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Inspection on 27/06/05 for Glenholme Oakdene Psychiatric Residential Care Home

Also see our care home review for Glenholme Oakdene Psychiatric Residential Care Home for more information

This inspection was carried out on 27th June 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The home has comprehensive care plans, which details the care and support that residents receive . All staff receive medication training by the registered provider or the deputy manager, who are both qualified nurses. The home also provides a good level of care and support to the residents. All residents are empowered to make their own choices and to do as much for themselves as possible. The experience of the staff team in supporting the residents is extensive and ensures that residents are appropriately supported and empowered and equipped for independent living.

What has improved since the last inspection?

The home is going through extensive refurbishment and there is an extension to the loft to provide en-suit accommodation for two additional residents. At the previous inspection, there were three requirements two of which have been met and one restated.

What the care home could do better:

If prospective residents and other interested parties are to receive the correct information about the home in order to make an informed choice, the statement of purpose must be reviewed and updated.When residents have restrictions, this must be agreed with the resident/s and recorded in the resident`s file along with the reasons for the restrictions. Resident`s wishes in the event of them becoming ill or dying must be recorded to ensure that their wishes, dignity and respect are adhered to at such a sensitive time. In order to ensure the safety of residents, a full risk assessment of all parts of the home where building works are being carried out must be made and all risks eliminated. To ensure that all staff are listened to and are supported with their personal development, they must receive formal supervision, which is recorded at least six times a year.

CARE HOME ADULTS 18-65 Glenholme Oakdene Psychiatric Residential Care Home 30-32 Woodside Park Road North Finchley London N12 8RP Lead Inspector Anthony Lewis Unannounced 27 June 2005 at 09:00 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glenholme Oakdene Psychiatric Residential Care Home 30-32 Woodside Park Road, North Finchley, London N12 8RP Address Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8446 3401 020 8446 9476 George & Elaine Macalister George Macalister PC Care Home only 16 beds Category(ies) of MD Mental Disorder registration, with number of places Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 January 2005 Brief Description of the Service: Glenholme/Oakdene is an independent residential care home that is part of the Woodbury Group, which includes another residential care home and a supported living housing group. The home provides residential care for up to sixteen residents, of either gender, who have mental health and support needs. The home is not purpose built and consists of two houses converted and joined together, with interconnecting doors and halls. Each has a lounge, dining room and kitchen. All residents have their own individual bedroom. The homes stated purpose is to support service users to gain sufficient life skills and confidence to eventually move into semi-independent or independent living accommodation. The aim is to acchieve this by empowering residents to make their own decisions and take responsibility for their own actions, by operating a network of staff and fellow residents support in a homely, domestic environment. Part of the life skills development is centred on residents using local aminities, with support if required, in order to develop contact and equip residents to live within the community. The home is located within a short walk of Woodside Park underground station, bus routes, North Finchley High Road and Tally Ho Corner and local shops and supermarkets. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Monday 27th June 2005 at 9am and was completed at 14.10pm. The registered provider/manager and two deputy managers were available throughout the inspection and were very helpful. The home is at present going through major building works. To the outside front of the building, there is scaffolding due to re-pointing work taking place. The interior of the home is being extended in the loft to provide two bedrooms with en-suite facilities for two additional residents. Evidence was gathered for this report by viewing various certificates and files, which included seven staff files and four resident’s files. A tour of the interior and exterior of the home was conducted with the registered manager and deputy manager. Evidence was also gathered by speaking to five residents and six staff formally and informally. The home provides care to a maximum of sixteen residents. At the time of the inspection, there were fourteen residents living in the home. The registered provider stated that one resident became unwell and is in hospital and there has been a vacancy since April 2005. What the service does well: What has improved since the last inspection? What they could do better: If prospective residents and other interested parties are to receive the correct information about the home in order to make an informed choice, the statement of purpose must be reviewed and updated. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 6 When residents have restrictions, this must be agreed with the resident/s and recorded in the resident’s file along with the reasons for the restrictions. Resident’s wishes in the event of them becoming ill or dying must be recorded to ensure that their wishes, dignity and respect are adhered to at such a sensitive time. In order to ensure the safety of residents, a full risk assessment of all parts of the home where building works are being carried out must be made and all risks eliminated. To ensure that all staff are listened to and are supported with their personal development, they must receive formal supervision, which is recorded at least six times a year. 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. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 4, and 5. Prospective residents to the home are not provided with the correct information to make an informed choice. However, prospective residents receive a comprehensive assessment prior to moving into the home and whilst living in the home. EVIDENCE: Although the home has a statement of purpose, on viewing it, it had not been reviewed since January 2003, even though the situation in the home has changed since that date. The home’s service user’s guide was seen to be comprehensive and contained all of the required information. A requirement is made that the registered persons ensure that the statement of purpose is reviewed and updated to include the present situation in the home. The home has a comprehensive assessment procedure. The registered manager and one of the two deputy managers are qualified nurses. The registered manager stated that either the deputy manager or the registered manager carries out assessments of potential residents to the home. The home’s “Referral and Client Admission Procedure” gives clear information of the stages involved in admitting a potential resident to the home. It states the arrangements for residents to visit the home and the role of the assigned Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 9 key-worker. The registered manager stated that the home does not take unplanned admissions. Five resident’s files were viewed, all contained the residents terms and conditions. All were seen to have been signed by the relevant resident and the registered manager. Information contained included the resident’s personal information, fees and the facilities provided. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, and 9. Residents are being supported to take assessed risks and are able to make choices although, their freedom of movement is being restricted in parts of the home without them receiving a full explanation as to the reasons for the restrictions and without being consulted to seek their agreement. EVIDENCE: The home has a comprehensive care plan system, which ensures that all aspects of the resident’s needs are reviewed. The key-worker takes a lead role in ensuring that the resident’s files, including their care plans are up to date and in order. On viewing five resident’s files, they all contained their care plans. The registered manager stated that there is a meeting every two weeks between the resident and their key-worker. The registered manager also stated that an assessment is made of the residents and from that assessment, a summary and analysis is formed, which is used to draw up the care plan with the involvement of the resident. Care plans seen were reviewed on a monthly basis. It was noticed that while touring the home, the two kitchens are kept locked and only staff are provided with keys. The registered manager said that the kitchens are kept locked because some residents are putting on weight by Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 11 constantly eating. It was also noticed that the fridges and freezers were almost empty. The registered manager also said that some resident’s money is restricted due to some residents being very vulnerable when out in the community. A requirement is made that where there are restrictions on residents, the resident and where possible, their family and or their representative is in agreement sign to this fact and the information must be recorded. The registered manager stated that residents choose what foods will be cooked in the home and that all residents are consulted about the home’s décor and colour scheme and the furniture bought. The minutes of the last resident’s meeting was seen and information regarding house chores and days out were recorded. The home’s risk assessment file was seen and contained a variety of risks to residents. It contained information on the risk of smoking, risk of fires and risk to the person such as self harm, self neglect, risk to others, risk from others and details on risk management. The registered manager said that the keyworker and he would compile the risk assessments with some input from the residents. All risk assessments are reviewed yearly unless other risks are identified. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Residents are confident that the staff team will empower them to take an active role and become part of their local and the wider community and to support them to be as independent as possible. EVIDENCE: The majority of the residents lead very independent lives, within the home and outside in their community. They are very much integrated into their local and the wider community. The registered manager said that two of the residents work at a charity shop, voluntarily, one resident has paid employment at two of the local hotels in the area and five of the residents are undertaking work experience. Residents independently do much of their own shopping and household chores. Two residents spoken to stated that they go out and buy their own shopping. One resident said that he goes out and buys his own tobacco at the corner shop. The home is racially mixed with one Asian and one Afro-Caribbean residents, one of who has recently moved into the home. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 13 The deputy manager said that he and a number of staff were going away on a seven day holiday with the majority of the residents to Blackpool. One resident spoken to said that she is looking forward to going away. Another resident said that he likes going to the pub and the local fish and chip shop. According to the deputy manager, most of the residents have links to their family and friends. Residents spoken to stated that they get on well with each other in the home and some have formed close relationship with each other. The home has a policy on alcohol in the home and has a designated smoking area. Residents were observed smoking in the designated area, which is also used as a place where they interact with each other and generally relax. One resident has signed a contract to say when he goes out, it will be for one hour only. This, the registered manger stated, was due to the vulnerability of the resident and that it will be reviewed in the near future. The home has a policy on missing residents. Although the two houses have been extended and joined as one, they still have two separate kitchens where two independent meals are prepared throughout the day. The menu for both kitchens was seen. Both had a variety of nutritious and varied meals for each day. According to the deputy manager, residents choose the menu and prepare their own meals with support from staff when necessary. Resident’s names were seen on the menu. It indicated that each day two residents would help to prepare the meals. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 21. Residents are confident that the staff team are taking their care needs seriously and recording all the relevant information. However, staff are not ensuring that all of the resident’s wishes are recorded in the event of them becoming ill and dying. EVIDENCE: Resident’s care plans were viewed and seen to contain information regarding their physical and mental health care needs. The care plans also contained information regarding health care appointments. On viewing the accident book, the last accident was a minor one on 22nd May 2005. The incident book was seen and all incidents were recorded appropriately. A number of resident’s files were viewed for information regarding their wishes in the event of them becoming terminally ill and dying. Some of the files had no information recorded regarding resident’s wishes in the event of them dying. The registered manager stated that they have sent out letters to resident’s family and are awaiting their return. The registered manager went on to say that some residents did not want to discuss the subject of dying and death. A requirement is made that the registered persons ensure that all residents wishes in the event of them becoming terminally ill and dying is recorded in their file. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Residents are confident that any complaints or allegations of abuse made by them will be taken seriously and acted upon appropriately, ensuring the residents confidentiality as much as possible. EVIDENCE: The home has a complaints policy and procedure file and information on making a complaint in the statement of purpose. On viewing the complaints book, the last complaint recorded was on 25th May 2005, which was investigated by the registered manager and partially substantiated. The home has a protection of vulnerable adults policy and procedure. It states who to report allegations of abuse to, some of the different types of abuse and respecting resident’s confidentiality. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. Residents are confident that despite all of the building work that is taking place, the home will be kept relatively clean and tidy. However, residents are at risk due to hazards to their health and safety not being identified and eliminated. EVIDENCE: The home is at present, going through extensive exterior and interior work. The outside front of the home is having the brickwork re-pointed. This involves the erection of scaffolding to the entire front of the home. The registered manager stated that a risk assessment has been carried out. To the interior of the home, two bedrooms with en-suite facilities are being built in the loft for two additional residents. Whilst touring the building, the loft conversion was seen. It was noticed that there was no protective screen or barrier to prevent residents gaining access to the loft, which leads out onto the roof, which is potentially dangerous to the residents. A requirement is made that the registered persons ensure that a full risk assessment is carried out to all parts of the home where building work is taking place and any risks identified are eliminated. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 17 Although the home is going through extensive building works, it is generally kept in good order. All communal areas were clean and tidy and there was no offensive odours detected. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35 and 36. Residents are benefiting from a competent and well trained staff team who have the qualities and skills necessary to support and empower them, although residents are not benefiting from a sufficiently supervised staff team. EVIDENCE: Five staff files were viewed and all contained a copy of their job description, which detailed their roles and responsibilities. Six staff were spoken to, four formally in private and two in general as they worked. The newest member of the staff team, who commenced working in the home in January 2005 was spoken to and found to have a good knowledge of the home and the residents and their needs. Staff National Vocational Qualification Training NVQ, is high in the home. The registered manager stated that four staff have completed their NVQ, one NVQ2, two NVQ3 and one NVQ4. The registered manager went on to say that four members of staff are at present undertaking their NVQ; one is doing the NVQ4 and three doing the NVQ3. He also stated that four staff are registered to begin their NVQ in September 2005. On looking through five staff files, all were seen to contain two references, and a copy of their Criminal Records Bureau check (CRB) and their contract of Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 19 terms and conditions. Files showed that many of the staff have worked in the home for many years and staff turnover is quite low. The home has a staff training and development procedure, which was viewed and seen to contain information regarding staff training and development needs. Staff spoken to have received a variety of statutory training and a variety of further training. Staff spoken to said that they were receiving supervision and files showed that all staff receive supervision. However, on viewing staff files further, it was noticed that some staff had not received supervision for more than three months. A requirement is made that all staff working in the home receive formal supervision at least six times a year and that the details of the supervision is recorded and a copy retained in their file. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41 and 42. Residents are confident that a competent and fully trained staff team with the skills and experience to meet their individual and collective needs work in the home and that the management of the home will be beneficial to them. EVIDENCE: All of the residents have a variety of mental health disabilities. According to the registered manager and the statement of purpose, he his a qualified psychiatric nurse, with many years experience and skills in the field of psychiatric support. He has worked in hospitals, in the community and in residential homes. On the day of the inspection, the registered manager was indirectly observed interacting with residents and staff. His approach was calm, open and professional at all times. Residents are able to speak to the registered manager at any time if they have any queries or concerns. Two residents spoken to said that if they had to make a complaint, they would go to a member of staff or the registered manager. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 21 All records regarding the running of the home, especially confidential information such as staff and resident’s files were seen to be kept in lockable cupboards in the registered managers office or the general office. Only the registered manager or the deputy managers have access to confidential information. A requirement from the previous inspection for window restrictors to be fitted to three identified resident’s bedroom windows has been met. The restrictors were fitted in February 2005. It was also required that an electrical installation (wiring) certificate be available in the home, this has also been met. The certificate for wiring was seen and the home was inspected on 16th and 21st March 2005. There were no requirements identified. A detailed inspection of the homes safety certificates and records was conducted and all safety certificates, records, including fire safety checks were found to be in order and up to date. At the recent inspection by the London Fire & Emergency Planning Authority (LFEPA) visit on 29th November 2004, no requirements were made. The home has a fire policy and procedure file, which covers all household tests such as fire alarm call points tests, which are carried out weekly by staff and recorded. The last such test was seen to be carried out on 20th June 2005 and the last recorded evacuation, which takes place monthly was carried out on 8th June 2005. Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glenholme Oakdene Psychiatric Residential Care Home Score x 3 x 2 Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 23 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 YA1 Regulation Schedule 1 Requirement The registered persons must ensure that the information contained in the statement of purpose reflects the present situation in the home. The registered persons must ensure that where there are restrictions on residents freedom of movement, that the resident and where possible, their family or representative is in agreement and signs to this fact and that the information is recorded. (Timescale of 01/04/05 not met). The registered persons must ensure that residents wishes in the event of them becoming terminally ill and dying is recorded in their file. The registered persons must ensure that risk assessments are in place while the building work is taking place in the home and any risks identified are eliminated. The registered persons must ensure that all staff working in the home receive formal recorded supervision at least six times a year. Timescale for action 11/07/05 2. YA7 12 (2) (3) and 15 29/07/05 3. YA21 12 (3) 11/07/05 4. YA24 13 (4) (a) and (c) 28/06/05 5. YA36 18 (2) 11/07/05 Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 24 6. 7. 8. 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 Good Practice Recommendations Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Glenholme Oakdene Psychiatric Residential Care Home G59 S10445 Glenholme Oakdene V222316 27.06.05 Stage 4.doc Version 1.30 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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