Inspection on 23/10/07 for Richford Street, 60

This inspection was carried out on 23rd October 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Richford Street, 60 26/06/08

Richford Street, 60 30/08/06

Richford Street, 60 01/09/05

Richford Street, 60 05/10/04

Richford Street, 60 01/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Richford Street, 60 Richford Street 60 Richford Street Hammersmith London W6 7HP Lead Inspector Jacqueline Derbyshire Key Unannounced Inspection 23rd October 2007 09:00 Richford Street, 60 DS0000019139.V341264.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 Richford Street, 60 DS0000019139.V341264.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. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richford Street, 60 Address Richford Street 60 Richford Street Hammersmith London W6 7HP 020 8749 9295 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) lawrence.dawson@yarrowhousing.org.uk Yarrow Housing Limited Mr Lawrence Matthew Dawson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Board and care The number of persons for whom residential accommodation with both board and care is provided at any one time shall not exceed 3 people with learning disability 30th August 2006 Date of last inspection Brief Description of the Service: 60 Richford Street is a registered care home providing accommodation and support for two women and one male. Shepherds Bush Housing Association owns the property and the care is provided by Yarrow Housing Limited, a voluntary organisation. The home is located in a residential area, close to the shops and transport links of Shepherds Bush and Hammersmith Broadway. The accommodation is arranged over three floors, the home has a back garden that is used by the residents. The home does not have a lift; access for people with a physical disability would be difficult. The weekly fee for Richford Street is £953.38 Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Tuesday 23rd October 2007; the inspector spent 4.00 hours visiting the home. The Inspector spoke with the three residents who told the Inspector they are happy living at Richford Street; comments that were made are included in this report. The Manager was not available on the day of this inspection, the Inspector spent time with the member of staff on duty. The Inspector checked the care records of one resident; all of the residents finance records, medication and all health and safety records. All of the residents bedrooms were looked at and all communal parts of the home. The home provides an adequate standard of accommodation that was seen to be clean and tidy on the day of the inspection. There is an issue with the staffing levels at the home not being sufficient at times, including the day of this inspection. The home is now in need of a complete redecoration, as all walls throughout the home are looking badly marked. 10 of the 14 requirements that were set 30/08/06 have been met, 6 new requirements have been made from this visit. What the service does well: What has improved since the last inspection? One of the residents whose activity plan was discussed at the last inspection is participating in activities in the community that they are happy to do. The carpet in the lounge has been cleaned, this should happen on a regular basis. There is a new resident who was happy to show the Inspector their bedroom the Inspector was told that they were happy with the furniture and decoration. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 6 A new blind is in the bathroom; there is a need for the bathroom to be decorated as part of the requirement set at this inspection. Fridge and freezer temperatures were looked at and daily records are taken. Plastic containers have been purchased for the storage of dry foods, however the Inspector was told that the residents do not like them and choose not to use them. What they could do better: Staffing levels at Richford street are an issue, on the day of the inspection only one member of staff was on duty for the morning up until 13.00 and looking at the rota there were other days were minimal staffing was on duty. The organisation have to make sure that there are sufficient numbers of staff on duty to meet all residents needs and take into account the health and safety of the residents. The Statement and Purpose to be sent to the CSCI, as they were not available on the day of this inspection, there was an old Statement of Purpose on the wall in the office/sleep in room. The resident’s agreements need to be updated to reflect the change in the commission and also any up dates in the home. The risk assessments of the new resident need to be up dated to reflect the change of establishment and any other risk factors. The Inspector was not able to access the training and development records of staff or supervision and appraisal documents. The organisation must send the CSCI an up to date record of all staff training to date. The Inspector had a full tour of the home and it is now a requirement that all areas are decorated as the walls and paintwork are looking in a bad state of repair. The bathroom and kitchen areas are included in this as they too are in need of decorating. The Inspector looked at Person in Control (PIC) Regulation 26 records there have only been two visits to Richford Street from January 2007, the Inspector discussed this with a Manager from Yarrow. All frozen food that has been opened must have the bag resealed and a date of opening and use by date written on the packaging. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 7 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. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service has developed a Statement of Purpose and Service User Guide that need to be updated to show the changes in the home and the organisation. EVIDENCE: The Inspector looked at the Statement of Purpose, the Service User Guide was not available. The Statement of Purpose is very condensed with only basic information about Richford Street. The Inspector discussed the documents with the member of staff on duty informing them that the required information that should be in the documents as stated in Schedule 1 of the Care Home Regulations 2003. The Inspector looked at the records in one resident’s file that had recently moved into Richford Street. The information in place showed that introductory visits had taken place with notes to show how the staff other residents interacted. The care plan and referral records were informative showing the residents needs, looking at their aims and aspirations and showing and how the staff at Richford Street were going to support the individual in meeting them. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 10 The Inspector looked at one residents file and a Residents Agreement was in place, the document needs to be up dated to reflect changes in the home, the CSCI information and any organisational changes. The Residents Agreement was signed but did not have any date on it. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 11 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): Standards 6,7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans are person centred and are agreed with the individual. The plan is written in plain language, is easy to understand and looks at all areas of the individual’s life. Risk assessments have to specific to the individual in relation to their home. EVIDENCE: “ I am happy living at Richford Street, this is my home” The Inspector looked at one of the residents’ files and their Person Centred Planning records. The Person Centred Planning (PCP) document had a lot of information with specific aims for the person to be met in different time scales and who or how the home was going to assist in meeting the aims. The (PCP) information is now gathered form lots of different sources with pictures, photographs and the resident either using drawings or assisted with multimedia. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 12 The Inspector looked at the residents’ social services review attended by the individuals Care Manager, the (PCP) linked directly to the review. The Inspector spoke to all of the residents who all stated they were happy living at Richford Street. The Inspector observed residents living independently in the house, getting showered and dressed with little assistance and prompting. One resident commented that they like to get up later in the morning and take a bath when they choose to. The Inspector saw risk assessments in place in the file looked at; the risk assessments were from the resident living at another home and not specific to Richford Street. The Inspector did see a letter from the psychologist with relevant information regarding the individual that require risk assessments to be in place to show how the home is dealing with a risk, with an action plan for staff to follow. The new resident should also have an up to date fire evacuation risk assessment completed. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 13 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): Standards 12,13,14,15,16 and 17.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle and quality of life. EVIDENCE: The Inspector looked at activity plans for all three residents who have varied activities provided either in the community or by staff at Richford Street or with family members. Weekly activity plans were on the notice board in the dining room and in the office. All of the residents go out daily to different venues including The Gate for literacy classes, relaxation classes, dance classes, and also other venues are attended frequently by the residents. In discussion with two of the residents they stated they were happy with all of their activities which they enjoyed doing. The Inspector was told by one resident that they do not like attending classes in the morning, as they are too tired. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 14 In discussion with the member of staff on duty and looking at the individuals records, classes had not been attended however the recommendation from the psychologist for the individual was to encourage them to get up and go to the activities set up. The (PCP) record for the individual states that the Manager and staff, with the individual are looking at different activities to find some they would like to do. One resident works at the Gate and told the Inspector they enjoy their job. If a resident requested to be taken out at certain times staff would not be able to accommodate them due to staffing levels on some shifts. The home had a TV, DVD, music centre and video in the lounge. There is a weekly menu recorded, residents choose their own meals with staff assistance to ensure nutrition is balanced; this is done at the weekly residents meetings. The Inspector looked at the meeting book where menus had been discussed by all the residents. Menus were seen in the kitchen, all of the residents stated they enjoyed the food and they all assist in cooking, this information is written on their activity plans. All of the residents were seen to make drinks and help themselves to breakfast and snacks when they wanted to. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 15 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): Standards 18,19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is responsive to the varied and individual needs and preferences of the people who use services. The delivery of personal care is individual and is flexible consistent and person centred. EVIDENCE: All of the residents are semi- independent and complete their own personal care needs with some staff support when requested, this is done either in the resident’s bedroom or in one of the bathrooms. All of the residents looked very smart and tidy on the day of the inspection, residents told the Inspector that they choose what they want to wear. There is the issue of staffing on some shifts in the home, in discussion with the member of staff on duty the Inspector discussed if a resident required assistance when only one member of staff was on duty what was the procedure? The Inspector was told that staff at times do assist residents in the bath leaving the other residents to support themselves, which they are able to do. The Inspector also discussed the staffing levels with an Operations Manager. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 16 All residents’ health needs are being met, in discussion with the member of staff and looking at records there are no issues at present. All of the residents are registered with a local GP and attend appointments when necessary. The Inspector checked the medication administration records for all of the people living in the home. One of the residents does self- medicate, staff check on a regular basis with the individual to ascertain whether they are still taking their medication as prescribed. All medication bottles must have a date opened written on them. Overall the Inspector felt that the standard of medication recording was good with all staff following the medication procedure. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 17 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): Standards 22 and 23.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. EVIDENCE: Yarrow had a complaints procedure, adult protection procedure and a separate ‘whistle blowing’ policy and procedures. All three residents finances were looked at and all financial transactions had recorded with the correct balance recorded. The Inspector has requested an up to date training programme for all staff to check if they have completed POVA training. The complaints records were checked and there have been no complaints in the last 12 months. The complaint procedure was seen in the dining room on the notice board. The Inspector looked at quality questionnaires that all residents have completed that ask if they are aware of the complaints, and all have stated they do and would complain if the need arose. One of the residents told the Inspector that they would speak to the Manager or a member of staff if they had an issue or complaint. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 18 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): Standards 24,25 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally clean and tidy; there is a need for all communal areas to be decorated including the bathroom and kitchen. EVIDENCE: A full tour of the home was given and all of the residents showed the Inspector their bedrooms. All of the bedrooms were seen to be different with the resident’s individual tastes taken into account, with photographs, pictures and other personal possessions. All of the residents told the Inspector they were happy with the furniture. All of the residents clean their own rooms as written in the care plans. Residents were helping clean the kitchen, washing and drying dishes. The communal space in the home is need of decorating the Inspector spent time in each area with the member of staff on duty and it was agreed that the paintwork and walls are badly stained and paint is coming off in some areas. The bathroom and kitchen are also in need of decorating, the kitchen cupboards need to be fixed and cleaned or replaced. The bath has a lot of ground in stains that need to be removed or the bath should be replaced. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 19 The home was clean and tidy on the day of this inspection; the member of staff on duty was seen cleaning communal areas, as the cleaner was not due in for the rest of the week. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 20 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): Standards 32,33,34 and 35. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The level of staffing at times does not meet the needs of the people using the service, with the health and welfare being affected. EVIDENCE: The Inspector was not able to access the training and development records of staff, as the records are kept secure by the Manager who was absent on the day of this inspection. The Inspector had information regarding training for staffing the AQQA record sent to the CSCI in August 2007 that states National Vocational training for staff is not meeting the required target as yet. The staffing levels at the home would have an impact on staff completing training. The Inspector looked at the staff rota and in discussion with the member of staff and looking at routines the staffing levels at present are not sufficient to meet the needs of the residents. The rota showed that in three instances in the coming week there would only be one member of staff on each shift. This is not acceptable for the needs of residents but it also impacts on the residents and staff health and safety. The Inspector discussed staffing levels with an Operations Manager and requested staffing levels be looked at by the organisation. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 21 Human Resources team based at Yarrow head office carries out all recruitment. CRB records were checked and all staff has up to date checks completed. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 22 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): Standards 37,39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All health and safety checks are completed on a regular basis with records in place to show when they were done, however Regulation 26 visits are not occurring with only two visits in the last seven months. EVIDENCE: The Manager has worked for Yarrow for many years and is very experienced; he has registered to complete an NVQ level 4. There is an effective quality assurance monitoring system in place that was looked at by the Inspector, questionnaires were looked at by the Inspector that stated the residents views on the services they receive in the home. Yarrow produces an annual document that is available to prospective clients and any stakeholders whishing to see how the organisation works to develop a provision of care that is aiming to improve. Comments were seen from family members on the questionnaires that were very positive. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 23 The Inspector looked at Person in Control records (PIC) Regulation 26 visits there have only been two visits in 2007, the organisation must make sure they visit at last once a month. All health and safety records were checked and all were seen to be up to date with any maintenance having been carried out. The Inspector checked the water temperatures in each resident’s bedrooms that were set correctly. There is a requirement that a new up to date fire risk assessment has to be completed for the new resident. All staff must be aware of the safe storage of frozen food as the Inspector saw open food packaging in the freezer that had not been resealed and had no date of opening and use by date written on them, the freezer must also be defrosted on a regular basis to make sure the food is frozen and stored correctly. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 x 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 1 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x x 2 x Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4 5 Requirement The organisation must send the CSCI a copy of the homes Statement of Purpose and Service User Guide. The organisation must up date the Resident Agreement records to show the changes to the CSCI and the organisation. The Manager must up date all risk assessments for the new resident to reflect the changes living at Richford Street. The organisation must schedule the home to be decorated in all communal areas. The Manager to ensure that there is adequate staff on duty at all times to meet the needs of all residents and there well being and health and safety is met. This is a repeat requirement originally set 06/09/06 The organisation PIC visits to occur more frequently to show how the organisation is making sure residents care, support and well-being is being met. The Manager must make sure all staff are aware of the safe DS0000019139.V341264.R01.S.doc Timescale for action 23/11/07 2 YA5 5 23/12/07 3 YA9 13 23/11/07 4 5 YA24 YA33 23 18 23/04/08 31/10/07 6 YA39 26 23/11/07 7 YA42 13 23/11/07 Richford Street, 60 Version 5.2 Page 26 storage of frozen food. 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 YA20 Good Practice Recommendations The Manager must make sure that all medicine bottles have the date written on them when they have been opened. Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Richford Street, 60 DS0000019139.V341264.R01.S.doc Version 5.2 Page 28 - 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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