Inspection on 23/04/07 for Newcroft

This inspection was carried out on 23rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newcroft 03/02/06

Newcroft 15/11/05

Newcroft 28/03/05

Newcroft 28/07/04

Newcroft 03/02/04

Newcroft 26/08/03

Newcroft 12/02/03

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

CARE HOME ADULTS 18-65 Newcroft 1 & 2 Todenham Road Moreton-in-marsh Glos GL56 9NJ Lead Inspector Mr Paul Chapman Key Unannounced Inspection 23rd April 2007 09:00 Newcroft DS0000016508.V308064.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 Newcroft DS0000016508.V308064.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. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newcroft Address 1 & 2 Todenham Road Moreton-in-marsh Glos GL56 9NJ 01608 652886 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) www.hft.org.uk Home Farm Trust Mrs Denise Mumford Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 LD(E) place for named service user within total registered numbers. This condition to be removed once the service user is no longer accommodated. 1 LD/DE place for named service user within total registered numbers. This condition to be removed once the service user is no longer accommodated. 3rd February 2006 Date of last inspection Brief Description of the Service: Newcroft is two semi-detached properties offering accommodation for seven service users, three in one house, and four in the other. The houses were purpose built for this service user group. All of the service users have had comprehensive assessments completed, and these are supported by care plans to meet needs. The home is well decorated, and personalised with service users processions. The service users lead active lives attending work placements, day centres and being involved in various social activities. The home is staffed twenty-four hours a day, seven days a week. The home has a Statement of Purpose and Service User Guide. Fees for the home range from £654.85 to £915.28 per week. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The site visit for this inspection took place on Monday 23rd April 2007 and we spent 7 hours at the home. The registered manager was in attendance throughout the visit. Time was spent observing the care of people and their interactions with staff. All people living at the home were spoken to and three people invited us to inspect their bedrooms. The care of three people was looked at in depth that included looking at their financial, medication and personal records. Staff were spoken to about the care they provide. Other records examined included staff files, health and safety information and quality assurance records. What the service does well: What has improved since the last inspection? Guidelines for staff providing personal care have been written and this helps to ensure a consistent approach for each person requiring support with their personal care. All staff have completed training in the protection of vulnerable adults. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newcroft DS0000016508.V308064.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 Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are thoroughly assessed before they are offered a place at the home. Staff provide people with information about the home that enables them to make a decision about whether the home can meet their needs. EVIDENCE: Nobody has been admitted to the home since the previous inspection. At a previous inspection a recent admission process was examined and showed that the person had been thoroughly assessed before moving in. Before they moved in they were able to “test drive” the home by visiting it at different times including overnight stays. Each person has a copy of their individual contract/terms and conditions which is kept in their bedroom. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People identify their hopes and dreams and they are supported by staff to achieve them where it is required. People are empowered to live independently by the staff wherever possible. Risks to people are minimised through detailed assessment that involves the person in question. EVIDENCE: Three people agreed to us examining their person centred plans (PCP’s) and other personal documents. Sitting talking with people they all agreed that they were involved in creating and updating their PCP’s with staff support. When looking at the PCP’s their involvement was clear to see. At present the home produce detailed PCP’s Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 10 making good use of a larger font for writing, using different colour pens, photos and symbols. Use of these tools enable staff to develop detailed, needs led plans with the people for whom the plans are for at the centre of their creation. Each PCP identifies the person’s hopes and dreams for the following year. Examination of the previous years hopes and dreams showed that each person’s had been met and evidence was in the form of photos or written descriptions of what they had done. The hopes and dreams identified for this year also showed progress towards their completion. One PCP showed no evidence towards meeting hopes and dreams and the manager explained that she will be working with the key worker to address this. HFT are implementing a system called SPARS (Support Plan And Recording System). This will computerise PCP’s and link different areas of the person’s life making it easier for staff to ensure targets are met. An aspect of this new system that is of concern is how the now total input of people in their PCP’s will be maintained using the new SPARS system. At the next inspection this will be examined to ensure that people still have as much valuable input. Whilst examining the files we felt that they contained some information that could be archived to make it easier to use the files. This was discussed with the manager and becomes a recommendation of the inspection report. When we spoke to people about the support they receive from staff all of the responses were positive. One person commented that staff “are always about and give me advice when I need it”. All of the files contained risk assessments that had been reviewed regularly by the manager. A number of risk assessments had been written with people living in the home and were signed by them agreeing the steps to minimise risks. In addition to this the manager has developed a powerpoint presentation with staff and people living at the home that highlights risks to people working in the kitchen. This is a really good piece of work that makes use of different methods (visual, written and sound) to highlight risks. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home make choices about their day to day lives and have the opportunity to access social, educational, cultural and recreational activities which meet their expectations. EVIDENCE: All of the people living at the home have a home management day where they are supported by staff to complete cleaning tasks, go shopping or take part in other activities on a one to one basis. People attend day services, work placements and college. The majority of people attend the local HFT Day Services. One person works at a local pub. Speaking with this person they said that they really enjoy it Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 12 On the day of the site visit people were receiving a cooking/catering lesson in the home from a tutor at the local college who visits weekly. These lessons have been on going on for a quite a while and as a result a cookery book has been developed that people can use day to day. The inspector witnessed the process of deciding what was going to be cooked and people going to the local supermarket to buy the ingredients. Throughout the morning all of the people living at the home were involved in preparing and cooking the meal which they then all sat together and ate at lunchtime. Previous menus were seen and showed that there was a good range of meals. People spoken with commented that they thought the food was nice. In addition to everyone help cook a meal each Monday people take it in turns to cook meals with staff support on other days of the week. Everyone spoken with stated that they enjoyed living in Moreton in Marsh and make use local facilities including the Bank, shops, Post Office, Pub, Library, swimming pool, gym, local church and the take-away. Most people access these services without staff support. The home has access to a vehicle that enables people to access facilities in the surrounding areas. The staffing rota that was seen confirmed that the team are flexible about the times they work, enabling people to take part in activities. Everyone had been on holiday since the previous inspection and this years holidays were planned. People said they were looking forward to going away. One person enjoys playing golf on a regular basis during the summer and the manager explained they are in the process of getting additional support for the person so they can continue playing this summer. Some of the other leisure activities that people take part in include going to concerts, having a barbeque, eating out, visiting Pubs and various day trips. The daily routines in the house are led by peoples’ needs, this was supported by peoples and staff comments as well as records seen. People are encouraged to take responsibility for the daily routines within the house and working together to share tasks. The notice boards in the home had jobs rotas on them. People, not staff, are expected to answer the front door. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Peoples’ health and personal care is based on their individual needs and they are treated with dignity and respect. Medication systems protect people from possible harm. EVIDENCE: All of the files examined contained guidelines for staff as to how they should support people with their personal care needs. These guidelines had been signed by the person confirming that these were their wishes. Each document had been reviewed at regular intervals. Each file seen by us contained a health assessment document that identifies essential information about the person and what they needed to be happy and supported appropriately. 2 of the 3 forms seen had not been completed fully, and the 3rd assessment was in need of review. These points were brought to the attention of the manager and it becomes a requirement of this inspection report that these areas are addressed. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 14 All of the files seen provided evidence that people had annual health checks with the practice nurse at the local surgery. All of the files provided evidence of involvement of other professionals like doctors, dentists, and the local community learning disability team. Records of this involvement were detailed. Good evidence to show people are empowered to be independent is the record sheets that enable people to attend appointments with Doctors, Dentists and other professionals without staff. Staff can complete a section that identifies the ailment/problem and the Doctor/Dentist, etc will complete another section with their diagnosis and treatment. This system allows people to remain independent whilst allowing staff to keep comprehensive records of appointments with other professionals. Medication administration was examined and seen to be in order except for two tubes of cream had not been dated when they were opened. This was brought to the attention of the staff on duty and it becomes a recommendation of this report that this is done in the future. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. An effective and robust complaints procedure is in place that listens to the views of people using the service. Systems are in place to protect people from possible harm due to accidents or abuse promoting and safeguarding their best interests. EVIDENCE: The home has complaints procedure in a format that enables people to make a complaint easily. Since the previous inspection there have been no complaints made to the manager or the CSCI. To support the complaints procedure there are comprehensive policies in place supporting the complaints procedure and people living at the home. People spoken with about making a complaint were clear about the procedure and said that they felt it would be dealt with appropriately if they were unhappy. All staff have completed training in the protection of vulnerable adults. People’s finances were examined. The inspector witnessed a member of staff supporting a person complete their financial records for income and expenditure. Only one person manages their own finances and staff support others to manage theirs. Records kept were detailed and allowed an audit of previous income and expenditure. Each transaction is signed by the person as well as staff. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a wellmaintained and comfortable home that encourages independence. EVIDENCE: Newcroft is two semi-detached houses that provide accommodation for up to seven people. The majority of the bedrooms are on the second floor but there is one bedroom on the ground floor. On the ground floor both houses provide communal accommodation that comprises of comfortable lounges, kitchen/diners and access to a good sized garden to the rear. All of the communal rooms downstairs were decorated to a good standard and there were examples of artwork by the people living at the home, and photos of events/trips and activities. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 17 Notice boards in both houses contained a photo staff rota, photos of planned activities for the day (and timetable), a picture rota for jobs around the home, and minutes of a recent home meeting. On the ground floor is the staff office and sleep-in room. Leaving the ground floor by wide a staircase the second floor provides each person with a single room and 2 bath/shower rooms. 3 people permitted the inspector to see their bedrooms. Each commented that they really liked their bedrooms and each room was seen to be individually decorated and contained various personal possessions like TVs, DVD players, hifis, computers and pictures, etc. Each house has a payphone that people can use if they wish. Some shortfalls were identified whilst the tour of the property was completed: • • • House 2, bathroom 2 – The floor covering is coming away from the floor causing an uneven floor. House 1, bathroom 1 – Needs painting as the current paint is looking a little worn. House 1, bathroom 2 – The floor covering is coming away from the floor causing an uneven floor. In one of the lounges one person has a special chair that has been designed to meet their specific needs. At the time of the site visit the home was clean and hygienic. People living at the home are responsible for completing cleaning tasks each day. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Records confirm that staff receive the training needed to meet the current needs of the people living at the home. Staff records for all people employed at the home must be available for inspection to ensure that the appropriate checks are being completed and people are not being put at unnecessary risks. EVIDENCE: The home has a settled staff team having only employed one member of staff since the previous inspection. The inspector asked to see the recruitment records for this person. Unfortunately these records were not present and the manager explained that they were probably still at the area office. The manager stated that at the time the new staff member was recruited that they examined their application form and other documents required by these regulations and they were found to be in order. The new staff member was employed in October 2006 and it is unacceptable for their records not to be at Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 19 the home. It becomes a requirement of this inspection report that this is addressed without delay. HFT provide all staff with a Professional Passport which collates a staff member’s development and progression whilst working for HFT. Part of this passport allows for copies of training certificates to be stored. Certificates seen showed that staff had completed various courses since the previous inspection including mandatory training like first aid and medication, and other more specialised training for subjects like dementia. The new member of staff completed a structured induction. All staff except the new staff member have completed an NVQ (National Vocational Qualification) in care or management to a minimum of level 2. Records showed that all staff receive regular supervision sessions with the manager. Staff also confirmed this. A good practice recognised by the inspector was that during each supervision the manager discusses training needs with the staff member. This ensures that staffs training needs are addressed promptly and not forgotten. Newcroft DS0000016508.V308064.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People benefit from a well run home, managed by a competent manager who promotes a culture of openness, respect and the wellbeing of people living there. People are at the heart of the quality assurance systems. Risks to people’s health and safety are minimised through regular assessment and monitoring. EVIDENCE: The registered manager has an NVQ (National Vocational Qualification) level four in Management and is an NVQ assessor. The manager has substantial experience of working with this client group and has known many of the people living at the home for a number of years. As identified previously in this report Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 21 it is a settled staff team with many staff working at the home since it opened. This promotes people receiving a consistently high quality service. Observations during the site visit supported by comments from staff show that the manager is supportive of her team and that the home has an open, friendly atmosphere. Certificates of registration and insurance were appropriately displayed in the property. The staffing rota showed that staff were on duty at all times and in sufficient numbers to meet the current needs of the people living at the home. The home has number systems in place to ensure the quality of the service is of a high level. Staff regularly review peoples’ PCPs and risk assessments updating them where it is appropriate, and the manager also oversees this from time to time to monitor the quality. Evidence in the minutes of team and resident meetings showed that they are held regularly. Both gave examples people being asked to contribute suggestions for improving the service. Evidence elsewhere showed that these ideas were followed through. Examination of records relating to the health and safety showed: • • • • • • • • COSHH sheets have been developed by the health and safety officer and cover a comprehensive list of products and identify the level of risk poised by each product. Portable Appliance Testing (PAT) had been completed. Fridge and freezer temperatures are recorded twice daily. A food probe is used to record the temperatures of cooked food. Hot water outlets are checked by the manager monthly. Fire safety equipment is tested weekly. A fire risk assessment has been completed. There is a contingency plan for the home that identifies what steps will be taken if electricity and/or the heating fail. Newcroft DS0000016508.V308064.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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 3 X X 3 X Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA19 Regulation 12(1, 2) Requirement The registered manager must ensure that each person’s health assessment is completed with them. The registered manager must ensure that the following shortfalls are addressed: • House 2, bathroom 2 – The floor covering is coming away from the floor causing an uneven floor. House 1, bathroom 1 – Needs painting as the current paint is looking a little worn. House 1, bathroom 2 – The floor covering is coming away from the floor causing an uneven floor. 08/06/07 Timescale for action 08/06/07 2. YA27 23(2) b 13/07/07 • • 3. YA34 7, 9, 19 schedule 2 The registered manager must ensure that all of the staff files include the documents identified in the Care Homes Regulations (2001). DS0000016508.V308064.R01.S.doc Newcroft 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 YA6 YA20 Good Practice Recommendations The registered manager should archive some of the information contained in peoples’ files. The registered manager should ensure that all creams are dated when they are opened. Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 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 Newcroft DS0000016508.V308064.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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