Inspection on 09/06/07 for Homecroft

This inspection was carried out on 9th June 2007.

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

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

Other inspections for this house

Homecroft 30/08/06

Homecroft 23/01/06

Homecroft 12/07/05

Homecroft 15/02/05

Homecroft 18/05/04

Homecroft 22/12/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Homecroft 446 Lichfield Road Four Oaks Sutton Coldfield West Midlands B74 4BL Lead Inspector Mrs Mandy Beck Unannounced Inspection 9th June 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homecroft Address 446 Lichfield Road Four Oaks Sutton Coldfield West Midlands B74 4BL 0121 308 6367 0121 308 8294 murchgeoffrey@tiscali.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Godfrey Murch Mrs Marjorie Joan Murch Mrs Susan Elizabeth Meakin Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can provide care and accommodate for 24 people for reasons of old age. This may include 4 service users with dementia. (Registration Category 24 OP 4 DE(E)) The 4 service users with dementia must be accommodate in rooms on the ground floor. 30th August 2006 Date of last inspection Brief Description of the Service: Homecroft is a registered care home for 23 elderly people in Sutton Coldfield. It is located on the main Lichfield Road and is on the bus route for Birmingham as well as Lichfield and Burton. It is also within walking distance of Butlers Lane railway station. Homecroft was open in June 2001 on the site of the owners former home and offers modern facilities of a high standard. The home has good furniture and matching throughout. There are twenty three single bedrooms all have ensuite toilets and wash hand basins. Some of the bedrooms also have level access shower facilities. There is a vertical lift enabling access to the first floor bedrooms and the assisted bathroom. An assisted shower room is available on the ground floor. Communal rooms on the ground include:- a lounge, a library and dining area, a conservatory. Also located on the ground floor are the kitchen, laundry and an office. At the front of the home there is ramped access to the building and parking for both able and disabled visitors. There is a well appointed garden at the rear which includes lawns, shrubs, patio areas with garden furniture and a small water feature. The current fee range is between £405 and £455 per week for residency. Some service users may be expected to pay a top up fee this will be discussed in full with the service users prior to their admission. Other extras that are not included in these fees are toiletries, hairdressing costs, newspapers and magazines, and chiropody. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service. It lasted seven hours and during this time a variety of methods was used to gather evidence and make the judgements in this report. Time was spent talking to the staff and the service users. Staff files were also looked at to make sure that the home is continuing to recruit people in a safe manner. Three service user files were looked at in depth as part of the case tracking process. This process enables us to see if the home is continuing to meet the needs of the people who use this service. Information has also been used from the Pre Inspection Questionnaire the manager completed prior to this inspection and service user questionnaires that were returned to us. Some of the comments from those questionnaires have been included in the body of this report. The inspector would like to thank the manager, service users and the staff for their hospitality throughout this inspection. What the service does well: Homecroft offers a relaxing environment for residents to live. Residents commented that the “home is always clean, rooms are beautifully fresh and clean”, “staff are always cleaning the rooms and corridors”, “ I think Homecroft is one of the best homes there is in the local area and this is a view supported by all people I know who have visited”. Residents were very complimentary of the staff team at Homecroft stating “staff are always cheerful and do not rush my mother, show respect for her needs and generally care very well for her”, “the staff appear to give good care and to treat the residents well”, “the staff are always caring and helpful, they try to understand and help all the time”. The home has not received any complaints for over twelve months. Relatives indicated in the questionnaires that they are aware of the complaints process but have never used it, “the need has never arisen”. All of the food is freshly prepared on the premises service users said “the food is always lovely, I don’t always remember what I order but when it comes I’m never disappointed”, “food is always enjoyed and staff are very caring”. Homecroft DS0000016760.V342199.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. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5,6 Quality in this outcome area is good. Residents will have a full assessment of their needs before they move in. They can be assured that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents files were seen as part of the case tracking process. It was pleasing to see that they both had pre admission assessments completed by the manager. There has been some development of the mental health assessments for residents and the manager is currently considering the use of the Folstein Mini Mental State Examination (MMSE) to help inform the assessment and care planning process for those service users who have dementia. Contracts were not looked at during this inspection however, the manager stated that they are currently being reviewed by the company’s solicitors and Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 9 will be re issued to residents once this was completed. The new contracts will be clear about fees and who will be responsible for paying them. Staff are continuing with training in dementia care and challenging behaviour. Some of the staff said “it was very interesting, the idea of person centred care can be used for every one not just people with dementia”, “I haven’t done my training yet but I’m looking forward to it, everyone has enjoyed it”. All prospective new residents are given the opportunity to spend time at the home to see if they like it. The visit also gives them the time to meet with the staff and other residents and take part in craft mornings if they choose to do so. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Residents can be confident that their needs will be identified and met. They will receive prompt medical attention at times they require it and at all times they will be treated with respect and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care planning appears to have improved since the last inspection. Two residents files were seen there were care plans for all needs that had been identified in the care needs assessment. The home could further improve upon their care planning by making the plans more person centred and individual to the residents. For instance the manager was able to discuss in great detail the process they use to help one service user who is finding it difficult to eat. Although a care plan was in place to address this issue. The information shared by the manager was not included such as making sure that the resident has a smaller plate, finding out her likes and dislikes, and sitting by other residents who also eat very slowly so that they do not feel rushed. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 11 Residents are assessed for their risks of pressure sore development, malnutrition, falls and moving and handling upon admission and regularly thereafter. It was pleasing to see that where a risk had been identified that home had taken steps to provide a written plan to show how they intend to reduce that risk to the resident. All of the residents spoken to during the inspection said that the doctor always visits if they are ill and that the staff always react quickly, “if I feel under the weather the doctor will come out to see me no problems”, “the GP is always called promptly”. Relatives said “its reassuring to know they my relative is being looked after 24 hours a day and that she is happy in the home”, “the staff are always cheerful and do not rush my mother, show respect for her needs and generally care very well for her”, “the home has tried to meet the needs of my relative and this has been done with respect”. Throughout the inspection residents were spoken to politely and when assistance was needed it was given in a sensitive and discreet manner. Medication practices within the home are good. Staff have received appropriate training and do not administer medication to residents until the manager feels that they are competent to do so. There were a couple of minor issues raised that were addressed immediately by the manager. All medication requiring cold storage is now kept in a lockable container as recommended. The manager was also advised to keep a record of the temperature in the office where medication is stored so that they can be sure it is kept at the recommended temperature of 25oC or below. The home has implemented its new homely remedy policy, this enables staff to administer “one off” medication for pain relief and coughs and colds, there were some minor adjustments needed to the policy to ensure that it protects residents. The GP for each resident must also sign up to the agreement, this will make sure that the GP is aware that any medicines listed in the homely remedy policy are not contra indicated with residents own prescribed medication. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Residents are encouraged to take part in activities and to maintain contacts with their families and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does have an activity plan that includes bingo and regular visits from the physiotherapist. The home sponsors a donkey that visits the home with its keeper; there are pictures of the last visit displayed in the hall. Some of the residents have been engaged in a knitting circle and made knitted dolls to send to a charity for children in poorer countries. The residents also run a small enterprise selling toiletries and confectionary in the home, the proceeds of the sale are then donated to a chosen charity. Residents and relatives have made comments about the choice of activities in the home, “what they could do better is provide more external activities like trips out”, “I feel that more exercise might help, more active input would help there is some exercise work not weekly” and “there is a lot going on exercise classes, craft mornings and hairdressing, people also come in and give talks”. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 13 Visiting is encouraged at all times and relatives visiting on the day of the inspection said that the home is “very nice and always welcoming”, “it’s comforting to know she’s here and looked after”. “It’s reassuring to know that my relative is being looked after 24 hours a day and that she is happy in the home”. The manager has recently attended a training course on the Mental Capacity Act she has updated her knowledge and is now looking at ways the home can assist service users to make choice about their lives. Meals are freshly prepared in the home, on the day of inspection the choice for lunch was cottage pie or salmon and broccoli quiche. Service users said that the food is always lovely and there’s always a choice, “sometimes I forget what I’ve ordered but I’m never disappointed”, “food is always enjoyed and staff are very caring to the residents”. The home’s dining room is pleasantly decorated and mealtimes were observed to be a relaxing occasion for service users. Tables are laid and well presented for each meal. The home has a four weekly menu that is changed periodically after consultation with service users. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. All residents and relatives can be assured that their views will be listened to and acted upon. The home will take steps to protect its residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not changed its complaints procedure or policy since the last inspection and has not received any complaints in the last twelve months. Residents said that if they were unhappy they would talk to the staff, “they would help us if we had a problem”; relatives commented, “I’ve never had to complain when I have raised issues about care they have been dealt with in a very positive way. They are always polite and helpful to residents and relatives”. Others said that “I’m not sure what to do if I needed to complain”, “I assume that I write to someone but I’m not sure what happens next”. The home’s policy for safeguarding adults was not looked at because it has not changed since the last inspection where it was assessed as meeting the minimum standards. Staff were spoken to about their knowledge of adult abuse and how they would react if they suspected abuse had occurred. It was pleasing to hear that all staff were able to give examples of what abuse is and how they report any suspected abuse in order to safeguard residents. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent. The home is extremely well maintained and provides an relaxing and peaceful environment for residents to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken, it was pleasing to see that the environment is a relaxing and peaceful place to be. The residents spoken to during the inspection said “it wonderful isn’t it, I’m so glad I live here”, “I think I was very lucky to get this home I heard there was a waiting list because its so nice”. Other comments from relatives included “the home is clean and caring”, “rooms are beautifully fresh and clean, staff are always cleaning the rooms and corridors”, “my relative has phone in her room so she can contact us”. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 16 The home has just secured a “dignity grant” from Birmingham City Council; the money the home has received has been spent on new garden furniture for residents to use. The provision of swing free doors that will enable them to shut automatically in the case of fire, this means that door wedges will no longer be in use and will reduce the risks to residents. In the laundry a new washing machine and tumble have been purchased. There is also liquid soap and paper towels in all hand washing areas and toilets. Staff also have gloves and aprons to use when assisting residents with personal care. All of this will help reduce the risks of cross infection to residents. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. Staffing levels have improved, staff are knowledgeable and have the skills the meet the needs of the residents. Improvements are needed to the recruitment process to ensure that residents are safeguarded at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a minimum of 3 staff on duty during the day. The night staff consists of one waking and one sleeping care assistant who will be called upon if needed. There is also a senior member of staff on call during this time. Care staff are expected to complete domestic, laundry and care duties whilst on shift. At the last inspection it was noted that staff were working excessive hours, the manager has addressed this. Staff who are expected to work the night shift usually work the afternoon prior to this and then have the following day off. The manager does not keep a record of the amount of times the sleep in member of staff is woken during the night. She did say that any calls would be recorded in the resident’s daily notes instead. Care staff are continuing with their National Vocational Qualifications (NVQ) and the home has more than 70 of its care staff with an NVQ level 2 or 3 in care. The Manager also said that both she and the deputy manager, and the administration have just enrolled on a Diploma in Management with a college Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 18 in Birmingham, this means that all three staff will build upon their existing knowledge and skills. The staff files of three workers were seen, they were generally satisfactory however there were concerns about the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults List (PoVA) checks. The home completes the CRB request but in one case this was not returned until five months after the worker had commenced employment. The home had not asked for a PoVAfirst check in this case. A PoVAfirst allows the registered person to check that a person is not on the PoVA list as soon as possible and before a full disclosure is received. This was discussed with the manager who confirmed that they do not routinely ask for a PoVAfirst when recruiting staff but do check against the PoVA list as part of the CRB disclosure. Staff are allowed to commence employment without these checks being in place. Additionally the member of staff who is employed without the CRB or PoVA in place must be supervised whilst on duty, this must be clearly documented on the staffing rota until the CRB disclosure is received. The manager was able to discuss the new induction standards that are in place. A copy of an induction booklet was viewed currently the manager keep no written records of the completed induction. This was discussed and it was recommended that the manager keeps a written copy of the completed induction to use as basis for supervision and planning training in the future for new workers. The induction standards are up to date and meet guidance from Skills for Care. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. The home is well managed and run in the best interests of the residents. Safe working practices ensure that the home safeguards resident’s welfare and safety at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by Mrs Sue Meakin and is well run. She has many years experience caring for older people in a residential setting. Staff said that they felt supported by her and that they were confident about approaching her if they felt that things needed attention. “Sue’s great, she’s always there for us”. Relatives commented “very good at motivating residents to get up and get on with the day”. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 20 Progress is being made with the Quality Assurance System the home has in place. The manager completes monthly audits to ensure that standards are being maintained. She looks at medication, care planning and the environment. In addition to this they have sought the views of the residents about the running of the home. Mrs Meakin explained that one set of questionnaires had been completed in September 2006 and another set were due out now. Once the questionnaires have been received they plan to produce a Pie chart that will show the areas that they are working well in and those that require improvement. An action plan will then be published and made available for both residents and relatives to view. Resident’s monies were spot checked and found to be in order. The home has secure facilities for storage of monies and has appropriate insurance cover. The manager keeps good records of all transactions and receipts of purchases. Health and safety practices within the home are good and ensure that resident’s welfare and safety is protected. All staff have received mandatory training in moving and handling, food hygiene and first aid. The manager has systems in place to ensure that staff have training when needed. The administrator has also recently trained as a fire marshall and as a result is able to deliver training to all staff. Staff are also having regular fire drills and fire checks are being documented appropriately. Safety certificates were spot checked and found to be in order and up to date. Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 23 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 5 Refer to Standard OP7 OP9 OP9 Good Practice Recommendations Care planning could be further improved by adopting a more person centred approach to ensure that resident’s individual needs are recorded in their plans. Resident’s medication must be stored within the recommended temperature range to ensure that it is safe to administer. GP’s must agree to the administration of the homely medicines for each resident, so that they can be sure they do not contra indicate with their prescribed medication. Residents would like more physical activity and trips out, this should be arranged for them. Residents must be assured that when staff are recruited without a CRB disclosure, a PoVAfirst check is completed and arrangements for supervision of the new worker are made until the disclosure is available. This will ensure that the risk of potential abuse to residents is minimised. When new workers undertake their induction it is recommended that written records are kept in the new workers file. This will enable the manager to determine if the worker has the knowledge and skills to care for the residents. OP12 OP29 6 OP30 Homecroft DS0000016760.V342199.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West Midlands Regional Office 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Homecroft DS0000016760.V342199.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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