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Inspection on 11/04/06 for Albemarle Care Home

Also see our care home review for Albemarle Care Home for more information

This inspection was carried out on 11th April 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.

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

A kind a caring ethos is prevalent throughout the home and there was evidence of a good rapport between staff and service users. Service users spoken with were happy with life within the home and stated that staff were kind and respectful. Staff spoken with were able to discuss the core values and principles in relation to service users needs and their job role. On observation service users were treated with respect whilst care was being offered.

What has improved since the last inspection?

Despite the previous managers departure improvements have continued within the home. Service users now have the opportunity to discuss their plans of care and agree them if able ensuring they are fully involved in their care planning process. Staff training although continues to require development has continued to improve thus enhancing care delivered. All staff now have a current criminal record bureau check in place thus further protecting service users. Although not completed an audit with regards to staff files has taken place to identify deficits in documentation required. Management plans are now available within risk assessments ensuring service users are further protected. Although further consideration is required with regards to the statement of purpose improvements were noted. Service users reviews are now service user focussed ensuring needs are fully met.

What the care home could do better:

To ensure service users receive up to date and accurate information the statement of purpose is required to be updated to accurately reflect the service offered within the home. To ensure service users recreational interests and social lives are fully considered and met social assessments are required to be undertaken. To ensure service users rights are fully considered and valued consent is required prior to bedrail being used. To respect diversity and equality care plans are required to accurately reflect service users choices and preferences and support these. To ensure service users are fully protected all staff files are required to contain the required documentation as listed in schedule 2 of the National Minimum Standards. Staff training needs continued effort to ensure all staff are trained in all mandatory areas enabling service users needs to be fully met and their safety maintained. A formal quality assurance policy and procedure is required to ensure the home is run in the best interest pf service users and a quality service is offered.

CARE HOMES FOR OLDER PEOPLE Albemarle Care Home 4 Albemarle Road Woodthorpe Nottingham NG5 4FE Lead Inspector Karmon Hawley Key Unannounced Inspection 11th April 2006 10:00 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 Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Albemarle Care Home Address 4 Albemarle Road Woodthorpe Nottingham NG5 4FE 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) 0115 960 7339 0115 962 1841 Mr Abdul Rashid Vacant Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20/10/05 Brief Description of the Service: Albermarle Care Home provides nursing and personal care for up to 20 older people. Mr Abdul Rashid is the registered provider the manager’s position is currently vacant. The Home is located in Woodthorpe an inner city area of Nottingham, it is close to a local bus route into the city, which is well supported by road and rail networks. It is also close to shops, general practitioners surgery, pubs and other amenities. Albermarle is an extended residential house, which consists of two floors; there are two lounges and a dining room on the ground floor. The home has eight single rooms and six double rooms. There are three bathrooms, two of which are fitted with bathing hoists and one with shower facilities. There is a passenger lift to the upper floor and the house is wheelchair accessible. The grounds are well maintained and offer a relaxing environment. The current fees for the home are as follows: nursing fees £343 – NHS high band £133, NHS medium band £83, Large double £16, single £32. Medium band nursing single £458- high band nursing single £508, double room £442. Residential rates very dependant, double £335, single £351. The provider ensures service users and relatives are made aware of these fees on enquiry, it is also during this time that any required information such as the statement of purpose, brochure, terms and conditions and the latest inspection report are made available. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit an analysis of the performance of the home over the previous year took place in line with the key national minimum standards. The evidence gained was assessed and thus the site visit planned in accordance with further evidence required to demonstrate compliance with the national minimum standards. The unannounced site visit took place in four hours and was performed by one inspector. The main method of gaining evidence during the site visit was case tracking, this is a method of sampling the records of three randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Four service users were spoken with so as to give the inspector an insight into the conditions and standards within the home. Those spoken with were happy with the staff, care received and the standards within the home. The registered provider and a senior carer on duty assisted in the inspection process and two members of staff were spoken with. Staff were able to demonstrate an understanding of service users needs and the core values and principles in relation to their job role. What the service does well: What has improved since the last inspection? Despite the previous managers departure improvements have continued within the home. Service users now have the opportunity to discuss their plans of care and agree them if able ensuring they are fully involved in their care planning process. Staff training although continues to require development has continued to improve thus enhancing care delivered. All staff now have a Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 6 current criminal record bureau check in place thus further protecting service users. Although not completed an audit with regards to staff files has taken place to identify deficits in documentation required. Management plans are now available within risk assessments ensuring service users are further protected. Although further consideration is required with regards to the statement of purpose improvements were noted. Service users reviews are now service user focussed ensuring needs are fully met. 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. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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 Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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): 1,3 The quality outcome in this area is poor, this judgement has been made using available evidence including a visit to this service. Due to the statement of purpose being out of date service users may receive conflicting information, which may affect the decision they make. Service users may be assured their needs will be assessed and met prior to moving in to the home. EVIDENCE: The statement of purpose was examined due to an enquiry that had been brought to the Commission for Social Care Inspection that the home was advertising that it was able to accept service users with dementia. There were several different copies of a statement of purpose available, all of which were out of date with regards to staffing and in one instance the category of registration. Preadmission assessments are carried out in the community prior to service users being offered a place in the home; the assessment covers the Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 9 requirements of this standard. Respite care is offered and emergency admissions are accepted, the same procedures are applied in these instances. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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 rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are set out in a plan of care, however individual choices and preferences may not be fully valued and respected. An assessment and plan with regards to social care is lacking thus these needs will not be fully met. Service users health care needs are fully met. Service users are partly protected by the homes medication policies and procedures, however this may be enhanced if the several policies are consolidated and a main one drawn up and dated to ensure current best practice is maintained. Service users feel they are treated with respect and their right to privacy is maintained. EVIDENCE: Service users undergo various assessments such as manual handling, falls, infection, and the activities of daily living; information gained underpins the plan of care. Within two case files examined plans of care in place were personalised, and covered complex needs, however within one service users Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 11 file care plans were of a computer generated nature where the service users name was written in. Although as stated care plans were personalised and reflected choices and preferences within one service users file with regards to religion the service user had expressed they was an atheist, the goal that had been written was for staff to try and change their mind. On speaking with the provider and senior carer about this they stated that the member of staff who had written the care plan was no longer working in the home and this view was not upheld by present staff, however the plan had not been rewritten to identify this. There was evidence of reviews taking place and care plans updated as required. Although several types of risk assessments were in place, identified needs were highlighted and appropriate management plans structured to reduce the risk were available. There were records available to demonstrate liaison with the multidisciplinary team as necessary. Within case files observed service users or their relatives had signed a care plan agreement form. Progress notes were maintained and reflected significant events. Service users when spoken with stated that their needs are met and they were happy with care received. Staff when spoken with were able to discuss core values and principles in relation to service users needs and their job roles. One member of staff stated that access to service users files was available so care offered could be in accordance with the plan of care. There was evidence of specialist services being accessed, appropriate aids available and of service users receiving NHS entitlements. Although the medication policy has been updated there are several different copies of various policies available which are not dated. An appropriate contract with regards to the disposal of medicines is in place. There was evidence to demonstrate general practices, stock control and record keeping remains improved. All personal and nursing care is delivered in service users own rooms, staff are instructed on maintaining privacy and dignity and screening is used in double rooms. Visitors and any consultation may be received in private in service users rooms or in the dining room, this was observed to take place during the site visit. Should a service user require the use of a telephone the office telephone is a mobile and this may be used. Service users receive their mail unopened; assistance is given should it be required. Service users substantiated that they are treated with respect and their privacy is upheld. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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): The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Service users find the lifestyle experienced in the home matches their expectations and preferences, satisfies their cultural and religious needs however further consideration is required with regards to social and recreational needs to ensure these are fully met. Service users maintain contact with relevant others as they wish service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing and balanced diet in pleasing surroundings. EVIDENCE: The routine of the home remains flexible, both staff and service users spoken with substantaited this. Service users may choose as able when they rise, retire and how they spend their day. On speaking with service uers they expressed that they would enjoy further activities than what is available. This was disucssed with the provider and senior carer, they acknowledged these wishes. Staff hold activity sessions in the afternoons and they consist of the following: bean bag throwing, musical movement, dominoes, reminiscence, listening to music and watching TV, service users also occupy themselves. A vicar visits the home on a weekly basis and offers Holy Communion, other Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 13 service users also have their own vicars or priest visit as they wish. An outside entertainer visits the home on a monthly basis. There are no restrictions imposed upon visiting, although a polite notice asks that visitors avoid meal times. Visitors may be received in private should they wish, this was observed during the site visit. There are currenlty no links with the community and no volunteers working within the home. One service user spoken with stated how they enjoyed trips out with their daughter. The senior care stated that service users are offered choices and for those who are unable to fully express themselves staff advocate on their behalf based upon the knowledge staff have ascertained about the service users. She stated to ensure equality and diversity are maintained each service user is treated as an individual and their indivduality is taken into consideration when meeting needs. Also of importance is respecting the life history and experiences. No service user at present is able to hold their own personal fianances, safe keeping facilities are available should they be required. Although no service user is using an advocate at present they have been used in the past and the services of age concern or a solicitor would be accessed if required. A nutritionally balanced diet and specialist diets are offered, choices are available and alternatives offered if required. Meal times although fixed are flexible as able and alternatives are offered should a service user dislike what is on the menu at lunch, there are choices offered at all other times. Two service users stated meals were of a good standard and although a specific choice was not offered alternatives were avialable at the main meal. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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 rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Service users and relevant others may be confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse, however this may be further enhance when all staff have completed the adult protection training and the audit of the staff training files is completed. EVIDENCE: On speaking with service users no concerns were expressed. There have been no complaints received. The complaints procedure is clear, simple and accessible. One service user spoken with felt staff listened to their needs and showed respect. Appropriate policies and procedures were in place with regards to adult protection and staff spoken with were able to discuss these issues and the actions they would take should abuse be suspected. A number of staff have undertaken training in this area. All staff have criminal record bureau checks in place, however outstanding references are also still required for some staff. Service users spoken with expressed no concerns and stated their needs were met and staff were kind and caring. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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): 19,26 The quality rating in this area is good this judgement has been made using available evidence including a visit to the service. Service users live in a satisfactorily maintained environment, which is clean, pleasant and hygienic. EVIDENCE: There is a lift to the upper floor and also a stair lift, which has been left in place, as a standby should the main lift fail. There is sufficient equipment and adaptations around the home. Relevant equipment was available in service users rooms, and rooms were personalised. The home in general was clean and tidy however there was one noted odour problem in the main entrance on arrival, however this was quickly dispelled. The laundry room was small but tidy, there is no sluice area available here, and the one down the corridor is used. There are ample toilet and bathing facilities available. There are sufficient staff employed to maintain the cleanliness of the home. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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): The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Sevice users needs are met by the numbers and skill mix of staff. Service users are in safe hands, however this will be further developed once more staff complete the national vocation qulification. Service users are not fully protected by the homes recruitment and selection procedures. Staff are working towards being fully trained and competent to do their job thus ensuring service users needs are fully met. EVIDENCE: Staffing rotas were observed and appropriate staffing levels are employed. Any deficits are highlighted so these can be covered appropriately. Staff spoken with stated there are sufficient staff available to meet service users needs. Service users spoken with stated staff were available should they need them. Two members of staff are working towards the national vocational qualification level two and one is working towards level three. A Care Skills induction programme is in use for new staff; this is completed in house. On observing four staff files appropriate criminal record bureau checks were in place, however there was not two references or identification available within all files. Trained nurses personal identification numbers are now checked periodically. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 17 Evidence was available to demonstrate previous courses had been undertaken as stated and staff training continued to develop. On checking all staff files and training that had taken place it was evident that there are deficits within all mandatory areas. One member of staff stated she felt supported in her development and was currently undertaking training, whereas another had not received any training since being employed by the home. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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): 31,33,35,38 The quality rating in this outcome area is poor this judgement has been made using avialable evidence including a visit to the home. There is currently no manager in post, although being run at present with a supporting staff team this is not ideal to ensure all management duties are completed. The quality assurance procedures require development to ensure the home is run in the best interest of service users. Service users personal finances are safeguarded. Service users are protected, however further attention to staff training and fire drills is required. EVIDENCE: The home currently has no registered manager in place, a letter was sent to the provider from the Commission for Social Care Inspection asking the intentions for filling the vacancy. Currently a registered nurse is supporting the provider in maintaining this role on a part time basis, however does not wish to Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 19 become the registered manager, therefore further consideration is being given to promoting a current member of staff. Staff spoken with stated they felt supported in their job role and the management structure in place. Service users expressed no concerns with regards to the way the home was being run. Quality assurance is currently carried out on an informal basis, the provider approaches service users and relatives to ensure they are satisfied with care received, however there is no documentary evidence to substantiate this. Other than this no quality assurance reviews currently take place as the provider stated he thought the previous manager had been doing this, however on checking computer records this had not been done. Three service users personal allowances were checked and corresponded to the account. Receipts were in place and reasons for transactions. Two signatures were available for all transactions. A new system has been introduced to address previous difficulties. The proprietor is not responsible for any individual personal finances. The home has recently received a visit from the fire authority, who noted deficits in staff training and staff attending fire drills. All maintenance and certificates were observed and were appropriate. The fire logbook demonstrated that fire alarms and emergency lights were tested as appropriate. Not all staff have received training in all mandatory areas. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 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 1 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 X X 2 Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4(1,2) Sch4 Requirement The responsible individual is required to ensure a statement of purpose is available for inspection, which is up to date and reflects accurate information about the service and category of the home. Carry out social assessments to ensure service users social activities and recreational needs are identified thus ensuring these are appropriately addressed. Consent is required where service users have bedrails in place. To reflect the current ethos of the home for respecting equality and diversity care plans, which do no reflect this are to be reviewed. All staff employed are required to have the appropriate documentation in place. Audits have taken place and this requirement has been partly met, however deficits noted in the audit must now be DS0000026406.V288098.R01.S.doc Timescale for action 11/04/06 2 OP7 12 (1a,2,3) 11/05/06 3 4 OP7 OP7 12(2) 12(3) 11/04/06 11/05/06 5. OP29 19 Sch2 11/05/06 Albemarle Care Home Version 5.1 Page 22 addressed. 6. OP30 18(c1) The responsible individual is required to demonstrate that staff employed, individually and collectively have the required knowledge and skills to meet the needs of the service user. All staff are to be trained in all mandatory areas. 11/06/06 7. OP33 24(1,a,b) The responsible individual is 11/05/06 required to ensure a formal quality assurance system is in place. This requirement has been extended due to the departure of the manager who was undertaking the compliance of this requirement. 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 OP14 OP26 Good Practice Recommendations Information and contacts to be displayed with regards to advocacy services. Supervision sessions are held at least sis times a year. Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Albemarle Care Home DS0000026406.V288098.R01.S.doc Version 5.1 Page 24 - 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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