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Inspection on 16/06/05 for Acorn Retirement Home

Also see our care home review for Acorn Retirement Home for more information

This inspection was carried out on 16th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Whilst the few requirements and recommendations from the previous inspection are repeated it should be noted that the date agreed at the time of the previous inspection had not been reached at the time this inspection was carried out. The painting of the outside of the home has however commenced. More staff have also enrolled on NVQ level 2 training.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Acorn Retirement Home 102 Birmingham Road Walsall West Midlands. WS1 2NJ Lead Inspector Jon Potts Announced 16 June 2005 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 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. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Acorn Retirement Home Address 102 Birmingham Road Walsall West Midlands. WS1 2NJ 01922 624314 01922 634549 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) Mr. Lloyd Davies Mr Lloyd Davies Care Home 18 Category(ies) of OP Old Age (18) registration, with number of places Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Acorn Home is registered for persons whose primary need is due to old age. The home is registered to provide personal care but not nursing care, these services accessed through the community nursing if needed. There are no other conditions of registration. Date of last inspection 1.3.05. Brief Description of the Service: Acorn retirement home is a large detached house situated in an established residential area set back from a main route close to Wallsall town centre. The house overlooks school playing fields at the front with well maintained and pleasant garden to the rear. The front of the home has parking for a number of cars. The home has been adapted for provsion of care to older people and has aids and adaptations consistent with the the needs of this resident group. The home is owned and managed by two joint providers (one the manager and one the assistant manager). There is also a deputy manager with an established staff team consisting of care staff, cooks and cleaners. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Evidence was gathered through case tracking the care of three residents, this involving examination of all their care records and associated documentation and in depth discussion with the residents themselves. The policies and procedures of the home were sampled and a range of other documentation studied including staff files, training records, servicing/ health and safety documentation. The inspector saw some bedrooms and communal areas of the home during the course of the day and additional information was provided by the provider/manager in the form of a pre-inspection questionnaire. Residents and relatives also returned numerous questionnaires to the CSCI. The provider and residents are to be thanked for their ready assistance with this inspection. What the service does well: What has improved since the last inspection? Whilst the few requirements and recommendations from the previous inspection are repeated it should be noted that the date agreed at the time of the previous inspection had not been reached at the time this inspection was carried out. The painting of the outside of the home has however commenced. More staff have also enrolled on NVQ level 2 training. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 standard(s) 1,3,4,5, Residents and their representatives are able to access detailed information about the home and the opportunity to sample the service is offered by the management prior to admission. The management take steps to involve residents, relatives and representatives in the admission and assessment process. EVIDENCE: The home was seen to have a folder containing detailed information in respect of the home that is kept in the foyer and as such is accessible to all residents and visitors to the home. Residents spoken to were aware of this document’s presence, and sampling of this folder by the inspector showed that it contained the information expected for a statement of purpose and service user guide. From all files case tracked it was clear that the staff at the home carry out a detailed pre-admission assessment this supported by information from social workers. It was evident from the documentation that relatives and representatives are involved in the admission process. Discussion with a resident recently admitted to the home evidenced that they were offered the opportunity to visit pre-admission, but made a positive choice to use the feedback from their relative. The resident was very clear that her initial period Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 9 at the home was a trial stay and that this could be extended as needed based on any decision they made. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 Resident’s healthcare needs are meet. Care plans, overall, are accurate and up to date but in some cases need to care more detail. Residents are treated with dignity and staff respects their privacy. The homes systems for the administration, storage and ordering of medication were judged overall to be safe but staff knowledge in this area needs formalising. EVIDENCE: There were care plans in place for all the three residents whose care was tracked, these clearly following on from the assessments seen by the inspector. The information documented in the care plans, when compared to the views of the residents spoken to was found to be accurate and up to date. There were some concerns as to the information in respect of one resident as although it was identified that the staff needed to be vigilant in regard to pressure area care there was no risk assessment in respect of tissue viability that clearly identified control measures for the prevention of tissue breakdown. There was however evidence that the staff were taking steps based on the comments of the resident that were appropriate, this including contacting the Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 11 district nurse, providing pressure relieving equipment, and creaming pressure areas on a daily basis. This does clearly indicated that this is an issue in respect of the home needing to accurately record what is carried out, rather than failing to care appropriately for this resident. There was also a need to take a more robust approach in respect of the actions being taken in respect of documentation as to how the home was monitoring this resident’s nutrition due to weight loss. There was clear evidence of the home enabling access to the full range of health services for residents. Checks carried out on the homes systems for the administration, storage and Ordering of medication showed this to be well managed confirming the outcome of the last pharmacy audit on the 7.6.05. Staff administering medication do however need to have accredited training, the manager stating he is still trying to source this input. Residents spoken to were very clear that their privacy and dignity was respected by the staff in a variety of ways including staff always knocking on doors, showing respect for them (having ‘good manners’), using their preferred names, allowing them to go to their rooms whenever wished and so on. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 Residents have access to a lifestyle that is in keeping with their expectations and relatives/friends are encouraged to maintain contact. The residents are encouraged make decisions about day-to-day life by staff. Residents have access to a choice of meals at times and in surroundings that are convenient to them. The foods are presented in an appealing way and the choices available constitute a balanced and healthy diet. EVIDENCE: The residents spoken to talked of having access to a range of activities that were in keeping with their expectations and preferences. These include cards, dominoes, discussions about current affairs (all residents spoken to were up to date on current national events), singsongs and knitting blankets. There was also reference to trips out to Walsall to concerts, which were said to be very enjoyable. The home was not seen to have an activity programme, but based on the outcomes of discussions with residents this was not seen as an issue by the inspector as residents clearly indicated they had a fulfilling lifestyle in keeping with their expectations. All twelve residents that responded to the survey forms from the CSCI all stated that the home provided suitable activities. One comment from a resident was “that it is not easy to find activities for people due to restriction of movement and thinking power. Cake making (well supervised) is popular with the ladies – and eating them too”. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 13 Daily routines were also discussed with those residents whose care was tracked and they all stated that these were flexible and in keeping with their choices, examples including getting up and going to bed when wished, staying in their room or sitting in communal areas or garden when wished and so on. The main meal of the day was sampled by the inspector and found to be well presented, well cooked and very tasty. The way the meal was presented was seen to be consistent with the way it was provided to one resident in their room. The homes menu showed that the residents had access to a balanced diet that consisted of what one resident described as “natural food – no junk”. Two of the residents commented on the easy access to plenty of fruit and another comment was that the “staff respect your stomach”. Ten of the responses received by the residents out of twelve indicated that they were satisfied with the food provided, the remaining two stating sometimes. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 standard(s) 16,18 Residents and relatives are aware of the complaints procedure for the home and have confidence that their views would be taken into account if there was cause for complaint. The home has suitable policies in place in respect of safeguarding vulnerable adults although staff training would assist strengthen staff awareness of appropriate local procedures. EVIDENCE: The home was seen to have an appropriate complaints procedure that residents spoken to were aware of. All residents that responded to the CSCI survey forms stated they knew who to speak to if unhappy with five relatives that responded also stating they were aware of the complaints procedure, but none having made a complaint. The home has received no complaints in the last 12 months. The home was seen to have suitable policies and procedures in place in respect of adult protection. There were some issues in respect of staff recruitment checks (see comments in staffing) in respect of confirming staff were safe prior to employment The home still needs to provide suitable adult protection training for the staff as identified in the previous inspection report. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25. Acorn home is a pleasant and suitable environment for older people that meets with the accommodated residents expectations. EVIDENCE: Acorn house is a traditional extended property and presents as a pleasant environment. Many rooms have high ceilings, which maximises the feeling of space within the house. Whilst the inspector did not see a forward planned programme for the on-going maintenance of the property there no critical concerns as to the condition or decorative condition of the home from those areas seen during the course of the inspection. The painting of the exterior woodwork has commenced and was seen to be on going and the provider/manager was planning to fit locks to all bedrooms doors. None of the residents spoken to when asked currently wished to have a key to their bedroom door at this time although the planned fitting of the same would mean this facility is available if needed. Residents spoken to were complementary as to the ambience and décor of the home with all stating that they were happy with the décor and the range of furniture available in their Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 16 rooms. The aids and adaptations available were seen to be consistent with the needs of the residents accommodated. The home was also seen to be clean, this confirmed as the usual ‘state of affairs by residents’. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. The home has sufficient staff available for the needs and number of residents accommodated at the home. Some weaknesses in the homes recruitment practices could be seen to compromise the safety of residents. Outcomes show staff to be competent and residents to feel safe although systems for the maintenance of training updates show a lack of clarity. EVIDENCE: Staffing levels from sight of the staff on duty at the time of the inspection and the homes duty rosters were judged to be sufficient for the number and dependency of the current resident group with two to three care staff through the residents waking day and two waking night staff. This does not include the input of the homes ancillary staff or the manager. There were some areas where staff training was identified as required at previous inspections namely in respect of medication (accredited training) and adult protection. Based on the information supplied by the provider/manager pre inspection there are also some others areas where some staff may require input in basic mandatory training including such as first aid and moving and handling. A training plan that identified clearly where training input for individuals, with dates identified as appropriate where training provision is necessary. It was however pleasing to see that the home has approximately 50 of the care staff with an NVQ level 2 (based on the records submitted Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 18 with the pre-inspection questionnaire) and including the bank staff employed by the home. Three staff files of the most recently employed staff were examined and were satisfactory with the exception of the following in regard to recruitment checks: - There must be clear evidence that the home has carried out a check against the POVA (Protection of Vulnerable Adults) list prior to employment. It was stated by the manager that this information had been received at the home but was not available. Employment of these persons after receipt of a suitable return, must be on a risk assessment basis, where it the intention to employ them prior to receipt of an enhanced disclosure. - There must be explanation of any gaps in a prospective employee’s employment history - It needs to be clear on the references received as to what capacity the referee knew the prospective employee and one of these references must be from the last employer unless there are mitigating circumstances. - There must be documented evidence that the prospective employees are fit physically and mentally for the job they are employed to do through such as health questionnaires/declarations. It was however pleasing to see all the new employees had been involved in the appropriate induction process. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36,38 Overall the manager/providers run the home well, and acknowledge the views of their customers in trying to provide a service that is in accordance with their needs. Systems for quality monitoring still need to be developed further. Staff formal supervision needs to be better evidenced. The resident’s financial interests are not compromised by the home and any monies entrusted are kept safe. The home provides an environment in which the residents feel safe. EVIDENCE: Comments from residents and relatives face to face and through questionnaires returned to the CSCI indicated that there was a good degree of confidence in the people running the home and that it was felt they were offering a good service. The current provider/manager does not currently have a qualification in NVQ level 4 (including care and management), although does Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 20 have extensive experience of running the home over numerous years. Ways in which this was to be matter was to be addressed were discussed at the time of the inspection. The homes systems for quality monitoring were considered and there were seen to be methods through which the home consulted with residents and their relatives in place, this providing a strong base for which to build on in implementing a more structured system for quality audit that would help the home identify it strengths as well as any weaknesses. It was pleasing to see that a basic annual development plan that carried reference to potential development was in place. A spot check was carried out on the resident’s monies and these were found to balance with the records see. Records were appropriately recorded. The home does not currently have inventories of resident’s properties these felt by the manager as difficult to maintain due to relatives bringing items in without consulting staff first. The manager did state that he requests that relatives should not bring item’s of great value into the home although where this may be the wish of the resident for such as sentimental reasons then a record of the same would be appropriate. There was some evidence of staff supervision records although these were limited and the manager/provider was advised to ensure these were recorded so that there was clear evidence that all staff receive formal one-to one supervision at least six times annually. From statements made by the manager/provider this was presented as a matter of limited record keeping rather than poor practice. Sampling of the homes health and safety records was carried out and these were found to be satisfactory. This sampling included certificates to evidence the safety of some of the equipment in the home, accident reports, and risk assessments (for the premises and practices). As stated previously it was unclear as to whether all staff had completed training in all the mandatory areas related to safe working practices, more specifically first aid, moving and handling, and general health and safety. Of note is the fact that all the residents spoken to were very clear they felt safe at the home, this confirmed by the responses to the CSCI questionnaire by residents where all twelve respondents confirmed the same. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 x STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 3 2 x 3 2 x 2 Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? yes but note comment in summary 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 8 Regulation 13, 14 Requirement There must be robust tissue viability and nutritional assessments that contain very clear and specific information as to how the home is addressing these issues, these completed where there is the potential of high risk to residents in these areas. Provide accredited medication training for all care staff administering medication. This is a repeated requirement although the completion date set at the last inspection was later than the date of this inspection. All staff must be trained in adult protection issues and Walsall M.B.C. procedures related to the same. Provide maintainence and decoration to external woodwork for window frames and lean to utility room. This is a repeated requirement that has been partly met with work seen to be ongoing. The completion date set at the last inspection was later than the date of this inspection. The registered provider must provide suitable locks on all Timescale for action 30.8.05. 2. 9 13 31.3.06 3. 18 13 30.10.05 4. 19 23 30.9.05 5. 24 23 30.9.05 Page 23 Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 6. 29 13 & 19 7. 30 18 8. 31 9 9. 33 residents doors. This is a repeated requirement although the completion date set at the last inspection was later than the date of this inspection. No staff are to be employed unless an acceptable POVA check has been carried out first, with evdience of this to be retained at the home. Whereever possible the home must also be in receipt of the staff members enhanced disclosure prior to employment unless there is concern in respect of maintaing staffing levels ,at which point a risk assessment must be carried out and discussed with CSCI. The home must also consistently document any reasons for gaps in staff members working history and ensure that references are clear as to how the referee knew the applicant, with a reference from the last employer wherever possible. A training plan that indentifies 30.8.05. any gaps in the training individual staff have received, and dates by which this training is to be provided must be drawn up and submitted to the CSCI. The registered manager must 31.3.06. have a qualification in NVQ 4 (management and care) or equivalent. This is a repeated requirement. To progress the development of 30.11.05 the homes quality assurance system as discussed at the time of the inspection. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 29 36 Good Practice Recommendations New staff should be requested to complete a questionaire in respect of their physical and mental ability to carry out the specific duties for which they will be employed. To provide clearer evidence that the the staff are being formally supervised on a one to one basis at least six times annually. Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Acorn Retirement Home E55 S20802 Acorn Retirement Home V225701 160605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!