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Inspection on 01/07/08 for Oak Bank Residential Home

Also see our care home review for Oak Bank Residential Home for more information

This inspection was carried out on 1st July 2008.

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 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

The outcomes for the residents at Oak Bank remain good, as the management team has been able to provide leadership and direction to the staff. The interventions and approaches used by the staff in a consistent way are apparent in all aspects of residents` lives. For all residents there has been a reduction in episodes of behaviours that challenge. The atmosphere at Oak Bank is informal, the residents and staff interactions were observed to be positive with subtle. Respectful interventions are used by staff when needed. The staff at the home and survey outcomes indicated that morale in the home was good and staff enjoy their work and have opportunities for training to develop their skills.

What has improved since the last inspection?

The resident guide for the home is in a more accessible DVD format, which will provide information for potential residents who have limited comprehension of written documentation. A quality assurance system has been developed to inform the development of the service. The induction training for staff including the common induction standards is in place. The manager has accessed the Department of Health guidance on Infection Control in order to audit the infection control measures used at the home. Staff working at the home have the necessary support to ensure they can develop their skills.

What the care home could do better:

The registered provider needs to undertake improvements in a number of areas: Ensure that assessment and care planning documentation are of the same standard for respite admissions as for permanent residents to ensure a high standard of care. Introduce an annual an appraisal system as of September 08 to ensure staff skills are maintained for the benefit of residents Maintain accurate records of food served particularly fruit and vegetables to demonstrate that residents receive a balanced diet. The registered provider should ensure that the CSCI address is included in the complaint policy and that the home has the most recent version of the Local Authority Adult Protection policy for the protection of residents. The recommendations relating to these areas that have been made and are included at the rear of this report.

CARE HOME ADULTS 18-65 Oak Bank Residential Home 31 South Road Weston Super Mare BS23 2HD Lead Inspector Andrew Pollard Unannounced Inspection 1st July 2008 10:00 Oak Bank Residential Home DS0000066474.V364705.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 Oak Bank Residential Home DS0000066474.V364705.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. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Bank Residential Home Address 31 South Road Weston Super Mare BS23 2HD 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) 01934 647670 Oak Bank Residential Home Limited Mrs Alison Davis Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to residents of either gender whose primary care needs on admission to the home are within the following categories: 2. Learning disability (Code LD) The maximum number of residents who can be accommodated is 6. Date of last inspection 10th July 2007 Brief Description of the Service: Oak Bank provides care for residents with learning disabilities and a range of complex needs. Oak Bank provides varying care packages with fees varying between £1400 and £1600 a week. The home is a very large Victorian detached house with a steep drive access. The Weston seafront and shopping centre are nearby. Oak Bank Residential Home DS0000066474.V364705.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 two stars. This means that the people who use the service experience good quality outcomes. The inspection of this care home was undertaken by the inspector in consultation with the manager for the home, Alison Davis, and the proprietor, Mr Liscombe. The inspection was completed in one day and included the review of documentation and records, observation of residents in their daily life, talking with staff and a tour of the premises. Before the visit survey forms had been sent for staff, health professionals and residents and their relatives to complete, a small number were returned. The information gathered was used to help us form judgments about the quality of the service provided. No complaints were made and the outcomes were positive and are reflected in the body of the report. Information has also been gathered from the Annual Quality Assessment Audit, the last report and notifications sent from the home to the Commission. The evidence gathered from the site visit has been used throughout the report. The key findings of this visit were given to the manager during the visit. What the service does well: The outcomes for the residents at Oak Bank remain good, as the management team has been able to provide leadership and direction to the staff. The interventions and approaches used by the staff in a consistent way are apparent in all aspects of residents’ lives. For all residents there has been a reduction in episodes of behaviours that challenge. The atmosphere at Oak Bank is informal, the residents and staff interactions were observed to be positive with subtle. Respectful interventions are used by staff when needed. The staff at the home and survey outcomes indicated that morale in the home was good and staff enjoy their work and have opportunities for training to develop their skills. Oak Bank Residential Home DS0000066474.V364705.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. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 7 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. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 8 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 Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are given relevant information including terms and conditions in written, DVD or verbal form about the home to assist them in deciding if the home is suitable for their purpose. Prospective resident’s needs are assessed before a decision is made as to whether they can be met in a manner to suit the person. EVIDENCE: The statement of purpose for Oak Bank has been reviewed to reflect the new ownership of the home and staff changes. The statement of purpose is specific about the type of service and the support the home are able to offer to potential residents. The service user guide even in the simplified form would not be accessible to the residents, as they have no understanding of written documentation, therefore a short DVD of the home has been produced for residents and potential residents. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 10 Currently there is one vacancy at the home. And there have been no new admissions since the last key inspection other than one for a short period of respite care. There has been a referral, which is currently being considered for permanent admission. The admissions procedure at the home is detailed and allows time for the potential residents to visit Oak Bank if appropriate prior to moving there. The manager undertakes a person centred preadmission assessment as well as obtaining multidisciplinary team assessments in order to gather enough information to be able to make an informed judgment. However, in the case of a recent respite care admission the manager had not created her own version of the care plan distinct from that supplied by other agencies. The manager has undertaken to put this in place prior to the next respite admission. The current residents at the home have a contract in their files that detail their conditions of residence at Oak Bank. At the time of the visit to the home, there were five male residents living at the home. The ages of people who use the service ranged form 37-65; all of the residents have a profound learning disability and are of white UK ethnic origin. Individual assessments ensure that any specific needs i.e. spiritual/cultural are identified and included in the care support plans. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans are developed following person centered planning principles. It is written in plain language, is easy to understand and considers areas of the Individual’s life including health; specialist treatments, personal and social care needs. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 12 EVIDENCE: The key worker system is in place and is kept regularly under review. A form of person cantered care is in place “Essential lifestyle planning” has yet to be fully introduced and the manager recognises the need to update her knowledge in this area before developing this further. All residents have care plans, which aim to address their physical, mental, and social needs using a person centred approach. All care plans are reviewed regularly and monthly evaluations written. There was evidence that residents/relatives and other professionals had been consulted where practical or needed in planning their care. The residents have regular reviews with the placing authorities and these are available to read, in addition the ongoing evaluation of the residents life is recorded in the daily records. We discussed the value of back filing information that is not of day-to-day relevance and keep the files upstairs as current working documents. All residents have individual risk assessments in their files. There was detailed information about any potential risks and risk behaviours that may be exhibited and their management. Staff have been involved in working with the local community disability team on sensory profiles. Any restrictions of liberty or choice are supported by a risk assessment and care plan. Staff support residents with appropriate risk taking within the community in line with their wishes and risk assessment. It is due to the success of staff management and care of residents that challenging behaviour is now a very rare event. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been involved in the planning of their lifestyle and quality of life. EVIDENCE: Individual activity programmes/ day-to-day activity plans for residents have been developed. Support workers are familiar with the residents and so are aware of their choices. The home has improved the community access and community presence for the residents, which is linked to individuals’ risk assessments and to enhance the quality of the resident’s life. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 14 No day care is funded for the residents so the staff team provides it. It was apparent from the records that residents are given a wide range of opportunities to experience different activities, and where preferred choices had been expressed engage in things such as hydrotherapy and daily walks. Three residents attend a local independent day centre for various activities and Snoozlen sessions. Minibus trips and annual holidays are also arranged through the year for all residents. There are a range of therapists who visit the home. Recent examples were music therapy and speech therapy which was a positive benefit to the people providing a potential communication path way or swallowing difficulties. Three of the people who use the service have contact with relatives and friends; the home supports this by maintaining communication on behalf of residents through regular telephone calls and providing invitations to visit the home and to attend any review meetings. The meals at the home are varied; often residents use local cafes and pubs for meals. There is a planned menu for staff to follow and this allows for forward planning. Residents have thus far been unable or unwilling to participate in food choices. In reviewing the record of food served there was little noted with regard to fruit and vegetables in the menus. The manager said that this was because of lack of detail in the recording rather than lack of provision, she undertook to more fully document food records in future. Oak Bank Residential Home DS0000066474.V364705.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff provide appropriate personal care in a sensitive manner to maintain residents health and well-being and dignity. Proper arrangements are in place for residents to access primary and secondary healthcare services. The staff properly manage and administer medication for the safety of residents. EVIDENCE: Care plans are written in a way to maximise people’s independence. All the residents require prompting or support to manage their personal care. It was observed that residents were well dressed and groomed and wore clothes that were individual in taste. In addition to personal care and support, information is held about resident’s Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 16 health such as epilepsy. The manager has obtained information and training for staff to help them in dealing with this condition. The consultant Dr Jayewardene visits about every three to six months and carries out reviews and gives advice. All residents are registered with a local GP with whom the home has a good working relationship. All residents are registered with NHS dental services at the general hospital and all have six monthly checkups and treatment as required. A chiropodist visits regularly. The manager ensures that the general health of residents is monitored and have individual health action plans, which record any support, or visits to healthcare professionals. The manager has worked with the local learning disability community assessment teams to maintain health action plans, and to access specialist services on behalf of residents. The daily records reflected the time spent by staff with residents and any interventions needed. The home uses a monitored dosage system for regular medication and has ensured that staff that administer medicines have attended appropriate training provided by the pharmacist. The storage, receipt, administration, and disposal records were up to date and in good order. The manager states that the pharmacy is registered to dispose of unwanted medication. None of the residents are able to manage their own medication. Each resident has an updated drug profile with the MAR. The suction machine is in working order and properly equipped and is easily assessable. Oak Bank Residential Home DS0000066474.V364705.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are robust policies in place to protect residents to manage allegations of abuse and good arrangements in place for staff training in these matters. The complaints procedure is up to date and available in accessible formats. The home has an open culture, which allows residents to express their views. EVIDENCE: The complaints policy, process and timescales meet the standard other than including the address of the Commission. There is a pictorial version of the complaints policy available for residents however due to the resident’s level of disability they would require others to advocate on their behalf. There is a system for recording complaints but to date no complaints have been received. The manager and proprietor ensure that they are available to staff and have daily contact with residents so that issues can be raised and addressed before they become complaints. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 18 The Safeguarding of Adults has a priority at the home and the manager has ensured that all staff have attend adult protection training with the Local Authority (LA) to ensure they understand the procedures. The manager is booked to attend an investigators level training with the LA. The manager has requested but not yet received the most recent version of N. Somerset adult protection policies. Oak Bank Residential Home DS0000066474.V364705.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the residents who live there. The home provides a safe and well-maintained and clean environment with a good standard of furnishing and décor for the benefit of residents. The bedrooms and communal rooms and facilities are suitable and well presented for their purpose and meet the resident’s needs. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 20 EVIDENCE: The inspector toured the premises with the manager. Oak bank provides residents with a pleasant, well-maintained environment offering exceptional space and light. There is adequate provision of communal lounges and bathrooms. A new sit in bath has recently been installed. Resident’s bedrooms are well decorated and personalised as the residents wish. The house has potential to offer more accommodation or day care rooms and the proprietor is looking at these possibilities at present. The kitchen looked clean and well equipped; there has been no recent EHO inspection. Food storage and cooking risk assessments have been carried out. The premises were clean and hygienic throughout. There are hand-washing facilities located in appropriate areas. Laundry facilities were sited so that soiled articles were not carried through areas where food was prepared. The washing machines and laundry were capable of washing clothing at a minimum of 65°. There is a secure rear garden and some recent planting of herbs has taken place. Oak Bank Residential Home DS0000066474.V364705.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a good recruitment procedure that is followed in practise, for the protection of the individuals who use the service. Sufficient skilled staff are on duty to meet residents needs. EVIDENCE: An equal opportunities recruitment policy and procedure are in place. An umbrella body sends written confirmations of satisfactory CRB checks carried out. The staff files inspected showed all the appropriate documents and checks were in evidence. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 22 The inspector reviewed a recently employed staff file and noted good practise at the home in the recruitment process, e.g. two people interviewing potential staff, notes from interviews were kept on files. The manager has ensured that they implement procedures in respect of safeguarding residents by obtaining two references and CRB checks prior to staff working at the home. The contract of employment issued to staff on appointment includes a requirement to complete a satisfactory probationary period. The manager is intending to revise all the employment, disciplinary and sickness policies this year and is seeking legal advice to ensure they are robust. There is a three-week induction for new staff and staff who also work shadow shifts and are assessed for competence before working unsupervised. The induction programme is pertinent to the home, and is supporting by ensuring staff meet the requirements of the common induction standards. Staff new to working with people with learning disabilities must also be enrolled in the Learning Disability Framework Award as part of their National Vocational Training Qualification (NVQ) Four staff currently have NVQ level 2, one has level 4 and three people are on level 2 programmes. The manager is training to become and A1 assessor. The staff on duty have their pictures on display in the hallway of the home the pictures have names to help visitors to recognise staff. Three or four staff are on duty each day and two at night. The manager works supernumerary Monday to Friday. There are no separate housekeeping or catering staff. In surveys staff stated that they had received support and training from the manager and were happy to raise issues of concern with her. The support workers felt they were involved in the day to day running of the home where they could act as advocates for the residents. The key worker system was operating well and allowed staff to develop relationships with the residents. All staff have regular supervision with the manager about every eight weeks; the manager has an external supervisor. The manager states that she is introducing an annual an appraisal system as of this September. Oak Bank Residential Home DS0000066474.V364705.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the necessary qualifications and experience and is competent to manage the home. She has worked to improve the service and provide an increased quality of life for the residents. The formal QA system is in place. The home has good Health and Safety arrangements and there are appropriate arrangements in place to service and repair plant and equipment. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 24 EVIDENCE: The providers and manager operates an open door policy for staff and residents and work alongside the staff team so that they aware of the challenges that are met on a daily basis. The staff team can be confident that they can raise concerns with either the manager or the owner. The staff surveys also stated that the home is flexible with provision of support and they consider the home offers a high quality of life for residents. The staff meetings are well attended and are minuted. The provider Mr Liscombe works as a member of the staff team and is working toward the Registered Managers Award (RMA). The manager has the necessary qualifications (including the RMA) and experience and is competent to manage the home. She has worked to improve the service and provide an increased quality of life for the residents. The quality assurance systems at the home include self auditing of systems and surveys from which action and development plans are put in place to demonstrate the standard of service the home provides and improvements that can be made. Infection control policies based on The Department of Health guidelines are used in the home to provide a baseline audit to identify any universal infection control measures, which may be needed. The health and safety requirements for the home are implemented effectively with low incidence of accidents. Health and Safety audits of the premises are carried out to identify any potential hazards. Risk assessments are in place and kept under review. The boilers, lift and fire alarm system and fire fighting equipment have all been serviced. Portable appliance testing has been booked. Hot water temperatures are monitored and recorded. Radiators have been screened and window openings restricted. COSHH products are securely stored. Oak Bank Residential Home DS0000066474.V364705.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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 X X X 3 3 Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA6 YA17 YA36 YA22 Good Practice Recommendations The registered manager should ensure that assessment and care planning documentation are of the same standard for respite admissions as for permanent residents. The registered provider should ensure that accurate records are kept of food served. The registered provider should ensure that all staff has an annual appraisal. The registered provider should ensure that the CSCI address is included in the complaint policy and that the home has the most recent version of the Local Authority Adult Protection policy. Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Oak Bank Residential Home DS0000066474.V364705.R01.S.doc Version 5.2 Page 28 - 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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