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Inspection on 28/06/05 for Prince George Duke Of Kent Court

Also see our care home review for Prince George Duke Of Kent Court for more information

This inspection was carried out on 28th June 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has complied with all the requirements and recommendations identified during the previous inspection. The home provides a good quality care service to all its residents in a congenial setting. The home has a homely feel, is well maintained, decorated and furnished to a high standard; the communal areas are spacious light and airy, the garden is a lovely feature of the home and residents and their families and friends said how much they enjoyed the social events organised by the staff at the home. The activity programme is particularly good catering for a wide range of tastes and providing good quality entertainment for the residents The interaction between residents, relatives and staff was good and they related well to each other, the management and staff of the home are committed to providing good quality care and are sensitive to the individual needs of the residents. The assessment process is comprehensive and the care plans specific and personalised to the individual; making sure that personal and social care is delivered in such a way that the dignity, privacy, independence and choice of the resident is maintained at all times.

What has improved since the last inspection?

The home is in the process of improving bedrooms by providing en-suite facilities. The recruitment and selection of staff is ongoing and this process is ensuring that there is a better continuity of care as fewer agency staff are now needed.

What the care home could do better:

This home provides a good quality of care, delivered in a sensitive manner by a committed management and staff team. The comments made by the residents and relatives spoken to were all of a positive nature and all said that any concerns they have had were resolved sensitively and efficiently.

CARE HOMES FOR OLDER PEOPLE Prince George Duke of kent Shepherds Green Chislehurst Kent BR7 6PA Lead Inspector Sue Meaker Announced 28 June 2005 09.45 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 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. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Prince George Duke of Kent Address Shepherds Green Chislehurst Kent BR7 6PA 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) 020 8467 0081 0208 295 3526 Roayl Masonic Benevolent Institution Gillian Khalighi-Motamed Care Home with Nursing 78 Category(ies) of OP 78 registration, with number of places Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing notice issued 21st January 2000 2. 24 Beds for Nursing Care Date of last inspection 8th December 2004 Brief Description of the Service: Prince George Duke of Kent is a purpose built care home situated in Chislehurst in Kent The care home is operated by the Royal Masonic Benevolent Institution who provide a range of services to meet the needs of older Freemasons and their dependents; as well as offering practical support to people who prefer to remain in their own homes; care is also offered in homes and sheltered accommodation throughout England and Wales. Prince George Duke of Kent offers residential care to a wide range of older people, some simply choose this lifestyle for their later years, others may be unable to manage in their own home due to failing health or a need for help with some day to day activities. The home also offers nursing care for older people with specific medical conditions requiring treatment which needs to be provided under the direction of a Registered Nurse. .Prince George Duke of Kent was built in 1968 and is surrounded by gardens containing a large collection of rose bushes as well as many shrubs. A concrete path borders the garden, allowing residents with frames or wheelchairs to have unihibited access. Part of the lawn is laid out for putting, which is enjoyed by the residents and their families and friends. The home provides accommodation for fifty residents in single bed sitting rooms and four double rooms (for couples) in the residential part of the home; and there are twenty four beds for residents who require nursing care in the specialist nursing wing of the home. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Statutory Announced Inspection of Prince George Duke of Kent Residential and Nursing Home undertaken on the 28th June 2005; the inspection commenced at 9.30am and finished at 6.30pm. The inspection comprised of a comprehensive tour of the home; speaking to fourteen residents, five relatives and seven members of staff. All residents and relatives spoken to made positive comments about the home and said that they felt it was managed well and that the management and staff were committed to providing the best possible care. The GP was also present during the inspection and made some very positive comments about the home. Comment cards were received from two Care Managers and a Community psychiatric nurse, all of which were complimentary about the quality of care provided by the home. Nine care plans were inspected in detail, five from the residential wing and four from the nursing wing. Medication documentation was inspected and the administration of medication was observed. Seven personnel files were seen and checked, training files were inspected, as was supervision and appraisal documentation. The serving of lunch was observed during the inspection and some activities were also observed. This was a very satisfactory inspection and I would like t thank the residents, their relatives and the management and staff of the home for their valuable and constructive input into the inspection. What the service does well: The home has complied with all the requirements and recommendations identified during the previous inspection. The home provides a good quality care service to all its residents in a congenial setting. The home has a homely feel, is well maintained, decorated and furnished to a high standard; the communal areas are spacious light and airy, the garden is a lovely feature of the home and residents and their families and friends said how much they enjoyed the social events organised by the staff at the home. The activity programme is particularly good catering for a wide range of tastes and providing good quality entertainment for the residents The interaction between residents, relatives and staff was good and they related well to each other, the management and staff of the home are committed to providing good quality care and are sensitive to the individual needs of the residents. The assessment process is comprehensive and the Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 6 care plans specific and personalised to the individual; making sure that personal and social care is delivered in such a way that the dignity, privacy, independence and choice of the resident is maintained at all times. 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. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 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 standard(s) 1,2,3,4 and 5. The home provides the prospective residents with comprehensive information relating to how their assessed personal and social needs can be met; enabling them to make an informed decision about moving into the home. EVIDENCE: All prospective residents receive a Service User Guide incorporating the homes Statement of Purpose. Both of these documents are comprehensive and give all the information specified in the National Minimum Standards. A copy of the resident contract was seen, this document details the terms and conditions of admission to the home and the care provided, the accommodation and furniture and the food and any other personal requirements. A full holistic assessment is undertaken for each prospective resident, by a member of the homes’ management team, prior to admission and a copy of this assessment is kept on the residents’ personal file. Prospective service users and their family and friends are able to visit the home prior to admission and can then make an informed decision as to whether the home can meet their assessed personal and social needs; on speaking to residents and their relatives during the inspection they confirmed that they had visited the home, Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 9 spent the day meeting the management team, the staff and other residents. All residents and relatives spoken to stated that they felt fully involved in the pre admission process and that their wishes and preferences were considered. The home is also able to offer a trail period of four weeks for all prospective residents so that they are able to ascertain the suitability of the personal and social care provided a review is then held and a decision made to accept a permanent place at the home. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 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 standard(s) 7,8,9 and 10 Care plans were personalised and individualised to residents; promoting independence and choice respecting their dignity and privacy; enabling them to take risks and make decisions about maintaining their lifestyle. EVIDENCE: Nine care plans were looked at in detail, four from the nursing wing and five from the residential wing. Care plans seen clearly identified a specific need and the action required to meet that need, the care plans were reviewed on a monthly basis and updated when necessary. The staff also maintained daily records for each individual resident. A daily evaluation On speaking to residents and relatives it was evident that they were fully involved in the care planning process and that their choice was respected. The care plans seen on the nursing wing were comprehensive and gave clear guidance on the complex needs of the resident, ensuring that the appropriate risk assessments were in place therefore maintaining the health and safety of the individual. Some of the documentation relating to pressure area care was found to be incomplete for example to body map had not been completed and the photographs indistinct; these issues were discussed at the time of the inspection and steps are being taken to rectify these issues Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 11 Care plans seen on the residential wings accurately reflected the needs of the residents and clear guidance was available to enable staff to deliver a quality standard of care to their residents enabling them to maintain their chosen lifestyle within the home. The home has comprehensive policies and procedures relating to administration of medication; these documents are displayed on the medication trolley; designated staff confirmed that they had received training around the safe handling of medication. The MARS sheets were inspected on the residential unit and were completed accurately; medication was stored in locked facilities within a locked room, records of staff signatures were kept and each resident had a photograph on the MARS sheet. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 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 standard(s) 12,13 and 15 The residents are supported and encouraged to participate in activities so that they can maintain their chosen lifestyle within the home and the wider community. EVIDENCE: The home employs a full time activities co-ordinator, who manages the comprehensive activities programme with considerable input from the residents and their family and friends. During the inspection one of the gentleman residents was celebrating his 102 nd birthday; a drinks reception in the bare had been arranged for family and friends and a special lunch with a birthday cake had been organised in the dining room; it was evident that these type of celebrations were planned with great care and much appreciated by the residents. The home provides numerous activities within the home and grounds including, musical entertainment, tea dances, exercise classes and quizzes as well as golf putting and gardening; one resident on the nursing wing was dead-heading roses with the help of her daughter. The home has its own minibus, a group of volunteer drivers and day trips are organised by the activities co-ordinator with input from residents. The home has a well- stocked library; the home also provides computer lessons for residents and internet access is to be provided in the near future. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 13 The home has its own fully equipped hairdressing salon that is open three times each week. The home also has its own chapel and all residents are invited to attend the Sunday service, the chapel is also used for memorial services and is a quiet area for residents and their relatives and friends to use. It was evident during the inspection that family and friends were welcome to visit at any time and felt comfortable doing so; relatives spoken to said that they felt involved in the day to day operation of the home and that their views were sought and acted upon, and felt that the social events within the home were well planned and enjoyable. The home has good links with the local community and residents stated that they visited local Masonic lodges for social events. The home also has links with a local school whose pupils visit the home on a regular basis to chat to residents and participate in social events. During the inspection lunch was served in the dining room for the residents of the residential wings; the nursing wing has its own dining facilities. The dining room was large, light and airy with tables of four people; the tables were well set and the food was well presented. The home employs contract caterers and there are regular documented meetings about the menu and food provided; the catering committee comprises of the catering contractor the management of the home and a group of residents. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 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 standard(s) 16 and 18 The home has comprehensive systems in place to ensure that residents feel safe and protected in their chosen environment. EVIDENCE: The home has a comprehensive policy and procedure relating to complaints, of the residents and relatives spoken to all were aware of this document and stated that they had a copy; the service user guide contains a copy and one is also displayed in the foyer of the home. Since the last inspection there had been seven complaints, four of which were substantiated three partly substantiated; all complaints had been responded to within the twenty eight day specified timescale. It was noted that all complaints were correctly and comprehensively documented. The home has comprehensive policies and procedures relating to the Protection of Vulnerable Adults and complies with the London Borough of Bromley guidelines appertaining to these issues. All staff spoken to confirmed that they have received training relating to the Protection of Vulnerable Adults and are aware of the homes’ policy and procedure relating to “Whistle-Blowing”. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,24 and 26 The residents are provided with accommodation and facilities tailored to their personal and social needs thereby enabling them to maintain their chosen lifestyle. EVIDENCE: The home a spacious, light and airy, well-maintained and comfortable home for its residents; the home is decorated and furnished to a high standard throughout. The home is purpose built and caters extremely well to the needs of its residents; there is plenty of communal space, dining rooms, lounges, library, sun lounge, chapel and bar; the garden area is particularly attractive and well maintained and well used by the residents for social activities. The home has an ongoing maintenance, redecoration and refurbishment in place, and is in the process of converting bedrooms to include an en suite bathroom. The bedrooms seen were decorated and furnished to a high standard, many of the residents had brought their own furniture, ornaments and pictures for their rooms; one of the gentleman on the residential wing had a computer set up in his room and had also created space for his hobby of model making. All Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 16 residents spoken to were very happy with the standard of accommodation and said that they had enjoyed personalising their rooms and they were comfortable and settled in their environment. The nursing wing was well equipped and the bedrooms tailored to the individual needs of the residents, with height adjustable nursing beds, pressure relieving equipment without losing the homely ambience of the home. During the tour of the home it was noted that it was clean and tidy throughout and that there were no unpleasant odours in any part of the building; currently the home has contract cleaners and the home manager stated that this system works well and the high standard of cleanliness observed supported this statement. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 The management and staff of the home are competent and have the necessary skills to meet the needs of the residents; this is achieved by efficient and effective systems of recruitment, training and supervision. EVIDENCE: It was evident from the rotas seen that the home had maintained staffing levels to meet the assessed needs of the residents. Seven personnel files were inspected and found to comply with schedule 2 of the National Minimum Standards – Care Homes Regulations. The home has comprehensive policies and procedures relating to the recruitment and selection of staff, it was evident from inspecting the personnel files that these policies and procedures are strictly adhered to and that these processes take into account current equal opportunities legislation. Staff are issued with a contract stating the terms and conditions of their employment in the home, and they also receive a copy of the Code of Conduct and Practice set out by the General Social Care Council. The home has a comprehensive training programme with a designated budget; the induction programme is to TOPPS standards. Every member of staff has a “Training Passport” that identifies all training undertaken and salary scales are aligned to qualifications. After the TOPPS induction, staff undertake a six months foundation in care course before being put forward for NVQ 2 and 3 qualifications. Currently sixteen members of care staff have achieved NVQ awards and the programme is ongoing so that the home will be on target to meet the requirements of the National Minimum Standards within the set timescale. Specialised training around Prevention of Adult Abuse, Positive Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 18 Dementia Care and Mentoring are planned for 2005 and the home is hoping to offer Adaptation training for nurses from Greenwich University in the near future. Currently fourteen members of staff hold a First Aid Certificate. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36 and 38 The home benefits from efficient and effective management, financial and health and safety systems enabling the residents to feel safe and protected. EVIDENCE: The manager of the home is an experienced and has the appropriate qualifications to run the home effectively and efficiently, she is a qualified nurse and has undertaken the appropriate management qualifications, the CMS and the RMA. It was evident from observing the managers inaction with residents, relatives and staff that they felt comfortable in bringing any issues to the managers attention and that they were confident that they would be dealt with sensitively and efficiently and brought to a satisfactory conclusion. The home manager is supported by a team comprising of a deputy manager and assistant manager for the nursing wing, an deputy and assistant manager for the residential wing, business co-ordinators for catering and domestic services and a head of maintenance services. Staff meetings are held on a Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 20 regular basis and records are kept of every meeting – qualified nurses and managers meet monthly and care staff meet once every two months and there is a general staff meeting every six months. All staff are subject to six supervision sessions a year and a yearly appraisal, records showed that this did not always happen and the manager stated that this process is currently under review, and that training was currently being given to staff relating to supervision and appraisal. Regular audits are carried out in the home by the management team including care plans, medication, pressure care and accidents and incidents; the home complies with the Commissions regulation 26 and 37 requirements. Copies of the annual residents satisfaction survey and the soon to be introduced catering quality assurance survey were seen. From the information provided in the Pre-Inspection Questionnaire it was evident that the home complies with Health and Safety legislation as set out in the National Minimum Standards – Care Homes Regulations. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 3 Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 22 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. 2. 3. 4. 5. Refer to Standard 8 8 33 36 36 Good Practice Recommendations It is recommended that care be taken to complete all documentation relating to pressure care. It is recommended that the home provides, with the permission of the patient, distinct photographic evidence of pressure areas. It is recommended that the home advises the Commission of the outcomes of the Annual Residents Satisfaction Survey and the Catering Quality Assurance Survey. It is recommended that the management staff at the home undertake supervision and appraisal training. It is recommended that the home endeavours to provide all staff with at least six supervision sessions yearly and that these sessions are fully documented on the individual personnel files. Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 23 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Prince George Duke of kent G51G01s10152PrinceGeorge.v221330.28.6.2005stage4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!