Care Home: Beehive

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What the care home does well There is a comprehensive assessment process in place to assess the needs of prospective residents. Resident`s benefit from comprehensive risk assessments being in place which promote their independence and autonomy. Procedures are in place protect resident`s finances. Residents are provided with a varied nutritional diet. Residents benefit from appropriate activities both at home and in the community. Resident`s benefit from the support and reassurance of well trained staff in their daily lives. The staff team ensure residents have access to the relevant healthcare they require. Residents are safeguarded by sound medication policies and procedures. There is a comprehensive complaints procedure in place and residents are protected by the organisations Safeguarding Adults Policy and training. Residents benefit from living in a clean comfortable homelike environment. What has improved since the last inspection? The home now has a registered manager. What the care home could do better: The manager was asked to make some minor improvements to the environment. Monthly audits of the care and service provided must be undertaken by MCCH. CARE HOME ADULTS 18-65 Beehive 2b Wycombe Road Gants Hill Ilford Essex IG2 6UT Lead Inspector Lorraine Pumford Unannounced Inspection 20th February 2008 11:00 Beehive DS0000025943.V356455.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 Beehive DS0000025943.V356455.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. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beehive Address 2b Wycombe Road Gants Hill Ilford Essex IG2 6UT 020 8550 1032 020 8550 2422 beehive@mcch.org.uk www.mcch.co.uk MCCH Society Ltd 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) Veronica Udugba Care Home 6 Category(ies) of Learning disability (5) registration, with number of places Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Date of last inspection 9th March 2007 Brief Description of the Service: Beehive is a home for six people with severe learning disabilities. Residents have little or no verbal communication skills, and limited ability to make decisions about their lives. The home was purpose-built on one level and is accessible to wheelchair users throughout. There is a lounge/dining area leading to a conservatory and the garden. The garden has a patio and is well kept. Each resident has a single bedroom. The house is in a residential area near to public transport and local shops. The residents go to some day activities outside the home on one or two days of each week. Bedrooms are individually decorated and personalised, according to the residents likes. The scale of charges is approximately £1,327.00 per week. The service manager provided this information shortly after the visit. Information about the service provided is contained in the service users guide. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star this means that people using the service receive a good service. Prior to undertaking this visit the provider was asked to complete its first Annual Quality Assurance Assessment (AQAA). This unannounced Key inspection was undertaken by one inspector who spent a day in the home. During that time the manager and staff on duty were spoken with. I met with the people who live in the home, they have profound learning disabilities and were unable to verbal express there views. None of the people living there have relatives who participate in their lives on a regular basis. During the course of the day a number of policies and procedures were examined with records pertaining to two people examined in more detail. A tour of the premises was also undertaken. What the service does well: There is a comprehensive assessment process in place to assess the needs of prospective residents. Residents benefit from comprehensive risk assessments being in place which promote their independence and autonomy. Procedures are in place protect residents finances. Residents are provided with a varied nutritional diet. Residents benefit from appropriate activities both at home and in the community. Residents benefit from the support and reassurance of well trained staff in their daily lives. The staff team ensure residents have access to the relevant healthcare they require. Residents are safeguarded by sound medication policies and procedures. There is a comprehensive complaints procedure in place and residents are protected by the organisations Safeguarding Adults Policy and training. Residents benefit from living in a clean comfortable homelike environment. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Beehive DS0000025943.V356455.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 Beehive DS0000025943.V356455.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a comprehensive assessment process in place to assess the needs of prospective residents. EVIDENCE: The people living in the home have lived there together for a number of years. The manager stated there have been no new admissions in recent years, however MCCH have procedures to follow which includes a comprehensive assessment and additionally would enable prospective residents the opportunity to test drive the home prior to admission. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from staff keeping detailed record of there care needs. Residents benefit from comprehensive risk assessments being in place which promote their independence and autonomy. EVIDENCE: Care plans were examined for two people living in the home. Although neither of the residents have relative who they see on a regular basis there was evidence that staff arrange regular reviews in relation to people they care for with relevant health and social care professional involved in this process. Care plans are divided into key information, then information about the residents daily routine likes and dislikes etc. Part of the format requires staff to identify goals and discussion took place around making these clearer in order to provide staff, particularly new members of staff with written guidance on action required by them to meet these goals. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 10 Along with the care plans, all residents have a communication passport and an action plan file where residents strengths and needs are recorded. this enables staff to work with people in order to further develop their skills. There is a daily log completed by staff in relation to each persons health, activities and general demeanour. The home operates a key worker system and staff were able to provide verbal information on action they take to meet peoples needs to enhance their quality of life. This is particularly important, as residents are unable to clearly express their views and choices independently. Residents are encouraged to participate in decisions relating to their home and wellbeing. Staff stated they do try to involve residents in making day-to-day choices for themselves such as which clothing they like to wear, choice of refreshments etc. When part of the home was recently re decorated staff obtained paint charts to help involve residents in the process. Record seen indicate that risk assessments have been put in place which promote residents independency and autonomy whist minimising the risk of harm to themselves or the people around them. Staff stated that all residents require assistance with managing their personal allowance. Small amounts of money are retained for individually named residents. The sample examined indicated that residents personal allowance tallied with the house records. The system is also regularly audited. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a varied nutritional diet and benefit from appropriate activities both at home and in the community. Residents benefit from the support and reassurance of well-trained staff in their daily staff. EVIDENCE: Residents ages vary so staff support residents to participate in a choice of various age appropriate activities i.e. table top activities, participating in preparation of meals, personal past time or interests such as knitting or listening to music in the privacy of their own bedrooms. Additional local authority funding has been provided for one person to have the support of an outreach worker. On the day that I visited the resident had been out for coffee and cake which he clearly enjoyed. Most of the residents attend day centres for part of the week. Alternatively staff spend time with residents on a 1-1 basis, residents are supported to Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 12 participate in the local community and go out for lunch, shopping etc. The manager stated that MCCH also a range and number of events which residents are able to participate in such as BBQs, birthday parties, lunches etc. Residents benefit from the home having its own transport. The manager stated that the number of days that one person attended a day centre had been reduced and she has arranged a review to discuss with social services the options available for this residents. Staff stated residents also enjoy weekly visits from an aroma therapist. There is a system in place for recording activities that residents have participated in. The manager stated that staff have worked hard over the last 12 months to create more opportunities for residents to participate in social and recreational activities. Residents have the opportunity of going on an annual holiday supported by staff. Unfortunately the majority of the residents have limited or no contact with any relatives. Staff were seen to interact well with residents, offering support and reassurance to residents about activities involving them or going on around them. Menus seen indicated that residents are provided with a varied nutritional diet which takes into account residents likes and dislikes. On the day that I visited one resident had decided to have a lay in, late morning a member of staff made the resident scrambled eggs this was declined, however the resident enjoyed the alternative that was provided. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from receiving personal care that meets their individual needs and preferences. The staff team ensure residents have access to the relevant healthcare they require. Residents are safeguarded by sound medication policies and procedures. EVIDENCE: All residents require help with their personal care and details of the support needed and how they prefer to be supported is documented in their “ primary care” guidelines. Residents are able to get up and go to bed when they wish. All of the residents were wearing age and gender appropriate clothing and it was clear that staff had assisted residents to attain an individual personal identity. For eaxmple one resident was wearing dangly earrings which she clearly liked. Staff were seen to respect residents privacy and dignity when assisting with Personal care and rresidents appeared relaxed and comfortable in their surroundings. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 14 All residents are registered with a local GP and staff assist residents to attend appointments as and when required. Staff also arrange for residents to attend routine health care appointments such as visits to the Optician and Dentist. Staff work with appropriate health care professional, for example one resident was refered to a speech and language therapist and staff have worked with them to help the resident improve their communication skills. Medication procedures were examined in general and particularly in relation to the two residents being tracked. Medication was found to be appropriately stored and records well maintained. Information provided in the AQQA indicated that staff responsible for administering medication had received training from the pharmacist who provides medication. The organisations medication procedure requires that a second member of staff witnesses medication administration and staff were seen to follow this procedure when administering medication at lunchtime. Staff spoken with confirmed that they have received training in relation to administering rectal Diazepam to residents if required. The Royal Pharmaceutical Society have updated their guidelines on medication procedures in care homes, and the manger was advised of the need to have a medicine profile for each resident with evidence of regular medicine reviews. The need to have protocols in place for administration of ‘as required’ medicines such as pain relief for residents with poor or no communication skills. The need to evidence that staff responsible for medicine management are assessed annually as being competent to do so. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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 are protected by the organisation’s Safeguarding Adults Policy and training. There is a comprehensive complaints procedure in place. EVIDENCE: MCCH has a comprehensive complaints procedure which is available in a pictorial format. To date there have been no complaints received by the manager or the commission however, the manager stated that in the event of a complaint being received the matter would be recorded and action taken to address the concern raised. The providers Safeguarding Adults Policy was seen. No incidents have occurred in the home that required referral to the local authority. Information provided in the AQQA states All staff are trained in Redbridge Adult Protection Policy which is in line with MCCH policies and procedures. Staff spoken with had a good understanding of safeguarding adults and how they would handle a situation should it arise. The manager stated that all staff would have a refresher course in relation to Adult Protection within the next 12 months. As previously stated people living in the home are unable to verbally express their views and do not have relatives to act on their behalf. The manager stated that over the next 12 months she is hoping to find advocates for residents and this would give residents an additional independent safeguard. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean comfortable homelike environment. EVIDENCE: Beehive is a purpose built single storey building that is bright, light and airy and was free from unpleasant odour. There are handrails throughout the home. The home also benefits from a large conservatory overlooking the garden. The office is dual purpose and is also used as a staff sleeping in room and has its own shower facilities for staff. There is a suitably equipped bathroom and a shower room which enables residents to have a choice regarding bathing. Residents benefit from having single bedrooms and these were individually personalised. Discussion took place with the manager regarding the need to undertake an audit of furniture and furnishings in bedrooms for example one overhead light in one persons bedroom was without a lampshade and two people did not have bedside lights. All bedroom doors are lockable. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 17 At the time of the previous two inspections a requirement was made regarding the need for a stained bedroom carpet to be replaced. Carpets in the hall and lounge/ dining room were also particularly stained and staff stated that regular cleaning has proved unsuccessful. The manager stated that she has recently secured funding to replace the carpets concerned (copies of the order was seen). Foul waste is stored in designated bins in the garden however, these were overflowing and discussion took place with the manager regarding the need to arrange for larger bins to ensure foul waste is stored appropriately. There is a separate laundry room, staff stated that the equipment provided meets the current needs of the residents accommodated. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive recruitment procedures help safeguard residents from harm. Residents benefit from staff being appropriately trained and supervised to provide the care they are assessed as requiring. EVIDENCE: The manager stated that all staff have a number of years experience of working with people with learning disabilities. In order to meet the CSCI National Minimum Standards 50 of the care staff need to hold a NVQ two qualification in care. At present 44 of the care staff hold this qualification. The manager stated that the organisation continues to work towards achieving the standard. The staff roster seen indicates there are a total of three staff on duty during the morning and most of the afternoon. The manager stated they tried to ensure that there was a mixture of male and female staff on duty for each shift as all residents accommodated require help with intimate personal care. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 19 At the time of the last inspection a requirement was made regarding the need for staffing levels to be sufficient to meet the needs of the residents accommodated. Since then a highly dependent resident has left the home. The manager stated that two new staff were currently going through the recruitment process and the home would then have its full staffing quota. She was confident the staffing levels would then meet the needs of the existing resident group. In the short-term some shifts are covered by MCCH bank staff and others by staff who work in the home regularly on a day-to-day basis. From discussion with staff and records seen it is apparent that regular staff meetings are held. The manager also operates a communication book to provide staff with up-to-date information. Staff stated they found this useful particularly if there had been off duty for a couple of days. Records were examined in relation to two members of staff recently recruited to work in the home. there was evidence that MCCH operate an appropriate recruitment procedure. Prospective staff completed application forms and attended interviews. Records seen appeared to indicate that only one reference had been taken up for each person. The manager stated she was confident that two references have been taken up however would follow up this matter and update the records accordingly. From records seen it was apparent that CRB/POVA checks are undertaken before staff are able to commence employment. The manager stated that MCCHs policy was to update the CRB checks for all employees every three years. New staff have a comprehensive induction which includes shadowing an existing staff member and spending time at the MCCH local office to learn the organisations policies and procedures. A copy of the training matrix for all staff working in the home was seen. This enables the organisation to monitor staff members training needs and the manager stated that staff are routinely reminded when they need to attend updates, i.e. in relation to moving and handling, adult protection, first aid etc. Staff are also provided with service specific training such as dementia, epilepsy, makaton. Staff spoken with felt that MCCH provided them with appropriate training to undertake the work they perform. Record seen indicates that all staff have regular supervision. staff responsible for undertaking this task are given appropriate training. Staff responsible for undertaking this maintain comprehensive records regarding individual staff members training and development needs. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from the home being run by a suitably qualified and competent person. Regular safety and maintenance checks are carried out to ensure residents and staff live and work in a safe environment. Although the organisation monitors the quality of the service provided the monitoring visits are not carried out frequently enough. EVIDENCE: A requirement was made at the time of the last inspection regarding the need for the home to have a manager in post. Since the last inspection the acting manager who has a number of years experience working with people with learning disability and holds an NVQ4 qualification in care and management, has completed the CSCI registration process and is now registered to manage the home on a day-to-day basis. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 21 It was apparent that the manager communicates a clear sense of leadership and actively encourages teamwork between herself and the care staff working in the home. A requirement was made at the time of the last inspection regarding the need for a representative of MCCH to visit the home on a monthly basis to undertake an audit of the care and service being provided. From records seen and discussion with the manager it is apparent that this is not happening on a regular basis and action is required to address this. Records seen indicate there are regular safety and maintenance checks undertaken to the fire detection system, gas and portable electrical appliances. Designated staff have responsibility for issues pertaining to fire safety and health and safety. All staff receive training in relation to these issues at the time of their induction and have regular training updates thereafter. Beehive DS0000025943.V356455.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 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 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 3 X 3 X 2 X X 3 X Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 23 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 26 Requirement A representative of the organisation must visit the home unannounced at least once each month to check on the standard of care provided. A written report must be made and a copy of this lodged with the home and a copy sent to the Commission. (Previous timescales of 30/4/06 and 30/06/07 not met.) Proforma’s must be fully completed within the care services in line with the agreement for centralised staff records in this instance provide evidence two references have been followed up for each prospective employee. Previous timescale of 30/06/07 not met. Timescale for action 31/05/08 2 YA34 19 31/05/08 Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 24 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 Refer to Standard YA24 YA30 Good Practice Recommendations Ensure that residents bedrooms have appropriate lighting. Ensure that there is adequate storage for foul waste to prevent the spread of infection. Beehive DS0000025943.V356455.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Conatct Team Caledonia House 223 Pentonville Road London N1 9NG 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. 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