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Inspection on 31/01/06 for South Street Residential Home

Also see our care home review for South Street Residential Home for more information

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 20 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staffs knowledge of supporting service users to take risks, participate in the community and providing personal support is very good. As one member of staff explained, "Everyone has different needs. We put programmes in place to support people that include showing the dangers and explaining how to reduce risks. We are here to encourage, prompt and help improve peoples lives". Another member of staff stated, "its important to listen to service users and ask their opinion, its not good enough to just say this is the routine we have always followed so it must be right". The home is also very good at ensuring service users live full and active lives. A variety of colleges and centres of further education are accessed along with an abundance of clubs and community venues including local shops, public houses and other places of interest. On the day of inspection one service user informed the inspector that they had an appointment at a local hairdressers and then would be having lunch out and another that they liked to purchase their toiletries at the local shopping centre.

What has improved since the last inspection?

Since the last inspection the home has started to introduce independent living skills programmes for service users. These vary for different service users depending on their needs but include road crossing, cooking and domestic tasks. In addition to this the home has also introduced self-medication assessments with work currently being completed to implement care plans that compliment these.Improvements have also been made in the ordering and storage of medication, maintaining staffing levels of a morning, the retention of staff employment records and the introduction of a quality assurance system.

What the care home could do better:

Priority must be given to ensuring the home meets contractual agreements to provide service users with an annual holiday. Staff that the inspector spoke to raised concerns that service users will have to pay for these from their personal finances despite their contracts of residency stating that the home will fund this activity. Work must also be undertaken to introduce care plans and risk assessments that support service users in personal relationships, to address all the requirements from the fire departments inspection of September 2005, to provide infection control training for all staff and to record domestic hours undertaken by support workers.

CARE HOME ADULTS 18-65 South Street Residential Home 17 South Street Palfrey Walsall West Midlands WS1 4HE Lead Inspector Lesley Webb Unannounced Inspection 31st January 2006 10:00 South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 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 South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 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. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service South Street Residential Home Address 17 South Street Palfrey Walsall West Midlands WS1 4HE 01922 642057 01922 642057 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) www.mencap.org.uk Royal Mencap Society Accord Housing Association Limited Mrs Dawn Lorraine Jones Care Home 9 Category(ies) of Learning disability (9) registration, with number of places South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23 June 2005. Brief Description of the Service: 17 South Street is a residential home for up to nine adults with a learning disability. Accord Housing Association owns the premises and the service is run/managed by MENCAP. It is located in the Palfrey area of Walsall and is within easy reach of the town centre. There are also a number of local shops within walking distance, as are a number of community facilities and places of worship. The home is well maintained both internally and externally and blends in well with the surrounding properties. The home has a large back garden and offers car parking space for visitors to the front. It has nine singe bedrooms and a number of bathrooms, showers and toilets. There is one lounge, kitchen and dining area, and a laundry on the ground floor. The ethos for the home is to actively promote the maximum degree of each individual, to enable full access into the community whilst maintaining and building selfesteem. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived unannounced at 10am and stayed until 2.30pm. Time was spent talking to service users, indirectly observing care practices, looking at records and interviewing staff. A tour of the building was also undertaken with the assistance of a service user. As this is the second inspection to take place in twelve months both this report and the one published in June should be read when finding out how the home is meeting national minimum standards. As in previous visits the inspector is satisfied that generally the home provides a good service. The inspector would like to thank service users and staff for their co-operation and assistance during the visit, where she was made to feel very welcome. What the service does well: What has improved since the last inspection? Since the last inspection the home has started to introduce independent living skills programmes for service users. These vary for different service users depending on their needs but include road crossing, cooking and domestic tasks. In addition to this the home has also introduced self-medication assessments with work currently being completed to implement care plans that compliment these. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 6 Improvements have also been made in the ordering and storage of medication, maintaining staffing levels of a morning, the retention of staff employment records and the introduction of a quality assurance system. 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. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 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 South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 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): Standards assessed at previous inspection. EVIDENCE: South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. Care planning is adequate. Further improvements will provide staff with additional information in order that service users needs can be met in full. This home actively promotes service users independence within a riskmanaged framework. EVIDENCE: A previous requirement to ensure independent living skill programmes are included in plans of care and that these detail specific aims and goals is partly met. The inspector sampled 3 files and found that some contained this information but others had yet to have this introduced. Staff that the inspector spoke to confirmed that they were in the process of completing this work but had not yet done so in full. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 10 All service user files that were sampled contained risk assessments, with recorded actions to minimize risks and hazards. Assessments are in place for going out unaccompanied, bathing, kitchen tasks and other daily skills. Service users at the home attend fire training in order to extend their knowledge associated with fires and personal safety. In addition to this records confirm that several service users have undertaken medication, food hygiene and cash handling courses as aids to reduce risk and increase knowledge. The home has a written missing persons policy and records all absences from the home. All staff that were interviewed demonstrated knowledge and understanding of risk taking and supporting service users in this area. For example one member of staff stated, “everything has a risk, crossing the road, climbing the stairs. It’s our job to show service users the risks and explain how to reduce this. We shouldn’t stop someone from doing something but explain the process. That’s why we are support workers and not care assistants”. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Staff have a good understanding of the educational needs of service users, promoting life skills based on each persons capabilities. Activities and links with the community are good and support and enrich service users social opportunities. The atmosphere within the home is welcoming and friendly, creating an inclusive place for service users to live. Care planning to support people in relationships is poor and does not demonstrate they are offered support and guidance. EVIDENCE: South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 12 The majority of service users attend both colleges and other educational placements on a daily basis where they participate in a variety of activities including cooking, pottery, computer skills and communication. In addition to this service users make full use of local community activities. These include pubs, clubs, restaurants, cinema, theatre and local shopping complexes. Staff arrange transport for service users such as the Ring and Ride and local taxis companies, while other service users use local buses. Regular service user meetings occur where activities are discussed, planned and evaluated. As one member of staff explained, “we are here to support people to go out and try new experiences”. Service users confirmed that they are able to pursue their own interest and hobbies. The service users enjoy external activities; therefore most activities are done outside the home. The service users have an annual holiday as part of the contract price. However when looking at records and talking to service users and staff the inspector is concerned that some people have not received a holiday. The inspector was informed that Mencap is stating that it does not have to provide a holiday as it is not a legal requirement but a good practice recommendation as detailed in the national minimum standards. The inspector examined Mencap documentation regarding this situation and found that its operational procedure states, ‘that service users in long term placements have, as part of the basic contract price, the option of a minimum 7 day annual holiday outside of the home, which they help to choose and plan’ and that ‘costs for service users minimum 7 day annual holiday will be met from the services budget’. In addition to this the statement of main terms and conditions that form part of the service users contracts of residency state ‘ at all times we (Mencap) will meet the requirements of the national minimum standards for care holds for young adults’ and ‘a charge of £… is payable by the service users per week as a contribution towards the accommodation, care, food, drink, heating, lighting, laundry and other staff services. The cost also includes for the option of a 7 day annual holiday outside of the home’. As the inspector explained, the home has a responsibility to comply with its own policies and procedures and to meet its responsibilities within the service user contracts, these being legally binding documents. Relatives and friends visit as they wish subject to the agreement of the service users, with the homes written policy supporting this arrangement. Discussions with service users and practices observed by the inspector confirmed that service users are supported to maintain family links and friendships inside and outside of the home. For example one member of staff explained, “one service user has a boyfriend. We have talked about contraception and smear tests, but they have chosen not to have this”. None of the files sampled by the inspector contained care plans and corresponding risk assessments that support service users in personal relationships and no staff that the inspector spoke to were able to confirm if counselling had been offered to service users to support them in relationships. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Generally personal support in this home is offered in such a way as to promote and protect service users privacy and dignity. The health needs of service users are well met with evidence of good multi disciplinary working taking place. In the main medication at this home is well managed, promoting service users independence. EVIDENCE: Although medication was not assessed in full it was noted by the inspector that all 3 requirements identified in the previous inspection relating to this standard have been met in full. All medication is now recorded when entering the building, out of date medication is not used and all prescribed creams and lotions are dated when opened. A requirement to assess service users to self medicate and introduce programmes to support people is part met with risk assessments completed. Staff explained that some service users now participate in administering their own medication but that support plans have yet to be completed that demonstrate this. Service users have a choice in respect of the care they receive ensuring their privacy and dignity is respected and their independence is maintained. They South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 14 each have a key worker who provides guidance and support where necessary. Mencap has a written policy relating to same gender care that allows service users to make the decision as to who will give support however no records could be found that this has been discussed with service users at the home, or that their views have been sought and acted upon. The home liaises with nurses and members of the primary health care team as required and where aids are required the G.P. is consulted. Records demonstrate times for rising, going to bed; meals and other activities are flexible according to individual choices. All service users were dressed individually, with their appearances reflecting their personalities. Service users are supported to access all healthcare professionals such as General Practitioner, District Nurses, Dentists, Opticians and Chiropodists with only audiologist tests requiring action. All service users within the home have annual medication reviews with outcomes documented. For service users with specific medical conditions such as epilepsy the home uses monitoring sheets to ensure health is monitored and potential complications and problems are identified and dealt with at an early stage. A service user that the inspector spoke to confirmed that staff help him stay healthy stating, “exercise is good, so staff do a lot of walking with me. They make sure my eyes are tested, that’s why I wear glasses”. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed at previous inspections. EVIDENCE: South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 16 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 and 30. Generally the standard of the environment in this home is very good providing a homely and comfortable place for service users to live. EVIDENCE: Generally the home is suitable for its stated purpose, accessible, safe and very well maintained. The inspector was escorted around the building by a service user and found furnishings and fittings of good quality and that the home is generally decorated to a very high standard. The only repairs requiring attention are the broken toilet seat in the upstairs toilet, the broken door lock on the downstairs bathroom and the torn suite in the dining room. The fire department inspected the home in September 2005 with 2 of the 4 requirements outstanding. There is a separate laundry room that has hand-washing facilities, a washing machine that has specified programming abilities that meet disinfection standards and a dryer. Upon inspection of the laundry room the inspector could find no provision of personal protective equipment. It is also strongly recommended to display hand washing instructions in the laundry and toilets that service users use in accessible formats as aids to education. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 17 The home has written policies for the control of infection and diseases that include the safe handling and disposal of clinical waste, dealing with spillages, provision of protective clothing and hand washing. In addition to this 3 of the 8 staff employed at the home have undertaken infection control training. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 18 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): Standards assessed at previous inspection. EVIDENCE: It was noted by the inspector that a previous requirement to employ kitchen and domestic staff or to allocate separate hours for these duties to be undertaken remains unmet. Staff on duty explained that these tasks are undertaken in the morning when service users no longer require assistance. The inspector instructed that this information should be recorded on the staff rota in order that this requirement can be evidenced. Rotas did however indicate that a minimum of two staff are on shift in the mornings, addressing a previous requirement. Also to address a previous requirement CSCI and Mencap have agreed a proforma for detailing staff recruitment information that is required for inspection. When looking at this the inspector found that this requirement is partly met as no individual’s records contained all of the agreed information. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 19 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): 39. Although improved, work is still required to ensure the home regularly reviews aspects of its performance based on the views of service users and their representatives in order that it can be confident that it is meeting its aims and objectives. EVIDENCE: Although training and development was not assessed at this inspection when looking for evidence for a training and development plan and that staff have individual assessments completed (requirements identified in the previous inspection) the inspector could no evidence of either. Staff on duty were also not aware of these and therefore these requirements remain unmet. 5 requirements relating to quality assurance are part met. The inspector was shown a continuous improvement plan that when fully implemented will gather information, analysis views, monitor service and then lead to actions for improvement. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 20 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 2 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 2 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 2 X X X X South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 21 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 Standard YA6 Regulation 15 Requirement Independent living skill programmes must be included in care plans that details specific aims and goals for individuals – Part met. Requirement originally made June 2005. The home must comply with its own written policies and procedures and service users terms and conditions of residency and provide a minimum 7-day annual holiday outside of the home, which they help to choose and plan. The home must introduce care plans that support service users in personal relationships. Risk assessments must be completed for service users in personal relationships. Service users must be offered professional counselling if in personal relationships. The home must assess service 30/04/06 users to self medicate based on individuals abilities and introduce programmes to support people based on those abilities – Part DS0000020838.V280789.R01.S.doc Version 5.1 Page 22 Timescale for action 31/05/06 2 YA14 5 16(2) 30/04/06 3 YA15 16(2) 31/05/06 4 YA20 13(2) South Street Residential Home 5 YA18 12, 18 6 7 YA19 YA24 12(1) 16(1) 8 YA24 16(1) met. Requirement originally made June 2005. Service users views on personal care provided by someone of a different gender must be sought and consent gained. All service users must be offered hearing tests. The water damage to the ceiling on the first floor requires attention – Requirement originally made June 2005. The broken toilet seat must be repaired. The broken door lock on the downstairs bathroom must be repaired. 31/05/06 31/05/06 31/05/06 31/05/06 9 10 11 12 YA24 YA30 YA30 YA33 16(1) 13(3) 13(3) 18(1) 13 YA34 Sch4, 6 The torn suite must be repaired. All requirements made by the fire department must be acted upon. Personal protective equipment must be provided in the laundry room. All staff must undertaken infection control training. Either separate domestic and kitchen staff must be employed or specific hours be allocated for domestic and kitchen duties to be completed, separate from time when service users require assistance. Any allocated hours must be clearly recorded on the staff rota – Requirement originally made February 2005. The home must be able to validate that agency staff have the required documentation for employment as list in Schedules 4 and 6 of the Care Homes Regulations 2001 – Part met. Requirement originally made June 2005. DS0000020838.V280789.R01.S.doc 30/04/06 01/02/06 31/05/06 30/04/06 07/02/06 South Street Residential Home Version 5.1 Page 23 14 YA37 9(2) 15 YA37 9(2) 16 YA39 24 17 YA39 24 18 YA39 24 19 YA39 24 20 YA39 24 There must be a training and development plan for the home – Requirement originally made February 2005. All staff must have individual training and development assessments completed – Requirement originally made February 2005. There must be an annual development plan for the home – Part met. Requirement originally made February 2005. The results of service user surveys and questionnaires must be analysed with the results linked to the Service Review – Part met. Requirement originally made February 2005. The Service Review must take place annually – Part met. Requirement originally made February 2005. The views of families, friends, advocates and stakeholders in the community must be sought and included in the annual Service Review – Part met. Requirement originally made February 2005. The home must be able to demonstrate that the results of the Service Review impact on the development plan for the home – Part met. Requirement originally made February 2005. 31/05/06 31/05/06 31/05/06 31/05/06 31/05/06 31/05/06 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 24 No. 1 Refer to Standard YA30 Good Practice Recommendations It is strongly recommended that hand washing instructions be displayed in the laundry and toilets that service users use in accessible formats as aids to education. South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 South Street Residential Home DS0000020838.V280789.R01.S.doc Version 5.1 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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