Inspection on 19/09/06 for St Andrew`s

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Andrew`s 08/06/07

St Andrew`s 01/03/06

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 St Andrew`s 114 Kiln Road Fareham Hampshire PO16 7UN Lead Inspector John Vaughan Unannounced Inspection 19th September 2006 10:25 St Andrew`s DS0000066327.V311346.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 St Andrew`s DS0000066327.V311346.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. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Andrew`s Address 114 Kiln Road Fareham Hampshire PO16 7UN 01329 827323 01329 827323 standrews@truecare.co.uk 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) Truecare Group Limited To Be Confirmed Care Home 5 Category(ies) of Learning disability (5) registration, with number of places St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2006 Brief Description of the Service: St Andrew’s is registered to provide care and accommodation for five people with learning disabilities between the ages of 18 and 65. Information provided by the manager confirms the fees are currently £192.00 to £232.00 per day to live in this service. The home is situated on the outskirts of Fareham and on a main road. The home is on one level and all service users are provided with a single bedroom with en-suite facilities. Service users share the use of a lounge, kitchen / diner and a bathroom. The home has a large, split level garden to the rear. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with service users, staff members and the manager of the home during the visit to the service, which took place over one day. During the visit the inspector spoke to service users about their experiences of the home, observed service users and staff, sampled records, interviewed staff and toured the home assisted by the manager and service users. What the service does well: What has improved since the last inspection? New locks have been fitted to service users bedroom doors. This has improved the privacy and security for service users in the home. Additional work has been carried on the menu planning to increase the variety of choices offered to service users. The home has taken action to limit the possibility of infection due to carrying laundry through the kitchen however this has been discussed further with the manager to find a better long-term solution. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 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. St Andrew`s DS0000066327.V311346.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 St Andrew`s DS0000066327.V311346.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): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. The practice of the home demonstrates that service users are assessed and their needs acknowledged before moving into the home and they have the opportunity to get to know the home before they move in. EVIDENCE: Three service users records where examined during the inspection. Each file contained assessments of the individuals needs including Care Manager reviews and Health Care assessments. The manager has completed full assessments of service user’s needs prior to the move to the home. These assessments involved the service users, their families and representatives. Care managers and family members had the opportunity to visit the home prior to the move. The inspector talked to the manager about the process for moving into the home. Service users are supported to visit the home meet with the other people living in the home and have a meal. Three service users moved in St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 9 together from another Truecare service a little over two months ago and a number of staff came with them. The manager felt that this helped people to settle into the home. The inspector was told that due to the shortened timescale for the move overnight stays could not be arranged but lots of opportunities were given to visit the home before the day of moving. St Andrew`s DS0000066327.V311346.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Service users are supported with a plan that responds to their assessed needs, wishes and aspirations combining risk assessment strategies to maintain their safety. EVIDENCE: The inspector examined the records of three service users. A plan is in place for each person with sections covering personal care, health, communication, daily living, self-help and behaviour. These plans are developing with each person as staff members get to know service users. Risk assessments have been put in place to support activities and these are linked to each section of the care plan. Each plan seen had documented monthly reviews of the care plan and goals of the service user. The manager stated that they carry out these reviews with St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 11 the individual and their key worker. The service user signs the reviews were possible. One service user has changed their mind on what part of their support plan needs to be focussed on at present and when the inspector spoke to them they confirmed that they were receiving support on a particular area to improve their health and fitness. Another service user told the inspector about going to college regularly to develop their skills and this was also reflected in the person’s care plan and monthly summary. One service user has required physical restraint to manage their behaviour and the manager provided documents to demonstrate how any use of restraint is recorded in the home. The care plan for this individual has information on how to respond to the challenging behaviour of the service user and this includes a number of physical interventions. The plan contains a risk assessment for challenging behaviour and management of violence. The inspector noted that the risk assessment did not address the question of health concerns and the possibility of injury from the use of physical restraint. The manager and inspector discussed this as it is important to record that this area has be considered and if required, measures are put in place to limit the risks of injury to the service user. The manager said that they investigate this with the trainers to see if this has been done. Two managers within the company provide training for the ‘Management of Violence’, which the manager explained is the term the company use to describe physical intervention and breakaway practices. These strategies have been accredited by the British Institute of Learning Disabilities (B.I.L.D). These individuals also provide an assessment of the service users behaviour and what staff responses should be. St Andrew`s DS0000066327.V311346.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, and 17 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Service users benefit from a service that provides a wide range of activities based on their assessed needs, interests and hobbies together with a balanced and varied menu offering choices and healthy options. EVIDENCE: The inspector spoke to three service users during his visit to the home. An activity plan was seen for each service user and these plans cover recreational, daily living and educational activities. Service users told the inspector about the activities that they are taking part in. These included horse riding, photography sessions, going to college and trips to local shops, pubs and clubs. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 13 The manager provided information from care plans to demonstrate that the activities organised are linked to the goals and objectives agreed with the service users. The manager also reported significant improvements in the level of activity for one service user including community access and mobility. The inspector met with the service user who was very enthusiastic about their trip out in the afternoon. Service users are also supported to take an active part in the homes day-today routines including meal preparation, laundry and cleaning. A service user showed the inspector around the communal areas of the home and pointed out the laundry plan. The service user explained that they help to clean their room and do their laundry and this was improving their self-help skills. Service users were observed talking to staff about their day, planned activities and their likes and dislikes. Staff supported service users in a positive manner helping each person to complete an activity or make choices about meals or what to do in the afternoon. New door locks have been fitted to each service user’s bedrooms. These locks allow the service user to keep their room secure and private and they can be easily released by the use of the handle when inside the room. The manager reported that staff have a master key to allow the lock to be overridden in an emergency. A new keypad lock system has been fitted to the front door. The manager reported that he had not requested this and service users had not been consulted about its installation. One service user said that they could not get into the house and a member of staff had to get into the house through the window, as there is no keypad outside of the house. The service user knew the code and demonstrated how to use the keypad to open the door. The manager is unsure of the benefits of this system and the main change is that service users have to knock on the door to re-enter their home or go to the side entrance. The manager was advised to demonstrate that any system that places a restriction on service users is fully documented and supported with a strategy for its use. The manager provided information prior to the visit to the home to demonstrate a varied and balanced diet is being offered to service users. During the visit to the home the manager provided a new version of the menu plan which has been updated to offer more choice and flexibility to service users. Fresh fruit and vegetables were available and the service users and staff St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 14 regularly shop for fresh ingredients to make the meals on the menu. Service users said they enjoyed the meals and the inspector noted that service users had chosen different meals and these were being prepared during the visit. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 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): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to this service. The physical and emotional needs of service users are generally well met however improvements to some medication practices will improve the service. EVIDENCE: The inspector saw evidence of contact with General Practitioners, dentists and specialist consultants and a record is maintained of contact with health professionals. Details of health and emotional support needs are included within service user’s care plans. None of the service user’s currently self administer medication. A monitored dosage system is being used and medication is stored in a secure cabinet. Staff complete medication training before they can administer medication. The inspector noted that medication had not been given to a service user recently however nothing had been entered on the medication record or service users care plan to explain the omission. The manager reported that the St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 16 medication had not been administered in error. The manager stated that the service user’s General Practitioner had been contacted for advice at the time and this advice had been followed. The inspector advised that this incident and the actions that were taken afterward should be fully documents and a regulation 37 report should have been sent to the commission at the time. The manager spoke to the staff who had been on duty at the time and they documented the incident in the service user’s file. Medication was found in the cabinet that did not match the prescription of the service user it was intended for. The manager explained that this had been used in the past and was no longer necessary and he provided evidence of a medication review with the service user’s GP. The inspector advised that this must be removed and returned to the pharmacy if no longer required. Some items used as homely remedies are in use in the home however none of these are documented within a homely remedy agreement. The manager has a copy of the Royal Pharmaceutical Society’s guidance on medication administration and the inspector directed him to the appropriate section on this subject. The manager agreed to follow this up with the service user’s GP and the pharmacy. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. The home can demonstrate that the views and concerns of service users, their families and representatives would be documented and acted upon. The practices within the home mean that service users are protected from abuse. EVIDENCE: A complaints log is in place and the manager reported that they had not received any complaints. A policy and procedure is in place for responding to complaints within the home. Service users commented that they have good relationships with staff members who help them with any concerns. The inspector spoke to staff about the actions they would take to raise concerns and they were all generally aware of how to make the manager and senior staff aware of concerns, complaints and allegations however staff were less clear on raising concerns outside of the organisation. A list of training dates including protection from abuse was pinned up in the office. The manager recognised this as an area of training need. The manager reported that he has set a date for staff to receive training in adult protection and preventing abuse. St Andrew`s DS0000066327.V311346.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, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Service users benefit from a well maintained and comfortable home enhanced by individually personalised private rooms. The overall service would benefit from clear guidelines to demonstrate safe infection control practices. EVIDENCE: The inspector toured the home assisted by the manager and a service user. The home is clean, tidy and free from any unpleasant smells. Two service users allowed the inspector to view their private rooms. These rooms were decorated to their personal tastes with pictures, posters and personal items. A service user said that they were very pleased with their room and had everything that they need. The home is well maintained and had good quality furniture in the communal areas. The home has a large garden set out in terraces and this is very well maintained. The manager reported that unfortunately the garden was St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 19 temporally out of bounds due to a hole appearing on the top level of the garden. The manager has arranged for this to be investigated and as a precautionary measure he has stopped access to this area. The manager has plans to improve the accessibility to the garden by increasing the decking outside of the patio doors and providing a ramped area to the side of this deck. While touring the building the inspector noted that radiators were not covered and the manager stated that this had not been formally risk assessed. The manager stated that the current service users were not at risk however he would fully document this within their care plan and keep this under review. A utility room in accessed from the kitchen and this was discussed at the last visit by the commission. The manager stated that as a result of this visit staff now enter the utility room from outside. The manager was advised to draw up clear guidelines to support and maintain good hygiene practices in the home. Staff and service users can take the laundry through the kitchen as long as safe practices are followed. Taking laundry around the house in the winter when raining or icy or at night could lead to other potential health and safety risks. The manager was advised that he could contact the environmental health officer for advice. St Andrew`s DS0000066327.V311346.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, 33,34,35 and 36 Quality in this outcome area is poor. This judgement has been made using available evidence including visits to this service. Well-trained and supervised staff members support service users. However the recruitment practices do not demonstrate that a thorough recruitment procedure is followed in the home. EVIDENCE: The inspector examined the staff recruitment and training records. The inspector also looked at the day-to-day staffing in the home and the supervision and support staff members receive to carry out their roles. The organisation has agreed with the commission to hold its staff records centrally and each person has a form held within the home that details all of the checks that have been completed. The inspector examined four of these forms for staff who have started since the last inspection. One record was blank where the reference information should be and the inspector asked the manager to explain this. The manager was unsure if the references had been returned and contacted the company’s human resources St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 21 department. They confirmed that the references had been requested but not returned. Another form had not been completed fully and details of the individuals Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks remained blank. The manager confirmed that these had been completed with human resources department. The manager was advised to review and update the recruitment record held in the home and ensure that staff have full recruitment checks in place before they start working in the home. Staff training records were examined this provided evidence to confirm that staff are undertaking training and development relevant to their work. Staff undertake an induction and foundation course in line with the Learning Disability Awards Framework (LDAF). Information provided by the manager indicated that seven staff have obtained a National Vocational Award (NVQ), one staff has started a NVQ 2 and three staff are beginning their induction and foundation training. Training records confirmed that staff undertake training in moving and handling, fire safety, food hygiene, health and safety, management of violence and a four day first aid course. The inspector spoke to two staff members who stated that they feel well supported by their colleagues and the manager. Staff confirmed that they have formal supervision and one member of staff confirmed that they are in the final stages of completing their induction and foundation course. The staff rota was examined and on the day of the visit the inspector noted high levels of staffing available to support service users with their planned activity inside and outside of the home. St Andrew`s DS0000066327.V311346.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): 37,39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to this service. Service users are supported by a service, which is managed in a generally effective and open manner however some areas need to be addressed to fully demonstrate the effectiveness of this management. The service can demonstrate that a system is in place to develop the service with views from service users and their families included in this process and the home’s equipment is maintained and serviced to keep people safe. EVIDENCE: The manager has applied to the commission for registration and this process is nearing its completion. Some areas have been identified within this report including reporting of incidents and the recruitment of staff that are directly related to the management of this service and will need to be addressed to demonstrate that the home is well managed. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 23 The manager confirmed that original plans for an external agency to provide a quality audit of the service has not been followed up and the organisation has put its own format in place. The manager undertook a review of his service recently and questionnaires were sent out to service users, families, staff members and care managers. The inspector was shown the results and the manager stated that he felt he did not get enough of a response to give an accurate picture of the service. The manager is working on alternative means of getting this information including the views of service users and their representatives. The manager has produced a development plan for this year and is starting the new quality assurance and annual development plan for next year. Regulation 26 visits are completed each month and a report is held in the home and sent to the commission. The inspector confirmed by examining the homes servicing records that the alarm system has been serviced regularly. Weekly alarms tests are completed, a fire drill was carried out in May 2006 and staff training in fire safety took place in March and September of this year. The door to one service user has a door guard and this has been seen by the Fire safety Officer who visited in July 2006. The manager was advised to add this equipment to the regular test schedule. The home did not have a Landlords Gas safety Certificate and the manager explained that some remedial work is to be carried out to relocate the main electrical wiring away from the gas meter to obtain the certificate. This is due to happen this week. St Andrew`s DS0000066327.V311346.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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 Requirement The registered person must ensure that medication no longer required is removed from use and returned for disposal. The registered person must ensure that all incidents that affect the health and well-being of service users are reported to the commission. The registered person must ensure that staff are not employed in the home until full recruitment checks are completed. Timescale for action 19/10/06 2. YA20 37 19/10/06 3. YA34 19 19/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA30 Good Practice Recommendations The manager should develop clear guidelines for service users and staff to reflect good hygiene practices when taking laundry to the utility room. St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 St Andrew`s DS0000066327.V311346.R01.S.doc Version 5.2 Page 27 - 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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