Inspection on 23/05/07 for Oakapple Care Home

This inspection was carried out on 23rd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Oakapple Care Home 30/09/08

Oakapple Care Home 06/12/07

Oakapple Care Home 25/10/05

Oakapple Care Home 13/05/05

Oakapple Care Home 16/12/04

Oakapple Care Home 25/05/04

Oakapple Care Home 03/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Oakapple Care Home Debdale Hall Bungalow Debdale Lane Mansfield Woodhouse Mansfield Nottinghamshire NG19 7EZ Lead Inspector Stephen Benson Key Unannounced Inspection 23rd May 2007 10:00 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 Oakapple Care Home DS0000008724.V315912.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. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakapple Care Home Address Debdale Hall Bungalow Debdale Lane Mansfield Woodhouse Mansfield Nottinghamshire NG19 7EZ 01623 622 588 01623 631 959 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) Mrs Wendy Mary NG Yin Kwong Mrs Wendy Mary NG Yin Kwong Care Home 10 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (10) Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category DE(E) (10), DE (10) or OP(10) Date of last inspection 25th October 2005 Brief Description of the Service: Oakapple is a care home providing personal care and accommodation for 10 older people. The home provides long term care and will accept emergency admissions. The home is owned by Mrs Wendy Mary NG Yin Kwong, which is run as a family business. The home is located in the grounds of Debdale Hall between Mansfield and Mansfield Woodhouse about a mile from shops, pubs, the post office and other amenities. The home was opened in 1987 and consists of an extended bungalow.6 of the homes bedrooms are single, and 3 of the bedrooms have en-suite facilities. The home has large gardens that are well maintained and easily accessible. There is car parking available for 6 cars. The manager said on 23/05/07 that the fees for the service range from £334 £344 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is in the Statement of Purpose and Service User Guide. Any further information wanted can be obtained from the manager or care manager. A copy of the latest inspection report is available in the entrance hall. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 7 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, the care manager, staff on duty and care practices were observed. A visitor and district nurse were spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Two survey forms sent to the home by The Commission for Social Care Inspection had been completed by the relatives. The registration certificate was checked and found to be correct. What the service does well: What has improved since the last inspection? What they could do better: There must be better recording of information gathered about residents and this must be kept up to date so staff can follow this when caring for residents. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 6 Resident must be provided with appropriate support to meet their physical and emotional needs, so that they are properly cared for. The home must have a procedure for the safe administration of medicines, which must be followed by staff so that residents receive their medication in a safe manner. Staff must make sure that they respect resident’s privacy, for example making sure they knock on doors before entering. More frequent choices and varied activities must be provided so residents spend time doing things they find enjoyable and stimulating. The current catering arrangements must be improved so there is sufficient and properly cooked food that residents like. All residents must be able to access the complaints procedure so anything they are unhappy about can be dealt with. Staff must wear protective clothing and follow safe practices when handling infection risks to prevent residents being exposed to any infection. There must be suitably experienced and trained staff on duty at all times to meet the needs of the residents. The correct recruitment process must be followed at all times and staff must be provided with the training they need to be able to do their work so suitably trained staff care for the residents. 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. Oakapple Care Home DS0000008724.V315912.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 Oakapple Care Home DS0000008724.V315912.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): 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. More could be done to make sure that residents’ needs are known before they move in to the home. The home does not offer an intermediate care service. EVIDENCE: The home does not have an assessment form to complete to help assess the needs of any prospective resident. The care plan of one recently admitted resident did not include any assessment information and the local authority was not involved in this case. The care manager said that she had been to visit the resident in hospital to assess whether her needs could be met within the home and had made some notes, however these had not been written up. The care manager said that she had obtained a rotunda on the basis of this assessment. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 9 Staff on duty said that there had not been any new admissions since they had started work at the home so were not able to comment on new admissions. The resident and a relative said that the care manager and another member of staff had visited the resident in hospital. The resident said, “I picked up it was a small home and family run, that’s what I wanted”. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. The manager said that currently all residents are of white British origin and there has not been a resident from another culture at the home. There is no arrangement made for the home to provide an intermediate care service. Oakapple Care Home DS0000008724.V315912.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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ personal and healthcare needs are not always identified and residents are placed at risk by unsafe practices in the administration of medicines. Residents’ right to privacy is not always upheld. EVIDENCE: There were three separate documents used for recording information about residents needs in. There were some photocopied care plans used which did not detail how the resident’s needs should be met, for example one stated ‘the correct moving and handling procedures must be followed’, but these were not explained. Care plans were reviewed on a monthly basis, but these did not show any changing circumstances. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 11 Another care plan for communication referred to using flash cards, but these were not seen in use. Care plans did not include details of resident’s ethnic origin and the section on religious beliefs was not always completed. There was a section for writing the resident’s social history, however those seen were either not completed or were brief and had little detail. There were separate dementia care plans in residents’ files, however these had not been completed. The care manager said that she had just put these in the files and will be asking staff to complete them at a staff meeting next week. Staff said that they record things in the care plans such as weights, baths and what residents have eaten. Staff said that they had used care plans to find out about a resident’s allergies but they don’t need to look at them as they know about the residents. A resident said, “They filled in the care plan with me”. Each resident has a separate book to record any healthcare appointments in and there is also a sheet in the care plan for this. Records showed that residents receive routine health checks, including eye tests. The care manager said that a referral has been made through the doctor for one resident to see the psychogeriatrician, who specialises with elderly people with dementia. Staff said that the district nurse comes every day and they have seen the chiropodist visit. A district nurse was spoken with who said that any treatments are followed through well and the home are good at making contact when needed. A relative said that they felt more regular baths could be provided, and the care plan showed that a resident had not had a bath for three weeks. There were some difficulties in giving the resident a bath due to their healthcare, but this was not addressed through the care plan. The district nurse said that they had discussed bathing during the visit and they would provide assistance with bathing the resident. One resident was reminded by the manager to use a walking frame when walking, but was seen later walking with staff without using the frame. Another resident was seen pushed in a wheelchair without footplates fitted. The member of staff was seen later using these and said she had forgotten to use them earlier. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 12 One resident had a bed rail fitted and there was a care plan for this. The daily notes showed that on one occasion the resident was found with her arm trapped between the bedrail and the bed, it was stated that there was no injury as a result of this. This was not included in the next evaluation of the care plan, which did not take place for three weeks. There was no evidence seen of care practices being used to assist residents with dementia. The home has a medication policy but does not have a procedure for the administration of medicines. The morning medication round was observed and some unsafe practices were noted. These included Medicine Administration Records being signed to say the medicine had been administered before it was, in one case the resident refused to take the medication, and the record was seen still indicating that the medication had been taken three hours later. There were some photographs of residents on Medicine Administration Records, however these did not include the more recently admitted residents. A member of staff, who had not had safe handling of medicines training, was given medication to take to residents by the person giving out medication and there were some pots of medication which had been dispensed from blister packs on the trolley which were unnamed. When asked about these the staff member said she knew what they were. The care manager said that staff must have completed the safe handling and administration of medicines course before they can give out medication. A resident said, “Staff bring me medicines twice a day”. The care manager said that promoting privacy and dignity is included in the induction for new staff and is covered in National Vocational Qualification training. Staff said that they always keep doors closed when assisting residents and use screens in shared rooms. Staff also said they knock on doors before entering and describe to the resident what they are doing when helping them. A resident said, “Some staff knock on my door, but some will brazen in, which is not nice when I have got company. Sometimes staff just walk in without knocking”. Staff were seen entering a resident bedroom without knocking on two occasions. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 13 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to maintain relationships but have little opportunity to satisfy their social and recreational interests. Residents are able to make some choices but not in respect of catering for which the arrangements are not appropriate for the needs of the residents. EVIDENCE: There were no activities taking place during the visit. The care manager was heard asking a member of staff to manicure some residents’ nails during the shift, but did not happen. The television was on for some of the time and no music was played. Staff were seen talking to residents, but these were brief exchanges and could not be described as spending time with residents. There was a chart in care plans to record activities residents take part in. The charts seen showed few and infrequent activities taking place. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 14 The care manager said that there are different activities available, including arts and crafts, jig saws, board games, movement to music, films, massages and each resident has their own memory box. Staff said that they try to provide activities to residents in the afternoons. A resident said, “I’ve got no one to talk to. I like a game of cards and it has been said to me staff will play with me, but it’s not happened”. There was no record on the resident activities chart to show that card games have been played. The care manager said that there are not set times when visitors can come to the home. A relative described family visiting arrangements, which included visiting in the daytime, in the evenings and at weekends. A resident said, “There are no visiting restrictions which is nice. Staff have talked to me about taking me into the town”. The care manager said that staff are told to ask residents what they want where possible and gave the example of what clothes they wanted to wear. Staff said they ask residents what they want and that if they say no to something that is their choice. Staff said that one resident likes to stay in bed later than others and doesn’t get up until after 9.30am. A resident said, “I can do more or less what I want, I get up and go to bed when it suits me and I tell staff what clothes I want to wear”. There were a number of occasions where residents could have been offered choices, particularly in relation to food where these were not offered. Staff were seen telling residents to sit down when they got up to walk in the sitting room. The home has a four week menu which staff said is not strictly stuck to; they use it as a guide. The menu does not offer a choice of meal or show that alternatives are available. Examples of dishes provided include sausages, shepherds pie, chicken in sauce with rice, mixed grill and spaghetti bolognaise with garlic bread. A fish dish is provided on Fridays. Breakfast was either a wheat cereal or porridge with toast and tea. Staff were not asking residents which they wanted and one resident without speech was given cereal and when she would not eat it given the porridge. Care staff have to prepare meals along with their other duties. Lunch served was stew with mashed potatoes, broccoli, cauliflower and carrots. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 15 The meal was poor in appearance and the stew was mainly liquid with carrots and onions, and had little meat in. One resident had three pieces of meat put on her plate, another had one piece and a third didn’t have any. The vegetables were in a dish together and the way they were served meant that residents got one vegetable rather than a selection. Residents were not asked what they wanted or how much they would like. Drinks were provided halfway through the meal, and although there was a choice of lemon or orange squash residents were not asked which they would like. No pudding was provided. Staff were seen encouraging resident to at their meal, but did not ask if they liked it or wanted something different. One resident said, “I didn’t like the lunch, I didn’t have any salt, I left the carrots as they were hard and the potato was hard too”. A resident said “I don’t get a cup of tea when I like, I sometimes have to wait over two hours in the mornings”. The care manager said that the resident is regularly given cups of tea but forgets she has had them. It was suggested that some system should be used that would show when the resident did have a cups of tea. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 16 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for residents to raise complaints and protect residents from abuse, although staff have not followed the complaints procedure when hearing a complaint. EVIDENCE: There is a complaints procedure displayed in the entrance hall. The care manager has created a system for recording any complaints, however said that no complaints have been received. Staff said they were aware of the complaints procedure but had not taken any complaints, however did mention that a resident had said how bad the lunch had been. This had not been seen as a complaint and therefore had not been acted upon. Staff did not know how residents with dementia would make use of the complaints procedure. A resident said, “I have mentioned about not getting enough cups of tea and it did improve for a bit but they didn’t keep it up”. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 17 There was a copy of the Adult Protection Procedures and the home has a whistleblowing policy. The manager said that there have not been any suspected or reported incidents of abuse. Some staff have received training on safeguarding adults and further training is planned for the remaining staff. Staff said that external doors are alarmed so they know if a resident is trying to leave the building. A resident said, “I feel quite safe here”. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 18 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 and 26 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. Residents live in a safe, well-maintained environment. EVIDENCE: The building was well decorated and furnished and no outstanding repairs were noted. There was a missing fly screen to one kitchen window. Staff said that they thought the building was suitable for its purpose and they can carry out their duties safely. A resident said that the building is “fine”. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 19 At present care staff include the cleaning of the home as part of their duties following the retirement of the cleaner earlier this year. The care manager said that protective clothing is provided, both plastic aprons and gloves and colour coded tabards for different duties, e.g. yellow tabard only to be worn in the kitchen. Training records were not available to see which staff have had training in infection control. A resident said, “The home is kept clean, I asked for extra vacuuming of my bedroom and this is done”. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 20 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff on duty did not collectively have the required experience or training to meet the needs of the residents. Residents are not protected by the home’s recruitment procedures. EVIDENCE: The home has assessed their minimum staffing levels to be 2 care staff during the day and 1 care staff awake and 1 asleep at night, although the care manager said that 3 care staff are now being provided on the early shift. The home does not employ kitchen or cleaning staff and care staff carry out these duties. The manager and care manager both work each day and are available out of hours if needed. At present all staff are female, of varying ages and of white British origin. The duty rota could not be found to look at the deployment of staff, but all care staff on duty had recently started at the home and had little previous work experience, one was working their third shift, one had started about 6 weeks ago and the third had recently returned to work at the home having left to go to college. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 21 A resident said, “Staff are always saying they will be along in a minute. Occasionally we are told we have to be patient as somebody is off.” The care manager said that she was redoing the training plan to include the new staff, so this was not available. The care manager said that four staff have completed National Vocational Qualification training level 2, two staff are currently working towards it and one is to be enrolled. A National Vocational Qualification assessor was at the home meeting with a member of staff. A sample of three staff files were seen and only one of these had a Criminal Records Bureau check returned. The manager said that they had received a phone call from the umbrella organisation who carry out their Criminal Records Bureau checks to say a Protection of Vulnerable Adults check had been returned for one of the staff, and they did not think the other member of staff needed one as she had been checked when she had worked at the home previously. There were not any references for the member of staff who had a Criminal Records Bureau check, the care manager said she was waiting for these to be sent in, but she had received verbal references over the telephone, although she had not recorded this. There was no record available of staff training, but the care manager said that she was working on a training programme to make sure staff had received all the required training. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 22 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, 33, 35 and 38 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff and residents feel supported by the management of the home. EVIDENCE: The registered manager, who is also the provider, delegates much of the day to day management of the home to her daughter, who is the care manager. The manager said that she intends to put the care manager forward to be considered to be the registered manager. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 23 The manager has been in post since the home opened in 1987. The manager has not undertaken a relevant qualification, but the care manager is working towards National Vocational Qualification level 4. Staff said the manager and care manager were very supportive. A resident said, “They are always around, they are very good”. The care manager said that she has given out some questionnaires to visitors to the home, but has only had one returned from a district nurse. The care manager said that she is going to look at ways of getting more forms returned. The home does not handle any money on behalf of residents. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. It was noted that staff working in the kitchen went to assist a resident who wanted to go to the toilet, emptied a commode and then returned to the kitchen wearing the same tabard and not using any other protective clothing. When asked staff said that they would go to assist with taking residents to the toilet when working in the kitchen. Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 24 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A X X 1 Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 25 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 OP3 Regulation 14(1)(a) Requirement Details about the needs of any new resident must be written up as an assessment. This will ensure that the home can make sure they are able to meet the person’s needs. Details of residents’ gender, ethnic origin and religious beliefs must be included in the care plan. This will ensure that any resulting needs are identified. Care plans must clearly describe how resident needs are to be met and kept updated when there is any change. This will ensure that staff know how to meet residents’ needs. Staff must be aware of residents’ care plans and follow them when caring for residents. This will ensure that staff are meeting residents needs. Timescale for action 01/06/07 2. OP7 15(1) 01/07/07 3. OP7 15(1) 01/07/07 4. OP7 15(1) 01/07/07 Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 26 5 OP8 16(1) Any equipment aids must be used, and used properly when identified as being needed. This will ensure that resident have the support they need without being placed at risk from not using them or not using them correctly. Staff must provide appropriate support to residents with dementia. This will ensure that residents with dementia have their needs met. The home must have a procedure for the safe administration of medicines, which must be followed by staff. This will ensure that residents receive their medication in a safe manner. Staff must make sure that they respect the privacy of residents. This will ensure that residents feel their privacy is important. More frequent and varied activities must be provided. This will ensure that residents have opportunities to spend time doing things they find enjoyable and stimulating. Staff must give residents greater opportunities to make choices. This will ensure that residents have some control over their lives. The current catering arrangements must be improved so there is sufficient and properly cooked food that residents like. This will ensure that residents have meals that they enjoy. DS0000008724.V315912.R01.S.doc 01/06/07 6 OP8 13(1)(b) 01/07/07 7 OP9 13(2) 11/06/07 8 OP10 12(4)(a) 01/06/07 9 OP12 16(2)(n) 01/07/07 10 OP14 12(3) 01/07/07 11 OP15 16 (2)(i) 01/07/07 Oakapple Care Home Version 5.2 Page 27 12 OP16 22 (2) All residents must be able to 01/08/07 access the complaints procedure. This will ensure that all residents are able to make a complaint. There must be suitably experienced and trained staff on duty at all times. This will ensure that staff know how to meet the needs of the residents. This is a repeated requirement from 25/10/05 The correct recruitment process must be followed at all times, including obtaining a Criminal Records Bureau check and 2 written references. This will ensure that residents are protected by the home’s recruitment process. Staff must be provided with the training they need to be able to do their work. This will ensure that residents are cared for by suitably trained staff. This is a repeated requirement from 25/10/05 Staff must wear protective clothing and follow safe practices when handling infection risks. This will ensure that residents are protected from infection. 30/06/07 13 OP27 18 (1)(a) 14 OP29 19 (1)(a) 30/06/07 15 OP30 18(1)(c) (i) 01/08/07 16 OP26 13(3) 30/06/07 Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Oakapple Care Home DS0000008724.V315912.R01.S.doc Version 5.2 Page 30 - 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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