Inspection on 25/07/07 for Oak Tree Lodge

This inspection was carried out on 25th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oak Tree Lodge 30/05/06

Oak Tree Lodge 10/02/06

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oak Tree Lodge 114 Lyndhurst Road Ashurst Southampton Hampshire SO40 7AU Lead Inspector Chris Johnson Unannounced Inspection 10:00 25th July 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Tree Lodge Address 114 Lyndhurst Road Ashurst Southampton Hampshire SO40 7AU 023 8029 2311 023 8029 2311 pennylargent@hotmail.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) Carewise Homes Limited Penelope Largent Care Home 19 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0), Old age, not of places falling within any other category (0) Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Dementia (DE)(E) 2. Mental Disorder, excluding learning disability of dementia (MD)(E) The maximum number of service users to be accommodated is 19. Date of last inspection 14th February 2007 Brief Description of the Service: Oak Tree Lodge is a registered care home providing personal support and accommodation for up to nineteen older people with Dementia and Mental health needs. Carewise Homes Limited owns the home, and Mrs Penelope Largent is the registered manager and she has been in post since October 2006. The home is situated just off the main road that runs through the village of Ashurst, within close proximity to Lyndhurst and other areas of the New Forest. Accommodation is provided in a large detached extended house with four shared and eleven single bedrooms, on both the ground and first floor. Access can be gained to the first floor by a staircase and passenger lift. There is a dining room linked to a large lounge, a smaller second lounge is situated off the dining room. There is a very small garden to the front of the building. Fees for the care provided by the home range from £395.64 to £490 a week. Additional charges are made for chiropody, hairdressing, toiletries, newspapers, and use of the phone. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards and compliance with regulations. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out on 25th July 2007. The Commission for Social Care Inspection also carried out a random inspection of the home on 14th February 2007 to monitor the homes’ compliance with requirements outstanding from the previous inspection. The findings from the random inspection formed some of the evidence for this inspection and these are commented on within this report. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. The manager completed a self-assessment document prior to the visit and Surveys were sent to people living at the home and their relatives. Four of the people living at the home returned a survey, as did three of their relatives. Feedback was also obtained from a care manager. During this visit a tour of the premises was completed that included looking at people’s bedrooms and all communal areas of the home. Staff and care records were inspected; staff, people living at the home, a relative and the manager were spoken with. Staff were observed during their day-to-day interactions with those living at the home. What the service does well: The home is well managed and staff, people living at the home and visitors to the home said that the manager is approachable and always available to discuss any issues that may arise. One person said, “ She helps you and sorts things out for you. She is easy to talk to.” Before anyone can move into this home they undergo an assessment. This helps to prevent someone moving in whose needs cannot be met and helps people to decide whether the home is right for them. Peoples’ friends and relatives are made to feel welcome in the home and can visit as often as they please. People are free to make their own decisions and choices and receive a healthy diet. Peoples’ safety is protected and the staff are caring and helpful. They are well trained and undergo a thorough recruitment process. Staff treat people with respect and dignity and ensure that they have access to all medical support as necessary. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 3 and 6 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes’ Statement of Purpose and Service User Guide provide sufficient information to people giving them details of the services that the home provides. Peoples’ needs are fully assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet the person’s needs. People living at this home do not have contracts detailing their rights and therefore their rights are not fully protected. EVIDENCE: Oak Tree Lodge does not provide intermediate care. This standard is therefore not applicable and was not assessed. The home provides information to people at the point when they are considering moving into the home. These are in the form of a ‘Statement of Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 9 Purpose’ and a residents’ guide also known as a ‘Service User Guide’. Both of these documents are kept under regular review and had recently been updated to reflect changes of management and staffing structures within the home. Currently the home does not provide people with contracts detailing their rights’ or the terms and conditions of living at the home. The manager acknowledged in the self-assessment document that this was something that was lacking. Within the Service User Guide there is a standard contract and these need to be supplied to people, as without these their rights are not fully protected. Pre admission assessments and care notes were looked at for three people. These demonstrated that people had been assessed prior to admission to determine whether the home could meet their needs. As part of the assessment process people are encouraged to visit the home and the majority of people contacted stated that they had been had been given sufficient information about the home to enable them to decide whether the home was right for them. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements have been made to the care planning process. Care plans now provide staff with more information and help to promote independence. Improvements have also been made to the management of medication and the monitoring of nutritional needs. Staff treat people with respect and dignity and ensure that their health care needs are met. EVIDENCE: At the last key inspection of the home requirements were made regarding care plans, the lack of nutritional assessments and poor medication records. At the random inspection of the home on 14th February 2007 it was found that action had been taken to address all of the issues and that the outstanding requirements had been met. On this visit to the home evidence was seen that this improvement had been sustained. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 11 The care plans of three people were examined during the visit to the home. These provided detailed information, with clear and specific guidance as to the level of assistance that people required with their personal care needs. The information recorded in the care plans addressed peoples’ abilities with regard to personal care and daily living and provided evidence that peoples’ independence is promoted. In discussion with people living at the home their description of their personal care needs matched with the details recorded in the care plans and people reported that they considered that their personal care needs were being met. Risk assessments had been completed as necessary and risk management plans were in place to address any identified risks. Records were available to demonstrate that people have access to a range of services such as GP’s, Dentists, Chiropodists and District nurses. This was supported through conversations with people. Health care records were well maintained and demonstrated that the home liaised with healthcare services and referred people to specialist services as appropriate. The medication administration records were checked for two people during the site visit. From examination of these records it was evident that staff were following correct administration recording procedures and medication was stored safely and correctly. The home has a written medication policy and clear procedures. All staff undergo training before being able to administer any medication. Everyone spoken with during the course of this inspection said that they felt that peoples’ privacy was respected. Health and social care professionals and relatives reported that they could always see people in private. All people spoken with said that their privacy was respected and the inspector observed this to be the case throughout the visit to the home. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home can receive visitors as often as they please and keep in touch with their family and friends. People are free to make their own decisions and choices and receive a healthy diet. EVIDENCE: Relatives reported that they were always made to feel welcome and could visit as frequently as they wished and at any time. People said that they could have visitors as often as they chose. The inspector saw visitors be given tea and a visitor confirmed that this was usual practice. People living at the home also commented on this and said that they thought this was particularly good. A record of all visitors to the home is maintained. Relatives reported that the home kept in touch with them and kept them informed of any issues affecting their relative. From observation and discussion with people living at the home and staff it was clear that people are able to make their own decisions and lifestyle choices. One person commented on how the home made provision for them to give communion to a person at the home. People reported that there were not Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 13 any restrictions placed upon them. One care professional commented that they considered people were given their freedom and able make their own choices and provided examples of the home meeting and facilitating different people’s needs. Three of the four people who completed a survey responded that the home sometimes provided activities that they could take part in. People spoken with confirmed that there were activities that they could join in with. However, some people contacted as part of this inspection felt that people would benefit from additional activities. This is something that the manager of the home identified in the self-assessment document as being an area that the home could do better. The home reports that they intend to consider the possibility of appointing a nominated activities organiser on a permanent basis. It was clear that people enjoyed the activities that were available and the home has sought to purchase additional items however, staff availability to engage people in one to one activities is limited especially during the afternoons and it is often therefore more practical to do group activities. People have different opinions regarding the food in the home. One person commented that the food “ Could be better” another said, “ It is not like home, but it is getting better”. Two of the four people who returned a comment card responded that they usually liked the meals; one said that they always liked it and another said that they sometimes liked it. However it was unclear what aspects of the food people were not so happy with. The manager was aware that this was an issue and arrangements had been made to meet with the cook and to look at improvements. It has been recommended that any review of the current menu should be undertaken in consultation with the people living at the home. Since the last inspection the home had introduced a chalkboard in the dining room displaying menu choices for the day. Menus were examined and it was evident that people are offered a choice of main meal daily and at tea times. This was observed to be the case on the day of the visit. It was evident from examination of records that peoples’ daily food and nutritional intake is monitored and that any concerns are followed up with appropriate professionals such as dieticians. This was also supported and reflected within peoples’ care plans. Records were available to demonstrate that food hygiene standards are followed and maintained. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory systems are in place for people to address any concerns or complaints that they may have. Procedures are in place to offer them protection. EVIDENCE: The home reported that they had not received any complaints within the last twelve months and this was substantiated through examination of the home’s complaints log and feedback from surveys. Neither had the Commission for Social Care Inspection received any complaints about the home. The home has a clear complaints procedure and this is on display in the home. People are provided with this information when they move into the home. Everyone contacted throughout this inspection said that they knew how to make a complaint. People spoken with said that they would discuss any concerns or complaints that they may have with the manager. They also said that she was easy to talk to and that she sorted out any problems that they may have. Staff spoken with demonstrated that they were aware of the homes’ complaint procedure. A requirement was made at the last key inspection of the home regarding training for staff in adult protection procedures. At the random inspection of the home on 14th February 2007 it was found that action had been taken to address this and that the outstanding requirement had been met. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 15 Evidence that staff continue to receive protection of vulnerable adults training was found on this visit to the home and this has now become part of the homes’ core training. This was also confirmed through discussion with staff. People are further protected by the homes’ recruitment procedures and the home does not look after anyone’s finances. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 and 26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements to the physical environment have been made. However further improvements are necessary to ensure peoples’ comfort. EVIDENCE: During the visit to the home a tour of the premises took place that included all communal areas of the home including bathrooms, toilets, the lounge and the dining room as well as several peoples’ bedrooms. A new conservatory was in the process of being built at the time of this visit. The intention is that this will provide a much larger dining area and give people more choice of seating areas. Several new smaller dining tables and chairs have recently been purchased and these will be in use when the conservatory is built. These will replace the two large tables currently in use. The manager Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 17 said that she anticipated that this would provide a more homely and less institutional feel by enabling people to exercise more choice. Several relatives commented on these changes and said that they welcomed the improvements. Three bedrooms had been redecorated since the last inspection of the home. The inspector saw nine of the fifteen bedrooms, both singles and doubles. It was noted that most of the bedrooms did not contain individual lockable storage facilities. Those that did were mostly fastened with large padlocks, which could not be described as attractive or homely and the manager was not able to offer any justification for this. Bedrooms contained an assortment of furnishings that would benefit from being updated. Several bedrooms also need to be redecorated. Several of the bedroom doors were unvarnished and this does not promote a homely feel. Some bedrooms have vinyl flooring and the manager said that there were plans to replace these with carpets. People are able to personalise their rooms and are encouraged to bring in their own personal items such as pictures, ornaments and furniture. People said that they valued this and all those spoken with were happy with their rooms and the general physical environment. What was apparent was that the home does not have a formal plan of redecoration that prioritises the areas most needing attention. Currently there has not been a detailed assessment of each room in the home and this would help with establishing which areas are going to be prioritised. The home appeared to be safe and had recently installed more door alarms following an incident whereby a person went missing from the home. A maintenance person was on site during the visit and attends the home daily. Maintenance issues are dealt with promptly. This was evidenced by the homes’ maintenance book. The home lacks storage space for equipment and the downstairs bathroom was rather cramped due to this. The manager recognised this and said that they hoped to create a storage area upstairs to address this. All areas of the home were clean and it was evident that infection control procedures were being followed. The home employs a cleaner and has recently increased their hours from four to six hours per day. Paper towels and liquid soap were present in all bathrooms and toilets. The home had recently installed incontinence units in all toilets. Staff are supplied with all necessary protection such as gloves and are given clear guidance and training. One person commented, “The efforts made by the staff to keep the home looking good is impressive. This is a plus feature”. Slight odours were present in one bedroom and a very faint odour in the main lounge. The home has introduced several measures to deal with this issue. However it is likely that these odours will not be fully eliminated until some of the carpets are replaced. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are caring and helpful. They are well trained and undergo a thorough recruitment process. Staffing levels are maintained. EVIDENCE: Staff rotas were examined. These demonstrated that staffing levels remain constant and are maintained at the same level as at previous inspections. The visit to the home confirmed the rota to be a true reflection of actual staffing levels. The home employs domestic staff as well as care staff and this means that care staff can spend more time attending to peoples’ needs. The recruitment records of three members of staff who had been employed by the home since the last inspection were examined. These demonstrated that the home follows an appropriate procedure and carries out all relevant checks on staff prior to recruitment. Everyone contacted as part of this inspection were complimentary about the staff and felt that they were given sufficient support with their care needs. Everyone commented that they were friendly and helpful. Comments included; “From what I have observed everyone seems to be very competent”, and “ Staff seem to treat residents with warmth and kindness”. Comments from people living at the home included, “Staff are very helpful”, and “ they are very good”. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 19 From observation of staff practice the inspector noted that staff were friendly, chatty, considerate and patient. Staff spoken with clearly enjoyed their job and working at the home. Staff employed at the home continue to undertake external training as well as in–house training. Currently three have completed an NVQ level 3, three others have a completed level 2 and two of these are now doing level 3 and one person is currently doing a level 2. More people are due to commence level 2 in the near future. All new members of staff undertake induction training within the ‘Skills for Care’ guidelines. The manager has also introduced this for existing staff members who had not previously done this. Staff records showed that staff receive training in core areas such as moving and handling, infection control and medication and that this training is updated regularly. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is accessible and sensitive to the needs of those living at the home. The home is well managed. The manager and staff team have worked hard to comply with previous requirements. Safety is promoted within the home. EVIDENCE: This home has had three managers over a short space of time. The new manager was appointed in October 2006 and it would appear that the management of the home is now more settled. The current manager has several years experience in managing care homes for older people. The manager holds a Certificate in Personal Social Services Management and is Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 21 due to commence an NVQ level 4 and Registered managers course in September 2007. The self-assessment document completed by the manager prior to the visit to the home proved to portray an accurate reflection of the both the improvements made since the last inspection and reflected the manager’s ability to identify where further improvement is needed. The home has dealt with all previous requirements within agreed timescales. People contacted and spoken with during the course of this inspection commented on the manager’s openness, and accessibility. People said that if they had a concern or complaint then they would be happy to discuss this with the manager. One person stated, “The manager is always available to discuss any problems which may arise”. Another person commented, “ She helps you and sorts things out for you. She is easy to talk to.” Staff also said that they felt improvements had been made and that communication between staff had improved and that they were kept more informed of issues. The home has recently sent a questionnaire to all of the people living at the home and at the time of this inspection they were in the process of analysing the results. As this develops the opinion of relatives and other stakeholders should be sort. The manager reported that ‘residents meetings’ were held regularly and that they were very informal. There were however not any notes from these meetings and it was not therefore possible to assess fully what impact this may have on peoples’ ability to influence decision making within the home. The home is not responsible for any persons’ monies or finances and does not look after money or valuables on anyone’s’ behalf. The health and safety of residents and staff is promoted. Examination of the fire logbook demonstrated that regular and thorough testing of the home’s fire detection and fire-fighting equipment was being carried out. Certificates and service contracts were seen and the inspector was satisfied that all equipment used within the home had been regularly checked and serviced. There were not any concerns with regard to safety within the home environment and staff undertake regular fire training. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 1 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X N/A X X 3 Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 23 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 2 Standard OP2 OP24 Regulation 5 23 (2)(m) Requirement All service users must be issued with an up to date contract/ terms and conditions. Service users must be supplied with secure lockable storage in their rooms. This needs to be appropriate to their needs. A programme of repair, redecoration and replacement must be put in place that will provide all bedrooms with suitable furnishings and décor. Systems must be put in place to ensure that the home is kept free from offensive odours. Timescale for action 25/09/07 25/10/07 3 OP24 23 25/10/07 4 OP26 16 (2) (k) 25/09/07 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 Refer to Standard OP12 Good Practice Recommendations That a review of the current activities available to Service users is carried out in consultation with them and that changes to the activity programme are made accordingly. DS0000066314.V341322.R01.S.doc Version 5.2 Page 24 Oak Tree Lodge 2 OP15 It has been recommended that any review of the current menu be undertaken in consultation with the people living the home. Oak Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Tree Lodge DS0000066314.V341322.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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