Inspection on 29/02/08 for Oakhill House

This is the latest available inspection report for this service, carried out on 29th February 2008.

CSCI found this care home to be providing an Good service.

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

Oakhill House 15/09/05

Oakhill House 31/01/05

Oakhill House 05/01/05

Oakhill House 10/09/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Oakhill House Eady Close Highlands Road Horsham West Sussex RH13 5NA Lead Inspector Elizabeth Dudley Unannounced Inspection 10:00a 29 February 2008 th 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 Oakhill House DS0000024183.V359616.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. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakhill House Address Eady Close Highlands Road Horsham West Sussex RH13 5NA 01403 260801 01403 264972 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) www.bupa.com BUPA Care Homes (BNH) Ltd vacant post Care Home 47 Category(ies) of Dementia - over 65 years of age (47), Old age, registration, with number not falling within any other category (47) of places Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Old Age, not falling within any other category (OP) x 47 male and female. Dementia - over 65 years of age (DE(E)) x 47 male and female. The total number of persons accommodated should not exceed 47 of either sex. No service users under the age of 65 may be admitted. Date of last inspection 6th November 2006 Brief Description of the Service: Oakhill House is a care home registered to provide nursing care for up to 47 residents over the age of sixty-five with dementia. The premises were purpose built and are located in a residential area of Horsham. Accommodation is provided on ground and first floor level. 43 rooms are for single occupancy, 2 rooms are double. 35 of the rooms have en-suite facilities. A shaft lift is provided. Communal lounges and dining areas can be found on both floors. There is also a garden lounge and an activities room on the ground floor. The service is owned by BUPA Care Homes Limited, the responsible individual on behalf of the organisation is Mr Stuart Pendlebury. The appointed manager is Ms J Marquis. Conditions of registration will be reviewed by the South East Registration Team as part of the ‘Modernising Registration Agenda’. The CSCI was advised that the current fees for the home on the 29th February 2008 range from £549 to £1200 per week. Fees for services such as chiropody and hairdressing are charged separately and current rates are available from the home. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on the 29th February 2008, over a period of seven and a half hours, and was facilitated by the appointed manager Ms J Marquis. The judgements made at this inspection were formed from discussions with visitors, residents and staff, a tour of the home and examination of documentation in the home. Documentation examined included care plans, medication records, personnel and training records, menus and health and safety files. All residents were seen and spoken with, with four spoken with in depth. Three visitors to the home gave their views on the care and services provided. Ten surveys had been sent out to residents and relatives prior to the inspection but these had not been received back in sufficient time to inform the inspection report. The CSCI requires the provider or manager to complete an Annual Quality Assurance Assessment prior to the inspection. This was returned at the required time and gave accurate information about the home. Residents spoken with said “ The staff are lovely, the food is good”. “ The staff are my friends, they will do anything for me” “ The food is very good and there are sufficient activities provided, there is always something to fill my time” “ I was worried about coming into a home but I am so glad I came, I have met some charming people”. One visitor spoken with said that they visited both day and evening and found that they were made very welcome at any time and that the ‘ high standard of care and attention given to residents never varies’. What the service does well: The service provides nursing care to up to forty-seven older people with mental health needs. Sufficient information is provided to prospective residents to allow them to make a decision about whether they wish to live at the home. The manager Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 6 also visits prospective residents and a comprehensive assessment takes place, which ensures that the home can meet their needs. The standard of care planning is generally good and is person centred therefore ensuring that the care given meets the residents needs and personal preferences. Staff demonstrated that they had a good understanding of each individual in the home. The home offers a range of activities provided by two full time activities coordinators. These include outings to places of interest in the home’s minibus and include one to one sessions for those unable to leave their rooms. Residents were enthusiastic about the food offered. There is a varied menu with four choices at each meal, and the chef said that he would always make up different food ‘ on request’. One resident was very pleased that the chef had made couscous following him requesting this. The home is clean and pleasantly decorated, with the kitchen area being exceptionally clean. Gardens are easily accessible and the manager is in the process of planning a sensory garden. What has improved since the last inspection? What they could do better: Although care planning is generally good, staff must ensure that the care plans are reviewed at intervals directed by the standard and that if a key worker is away that care planning is continued by another member of staff. Due to the manager only recently taking up post, formal supervision of staff has lapsed. The manager stated that this would recommence. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 7 The BUPA adult safeguarding procedure does not conform to the reporting guidelines set out in the ‘Multi Agency Guidelines’ and this should be amended. The home employs eleven registered nurses on a full or part time basis. The majority of these are registered general nurses and efforts to employ registered mental health nurses should be made or arrangements be made to ensure that the current staff have Nursing and Midwifery Council approved training in caring for people with mental health needs. No requirements have been made on this inspection as the manager has given assurances that any issues found will be addressed. These are set out in the main body and at the end of the report and will be examined at the next inspection. 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. Oakhill House DS0000024183.V359616.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 Oakhill House DS0000024183.V359616.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): 1,2,3,4,5,6. People who use the service experience good quality outcomes in this area. Prospective residents receive sufficient information to allow them to make a decision over whether the home can meet their needs and expectations. A thorough pre admission assessment gives residents confidence that staff will be aware of their needs and able to give appropriate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service user guide have been reviewed to reflect current management changes within the home. The Service User Guide is undergoing further changes and review to adapt it to the needs of the residents in the home. Copies of these documents and a copy of the Terms and Conditions of residence and contract are given to prospective residents Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 10 prior to their admission to the home. All documents comply with the regulations. The home manager assesses prospective residents to ensure that the home can meet their needs and expectations and visits to the home prior to admission are encouraged. Three samples of the preadmission assessments were seen and these were comprehensive, including assessments of both the physical and mental health care needs of the residents and form the basis of the care plan. The home accepts residents for continuing care from the Primary Health Care Trust, but does not admit residents for intermediate care. Oakhill House DS0000024183.V359616.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): 7,8,9,10,11. People who use the service experience good quality outcomes in this area Whilst care plans have not always been reviewed at intervals directed by the standards and residents have not always been involved in the care planning process, the standard of care planning in place ensures that residents receive the care that they require. The standard of medication administration safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection four (9 ) of the care plans were examined. The standard of care planning was generally good and are person centred, but there was evidence that care plans had not been reviewed at intervals directed by the National Minimum Standards and few had been reviewed or formed following consultation with either the resident or their representative. Information on the progression of a wound had not been included in one care plan, and care planning for a chronic condition was not in place in another. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 12 Instructions regarding end of life care and advance directives had not been continued into the appropriate part of the care plan which could result in resident’s wishes not been followed. Care plans contained appropriate risk assessments but these must be reviewed in line with the care plans. Some care plans did not adequately reflect what type of event would trigger the mental health needs and behaviour of the residents and this should be explored fully in the care plans. Nutritional care plans are in place and there was evidence of regular weighing of residents. Care planning around social activities requires expanding. The information in the care plans was comprehensive and generally gave clear instructions to the staff on the care to be given. Residents can keep their own General Practitioner if within the area, and whilst there was evidence of specialist mental health involvement, there was no evidence of specialist nurses such as tissue viability nurses being involved with residents. On the day of the inspection staff were receiving updating in wound care. It is recommended that the home involves staff with tissue viability programmes at the local hospital and arranges for visits by a specialist nurse. Nursing care given to residents appeared to be of a good standard. Residents nursed in bed were comfortable and there was evidence of appropriate nursing intervention Staff were seen to be interacting with residents in a manner, which upheld the dignity of the resident and were communicating with the residents in an appropriate manner. Residents spoken with said that the staff were very good, courteous and polite and ensured that their needs were met. The standard of medication administration was good and all medications were correctly stored and there was evidence of audit. The recording and administration of controlled drugs met the regulations. Their was evidence that staff had knowledge of the needs of the residents who were coming to the end of their lives, although the Liverpool Care Pathway and Gold Standards Framework ( Nursing tools to ensure that people are kept pain free and receive end of life care) are not currently in use, the manager stated that this is planned for the coming year. Oakhill House DS0000024183.V359616.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): 12,13,14,15. People who use the service experience excellent quality outcomes in this area The quality of life afforded to residents is good, with a variety of activities provided which are tailored to the varying interests of the residents. Food is nutritious, well presented and served in good size quantities and special diets are catered for This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents can take part in a variety of activities planned by the home, including arts and crafts, quizzes, newspaper discussion, one to one conversation and outings in the home’s minibus. Two full time activities coordinators are employed and activities are planned on a weekly basis with a programme of these displayed. Whilst records are kept of residents’ participation in activities, care planning in this area requires expanding. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 14 There is an open visiting policy and visitors spoken with said that they had visited at all times of day and evening and were always made welcome. There is a communion service held monthly and there are links with ministers of the various churches, who visit the home at regular intervals. Residents are able to make choices about the way they spend their days and can decide on their times of rising and retiring. Their preferred choices of rising and retiring should be added to the care plans. The standard of catering is good, there were choices of menu at all meals and breakfast time is varied according to the needs of the residents. The cook was knowledgeable about different diets and said he will provide things that are not on the menu for those who wish it. A “ Nite Bite” menu is in place and this allows residents to choose from a variety of snacks during the night. Food, including pureed meals, was well presented, and was provided in good quantities. There was evidence of fresh fruit and vegetables being made available to residents and used in cooking. The majority of residents need some degree of assistance with their meals and staff were observed giving this in an empathetic manner and allowing residents to take their time. The kitchen was exceptionally clean and all records as required by the Environmental Health Authority were in place. Oakhill House DS0000024183.V359616.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): 16,18 People who use the service experience good quality outcomes in this area. Residents are comfortable with making a complaint and are confident that it will be dealt with in an open and transparent manner. Staff are aware of their responsibilities in safeguarding those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed in the home and included in the Service User Guide. Seven complaints have been received over the past 12 months of which 86 resolved within 28 days, four of these were substantiated and actions put in place to prevent reoccurrence. Records were in place identifying the actions taken on both complaints and concerns. There has been one adult safeguarding issue, which was referred to the appropriate authorities and dealt with by the home. The company abuse policy does not follow the reporting protocols of the multi agency guidelines and this should be amended. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 16 A programme of adult safeguarding training update has recently been put in place, and staff spoken with were aware of their responsibilities towards those in their care. Residents were aware of how to make a complaint and were confident that their complaints would be dealt with in an open and fair manner. One relative said that they had voiced minor concerns, which had been dealt with immediately and appropriately. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 17 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): 21,22,23,24,25,26. People who use the service experience good quality outcomes in this area Residents live in a safe, clean and well -maintained home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and has sufficient communal space for the residents in the home. Gardens are well maintained and accessible and there are plans to add a sensory garden. The home was generally well maintained and decorated, residents rooms were comfortable and made homely by residents own possessions. Some furnishings in the lounge area were looking ‘tired’ and in need of replacement, the manager said that there is a programme in place to replace furniture. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 18 Resident’s accommodation is over two floors, the ground floor accommodating the majority of the residents, with thirteen residents accommodated on the first floor. Residents’ rooms were comfortable and made homely by residents own possessions. All rooms have a lockable drawer and locks on doors can be provided under the guidelines of individual risk assessment. The rooms on the first floor do not have ensuite bathrooms, although there are two assisted bathrooms on that floor. Discussions were held with the manager about leaving one of the bathrooms unlocked to provide additional toilet facilities for residents. One of the toilet seats in a bathroom was broken the manager said this had only just happened and gave assurances that this would be mended. Assisted bathrooms are provided throughout the home, one of these bathrooms is used as a storage area, discussions were held with the manager regarding this. There was evidence that the temperature of water to resident’s outlets is monitored; records showed that these were within recommended parameters. Window restrictors were in place in all rooms above ground floor level. All areas of the home are served by a shaft lift, and there was evidence of aids and equipment to maximise resident’s independence. Variable height nursing beds have been purchased for residents’ rooms and there were sufficient hoists and other moving and handling equipment. Infection control policies are in place; there were some personal toiletries and towels left in bathrooms, which could impact, on both infection control and residents’ choice. This was discussed with the manager who gave assurances that they would be removed. Whilst all areas of the home were clean and free from odours, the kitchen areas were exceptionally clean and staff are commended for this. There is a separate laundry with its own staff and laundry services were satisfactory. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30. People who use the service experience good quality outcomes in this area There are sufficient staff on duty to meet the needs and expectations of the residents. The majority of the registered nurses employed by the home are registered general nurses and as such may not have in depth knowledge of the mental health conditions affecting the residents in the home. Robust recruitment systems safeguard the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Duty rotas and discussions with staff showed that there are sufficient staff on duty over a twenty-four hour period to ensure that the assessed needs of the residents are met. The manager said that she could increase staffing levels if the needs of the residents increase. Staff turnover increased over the past few months but has since stabilised and new staff have been recruited. Few agency staff have been used. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 20 The home employs eleven registered nurses on a full or part time basis. The majority of these are registered general nurses and efforts to employ registered mental health nurses should be made or arrangements be made to ensure that the current staff have Nursing and Midwifery council approved training in caring for people with mental health needs. The manager is a registered mental health nurse and the deputy manager has general and mental health care registration. Five (22 ) of the care staff have the National Vocational Qualification level 2 or 3 in care. Care staff undertake the BUPA induction course on commencing employment and this leads into the nationally recognised skills for care course. Registered nurses and other staff undertake an induction course relevant to their role. All staff take part in various courses run by BUPA, which include dementia training, infection control and health and safety. and registered nurses can participate in courses run by the local university or hospital. The majority of the registered nurses have updated on courses such as male catheterisation, dementia and venepuncture. A short course on the latest wound care techniques was being held in the home on the day of inspection. As the home admits residents for continuing care, participation in the Liverpool Care pathway and Gold standards framework training should be encouraged. Four personnel files were examined and these included documentation and checks as required by the regulations. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38. People who use the service experience good quality outcomes in this area. Management systems in place ensure that the needs and the expectations of the residents in the home are met and that the environment is safe for those that live and work in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post since December 2008 and is a registered mental health nurse. She has previous experience in management at another BUPA Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 22 home. She has applied for registration with the CSCI and is currently studying for the Registered Managers Award. The company has an annual quality monitoring procedure, which seeks the views of residents and their relatives. In the last survey 53 of the responses received said the home performed well over all areas. Surveys received are collated and used to improve practice and services offered by the home. The Annual Quality Assurance Assessment required by the CSCI accurately reflected the status of the home and identified both recent achievements and improvements required. Staff meetings have been held recently and the manager is planning to commence residents and relative meetings. The general financial records of the company, including the business plan for the home were not examined on this inspection. The home does not act as appointee for residents but holds money for them as personal allowances in a bank account which provides the residents with interest on their money. Receipts and records were seen and in order. Formal staff supervision has recommenced and this will be taking place at intervals directed by the standards. Reports of Regulation 26 visits (visits to the home by the representative of the provider, required by regulation) were seen. Whilst these showed that the visit had included examination of records and services provided by the home, more information is required on the results of conversation with residents and staff as recommended by the CSCI guidelines. Records of servicing of utilities and equipment were in place and in date, and there was evidence of fire risk assessment, fire equipment checks and fire training. Records showed that staff have received mandatory training at the required intervals. Warning notices relating to the hot water supply in water outlets in staff areas were required but the maintenance person was aware of this, and the manager gave assurances that these would be put in place. Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 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 2 3 3 x 3 3 3 3 Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations That care plans are reviewed on a monthly basis as directed by the National Minimum Standard and are formed and reviewed following consultation with the resident. That the BUPA adult safeguarding procedure complies with the national guidelines. That personal toiletries and washcloths are removed from bathrooms. That registered general nurses undertake recognised training in the mental health needs of the service users admitted to the home. 2 3 4 OP18 OP26 OP30 Oakhill House DS0000024183.V359616.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Oakhill House DS0000024183.V359616.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. 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