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Inspection on 06/09/05 for St Joseph's Convent Nursing Home

Also see our care home review for St Joseph's Convent Nursing Home for more information

This inspection was carried out on 6th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Care plans and associated records were well documented and informative to enable staff to be clear about the needs of the service users and how those needs should be met. Recording within the care plans was thorough and meaningful. The standard of service provided by all staff within the home was very good and service users and relatives spoken to confirm that they were very happy living at St Joseph`s convent and felt the staff were `caring, polite and kind`. The home was decorated and maintained to a high standard, both inside and out. It was exceptionally clean, warm and bright. Recruitment and selection processes were robust and thorough to ensure the ongoing protection of the service users.

What has improved since the last inspection?

Since the last inspection 3 fridges had been replaced and a schedule of cleaning recorded and signed in the kitchen. Some staff photographs had been obtained and put onto the relevant staff file and a record of staff interviews had begun. In addition to this, a number of improvements had been made to the fabric of the Home. These were: new carpets, new flooring, redecoration, window repairs and plumbing of a new sink and vanity unit.

What the care home could do better:

Only one requirement and one recommendation were raised as a result of this inspection. Formal staff supervision did not take place and a requirement of this report is for staff to be appropriately supervised and a recommendation that supervision sessions take place six times per annum for each member of staff to enable them to have regular, dedicated, one to one time with their manager to address current and training issues.

CARE HOMES FOR OLDER PEOPLE St Josephs Convent Nursing Home Lichfield Road Stafford Staffordshire ST14 4LJ Lead Inspector Lynne Gammon Announced 6 September 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Josephs Convent Nursing Home Address Lichfield Road Stafford Staffordshire ST17 4LG 01785 251577 01785 223836 clunystaff@btinternet.com Sisters of St Joseph of Cluny 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) Mrs Frances Knight CRH 33 Category(ies) of OP - 12 registration, with number PD - 33 of places PD(E) - 33 TI - 3 St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) 33 Physical Disability (PD)- Minimum age 60 years on admission 2) All agreed policies and procedures to be submitted to NCSC within 3 months 3) All staff involved in the care of service users who are TI must receive appropriate training 4) The care home should employ a nurse who has achieved the Care of the Dying ENB 931 or university course K260 Death & Dying within 6 months Date of last inspection 1 December 04 Brief Description of the Service: St Joseph’s convent was converted as a nursing home and first registered in 1989. It is situated within walking distance of Stafford Town centre, with good road and rail links and located in extensive, well-tended gardens and grounds adjacent to a Catholic Parish Primary School, previously part of the convent. There is limited parking at both the front and rear of the building. Service users of any denomination are cared for and welcome to all the facilities offered by the Home. St Josephs convent emphasises the importance it places on individual and personal care provided by a professional team. The present certificate recognises the Home to care for: service users who are over 65 years of age but do not fall within the category of old age (33 beds), old age, not falling within any other category (12). There are three floors with a shaft lift facility and an exit ramp. The home has 33 single bedrooms, of which five are en-suite. There are no double rooms. The home is well suited to meet the needs of the stated categories of service users. Many rooms are well appointed, personalised, and some with views of the impressive garden; all are well equipped and pleasantly furnished. On the day of inspection there were 33 service users, and a number of relatives enjoying a relaxed visit. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 6th September 2005 at 9.15 am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 8 hours. The registered care manager, Mrs Frances Knight was present throughout the inspection, and the responsible person, Sister Yvonne Kelly was also at the home that day. Other staff on duty were: 2 trained members of staff and 5 care assistants on the early shift which increased to 7 at 9.00am, 2 trained staff and between 3 and 5 care assistants on the late shift and 1 trained staff and 2 care assistants on night duty. Other ancillary staff employed within the home were: an administrator/bursar, a clerical assistant, receptionists, 6 housekeeping staff, 3 catering staff, 3 catering assistants, 2 wash-up operatives, a maintenance person and a gardener. The home also employed a craftwork supervisor, an occupational health therapist and a physiotherapist on a part-time basis. On the day of the inspection, there were 33 service users living in the home and these staffing levels were satisfactory for the number of service users living within the home. The inspection included a tour of the building, inspection of records, observation and discussions with service users, relatives and staff. Since the last inspection on 1st December 2004, no complaints had been received by the home and the Commission had received no complaints nor any incidents or reports of abuse of any kind. No requirements or recommendations against the regulations and the minimum standards were outstanding from the last inspection report. The registered care manager carried out the pre-admission assessments and documentation showed that all needs were taken into account and confirmation given that those needs could be met. All prospective service users were able to visit the Home, prior to moving in to enable them to make an informed choice about the Home. Care plans were detailed and well documented and showed that health, personal and social care needs had been met very well. Service users confirmed that they were treated with dignity and respect and were complimentary about the high standard of care provided by the staff. The grounds of the home were beautiful and well tended with a number of areas for the service users to sit and enjoy the outdoors. The home was well maintained and safe for the service users and very clean. The lounge and St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 6 dining room were pleasant areas for the service users to enjoy and contained good quality furniture and fittings. The bedrooms were individually personalised and decorated to a good standard. Food was well presented, nutritious and varied. Formal staff supervision did not take place but annual appraisals were completed. The home appeared to be well managed and the ethos of the home was positive, open and transparent. Good recruitment systems were in place to safeguard service users. What the service does well: What has improved since the last inspection? What they could do better: Only one requirement and one recommendation were raised as a result of this inspection. Formal staff supervision did not take place and a requirement of this report is for staff to be appropriately supervised and a recommendation that supervision sessions take place six times per annum for each member of staff to enable them to have regular, dedicated, one to one time with their manager to address current and training issues. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 7 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. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5. The information about the home was clear and concise and used by prospective service users to help them choose the right home for them. Service users received a full assessment and a trial period was available to ensure the home could meet their needs. EVIDENCE: Questionnaires received from relatives and service users spoken to expressed their continued satisfaction with the home and the caring staff. One of the positive responses received from a relative was: ‘My wife has been in other homes but none more caring and with attention to detail than St. Joseph’s Convent Nursing Home’. The Statement of Purpose and Service User Guide were examined and found to be detailed, informative and user friendly. They contained all of the required elements plus photographs of: communal areas, the grounds, activity sessions, staff and particularly photographs of and comments from service users. The content of these documents exceeded requirements and the management are to be credited for providing such a comprehensive, information booklet to enable prospective service users to make an informed choice about where to live. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 10 Documentation evidenced that the registered care manager carried out in depth pre-admission assessments providing a thorough understanding of the needs of the individual. Service user’s relatives/representatives were also included in this procedure. Each service user and their relatives were informed prior to admission that the home had the capacity to meet their needs. Trial visits were available to all potential service users and their relatives at any time. A trial period of 4 weeks also enabled service users to decide if the home was right for them. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10. The care planning processes within the home were clear and concise providing adequate information for staff to meet the needs of the service users. Health care needs were met very well. Service users were treated with dignity and respect and their requests for privacy supported. EVIDENCE: All service users had care plans in place and two care plans were examined thoroughly and seen to be well written, meaningful and reflected the current condition of the service users. The documentation seen and a discussion with both service users and the registered care manager evidenced that health and personal care needs were being well met. Service users and relatives also contributed to the care plan and one entry from a relative stated ‘E has settled in the Convent since day one, he reacts to the staff being so kind’. All care plans and risk assessments were reviewed monthly and other health professionals including GP’s, clinical nurse specialists etc, had all been accessed when required, and these events were seen recorded. During the inspection it was observed that privacy and dignity were being afforded to service users during their interaction with staff. Staff were seen knocking on doors before entering. Service users told the inspector that they were treated with respect, and that the staff were very good and caring. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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. Social, religious and recreational opportunities were available to meet the expectations of the service users within the home. Visitors were welcomed in an open and friendly manner and service users were supported and encouraged to maintain contact with family and friends. Dietary needs of service users were catered for in very pleasant surroundings to meet a variety of individual needs. EVIDENCE: The home did not have an activities co-ordinator but a tutor from the local art college held a creative class twice per week and a progressive mobility therapist visited the home twice weekly to provide a range of games and fun activities to encourage mobility. Other activities included: visits from musical entertainers, a monthly library service providing books and tapes, a theatre group, the school fete, school concerts, other seasonal events such as a nativity play and day trips. Religious needs were also catered for and Daily Mass was celebrated by the Home’s own Roman Catholic Chaplain and a Church of England Vicar provided a monthly service. During the inspection, staff were observed welcoming relatives and friends of the service users. One relative commented in a completed questionnaire that ‘All the staff are friendly and helpful and look after visitors as well as patients’. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 13 Lunch was served during the inspection and appeared to be well presented, nutritious and balanced and a number of service users had a glass of wine or fruit juice with their lunch. A choice of menus was available and seen to provide a wholesome and varied selection of food. The cook was very knowledgeable about the needs of the service users and spoke to them on a regular basis to find out their likes and dislikes. She also informed the inspector that those service users on a soft diet had each individual food item pureed separately to make it as aesthetically pleasing as possible. Staff were seen to offer discreet assistance to those who required it in their rooms. Catering standards were very good and all the documentation regarding food probe temperatures and fridge and freezer temperatures were seen to be upto-date and correct. Food storage areas were clean, tidy and well stocked. Service users spoken to were extremely complimentary about the food and the cook. The kitchen and dining room were exceptionally clean and the dining room was as stated in the Service User Guide as ‘elegant’ and ‘overlooking the garden’. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 Complaints were listened to and resolved to the satisfaction of the complainant. The home’s policies, procedures and induction training protected service users from aspects of abuse. EVIDENCE: The Commission had received no formal complaints since the last inspection and none had been received by the home over the last 12 months. The complaints procedure was observed in the hallway of the home and in the Service User Guide for the benefit of service users and visitors alike. Minor grumbles were received by the registered care manager and resolved at a local level to the satisfaction of the service users. The home had an Adult Protection procedure, and abuse awareness training was included as part of the induction period for all new staff. No allegations or incidents of abuse had been received by the Home or the Commission. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 location and layout of the home was suitable and safe to meet individual service user needs. Indoor and outdoor communal facilities were accessible, maintained to a high standard and clean, bright and comfortable. Service user’s bedrooms were homely, personalised and well maintained. The home was spotlessly clean throughout, which contributed to the overall control of infection. EVIDENCE: The location and layout of the home was well suited for the service users, close to the town centre of Stafford, surrounded by beautiful, well-tended gardens. The home was very well maintained both externally and internally. A number of improvements were documented as having been completed or due to be carried out. Work that had taken place included: new carpets, new flooring, redecoration, window repairs and plumbing of a new sink and vanity unit. There were adequate communal areas for the service users; the lounge and dining room were decorated to a high standard, bright, homely and very clean. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 16 The furniture and fittings were of good quality, and contributed to an overall pleasant and relaxing ambience within the home. The gardens were well-maintained and provided a number of areas where service users could sit, which were also accessible for wheelchair users. Individual bedrooms were decorated and maintained to a high standard. Each room contained a variety of personal items and furniture belonging to the individual service user. Only 5 rooms had en-suite facilities but all were clean, homely and bright. All radiators were guarded, adequate lighting and electrical sockets were in place and smoke detectors were fitted in each room. Service users were very complimentary about the home and their bedrooms. One service user told the inspector that ‘One of the things I like about this home is that it is very clean and there is no smell’. Laundry facilities were inspected and found to be well organised, clean and hygienic. Soiled linen was contained within appropriate, easily identifiable, red bags and held separately from other laundry. Foul laundry was washed at the appropriate temperatures to ensure it was thoroughly clean and to control the risk of infection. The home itself was free from malodour and extremely clean. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 and 29. The assessed needs of service users were met by an adequate number of suitably trained staff. Staff files and recruitment procedures were robust and contributed to the on-going protection of the service users. EVIDENCE: On the day of the inspection, there were 33 service users living in the home. The daily staff coverage showed an adequate mix of qualifications, skills and numbers to meet the needs of the service users as follows: 08.00 – 14.00 14.00 – 20.00 20.00 – 08.00 2 trained nurses 2 trained nurses 1trained nurse plus 5 care assistants (at 09.00 hrs care assistants increased to 7) plus 4 care assistants (reduced to 3 at 15.00 hrs and increased to 5 at 17.00hrs) plus 2 care assistants The registered care manager confirmed that another RGN had been appointed and was awaiting Criminal Record checks to be cleared and references to be obtained before employment could commence. Other ancillary staff employed within the home were: an administrator/bursar, a clerical assistant, receptionists, 6 housekeeping staff, 3 catering staff, 3 catering assistants, 2 wash-up operatives, a maintenance person and a gardener. The home also employed a craftwork supervisor, an occupational health therapist and a physiotherapist on a part-time basis. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 18 St. Joseph’s convent nursing home had a robust recruitment procedure that ensured their staff were suitable to work with vulnerable people. Staff files examined showed that thorough pre-employment checks were carried out. Criminal Records checks had been undertaken and two references obtained in all instances with photographs of individual members of staff and proofs of their identity held on their staff file. A formal interview record had also been recorded on some applications. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 and 36 The home was run and managed by a competent, experienced professional. There was an open and positive atmosphere within the home for the benefit of the service users. Annual appraisals for staff took place and were recorded but formal supervision sessions for staff needed to be implemented. EVIDENCE: The registered care manager, Frances Knight was an experienced and qualified nurse, a competent, and professional person entirely committed to providing a high standard of quality care for the service users in the home. Sister Yvonne Kelly was the registered responsible individual for the overall administration and financial management of the home and worked in partnership with the registered care manager to maintain a high standard of service. The Commission received a significant number of completed questionnaires from both service users and relatives regarding the standard of care at St Joseph’s convent nursing home. The comments within some of these, discussions with service users and relatives, and direct observation evidenced St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 20 that the style of management within the home promoted an open and positive atmosphere which created a ‘home from home’ environment for those who lived there. Although records were not inspected, it was confirmed that formal staff supervision sessions were completed for Care Assistants and this needed to be developed to incorporate all staff. A discussion took place regarding the format of the supervision documentation and it is a requirement of this report that staff have regular, documented, one-to-one meetings with their line manager and a recommendation of this report that these sessions take place at least 6 times per annum for care staff. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 4 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 4 4 x x x 3 x 4 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 4 x x x 2 x x St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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 OP 36 Regulation 18 (2) Requirement For all staff to receive appropriate supervision. Timescale for action 09/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP 36 Good Practice Recommendations Formal supervision sessions for staff to take place 6 times per annum. St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 St Josephs Convent Nursing Home E51-E09 S22371 St Josephs V241360 060905 Stage 4.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. 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