Inspection on 31/10/07 for Oakdene

This inspection was carried out on 31st October 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

Oakdene 08/11/06

Oakdene 17/01/06

Oakdene 02/08/05

Oakdene 02/11/04

Oakdene 29/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakdene 21 Kendal Green Kendal Cumbria LA9 5PN Lead Inspector Marian Whittam Unannounced Inspection 09:00 31 October 2007 st 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 DS0000022647.V345322.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 DS0000022647.V345322.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakdene Address 21 Kendal Green Kendal Cumbria LA9 5PN 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) 01539 723396 Kendal Care Limited Mrs Catherine Carradice Mr Stephen John Carradice Care Home 19 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (19) of places Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 19 service users to include: up to 19 service users in the category of OP (Old age, not falling within any other category) up to 2 service users in the category DE(E) (Dementia over 65 years of age) The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th November 2006 2. Date of last inspection Brief Description of the Service: Oakdene is a care home providing care for 19 residents over the age of 65, two of whom may have dementia. The home is in the residential area of Kendal Green and is owned and run by Kendal Care Limited. The extended house overlooks a large green surrounded by trees. The bedrooms at the front of the house have attractive views of the green and over the rooftops of Kendal towards the surrounding hills. The home is approximately a mile from the town centre with the shops, banks and other amenities. The home has a communal lounge, dining room and a small conservatory. The kitchen is in the basement area of the home. There is a small front garden area with some seating for residents. The laundry is outside the home, away from bedrooms, food preparation and dining areas. There have been extensions to the rear of the property on two floors and three of the four floors of the property have resident’s rooms on them. The home had a passenger lift from the ground to the upper floors. Fees payable at the home are £373.00 to £395.00 a week as at the time of the visit. There are additional charges made for hairdressing, personal toiletries and papers and magazines. The home makes information about its services available through its service user guide and statement of purpose. These are available from the home. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit to Oakdene forms part of the key inspection and took place over five and a half hours. Information about this service was gathered in a number of ways prior to this visit: • Annual Quality Assurance Assessment completed by the registered manager. • Survey questionnaires returned by the residents, their relatives and healthcare professionals. • The service history. • Interviews with residents, management and staff on the day of the visit. We (The Commission for Social Care Inspection) looked at care planning documentation and medication records to ensure the level of care provided met the needs of those living in the home and a tour of the building to inspect the environmental standards was undertaken. Staff personnel and training files were examined. What the service does well: People living in the home were very positive about the service, and spoke well of the manager and staff. One person told us that, “ I have no complaints, this is the best place I could be” and another said, “I am happy here, and I don’t think they could do much better”. The service is a small family run home and staff know residents well and are aware of their needs and preferences as individuals. Residents told us how “friendly” and “ relaxed” the home is and the atmosphere was informal and homely. Relatives also commented on the “homely environment”. People living in the home are provided with a safe, clean, and comfortable place in which to live. Meals served at the home are of a good standard and people told us they usually enjoyed the food, which is largely home cooked. All people coming to live at the home are fully assessed prior to admission to try to make sure all their needs can be identified and met. The management team takes care to make sure that the number of residents admitted with higher levels of need does not get too high as that could affect the care and support given to the other more able residents. Oakdene DS0000022647.V345322.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. Oakdene DS0000022647.V345322.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 Oakdene DS0000022647.V345322.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): NMS 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available and people are living at this home are fully assessed prior to moving in. This helps to ensure their needs can be identified and met. EVIDENCE: Admissions are not made to this service until a full assessment of needs is completed including using a dependency assessment tool to be sure needs identified can be met on admission. This assessment is conducted by the registered manager and includes family members if this is appropriate. One resident told us, “ They explained everything to me”. If the Local Authority has undertaken an assessment, the home asks for a copy of the documentation. There are trial periods for new residents, during Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 9 which time the homes assessment is continued to see that needs are being met. Prospective residents and/or their families are invited and encouraged to visit the home to meet with the staff and other people living in the home. This also gives opportunity to discuss with the manager the assessed needs and to ensure the home can provide the level of care and support to meet those needs. Records show that residents have a contract or terms and conditions of residency, depending on individual care arrangements. These are signed and kept on file with a copy to individual residents and state resident’s rights and responsibilities, room to be occupied, payment of fees and what is included. Records are also kept of all items of personal furniture and possessions brought into the home. The home has a statement of purpose and guide for residents as well as a brochure that provides useful information on the service, the fees and the homes aims and objectives. This needs some minor general updating in respect of residents views and some staffing changes. Oakdene DS0000022647.V345322.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): NMS 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their identified needs. People’s privacy and dignity are respected EVIDENCE: Each person living in the home has a plan of care that is drawn up from the initial assessment of their needs and capabilities. Where possible people have signed their plans to acknowledge their involvement in its creation. During the visit we looked at a sample of four care plans. These set out assessed health, social and personal care needs and these are being regularly reviewed and updated by senior staff. The care plans have sufficient detail for staff to know and take action to meet assessed needs but information was very much from a caregiver perspective. For good practice a more individualised approach to a person’s care planning should be considered to include the person’s own perspective, where possible, on how they want to be supported, cared for and their independence promoted. There was evidence in the care plans and daily Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 11 notes of health care treatment and intervention and, generally, an outline of the care required to meet the residents’ needs. Information is acted upon, for example one person experiencing changes in their mobility and leg weakness, identified at review, had physiotherapy provided and their mobility plan updated in line with this treatment and changes. Healthcare needs are met promptly by the local doctor’s surgery and survey comments from medical professionals indicated that people’s healthcare needs are being properly met. One commented that the staff were, “sensitive to patient’s emotional health” and were “experienced in physical health matters and when to seek advice”. We looked at the medication procedures and found that the residents are protected by safe systems for handling medication and record keeping was completed in an appropriate manner. Training records show that staff had received medication training from the supplying pharmacy and staff confirmed this had been most useful. We observed, during the visit, the interaction between the staff and those living in the home. This was very positive and it was evident that the staff knew the residents very well indeed and speaking to residents it was clear that staff supported people in the ways they wanted. One person told us “I like to be as independent as possible and staff help me if I need it but don’t try to make me do anything I don’t want to”. We saw that staff were polite and friendly when speaking to the residents and ensured all personal care was given in the privacy of their bedrooms. It was also noted on in the survey response by one of the visiting doctors that “the staff have never spoken to me about the health of a patient in front of other residents”. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service are able to make choices about their lifestyle and are supported to maintain their independence. EVIDENCE: The routines in this home are flexible to meet the needs of those living there. People told us that are no set times for getting up or to go bed and they may come and go as they please as long as staff are aware. Presently there is no one staff member overseeing activities due to changes in staff. There is no formal programme of organised activities in place but home does maintain an activities diary recording what is being done. Staff told us that in the meantime they are following resident’s lead in what they want to do in the afternoons. Sometimes they just sit and talk and reminisce. The home uses the ‘talking gazette’ a weekly local newspaper to keep up with local news as this was requested by one of the residents. There is a plentiful supply of video films and some residents use the library service. Some people told us Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 13 that the staff supported them to follow their own interests such as one person who liked to knit, others went out with their families and some liked to watch their own televisions and listen to music in their rooms. Those who use this service are given every opportunity to maintain important personal and family relationships and visitors are welcome at any time. There is also information available on advocacy services if people want them and also on agencies that can provide pension advice. More than one person living there told us that activities had “tailed off” recently but were aware that the staff member leaving had affected activities as they had previously led on this. Others told us that the weekly exercise sessions had also stopped. It was also commented on that there had been no trips out for some time and musical entertainers had not visited “for ages”. Residents had found all these activities enjoyable and missed them. People also told us there was no provision in place for religious services and communion although people can have their own religious ministers if they want. There should be systems in place to make sure that people have access to religious observance and pastoral care if they want it. There has not been a survey on activities carried out since 2004 and the manager should consider doing this again. They should also start consulting with residents on what they want to be included in an activities programme and act on this. This was discussed with the manager who was aware that activities provision had been badly affected recently and was looking at how the service could address this. We were able to speak with the part time cook who has worked at the home for some time and knows the residents’ likes and dislikes well. She was able to tell us about the dietary needs of people living there. She provides a wellbalanced menu with meals that are nutritious and home cooked. Residents were all complimentary about the meals provided with comments such as, “the food is great” and that there is “ always plenty of it”. People told us there were plenty of drinks offered during the day and were always asked what they wanted for meals. If they did not like the main meal they could have something else they preferred. One person said they did not like a cooked tea so staff got them the bread and honey and cake they liked for tea. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to express their concerns knowing they will be listened to and acted upon. They are safeguarded from abuse by the home’s policies and procedures. EVIDENCE: There are suitable procedures in place for recording and dealing with complaints. The complaints policy and procedure is part of the guide for the people using this service and there was also a copy on display. This needs to be generally updated. The manager said that there had been no complaints for some time and The Commission for Social Care inspection (CSCI) have not received any. People living there told us the manager and staff were approachable and listened to what they had to say. One told us that they were “very happy and satisfied” and had never needed to make a complaint but would just tell the carers or manager. Survey responses from residents and relatives supported the view that they had confidence in the home to deal with their complaints. The service has internal policies and procedures for the Protection of Vulnerable Adults (POVA) and there is a copy of the Local Authority’s Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 15 procedure was also seen to be available. The home also has whistle blowing procedures to help protect people who raise concerns. There have been no allegations of abuse made. Some staff training in this subject has been completed and the manager is hoping to access further training in the future. This has been identified as a priority at staff supervision. This subject is covered in National Vocational Qualification (NVQ) training, which is well established in the home. The home also has procedures in place for staff guidance on gifts and preventing involvement in service user’s wills. The home holds only small amounts of daily spending money on resident’s behalf. All personal monies are recorded, receipts kept and totals checked are correct. Residents are supported to handle their own financial affairs or with help from their families and legal representatives Oakdene DS0000022647.V345322.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): NMS 19, 20, 21, 22, 24 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a comfortable and homely living environment. The premises are reasonably well maintained and kept to a good standard of cleanliness. EVIDENCE: Internally the home is well decorated and furnished. There is a good sized downstairs lounge where activities can take place and a dining room and a small conservatory at the rear of the building. There is a passenger lift for access to the upper floors for residents and appropriate moving and handling aids and adaptations to support people in their independence and mobility. The bathrooms and communal toilets are fitted with appropriate aids and adaptations to promote the safety of those using these facilities. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 17 We conducted a tour of the building and found residents’ rooms well furnished and personalised with pictures, photographs and ornaments. There are call bells in areas used by the residents to summon assistance if needed. There are sufficient bathroom and toilet facilities to meet the needs of the residents and some bedrooms have en-suite toilets. There is planned maintenance in the home for general refurbishment such as new carpets and the hot water boiler has recently been replaced with a more efficient one. The manager conducts a ‘property audit’ as part of the overall quality monitoring and this was last done in September. This ensures areas needing attention are identified and records kept of any work needed and done and the timescales involved. Records show that equipment is regularly serviced. The home has policies and procedures for infection control and staff have had training from the Infection control nurse to promote good practice. Staff were observed to be using appropriate protective clothing and using appropriate waste disposal. The laundry facilities are sited away from the main building and are satisfactory, although rather untidy. There are systems in place to test water temperatures and to prevent risks from Legionella. Oakdene DS0000022647.V345322.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): NMS 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are protected by robust recruiting procedures. Trained and experienced staff ensure residents are supported and cared for. EVIDENCE: Staff rotas, speaking with people living there and observation of staff deployment during the visit indicated that the home has an experienced staff group providing continuity of care for residents. One senior carer has recently left and the owners have been actively recruiting new staff but staff levels are one down on the full compliment. Currently existing staff are covering this shortfall without adversely affecting the level of personal care being given, although activities have been more affected. Also the home is without a second part time cook and the manager is doing this 2 days a week as well. These contingency measures cannot go on indefinitely or resident’s overall care may be affected. In discussion with the owners this is being addressed through advertising for more staff. One new member of staff has been recruited for evening duty. A check on staff files confirmed that there is a thorough recruitment process in place with references, application forms and enhanced CRB checks in place Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 19 including for the new staff. This helps to ensure the safety and protection of those living in the home. Records show that staff are provided with, and participate in training courses suitable for the work they are doing. These include, moving and handling, first aid, medication training, food hygiene and infection control. The home has a training summary in place for 2007 detailing training done to date. NVQ training is established in the home and some staff are doing this to Level 3. We interviewed the staff members on duty who had worked at the home for several years. Both felt it was a good place to work and that the manager was approachable and flexible and supported them in their training and through regular supervision. We observed staff dealing with residents and found a caring, sensitive and respectful approach with all personal care given in private. People living in the home were complimentary about the staff. They told us that staff were, “always helpful, polite and friendly” and one said “we all get on well and have a laugh with the girls”. A GP survey response indicated that staff are “ very sensible” and that they had “no concerns” about health care needs being met”. Oakdene DS0000022647.V345322.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): NMS 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a home that is safe, well managed and run in their best interests. EVIDENCE: The manager is registered with the Commission for Social Care Inspection and has completed the registered manager’s award and is experienced in care. We spoke to residents during the visit and they us that they see the manager most days and she is “very helpful. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 21 The home has regular residents and staff meetings and the minutes of both were on display. The home does annual stakeholder surveys to gather wider opinions on the service and these are collated and displayed. This is now due to be repeated for this year. Audits are being carried out within the service annually and reviews of procedures are being done to promote consistency and identify any gaps in the service. There are clear lines of accountability within the home and staff and residents told us that there is an open and flexible management approach. One person told us, “Its very open and relaxed here, not regimented like some places”. Staff supervision is in place and recorded including personal development needs and staff confirmed this takes place regularly. Staff also said that they could talk to the manager at any time not just at formal supervision. The home had systems in place to safeguard resident’s monies and transactions are receipted and the home does not act on behalf of any residents financially. All risk assessments are completed and updated by the management team and premises audits to identify any work that may need to be done and also to identify any potential hazards. Discussions with the owner of the home confirmed that all equipment is maintained and serviced through annual service level agreements and documentation supported this. Records show both day and night staff have been given appropriate fire training. Due to recent changes in Fire regulations it was recommended that the Fire warden review their fire procedures and risk assessments to make sure they all comply with the changes. Oakdene DS0000022647.V345322.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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Oakdene DS0000022647.V345322.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. 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. 1. 2. Refer to Standard OP1 OP7 Good Practice Recommendations The statement of purpose/service user guide should be reviewed and generally updated to make sure all information is current. All care plans should be developed to be more personcentred and include care planning from the individual’s perspective. They should also be more out come focussed for people. There should be systems in place to make sure that people have access to religious observance and pastoral care in the home if they want it. The manager should start consulting with residents on what they want to be included in an activities programme and provide opportunities for such activities in the home. The owners should continue to actively recruitment staff to bring staff levels back up to normal levels to ensure people’s care in not affected. The Fire warden should review the fire procedures and risk DS0000022647.V345322.R01.S.doc Version 5.2 Page 24 3. 4. 6. 7. Oakdene OP12 OP12 OP27 OP38 assessments to make sure they all comply with the changes to fire regulations. Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Oakdene DS0000022647.V345322.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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