Inspection on 26/02/07 for Oakcroft

This inspection was carried out on 26th February 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

Oakcroft 10/10/08

Oakcroft 16/10/07

Oakcroft 29/12/05

Oakcroft 11/07/05

Oakcroft 18/10/04

Oakcroft 27/04/04

Oakcroft 02/03/04

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Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Oakcroft 8 Winston Rise Four Marks Alton Hampshire GU34 5HW Lead Inspector Kathryn Kirk Unannounced Inspection 26 February 2007 10:30 th Oakcroft DS0000034443.V326832.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 Oakcroft DS0000034443.V326832.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. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakcroft Address 8 Winston Rise Four Marks Alton Hampshire GU34 5HW 01420 563442 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) oakcroft@iliace.com ILIACE Limited Mr Stuart Craven Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th December 2005 Brief Description of the Service: Oakcroft is owned by Iliace Ltd, which is a private organisation. The Registered Manager is Stuart Craven. The home is one of a number owned by the Organisation. The property has four bedrooms and is situated in a rural location within a ten minute drive from the town of Alton, which has a range of leisure, recreational, shopping, educational and employment facilities. The service provides for four service users who have a learning disability. Current fees range from £1.277.09 to £1.728.00 per week. This information was provided by the manager in January 2007. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report assesses the home against at all key National Minimum Standards for Younger Adults. The overall findings are that the standard of care provided at Oakcroft is good. No requirements or recommendations have been made as a result of this inspection. Evidence contained within this report was obtained through reviewing previous inspection reports, through reading some policies and procedures and by making a visit to the home. Time was spent with all four service users, who were at home during part of the visit. Two staff members and the manager spoke about their experiences of working at Oakcroft. The needs of the service users are such that opportunities for verbal discussions were limited, however, interactions between staff and service users were observed. Some records at the home were looked at and further evidence was obtained from a pre inspection questionnaire, which was completed by the manager. This provided information about the premises, policies and procedures, maintenance of equipment, service users needs and staffing. What the service does well: Care plans and assessments of risks are well documented and are regularly reviewed. Health and social care professionals are involved and give advice and guidance about how best to manage complex needs. This advice is followed by staff and provides service users with consistent and appropriate care and support. There is a happy relaxed atmosphere at the home. A lot of attention is given to communication methods and this helps staff to listen to and understand service users opinions and wishes. The home is well managed and there are clear policies and procedures in place, which are followed by staff. Residents have access to a good range of activities. The service has effective quality monitoring systems, which help to ensure that it continues to be run in service users best interests. Oakcroft DS0000034443.V326832.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. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. There is a comprehensive assessment process to ensure that service users needs are accurately identified by staff prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new service users have been admitted to Oakcroft since 2004. Previous inspection visits have found that there is an extremely comprehensive process of assessment whilst a move to the service is being considered. This includes four areas of need. The first is a personal profile of the individual, the second skills maintenance, the third work placements and finally behavioural guidelines. A policy document regarding admissions and discharges was provided before the site visit took place. This confirms that a placement assessment will be undertaken and that prospective service users will be invited to visit the home on one or more occasions. It also states that consideration will be given to the views of existing service users when anyone wishes to join the group. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 9 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 and 9 Quality in this outcome area is good Care plans and risk assessments accurately reflect residents changing needs and wishes. This helps staff to provide appropriate support and care. Effective communication helps to ensure that rights are recognised and that service users can make decisions about their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two care plans were seen during the visit to the home. Both contained a lot of information about individuals needs and wishes, and covered the following areas: health, self help skills, social skills, communication skills, personal relationships, academic skills, domestic skills, participation in activities, environment and challenging behaviours. There were also detailed assessments of any risk that had been identified, with guidelines for staff on how to manage them safely. There was written evidence that plans and risk Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 10 assessments had been formally reviewed within the last six months and that the service user had been involved in this process. Family members and care managers had also been invited. There was further evidence on file that alterations are made to both care plans and risk assessments whenever any change in need has been identified. Cultural needs are considered as part of the care planning process. There was additional detail provided when a specific objective had been agreed upon. An example of this was that it has been identified that staff should support one service user to go for a short walk each day. Records show progress on these goals is monitored every two months and the manager said that goals are also discussed during keyworker meetings. Information on care plans was consistent with observed preferences of residents during the site visit, for example one service user was clearly interested doing jigsaw puzzles and this was reflected in their care plan and in the activities provided within the home. Staff spoken with demonstrated a good knowledge of service users needs and records show that staff sign to confirm that they have read about any changes to care plans. One of the homes stated objectives for 2006 was to implement a person centred approach to service user care plans. There was some evidence in files seen that this had been started, for example one contained information about the service users support networks. Training records show that some staff have undertaken training in person centred planning, but the manager acknowledged that some staff still need training in this area. This will be necessary if person centred planning is to be successfully implemented by all of the staff team. The manager said that this training was being arranged. There is a residents charter of rights, in written and symbol format which stipulates that residents have the right to make decisions about things, like what to be called, what to eat, what to wear, how to decorate their room and to choose what to do. There was evidence through observation during the visit to the home that this charter is put into practice by staff, for example, residents were observed to be given choice of food and drink and one bedroom seen had been personalised to reflect the persons taste and interests. One member of staff has specific responsibility of looking at communication methods within the house. It was clear through discussion, that staff understand the importance of effective communication with service users and there were a number of materials available within the home to facilitate this. These included object references, for example a pair of gardening gloves which could be shown to service users when they were due to go to a horticulture class, and there was a phrase of the day in maketon to help staff and residents learn new symbols together. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 11 Staff had installed a monitor in one bedroom to help them to keep a check on wellbeing of a service user because of a medical condition. The manager said that he was in the process of looking at other less intrusive methods, which would help to keep the service user safe. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. Links with the local community are good and service users have opportunities to participate in activities that are based on their interests. Service users have an appealing and balanced diet This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users interests and preferred activities are recorded as part of the care planning process. Each service user has a detailed daily activity timetable which shows that they participate in a wide range of educational or recreational activities. These include attending a local college for woodwork, or keep fit/healthy living Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 13 classes, horticulture sessions, swimming, visits to a sports centre, meals out in pubs, and visits to the Watercress Line. Time spent in the house is also structured and includes times for each person to do housework, laundry, prepare meals, to garden for those that enjoy this, write letters, arts and crafts and to watch videos On the day of the visit to the house all four service users were supported by staff to go out, two people went to college and two went to a horticulture group. Photographs were seen of a resident on a recent holiday. The manager said that the resident had chosen where they wished to go and also chose which member of staff should go to provide support. The manager ensured that this happened. The manager said that he is in weekly contact with family members, which helps to maintain family links. The Home has a visitor’s policy and procedure which requests that visitors telephone the Home prior to visiting to ensure their relative/friend is at Home. Records completed by key workers indicated that service users are supported to meet relatives/friends and, that the contact is welcome by service users. Staff were observed to knock before entering service users bedrooms. The residents charter of rights states that service users have a right to have a key to their room. The decision not to have a key was documented in the residents care plan. Service users were observed to have unrestricted access to all communal areas of the home. Staff were observed to interact well with service users to help to establish what their needs and wishes were. There is a planned menu, although staff said that this varies sometimes depending on service users preferences. The manager said that a dietician has looked at the menu, to ensure that it offers a balanced diet. A record is kept every day of what each service user actually has to eat. During the visit to the home one service user was seen to be supported by staff to prepare a lunchtime snack. Staff were observed to offer appropriate assistance at mealtimes. Service users helped themselves to drinks when they liked. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is good. The health needs of service users are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is offered in such a way as to promote and protect service users’ privacy and dignity. The recent review of medication systems and has confirmed that policies and procedures protect service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have access to a GP. Both care plans seen confirmed that the service user has access to health professionals as required, including the local community learning disability team. Details of how the service user likes to be supported were available in the files viewed. The information was detailed and had been regularly reviewed to ensure that it is up to date. Health action plans, which are written in the first Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 15 person, had also been completed and shared with staff. Staff were observed to support Service Users with their personal care in a dignified and respectful manner. Through discussion with staff it was evident that they provided additional support for one service user during a period of hospitalisation. There are no service users who administer their own medication. There are detailed procedures seen which describe the medication handling and administration policy which staff must follow. These are discussed with staff as part of their induction training. Records show that currently seven out of ten staff have received training in medication issues. Two staff have only recently been employed and so have not yet had time to do this. The manager confirmed that no staff administer medicine until they have been trained to do so. Checks showed medication is securely stored, that records are kept of medicines received at the home and medicines returned to the pharmacy. Records are also kept of when medicines are administered. The manager audits medication records every month and through discussion explained how he had taken appropriate action following the recent discovery of two errors . Records show that a pharmacist undertook an audit of the medication system in January 2007 and found it to be satisfactory. The manager said that all established staff are trained in the administration of rectal Valium. Records showed that all staff have signed to confirm that they have read the guidelines on when this should be administered and there was evidence on file that staff had followed these guidelines appropriately. Through discussions and records it was evident that staff have monitored closely the effects of a medication on one service user and liaised well with family members and health professionals to help to establish what amount of medication has the greatest beneficial effect upon the service user. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good Complaints are listened to and appropriate action is taken to ensure that they are investigated properly. Service users are protected by the homes adult protection policies and practices This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy and procedure in a pictorial format. This is available to all service users. Information about how to make a complaint is also included in terms and conditions of residency. One complaint has been made in the last year. Records show that action was taken to ensure that this was investigated appropriately. There are policies and procedures in place regarding the reporting and investigation of allegations of ill treatment or abuse of service users. They instruct staff that any suspicion of abuse must be dealt with in accordance with the Hampshire County Council Adult protection policy. Records show that all established staff have received training in adult protection issues. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 17 One Service User accommodated can exhibit some challenging behaviour Records show that SCIP (Strategies in crisis for prevention and intervention) training is available to staff and that five staff have completed this course. The manager said that training for other staff members is being arranged. Detailed guidelines were also available to help staff to work consistently and effectively in managing challenging behaviour. Records showed that health care professionals had been consulted for additional guidance. All staff are required to undertake a Criminal Record Bureau check before commencing work in the home to ensure the continuing protection of service users. Records seen confirmed satisfactory checks had been received for new staff members. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. The home provides a suitable environment to meet current service users needs and effective systems are in place to control the spread of infection This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oakcroft is double- glazed throughout and has an enclosed rear garden. The home has a lounge, separate dining room and a large kitchen. There is a toilet on the ground floor and separate toilet and bathroom facilities on the first floor One service user has en-suite facilities. The home has various hi-fi, television and video equipment Each service user has a single bedroom. One service user showed the inspector their bedroom, which was seen to be furnished to reflect their tastes and interests. The service user indicated that they were happy with the Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 19 environment. Communal areas were warm and homely and contained furnishings and fittings of a reasonable standard. The laundry room is situated next to the kitchen and there are policies and procedures in place to ensure washing is not taken through the kitchen at a time food is being prepared. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and resident’s health and safety is promoted. Staff were observed wearing protective gloves whilst working in the kitchen area. Records show that one bedroom has been redecorated since the last inspection. The Home has had visits from the environmental health officer and fire officer in 2006. The manager said that no requirements or recommendations were made as a result of either of these visits. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. There are sufficient staff on duty to support residents effectively. Training provided for staff is appropriate although the aims and objectives of the home will be better met when all staff have been trained in person centred planning and in the management of challenging behaviours. Service users are protected by thorough recruitment procedures This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed to be accessible to service users and to communicate well with them. Service users were seen to relate positively to staff. Staff said that they felt well supported by management and said that there was a good atmosphere in the home. There is a staff team of ten who support service users at Oakcroft. Two staff members have just been appointed. The manager said that the home now has a full staff complement, and so he expects that the number of shifts covered by agency workers, listed in the pre inspection questionnaire as 21 over a period of 8 weeks, to reduce in the future. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 21 There is a staff rota which shows that a minimum of two care staff are on duty during the day and one waking staff is on duty each night. Staff said that they felt that there are sufficient staff on duty to properly support residents and this was observed to be the case during the visit to the home. Recruitment procedures were found to be satisfactory during previous inspections of the home. The records of one recently appointed staff member were checked to ensure that this was still the case. The file seen contained all information as required, including evidence of a Criminal Record Bureau check, a completed application form, two written references and employment history. The manager said that one service user had been involved in the interviewing process. Staff described the training as good and said that it takes place regularly. Training records show that all established staff have received training in key health and safety areas, including moving and handling, fire safety, food hygiene, first aid and infection control. All staff have completed or have started induction training linked to the Learning Disability Award Framework (LDAF) Records show that all established staff have completed a training course on epilepsy. Other courses available include person centred planning, maketon and stress management. As discussed in previous sections, all staff need training in person centred planning, to enable the service to achieve one of its stated aims, and in SCIP to ensure that all staff are equipped to effectively manage episodes of challenging behaviour. Records show that 3 care staff have started an NVQ level 2 or 3 course in Care in 2006. Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. The home is well managed and effective systems are in place to monitor the quality of the service provided and to ensure that the health and safety of service users is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager Mr Stuart Craven recently successfully completed the registration process. During his interview for registration he demonstrated an enthusiasm in ensuring this service is run in the best interests of the service users, and he was very clear about the values and principles that the service is based Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 23 around. He produced evidence that he has undertaken regular training, updating his knowledge and skills including completion of the Registered Managers award. Mr Craven demonstrated the same enthusiasm and understanding of his role during the visit to the home. He has just started an NVQ level 4 in care. There are a number of systems in place to monitor the quality of the service. Monthly visits to the home are undertaken by a senior manager and a written report is produced which considers all aspects of the service and relates them to the relevant National Minimum Standard. The most recent visit took place in February 2007 and covered the following areas: fire procedures, environment, complaints, training, client finances, confidentiality, supervisions and staff meetings. There was documentary evidence that staff had completed a survey regarding their perceptions of the service. Relatives surveys were also completed in 2006 and positive feedback was received There were comments such as “very pleased with (relatives) progress” “could not wish for a better place” “pleased with home/staff” The results of the questionnaires have been evaluated and any action required has been taken, for example one person asked to be notified when new members of staff start. The manager said that all relatives are now informed of this by letter. As discussed in previous sections reviews of service users care/risk assessments are undertaken. Service users and their relatives are consulted in this care planning and risk management process. Staff confirmed that regular staff meetings are held and keyworker and staff supervisions all help to further monitor the quality of the service provided. The pre inspection questionnaire confirms that fire electrical and gas equipment has been recently checked and serviced. Assessments regarding the Control of Hazardous substances (COSHH) have also been reviewed in January 2007. The most recent fire drill took place in January 20007. As discussed in previous sections all staff have training in health and safety matters. Oakcroft DS0000034443.V326832.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 26 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 Oakcroft DS0000034443.V326832.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!