Inspection on 03/05/07 for Oak House Residential Care Home

This inspection was carried out on 3rd May 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oak House Residential Care Home 21/10/09

Oak House Residential Care Home 16/08/06

Oak House Residential Care Home 27/09/05

Oak House Residential Care Home 22/04/05

Oak House Residential Care Home 22/11/04

Oak House Residential Care Home 05/05/04

Oak House Residential Care Home 23/07/02

Similar services:

Southfields

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Insight - Eastchurch

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Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Oak House Residential Care Home 56 Surrenden Road Brighton East Sussex BN1 6PS Lead Inspector Nigel Thompson Key Unannounced Inspection 3rd May 2007 10:00 Oak House Residential Care Home DS0000014215.V337323.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 House Residential Care Home DS0000014215.V337323.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 House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak House Residential Care Home Address 56 Surrenden Road Brighton East Sussex BN1 6PS 01273 500785 01273 500785 managerjan@btconnect.com 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) Mr Anthony David Sargent Janice Ford Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is fourteen (14). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. That one named service user may be over sixty-five (65) years on admission. 16th August 2006 Date of last inspection Brief Description of the Service: Oak House is a privately owned, three storey Victorian semi-detached house providing residential care for up to fourteen adults who have mild to moderate learning disabilities. The providers have owned the home for 24 years. The home is located in a residential area on the outskirts of Brighton, close to Preston Park, local amenities and bus routes into Brighton. Placements are generally long term, with most residents having lived at the home for many years. The home works closely with the Grace Eyre Foundation and accesses many of the services offered by them including day care provision. Accommodation is provided over three floors and consists of nine single and three shared bedrooms. Communal facilities include a sitting room, lounge/diner and rear garden. There are two bathrooms located on the first and second floor and two shower facilities on the ground and first floor. Stairs and other access arrangements would make it unsuitable for residents with significantly restricted mobility. The home provides personal care and support to service users who are funded by Social Services. The home’s fees as of 03 May 2007 range between £610.00 - £689.00 per person per week. Additional costs are charged for hairdressing, chiropody, toiletries, holidays and transport. Prospective service users and their relatives are provided with written information regarding the services and facilities provided at the home prior to admission. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over five hours in May 2007. It found that all key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were twelve service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. Four service users and two members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Through working closely and consistently with service users, staff have developed a sound understanding of their individual care and support needs. Service users are encouraged and supported to make decisions about their lives. Where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Important information contained in service users’ care plans could be made more easily accessible by the use of dividers and an index system. In view of the increasingly ageing client group, at Oak House, it is important that the inevitable changing needs of service users (including mobility issues) are regularly assessed and closely monitored and all necessary adaptations or specialist equipment be provided, as required. Individual activity programmes should be reviewed and regularly updated, so as to accurately reflect service users current and changing needs and preferences. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 7 A service user’s room with ripped and marked wallpaper and missing tiles above the washbasin is to be redecorated in the near future. For security purposes, the amount of money held on the premises for any individual service user should be reviewed and closely monitored. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oak House Residential Care Home DS0000014215.V337323.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 House Residential Care Home DS0000014215.V337323.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 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: A comprehensive and informative Statement of Purpose and Service User Guide have been developed and implemented for the benefit of existing and prospective service users. Both documents have evidently been reviewed as recently as April this year, ensuring that information contained in them is both accurate and up to date. Survey questionnaires that were returned by service users and their relatives confirmed that they feel they received enough information prior to admission in order to help them to make a decision about where to live. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 10 The admission policy and procedure made available for inspection contained details of the thorough assessment process, including the ‘Prospective Resident Assessment Portfolio’ undertaken and completed by the manager to identify an individual’s care and support needs. The manager confirmed that no service user has been admitted to Oak House since the previous inspection. However she added that, prior to moving into the home, a prospective service user would be invited to visit to look around and ‘get a feel for the place’. During these visits the individual would also have the opportunity to meet with existing service users and members of staff. On moving into the home, a three month trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing service users. Oak House Residential Care Home DS0000014215.V337323.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, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ care plans enable staff to meet their assessed needs in a structured and consistent manner reflecting individual current and changing support needs. Satisfactory and effective systems for consultation enable service users to make choices and decisions about their day-to-day living. EVIDENCE: Service users individual care plans that were examined contained personal risk assessments and comprehensive details of their physical, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 12 Since the previous inspection, it is evident that care plans have been reviewed and amended, as required, including risk assessments and improved guidance for staff in respect of meeting individuals’ personal healthcare needs. The manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in regular care plan reviews. It was evident that these reviews are recorded and plans are amended appropriately to reflect changing needs or circumstances. Following discussion with the manager, it is recommended that the indexing and sectioning of care plans be reviewed and amended to ensure that information is more readily accessible. Independence and individuality is evidently encouraged and promoted within the home and is reflected in the personalising of service users’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Service users are encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day: ‘I chose the colours for my room’. The manager emphasised the importance of staff developing close working relationships with individual service users and being aware of subtle changes in their mood or behaviour. This was confirmed by an experienced member of staff, spoken with during the inspection: ‘I know just by looking at the residents whether something is wrong or someone is unhappy’. Despite the variable and limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation service users being supported in a professional, sensitive and respectful manner. Oak House Residential Care Home DS0000014215.V337323.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, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The manager confirmed that contact between service users and their family is variable, with some people having daily visits while others have no contact at all. However, where appropriate, service users’ family links are encouraged and supported. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 14 Visiting to the home is largely unrestricted and relatives and friends are made welcome any time. The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. In one care plan that was examined it was noted that a service user, described as ‘really enjoying swimming’ was provided with no opportunity to do so. The manager explained that the resident no longer wished to go swimming, however this had not been recorded in the care plan. Therefore, it is recommended that the individual weekly timetable of activities be reviewed and regularly updated so as to accurately reflect service users current and changing needs and preferences. As previously documented, staff have clearly developed awareness and a sound understanding of the changing needs of older service users regarding, amongst other things, mobility issues, relaxation time and age appropriate leisure and recreational activities. The majority of service users continue to attend local day centres, which specialise in the needs of older people and where they are offered a range of opportunities for informal education and occupation. Where residents have made a choice not to attend day services this has been respected by the home and alternative arrangements made for personal development and occupation. The four week rolling menu is evidently varied and balanced and based on service users’ identified likes and preferences. An alternative to the main meal is always available and specialist diets are appropriately catered for including low sugar alternatives. The manager confirmed that service users are frequently involved in aspects of meal preparation, including baking, laying the table, washing up and drying and preparing packed lunches. Service users continue to dine together in the pleasantly decorated dining room. Oak House Residential Care Home DS0000014215.V337323.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. Staff demonstrate an awareness and sound understanding of service users’ individual care and support needs. Service users are protected by the home’s medication policies and procedures and their physical and emotional needs are met in a structured and consistent manner and in a way they choose. EVIDENCE: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, service users were observed being supported in a sensitive, professional and respectful manner. It is evident that the individual level of support required with personal care remains variable. The manager, a registered nurse, and the two senior staff Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 16 have extensive experience, awareness and a sound understanding of the care and support needs of older people. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. All service users are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. This was confirmed by staff spoken with during the inspection and supported by individual training records examined. The manager confirmed that, following risk assessments, no service user currently self-administers their own medication. Oak House Residential Care Home DS0000014215.V337323.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. The open and inclusive atmosphere and effective communication systems within the home enable service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: Since the previous inspection, as required, a clear and accessible complaints procedure has been developed and implemented and a copy is now in place in the entrance hall, for the benefit of service users’ relatives and other visitors to the home. It was noted that all complaints are recorded and include actions taken and outcomes achieved. However it was evident that there have been no concerns or complaints recorded by the home since the last inspection. The manager confirmed that the close working relationships, effective and ongoing communication and consultation between staff, service users and their relatives, provide adequate opportunities for any concerns to be raised and discussed, before they become complaints. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 18 Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager, whom they described as ‘very approachable’, or making a complaint if necessary and each person was confident that they would be listened to. Detailed policies and procedures are in place relating to adult protection and abuse, including a whistle blowing policy. The manager confirmed that, as required at the previous inspection, staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Oak House Residential Care Home DS0000014215.V337323.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, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: Oak House is a privately owned, three storey Victorian semi-detached house. Accommodation is provided over three floors and consists of nine single and three shared bedrooms. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 20 During my ‘guided tour’ of the premises it was evident that the generally well maintained décor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for service users. A service user’s room on the second floor was found to be in need redecoration with ripped and marked wallpaper and missing tiles above the washbasin. The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. As previously documented, due to the age range of service users currently accommodated it is unlikely that as their level of need and dependency increases, this environment will remain suitable. The home will need to ensure through their assessment and reviewing processes that either suitable adaptations and equipment are provided or alternative placements are found, as stairs and other access arrangements would make it unsuitable for individuals with significantly restricted mobility. Communal facilities include a spacious sitting room, lounge/diner and a large rear garden. There are two bathrooms located on the first and second floor and two shower facilities on the ground and first floor. It was noted that environmental risk assessments are in place and had been reviewed and updated in January this year. The Registered Provider continues to carry out most minor repairs, decorating and maintenance. Any areas that are identified as being in need of attention are recorded in a maintenance book, and are ‘usually’ dealt with promptly. On the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be satisfactory. Oak House Residential Care Home DS0000014215.V337323.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): 31, 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. Service users are protected and benefit from the home’s recruitment policy and procedures and from sufficient trained, competent and appropriately supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of service users within the home. All new employees are provided with a comprehensive job description and staff spoken with during the inspection demonstrated a sound understanding of their individual role and responsibilities. A rota is in place, showing which staff are on duty at any time and their designation. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 22 The home employs a total of nine female Support Workers, two of which are Senior Staff in addition to the Registered Manager. There is always a minimum of two staff on duty during the day and one waking person at night. Staffing levels are increased during weekends and some evenings. The manager confirmed that no agency staff are employed in the home. A comprehensive ‘Skills for Care’ induction and foundation training programme is provided for all new staff and is flexible, service specific and compatible with an individual’s level of relevant experience. Mandatory training is ongoing and is recorded in individual staff files. Since the previous inspection there has been a marked and welcome improvement in the number of staff with NVQ level 2 or above. Three members of staff have achieved NVQ level 2, two hold NVQ level 3 and another member of staff is currently studying for the qualification at a local college. Formal staff supervision has recently been introduced. Care staff, spoken with during the inspection, acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager: ‘I find supervision very useful and the manager is always very helpful and supportive’. The home is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Oak House Residential Care Home DS0000014215.V337323.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, 39, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective management, comprehensive quality monitoring systems and are protected by thorough health and safety checks and guidelines and generally efficient record keeping. EVIDENCE: The Registered Manager has been in post for three and a half years. She was a State Enrolled Nurse for many years working in both hospital and community settings. She has completed the Registered Managers Award (RMA) and more recently attended courses in refresher First Aid training, reducing staff turnover, assertiveness and dealing with conflict and aggression. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 24 From direct observation and through discussions with service users and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. She is described as ‘positive’ and ‘approachable’ and evidently creates an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for both service users and their relatives. The manager was able to provide recently developed and improved surveys for advocates, funding authorities and health care professionals. Collated responses from the most recent survey, including positive comments from a local GP, indicate a high level of satisfaction with the home and the care and services provided: ‘I think that Oak House has a very happy family atmosphere. Everyone seems happy and well looked after’. ‘I am always made very welcome’. ‘I am very happy with my sister living in such a nice house’. ‘The home is one of the most caring I have known’. The manager confirmed that the home continues to maintain responsibility for service users’ money. Individual balances are checked on a regular basis and all financial transactions are recorded. However, during examination of these records it was evident that in certain cases excessive amounts of money are being held. Following discussion with the manager it is recommended that the amount of money held on the premises for any individual service user be reviewed and reduced. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Oak House Residential Care Home DS0000014215.V337323.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 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 3 X 3 3 3 X 3 3 X Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 (2) (a & n) Requirement It is required that the physical layout of the premises, including accessibility and any necessary adaptations meet the changing needs of service users. Timescale for action 31/07/07 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. Refer to Standard YA6 YA12 Good Practice Recommendations It is recommended that the indexing of and sectioning of care plans be reviewed and amended to ensure that information is more readily accessible. It is recommended that individual weekly timetables of activities be reviewed and regularly updated so as to accurately reflect service users current and changing needs and preferences. It is recommended that a service user’s room with ripped and marked wallpaper and missing tiles above the washbasin be redecorated. It is recommended that the amount of money held on the premises for any individual service user be reviewed and DS0000014215.V337323.R01.S.doc Version 5.2 Page 27 3. 4. YA24 YA41 Oak House Residential Care Home closely monitored. Oak House Residential Care Home DS0000014215.V337323.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oak House Residential Care Home DS0000014215.V337323.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. 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