Inspection on 05/01/07 for New Oaks

This inspection was carried out on 5th January 2007.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Oaks 20/12/05

New Oaks 08/06/05

New Oaks 08/02/05

New Oaks 16/09/04

New Oaks 30/03/04

New Oaks 13/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 New Oaks 277 Lordswood Road Harborne Birmingham West Midlands B17 8QL Lead Inspector Jennifer Beddows Key Unannounced Inspection 5th January 2007 09:00 New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 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 New Oaks DS0000016805.V315039.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 Adults 18-65. 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. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Oaks Address 277 Lordswood Road Harborne Birmingham West Midlands B17 8QL 0121 250 2502 0121 250 2503 michelle@newoaks277.fsn.co.uk 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) New Outlook Housing Ms Michelle Louise Dennehy Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 20th December 2005 Brief Description of the Service: New Oaks is a large detached property, for younger adults with a visual impairment and associated learning disability. The home is located on Lordswood Road in Harborne, South Birmingham. The home is a converted traditional property. There are six bedrooms, one with en suite. There are two bedrooms on the ground floor and four are on the first floor. There are two bathrooms, one on each level, one has bathing facilities and one has a shower facility. There is no lift so there would be limitations in the home for people with mobility problems. There is a large lounge with combined dining area and a kitchen and laundry; a lean-to provides extra storage facilities. Staff facilities include an office, shower room and toilet. To the front of the home there is a tarmac drive with on and off entrances and some parking spaces. To the rear of the home there is a large pleasant garden with large patio area, grass and well-stocked borders. Local amenities such a shops, banks and the GP practice are close by and the home has good transport connections via bus and rail services. The home is registered to provide personal care and accommodation to a maximum of six adults. The home provides four meals a day and is staffed on a twenty-four hour basis. Residents pay for using community resources such as hairdressing facilities, out of their personal allowance. The home makes the outcome of internal and external service audits known to the residents and their families. £850 min per week. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The fieldwork visit was unannounced and took place over one day. The home has reached its capacity and has six residents. Five residents were at home on the day of the fieldwork some of whom were able to express their views regarding their experience of the service. The views of those residents who were unable to communicate verbally were not ascertained. Two residents personal files were observed as well as the personnel records of two members of staff. The staff on duty on the day of the fieldwork were also spoken to and their working practice with the residents observed. A tour of the premises took place as well as discussions with the acting manager and the deputy manager. Positive comments were received by the Commission from the pre-inspection survey of residents views regarding their experience of living in the home. What the service does well: What has improved since the last inspection? The registered manager has completed all of the recommendations since the last Inspection. The home has developed an effective quality assurance system that is linked to the National Minimum Standards for care Homes, and regularly audits the services it provides to its residents. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 6 What they could do better: The registered manager is required to make risk assessments regarding the stability of the free standing wardrobes as they could be pulled over causing injury to residents. It is a Requirement that homely remedies are included in the homes current “As Required” (PRN) written protocol, to ensure that if any residents use them in the future, they can also be safely administered. In order to maintain good standards of food hygiene, the home must ensure that the date is recorded on the package when food is opened in order that it can be thrown away within the given time if it has not been used. It is recommended the home could ask a family member to sign the Individual Service Plan on behalf of those residents who are unable to, and provide them with a copy in order to ratify the service response, and record this on the residents case file. It is recommended that staff sit with residents at meal times to model good practice and positive interactions. . 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. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a comprehensive assessment process to ensure the residents needs and aspirations can be fully assessed and met prior to admission. EVIDENCE: The home had developed its own comprehensive assessment process, which gathers detailed information regarding the residents needs prior to their admission. From the two residents files inspected records showed the home had considered the individuals social and cultural needs as well as the emotional, physical and spiritual aspects of the residents lives. From this information the home had developed an Individual Service Plan that identified specific services to meet the residents preferences and needs. This included an essential lifestyle plan, risk assessments, and assessments of how the residents independence could be promoted as well as a weekly activities programme. As some residents have profound communication and comprehension difficulties the Individual Service Plan had not been signed by one particular resident to show they had been involved and consulted within this assessment process. However there was evidence on file to suggest the home had New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 9 consulted with a range of professionals and members of the residents family in order to obtain this information. It is recommended that in such cases the home could ask a family member to sign the plan on behalf of the resident and provide them with a copy in order to ratify the service response, and record this on the case file. Recording on the files was detailed, personalised the resident and had been signed by the member of staff. Regular reviews had taken place every 6 months to ensure the assessed service was continuing to meet the residents needs, and there was evidence to show these had been adapted as residents circumstances had changed. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 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 the following standard(s): 6,7,8,9,and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents can be confident that their needs and wishes are reflected in their personal plan. Residents are supported to make decisions about their lives, and to lead an independent lifestyle. EVIDENCE: From the files observed it was clear that comprehensive assessments had been made of each resident with regard to their preferences interests and hobbies. These are reviewed regularly and updated and follow a Person Centred Planning approach as Valuing People requires. Records suggest residents were consulted within this process as much as possible. Recording on the residents individual files show the nature of support provided to enable the resident to make informed choices, and careful consideration given to the impact on the residents lives in order to manage the risks involved whilst still promoting an independent lifestyle. As a consequence some of the residents have been enabled to manage their own money, medication and to book their own transport. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 11 As some residents are unable to use the key to their bedrooms independently, detailed information is provided in their records advising staff of how to offer them support to use it. For those residents who have chosen to leave their bedroom doors open during the day for easier access, risk assessments have been made promoting the security of the residents property in order to support them in this decision. Other residents who have chosen to manage their own money have been provided with a safe storage in their rooms, as well as residents having choices as to whether or not they wish to participate in the homes annual holiday and support offered to them if they choose not to go. The home involves the residents to participate in the running of the service by encouraging them to attend monthly residents meetings and responding to any issues raised. The manager stated that the home also involves residents in the interview process when recruiting staff. Comprehensive risk assessments were observed regarding the management of the residents disabilities and behaviour in order to promote their independent lifestyle, and a copy kept in a separate risk assessment folder that is made available to staff on duty, as well as in residents files. All staff had signed to confirm they had read the risk assessments to ensure they were familiar with residents particular circumstances in order to promote their safety and to offer consistency in service. Residents can be confident that their personal information is handled appropriately as the records inspected of the sight impaired residents, have designated members of staff opening their mail, rather than whoever happens to be on duty at any given time. Residents personal files are stored in a secure cabinet in the managers office in order to maintain their confidentiality. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 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 the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Residents have opportunities for personal development and are offered support to participate in community activities appropriate to their age and peer group. The home encourages positive family relationships. Weekly menus show a wide range of wholesome food is offered to the residents in order to meet their daily requirements. EVIDENCE: Systems in place make it easy to track how the home supports its residents to take part in age, peer and culturally appropriate activities. Individual weekly activity plans are held on residents files that reflect the consultative process in identifying their personal interests and personal development targets. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 13 The home also has included these individual weekly activities onto an overall activity planner to enable the staff to identify and make provision for the level of support required to the residents group at any given time. This enables staff to be pro-active in their dealings with the residents, as information is readily available as to the level of support required. Provision is made for those residents who are unable to access community activities on their own, as a member of staff goes with them. Some of the community resources the residents currently use are specific needs day centres, education centres, swimming baths, gym, church, hairdresser and theatres. An aroma therapist visits the home on a weekly basis, and residents also accompany staff to the local shops and restaurants. The residents spoken to stated they enjoyed living in the home and going out to the local community and seemed content with their lifestyle. One resident was unhappy that the day centre he used was closed for bank holiday, as he could not attend. Records showed that residents are supported to have appropriate personal, and family relationships by encouraging relatives to maintain contact. Relatives are encouraged to visit the home and support is offered to residents to visit their families whenever possible. The manager stated that those residents who are able to make informed choices with regard to developing more intimate relationships are supported to promote their own and their partners physical health by having safe sex, which was confirmed on the residents file. There was evidence on another file that showed the home had developed affective strategies to minimise the potential risks to the resident, as they had been assessed as being unable to initiate or make informed choices in a specific situation with regard to developing a more intimate relationship with another person. The residents individual daily living skills had been clearly identified with them, and on the files observed a cleaning rota had been agreed upon that supported a resident to be more independent by taking responsibility to keep his bedroom clean. Another resident who was less independent also had their daily living skills promoted but with specific staff support. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 14 From the records observed, the home promotes the residents health and well being by providing a range of healthy foods with a choice of menu. As the home has only 6 residents, it is possible for them to have a variety of food at mealtimes and some residents prefer to choose their menu on a daily rather than a weekly basis. Records are kept of the meals eaten, in order to make sure the residents are eating a range of foods and are maintaining a balanced diet. The meal provided on the day of the fieldwork offered residents choices and was nutritious and wholesome. Residents are provided with four meals a day. It is recommended that staff sit with residents at meal times to model good practice and positive interactions. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents receive personal support in the way they prefer and require, and their physical and emotional needs are met. The systems provided by the home ensure that residents receive their medication as prescribed. Home remedies need to be included in the homes current As Required (PRN) written protocol, to ensure that if any residents use them in the future, they can also be safely administered. EVIDENCE: Residents case files show the home offers individual personal support to its residents in keeping with their preferred routines for personal care. Staff ensure that one resident uses her favourite hand cream and perfume before she retires at night. This is recorded on her personal preferences in her file, and the daily record sheets confirmed this was being done on a daily basis. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 16 Records also showed whether residents preferred to shower or bathe, and identified the kind of personal care needs they required according to their abilities. Those residents observed on the day of the fieldwork were dressed in a style that reflected their age, gender, interests and culture and it was apparent they had been supported with personal hygiene that day. Residents are supported to maintain their health, and have access to health professionals as required. Evidence was available that residents had access to community health services such as their general practitioner, chiropodist, dentist and optician on a regular basis as well as the well woman clinic The home keeps good records to monitor the residents physical and emotional health in order to identify any problems they may have at an early stage. Regular records are kept of residents weight and the management of any incidents regarding residents specific health needs such as epilepsy. The home has developed individual Health Action Plans, which identifies the range of health services required for the individual in order to promote their well being. These were detailed and specific and it was easy to track what services were being provided at any given period. The systems for receiving storing and the disposal of medications were found to be good. Medication from the pharmacy was being audited and signed for. Residents photographs had been linked to their prescription for easy identification to ensure the residents were being given the correct medication, and robust systems were in place for their administration. The resident who self medicates had been appropriately assessed as being competent, and staff monitored the process to ensure this was being done safely. All staff have received appropriate training in the administration of medication explained in Standard 35. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to the service. The residents can be assured their views are listened and responded to, and they are protected from abuse, neglect and self-harm. EVIDENCE: The homes complaint procedure provides clear information on how to make a complaint, and how it will be dealt with. It gives clear timescales and reassurances that all complaints are taken seriously. It is also available in large print and audiotape. The adult protection procedures in the home are in line with Birmingham’s Multi Agency Guidelines for the Protection of Vulnerable Adults. All staff have signed confirming they have read and understand this document. The member of staff spoken to at the time of the fieldwork demonstrated an understanding of the process and how to identify early signs of abuse. Evidence was available to show the home had protected one resident from potential abuse and had followed procedures appropriately. Since the last Inspection, no complaints have been received by the home or the Commission. The residents receive their allowance through the homes central office, which is then made available to them on a daily basis. Financial arrangements ensure New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 18 accurate records are maintained by the home of monies being spent and received by the residents and are signed by two members of staff. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 19 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is clean, warm and fit for purpose and provides its residents with a homely, safe and comfortable environment. EVIDENCE: All rooms observed during the fieldwork were clean, tidy and well decorated. These included the residents individual bedrooms, as well as shared areas such as communal bathrooms and living areas. The decorations in the home are of a good standard and meet the residents needs. The bedrooms viewed were large and spacious and had been decorated and furnished to reflect the personalities of the residents. Specialised lighting had been provided in those bedrooms whose residents are sight impaired providing them with additional stimulation. Bedroom furniture was robust and sturdy and some residents have been provided with double instead of single beds. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 20 It is a Requirement that the manager makes a risk assessment of the free standing wardrobes to ensure they cannot be pulled over causing harm to the residents or staff. Symbols reflecting the purpose of the rooms on the ground floor had been secured to doors to enable sight impaired residents to navigate the building independently. Some of these included pegs on the laundry door and a mobile phone on the manager’s office. The gardens to the rear of the property are well maintained and garden furniture is available for the residents to enjoy the grounds. Although most of the food in the freezer had been dated when opened some packages had not. In order to promote the residents health, the home must ensure that the date is recorded on opening in order that it can be thrown away within the given time if it has not been used. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 21 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The systems in place to recruit staff are good and their records meet the requirements of the Regulations. New staff are inducted appropriately and are provided with the necessary training to meet the residents needs. EVIDENCE: Checking of staff personnel files indicated that all the required checks had been made before the applicant had been offered the position to ensure residents safety. Newly appointed staff had undergone a comprehensive induction programme, covering a range of basic care skills to perform their roles appropriately. Over 70 of the staff have successfully achieved their National Vocational Training level 2 and 3 to enhance their skills to better meet residents needs. Staff had also been undergone Learning Disability Awareness Framework Training (LDAF), training in residents specific medical needs and the administration of medication. Information on staff records and the homes training matrix identified areas where certification needed to be updated such as food hygiene, and first aid. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 22 Staff were observed to relate positively with residents and appeared to be very aware of their individual needs and preferences. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents benefit from a well run home that promotes their welfare, and can be confident their views underpin the development of the home. EVIDENCE: The home has a good quality assurance system that audits the residents comments about their experiences of the home on a monthly basis. The home has an external company whose operational manager conducts the audit; measures the homes service response against the National Minimum Standards for Care Homes. These include resident comments as well as the staff and the acting managers performance. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 24 The outcomes of these are linked to an overall action plan giving a summary of expectations in order to meet the specific targets and timescales. Evidence was available that showed this constant state of planning, action and review reflected positive aims and outcomes for the residents. The deputy manager who is currently acting manager has significant experience of managing the home and several years’ experience of working with people with specific needs. Records confirmed he has achieved appropriate qualifications to fulfil his role competently and to ensure the residents benefit from his leadership skills. A new manager has recently been appointed to begin working by the end of January 2007. Service contracts of appliances and utilities are current. Fridge and water temperatures are regularly maintained, as with the servicing of fire equipment, regular fire drills and environmental health services. This ensures the home is promoting the health and safety of its residents. New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 2 x New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 26 None 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 YA20 Regulation 13(2) Requirement The registered person must ensure that home remedies are included in the homes current As Required (PRN) written protocol, to ensure that if any residents use them in the future, they can also be safely administered. Timescale for action 01/02/07 2. YA24 13(4)(c) The registered person must 01/02/07 make risk assessments regarding the stability of the free standing wardrobes in bedrooms, as they could be pulled over causing injury to residents. The registered person must ensure that the date is recorded on the package when food is opened, in order that it can be thrown away within the given time if it has not been used. 01/02/07 3. YA42 12(1)(a) New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 27 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 YA2 Good Practice Recommendations It is recommended the home could ask a relative to sign the Individual Service Plan on behalf of those residents who are unable to, and where appropriate provide the relative with a copy in order to ratify the service response, and record this on the residents case file. It is recommended that staff sit with residents at meal times to model good practice and positive interactions. 2. YA17 New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 New Oaks DS0000016805.V315039.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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