Inspection on 09/07/07 for Wainfleet Care Home

This inspection was carried out on 9th July 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wainfleet Care Home 19/07/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wainfleet Care Home Rumbold Lane Wainfleet Lincs PE24 4DS Lead Inspector Wendy Taylor Unannounced Inspection 9th July 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wainfleet Care Home Address Rumbold Lane Wainfleet Lincs PE24 4DS 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) 01754 881155 01754 881494 wainfleet@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Miss Jill Lawie Care Home 43 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (43), Old age, not falling within any other of places category (5) Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care to service users whose primary needs fall within the following categories:Dementia - over 65 years of age (DE/E) - 43 - both sexes Old Age, not falling within any other category (OP) - 5 - both sexes Dementia (DE) - 2 - male The maximum number of service users to be accommodated is 43. One bed in the category of Dementia (DE) applies to the service user named in the proposal to register dated 1st September 2005. One bed in the category of Dementia (DE) applies to the service user named in the proposal to register dated, 1st December 2004. Five beds in the category of Old Age, not falling within any other category (OP) applies to service users named in the proposal to register dated, 2nd June 2005. 19th July 2006 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Wainfleet Care Home is a two storey, purpose built property situated close to the town centre and church. The home predominantly provides services to people who have dementia, although there are five beds available for named people who do not have dementia. The upper floor is accessed by stairs and a passenger lift and it is a secure area, which caters for those people who may be at risk of injury from using stairs or leaving the building without support. Bedrooms cater for single occupancy, with the exception of four twin rooms. There is a small enclosed garden to the rear of the building and a small patio area at the side of the building. At present only the patio area at the side of the building is accessible to residents as works are required to the other areas. There is limited parking at the side of the home. The current fees for the home range from £430:00 to £580:00 per week. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during July 2007 and the visit to the home was carried out over approximately 6 hours on one day. The care received by four residents was followed in detail. Residents spoke about the experience of living at the home; and their personal records, general house records and staff records were looked at. A relative, staff and the registered manager were also spoken to and the care being provided was observed. Information already held by the commission was also used as part of the inspection process. Residents said that they feel safe living at the home and the staff are very nice to everyone. Other comments made by residents and staff during the visit can be seen in the main body of the report. What the service does well: What has improved since the last inspection? Since the last inspection visit some of the bedroom doors have been fitted with knockers and letterboxes. This helps residents to feel more secure about their personal space, and it encourages others to respect their privacy. Animal therapy services are now being used within the home, and there is an exercise programme being used, which is designed for older people. Wainfleet Care Home DS0000066378.V341147.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. The summary of this inspection report can be made available in other formats on request. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good information about the home, which helps them to make an informed decision about where to live. The clear assessment process assures them that their needs can be met within the home. EVIDENCE: Pre inspection information shows that there is a statement of purpose and service user guide in place, and both documents were available in the entrance hall during the visit to the home. There is evidence within the documents that they have been recently updated; and they are available in audiocassette format. Pre inspection information also shows that there is a policy in place for referrals and admissions. Residents said that they had the opportunity to visit before moving into the home, and they were given lots of information by staff. The registered Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 9 manager confirmed that prospective residents and their representatives are encouraged to visit and they are given copies of the statement of purpose and service user guide to help their decision-making. Assessments of need are available in individual files and they include residents or their representatives signatures, to indicate their involvement in the process. The assessments include areas of need such as nutritional screening, moving and handling, falls and dependency levels. They also include reference to equality and diversity issues such as spirituality and social activity. Although pre admission information is generally well recorded, admission details such as property lists were not consistently completed. This was discussed with the registered manager who said that she would address this with staff and ensure that they complete the records in full. Records show (see also Standards 27-30) that the training available to staff cross references with the needs identified by the assessments, which helps to confirm that those needs can be met within the home. Pre inspection information indicates that assessments are completed in the person’s home or hospital so as to encourage the continuation of the person’s preferred lifestyle. Intermediate care is not provided at the home. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from comprehensive care plans, which accurately reflect their assessed needs. Their personal and healthcare needs are met in a manner that promotes and maintains their privacy and dignity. EVIDENCE: Care plans are in place for individual residents and there is evidence by way of signatures, that residents, where they are able, and/or their representatives are involved in the planning process. The plans address identified needs such as personal hygiene, medication, moving and handling, and spirituality. They also include risk management plans for needs such as falls. A relative said that needs are well met by staff. The plans refer to maintaining dignity and privacy for the resident; and they also refer to helping the resident to feel safe and secure within the home. Many bedroom doors have been fitted with knockers and letterboxes to Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 11 encourage people to fully respect the resident’s privacy, and for residents to feel more secure about their personal space. The registered manager said that there is a programme for all bedroom doors to be redecorated in this way. Staff were observed to knock on doors and call through to the resident before entering the room. Call bells were being answered in a timely manner, and staff clearly described how they maintain calm voice tones to reassure residents, and promote choice for everyone. Records show that reviews of the plans take place every month, but the much of the documentation is lacking in detail. For example, some records state only that there is ‘no change’. This was also highlighted at the previous inspection visit. There is evidence in care plans and daily records that residents have access to GP’s and other health professionals such as District Nurses and Community Psychiatric Nurses. There are also clear records to show how pressure ulcers have been managed, with input from specialist nurse advisors. There were no residents suffering from pressure ulcers at the time of the visit. Pre inspection information shows that there are policies are in place for privacy, dignity, continence, medication, first aid, care planning and review, pressure relief and moving and handling. Medication procedures were being followed appropriately during the visit and staff said that they have received training in medication administration. The registered manager said that senior staff are due to commence a further 12week course in administration of medication, in the near future. Pre inspection information indicates that there is a formal pharmacy audit carried out on a quarterly basis by the medication suppliers for the home. The medication administration record for one resident had two signatures missing, but this had been identified through the shift handover process and was being dealt managed appropriately. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a varied and appropriate activity programme, which enables them to maintain an active social life. They are able to choose from a range of foods within a balanced diet, but would benefit from increased access to the menu to help them make their choices. EVIDENCE: Residents said that there are ‘very good’ activities available for them to join in with if they wish. They described outings to the Women’s Institute coffee mornings, local markets and stately homes. They said that people come to the home to entertain them and they can have a ‘good sing-a-long’. They also talked about joining in with gardening, knitting and baking. Several residents said that they could have communion and a religious service at the home if they wish. There is evidence in activity plans and from talking to residents and staff that residents are supported to maintain close links with the local community by attending local social meetings such as bingo, cafes and church services. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 13 There are lots of photographs around the home of residents engaging in activities, and the local newspaper covers activities such as fundraising events. The monthly activity plan is displayed in the entrance hallway and residents said that they are asked what kind of activity they want to do by the activity co-ordinator. The plan shows that exercise sessions and animal therapy services are now being utilised at the home. Staff were observed helping residents to make choices and they were encouraging self help where possible. Their approach to residents was patient and reassuring, and residents confirmed that this is usual practice. Staff spoke abut helping residents to ‘feel valued, be in control and feel secure’. Residents said that the food is good and they get a lot of choice. Two meals seen during the visit were well presented, and there were ample portions available. Cooked breakfasts were available if residents wished, and many residents said they ‘really enjoy’ having this choice. One resident described how and where they prefer to eat their meals and said that staff always help them to do this. Others said that if they decided they didn’t want what was served they could ask the cook for a ‘salad or a jacket potato’. The cook confirmed this and said that other alternatives were also available depending on what the residents wanted. Another resident said that they had been told what was for lunch but could ‘never remember’ what they had chosen. Alternative formats for menu presentation was discussed with the registered manager, who said that they will look into picture menus to aid decision making and memory recall. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear policies and a responsive and knowledgeable staff team protect residents. EVIDENCE: Pre inspection information shows that there are policies in place for upholding residents rights, safeguarding adults and complaints. The complaints policy is displayed in the entrance hallway and is contained in the statement of purpose. The registered manager’s availability is also displayed in the entrance hall so that people know when they can see her. A relative said that the manager and staff listen to concerns and are quick to respond. Since the last inspection there is evidence of one complaint being received at the home in relation to care practice, and records show that it was managed in accordance with the policy. There is evidence that protocols have been put in place to address issues raised by the complaint. Two concerns from an anonymous source have also been raised regarding unpleasant odours within the home, and again the registered manager has dealt with the concerns in an appropriate manner (see St 19-26). Residents said that they could talk to the registered manager if they are not happy with anything, and they said that all of the staff listen to them and help Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 15 them to solve problems. They also said that they feel safe within the home and staff are very nice to them. One resident said ‘there is never any animosity here, it’s always pleasant’. Staff demonstrated a very clear understanding of what constitutes abusive practice, and they described how they would protect residents from various forms of abuse. They talked about the potential for psychological abuse and how they monitor voice tones and general interactions with residents. They said that they have received training in how to safeguard residents, which is regularly updated. Training records confirm this. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents enjoy a generally well-managed and comfortable environment. However they would benefit from an upgrade to some fixtures, fitting and décor; and from longer-term solutions to odour management. EVIDENCE: Pre inspection information shows that there are policies in place for infection control and management; and staff demonstrated good hand washing and general hygiene practices. Environmental risk assessments were seen during the visit for issues such as maintaining adequate lighting in communal areas. Substances that are a potential hazard to health were stored appropriately, and data sheets were available for information. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 17 During a partial tour of the building it was seen that furniture in communal areas is well maintained, comfortable and arranged in a homely manner. Sensory needs are met with brightly coloured bedroom doors (see Standards 7-11), wall hangings and lots of photographs. Hallway carpets in some upstairs areas were stained, which detracted from the homeliness of the building. The registered manager said that they had been unable to remove the stains through usual cleaning processes. Also it was seen that an upstairs bathroom, although clean, was in need of updating, for example, renewal of tiles. The registered manager said that two standard baths are not used by residents through choice, and in some cases because their level of mobility means that they cannot access those baths. The gardens to one side of the building offer residents a chance to take part in growing flowers and vegetables. Garden furniture is available and pathways in this area are well maintained to aid mobility. A recent structural survey shows that the gardens and paths around the back and to the other side of the building are in need of repair work due to possible subsidence and settlement of the building. Risk assessments and strategies are in place to manage the situation, and the provider organisation is currently assessing the work required. Prior to this visit concerns had been raised about unpleasant odours within the home. The registered manager said that she makes regular tours of the building to monitor odours and encourages visitors to raise any concerns regarding odours directly with her. There is a notice in the hallway inviting visitors to do this. Flooring in some areas of the home has been replaced with materials that are easier to keep odour free. On the day of the visit there were no odours for the most part, with the exception of a slight odour in a hallway just before lunchtime. Housekeeping staff addressed this immediately. A relative said that one area could be a bit ‘smelly’ at times. It has been recommended that the registered manager consider the use of an air freshener system to help the situation. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a knowledgeable staff team, and they are protected by robust recruitment and training processes. EVIDENCE: Pre inspection information shows that current staffing levels are sufficient to cover the contracted care hours and there has been no use of agency staff for the previous three months. There are also staff hours to cover housekeeping and activity provision. The registered manager said that the staffing compliment is regularly reviewed and altered according to need and number of residents. Records show that staff have received training in subjects such as palliative care, first aid, dementia care, challenging behaviour, infection control and food hygiene; and they have access to courses, which lead to a nationally recognised care qualification. Staff confirmed that they had undertaken this training and said that they have very good access to courses. They described how training has helped them to better communicate and understand the needs of people with dementia. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 19 Staff described a thorough recruitment procedure, and records contain information such as references, criminal record bureau checks and application forms. The registered manager said that she has had training about how to employ overseas workers appropriately. Pre inspection information shows that there are policies in place for recruitment and training procedures. Residents made comments such as ‘staff are absolutely lovely’, ‘they make you feel wanted and useful’ and ‘they’re very patient, they know what they’re doing’. A relative said that staff respond quickly to requests, and they are always accessible. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well managed, and there are good systems in place, which protect the health, safety and welfare of residents. EVIDENCE: During discussions with staff they said that support from the registered manager and senior staff is good, and there is always someone to talk to. They were clear about the management structure and the responsibilities of senior staff. They described regular supervision sessions, which they said were ‘very useful’. Records confirm that sessions are carried out regularly. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 21 The registered manager described training that she has completed since the previous inspection such as care planning, falls awareness and fire safety. She also said that she continues to work towards the Registered Manager Award. Records show that quality assurance activity is carried out regularly such as audits for medication, care plans, pressure ulcers and health and safety. Action plans are clearly recorded with timescales for the actions to be completed. Audits are also carried out for residents’ personal money that is held in a community bank account. Staff described how deposits and withdrawals are managed and how invoices and receipts are coded for audit. Records confirmed the descriptions, and showed that residents are encouraged to sign for transactions if they are able. The statement of purpose and service user guide refer to consultation and involvement for residents, and the registered manager said that this is demonstrated through residents meetings, relatives meetings, weekly home manager surgeries and satisfaction surveys. There were documents in place to confirm this. During the visit staff were seen to use appropriate moving and handling techniques, including the use of hoisting equipment. Outcomes from the latest Environmental Health Office report were ‘excellent’, and the latest Fire Officer report was satisfactory. Pre inspection information shows that there are policies available for the control of substances that are hazardous to health, equal opportunities, fire safety, record keeping, confidentiality, staff supervision, residents finances, health and safety and quality assurance. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 16 (2) (k) Requirement All areas of the home must be kept free from any offensive odours so that residents live in a pleasant and comfortable environment. Timescale for action 09/08/07 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 OP7 Good Practice Recommendations It is recommended that monthly care plan reviews contain more detail about the resident’s progress or changes to their care plan so that their needs can be better monitored. It is recommended that the use of picture menus be considered so as to aid residents’ decision-making and memory recall. It is recommended that the renewal of stained hallway carpets be considered so as to enhance the homely appearance of the areas. It is recommended that bathing facilities be reviewed so that all of the facilities meet the needs and wishes of the residents. DS0000066378.V341147.R01.S.doc Version 5.2 Page 24 2 3 4 OP15 OP19 OP21 Wainfleet Care Home 5 OP26 It is recommended that air freshener systems be considered to help keep the environment free from offensive odours. Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wainfleet Care Home DS0000066378.V341147.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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