Inspection on 03/10/06 for Meteor Rest Home

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Meteor Rest Home 08/06/07

Meteor Rest Home 28/02/06

Meteor Rest Home 09/08/05

Meteor Rest Home 29/11/04

Meteor Rest Home 17/05/04

Meteor Rest Home 18/12/03

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Meteor Rest Home 34/36 Meteor Road Westcliff On Sea Essex SS0 8DG Lead Inspector Pauline Marshall Key Unannounced Inspection 3rd October 2006 9:15 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 Meteor Rest Home DS0000015451.V303931.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. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meteor Rest Home Address 34/36 Meteor Road Westcliff On Sea Essex SS0 8DG 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 340518 01702 340518 Mr Manilall Joysury Mrs Sangeeta Joysury Mr Manilall Joysury Care Home 15 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (5), Old age, not falling within any other of places category (15) Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than five service users shall be admitted with a diagnosis of dementia/Alzheimer’s disease. To provide care to one service user with dementia under the age of 65 years. 28th February 2006 Date of last inspection Brief Description of the Service: Meteor Rest Home is owned and run by Mr and Mrs Joysury. Mr Joysury is the registered person and registered manager. The home is a large house set in a residential area of Westcliff on Sea. It is not too far from the seafront and is close to local amenities including shops and Westcliff railway station. Meteor Rest Home provides care and accommodation for fifteen service users. Within this number the home is registered to provide care for five service users who suffer from dementia and one of which is under 65 years old. The home is maintained to a good standard and the accommodation is on two floors. There is a shaft lift to the first floor, enabling service users access to all the areas. The home has eleven single and two double bedrooms; there are two lounges and two dining areas, one of these is used for a quiet visitors room when not in use as a dining area. The home has a good-sized garden that is neat and tidy to the rear of the building. There are limited parking spaces at the front of the home; however, further parking is possible on Meteor Road. 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 £352.73 to £383.81 and there are additional charges for hairdressing, chiropodist, newspapers, toiletries and transport. Meteor Rest Home DS0000015451.V303931.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 five hours and thirtyfive minutes. The process included a tour of the premises, a random selection of resident and staff files and discussions with residents, staff, visiting relatives, the manager and the joint proprietor. As part of this inspection surveys were sent to eight residents, four relatives’, two General Practitioners and two health and social care professionals to obtain their views on the service the home provides. Five residents surveys were returned and all were positive about the service they received and included comments on how good the care is and that the home is always spotless and fresh. Two positive survey forms were returned from General Practitioners. Four relatives survey forms were returned and one commented on the home being very well run and friendly. One survey completed by the homes social worker commented on the good quality of the specialised care provided for people with severe dementia. No other survey forms were returned at the date of writing this report. Twenty-nine of the thirty-eight standards were inspected. What the service does well: Meteor Rest Home provides a comfortable homely environment for its residents; the home is well maintained and nicely decorated. The manager ensures that any repair work is carried out as soon as possible. The home has a good admissions process that includes a thorough assessment of needs and encourages visits to the home prior to admission. Care plans are informative and include clear instructions for staff on the level of help required to meet individual residents needs. The home offers a good range of activities and ensures that special occasions are recognised and celebrated. The staff team are well trained and treat residents respectfully. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 6 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 contacting your local CSCI office. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5, 6 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The homes Statement of Purpose and Service User Guide require updating to reflect the current situation. All but one of the residents care files had a copy of their contract/ statement of terms and conditions with the home in them. The home carries out a thorough pre-admission assessment of needs and provides prospective residents with sufficient information to enable them to make an informed choice. Prospective residents are encouraged to visit and assess the quality of the home prior to admission. Intermediate care is not provided. EVIDENCE: The manager is in the process of updating the homes Statement of Purpose and Service User Guide. The Statement of Purpose and Service User Guide must be regularly reviewed and updated; any revision must be notified to the Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 9 homes residents and the CSCI within twenty-eight days. Residents and relatives spoken with confirmed that they are provided with a copy of the Statement of Purpose and Service User Guide prior to admission. All but one of the residents’ files examined contained a contract/statement of terms and conditions with the home. The manager said that the missing one might have been misfiled, as there were some issues that had to be dealt with earlier in the year. All residents should have a copy of their contract/terms and conditions with the home in their care file. Trial visits to the home to assess the quality of the care offered are always encouraged, however the manager said that not all prospective residents take this offer up. Meteor Rest Home does not provide intermediate care. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The homes care plans include clear instructions to staff on the level of intervention required for each resident. Health care needs are recorded and met. Medication policy and practice is good. Residents are treated with respect and their privacy is upheld. Care files do not contain information on residents’ wishes around death and dying. EVIDENCE: The homes’ care plans contain clear instructions to staff on the level of intervention required to meet individual residents needs. Three care files were examined and all contained the appropriate documentation to evidence that they meet the health, social and personal needs of each resident. All care plans are reviewed on a monthly basis. A discussion took place with the manager regarding locating medical information from the daily notes. A medical sheet was discussed where all Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 11 medical intervention could be recorded for each individual to enable clearer tracking of any medical appointments or issues. The home operates a monitored dosing system and medication is appropriately stored in a locked cupboard in the office. The homes policy on medication is clear. Medication is administered by five of the homes senior staff only and all of the records checked were correct. The manager has a copy of The Royal Pharmaceutical Society of Great Britain “Administration of Medicines in Care Homes – 2003”, this document is shared with all staff who administer medication. Residents spoken with said that they felt well treated; three visiting relatives confirmed that they had witnessed staff interacting with residents and could confirm that they were treated with dignity and respect and that their right to privacy is always upheld. The care files examined did not include information with regard to the residents’ wishes on death and dying. The manager said he would obtain this information from each resident or their relatives and record their wishes on each care file. Residents’ wishes on death and dying should be recorded in the care plan; this will assist the home in treating the resident and their family with care, sensitivity and respect. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents experience a lifestyle that matches their needs, they are encouraged to maintain contact with family and friends and have as much choice and control over their lives as possible. The outcomes of residents meetings have not been recorded. Residents receive a wholesome appealing balanced diet in spacious pleasing surroundings. EVIDENCE: The home offers its residents a range of activities that include music, singsongs, games, and visits from an entertainer. Residents spoken with confirmed that they had plenty to do, and at the time of the inspection there were separate activities occurring in both lounges, one was a singsong and the other was a hoopla game. Residents were observed to be enjoying these activities and later confirmed that the singsongs were always a favourite. An entertainer visits the home occasionally; the manager said that this was not always well received by the current resident group. The home ensures that special occasions are recognised and celebrated. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 13 The home has no specific visiting hours and relatives and friends are made welcome at all times. Three relatives were spoken with and all said how happy they were with the level of care their relative received. Residents are encouraged to go out into the local community and staff and residents spoken with confirmed that visits to the theatre and local amenities have taken place. The manager said that residents meetings do take place. The notes of the last meeting had not been written up, however the senior carer responsible for this said that she was in the process of doing so and would ensure that all further meetings were recorded. Residents spoken with confirmed that meetings are held. The home should keep a record of all the residents meetings to ensure that residents are helped to exercise choice and control over their lives. The homes menu is adapted to suit residents’ wishes when necessary. The dining area was nicely laid out with enough space between the three tables to allow residents to move freely. The menu is varied and wholesome and the food served on the day of the inspection looked and smelled appetizing. Residents spoken with confirmed that they enjoyed their food and that they had plenty of choice. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The home has a good, clear complaints procedure that includes timescales and would act upon complaints swiftly and take any issues seriously. Residents’ legal rights are protected. Staff are trained in the Protection of Vulnerable Adults. The homes policy must reflect the need to refer all suspected abuse to the Local Authority Adult Protection Co-ordinator. EVIDENCE: The home has a clear complaints procedure in place that includes timescales for response. There are no entries in the complaints book and the manager confirmed that no complaints have been received. Relatives spoken with said that they felt confident that any complaints that they or their relative had would be dealt with immediately. All residents that are unable to go out to the polling station have a postal vote. The manager said that some residents do not always choose to use their postal vote. The homes Protection of Vulnerable Adults procedure has been amended but still does not show the need to refer any suspected abuse to the Local Authority Adult Protection Co-ordinator. Staff spoken with had received training and knew they had to make any situation safe and report to their line manager, however they were unaware of the need to refer to the Local Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 15 Authority Adult Protection Co-ordinator. The homes policy must include the need to refer all suspected abuse to the Local Authority Adult Protection Coordinator. All staff has received the Protection of Vulnerable Adults training. Meteor Rest Home DS0000015451.V303931.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents live in a safe well-maintained environment and their rooms meet their individual needs. The home is clean, pleasant and hygienic. EVIDENCE: The home is well furnished and decorated. The manager ensures that all repair work is carried out at the earliest opportunity to ensure that residents and staff are kept safe. The furniture is of good quality and older items have been replaced. A majority of the homes carpet was replaced eighteen months ago; there is a problem with fading in three of the bedrooms, this has been reported to the suppliers and the proprietor said is due to be replaced within the next few weeks. The home had a new kitchen fitted in April 2006 and has purchased new crockery and cutlery. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 17 Each bedroom contains many residents’ personal items and there was adequate screening in shared rooms to allow for privacy when tasks of a personal nature are being carried out. The home was clean, pleasant and hygienic and relatives spoken with confirmed that the home was always spotless whatever time of day they chose to visit. Meteor Rest Home DS0000015451.V303931.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. Resident’s needs are met by the numbers and skill mix of staff. Qualifications of staff cannot be verified. The homes recruitment practice does not meet requirements. Staff are well trained in mandatory and service specific subjects. EVIDENCE: There are adequate numbers of staff to meet the needs of the current residents. The manager said that two staff have completed NVQ level 2 and one staff has completed NVQ level 3 and that staff are awaiting their certificates from the awarding bodies. The home should ensure that 50 of its care staff receives a minimum of NVQ 2 training. The home employs three care staff that hold overseas nursing qualifications; there was no evidence on the staff files to confirm these qualifications or their equivalence to NVQ’s. The manager said that an overseas nursing qualification is equivalent to an NVQ 3 in Care. The home must provide documentary evidence of all staff qualifications. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 19 Three staff files were examined; one of these files contained one written reference only. Two written references must be sought and kept on each staff file. The manager said that Protection of Vulnerable Adults checks are carried out prior to an employee starting work and are completed over the telephone, so there is no written evidence that checks are carried out. The home must keep a written record on the staff file of any telephone conversation conducted for the Protection of Vulnerable Adults check. Two of the three files examined did not contain evidence of the employees right to work. Three staff files were examined and all contained evidence of moving and handling, fire, dementia, health and safety and the Protection of Vulnerable Adults training. Further training in service specific issues including diet/nutrition and challenging behaviour was scheduled for October 2006. Meteor Rest Home DS0000015451.V303931.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The manager has the required qualifications and experience in managing the home. The home is run in the best interests of its residents. Residents’ financial interests are safeguarded. Supervision is carried out, but not at the level required in the National Minimum Standards. Health safety and welfare of residents and staff is protected and promoted, however the home’s infection control measures need some improvement. EVIDENCE: The manager has thirty years experience as a level 1 Registered General Nurse and his wife has thirty-five years experience as a level 2 Registered General Nurse. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 21 There was no evidence of staff meetings, however staff and the manager confirmed that these do take place and that the owners are at the home each day and issues dealt with as they arise. The manager said that staff meetings have been arranged and staff have not attended. A discussion took place around the value of regular staff meetings and the manager said that all further meetings that were held would be recorded. The home is in the process of analysing the current years surveys for its quality assurance system and will supply a report to its residents and the CSCI on completion of their analysis. The manager supplied evidence of his attempts to open a bank account for the only resident he holds money for. Southend Borough Council has agreed to become the appointee for this resident and the transfer is being progressed by the Council. No other moneys are held by the home. Of the three staff files examined one had evidence of supervision taking place; one employee started work at the home in May 2006 and the other in August 2006 and both have not yet received supervision. A discussion took place with the manager regarding the importance of staff having regular supervision. Supervision should be provided at least six times a year for all staff. The COSHH cupboard was locked and evidence of regular weekly water temperature checks was provided. Fire and emergency lighting checks are carried out weekly and the outcomes recorded. Fire drills are carried out twice a year. All safety certificates were in place. The communal toilets and bathrooms contained terry hand towels and liquid soap. To minimise the risk of an infection in the home, disposable paper towels must be provided in all communal areas. Meteor Rest Home DS0000015451.V303931.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 2 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 2 Meteor Rest Home DS0000015451.V303931.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 OP1 Regulation 6 (a) (b) Requirement The registered person shall keep under review and where appropriate revise the Statement of Purpose and Service User Guide and notify the Commission and Service Users of any such revision within 28 days. The registered person shall provide each resident with a standard form of contract for the provision of services and facilities. This refers to the missing contract of terms and conditions. 3. OP18 13 (6) The registered person shall make 31/12/06 arrangements to prevent service users being harmed or suffering abuse. This refers to the need to contact the local authority adult protection co-ordinator should abuse be suspected. This is a repeat requirement. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 24 Timescale for action 31/12/06 2. OP2 5 (c) 31/12/06 4. OP29 19 (b) (i) The registered person shall not employ a person to work at the care home unless he has obtained all the documents specified in Schedule 2. This refers to evidence of qualifications and right to work and keeping a record of all Protection of Vulnerable Adult checks carried out. 31/12/06 5. OP38 13 (3) The registered person shall make 31/12/06 suitable arrangements to prevent the spread of infection at the care home. This refers to the need to provide disposable paper towels in all communal bathrooms and toilets. 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 OP11 OP14 Good Practice Recommendations Residents’ wishes on death and dying should be recorded in the care plan; this will assist the home in treating the resident and their family with care, sensitivity and respect. The home should keep a record of all the residents meetings to ensure that residents are helped to exercise choice and control over their lives. The home should ensure that 50 of its care staff receives a minimum of NVQ 2 training. The home should arrange regular staff meetings and record the outcomes; this will ensure that staff have ample opportunity to affect the way in which the service is delivered. DS0000015451.V303931.R01.S.doc Version 5.2 Page 25 3. 4. OP28 OP32 Meteor Rest Home 5. OP36 All staff should receive supervision at least six times every year. Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Meteor Rest Home DS0000015451.V303931.R01.S.doc Version 5.2 Page 27 - 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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