of the home as well as other practice issues as requested by the inspector. Their comments too are included in the appropriate parts of the report. Unfortunately there were no relatives available to participate in the inspection and no relatives’ questionnaires have been returned to the Commission for Social Care Inspection. It is therefore not possible to give any representation of their views in this report. Information from the pre inspection paperwork is incorporated into the report. What the service does well: What has improved since the last inspection? In the last inspection, two requirements and one recommendation were made. It was pleasing to note that the registered manager has established her hands on time and this was in agreement with the registered provider. Risk assessments have been developed to include the degree of risk in risk assessments. It was not possible to note any other areas of improvement as it was the first time the inspector had assessed this particular home. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 6 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. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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 Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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, 5 Service users receive clear information on the service that enables them to make an informed decision about whether they wish to stay at the home. The information is, however, in the wrong company name. A statement of terms and conditions is provided for all service users enabling them to understand the terms under which they are being accepted into the home. EVIDENCE: Little Ingested has changed providers since the service user information and statement of purpose were last updated. The information contained in these documents do meet the standards and regulations but are in the wrong company name. The provider must ensure that all documentation is contained within the correct organisational name. Some of the home’s paper work was still in the name of Union Select Care Ltd; the present company name is Platinum Care Homes. The service user guide is made available in both written and pictorial formats. The registered manager stated that the service user guide could also be made available in Braille if requested. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 9 Four care files were sampled during the inspection. The files seen all had a statement of terms and conditions that outlined all areas as specified in standard 5.2. All the statements of terms and conditions seen were signed by service users. Discussions with some of the service users indicated that they had an understanding of their statement of terms and conditions. Service users spoken to were happy in the formats that their service user information (including the statement of terms and conditions) was made available to them. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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, 10 Each service user has a care plan that takes into account their assessed and changing needs as well as their personal goals. This enables service users to be confident that their individual needs are being met and monitored. Service users’ right to make decisions about their own lives is respected and facilitated. Service users participate in the running of the home and are consulted on the day to day issues affecting the service. Many of the risk assessments in place are adequate but some areas of risk are not assessed. This leaves the service users vulnerable to unmanaged areas of risk. The home handles information about the service users appropriately and ensures their confidences are kept. Information is handled in accordance with the home’s policy and the Data Protection Act 1998. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 11 EVIDENCE: Four service user files were sampled on the day of inspection. The files showed that each service user has a care plan in place. The service user plans are in formats suitable for the service user group and cover all required areas. The plans routinely showed that all areas of health, social and personal care had been assessed and a plan of action put in place accordingly. The plans very clearly set out how current and anticipated specialist requirements are met. It was quite clear that the residents do receive the specialist input. The district nurse, occupational therapist and physiotherapist all regularly visit the home to work with residents who have been assessed to need their input. The registered manager stated that further specialist referrals would be made as and when required. Currently, there are no restrictions imposed on service users in terms of their assessed needs. Service users spoken to confirmed that they were consulted and involved in the formulation and reviewing of their care plans. Records show that all care plans are reviewed regularly and updated to reflect changing needs. All agreed changes are recorded sand actioned accordingly. The care plans were seen to have a number of blank spaces where some information should have been filled in. This denotes that some of these areas have not been taken into account. The registered manager must ensure that the care plan contains all requested information. During the inspection, time was spent talking to the service users and observing staff interaction with them. The service users expressed great satisfaction at their freedom to make decisions about their lives. Observed practice showed that staff do indeed respect service users decisions on everyday matters such as what clothes residents wear, what food they choose and what activities they participate in. The registered manager confirmed that service users are encouraged in as much as possible to manage their own finances. The registered manager also confirmed that service users are given the information, assistance and communication support they need to make informed decisions. None of the current residents have any limitations on facilities, choice or human rights. Service users spoken to stated that they are able to participate in the running of the home through meetings, one to one sessions and reviews. They are active in the drawing up of the menu and said that they felt able to suggest different things and be confident that their wishes would be taken into account. When asked, the service users were able to confirm that they had each been provided with service user information that was clear and accessible. The registered manager confirmed that service users are kept informed of any changes that have been made in the home as a result of their participation. The manager also stated that regular feedback on their contributions is given. Staff spoken to said that no decisions that are vital to the well being of the service users are ever made without their input. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 12 Care records seen show that the home provides detailed risk assessments that take into account all areas of risk and how this risk is to be managed. The risk assessments included areas such as moving and handling, pressure sore management, infection risk assessments and constipation. All these risk assessments were supported by a management plan that showed the home to manage the risk by providing the necessary equipment, aids, adaptations, support and resources. Records showed that risk is also managed through the home’s policies and procedures. Although the majority of the risk areas are covered in the risk assessments, documentation showed that there are some areas that have not been risk assessed. For example, one of the rooms visited was the room of a resident with no sight what so ever. The room was cold so the home had provided an additional portable oil radiator. The radiator had no guard to prevent the risk of burning through surface heat and there was the danger of the service user unwittingly touching the radiator as a result of not being able to see it. The registered manager therefore must ensure that all areas of risk are assessed and managed. Staff spoken to demonstrated that they understood the importance of respecting and maintaining service users’ confidentiality. Service users spoken to are aware of their right to access information held by the home about them. The home has a policy on confidentiality that details the home’s responsibilities with regard to confidentiality. It was noted that all confidential information is handled appropriately and in line with the home’s own policies and procedures as well as the Data Protection Act 1998. The registered manager stated that the best interests of the residents are served at all times. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 13 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): 13, 14, 16, 17 Service users are supported to become part of and participate in the local community. The access to the local community can sometimes be restricted meaning that the service users do not always have the opportunity to participate as they wish. Service users are able to choose from a range of appropriate leisure activities. The home encourages and supports service users to engage in their various hobbies and leisure interests. Daily routines promote independence and respect service users rights as well as recognise their responsibilities. This enables service users to be accepted as individuals. Food served by the home is wholesome, nutritious, varied and balanced. The standard was met with some shortfalls. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 14 EVIDENCE: The location of the home is such that it is not easy to access public transport to the local community. The residents therefore rely on taxis or cars to take them out. The home has one vehicle for service users to use but the manager stated that this is not adequate to cater for all the residents that need access to the vehicle. The home has applied for a grant for another vehicle and are now awaiting the outcome. The registered manager stated that the use of taxis is proving to be very expensive for service users. This therefore greatly limits the amount of community contact that some of the service users get. Many of the service users spoken to stated that generally speaking they were satisfied with the amount of community contact they have. Some highlighted that they would like more. A few of the service users access outside groups such as The Blind Club, Scope and College. Many choose to stay at home and engage in their own personal hobbies. On arrival at the home, service users were getting ready to engage in some ‘physio fun’. This is a sound rhythm music class someone comes in once a week and has a fun session where the service users are able to exercise as well. Both staff and service users confirmed that they do have various leisure activities that the home organises; these are activities such as cinema evenings, body shop parties, garden parties, entertainment and theme food nights. In addition to this, some of the residents have their own leisure interests and hobbies. On resident enjoys his art work extensively and spends a lot of time doing that, another resident loves to read and will often ask staff to order Braille volumes of literature that she is interested in (she is visually impaired hence the Braille). These are just two examples of some of the individual hobbies that service users at the home engage in. Service users spoken to said that staff are very respectful and always knock before coming into their bedrooms. The registered manager confirmed that all service users are offered keys to their bedrooms. Observed practice showed that staff interact with service users at all times and are respectful in their manner towards them. The registered manager confirmed that service users have unrestricted access to all communal areas and the grounds of the home. Discussions with staff and service users evidenced that the daily routines of the home promote independence. Service users stated that they engaged in different tasks- mainly in their own rooms. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 15 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): 19 Service users have access to all primary healthcare facilities as well as any specialist services as required. All health needs are therefore adequately catered for. EVIDENCE: Records showed beyond the shadow of doubt that service users have access to all required healthcare facilities. Care files sampled showed regular input from the G. P, district nurses, occupational therapists and physiotherapists. Care plans showed that healthcare is carefully monitored and action taken accordingly. At the time of the inspection, one service user had a severe pressure sore. Records show that this was being attended to on a daily basis by the district nurse. The registered manager confirmed that the resident had the relevant pressure relieving equipment. The home has policies such as the wound care policy and infection control policy that promote the health and wellbeing of service users. The service users’ health needs are further met through the use of health related assessments and risk assessments such as nutritional assessments, pressure sore assessments, constipation risk assessments, manual handing risk assessments, dependency rating and infection control risk assessments. All physical and emotional needs are identified in the care plan. The pre inspection questionnaire shows that there have been no admissions into Casualty, and no deaths since the last inspection. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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 Service users are provided with clear information on how to make a complaint with contact details of other relevant agencies should they wish to use these. As a result, service users are certain that their grievances will be dealt with in a timely fashion. Some relevant information is needed within the complaints policy and so is a more fraud proof method of logging complaints. EVIDENCE: Records show that there have been no complaints since the last inspection. The Commission for Social Care Inspection has not received any letters or phone calls of concern with regards to this home. The home has a comprehensive policy on complaints and all service users spoken to confirmed that they knew how to make a complaint. The complaints information given to service users does not contain details of other agencies such as social services and advocacy that service users could access if they wished to do so. The complaints procedure did contain the contact details for the Commission for Social Care Inspection. It is strongly recommended that service users are provided with contact details of other relevant agencies such as social services and Advocacy within the complaints procedure. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29, 30 All communal areas are satisfactory in size allowing the service users un crowded living space. The home provides environmental adaptations and disability equipment necessary to meet the home’s stated purpose and individual’s assessed needs. The home is kept clean, hygienic and free from offensive odours. The home follows a protocol for infection control that is in line with current legislation. There was a minor shortfall in meeting this standard that compromised the control of infection and hygiene. EVIDENCE: The shared spaces are a good size and meet the standards for room sizes. Measurements were not taken on this occasion; measurements were based on those taken in previous inspections. All other aspects of the living shared areas, including the furnishings, were modern, comfortable and domestic in nature. The home has two lounges, one of which incorporates the dining area. A brief tour of the premises showed that the home has grab rails and hand rails throughout. Discussions with the registered manager confirmed that all service users are assessed for mobility equipment by the physiotherapist and Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 18 occupational therapists. The equipment is provided accordingly. The home uses hoists for manual handling. The registered manager stated that these are serviced regularly. There is a hoist that is stored by one of the down stairs toilets. It is recommended that a more suitable and hazard free storage space is found for this hoist. A brief tour of the premises evidenced that the home, on the day of inspection, was kept clean, hygienic and free of offensive odours. All staff are trained in Infection Control as part of the home’s mandatory requirements. Records showed that the home holds robust infection control policies and procedures that include safe handling and disposal of clinical waste; dealing with spillages; provision of protective clothing; hand washing. The laundry facility was inspected in detail. The inspector found that this was adequate for its stated purpose. It is strongly recommended that all open bins are replaced with lidded ones in the interests of infection control. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 Staffing levels are appropriate for current service user needs and the staff team collectively, and individually have the skills mix to meet needs. EVIDENCE: Rotas inspected show that there are 11 care staff and no staffing vacancies. In addition to this, the home has three occupational therapists who work with service users in the home during the week, one cook, and one maintenance person. As highlighted in the statement of purpose, the staff team have a mixture of skills and experience that enable them to meet service user needs. Staff spoken to were also able to confirm that they can attend various training courses to increase their competencies and as a rule are expected to attend mandatory training. Information provided in the pre inspection questionnaire indicated that 64 of staff are trained to NVQ2 or above, this meets the Sector Skills Council workforce training targets. Since the last inspection, two members of staff have left employment. Both were due to illness. Records show that there is a low staff turnover and no use of agency staff. Relevant specialist staff are secured as indicated. The staff team are reflective in as far as possible of the cultural and gender composition of service users. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 20 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): These standards were not inspected on this occasion. The standards were assessed and met during the previous two inspections. EVIDENCE: Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X X 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Little Ingestre Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X x DS0000004973.V254477.R01.S.doc Version 5.0 Page 22 Yes 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. 2. Standard YA1 YA6 Regulation 4(1)© sch 1 15(1) Timescale for action Service user information must be 31/01/06 provided in the correct company name. The registered manager must 31/12/05 ensure that the care plan contains all requested information. All areas of risk must be 30/11/05 assessed and managed. Requirement 3. YA9 13(4) 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 YA22 YA29 YA30 Good Practice Recommendations It is recommended that the complaints information includes contact details of other relevant agencies. It is recommended that suitable storage space is found for the hoist outside one of the downstairs toilets. It is recommended that all open bins are replaced with lidded bins in the interests of infection control. Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. Extracts may not be used or reproduced without the express permission of CSCI Little Ingestre DS0000004973.V254477.R01.S.doc Version 5.0 Page 24 - 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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