Inspection on 16/10/06 for Abbi Lodge

This inspection was carried out on 16th October 2006.

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

Abbi Lodge 06/03/08

Abbi Lodge 10/01/06

Abbi Lodge 10/11/04

Abbi Lodge 14/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbi Lodge 13 Clifton Road Weston Super Mare North Somerset BS23 1BJ Lead Inspector Patricia Hellier Key Unannounced Inspection 12.00p 16 & 20th October 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbi Lodge Address 13 Clifton Road Weston Super Mare North Somerset BS23 1BJ 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) 01934 642251 NONE Mrs Lorraine Mutch Mrs Rita Joyce Ann Crabtree Mrs Lorraine Mutch Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Rita Crabtree completes Registered Manager’s Award by December 2006 10th January 2006 Date of last inspection Brief Description of the Service: Abbi Lodge is a small residential care home registered for seven older persons. The accommodation in this home is on two floors with a stair lift for easy access to the first floor. All rooms have vanity units and are well decorated to residents tastes. It is on a quiet residential road not far from the sea front with local shops and amenities within reasonable walking distance. The building is an older property and its decoration and furnishings give it a strong sense of the house being a family home. Dedicated sitting areas at the front, and a well kept garden at the back, of the property allow for good weather activities outside. Garden furniture is provided. Provision is made within the home for a variety of activities and outings, which also enable close links with the local community to be maintained. The provider makes information available through a brochure about the home. CSCI reports are available to read on request. The fees are £336.65 per week with additional charges being made for hairdressing, chiropody, and newspapers. This information was provided in September 2006. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over 6.5 hours and two days with the manager present throughout. The second day was for a short visit that had been arranged for the inspector meet all the staff. As this is a small home there is usually only one member of staff on duty at any one time, so it was arranged for the staff to come in and meet with the inspector, to enable them to be involved in the inspection process. Before the inspection the information about the home was received from the pre inspection questionnaire. Comment cards to residents, relatives and Health Care Professionals that visit the home were sent at the last inspection in January and since there has been no regulatory activity or complaints, and the residents group has barely changed it was decided not to send these prior to the inspection, as there was little time for a response. The last inspection report was reviewed together with any correspondence received since the last inspection. The accumulated evidence for this report comes from the above and also fieldwork that included the following: discussions with 6 residents, (one resident was in hospital), 1 relatives and 5 staff, observation of practices, tour of the premises, review of documents relating to care, recruitment, health and safety; review of policies; inspection of medication records and storage. The relative spoken with said of the home “it’s really nice, my relative is well cared for”; “the staff are very kind and caring”. All residents and staff spoken with told the inspector that the home was good and the staff very kind. Comments received were “it is very homely and comfortable”; “my care needs are well met”. What the service does well: What has improved since the last inspection? Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 6 Contracts fop residency have been review and now include the room to be occupied and the amount of fees payable. All residents now have a home specific care plan formulated from discussion with them, and their relatives, to ensure all care needs, preferences and choices are incorporated into the care plan. Thus ensuring that holistic care is provided for the well being of the residents. Health and safety matters raised in the last report have been addressed and advice sought from the fire authority regarding fire doors. 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. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The quality outcome in this area is good. The Brochure and Service User Guide is comprehensive and provides prospective residents with information to make an informed choice. The home’s assessment process is thorough and ensures that it is able to meet residents’ needs. Prospective residents and relatives are encouraged to visit the home to assess suitability. EVIDENCE: Residents are provided with a comprehensive Brochure and Service User Guide containing the Statement of Purpose and all the information required to ensure they or their relatives have access to the relevant information at all times. All residents were aware they had a contract of residency and were happy with the provision that they receive. On inspecting the Terms and Conditions of residency document the weekly fees to be charged are clear, but it does not show who contributes what amount to make up the weekly fees. This should be included for clarity for residents and their relatives and in line with the recommendations of the recent “Fair Price for Care report”. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 9 Care needs are well met through a full assessment process and the completion of a care plan from this information. The assessment includes all the elements listed in the standard. A comprehensive assessment was seen for a recently admitted resident. The resident when spoken to said ‘I am well looked after; they know what I need. I am getting used to it and the staff are interested in me, and helping me a lot.’’ Social services care plans had been obtained where relevant. Care practices observed showed that staff were fully aware of the residents needs as stated in their assessments. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality outcome in this area is adequate. Residents benefit from care plans that are well formulated and give clear information to enable staff to meet residents’ health and social care needs. Personal and environmental risks are well managed. Medication receipt, storage, recording and disposal of medicines systems are satisfactory. Medication administration systems are poor and place residents at risk. Respect and dignity are well maintained by kind and caring staff. EVIDENCE: Individual records are kept for each of the residents, which include a social history. Three care plans were inspected and all reflected clearly current identified health and social care needs. One care plan had identified a resident’s visual difficulty and the optician had been contacted and a new prescription arranged. Evidence was seen of regular visits by the chiropodist and residents being taken to other appointments as needed. Resident’s comments supported this. Clear actions to met identified needs were recorded and regular evaluation noted. All of the care plans showed resident involvement. All care plans contained well-formulated risk assessments for falls and any environmental Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 11 risks e.g. use of the stair lift. Other personal and environmental risk assessments were present to ensure the safety of the resident while promoting independence as able. Daily records were up to date and written in a respectful manner. Care practices observed showed caring interactions and good communication skills from staff. Choices and preferences were observed being discussed and offered. Medication storage, receipt and disposal are well managed and an audit trail of medicines entering and leaving the home provides safeguards for resident. Medication administration records were appropriately completed. Medication practice observed was poor with medication being pre-potted for all residents in the kitchen in unlabelled pots and being brought into the dining room during tea time for administration. This poor practice must stop to enable the protection and safeguarding of the residents. The home has a policy for the administration of homely remedies, but it does not include timescales for the administration of these before medical advice is sought. It is recommended that this is discussed and agreed with the local GP’s. Risk and competency assessments were present for those who are self medicating to ensure safe administration, and for their health and well being. Residents who do self medicate said, “I am happy to take responsibility but it is nice to know they keep an eye too”. The medication room temperatures are not recorded. The temperature of the dinning room is rather warm, and this room contains the boiler. It is likely that the room temperature may at times be above 25°C and therefore potentially unsafe for the storage of medicines. It is recommended that this is recorded and any necessary action taken to maintain the temperature below 25°C for the correct storage of medicines and the protection of residents. All residents spoken with felt that kind and caring staff respected their dignity and privacy. The home has an Equality and Diversity policy that recognises the cultural and social needs and differences that are present in society. In discussion with the manager and staff these issues have not yet arisen within the service provision. Both management and staff demonstrated clear knowledge and desire to meet cultural and diversity needs as and when they should arise. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,15 The quality outcome in this area is good. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Residents right to choice and control over their lives is well respected, and encouraged. Friendly staff always welcomes relatives and visitors EVIDENCE: Residents are encouraged to undertake daily activities they enjoy both inside and out of the home. For those wishing to access community activities transport is provided. Most of the residents are happy with their own ‘in house’ activity and keep themselves alert by watching the news and quiz shows. They take part in the daily running of the home as they wish. All residents enjoy meeting in the lounge and said they have “many stimulating and enjoyable conversations”. One resident enjoys gardening and was seen tasking an active part in keeping the garden looking nice. Residents told the inspector they can see their visitors at any time. Relatives were seen popping in during the course of the inspection and being welcomed by staff. One relative said, “I feel quite happy coming here and the staff are very good to me”. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 13 Comments made by relatives indicated that they were made welcome; “there is always a warm welcome when I visit”. A friendly banter was evident between staff and residents throughout the inspection. The dining room is homely and tables well presented. All residents said they liked the meals and felt that they provided a good balanced diet. Residents were observed exercising choice and alternatives to the menu being provided. Sine the last Environmental Health Officer’s inspection the home have been using “Safer Food Better Business” system from which they understood there was no need to record food and fridge temperatures, thus these have lapsed. It is recommend that the home reinstate the recording of food and fridge temperatures to ensure the safe keeping and serving of food for the good of the residents. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome in this area is good. Residents are confident that they are listened to and their requests acted upon. Knowledgeable and competent staff protect residents. EVIDENCE: The home has a comprehensive complaints procedure and all residents have a copy of it. There have been no complaints since the last inspection. Residents stated that if they were not happy about anything they would speak to the manager. Residents also spoke of Residents’ Meetings where a variety of issues relating to the home are discussed. Minutes of these were seen indicating that all residents have their say. Staff and residents spoken to, say the manager is very approachable and understanding. One resident said ‘I’ve nothing to complain about, it’s just like home – we are one family”. A system for keeping clear records of complaints received with actions taken and outcomes is available should any complaints be received. The home has a copy of the North Somerset ‘No Secrets’ Guide. A procedure for responding to allegations of abuse is available and staff were fully aware of it. All residents said, “The staff are very kind and take time”. “I can’t fault them”. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,23,24,26 The quality outcome in this area is good. Residents are provided with homely, safe and comfortable surroundings. Outdoor space is attractive and accessible for residents to enjoy. The home has suitable equipment to maximise resident independence. Robust Infection control practices are followed. EVIDENCE: The property is well maintained, with homely and comfortable communal spaces. Residents’ rooms are personalised and comfortable. Since the last inspection one room has had a new ensuite fitted with a walk-in shower. The resident said “it is nice and makes things easier”. The home was clean and free from offensive odours throughout. The laundry facilities were well organised. Staff interviewed and observed demonstrated good understanding of Infection Control procedures and practices and maintained a clean and hygienic environment. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome in this area is adequate. The home’s staffing levels are sufficient to manage the care needs of residents. The procedures for the recruitment of staff are not always robust to provide safeguards to protect residents. Staff access specific training to meet needs of residents EVIDENCE: Residents spoken to said that the staff were “kind and caring and always there to help”. During the visit staff were observed spending time with residents and requests were answered quickly. Staff approached residents with directness, openness and consideration and a goof rapport was observed between staff and residents. Staff and residents feel that the current staffing arrangements are satisfactory to meet residents’ needs. Recruitment practices for new staff employed are not always satisfactory. One new member of staff worked unsupervised before her completed. Criminal Record Bureau check was received, potentially putting residents at risk. New staff receive an induction but due to the staffing levels are supported at a distance during this period. Staff are keen to undertake NVQ training and while the manager is happy to support this, in such a small home attention has to be made to the financial implications of funding such training and its timing. Two members of staff Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 17 recently commenced training for NVQ 2 but the course was closed. planned they will recommence in the new year. It is All staff access regular mandatory training to ensure the safety of residents. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 The quality outcome in this area is good. The manager provides clear leadership and guidance to staff to ensure residents receive consistent care in a safe environment. Quality assurance processes in the home are formal demonstrating that the home consults with residents, families and visiting professionals. Health and safety issues are monitored in the home to ensure that issues are identified and addressed where they arise. EVIDENCE: The manager gives clear leadership, guidance and direction to staff. Residents feel she is approachable, available and seeks to ensure all their needs are met. One resident said she ‘can’t do enough’, ‘she is always helping”. Staff interviewed stated that they felt well supported by an approachable manager. The manager has recently obtained her Registered Manager’s Award. The home does not have a formal quality assurance system. Samples of resident satisfaction surveys from last year were seen, however there was no Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 19 evidence to indicate how their suggestions were to be incorporated into an improvement plan thus providing an effective framework to ensure that monitoring and reviewing of the various aspects of quality assurance are undertaken and acted upon. A formal quality assurance system and policy is required for the facilitating of resident say to the running of the home. Residents’ pocket monies held by the home were inspected and found to be accurate and to have clear records with two signatures for any transactions. Thus providing good safeguards for resident’s monies. Supervision for staff is provided both formally, and informally at hand over times and other times, when the staff discuss resident’s care needs and how best to meet them. Records seen showed evidence that care practices for residents and training needs were discussed. Supervision records need to show that supervision is provided at least six times a year. Records inspected indicated regular safety and fire checks are carried out. Staff spoken to confirmed that regular fire instruction and drills had taken place. Some fire doors were seen to be ill fitting and others wedged open thus not providing the safeguards required. The inspector recommended advice be sought from the Fire Safety Officer; also the development of Fire Risk Assessments for any wedged open fire doors for the protection of residents. The home did not have a current electrical wiring certificate to ensure the safety of the system for the protection of residents. The manager told the inspector that this is being undertaken in the next few weeks. Hot water outlets throughout the home are not thermostatically controlled to reduce risk of burns and scalds. The water temperature at all hot water outlets was measured at 54°C rather than at the recommended 43°C. Notices placed above the hot water outlets in sinks state “very hot water” but not above the bath hot water outlets. The installation of thermostatic valves to bath hot water outlets is required for the protection for residents from potential harm. There were no records weekly temperature checks. Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 1 X 3 2 X 1 Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 21 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 OP9 Regulation 13.2 Timescale for action The registered person shall make 12/11/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. This relates to the poor practice of pre potting medication prior to administration 30/11/06 The registered person shall not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in: (i) paragraphs 1-7 of Schedule 2 This relates to the member of staff who worked unsupervised before a satisfactory CRB was received. The registered person shall 31/01/07 establish and maintain a system for reviewing and improving the quality of care at the car home. This relates to the need to formalise the Quality Assurance system and provide a report for information purposes. DS0000008144.V313601.R01.S.doc Version 5.2 Page 22 Requirement 2 OP29 19.1 (b) & Schedule 2 3 OP33 24 Abbi Lodge 4 OP38 13.4 & 23.2 (b) The registered person shall after consultation with the fire authority (a) make adequate arrangements (i) for detecting containing and extinguishing fires This relates to the ill fitting and wedged open fire doors within the home. 20/12/06 5 OP38 13.4 & 23.2 (b) 6 OP38 13.4 (b) (c) The registered person shall 20/12/06 having regard to the number and needs of the service users ensure that: (b) the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally This relates to the need to obtain a certificate of safety for the electrical wiring of the home. Previous timescale of 12/03/06 not met The registered person shall 31/01/07 ensure that: (b) any activities in which service users participate are so far as reasonably practicable free from avoidable risks (C) unnecessary risk to the health or safety of service users are identified and so far as possible eliminated RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 23 1 OP2 To amend the Terms and Conditions of residency document to show the way in which the fees are made up and who is contributing what amount. To record the room temperature where the medicines are stored to ensure they are safely stored. To record fridge and food temperatures to ensure the safety of food provision for residents. To ensure supervision records are maintained for all supervision sessions; showing supervision to have taken place at least 6 times a year. 2 3 4 OP9 OP15 OP36 Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Abbi Lodge DS0000008144.V313601.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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