Inspection on 17/09/07 for Catherine Miller House

This inspection was carried out on 17th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Catherine Miller House 07/10/08

Catherine Miller House 10/10/06

Catherine Miller House 21/02/06

Catherine Miller House 31/10/05

Catherine Miller House 28/02/05

Catherine Miller House 14/09/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Catherine Miller House 13-17 Old Leigh Road Leigh On Sea Essex SS9 1LB Lead Inspector Pauline Marshall Unannounced Inspection 17th September 2007 09:00 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 Catherine Miller House DS0000015490.V346875.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. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Catherine Miller House Address 13-17 Old Leigh Road Leigh On Sea Essex SS9 1LB 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) 01702 713113 F/P 01702 713113 cmhouse@talktalk.net Mr Andrew Howard Stern Vacant Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30) of places Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2006 Brief Description of the Service: BRIEF DESCRIPTION OF THE SERVICES PROVIDED. Catherine Miller House provides personal care and accommodation for up to thirty older people. The registration category also permits the home to provide care to those service users who have dementia. The home was originally three properties that have been converted into one. This has created a home, which has several different levels with two quite separate living areas. Catherine Miller House has twenty-six single bedrooms and two shared bedrooms, all with en-suite facilities. The home is well maintained and decorated. Catherine Miller House is situated in a residential area of Leigh on sea, close to local shops. There are good bus and train links into the area. The home has a large well-maintained garden to the rear of the property. There are limited parking facilities to the front of the property. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with up to date information on the home. Fees range from £485.00 to £550.00 and there are additional charges for hairdressing, chiropodist, newspapers, toiletries and transport. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that lasted for seven hours and thirty minutes. The process included a tour of the premises, a random selection of resident and staff files and discussions with residents, staff, the proprietor, deputy manager, a visiting hairdresser and the district nurse. This inspection also included a one and a half hour short observation of residents and the findings were that staff interacted quite well when residents were alert and in a positive mood. The interaction with residents at teatime was good but there was not a lot of staff interaction in between or when residents were in a passive mood. As part of this inspection surveys were sent to six residents, six relatives’ six health and social care professionals and ten care staff to obtain their views on the service that the home provides. One residents survey was returned and the comments varied between “no complaints and the home is clean and recently been decorated” to “night staff sometimes scarce and it is sometimes difficult to understand what they are asking and it would be nice to go out “. Three relatives surveys were returned and two were very positive and included comments such as “ staff are very friendly, the care is generally good, communication is good and the home is always clean and tidy” and “the home listens and acts upon any concerns, is quick to respond to personal needs and residents are comfortable and well looked after”. The other relatives survey received had many positive comments but stated “staff could make more attempt at conversation with residents and staff always seem to be at a bare minimum especially at week ends”. No other surveys had been returned at the time of writing this report. Twenty-six of the thirty-eight standards were inspected. What the service does well: Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 6 The home provides people with good up to date information on the service that it offers. Activities inside the home are good and the food is nice. When people move in they are encouraged to bring as many personal items with them as they can. The homes furniture is in good condition and the home is clean and tidy. The home makes sure that people working there have had all the correct employment checks carried out before they start work. Staff are offered a lot of training. The home regularly asks people about the things they want to do and what they would like to eat. What has improved since the last inspection? What they could do better: The home must make sure that every new resident has a full assessment of their needs before they move in. All residents must have a contract that explains what the home does and does not offer. Every new resident must have a care plan in place as soon as they move in so that staff knows how to help them. The hallway wall and some of the bedroom doors must be re painted. There must be risk assessments in place for hot radiators. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 7 Staff supervision should be carried at least six times a year. Zimmer frames and wheelchairs must not be left blocking the hallway. The temperatures of hot water must be regularly checked. The gas supply, boiler and radiators must be checked regularly. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 8 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 Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents with up to date information and provides each resident with a contract, however some delays have occurred with providing this to one resident. A thorough assessment of needs is carried out usually but cannot be located for one resident. Catherine Miller House does not provide intermediate care. EVIDENCE: The homes Statement of Purpose and Service User Guide were last reviewed in May 2007. The proprietor said that all prospective residents are provided with a copy of the homes new brochure that includes a sample menu, a fee letter and the financial implications of moving into a care home. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 10 Four care files were examined and three contained copies of the residents’ terms and conditions with the home. The fourth file examined was that of a resident who had recently moved into the home and the proprietor said that their contract would be prepared as soon as the figures have been obtained from the funding authority. The proprietor said that the management of the home carries out a full initial assessment to determine if the home can meet the prospective residents needs. Three of the four care files examined contained copies of the initial assessments and residents spoken with confirmed that a full assessment was undertaken before they moved in to the home. The fourth care file examined was that of a very recent admission and although the proprietor and the deputy manager said an initial assessment had been carried out, this could not be located. Catherine Miller House does not provide intermediate care. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents care needs are set out in the care plan, however one resident who was recently admitted did not have a care plan in place. Residents’ health care needs are fully met. The medication storage system is good in area one but is poor in area two. Residents are treated with respect and their privacy upheld. EVIDENCE: The homes care plan format is in the process of being reviewed; the deputy manager said that the new format should provide staff with clearer instructions on the level of intervention required. Four care files were examined and three contained a detailed care plan that included risk assessments and management plans and evidence of regular review. The fourth care file examined did not contain a care plan and the deputy manager said that the resident had been admitted three days earlier and that she had been off work sick since the admission and that care staff did not prepare the care plan. All of the care Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 12 plans examined included details of the residents’ end of life wishes. Daily records were informative and detailed. Three of the care files examined had full details of health care appointments and their outcomes recorded in the care plan. The fourth care file examined did not contain any details of appointments as the resident has recently been admitted. Residents spoken with said that they were happy with the health care they received and that staff supported them with health issues. The home operates its medication system from two separate areas; area one medication is locked in a secure cabinet that is fastened to the wall and area two medication is kept in a locked cupboard that houses the electric meter. There is a small locked cabinet within the electric cupboard that held some of the blister pack medication. The remainder of the medication was stored in individual carrier bags within the electric cupboard. There were many packs of prescribed food supplement drinks in this cupboard underneath the blister pack and boxed medication that was in carrier bags. The senior carer was observed administering medication directly from this cupboard and she ensured that the cupboard was locked between administering the medication. There were two crates of prescribed food supplements in the hallway in front of a radiator and the senior carer said that these were to be returned to the pharmacy and were awaiting pick up. Residents spoken with said that they felt treated with respect by staff and relatives’ surveys commented on staff helping residents with privacy as much as possible. An observation of staff interaction showed that staff spoke respectfully to residents and explained the reasons for any actions they had to take in a calm, quiet manner. Residents appeared relaxed in the company of staff. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a good range of activities and are encouraged to maintain contact with family and friends, however the home does not provide residents with sufficient access to the local community. Residents are supported in making choices and the home provides a wholesome appealing diet in pleasant surroundings. EVIDENCE: Catherine Miller House offers residents a good range of indoor activities that includes armchair exercise, musical movement, crafts, cake decorating, bingo, card games, quizzes, beetle drive and sing-a-longs. Residents spoken with said they were happy with the level of activities provided. The home encourages visits from families and friends and some residents regularly access the local community with their families. Residents spoken Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 14 with said that they were unable to get out much as the staff were always very busy carrying out their tasks. The home consults residents on a daily basis and residents spoken with confirmed that they are asked what they want to eat and do. Staff were observed asking residents what they would like for tea and explained the choices to each individual in a way that they could understand. The home operates a four week rolling menu that offers residents a choice of the meal of the day or an alternative that includes salmon, smoked haddock, omelettes, kippers and sandwiches. Residents are asked to make their wishes known to the cook as soon as possible in the day; staff confirmed that they asked residents what they would like for lunch after they had finished their breakfast. The food was nicely presented and smelled appetizing and residents spoken with confirmed that the food was nice and that they were able to have an alternative if required. There are two dining areas and both are spacious with nicely laid out tables. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that their complaints will be taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The complaints policy is clear and details the steps that a complainant should take and it provides clear timescales in which the home will respond. There have been two complaints made since the last inspection and they were both dealt with appropriately and the details fully recorded in the complaints book. Relatives surveys stated, “they always listen to my concerns and act upon them and regular staff will ask me if I have any worries”, and “any concerns that I raise are usually resolved as soon as possible”. There has been one Adult Safeguarding (POVA) issue since the last inspection and it has been dealt with appropriately. The home has a clear policy and procedure for staff to follow and all staff have had Adult Safeguarding (POVA) training and the deputy manager has been providing staff with a handout to remind them of the signs of abuse and neglect. Staff spoken with had a good awareness of the actions they should take if they suspected abuse in any form. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are areas of the home that are well maintained and safe, however other areas require attention as detailed in the evidence below. Residents have their own personal possessions around them. The home is clean and hygienic. EVIDENCE: The home consists of three separate properties converted in to one; there are two separate living areas that staff refer to as areas one and two. There are twenty-six single rooms and two shared rooms of which one is currently vacant; all bedrooms have en-suite facilities. The furniture is well maintained and of a good standard. There are areas around the home that require painting, such as the badly scuffed doors on the upstairs bedrooms and an area in the downstairs hallway where a radiator was removed more than a Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 17 year ago. The decorating that has taken place so far has been carried out to a high standard and the walls have been papered with good quality wallpaper. There are two passenger lifts, the one in area two has poor lighting; the proprietor said that this had been identified at the routine safety check and he is taking steps to remedy the problem. There are many uncovered radiators around the home and the proprietor said that risk assessments were in place with regard to any risk to residents. The risk assessments were not available for inspection and the proprietor said that he would forward copies to the CSCI; these have not been received at the time of writing this report. Residents bedrooms contained many of their on personal possessions and residents spoken with confirmed that they were encouraged to bring personal items with them on admission. The home was clean and hygienic and a relatives survey stated “there are never any unpleasant smells in the home when I visit”. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The level and skill mix of staff meets current residents’ needs. Staff are welltrained and residents are in safe hands. The homes recruitment policy and practice protects residents. EVIDENCE: The homes staff duty rota identified the staff that were on duty and indicated their designation, however it showed the person who was in charge of the shift as “care” and did not show her as the person in charge. The proprietor said that she is a trainee senior carer and that the rota will be amended to show her correct designation and who is in charge of each shift. Two of the five staff on duty holds the NVQ level 3 qualification. The proprietor said that nine staff has NVQ training and that more staff has enrolled for this next year. The home has two deputy managers one has NVQ 4 and the other NVQ 3 in care. Staff spoken with confirmed that they wish to undertake NVQ training and are due to start next year. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 19 Three staff files were examined and contained all of the required documents. There was no induction records for one of the staff files examined. Staff spoken with confirmed that they had received a thorough induction and were supervised until the manager felt they were competent. Staff files contained evidence of up to date training that included moving and handling, first aid, food hygiene, health and safety, fire awareness, medication, adult safeguarding (POVA), dementia and challenging behaviour. Staff spoken with said that the training opportunities are good. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite the disruption to the homes management team in the last few months, the proprietor and his staff have run the home in the residents best interests. Residents’ financial interests are safeguarded. Staffs do not receive regular supervision. There are some safety issues that require immediate attention. EVIDENCE: The registered manager left the home on 17th May 2007. A new manager has been appointed and is due to start work at the home in the next few weeks. The proprietor has been running the home with the assistance of the deputy manager, who has been on leave on and off since the manager left. The Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 21 proprietor has appointed an additional deputy manger (who is qualified to NVQ level 3 in care) to assist in the management of the home until the new manager is commences work. Three of the homes eight day care staff are trainee senior carers. The proprietor retuned his completed Annual Quality Assurance Assessment (AQAA) by the agreed extended due date. The home also has its own quality assurance system and obtains the views of its residents, their relatives and any other interested parties on a regular basis. Residents spoken with confirmed that their views are sought regularly. The home holds small amounts of cash for some of its residents. Three residents cash and transaction records were checked and were all found to be correct. Three staff files were examined and two contained evidence of supervision; the third staff file had no evidence of supervision taking place, however an appraisal form (personal development) had been completed. The homes safety certificates were checked and all were up to date and in place with the exception of the gas landlords’ certificate, which had expired on 13/6/07. The proprietor was not aware that this had expired and said that he would ensure that the system is checked and will send the CSCI confirmation. No confirmation has been received at the date of writing this report. The records relating to the checking of water temperatures had not been completed since April 2007. There were items of equipment such as wheelchairs and Zimmer frames stored in area two downstairs hallways; the Zimmer frame was blocking an area that is used by residents. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 1 Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 23 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 OP2 Regulation 5 (c) Requirement Timescale for action 30/11/07 2. OP3 14 (1) (a) 3. OP7 15 (1) 4. OP9 13 (2) All residents must be provided with a contract stating their terms and conditions with the home. All residents must have a full and 30/11/07 thorough needs assessment carried out before being admitted to the home. All residents must have a 30/11/07 detailed care plan prepared upon admission to the home that has been devised from the homes initial assessment. All medication including that 31/10/07 awaiting collection from the pharmacy must be appropriately stored at all times. This refers to the medication being stored in the electric cupboard and the prescribed food supplement drinks that were stored in the hallway in front of a radiator. The home must make arrangements to enable all residents to access the local community. 5. OP13 16 (2) (m) 30/11/07 Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 24 6. OP19 13 (4) (a) The home must ensure that all 30/10/07 parts of the home are so far as is possible free from avoidable hazards. This refers to the need to carry out risk assessments for the uncovered hot radiators. All parts of the care home must be kept reasonably decorated. 7. OP19 23 (2) (d) 30/11/07 8. OP38 This refers to the badly scuffed paintwork on bedroom doors and the unfinished area where a radiator was removed in the downstairs hallway. 13 (4) (c) The home must ensure that all unnecessary risks to the health and safety of residents are as far as possible eliminated. This refers to the regular checking of hot water temperatures and the lack of a gas safety certificate. 30/10/07 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 OP27 OP36 Good Practice Recommendations The staff duty rota should identify the staffs designation and who is in charge of the shift. Supervision should be carried out for all staff at least six times each year as stated in the National Minimum Standards. Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Catherine Miller House DS0000015490.V346875.R01.S.doc Version 5.2 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. 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