Inspection on 31/05/07 for Omega Oak Barn

This inspection was carried out on 31st May 2007.

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 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

Omega Oak Barn 06/06/06

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Omega Oak Barn High Lane Beadlam York North Yorkshire YO62 7SY Lead Inspector Pauline O`Rourke Key Unannounced Inspection 31st May 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000066075.V339088.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. DS0000066075.V339088.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Omega Oak Barn Address High Lane Beadlam York North Yorkshire YO62 7SY 01439 771254 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) ts.bower@yahoo.co.uk Mr Timothy John Bower Mrs Susan Katharine Bower Ms Karen Louise Abrahams Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places DS0000066075.V339088.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category Code OP. The maximum number of service users who can be accommodated is 19. 6th June 2006 2. Date of last inspection Brief Description of the Service: Omega Oak Barn is registered to provide residential accommodation and care to 19 older people. It is owned by Mr and Mrs Bower and managed by Ms Karen Abrahams. Omega Oak Barn is an adapted building with a single storey purpose-built extension. It has gardens to all sides. The main entrance doors give level access. It is situated in the village of Beadlam. Public transport passes the end of the lane and gives access to the nearby towns of Helmsley, Kirbymoorside and Pickering. Part of the original building was on two levels but with all bedrooms, communal areas and services on the ground floor. The upper floor provides office and staff accommodation. A number of bedrooms have en-suite facilities. Sufficient communal facilities are available. Information about the service offered is in the format of a Service User Guide that is made available to people in the home. A copy of this report will be included when published. These documents are kept in communal areas of the home. The fee level advised on 31st May 2007 was from 329.5 to £380 per week depending on assessed needs. The fee does not cover private items, hairdressing, chiropody, or any external activities. DS0000066075.V339088.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment, identified in the report as an AQAA. A visit to the home carried out by one inspector that lasted for three and a half hours. During the visit to the home five residents, five staff and two visitors and a care manager were spoken with. Care records relating to three people, three staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Omega Oak Barn for the people living there. The assistant manager and Mrs Bower were available to assist throughout the visit and for feedback at the close. What the service does well: People were happy and well cared for. One person said “I’ve lived here for eight years and it suits my needs.’’ Another commented “I’m quite happy here. I have everything I need.” A social care professional stated “feel a more professional service is now offered and the team I work for has a lot of confidence in the care they provide.” The care planning system ensures that staff were adequately provided with the information needed so that they can meet peoples’ needs. Peoples’ health needs were met and evidence was seen to show that the home worked well with other agencies. Personal support was offered in a manner that protected and maintained peoples’ privacy and dignity. A person said, “The girls always treat me well”. The opportunities for social activities and interaction inside and outside the home had improved, increasing and enhancing the life experiences of people. People felt the regular exercise classes were of benefit. The meals in the home were good offering people both choice and variety and catering for special DS0000066075.V339088.R01.S.doc Version 5.2 Page 6 dietary needs. Comments were received from people about the freshly cooked meals such as, “meals are very nice.” and “the food is very good”’ People have access to a complaints procedure. Everyone spoken with said that they would tell Karen if they were worried or upset. Staff are aware of protecting vulnerable adults. The manager ensures all staff are thoroughly checked before they start work to make sure they are suitable to work with vulnerable adults. People are provided with a comfortable, safe and well-managed home in which to live. What has improved since the last inspection? What they could do better: During the visit several items were found that could be improved: • • Currently only those people who are self-funding have to sign a contract with the home. This should be extended to all the people who live at Omega Oak Barn irrespective of who funds the placement. There were three errors in the administration of medicines records for May. On two occasions it could not be determined if medication had DS0000066075.V339088.R01.S.doc Version 5.2 Page 7 • • • been given or not because the record was blank. On another occasion sticking white paper over the writing had altered the record. Whilst the medication can be audited to ensure it is being given staff must make sure the records are an accurate reflection of what has been given. The staff are recording all accidents but they are not reporting all of those to the Commission of Social care Inspection that require attention from any of the emergency services. People who live at the home have a care plan that describes the help and support they require. These documents should be reviewed every month. At the time of the visit this was not happening. Care staff should receive supervision at least six times a year and should begin as soon as is possible. Whilst these improvements have been identified at this visit, Mrs Bower and Ms Abrahams have their own improvement plan for the home. This covers some but not all of these points. The points highlighted as needing improvement as a result of this visit do not detract from the overall care received by the people living at Omega Oak Barn. 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. DS0000066075.V339088.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 DS0000066075.V339088.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): 2 and 3. Standard 6 does not apply. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Details of people’s needs are gathered and recorded prior to them being admitted to the home in order that they can be assured that their needs will be met. EVIDENCE: The Statement of Purpose and Service User Guide were on display and freely available. All enquiries are encouraged and time can be spent looking around the home and discussing concerns with either Mrs Bower, or Karen Abrahams. Three peoples records were seen and they contained assessment information from which an initial care plan was drawn up prior to any admission. The registered manager had done the assessments. The manager also undertook a visit to the person in their present location for example, their own home or hospital. DS0000066075.V339088.R01.S.doc Version 5.2 Page 10 Alternatively care managers and/or relatives could bring the person to the home and they could be assessed at that time. The first four weeks of any stay are seen as a further opportunity to carry out assessments and for both parties to decide whether the placement is appropriate. People are issued with a contract of residence unless a local authority funds them. Everyone who lives at Omega Oak Barn should have this contract. A visiting care manager said, “I feel service users are better assessed and their needs better known before admission. There is a lot of confidence at the local hospital that the staff can meet their needs.” The home does not provide intermediate care. See Statutory Requirement No 1. DS0000066075.V339088.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 and 10. People who use the service experience good, quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s healthcare needs are met safely in a way that promotes their dignity and respect. EVIDENCE: The three case files seen contained a detailed care plan. These were pertinent to the individual and contained where necessary a risk assessment. People spoken with were aware that there was something written down and that the manager or assistant manager came to discuss them on a regular basis. Staff spoken with were aware of these plans and understood their role in them. They are reviewed every two months. Staff keep a daily log of what has happened for each individual. Evidence was available in the persons file to show that they accessed the GP, district nurse, chiropodist and other health professionals as required. One person spoken with said that if they requested to see their GP then staff would DS0000066075.V339088.R01.S.doc Version 5.2 Page 12 arrange that for them. A community psychiatric nurse also supports several people and relevant risk assessments are in their files. There was a medication policy in place. All staff that administer medication have undertaken or are in the process of completing a distance-learning course in the safe handling of medicines. Staff spoken with said that they now felt they had more confidence to administer medication. Medication is stored in the person’s own room. It is locked in a small safe in the wardrobe and keys are kept available to allow access. Only one person manages their own tablets and an appropriate risk assessment was in their file. The administration record was seen and there were three errors found in the month of May. These were discussed with the deputy manager. It was clear from the other records this was not usual practice. Systems are in place to audit the medication. People said that their care was provided in a way that was sensitive to their need for privacy and dignity. During the visit time was spent observing the peoples interactions and staff were seen to be sensitive and respectful with everyone. People also said ‘staff are quite respectful’ ‘girls are very good’ ‘they are quire imaginative if you ask them for anything’ See Statutory requirement No 2 See recommendation No 1. DS0000066075.V339088.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 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are satisfied with the lifestyle that they experience. EVIDENCE: The range of social and leisure time activities has been widened and improved. A weekly programme of activities is displayed in the communal areas. The staff are expected to spend time with people and either engage them in an activity or talk with them. People spoken with said that they enjoyed the activities available and these include; dominoes, bingo, pampering sessions, quoits, quizzes, arts and crafts, film afternoons, outings to local places of interest and the local library delivers a monthly selection of books. Several people said that they had enjoyed a game of dominoes the previous day. Staff spoken with said that they now had more time to spend with people either in a group activity or on a one-to-one basis. People received unrestricted visitors. They were enabled to use local facilities and amenities and outdoor activities were regularly organised. Good use was made of the grounds to the home provided with chairs, tables and a sun DS0000066075.V339088.R01.S.doc Version 5.2 Page 14 house. However there is no visitors’ policy in place and it is recommended that one be developed so that if people decline visitors the staff know to support them in their decisions. People said they were free to use their rooms at anytime and to organise their day as they wished. One person said, “I get up and go to bed when I want and can choose whether to join the activities. Some I do, some I don’t.” The menus are planned monthly and are flexible enough to include seasonal foods. There are three cooks and they discuss what should be on the menu with advice sought from people through their regular meetings. The only specialist diet catered for at this time is for someone who is a vegetarian. The cooks are knowledgeable about peoples’ likes and dislikes and incorporate changes on a daily menu if required. An alternative is offered rather than a direct choice. Fresh ingredients are delivered twice a week and the meat once a month, all from local suppliers. People spoken to about the meals said ‘meals are very nice’ and ‘the food is very good.’ The mealtime observed was relaxed and unhurried, staff provided appropriate assistance and the meal was well presented. DS0000066075.V339088.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 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were protected from abuse and had confidence their concerns would be listened to and acted upon EVIDENCE: A complaints procedure is included in the Statement of Purpose and Service Users’ Guide. A copy was on display in the entrance hall. The procedure gave the necessary information to ensure complaints would be dealt with appropriately. None had been received or recorded since the new providers had taken over. A forum also gives people the opportunity to raise issues within the home without making a formal complaint. People spoken with said they had confidence in the manager and felt she would take any concerns seriously. A copy of the updated multi-agency agreement on the protection of vulnerable adults was available in the home together with other relevant documents. Staff spoken with were aware of their responsibilities under this policy. Staff were also knowledgeable about the Whistle blowing policy. The home’s recruitment procedure had been improved to ensure the protection of service users through the obtaining of written references and enhanced disclosures from the Criminal Records Bureau. DS0000066075.V339088.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 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a pleasant, homely and safe environment. EVIDENCE: A tour of the premises together with visits to a number of bedrooms during the visit confirmed the home was clean, tidy and odour free. Communal areas were light, airy and furnished in a domestic style. Bedrooms were for single occupancy and gave good space for freedom of movement. All were personalised according to the wishes of the occupant. Since the last visit two cleaners have been appointed and people said that they had made a big difference to the cleanliness of the home. A member of the domestic staff spoken with said that they had the equipment they needed to do their job. She also said that the owners tried to get any equipment she required. The DS0000066075.V339088.R01.S.doc Version 5.2 Page 17 garden areas of the property are accessible to everyone and there is a summerhouse for use in the warmer weather. There was a small laundry together with an ironing room. Proper attention was given to infection control and the elimination of cross contamination. In discussion with staff it was evident good procedures were in place for the laundering, ironing and return of bedding, linen, towels and personal clothing. Mr and Mrs Bower have started on a major refurbishment of the whole property. They have just installed new baths and are waiting for the fitters to install a new kitchen. Plans have also been drawn up to increase the size of the building and the occupancy. Part of these plans are to increase the number of ensuite bedrooms available and to level the areas in the building that are stepped and don’t allow for easy access to all parts of the building. During the refurbishment all the carpets are to be replaced. Soft furnishings are in the process of being replaced. DS0000066075.V339088.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 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff who have been rigorously checked prior to commencing their employment and who can access appropriate training to enable them to do their job support the people in the home. EVIDENCE: The staffing levels in the home have increased since the last visit. Three cooks and two cleaners have been employed freeing up time for the carers to spend with people in the home. There are also two members of night staff on duty. This is in addition to the manager, deputy manager and Mrs Bower. Staff spoken with said ‘there were enough staff to do the jobs required’. ‘The changes introduced by the new owners have been for the better and we get to spend more time with people especially in the afternoon’. People in the home said that ‘the staff now have more time to spend with us as they don’t have to cook or clean anymore’. Staff spoken with said that they work well together as a team and many of the staff did several jobs within the home such as cook/carer, carer/domestic The recruitment and selection process is rigorous and the three staff records seen contained application forms, a Criminal Records Bureau disclosure and DS0000066075.V339088.R01.S.doc Version 5.2 Page 19 two references. Information relating to the interview were also kept in the staff files. Some records of training were seen in the files. Staff training has usually been in-house and the manager is now getting more external training organised. Several members of staff have been registered on a level two National Vocational Qualification in Care. Staff employed since the last visit have this qualification. There are also training videos available for staff to take home and watch. These cover a range of issues, such as fire safety, manual handling and first aid. In discussion with the deputy manger and Mrs Bowers it was recommended that they look at doing a group session with these videos and asking questions about them afterwards. Mrs Bowers said that the manager is working hard to identify appropriate training courses for the staff. DS0000066075.V339088.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 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home where the administration of the home is based on openness and respect. This allows the residents to retain their individuality and independence EVIDENCE: Since the last visit Karen Abrahams has been appointed as the registered manager. She is a registered nurse and has management experience. A deputy manager who is also a registered nurse with management experience supports Karen. Staff spoken with said that Karen was approachable and had an open door policy. One member of staff said Karen was ‘lovely’ and ‘would feel confident taking concerns to her’ ‘ she always responds quickly when DS0000066075.V339088.R01.S.doc Version 5.2 Page 21 concerns are expressed about people in the home’. People spoken with in the home said that she was very nice and spent time with them everyday. A quality assurance policy was detailed in the information given on the home. A series of quality statements had been made together with the actions to be taken to achieve those standards. Statements on Residents’ Rights and the overall Aims and Objectives of the home supported these. Residents’ meetings now take place regularly. At the last visit the registered providers were proposing to send out a general questionnaire as the next step in obtaining views on the overall service offered in the home, this has not happened yet. Staff meetings happen approximately every two months and these are an opportunity for both the staff and managers to discuss what is going on in the home. Staff currently receive informal supervision on a daily basis and there are plans to introduce formal supervision. These plans were outlined in the staff meeting minutes. A discussion was held with the deputy manager about the purpose and intent of supervision. Where possible money is held by the person concerned and/or their representative. However the facility for money to be held in the office is available. Where money is held in the office for people the records were found to be accurate and up to date. All the working practices within the home are safe and staff keep accurate accident records. However none of the accidents that involved a person going to hospital or the involvement of any of the emergency services are reported to the Commission of Social Care Inspection. Staff have received training in the health and safety procedures and all the policies are read by the staff. The records relating to health and safety issues that were seen during the visit were up to date See Statutory Requirement No 3 See Recommendation No 2. DS0000066075.V339088.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 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 DS0000066075.V339088.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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(1)(c) Requirement People who live in the home must have personalised information about the fees and terms and conditions under which they specifically are provided with accommodation. Manuscript errors if corrected should not be obscured or concealed but be left to lie on the face of the administration records of the medication. Where medication is not given then the record must be coded correctly, spaces must not be left in the records. 3 OP38 37 All incidents and accidents where the emergency services are involved should be reported to the Commission. 31/05/07 Timescale for action 31/07/07 2 OP9 13(2) 31/05/07 DS0000066075.V339088.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP36 Good Practice Recommendations All care plans should be reviewed monthly. All care staff should receive formal supervision at least six times a year. DS0000066075.V339088.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 DS0000066075.V339088.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!