Inspection on 08/11/06 for Broad Horizons & Marmalade House

This inspection was carried out on 8th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broad Horizons & Marmalade House 11/01/06

Broad Horizons & Marmalade House 01/06/05

Broad Horizons & Marmalade House 02/12/04

Broad Horizons & Marmalade House 04/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Broad Horizons & Marmalade House 5 Kittens Lane Loddon Norwich Norfolk NR14 6SU Lead Inspector Mr Roger Andrews Unannounced Inspection 8th November 2006 11:00 Broad Horizons & Marmalade House DS0000027485.V320169.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 Broad Horizons & Marmalade House DS0000027485.V320169.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. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broad Horizons & Marmalade House Address 5 Kittens Lane Loddon Norwich Norfolk NR14 6SU 01508 528163 01508 520604 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) Orwell Housing Association Limited Mr Jason Davies Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 Brief Description of the Service: Broad Horizons and Marmalade House offer care and support for up to ten adults with learning difficulties. The resource comprises of two bungalows with all accommodation and communal areas located on the ground floor. Each bungalow is built on a small domestic scale to create a domestic home environment. Marmalade House aims to offer supportive care with tenants being encouraged to achieve greater independence in meeting their personal and social care needs. Broad Horizons and Marmalade House are located in the village of Loddon to the south east of Norwich. They are situated in their own grounds with pleasant enclosed garden areas. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from the providers, the service users as well as others who work at the service. This has included a recent unannounced visit to the service at which time there were ten tenants living there. This report gives a brief overview of the service and the current judgments for each outcome group. What the service does well: What has improved since the last inspection? What they could do better: Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 6 The staff need to make sure that all of the tenants’ support plans are kept up to date so everyone can see what help each tenant needs. The staff must make sure they sign the medicine record every time so that it is easy to make sure each tenant has had their medicine. The tenants’ files have a lot of information. Some of this could be stored away so that only up to date information about tenants is kept in the house. This will make it easier for staff to see what help tenants need. The staff keep a written record of any training they do. They should all make sure they write down the date they did the training on so other people can see if more training is needed. 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. Broad Horizons & Marmalade House DS0000027485.V320169.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 Broad Horizons & Marmalade House DS0000027485.V320169.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. New tenants are properly assessed prior to moving into Broad Horizons and have opportunities to visit their new home to see if it suits their support needs. EVIDENCE: The support plan of a tenant who has moved into Broad horizons since the previous inspection was looked at and was discussed with the manager. The admission process involved more than one visit to the new tenant’s former home, reports from the staff there including a daily routine profile and previous reviews and case conferences. The father of the new tenant was also involved in the admission process. The new tenant made several visits to Broad Horizons for meals, progressing to longer stays prior to moving in on a long-term basis. Regular reviews following admission have been held and discussions on the long-term nature of the placement are continuing. Information, including easy reading literature, is produced by the organisation for new tenants, though in some cases tenants may not be able to understand such documents which will be shared with family members instead. Tenancy agreements were observed in individual support plan files. Broad Horizons & Marmalade House DS0000027485.V320169.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. Tenant files and support plans have relevant information, but could be more user friendly by removing outdated information and having an index. All support plans must be reviewed on a regular basis. Risk assessments are in place along with guidelines for managing challenging behaviour. EVIDENCE: A number of randomly chosen tenant files were looked at in each house. These contain a good deal of information including a support plan which sets out the level of help and encouragement that each tenant needs. In a few cases the support plans have not been reviewed for some time, (in one case for over a year), and need updating. See requirement. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 10 In addition to a arrange of information on each tenant, the support plans highlight preferences, special support needs such as one tenant who has an eating plan and another tenant who has a three stage support plan to help promote her sense of road safety. Independence assessments were seen where areas such as reading & writing skills, money awareness, time awareness and dressing skills are commented upon. In some cases the amount of information has built up on files, (which are Lever Arch type ones), and it would help if files were sectioned and indexed. It might be pertinent to have ‘active support plan’ information in a smaller folder with older information being archived to the Lever arch folders. See recommendation. A number of risk assessments were on file in each instance and examples include assessments for tenants using the cooker, kettle, plug sockets, television and radio equipment, travel, going missing and outings. Risk assessments are reviewed and updated. Guidelines are in place for managing challenging behaviour and the example guideline seen contained a good level of detail. Broad Horizons & Marmalade House DS0000027485.V320169.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. Tenants are involved in a range of activities both within and outside of the home. Tenants can visit their family and family members can visit the home to see the tenants. There is a varied menu and tenants can exercise more independence by being involved in shopping and cooking their own food. EVIDENCE: The tenants’ files and discussion with staff gave a good picture of a variety of work and leisure activities being in place. Leisure activities include swimming, horse riding, flamenco dancing, various trips out and pub visits. One tenant attends church for a Monday coffee morning session. Family members are also Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 12 able to play an active part, both in visiting the home and tenants being able to go and stay with family. One tenant was staying with her family for a few days during the week that the inspection visit took place. Another tenant’s parents visit regularly and this tenant will visit home most weekends. In some cases tenants have less structured outside activity, though continue to have involvement in the community with staff on a one to one basis. Within their home tenants like to enjoy activities such as listening to music, watching television and using the sensory room. There is a selection of games which staff can involve the tenants in on a group of individual basis. From observations on this and previous visits to the home there is a good level of interaction between the staff and the tenants and this includes those tenants who have little verbal communication. Examples were given by staff of ways in which tenants made daily choices which might include pointing at particular food choices, being able to choose what clothes to wear and choosing where to spend time around the house. Tenants are able to use their own rooms when they wish. Tenants have access to enclosed garden areas when the weather permits. Staff communicate with tenants in a variety of ways including pictures and signing. Meals in Broad Horizons are prepared by the staff, though tenants in Marmalade house participate to varying degrees with one tenant doing her own menu selection, shopping and cooking. A new four weekly menu cycle has been introduced in Broad Horizons with an additional healthy option for each main meal. The manager reports that this has been based on known tenant food preferences and are going to be trialled for a period of time. The food being served for the main meal is also displayed in pictorial form in the kitchen so the tenants can see what they will be having. One night each month is set aside for a take away or similar, though the timing of this is flexible. One of the tenant’s chooses to eat alone in the lounge for some meals, though is asked if she wishes to join others. This tenant requires much of her diet in a liquidised form, (there is documented evidence of this and discussion/guidance with other professionals), though staff always taste each meal to make sure that the taste is pleasant. Broad Horizons & Marmalade House DS0000027485.V320169.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. Tenants are able to participate in their personal care to the extent that they are able and their healthcare needs are promoted by the involvement of a variety of outside professionals. Medication is properly stored, though care needs to be taken to ensure the daily administration record is signed on each occasion to ensure tenants have received their medication. EVIDENCE: One tenant stated that she went shopping to choose her own clothes and was able to undertake her own washing and laundry as well as other daily tasks such as keeping her room tidy. She was very much able to take care of her personal care needs with some assistance, (mainly encouragement), from staff. Other tenants require varying degrees of help, though even where significant help is needed the staff were able to demonstrate small choices that tenants could make, for example, being able to chose between two items of clothing that staff selected rather than confusing the tenant by presenting the Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 14 choice of a whole wardrobe of clothes. Service users have individual keyworkers and the home has a policy of personal care being offered by staff of the same gender. Healthcare needs are documented in tenants’ files. Examples include input from psychologists and the consultant psychiatrist including a visit to the home by the latter to discuss a particular tenant’s support and healthcare needs. Occupational therapy advice, dental care and other health needs such as chiropody are noted. Where appropriate records are being maintained of weight, continence issues and dietary advice. Discussion takes place about using specialist centres, for example, dentistry, where the usual services may cause tenants to become agitated or distressed. The medication records were looked at. In the vast majority of instances medications are signed for, though there were two instances where it appeared that staff had failed to sign the record. A system must be put in place to ensure that such omissions are identified and brought to the attention of the senior person at the earliest opportunity either by a systematic check of the record or the next person completing the record highlighting an earlier error. See requirement. Medication is appropriately stored and all staff have received training this year in the safe handling of medications. A medication procedure is in place. Broad Horizons & Marmalade House DS0000027485.V320169.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. The complaints procedure is in pictorial and audio form which helps tenants understand how to make a complaint. Staff have undertaken training on adult protection issues so that they understand how to look out for signs of abuse. EVIDENCE: Since the previous inspection took place there have been no formal complaints received by the Commission. A complaints procedure for the tenants has now been produced in audio form. This is commended. Pictorial complaints posters are also clearly displayed in both houses. There was evidence of staff advocating on behalf of tenants and bringing forward issues that they felt tenants might complain about if they could advocate for themselves. All staff have undertaken adult protection training this year and a procedure is in place. There have been no adult protection issues since the previous inspection took place. The manager and another member of staff have also undertaken a ‘train the trainers’ course on this topic. Broad Horizons & Marmalade House DS0000027485.V320169.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, 25, 27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and kept free from hazards to safety which gives tenants a nice and safe place to live in. EVIDENCE: Both Broad Horizons and Marmalade House are pleasantly decorated with comfortable communal areas and furnished personalised bedrooms. All areas were warm on the day of the inspection visit. The conservatory in Broad Horizons was warm and now has a thermometer in place to monitor the temperature following comments in the previous inspection report that this room was rather cool and that this was likely to deter tenants from using it. The large kitchens in each house double as dining areas and tend to be the areas where tenants and staff gather. Both kitchens have had new ovens installed recently. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 17 One of the bathrooms in Marmalade House has been refurbished and has the addition of net curtains and a wooden vanity chest which dramatically improves the homely feel of this room. The lounge has also had its furniture replaced. No obvious hazards to the safety of tenants or staff were noted and there were no unpleasant odours in any part of either building. Broad Horizons & Marmalade House DS0000027485.V320169.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust recruitment process is in place. Staff are supervised and have regular staff meetings. Excellent progress has been made with NVQ training and the home continues to exceed the National Minimum Standards on this aspect. EVIDENCE: Three staff files were randomly selected and examined. Each file contained evidence of an enhanced Criminal Records Bureau check, two written references, a completed application form, evidence of identity, (such as a copy of a passport), and a photograph. Staff interviews are documented on an interview questionnaire, (the organisation has a variety of forms for different grades of post), and they include questions on adult protection issues. Evidence of a Criminal Records Bureau check is now on each file and addresses a requirement made in the previous inspection report. All staff receive a copy of the Code of Conduct produced by the General Social Care Council. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 19 On the day of the inspection a member of staff returning after maternity leave was being inducted back into the workplace. The member of staff had been given a written induction timetable which included reading support plans and updating her knowledge on the risk assessments, arranging a fortnightly supervision schedule and reading recent staff meeting minutes. A return to work interview was also documented. These examples are not exhaustive. New staff continue to receive a three day induction course provided by an external training body. A record of ongoing training is updated monthly by the staff, (which addresses a requirement made in the previous inspection report), though ideally all the entries should include the date of training. See recommendation. New ‘shift leader’ posts are also being introduced and there is a documented induction protocol in place for this. There is a written ‘shift plan’ for each shift which documents, for example, for am and pm who is responsible for medication, who is undertaking one to one duties with particular tenants, who is preparing supper and which tenants are going out. The numbers of staff on duty in each house was checked and compared to the staffing rota. The staffing levels are sufficient to meet the needs of tenants. A schedule of training for the current year is maintained and the home has made excellent progress with its NVQ training programme. Over 50 of the staff group have this qualification at level 3. In addition to the manager one member of staff has commenced her NVQ 4 training. Various other courses have been attended in 2006 and examples of these include Professional Boundaries Training, the Foundation Certificate in Health & Safety, Epilepsy Basic Awareness, Vulnerable Adults at Risk, (all staff), food hygiene and the Safe Handling of Medication. Fire training is booked for November 2006 and Moving & Handling training is booked for December 2006. Staff are supervised and all staff have received an annual appraisal over the summer months, copies of which were seen during the inspection visit. Staff talked with during the inspection visit commented that staff meetings were held regularly and that the manager of the service was approachable to discuss issues. Broad Horizons & Marmalade House DS0000027485.V320169.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. A number of good processes are in place such as regular checks of each tenant’s money to make sure tenants are protected. Health and safety checks are in place and staff receive training to help make sure tenants are safe. The views and preferences of tenants are respected. EVIDENCE: The manager is currently undertaking NVQ 4 training and has many years experience of working with people with learning difficulties. Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 21 Formal tenant meetings are not held. These used to be in place, but were not useful opportunities for tenants’ to express views, especially those with little or no verbal communication. However, records and discussion with staff do reflect that staff understand each tenant’s preferences and interests and that they attempt to meet these. As each house has a relatively small group there is opportunity for regular informal discussion between staff and tenants. An annual meeting is held where tenants’ families are invited to give their views Each tenant has a monthly financial record showing income and expenditure and excess money is deposited in personal savings accounts. Each tenant’s money is checked at the end of every shift by the incoming and outgoing shift leader. This is good practice. The fire records were looked at in each house and were up to date. There is annual fire training and weekly fire alarm checks are carried out. The fire system is serviced on an annual basis. Evacuation tests are held including occasional night exercises. The outside fire trainer also involves tenants, where possible, in the training sessions. A monthly fire risk assessment is carried out in each house and is documented. Fire training is included in the annual training programme. Electrical PAT testing was carried out in August 2006. Monthly health & safety checks are carried out in each house, e.g. water temperatures, and a record of these checks is kept. Monthly visits are undertaken by a representative of the organisation and copies of these are provided to the Commission. Orwell Housing undertake an annual audit of this service. Broad Horizons & Marmalade House DS0000027485.V320169.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 X 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 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 4 X Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA6 YA20 Regulation 17 13 Requirement Support plans must be reviewed on a regular basis. The daily record showing the administration of medicines to tenants must be signed on each occasion and a fail safe mechanism put in place to ensure omissions are speedily noted and rectified. Timescale for action 01/01/07 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The amount of information on ‘current’ tenant files should be reduced and be more accessible by the addition of an index. Records of staff training should also include the date that training took place. 2 YA35 Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Broad Horizons & Marmalade House DS0000027485.V320169.R01.S.doc Version 5.2 Page 25 - 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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