Inspection on 23/05/05 for Jubilee Lodge

This inspection was carried out on 23rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jubilee Lodge 07/05/07

Jubilee Lodge 08/03/06

Jubilee Lodge 01/09/04

Jubilee Lodge 04/05/04

Jubilee Lodge 18/10/03

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

CARE HOME ADULTS 18-65 Jubilee Lodge Grange Farm High Road Chigwell Essex IG7 6DP Lead Inspector Lysette Butler Unannounced Inspection Monday 23rd May 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jubilee Lodge Address Grange Farm High Road Chigwell Essex IG7 6DP 0208 501 2331 0208 559 9583 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) Vitalise Care Home 36 Category(ies) of Dementia - over 65 years of age (30), Physical registration, with number disability (36), Dementia (30) of places Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Persons of either sex, aged 18 years and over, who require nursing care by reason of a physical disability (not to exceed 20 persons) 2 Persons of either sex, aged 18 years and over, who require care by reason of a physical disability (not to exceed 30 persons) 3 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) 4 The total number of service users accommodated must not exceed 36 persons 5 People with dementia must not be accommodated at the same time as younger adults, those under the age of 65 years, who have a physical disability 6 Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 36 persons) Date of last inspection 1 September 2004 Brief Description of the Service: Jubilee Lodge is a holiday home offering personal and nursing care to people with physical disabilities. It is situated in a semi rural location with good links via a private road to bus routes and the London underground. The main shopping area, which also has places to eat and drink, is approximately one mile away. Jubilee Lodge is one of five similar ‘holiday’ homes that are owned and run by Vitalise. Each home has a different focus to the type of holidays it offers. Jubilee Lodge’s focus is trips to London, Kent and over to France. There are various themed weeks throughout the year, and these are detailed in the yearly brochure. Jubilee Lodge has twenty-six single rooms and five double rooms, all have ensuite facillities. All guest areas are on the ground floor of the building, with staff accomodation on the first floor. Jubilee Lodge has ample parking facilities to the front of the building. The grounds encircle the home. There are formal gardens with ornamental ponds and a wild flower garden with a large pond. The home also overlooks the adjoining Riding for the Disabled training ring. It has its own coaches and mini buses to transport the service users on the trips. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took seven hours on 23rd May 2005. Twenty-seven of the forty-three National Minimum Standards were inspected during this visit. It was found that most of the standards were met and three were exceeded. Jubilee Lodge is a holiday home and does not have permanent residents; because of this some areas of the National Minimum Standards are not applicable to the guests who attend the home. These areas are therefore not taken into consideration when assessing whether the outcome of individual standards has been achieved. The overall care and well being of the guests was very good; staff, volunteers and guests were welcoming and happy to speak to the inspector. During this visit the inspector spoke to fifteen guests; ten volunteers; six staff members including the deputy manager; the laundry person; the cook; one registered nurse and two care assistants. Guests expressed satisfaction with the care they received, the quality/choice of food and the range of trips/entertainments offered. What the service does well: What has improved since the last inspection? 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 Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 6 contacting your local CSCI office. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2, 3, 4 & 5. The choice of home in this case is based on the yearly brochure so issues of choice are fully met. Choice is soley based on the type of activities the guests wish to undertake. EVIDENCE: National Minimum Standards 2 and 4 are not applicable for this home as all bookings are made through the head office in the same way any holiday is booked. If there are any queries the specific home is asked if they can accommodate the request. Guests rarely visit the home before their initial visit, however many return on a regular basis and pre-book a number of weeks holiday each year. All guests spoken to during this visit said they were very happy, “Love coming here-go home exhausted as there is so much to do.” The Statement of Purpose & Service User Guide were reviewed during the home’s January close down. Minor changes were made and new copies were supplied to the commission at the time of this inspection. The staff and volunteers at this home have regular training and are able to meet the needs of all the guests that attend. The volunteers work on a one to one basis with the guests so that they have a companion at all times. Most of the volunteers do not undertake personal care. However student nurses do. (There are two ‘dementia’ weeks per year, which are supported by The Alzheimer’s Society and regular volunteers who know the condition.) One guest told me that she had attended the home on a number of occasions and she was enabled to attend the local church service with a member of staff/volunteer. The volunteers felt well supported. Communication skills throughout the home were good. The home does not accept guests with a known dependency or behavioural problems. Contracts, terms & conditions were printed in the brochure. By signing the holiday acceptance form and health declaration the guests accept that as the contract. They do not have separate contracts. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 8. The whole principle of this home is based on choice and the staff make sure that the guests have an enjoyable holiday. EVIDENCE: The guest care plans in this home were abbreviated due to their short stay at the home. The plan is pre-printed with tick-boxes and small areas for individual information. The initial information is supplied on the booking form. The guests, their families and social workers, if involved supplied information for their compilation. If the guest has a care plan from their usual place of residence, (For example: residential care home, or own home with domiciliary care,) this would be utilised as the basis for care at Jubilee Lodge. No individual care plans were reviewed during this visit. Guests had initially chosen the home for their holiday. Guests where enabled to choose what they wanted to do and when they wanted to do it. Money they bring with them can be ‘stored’ or they can utilise lockable areas in each of the rooms. This ‘storage’ facility is offered on arrival. Money is then handed out to them and signed for whenever they ask for it. If guests keep their own money and valuables this is documented in the care plan. The original brochure contains information about Vitalise as a company and more specific details about each of the homes in the group. Guests are asked to feedback information regarding the home and the care given throughout their stay, either on the quality assurance form left in each room, or through Vitalises’ new internet feedback site. (See National Minimum Standard 39.) Changes to the Statement of Purpose & Service User Guides are made to the documents during the January closedown, taking into consideration feedback from the previous year. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 16 & 17. Attending the home for a holiday is part of the guests’ general lifestyle and the staff ensure that they take part in as many activities as they wish, or can do. EVIDENCE: As this is a holiday home, issues of ‘Education and Occupation’ (National Minimum Standard 12,) are not applicable to this client group. However in the past they have offered a week specifically aimed at increasing the guests’ awareness of how to use a computer and the Internet. The whole ethos of the home is to offer leisure activities that the guests want to do. This they do exceptionally well. Guests spoken to all stated that there was so much choice both in the home and outside the home that they run out of time to do everything they want to. There are usually two trips offered each weekday, activities within the home over the weekend, or visits to local/community activities and evening entertainments every day. The home had recently purchased an overhead cinema projecting screen to view TV or cinema, it can also be connected to the home’s Karaoke system. During the weekdays if the guests do not want to go out on the trips they can stay in the home to use the internet; watch videos/DVD’s; play cards; read; do jigsaws; etc. Daily routines are very flexible and only dictated by the timings of the trips. Otherwise guests can get up, have meals, or go to bed whenever it suits them. Their volunteer will fit in with whatever they wish to do and attends trips with them as required. There is no pressure to take part in any activity they do not wish to. Everywhere in the Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 11 home is accessible for able bodied and wheelchair bound guests. Thirteen of the rooms have overhead hoists and the rest of the rooms have overhead tracking for portable lifting aids to be fitted if the guest requires it. The home occasionally accommodates guests with a guide dog, which is not a problem. All guests spoken to commented on the quality and choice of the food at Jubilee Lodge. “The choice is amazing-just like a restaurant, you don’t choose until you sit down, nothing is too much trouble.” There is a choice of hot or cold options at all of the three main meals served daily and if the guests are out for the day packed lunches are provided. Meal times were flexible. Individual meals were chosen at the time of the meal from a menu on each table. There was an average of three to four choices as a minimum at each meal. If there is nothing on the menu that the guest fancies the cook will cook individual meals, as long as enough notice is given. (The menu for the whole day is available at breakfast and the guests can request something different at that time.) I observed both breakfast time and lunchtime during this visit. Both meals were happy chatty times with help for guests if they needed it. Staff and volunteers ate with the guests. Guests are free to eat any of the meals in the dining area, any of the lounges or in their room if they wish. There is also a coffee bar adjacent to the dinning area, which is available for guests to prepare themselves (with help if needed,) drinks or snacks. Each individual room has tea and coffee-making facilities, which are replaced daily as necessary. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 21. The personal and general healthcare support at this home is very good. EVIDENCE: The overall health and personal care was very good. Every guest is allocated a volunteer, a named keyworker and named nurse, for the length of their stay. Guests found this amount of attention and help “…..great, but they only do as much as you ask for. They are never intrusive”. The volunteers accompanied the guests on their chosen trips. The service users dictated their own routines for the day. There were eleven student nurses in volunteer roles at the time of this inspection. Volunteers were always allocated on a same sex basis. Communication skills were good throughout the home. All staff made the effort to make the holiday as good as possible. Issues of privacy & dignity were always observed. Staff are trained in the procedures to be undertaken in the event of a sudden death, but due to the nature of the home there is no documented planning for aging and death. Policies & procedures were general for the company and were good. Since the last inspection they had experienced the sudden death of one of the visitors of the home and documentation showed that the staff had handled the situation well. Following the incident the guests’ family had sent a letter of thanks for the staff’s care and assistance. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. The complaints handling in this home is good and information gained from investigations is used to improve the care of the guests. EVIDENCE: There had only been one complaint to the home since the last inspection. This had been handled well; the Commission for Social Care Inspection had been fully informed throughout the investigations and conclusions. The home logged complaints and reported outcomes to head office. The policies & procedures in the home were very clear and the requirement was for complaint investigations to be completed within twenty-eight days. A copy of the procedure was on the back of each bedroom door and in the welcome pack within the rooms. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 & 30. The environment in this home was good and was appropriate for the guests of this home. EVIDENCE: The overall environment in this home is bright airy and clean. There has been no change to the fabric of the building since the last inspection. The home is set in the country a mile from the nearest main road. The grounds around the building are well kept and there is a large, pretty courtyard area in the middle of the buildings. There is a part time gardener and a person who comes to mow the lawn. The housekeeping staff keep the home looking homely, tidy and odour free. During the January close down the staff re-decorate and carry out maintenance. Room furniture is being systematically replaced throughout the home, but some of the carpets are in need of replacement due to heavy marking. They are not dangerous or worn in any areas reviewed during this visit. There are twenty-six single rooms and five double rooms in the home. All rooms are ensuite. The double ensuite’s have a bath and the singles a shower. Couples usually occupy double rooms; they are only used for guests who do not know each other as a last resort. If a guest is to share a room they are fully aware of this at the time of booking and usually pay a reduced rate. Mobile privacy screens are then used in the double rooms. All rooms have either overhead hoists or overhead tracks to fit portable hoists to. All the hoists or tracks carry on into the ensuite. All hoists had been serviced in February Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 15 2005. Each room contains a television, tea & coffee making facilities, bed, chair and table. Six were reviewed during this visit and were clean, light and airy. There is a separate mechanical bath and other separate bathing facilities in the home. All rooms, ensuite’s, bathrooms and toilets conform to the requirements of the various disabilities and Health & Safety acts. Communal areas were large and welcoming. There is a dining room, a large lounge, which doubles as the cinema and entertainments area. There are a couple of smaller lounges, (one contains computer/internet access for the guests to use,) a sunroom, coffee bar and library. The corridors of the home are wide and bright. There is a small fishpond in one of the corridors with seating available to relax in. The laundry is long but reasonably large. It was clean and tidy at the time of this inspection. The washing machines and dryers conform to the requirements of these standards. An air conditioning unit has been fitted to one end of the room, as it can get very warm in there. There is a separate basket for each room and the home will launder any clothing as requested as long as it has been labelled, at no extra cost. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 & 36. The staffing numbers in the home are good, complimented by volunteers. Recruitment procedures are robust and designed to protect the guests. EVIDENCE: Three personnel files were reviewed during this inspection. All were complete and well laid out. There was a noticeable improvement from the last inspection. Nursing & Midwifery Council registrations were checked regularly, but the deputy manager was unaware of the ability to check Personal Identification Number’s on the Internet. The inspector gave her the details to do this as it is faster than trying to get checks done over the telephone. All permanent staff are employed on a thirteen-week probationary period that can be extended if needed. The home had recently undertaken a recruitment drive. A new assistant manager was starting the week after this inspection and a new registered nurse was due to start in June. They had also recruited five new care assistants starting over the following few weeks. Permanent care staff were continually backed by the use of volunteers who live in at the home for any thing from one week to six months. The volunteers came form the UK and abroad. All were recruited through head office that checked all their credentials. The home was also linked to two universities who sent student nurses to the home for two to four weeks at a time. Supervision had been started on a regular basis since the last inspection, but the plan for this year was to carry this out a minimum of three times during the year to increase to six times next year, with the employment of the new assistant manager. Supervision notes were available on personnel files reviewed. There are staff meetings and basic training sessions every Saturday before the new guests arrive. Not all staff had been appraised yet. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 & 40. The conduct and management of the home is very good. EVIDENCE: The general manager is currently in the process of being registered by the Commission of Social Care Inspection. The home did not have a head of care at the time of this inspection, but a new part-time one had been recently recruited, to commence at the home in June. The moral and ethos of the home was excellent. The deputy manager said “….this must be the only management job where you need to wear fancy dress for some of your working time!” Staff were all happy working at the home and said they enjoyed their working life. The volunteers spoken to said they were made very welcome by the permanent staff and they loved being able to spend time with the guests. At the time of this inspection there were volunteers from the UK, Poland, Australia and Japan. Since the last inspection, the proprietors Vitalise have set up a guest internet forum. I was enabled to view the site and look at the type of feedback the homes were getting. Guests could also access a chat room type section of the site and speak to each other about their experiences. Vitalise are using the information to inform and improve the services offered to the guests. The system was easy to use, however written feedback forms were also supplied in all rooms every week, so that the home can obtain continuing up-to-date information about the service offered. The written forms were Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 18 also sent to head office for information and collation. The brochure demonstrates the incorporation of the changing needs/wants of the guests. All policies & procedures were reviewed by head office on a yearly basis. They now contained a ‘review dates chart’ as part of an audit trail for the homes. Changes and new policies & procedures were sent to the home via CD Rom and the home prints them off. Jubilee Lodge policies & procedures were all up-to-date and reviewed at the time of this inspection. They were kept in the manager’s office and staff asked knew where they were. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x N/A x 4 x 3 4 Standard No 31 32 33 34 35 36 Score x x x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jubilee Lodge Score 4 x x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x x x I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action 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. Refer to Standard 36 Good Practice Recommendations All staff should have supervision at least six times a year and an annual appraisial. Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 1st Floor, Fairfax House Causton Road Colchester Essex, CO1 1RJ 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 Jubilee Lodge I56-I05 S15394 Jubilee Lodge V228752 230505 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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