Inspection on 23/06/05 for The Crescent

This inspection was carried out on 23rd June 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

The Crescent 12/06/06

The Crescent 10/11/05

The Crescent 15/03/05

The Crescent 09/06/04

The Crescent 23/01/04

The Crescent 05/09/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 The Crescent 2 Grayham Crescent New Malden Surrey KT3 5HP Lead Inspector Mohammad Peerbux Unannounced Inspection 23 June 2005 10:30am 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 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 Stationary 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. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Crescent Address 2 Grayham Crescent, New Malden, Surrey, KT3 5HP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8287 2490 020 8287 2490 Mrs Maya Patten Mrs Maya Patten Care Home 4 Category(ies) of Mental Disorder (4) registration, with number Learning Disability (4) of places The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 15 March 2005 Brief Description of the Service: The Crescent is a privately owned care home situated in a quiet residential area of New Malden. The Home is registered with the Commission For Social Care Inspection, for the provision of care to four younger adults with a learning disability or mental health issue.Despite its tranquil setting, the home is a short walk away from New Malden town centre, which offers a range of shops, pubs, restaurants and transport facilities. The Home offers two bedrooms on the ground floor and two further bedrooms for service users on the first floor. Both ground and first floors offer toilet and bathroom facilities.The lounge and kitchen both afford access to the rear garden. This area is mostly laid to lawn, although it also provides a pleasant seating area and additional storage space in the shed. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2005/06. It was an unannounced inspection and took place over three and half hours. Some times were spent looking at the policies and procedures, talking to the manager and deputy manager and to two of the service users. A tour of the building was also carried out. Service users spoken to stated that they were happy with the care being provided. What the service does well: Service users were very positive about the home, and felt that it provided a good all-round service. They felt that their concerns were listened to, and that the staffs were approachable. Service users spoken to felt that the staffs have built a good relationship with them. Comprehensive information about the home and the services offered (included in the Statement of Purpose and Service User Guide) is available, and potential service users (and their relatives) are encouraged to visit the home, enabling an informed choice regarding the suitability of the home to be made. A sample of service user files was examined. The home was evidenced to have appropriate assessments and care plans in place. Service users’ care and support needs had been properly assessed, and the range of health, care and social needs presented were evidenced as being met. Service users were observed to be treated with respect by staff and to have their privacy and dignity respected. Comments from service users were generally positive, with indication that staff are kind and helpful in meeting their care needs. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: The Registered Person must ensure that all information are included in Statement of Purpose as per schedule1 of the Care Standard Act 2000 and a a copy of the latest inspection report is included in the Service User’s Guide. The medication policy needs amending to include how receipt of medications will be recorded. The Registered Person must ensure that there is a detailed record of money entering service users accounts, and being transferred for safekeeping and distribution. A running total must be evidenced. The Registered Provider must ensure that the room downstairs is redecorated and the bath panel in the bathroom downstairs is replaced. The Registered Person must ensure that all records required in Schedule 2 are available on all staff working in the home and ensure that the quality assurance system in place takes into account the views of stakeholders such as relatives, GPs and other involved professionals. All policies and procedures pertinent to the home must be signed by the proprietors and dated (suggested as a word-processed ‘header’ or ‘footer’) to ensure that staff are reading the most up-to-date document - and are also using the one specifically sanctioned by the proprietors. The manager must ensure that all cleaning materials are kept locked in accordance with Control of Substances Hazardous to Health Regulations. It is recommended that a review date is included on the Statement of Purpose and the Service Users Guide. It is also recommended that the manager keeps a yearly record of staff supervision signed by both the supervisor and supervisee for easy monitoring. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4 and 5 It would difficult for prospective service users to be clear about the service the home provides to meet their needs, as all the information that need to be in the Statement of Purpose are not in one document. The home is able to demonstrate that service users needs are being properly assessed, and that the range of needs presented is being appropriately met. The necessary information and opportunity to visit the home is being made available to service users, enabling an informed choice regarding the suitability of the home to be made. Service users are aware of the services the home provides as all of them have a written and costed contract in place. EVIDENCE: All the information that need to be in the Statement of Purpose are not in one document so it will be difficult for prospective service users to have the information they need to make an informed choice. The Service User’s Guide also needs to review to include a copy of the latest inspection report or make reference where it can be found. The manager must ensure that all information are included in Statement of Purpose as per schedule1 of the Care Standard Act 2000 and that a copy of the latest inspection report is included in the The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 10 Service User’s Guide. A recommendation is also made to include a review dates on both documents. Service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for individuals referred through Care Management, involving the prospective service user/recognised representative. It was noted that the home also carries out a very comprehensive needs assessment, which covers prospective service users known strengths, skills, interests, and ability to take positive risks as part of the admission process. Prospective service users are invited to visit the home and to meet service users and staff. The service user and his/her relatives are fully involved in the process leading up to an admission, and given the opportunity to fully assess the suitability of the home. Service users or their recognised representatives are provided with a costed contract/statement of terms and conditions of occupancy which are agreed between each prospective service user and/or representative and the home. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 and 10 Care plans are comprehensive and include detailed information about service users’ needs, personal goals, wishes and risk assessments. Service users are involved in decision making about their lives, they participate and can take some risks so that they live as normal a life as possible. The home has a confidentiality policy in place, which ensure information is handled in the best interests of the service users. EVIDENCE: A sample of service user care plans was examined and it was evidenced that all aspects of service users’ physical and cognitive needs are being appropriately addressed. There was also evidence from review notes that service users’ care needs are being regularly reviewed with amendments being made to the service user plans where needs have changed. Service users expressed their satisfaction with the help provided by care staff, and felt that their care needs are being well met. The rights of service users to make decisions about their own lives is central to the ethos of the home, support and guidance is given in all areas to ensure The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 12 that service users are making decisions which are in their best interests. All three service users have keys to their rooms and two to the front door. The third service user does not wish to have her own front door key, as she does not go out unescorted. One of the stated aims of the home is to enable service users to take responsible risks wherever possible. Potential risks are identified prior to a prospective service users admission covering all aspects of their daily living both inside and outside the home. The home was able to demonstrate that this standard was met as individualised care plans were in place for each service user that referred to action required to minimise identified risks and hazards. The home has a confidentiality policy in place. Records are kept securely in the small office. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,15,16 and 17 Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. The daily routines and house rules promote service users’ rights, and ensure equality and that all rights are enjoyed by service users. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: All three service users are given opportunities to develop practical life skills within the home. They participate in the communal tasks of everyday living e.g. cleaning, washing up. Two of the service users are quite independent, and can go out on their own. All three service users occasionally go out together or on their own to places they regularly visit. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 14 Service users are actively encouraged to maintain links with their families and friends. The home has an ‘open’ visitor’s policy and simply recommends that visitor’s telephone to say they are coming to ensure their loved one will be available. It was clear from entries made in service users daily diary notes that visitors are always welcome at the home and service users can choose whom they see and when. The daily routine enables service users, if they are able, to carry out tasks independently. Two of the three service users have keys to their bedrooms. Service users were seen using the lounge, going back and forth to their bedrooms. The deputy manager stated that there were no limitations / restrictions in place for any of the current service users living at the home. Household tasks are discussed and all service users are expected to contribute to ensure that they get done. The deputy manager stated that once a week service users are asked to choose the meals they want to eat in the forthcoming week before the food is purchased. Where the published menu option is not desired on the day alternatives are provided as service users wish. The manager ensures that a wide variety of different food options are available in the home with a lot of consideration given to the nutritional value of meals. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 Service users’ personal, physical and emotional health needs are being appropriately met and reviewed. This ensures that the service users’ physical and emotional health is well maintained and therefore the quality of life experienced is also maximised. Service users’ medication is also well managed to ensure maximised good health. However the medication policy needs to include how receipt of medications would be recorded. EVIDENCE: The care plans demonstrated that service users healthcare needs are addressed thoroughly by the home. In addition, the service seeks the advice of appropriate healthcare professionals where necessary. All three Service users are registered with local general practitioners. One service user has a medical condition, which limits physical activity to some extent. The manager is aware of this and supports the service user in managing this condition. The home has a policy on the administration of medication. Medications are stored in a locked cupboard. All medication administration records were up to date and accurate at the time of the inspection. However the manager must The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 16 also amend the medication policy to include how receipt of medications would be recorded. It was previously required that the Registered Person must ensure that a record is kept of all medication entering the home. This is now in place. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Complaints are generally managed well, which should ensure that service users’ and relatives’ concerns are listened to. The home’s policies and procedures help protect service users from abuse and help staff if they need to tell someone about any bad care practice they may observe. EVIDENCE: The current complaints procedure is a good and gives clear step-by-step guide of how to make a complaint. However it needs amending to reflect the change in regulatory organisation to the Commission For Social Care Inspection. Since the last inspection, the manager stated that no complaints concerning the service had been received. The home has adopted the Suspected Abuse of Vulnerable Adults policy developed by the Royal Borough of Kingston, the host authority for the home. It is recommended that the home develop its own local policy to summarise what action needs to be taken if someone is being abused. It was previously required that the Registered Person must ensure that there is a detailed record of money entering service users accounts, and being transferred for safekeeping and distribution. A running total must be evidenced. This is now in place but still needs amending to reflect the balance brought forward after each transaction. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 Although the environment and furniture generally met the service users’ needs, parts of the environment does not fully promote the service users well being. The home is generally hygienic and clean, homely and comfortable; this environment therefore facilitates the service users’ health and emotional wellbeing. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet service users’ individual and collective needs in a comfortable and homely way. Service users’ bedroom are personalised to reflect their individual needs, and personalities. However one room downstairs needs to be redecorated and the bath panel in the bathroom downstairs needs replacing. The deputy manager stated that he has planned to redecorate all around the home once the extension has been completed on extending the sitting area. The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 19 relevant legislation and published professional guidance. However the COSHH cupboard was left unlocked (see standard 42). The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 ,34 and 36 The home was evidenced to have the numbers and skill mix of staff sufficient to meet service users’ needs and ensure their safety. One concern was identified in regard to recruitment checks not being completed satisfactorily, which impinge on the safety and protection of service users being ensured. EVIDENCE: The manager stated that all staff have a job description in place. The job descriptions contain the main purpose, tasks, including household and administrative tasks staff are expected to perform and be responsible for. It was previously required that the Registered Person must ensure that all records required in Schedule 2 are available on all staff working in the home. This still has to be achieved therefore this requirement will be repeated. The manager advised that all the homes care staff receive at least six supervisions a year covering good care practices and career development. It is recommended that the manager keep a yearly record of staff supervision signed by both the supervisor and supervisee for easy monitoring. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 21 The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40 and 42 The home is generally managed well however, the system in place for keeping cleaning materials is poor and potentially place service users and staff at risk. The home needs to develop a quality monitoring system to ensure the home is run in a way that is in the best interests of the service users. EVIDENCE: Throughout the course of the inspection the manager and deputy manager demonstrated a good competent management skills and appears to have created a skilled, positive and enthusiastic workforce. They have many years experience of working with this client group and displayed an insight into the relevant issues. It was obvious that service users choices were catered for and respected in the home and that the home was run to the needs of the service user. Service The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 23 users spoken to on the day of the inspection seemed happy, confident and comfortable in their surroundings. The manager informed that there are regular service users’ meeting where the service users have an opportunity to discuss about the service they are being provided. It was previously required that the Registered Person must ensure that the quality assurance system in place takes into account the views of stakeholders such as relatives, GPs and other involved professionals. This is still in progress and has not yet been achieved. The home has a range of policies and procedures that are required by legislation. However not all of them are signed and dated. The manager must sign and date all the policies and procedures in the home to ensure that staff are reading the most up-to-date document - and are also using the one specifically sanctioned by the proprietors. As far as health and safety is concerned the home has up to date servicing certificates. Only one issue arose during the course of this inspection, the COSHH cupboard was not locked. The manager must ensure that the COSHH cupboard is kept locked at all times when not in use. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 x x x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Crescent Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 x 2 x G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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 1 Regulation 4 Requirement The registered Person must ensure that all information are included in Statement of Purpose as per schedule1 of the Care Standard Act 2000 . The home must ensure that a copy of the latest inspection report is included in the Service User’s Guide. The medication policy needs amending to include how receipt of medications will be recorded. The Registered Person must ensure that there is a detailed record of money entering service users accounts, and being transferred for safekeeping and distribution. A running total must be evidenced. The Registered Provider must ensure that the room downstairs is redecorated The Registered Provider must ensure that the bath panel in the bathroom downstairs is replaced The Registered Person must ensure that all records required in Schedule 2 are available on all staff working in the home.(Previous timescale 30/05/05 not met) Timescale for action 30/09/05 2. 1 5 30/09/05 3. 4. 20 23 13(2) 16(2)(l) 30/09/05 30/09/05 5. 6. 7. 24 24 34 23(2)(d) 23(2)(b) 19 & Schedule 2. 31/10/05 31/10/05 31/08/05 The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 26 8. 39 24(3) 9. 40 17 & 18(1) 10. 42 13(4)(a) The Registered Person must ensure that the quality assurance system in place takes into account the views of stakeholders such as relatives, GPs and other involved professionals. All policies and procedures pertinent to the home must be signed by the proprietors and dated (suggested as a wordprocessed ‘header’ or ‘footer’) to ensure that staff are reading the most up-to-date document - and are also using the one specifically sanctioned by the proprietors. The manager must ensure that all cleaning materials are kept locked in accordance with Control of Substances Hazardous to Health Regulations. 30/08/05 31/09/05 23/06/05 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 1 36 Good Practice Recommendations It is recommended that a review date is included on the Statement of Purpose and the Service Users Guide. It is recommended that the manager keeps a yearly record of staff supervision signed by both the supervisor and supervisee for easy monitoring. The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 Page 27 Commission for Social Care Inspection 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 The Crescent G53 S13412 TheCrescent V228163 230605 stage4.doc Version 1.30 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. 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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