Care Home: Aldyn Care Home

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What the care home does well Mr Ademujimi and the staff team look after the service users well and encourage and guide them to be as independent as possible within their capabilities. A well-trained and caring staff team supports them. The home is clean, safe, comfortable and has a homely atmosphere, service users are encouraged to personalise their rooms. Informal service users meetings are held and residents are encouraged by staff to express their views on the running of the home. Staff are knowledgeable about service users, they consider the needs of the individual and encourage them to do as much as possible. One survey said that communication is good in the home and staff are respectful and non judgemental. What has improved since the last inspection? The exterior of the home has been upgraded and decorated. The bathrooms and toilets have been improved, a shower room provided and a new garden shed has been purchased. A full time cleaner has been employed which has enabled care staff to spend more time with service users. Staff training has been improved and courses related to the problems service user experience provided What the care home could do better: The updating of the Statement of Purpose and Service Users Guide should be completed and a copy sent to CSCI. The quality assurance system should be formalised to show that the home is run for the benefit of the service users and the results made available to service users and other stakeholders. Some of the internal decoration needs attention; some rooms are shabby and need updating. The improvements to the garden need to continue. The updating of the policies and procedures needs to be completed. The PAT testing for portable appliances needs to be recorded.Paper Towels should be provided in toilets bathrooms and the kitchen to reduce the risk of spread of infection. If service users are receiving support with managing their finances, this should be recorded in their care plans. CARE HOME ADULTS 18-65 Aldyn Care Home 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW Lead Inspector Mrs A Peace Unannounced Inspection 6 November 2007 09:30 th Aldyn Care Home DS0000043596.V347395.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 Aldyn Care Home DS0000043596.V347395.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. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldyn Care Home Address 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW 01243 820580 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) ademujimi@hotmail.com Mr Babajide Folarin Ademujimi Mr Babajide Folarin Ademujimi Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users under 65 years of age are to be admitted Total number of persons accommodated must not exceed twelve. Date of last inspection 14th November 2006 Brief Description of the Service: Aldyn is a care home registered to accommodate up to 12 service users in the category of younger adults (18-65) with a mental illness, up to 3 of whom can be over the age of 65. The registered provider is Mr Babajide Folarin Ademujimi, who is also the registered manager. The premises are sited near Bognor Regis town centre, with access to bus and train services, shopping and other community facilities. At the time of this inspection, all residents accommodated were male. The fees range between £300.00 and £600.00. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced key fieldwork inspection on 6th November 2007. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records and information held on file and information were reviewed. The Provider/Manager Mr Ademujimi completed the assessment documentation and returned it to the Commission before the inspection. Unfortunately the document was not fully completed so could not inform the inspection as it should. As this will be an annual requirement, Mr Ademujimi was advised to ensure that in future the document is fully completed and that he records what improvements they have made in the last year and what improvements they will be making in the home in the coming year. Eight service users were accommodated at the home on the day of the inspection visit. During this visit the Inspector toured the building and visited three bedrooms with the permission of the service users. A case tracking exercise was undertaken for the three residents and the other records were examined briefly. The tracking exercise looked at records and tracked the records to the care given for individual needs identified. The records are clear and up to date. Four residents were spoken with and said that they were happy at the home. Ten satisfaction surveys were returned to CSCI and they were all positive about the home and the staff who care for them. A comment from a health professional who filled in a satisfaction survey said that “the home provides a caring environment, staff are friendly and cooperative and keep me well informed”. One relative said, “The staff are caring towards residents and their relatives”. What the service does well: Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 6 Mr Ademujimi and the staff team look after the service users well and encourage and guide them to be as independent as possible within their capabilities. A well-trained and caring staff team supports them. The home is clean, safe, comfortable and has a homely atmosphere, service users are encouraged to personalise their rooms. Informal service users meetings are held and residents are encouraged by staff to express their views on the running of the home. Staff are knowledgeable about service users, they consider the needs of the individual and encourage them to do as much as possible. One survey said that communication is good in the home and staff are respectful and non judgemental. What has improved since the last inspection? What they could do better: The updating of the Statement of Purpose and Service Users Guide should be completed and a copy sent to CSCI. The quality assurance system should be formalised to show that the home is run for the benefit of the service users and the results made available to service users and other stakeholders. Some of the internal decoration needs attention; some rooms are shabby and need updating. The improvements to the garden need to continue. The updating of the policies and procedures needs to be completed. The PAT testing for portable appliances needs to be recorded. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 7 Paper Towels should be provided in toilets bathrooms and the kitchen to reduce the risk of spread of infection. If service users are receiving support with managing their finances, this should be recorded in their care plans. 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. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 8 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 Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about the home and they are given a written contract. All service users are fully assessed before being admitted to the home and trial stays are available to ensure their needs can be met. EVIDENCE: Mr Ademujimi told us that the Statement of Purpose and Service User Guide are being updated at present and will include statements about where evidence can be found that they provide a good service as recorded in the AQAA. A copy should be sent to CSCI. All surveys returned to us said that service users and their relatives or representatives had enough information to make a decision about whether the home would be suitable to meet their needs and that they all have written contracts. No new service users have been admitted to the home since the last inspection however new service users are able to visit the home on a trial basis. A random selection of service user’s records were seen and contained full needs assessments and risk assessments. The home is not specifically adapted for people with physical disabilities. Aldyn Care Home DS0000043596.V347395.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect how service users will be assisted and supported their changing needs and aspirations. Service users are supported to make decisions about their lives and to take responsible risks as part of an independent lifestyle. EVIDENCE: A random selection of service user records were examined and contained care plans which showed an assessment of their needs and how staff were to support them to meet those needs. The plans also note any restrictions that have been agreed as apart of the planned programme. The plans are drawn up with the involvement of service users and signatures of them and their key workers were seen on the documents. It was evident from observation on the day, speaking to service users, staff and from the replies in the satisfaction surveys that good one to one work is Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 11 taking place. Care plans are updated regularly and records indicated that Care Programme Approach reviews with the local Community Health Care Teams are taking place. Service users confirmed that they are supported to make decisions and are consulted about how the home is run. Mr Ademujimi told us that these discussions take place informally and are not recorded, he was advised to find a way of recording what service users want to evidence that the home is running for their benefit. Service users do some housework duties and on the day of the visit one member of staff was discussing the menu with a service user who was going out to the shops for the food for the lunch. If service users are receiving support with managing their finances, this should be recorded in their care plans. Aldyn Care Home DS0000043596.V347395.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to take opportunities for personal development, take part in appropriate activities and maintain links with their families and the local community. Service users rights and responsibilities are recognised and respected in their daily lives. Service users are offered a healthy diet. EVIDENCE: The home has a nice relaxed atmosphere and service users were at ease with the staff. There are two lounges for communal use, both have televisions and one is a smoking lounge. On the day of the visit it could be seen that service users follow their own routines and please themselves about getting up and having their meals. Service users are encouraged to maintain links with their families and one service user told us that staff take him to London to see his Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 13 mother every month. They are allowed to have visitors and see them in private. One service user regularly goes out to a day centre and with the support of staff another is actively looking for voluntary work in the community. Service users who spoke to us told us that they were happy with life at the home and were happy to watch television and do their own thing and were not particularly interested in organised trips and games. Service users say they are treated with respect and dignity and this was observed during the visit. All bedrooms can be locked and service users have their own keys. Satisfaction surveys were positive about how service users are supported to live an independent lifestyle. Service users confirmed that they are involved in planning menus and the menus seen looked healthy and balanced. There was a large bowl of fresh fruit in the dining room for service users to help themselves. On the day of the visit one of the service users had been shopping for the midday meal of chicken curry, rice and naan bread which a member of staff cooked. Service users turned up at different times to eat. All of the service users asked said they had enjoyed it but said they could always have an alternative if they wanted to. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and require. Residents’ physical and emotional health needs are met and any death is treated with sensitivity and respect. Residents retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Interactions observed between staff and service users indicated that they are being supported to maintain their independence and express their preferences. Satisfaction surveys indicated that service users and their representatives feel well supported by staff, and find staff, approachable and understanding. The assessment procedure ensures that only service users whose needs the home can meet are admitted. Service users have allocated key workers who support them to maintain their independence and care plans record when staff have to prompt and assist service users to maintain personal hygiene. Records indicated that all service users have regular access to health services Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 15 and outcomes are recorded to ensure staff are up to date with the ongoing health care needs of the service users. One service user has been in hospital for some time and records showed that the manager visits to support and provide continuity and other staff phone the hospital to send regards. Medication is administered to service users in the majority of cases however some service users are supported to self-administer. This only happens following a full assessment, discussion with heath professionals, taking into account previous history, attendant risk and compliance issues. Where service users like to stay in bed late staff do take their morning medication to them to ensure they are taken as prescribed. Medication records are held for all service users and these are well kept, up to date and legible. Staff have attended courses in safe handling and administration of medicines and one member of staff explained the medication procedure in the home to us. Sadly one of the service users at the home recently died and from speaking to staff and the manager we concluded that the death of any service user is treated with sensitivity and respect. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted on. Residents are protected from abuse, neglect and self-harm. EVIDENCE: All satisfaction surveys said Service Users and their representatives know how to complain and who to. Service users when spoken to said they would not be afraid to complain if they had to but said staff usually pick up on it if they are unhappy with something and it is dealt with. The complaints procedure is on display in the hallway of the home. No complaints have been recorded and none have been received by CSCI. Residents are supported to manage their financial affairs and where necessary the Court of Protection has been involved. The home has a safeguarding adults procedure, staff are trained in the procedure and when spoken to knew the procedure. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made to make the premises more homely and comfortable, and these improvements need to continue, some internal decoration is needed and the garden still needs improving. The home is clean and hygienic but to reduce the risk of spread of infection paper towels should be available in toilets and the kitchen. The testing of portable appliances should be recorded. EVIDENCE: The home is warm, safe, comfortable, clean, free from offensive odours and has a nice friendly atmosphere. All of the communal areas were visited and with the permission of service users some of the bedrooms seen. Bedrooms showed that service users can furnish them how they wish and they are able to keep all of their personal possessions around them. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 18 All rooms can be locked and service users have their own keys although staff would be able to gain access in an emergency. There are two lounges, a dining room and a small room off the dining room for service users to use. One of the lounges is used as a smoking lounge and is well used by service users. The dining room is well furnished and bright and laminated floor has been fitted in the majority of areas in the home which looks nice. During the last year Mr Ademujimi has had the exterior of the home decorated, has fitted a new shower room and renovated all of the toilets and bathrooms, a new garden shed has also been purchased. More work needs to be carried out in the garden to make it pleasant to sit in and Mr Ademujimi told us that this would be done over the coming year. Some of the internal decoration in the home does need attention and this was discussed with Mr Ademujimi during the visit. The local fire service has carried out an inspection this year and all Mr Ademujimi had to do to comply with their regulations was to carry out a fire risk assessment, this he has done. The Environmental Health department have also visited and recommended that paper towels be supplied instead of cloth towels due to a risk of spread of infection. This has not yet been carried out and will also be a recommendation from CSCI. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent, qualified and well-trained staff team who meet their individual and joint needs. The home’s recruitment policy protects service users. EVIDENCE: Duty rotas were available to show how many staff are on duty at particular time. During the morning of the visit three carers and one cleaner were on duty the manager arrived later. We could confirm that staff have clarity of roles and they were aware of their responsibilities. They say they are supported by the manager and other staff to give care and support to service users. They were able to show us their training files and tell us about ongoing training they are undertaking that is encouraged in the home. Satisfaction surveys told us that staff do listen to service users and act on what they say, they said that have the skills to be able to meet service users needs and there was always enough staff on duty. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 20 All of the care staff working at the home have attained National Vocational Level 2 or 3 and the Registered Manager Mr Ademujimi has achieved the Registered Manager’s Award. No new staff have been recruited since the last visit and as the standard was met staff files were not examined during this visit. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. 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 well run home. The recording of service user’s and other stakeholders views which would underpin all self-monitoring, review and development of the home has started but has yet to be completed. All policies and procedures still need to be dated and signed by the registered manager. EVIDENCE: Mr Ademujimi is the Registered Provider/Manager and has a very high profile in the home. Satisfaction surveys were positive about the management of the home and record that it is well run. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 22 There is a good atmosphere in the home and this is down to the positive attitude of the manager and the staff team. Completed surveys from ten people indicated satisfaction with the service. Following the last inspection a requirement was made that the views of service users, relatives and representatives be recorded and published. Mr Ademujimi told us in the AQAA that was returned to CSCI that these results will be incorporated into the new Statement of Purpose which he is in the process of completing so the requirement will remain. Mr Ademujimi was reminded to send a copy to CSCI. There have been recent checks to fire equipment, fire alarms and emergency lighting. Records indicated that regular checks by staff also take place. A requirement was made following the last inspection that policies and procedures are reviewed updated where necessary and dated, we could see that this has been started but is not yet completed so the requirement will remain. Individual and home risk assessments are in place. Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 3 5 3 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 2 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 2 2 2 2 3 Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 24 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 YA39 Regulation 24 Requirement It is a requirement that a system for seeking the views of residents on the service be put in place. Views on the service of residents’ relatives and friends, and of stakeholders in the community, need to be sought, and the results of service user surveys need to be published and made available. (Previous timescale of 02.03.07 not met) 2. YA40 17 All policies, procedures, codes of practice and records should be signed by the registered manager and be dated, monitored, reviewed and amended as appropriate (Previous timescale of 02/02/07 not met) 31/12/07 Timescale for action 31/12/07 Aldyn Care Home DS0000043596.V347395.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA30 YA42 YA1 YA19 Good Practice Recommendations Paper towels should be provided in toilets bathrooms and the kitchen to reduce the risk of spread of infection. The portable appliance testing should be recorded. The statement of purpose and service user guide should be updated. The improvements to the garden should continue. Aldyn Care Home DS0000043596.V347395.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: 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 Aldyn Care Home DS0000043596.V347395.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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