CARE HOMES FOR OLDER PEOPLE
Oakdene Oakdene 100 Tollemache Road Birkenhead Wirral CH41 0DL Lead Inspector
Mrs Trish Thomas Key Unannounced Inspection 20th September 2007 11:00 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 Oakdene DS0000018919.V343483.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. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Oakdene Address Oakdene 100 Tollemache Road Birkenhead Wirral CH41 0DL 0151 653 7109 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 Irene Patricia Steele Mrs Irene Patricia Steele Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: Oakdene is a detached property, originally a vicarage, which was adapted to provide residential care and support for sixteen older people in 1981. The present owner took over the home in 1992. Oakdene is located in a residential area of Claughton, Birkenhead and is about half a mile from local shops and services. There is a bus stop outside the front gate. The home is approached via a gently sloping drive and the house and gardens are set on level ground. There is parking for three cars in the grounds and unrestricted parking on the main road. Accommodation is provided in 10 single and 3 double bedrooms. There is a communal lounge, a conservatory, a separate dining room and a small smoking room. There are two bathrooms, one of which has a bath lift, and five toilets. The weekly charge for Oakdene £346.92p. The fee does not include hairdressing and chiropody. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The visit to Oakdene was un-announced and took place over a five-hour period. The manager, Mrs. Irene Steele was not on duty. In her absence, the deputy manager, Mrs. Irene Jackson, was contacted by a member of staff and assisted by attending the home, and providing information and records, which were requested. The methods used during the visit were meeting with residents and asking them about their experience of Oakdene, Discussion took place with a visitor and with the staff who were on duty. Records compiled in the home relating to staffing and health & safety were read. A sample of care plans was read and two were tracked by checking assessment outcomes against action plans and risk assessments and by meeting with the residents to discuss their care and support. A tour of the premises was carried out to check the suitability of accommodation and reference was made to the Annual Quality Assurance Questionnaire, which had been completed by Mrs. Steele and returned to CSCI before the date of the visit. What the service does well:
To ensure that prospective residents have the information they need before moving in to Oakdene, they are given copies of the home’s brochure and statement of purpose. They are encouraged to visit Oakdene to meet the residents and staff, before a decision is reached. Residents have had their needs assessed before moving in to ensure that Oakdene has the facilities and skills to support them. Those who commented were satisfied with the care provided in Oakdene saying, “The staff are very good and experienced,” “If I am feeling under the weather they call the doctor, they are very good in that way.” A visitor said, “(Name) has settled in quickly and enjoys being with other residents, as well as spending time alone in her room. Things are going well.” Residents’ diversity is acknowledged through support for their religious needs and by the way in which care and support is provided. Residents’ dignity and culture is respected in care giving, the atmosphere is relaxed, and the lifestyle in Oakdene was to residents’ satisfaction at the time of this visit. The building is generally well maintained with a beautiful garden and residents said they were comfortable and satisfied with their accommodation. Oakdene does not have a passenger lift, however there is a stair lift, a ramp to exterior and assisted bathing facilities for residents who have limited mobility. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
To ensure that management of care is effective, a recommendation is given that work in progress to improve the care plans is completed. To avoid error, in instances where the medication administration record is handwritten, the following action is recommended. The writer should sign the handwritten insertions and have a colleague check them as being correct and sign the record. To ensure that residents are protected by the procedures and training in Oakdene, it is recommended that all staff receive training in Protection of Vulnerable Adults. It is further recommended that a copy of the local authority safeguarding adults procedure is held in Oakdene, for staff guidance. One bathroom (on the upper level), is not suitable for residents due to the poor condition of the bath and there are plans drawn up for this to be converted to a shower room. To ensure that residents have enough assisted bathing facilities upstairs, a recommendation is made that work to fit a shower is completed. To ensure that window openings and mechanisms are suitable, recommendations are made regarding review of window restrictors and remedial work to the windows, which need repairs to the sash cords. To ensure that there is evidence that at all times, suitably qualified, competent and experienced persons are working in Oakdene, in such numbers as are appropriate for the health a welfare of residents, the following action is to be taken. It is required that the staff rosters in Oakdene are maintained accurately to provide a record of the staff who are working on each shift. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 7 Patient handling training for some staff was out of date and a recommendation is made that this training is updated to ensure that residents are assisted safely. Certification for equipment maintenance was satisfactory other than where two recommendations are given. To ensure that that there is evidence that the gas system in Oakdene is safe, it is recommended that confirmation of remedial work to the ventilation system is provided to CSCI. The portable appliance test records were not available and it is recommended that CSCI be informed when the tests have been carried out. The tests are necessary to ensure that electrical equipment and appliances used by residents and staff are safe. To ensure that the fire alarm system is working efficiently, a recommendation is made that fire systems tests in Oakdene are carried out weekly. 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. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 8 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 Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. Prospective residents have had their needs assessed and they have the information they need before making the decision to move in to Oakdene. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 1,3,5. To ensure that they are fully informed about Oakdene, each resident is given a copy of the service user guide. This document was read and was seen to provide an overview of the service aims and objectives, details of the facilities, staffing and accommodation. The admissions procedure format in use, contains a checklist to ensure residents have been provided with a home’s brochure and contract of residence as they move in. To ensure that Oakdene is to each person’s liking and that they feel relaxed in the environment, prospective residents are invited for a visit. The home brochure contains an invitation for interested parties to view the home, offering information and a tour of the premises before any decision to move in
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 10 is reached. A visitor said of her relative’s experience, “She has settled in quickly and enjoys meeting others as well as spending time alone in her room. Things are going well.” For people referred to Oakdene through social services, a copy of their social work assessment is on file. Staff of Oakdene also carry out an assessment of each person’s needs to ensure that the services and facilities in Oakdene can meet their diverse health, social and personal care needs. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. Residents are cared for and work to improve the care planning format is progressing. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 7,8,9,10. All residents have a care plan which is based on the outcomes of individual needs assessments. There were fifteen people living in Oakdene at the time of the visit and two care plans were tracked. There were action plans in place to meet each person’s assessed needs with regards their health and personal care. A visitor to the home said that her mother is, “The best I have seen her recently, the staff are marvellous here.” The deputy manager confirmed (following a requirement from the last visit), that work is in progress to implement a revised care-planning format, which will provide more clarity and make provision for reviewing action plans and updating risk assessments. To ensure that the care planning process is effective in care and risk management, a recommendation is given that current work to improve the care plans is completed.
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 12 The deputy manager confirmed that all residents of Oakdene are registered with local G.P.s. Care files contained records of medical referrals and the outcomes, such as the issuing of a prescription, referral to specialist services, or provision of pressure care equipment. A resident said, “If I am feeling under the weather they call the doctor, they are very good in that way.” There is a procedure for managing residents’ prescribed medication and arrangements for the storage and disposal of drugs accepted into Oakdene were satisfactory. The member of staff on duty who was administering medication said her training had recently been updated. The medication which was tracked, through checking administration records against quantities of each drug in stock, was in order and pharmacy instructions were being followed in their administration. There are occasions when it is necessary for staff to write in prescribed drugs, on the Medication Administration Records. To avoid errors in medication administration in such instances, it is advised that the writer signs the handwritten record and has a colleague check them. The checks, against pharmacy containers, should include the drug, dose, administration details and the individual for whom they are prescribed. The person checking the record should also sign the insertions as being correct. There are policies and procedures in Oakdene to guide staff in respecting residents’ privacy and dignity in care giving. Staff who were spoken with were aware of these principles and best practice in their promotion. A member of staff said, “We are always respectful when assisting residents, they are supported in the way they prefer and care is given in private.” Oakdene DS0000018919.V343483.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): Quality in this outcome area is good. The lifestyle in Oakdene meets residents’ needs and expectations, their diversity is respected and they are provided with a wholesome and appetising diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 12,13, 14, 15. The deputy manager said that social activities are arranged in Oakdene following discussion with residents, and a calendar of planned events is displayed on the activities board. The preferences of those in residence during the visit were said to be bingo and sing songs. An entertainer (singer) visits once a month, and some of the residents go regularly to a local club for socializing and lunch. Parties are arranged in Oakdene on special occasions, attended by residents’ families. Residents said that their visitors are made welcome and that there are no unreasonable restrictions on visiting times and this is supported in the home’s brochure. A visitor said, “Staff are always great and I am always glad to come here.” Residents’ diversity is supported through arrangements for local ministers and priests to attend the home to provide religious services and communion. Advocacy services are provided for residents who may need independent
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 14 support, through a local voluntary organisation, whose contact number is displayed on the notice board. Residents said they were satisfied with their meals. The main meal, which was being served during the visit, looked appetising and was served in a pleasant and well-presented dining room. A resident said, “It’s very tasty, I’m enjoying it.” Details of all meals served to residents are written in the menu book and these records show variety and the choices available. A light meal is provided in the evening and the cook said that residents are asked what they would like and their requests will be catered for. The kitchen is domestic in style, is well equipped and there were good quantities of frozen, chilled and fresh food stocks in store. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is adequate. Although residents’ complaints are acted upon in Oakdene, there are weaknesses evident in safeguarding adults procedures and training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 16 and 18. To ensure that residents’ complaints are taken seriously, Oakdene has a written complaints procedure, which is given to residents and their representatives. The procedure and a record of complaints received by the manager, was read. The most recent complaint on record was regarding a leak from a resident’s bedroom ceiling, caused by rainwater penetrating the flat roof. As a result, remedial work had been carried out to the roof. A copy of the local authority Safeguarding Adults Procedure was not available in Oakdene at the time of visit. The deputy manager confirmed that two members of staff have received training in Protection of Vulnerable Adults, however the majority have not received this training. A recommendation is made that training is arranged for staff to receive POVA training. This will be necessary to ensure that residents are protected against abuse and that staff are aware of the indicators of abuse and the reporting procedures to be followed if abuse is suspected. It is further recommended that a copy of the local authority safeguarding adults procedure is held in Oakdene, for staff guidance.
Oakdene DS0000018919.V343483.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): Quality in this outcome area is good. The building is clean, comfortable and well maintained, however alterations to the first floor bathroom will be necessary to improve assisted bathing facilities for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 19, 20, 21, 22, 26. The building is generally in good decorative order, the exterior has recently been painted, and the garden is secluded and well maintained. There is a stair lift to the upper level and a ramp at the front of the building. The furnishings and décor are homely and domestic in style and are in keeping with the character of the house. Communal areas for residents consist of a large lounge, a dining room, and a conservatory with good views of the garden. There are bedrooms on the ground and upper floors. A number of bedrooms are doubles and are spacious, with screening provided for privacy.
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 17 Two residents who were spoken with said they have no objection to sharing a bedroom, one said, “I am comfortable and it is a very nice room.” An assisted bath, and toilets with raised seats are available for residents who are physically frail. One bathroom (on the upper level), is not suitable for residents due to the poor condition of the bath and there are plans drawn up for this to be converted to a shower room. To ensure that residents have enough assisted bathing facilities upstairs, a recommendation is made that work to fit a shower is completed. Recent improvements to the building include rewiring, and ongoing decoration throughout the building. To ensure window opening mechanisms are suitable, recommendations are made regarding review of window restrictors and remedial work to the sash windows, which need repairs to the sash cords. Oakdene employs domestic staff and procedures in place for control of substances hazardous to health and infection control were seen. Protective clothing and training is provided for staff who carry out domestic duties. The building was clean and odour free in all areas which were visited. A resident said, “The place is always clean and staff work hard to keep it that way.” Oakdene DS0000018919.V343483.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): Quality in this outcome area is adequate. There is a robust vetting procedure to ensure that staff are suitable, however, shortfalls were evident in training and management of the rosters. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 27,28,29,30. A copy of the staff roster was seen. There were two members of care staff on duty on arrival in the home, and the deputy manager (who was rostered 8am5pm) was not in the building and attended when contacted. Three of the persons named on the roster were not in the building (including the manager and deputy manager). A requirement is made that the staff rosters are maintained accurately to provide a true record of the staff who are actually working in the home on each shift. The deputy manager said that there are seventeen care staff employed, five have NVQ3 and three have NVQ2 and one person is working towards completion of NVQ2. Reference was made to the staff training matrix and staff on duty were spoken with. Staff receive induction training and those who prepare food have Food Hygiene training. Mandatory training is continuous, however training in patient-handling, needs to be updated for some staff and it is recommended that this is carried out.
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 19 Oakdene has a recruitment procedure to ensure that job candidates are provided with the information they need about the home and are thoroughly vetted before taking up their posts. A sample of staff files, which were read, had been satisfactorily maintained. Oakdene DS0000018919.V343483.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): Quality in this outcome area is adequate. There is a strong management team however some shortfalls were noted regarding health and safety management in Oakdene. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 31,33,35,38. Oakdene has a registered manager, Mrs. Irene Steele, who is also the registered provider. To support the manager, there is a deputy manager and senior carers, who have delegated roles and responsibilities. Staff on duty said the managers are approachable and they are well supported and supervised. Oakdene has a quality assurance system, which includes seeking the views of residents and their representatives. A sample six of the quality questionnaires
Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 21 was read and the comments on standard of service were positive, one resident stated, “A little piece of heaven.” Another wrote, “Food good, well run, any concerns dealt with immediately.” The assistant manager confirmed that management of personal allowances is in the hands of residents (or their representatives). She said that if necessary, small amounts of money are held in safekeeping for a minority, to cover hairdressing and chiropody charges for residents who have no representative and who are unable to manage these for themselves. Certification of equipment maintenance was satisfactory other than where two recommendations are given. To ensure that that there is evidence that the gas system in Oakdene is safe, it is recommended that confirmation of remedial work to the ventilation system is provided to CSCI. The portable appliance test records were not available and it is recommended that CSCI be informed when the tests have been carried out. The tests are necessary to ensure that equipment and appliances used by residents and staff are safe. Maintenance records for fire safety equipment were up to date as were fire drills and fire safety instruction for staff. To ensure that the fire alarm system is working efficiently, a recommendation is made that fire systems tests in Oakdene are carried out weekly. Oakdene DS0000018919.V343483.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 2 X 2 3 X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Oakdene DS0000018919.V343483.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. Standard OP27 Regulation 17 Schedule 4 (7) (a). Requirement To ensure that there is evidence that at all times, suitably qualified, competent and experienced persons are working in Oakdene, in such numbers as are appropriate for the health a welfare of residents, the following action to be taken. The staff rosters are to be maintained accurately providing a record of the staff who are working on each shift. Timescale for action 20/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations To ensure that management of care is effective in meeting residents’ needs, it is recommended that current work to improve the care plans is completed. To avoid error, in instances where the medication administration record is handwritten, the following action is recommended. The writer should sign the handwritten
DS0000018919.V343483.R01.S.doc Version 5.2 Page 24 Oakdene 3. 4. 5. 6. 7. 8. OP18 OP19 OP19 OP21 OP30 OP38 9. OP38 10. OP38 insertions and have a colleague check them as being correct and sign the record. To ensure that residents are protected by the procedures and training in Oakdene, it is recommended that all staff receive training in Protection of Vulnerable Adults. It is recommended that a copy of the local authority safeguarding adults procedure is held in Oakdene for staff guidance. To ensure residents’ safety it is recommended a review of window restrictors is carried out and repairs made to the sash windows, where cords are broken. To ensure that residents have enough assisted bathing facilities upstairs, it is recommended that that work to fit a shower is completed. To ensure that residents are moved safely, it is recommended that patient handling training for staff is updated. To ensure that that there is evidence that the gas system in Oakdene is safe, it is recommended that confirmation of remedial work to the ventilation system is provided to CSCI as referred to on the gas certificate dated 20/8/07. It is recommended that CSCI be informed when portable appliance tests have been carried out. The tests are necessary to ensure that electrical equipment and appliances used by residents and staff are in good condition. To ensure that the fire alarm system is working efficiently, a recommendation is made that fire systems tests in Oakdene are carried out weekly. Oakdene DS0000018919.V343483.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Merseyside Area Office 2nd Floor, South Wing Burlington House Crosby Road North Waterloo L22 0LG 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
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