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Inspection on 29/02/08 for St Luke`s & The Oaks Residential Home

Also see our care home review for St Luke`s & The Oaks Residential Home for more information

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.

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

St. Lukes and the Oaks is a purpose built home which has a very pleasant and friendly atmosphere. Service users enjoy living in a homely environment which is comfortable, safe and clean. Service users have their needs fully assessed before being admitted to the home so that they can be confident that the home will meet their personal and healthcare needs appropriately. Their needs are regularly reviewed to ensure they are still being met appropriately. Service users are treated with dignity and their rights and privacy are respected. Service users benefit from the lifestyle offered by the home. There are opportunities to join in a variety of social activities and clubs or to enjoy contact with family and friends as they wish. Visitors are welcomed in to the home and personal relationships are respected. Service users are helped to exercise choice and control over there daily lives and they enjoy good quality meals. Complaints are dealt with appropriately and individuals are protected from abuse. Service users benefit from the numbers and skill mix of staff who are trained and competent to do their jobs.

What has improved since the last inspection?

No requirements were made at the previous inspection. A recommendation was made that staff rotas identify their roles. This has been implemented. In their AQAA, the manager highlighted that B and M Care (the owners of St. Lukes and The Oaks) have introduced a new quality assurance process and that they are in the process of introducing this. The benefits of this system for service users was seen during the inspection with improvements to care plans and training. A new lounge has been provided in Lilac Unit. All laundry equipment has been updated to provide a more efficient service.

What the care home could do better:

No requirements or recommendations have been made as a result of this inspection.

CARE HOMES FOR OLDER PEOPLE St Luke`s & The Oaks Residential Home Marshlands Square Caversham Reading Berkshire RG4 8RP Lead Inspector Amanda Longman Unannounced Inspection 11:50 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 St Luke`s & The Oaks Residential Home DS0000011065.V359460.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. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Luke`s & The Oaks Residential Home Address Marshlands Square Caversham Reading Berkshire RG4 8RP 0118 946 1424 0118 947 1887 st.lukesbm@btopenworld.com www.bmcare.co.uk Colley Care Limited (Trading as B & M Care) 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) Ms Kim Franks Care Home 80 Category(ies) of Dementia - over 65 years of age (80), Old age, registration, with number not falling within any other category (32) of places St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to five service users in the category Dementia (DE) may be admitted from the age of 50 years. 22/11/06 Date of last inspection Brief Description of the Service: St Luke’s and The Oaks are purpose built homes providing residential care for older people. St Lukes contains two units St Lukes and Lilac Unit. Lilac Unit provides care for people who are more dependent but without a primary diagnosis of dementia. The Oaks has 31 beds and is registered for those with diagnosed dementia and provides a more supportive environment. The home does not provide nursing care. The home is situated in a quiet residential area not far from the centre of Caversham and approximately 3 miles from Reading. St Luke’s & The Oaks are part of the Colleycare Ltd (trading as B&M Care) group. The fees range from £575.00 to £610.00 for accommodation and care. Service users pay extra costs for Hairdressing, Chiropody and Newspapers. St Luke`s & The Oaks Residential Home DS0000011065.V359460.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 inspection of the service was an unannounced ‘Key Inspection’. It was a thorough look at how well the service is doing. A site visit was undertaken on 29 February 2008. During this site visit we (the commission) toured the home, observed care practices. spoke with service users, staff and visitors to the home. We also examined care records. Prior to the site visit the manager sent us detailed information in the form of an Annual Quality Assurance Audit (AQAA). This contained information on service users needs, staff numbers and qualifications, policies and procedures. It also contained information on how the service meets the national minimum standards and their plans for the future development of the service. What the service does well: St. Lukes and the Oaks is a purpose built home which has a very pleasant and friendly atmosphere. Service users enjoy living in a homely environment which is comfortable, safe and clean. Service users have their needs fully assessed before being admitted to the home so that they can be confident that the home will meet their personal and healthcare needs appropriately. Their needs are regularly reviewed to ensure they are still being met appropriately. Service users are treated with dignity and their rights and privacy are respected. Service users benefit from the lifestyle offered by the home. There are opportunities to join in a variety of social activities and clubs or to enjoy contact with family and friends as they wish. Visitors are welcomed in to the home and personal relationships are respected. Service users are helped to exercise choice and control over there daily lives and they enjoy good quality meals. Complaints are dealt with appropriately and individuals are protected from abuse. Service users benefit from the numbers and skill mix of staff who are trained and competent to do their jobs. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The home does not provide intermediate care so standard 6 is not applicable. Quality in this outcome area is good. Service users have their needs fully assessed before being admitted to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We reviewed the pre-admission assessments for three service users. All were detailed. They included daily living and needs assessments, personal profiles, healthcare and medication needs, mobility and dexterity, personal safety and daily living and social activities. In all cases care plans showed how these needs were met. Service users spoken with confirmed they had had an opportunity to visit the home prior to admission and the manager confirmed that all admissions were on a four week trial basis. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Service users benefit from having their personal and healthcare needs met and they are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the service users’ records we looked had had detailed care plans in place. The manager explained that the home is transferring to a new quality format and that each service user’s care plan is being re-written in the new format as their reviews occurred. These care plans address all the service user’s needs in all the aspects of daily living, healthcare, lifestyle and activities. We looked at one which was in the process of being completed and it identifies risks and how to manage them in relation to all activities and there is a section for the service user to sign to say they are happy with the care plan. The home has in place policies relating to various aspects of healthcare including, for example, continence promotion and pressure relief. These policies were all reviewed in July 2007. Care plans include records of health care needs and how they are being met, for example dentistry and podiatry care. There are sections to monitor pressure area care and diet and weight should these be necessary. We spoke with a health professional who visits the St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 10 home regularly who sated that staff are well trained to meet the healthcare needs of service users and that the level of training and skill regarding dementia care is “fantastic”. All care plans are reviewed monthly by staff to note any changes and service users are invited to participate in a full review with relatives, or other interested parties of their choice on a six monthly basis, or sooner if necessary because of changes in needs. There is an appropriate medication policy in place which was reviewed in July 2007. We saw that medication is appropriately stored. There are no controlled rugs on the premises. We checked the medication for two out of the three service users we were case tracking (the third manages their own medication). Records were accurate and include a consent to administer medication signed by the service user. In The Oaks we witnessed medication being administered – done in an appropriate and caring manner. Staff got down to speak kindly with service users to explain what was happening and always spoke with service users in a kind and respectful way. Service users and visitors confirmed staff were polite, kind and courteous. Service users have the option to control their own medication if they wish. One service user does this with the assistance of their relative. Policies are in place relating to privacy, dignity, choice, fulfilment, rights and independence. In addition there are policies relating to equal opportunities and diversity. All of these policies were reviewed in July 2007. The new care plans address individual needs including those relating to diversity and equality. The home has a very homely, warm atmosphere and staff were observed engaging with service users in a friendly but polite and courteous way. Service users and two visitors to the home spoken with confirmed that service users are always treated with dignity and respect. Staff spoken with viewed service users as individuals with differing needs. Keys for rooms are not available but rooms can be locked and unlocked from inside and outside and the manager confirmed that service users who wish to lock their rooms can be shown how to do this. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. The welfare of service users’ benefits from the lifestyle offered by the home. Service users enjoy contact with family and friends as they wish, they are helped to exercise choice and enjoy good quality meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users hobbies and interests are recorded during their assessment and passed onto the activity organisers. The home employs two activity organisers who both work Monday to Friday. They organise group activities and undertake one to one activites with more dependent service users. There are lounges in all three units at the home and there is also one large activites room which appears to be well equiped. Clubs such as knitting, arts and craft, painting and photography are organised in this room and the products of some of these clubs were on display. In the Oaks use is made of doll therapy which we saw service users enjoying. The manager informed us that the garden paths are to be widened to allow for prams to be pushed and they have aquired a car which is to be made safe and set in concrete so service users can enjoy therapy such as car washing. Service users and visitors spoken with said there was a very good range of activities and clubs available and that musical entertainment is sometimes St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 12 provided. Individual’s interests and pusuits are also encouaged and we spoke with one service users who has a computer with internet access in their room. Trips out are occassionally organised. Clergy visit the home regularly and there is a monthly church service. Evidence was seen that the home receives visits from community groups such as choirs. The home does not provide a smoking room and this is made clear to people before they are offerred a place at the home. We discussed with service users how much choice and control they had over their own lives. We were informed that people who need less assistance can please themselves about what time they get up and go to bed, for example. We were also informed by those who rely on more help that staff do their best to accommodate people’s wishes. For example, is someone wishes to have a lie in staff will leave them and go to assist others, returning later to assist the person who wanted to have the lie in. All the people we spoke with said they could choose how they spent their day. We saw use being made of all the lounges and we also saw people who preferred to stay in their rooms. St Lukes and The Oaks has an open policy for visitors. Service users may receive visitors whenever they like and the atmosphere of the home is very warm and welcoming. Staff will assist service users to keep in contact with friends and family if they wish to do so. Conversations with the manager and staff confirmed that relationships of a personal nature are respected. Each unit in the home has its own dining room which may be used by service users, or service users may choose to eat in their rooms. The dining rooms are bright and pleasantly furnished. The tables are laid with cloths, napkins and crudiment sets. We ate lunch with three service user on the day of the site visit. The service users commented that the food was good and there was always a choice. The choice is made the day before but we saw that if a service user changed their mind about a selection this would be accomodated without any fuss. Different dietary needs are catered for. Staff were polite and courteous, seemed to know service users likes and dislikes and assisted appropriately when necessary. The kitchen had an environmental health inspection in January 2007 and was given the prestigious five star award. Service users are served with hot and cold drinks and snacks throughout the day. They may also use the small kitchen areas that are in the various areas of the home. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Service users are confident their complaints are dealt with appropriately and they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is appropriate and was reviewed in July 2007. Four complaints have been received by the home since the previous inspection, all were dealt with to the satisfaction of the complainants. Service users and a relative spoken with all said they knew who to raise any issues with and any issues raised were appropriately dealt with. We have received information directly relating to one complaint since the last inspection. This related to a complaint which was made and resolved before the previous inspection. However, a letter from the complainant was received after the last inspection expressing dissatisfaction. This was referred to the local authority as the service user was placed by them. The home has an appropriate policy in place to safeguard vulnerable adults and this is in line with the agreed local joint procedures. Evidence showed staff had received training in the safeguarding of vulnerable adults and staff spoken with were familiar with the appropriate procedures. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 Quality in this outcome area is excellent. Service users benefit from living in a homely environment that is comfortable, safe and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a modern, purpose built building. It is divided in to three units and is comfortable and homely. The home has a planned maintenance programme and employs a maintenance person whose duties also include monitoring water temperatures. The home appears to be very well maintained and all electrical, gas and other equipment has been services in line with the manufacturers recommendations. The home underwent a satisfactory fire safety inspection in January 2008. Service users and visitors spoken with were very complimentary about the comfort and cleanliness of the home. Each of the three units has its own communal lounge which can also be used by service users for entertaining guests and there are kitchenette areas in each unit. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 15 The home has a landscapped garden and service users confirmed good use is made of the garden in the summer months. There are a number of assisted bathing facilities which all have different types of bath aids so individuals can choose which type of bath they use. In the Oaks’ toilet facilities, white toilet seats have been replaced with black toilet seats to help service users distinguish the seat from the rest of the white suite. In addition, all the bedrooms have ensuite facilities. No rooms are shared unless this is requested by married couples or relatives. We spoke with one married couple who have two rooms. Service users’ rooms were seen to be very clean and comfortable and personalised with their own possessions, for example pictures, photographs and small items of furniture. The home has policies and procedures in place to control infection and the whole home was seen to be clean, pleasant and hygeinic throughout. Specific training is provided in infection control, in addition to that provided during induction training. Information provided by the registered manager showed that not all staff have yet received this training. Service users and visitors spoken with all confirmed that the home is always clean and pleasant. Laundry equipment has been upgraded in the last twelve months. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. Service users benefit from the numbers and skill mix of staff who are trained and competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided by the manager prior to the site visit showed that staff are provided in sufficient numbers to meet the needs of the people living at the home. Service users and visitors spoken with confirmed that there are usually sufficient staff on duty to meet their needs. One comment was received relating to an instance where someone had to wait for an unacceptable length of time at night for assistance. This was referred to the manager at the time who dealt appropriately with the situation. The home encourages staff to undertake appropriate NVQ training, including catering and domestic staff as well as care staff. At the time of the site visit the manager informed us that a group of six staff were about to complete their NVQ level 2 in care qualification. This will bring the total of care staff qualified to this level or above to approximately 54 , which is above our minimum recommendation of 50 . At the time of the site visit the manager informed us they were currently recruiting staff as they had recently lost several staff. They were having to use St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 17 agency staff for the first time in several years. However, they had managed to secure two consistent agency staff. Service users spoken with were happy with the consistency of care provided. The home has an appropriate recruitment policy that was reviewed in July 2007. We looked at the recruitment records for the most recently recruited member of staff and all appropriate recruitment checks had been undertaken. We discussed with the manager that as a candidate’s date of birth is no longer required on an application form it is a good idea to check at the interview that a full employment history has been provided and make a note accordingly. The manager informed us that training has improved over the last 12 months and that she plans to improve it further over the coming 12 months. There is an annual training plan in place and a very well equipped training room. The manager is able to access training from a number of sources including Reading Borough Council. Evidence was seen that induction training is provided as well as training in mandatory subjects such as manual handling. Specialist training is also provided, for example in dementia care. Staff spoken with about training felt there were good training opportunities and service users spoken with all felt staff were trained and competent to do their jobs. One comment was “staff are extremely well trained”. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. Service users benefit from a well managed home and their health and safety are promoted and protected. The improvements in quality assurance being introduced will further benefit outcomes for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by a person who is appropriately qualified, competent to do so and is registered with the commission. She been the manager of the home for over seven years and is supported by two deputy managers and senior care staff. Service users, visitors and staff all spoke very highly of the manager, describing her as efficient, kind, approachable and supportive of her staff. The manager explained to us that the home is in the process of introducing a new quality assurance system across all aspects of the administration of the St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 19 home. This was seen in the new improved care plans referred to elsewhere in this report. It also provides a structure for reviewing the procedures of the home through a twelve-month rolling audit. It will also collect feedback from people who live in and visit the home. Much of this information will be processed by B and M Care’s head office but the manager also plans to use the information for an annual development plan. The home already has an annual business plan but the new system will introduce targets for improvement. Staff spoken with about the new system said it was popular and that staff were coping with its introduction. The home looks after small amounts of money on behalf of service users where this is requested by the service user or their relatives. We looked at the service user finance records for two service users and the money and records of expenditure were up to date. To safeguard service users there is a procedure for these records to be checked and audited by head office every six months. The current audit is overdue and the manager will chase this up with her head office. The home has policies and procedures in place relating to the health and safety of service users. These include Health and Safety, Manual Handling, Food Safety and Infection Control. All of these policies were reviewed in July 2007. Staff receive training in matters relating to health and safety and service users files showed that risk assessments and management plans are in place for all relevant activities. Accident reporting procedures are in place. Appropriate safety and maintenance checks are carried out throughout the home and have been referred to in the section of this report covering the environment of the home. St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X X 4 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection 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 St Luke`s & The Oaks Residential Home DS0000011065.V359460.R01.S.doc Version 5.2 Page 23 - 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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