Inspection on 25/10/05 for Oakdown House

This inspection was carried out on 25th October 2005.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakdown House 23/01/07

Oakdown House 09/06/05

Oakdown House 18/01/05

Oakdown House 01/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Oakdown House Ticehurst Road Burwash Common East Sussex TN19 7JR Lead Inspector Jason Denny Unannounced Inspection 25th October 2005 09:55 Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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 Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakdown House Address Ticehurst Road Burwash Common East Sussex TN19 7JR 01435 883492 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) Oakdown Limited Mrs Joyce Chapman Care Home 44 Category(ies) of Learning disability (44) registration, with number of places Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of residents to be accommodated is forty four The residents will be between the age of eighteen and sixty five years on admission Total accommodation includes twenty six residents in the main house, six residents in the bungalow and twelve in the pavilion To accommodate a maximum of twelve (12) service users with a learning disability and physical disability in the Pavillion. 9th June 2005 Date of last inspection Brief Description of the Service: Oakdown House provides accommodation for forty-four adults with Learning Disabilities. The Main House provides for twenty-six service users [Residents] on three floors, separated into three ‘flats’, each including a communal lounge/dining area and kitchenette. There are three bungalow Flatlets, each for two service users, which provide semi-independent living. Adjoining the Main House is a purpose-built special care unit for twelve service users with high dependency needs associated with their learning and physical disabilities [The Pavilion]. A communal area and assisted bathrooms are provided on each of the two floors, in addition to specialist aids, equipment and adaptations. At ground level there is a well-equipped day resource with an outdoor activity area and a sensory room. On-site workshops for daytime activities include craftwork, painting, drama cooking, music sessions, and a newly built computer suite. A range of workbased, educational and leisure activities are offered off site. The buildings and extensive gardens are set in a rural location with readily accessible village community facilities such as a church, public houses, and a bus route. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [second of two planned before April 1st 2006], which was carried out by two Inspectors and took place between 9.55am and 3.00pm. The Inspection found that of the 14 National Minimum Standards inspected, that 10 of these standards had been met, with most nearly met. The overall focus of the inspection was on following up on the more detailed inspection of June 9, 2005. The Inspectors spoke with 10 residents, and observed a number of others. The Inspectors toured all communal areas across the 5 homes, which form Oakdown House and looked at bedrooms, and kitchens. Discussions with the management team took place around progress since the last inspection. Meal arrangements were observed. Care and staff records, along with complaints documentation were inspected. The inspectors both spoke with and observed staff. A number of comment cards were completed by residents, which were mainly positive about the service, with the exception of food, with some suggesting further improvements to activities. This report should be read in conjunction with the last inspection report of June 9, 2005 which looked at 27 standards most of which were not looked at this inspection due to being met last time. What the service does well: What has improved since the last inspection? The Commission have received a detailed Maintenance, Refurbishment, and Renewal plan for all the homes with particular reference to work needed on the Main House. This plan includes a stair-lift in the Main House to assist residents as they get older by making accommodation on the first floor accessible for all, Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 6 along with new flooring, relocation of the lounge and smoking room. Planning permission is being sought to enable further improvements such as making the 1 double room single. The plan is budgeted and on schedule. A sluice has been installed in the Main House with redecoration continuing. Those on the top floor of the Main House have had improvements made to their facilities to avoid them having to come down a floor for dishwashers or working showers/baths. The bungalows have been steam cleaned and redecorated with overall cleaning schedules improving. Improvements to the well maintained and purpose built Pavilion is also planned. Records showed that all complainants are now written to by the manager, which has made residents feel more important and reassured. The guide to each home was found to be on display for all and included resident’s views. General improvements have been made to overall infection control precautions by staff such as the issuing of hand-gel packs. 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. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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 Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 5 The home provides good information in its guide. This information is now clearly displayed with copies throughout the home with the guide also containing resident’s views. Resident’s contracts/agreements are well written, transparent, explained, and agreed by all, before a permanent place is offered. The contracts will benefit from showing the input of someone independent of the Organisation to safeguard everyone’s interests. EVIDENCE: The home has a Statement of Purpose. The home has a clear complaints procedure. The format of the Residents Guide was in both normal print and also in large print with photographs and symbols to assist a person with communication needs to follow the information. The guide is also on talking tape. The guide contained a range of information and some photographs along with views of residents to assist prospective new residents to make a choice about the home. The Inspector found the guide on display in the Main House’s lounge near to where visitors access the home. Copies of the guide are also on each floor of each home with residents having their own copy where required. As reported at the last inspection; For each Resident [service user] there is a Social Services contract, additionally a form of service user agreement has been produced by the home that outlines the rights and responsibilities, terms and conditions, the plan for personal support and the facilities and services to be provided. Contracts seen were found to be signed. Some contracts were signed by a fingerprint where the person lacks the ability Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 9 to sign. It has been recommended that an independent advocate also sign the contracts. Since the last inspection the organisation has explored various options, which are still continuing. The fee level is based on assessed need. The basic fee includes all day services and is fully funded by social services. The detailed breakdown of fees also show the cost of extras should the resident wish to pay for these. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 Care-Plans were found to contain good information subject to regular review with all relevant people. Although care-plans are good one did contain contradictory information, which will be resolved by more timely rewrites. Care-plans showed evidence of being put into action and were found to be highly relevant to the needs of the individuals concerned. Risk assessments were found to be relevant and thorough. Residents are all supported to be as independent as is practically possible. The organisation, which manages the homes, was found to be making efforts to improve independent advocacy to complement its counselling services, and to give residents someone outside the organisation that they can talk to. EVIDENCE: The Inspectors sampled 3 care-plans on some of those who receive support from a district nurse. The key worker together with the resident carries out care planning. Residents have access to their plans and choose who is to attend their review meetings. The care plan includes an assessment of all aspects of personal and social support and healthcare needs. The Inspectors found a basic level of information helpful for staff in meeting needs. The inspectors found that most of the recent changes for residents had Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 11 been reflected in amendments to the plans. One exception was the front profile of one resident, which stated that she is fed by a stomach tube. It was evident from talking to managers and staff and looking at other parts of her plan that she has been eating normally and orally for some time. It was agreed that this created a potential confusion for any new staff person. Two of the plans had guidance from the district nurse. One plan looked at in the Pavilion was found to lack some notes from the district nurse due to these now being retained by the person concerned according to the deputy manager, who confirmed that verbal guidance is passed on and where possible recorded. Previously the district nurse left a folder for use by staff. The plans also contained an individualised daily planner to show staff what assistance is necessary for each resident. The planner also focuses on the development of daily living skills. These plans are regularly reviewed and staff are closely supervised to ensure that they are filled in correctly. The plans were easy to navigate. Risk assessments also form part of the care planning process and are regularly reviewed such as example of one reviewed during the month of the inspection. This includes a moving and handling, environment, and general risk assessment. Another care-plan was found to have detailed health guidelines and an accurate personal profile including catheter care. This plan also contained a range of recent agreements between the resident and the home. Residents are encouraged to exercise responsibility and make choices about their day-to-day living. A number of the residents manage their own savings accounts and pocket money expenditure and have keys to their rooms. Those who do not manage their own money sign an agreement to allow the home to do this. This is subject to regular review. The home retains details of an Independent Advocacy Service, should any Resident require this. In practice residents confirmed that they access the independent counsellor who visits twice a week for such a service. The home was found to be trying to access advocacy for two residents along with finding someone to support residents by signing their contracts and agreements. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 17 Residents are carefully supported to progress to a level of independence that they are comfortable with. Meaningful and wide-ranging Activities take place on a regular basis and are available for all residents although not all are fully participating. Weekend activities were identified by some residents for improvement. The organisation are requested to canvass residents views in relation to activities. The organisation provides an exceptional range of activity facilities. Residents have continuous opportunities to learn new skills and further their education. Residents are encouraged to play a full role in the community by a motivated staff team. Meal arrangements are viewed by some residents, and staff, as needing improvement to meet needs. On the day of the inspection food was variable with records and discussions showing that consistency had not yet been reached. It is recommended that clearer evidence of best practice in relation to food safety be demonstrated. EVIDENCE: Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 13 A resident who had previously moved in to the more independent bungalows was found to have decided to move back to the Main House. The management were made aware by the inspectors that some of those living in the bungalows have some difficulty maintaining a hygienic environment and that their level of independence needed to be based on their skills. A full, weekly programme of activities is available to all Residents with their names recorded on weekly and daily activity sheets according to what preferred activities they wish to attend. The range of activities is explained at length in the last report dated June 9, 2005. Unlike the situation reported at the last inspection some residents indicated in discussions that they wanted more things to do especially at weekends. This message was also confirmed in some comment cards. It was evident that some weekend activities take place such as swimming. The organisation was advised to hold meetings with all residents to gauge their views on activity provision and re confirm what is available and explore ways of expanding activities if any realistic ideas are put forward by residents. A number of comment cards filled in by residents indicated that food was only liked sometimes. Some residents spoken too stated that food is often cold or not correctly cooked and that potions are not big enough. A staff person showed the inspector a sealed fruit dish querying the quantity. On the day of the inspection, it was pointed out by a staff person that some burgers were returned to the cook due to being raw in the middle. The staff person indicated that this was a regular problem, which was confirmed by the manager and seen in records including minutes of meetings, which included many of the concerns stated, along with issues about food hygiene. The contracted cook was spoken with and observed by one of the inspectors. Frozen Food to be cooked was found to be left out uncovered. No written system of recording cooked meat temperatures was found. The cook stated that he could not locate the most recent environmental health inspection report. Fridges and freezers were found to be cleaner than last time they were inspected. The manager indicated that the quality of food served by the caterers is monitored by staff with a system whereby some staff from individual homes buy some food and drink to compliment resident’s diets which is then billed to the caterers. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home was found to be meeting resident’s health needs and was fully aware of what additional support is required. The home was found to use a range of specialists in order to meet needs. Health needs were found to be carefully monitored EVIDENCE: The inspectors focused on the care records and practices in relation to some of the residents who receive additional support from district nurses. This included looking at reassessments following periods of hospitalisation. Infection control measures were also looked at. The support to those who experience epileptic conditions was looked at on the last inspection. Discussions also took place with management and staff. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home and organisation respond appropriately to complaints especially by residents and have improved the level of detail and clarity in the complaint file. This process also shows more involvement by residents with their status fully respected by writing to complainants. The rate of Complaints continues to be low relative to the number of residents, with most issues promptly dealt with informally. Staff continue to demonstrate a sound understanding on how to prevent and report abuse and continue to benefit from adult protection training. Staff were found to be aware of the home’s complaints recording policy and procedure. All staff follow a consistent approach when dealing with residents distress. EVIDENCE: The inspector found two complaints since the last inspection brought by residents about the challenging behaviour of another resident. The residents who complained were found to have received a letter acknowledging their concerns, which also included actions being taken, including holding meetings with those concerned to resolve the issues. The residents themselves indicated to the inspector that they were pleased with how things were being handled. A complaint letter concerning the main cook was found which related to food safety and staff concerns about meals. Key workers are trained to respond to service user’s wishes, suggestions, or concerns. All staff have received training in the protection of vulnerable adults. There is policy guidance for staff to adhere to. This is covered in new staff ‘s induction and via periodical training with the last session taking place on 220605. The manager was found to be have completed a Social services run Protection of Vulnerable adults course. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 16 Social services have informed the Commission in between inspections of the homes good practice in respect of adult protection practices. Staff interviewed at the last inspection indicated a sound knowledge of all the issues involved and how to both detect and report potential abuse. It was evident during the inspection how seriously; the organisation treats disciplinary type issues such as record keeping and sticking to care-plans, in the best interests of residents. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 and 30 Resident’s benefit from being in homes set within extensive and well maintained grounds. The grounds and garden areas are exceptional, well maintained and safe. Accommodation for residents varies in quality although plans and work have started to bring all accommodation up to the same standard. The organisation has sent the Commission clear costed plans, which are on schedule with improvements evident since the last inspection. The Main house is in the process of being adapted to be more suitable for those with older persons needs as well as renewal and changes to the layout especially the location and use of the lounge, which is currently unsatisfactory. The accommodation for those who are more independent is gradually being renewed. Although there have been improvements, this accommodation requires more effective cleaning. Bedrooms were found to meet needs and were personalised Infection control practice by staff needs to improve to prevent placing people at risk EVIDENCE: The Main building and its 26 rooms were toured as were the Pavilion for 12 people along with the 3 bungalows which house 2 people in each. Some bedrooms were also looked at. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 18 The Pavilion was found to be ideally suited for its purpose. This home was clean, personalised, and well equipped. Improved Wheelchair access to the garden was found to planned. Access is available to the courtyard. Plans were seen based on replacing some carpets/flooring, and improving bathrooms. The Main House Some of the older people were found to use commodes, which were found to be clean with a sluice installed since the last inspection. A stair lift was found to be planned for the home within the next few months. The carpet in the smoking lounge of the Main House along with other flooring is due for planned replacement starting on 31/10/05. The lounge door is also the entrance area to the home along with being a smoking area. New plans shown to the inspector showed how this room is to be moved and a separate smoking room developed along with a new relocated dining room, with one remaining double room being made a double. Accommodation on the ground floor will increase from 8 to 10 rooms. The existing lounge will become two en-suite rooms. A bath has been repaired on the top floor of the Main house with plans to install a shower room, as this is more popular with those residents. A dishwasher has also been installed. Both measures avoid the residents having to come down a floor to access facilities. A hallway was being decorated as per the plan. One powerful odour was found in a ground floor corridor, which was then addressed during the inspection. All of the three bungalows were found to have had some steam cleaning to carpets and bathrooms since the last inspection along with repairs carried out. A plan is on place to redecorate and renewal the buildings to make them more homely this will include new kitchens in 2006. Some hygiene concerns were found in the bungalows. Staff and management confirmed that residents lack some skills but are reluctant to have staff help. The home was advised to review strategy due to their duty of care where health issues supersede other considerations. Overall cleaning has improved slightly since the last inspection with the company cleaner devising new schedules. All homes were found to have a plan to replace some furniture. A number of residents were found to have keys to their rooms and their own lockable storage facilities. Staff and management were found to have received additional infection control training and advice with all using belt mounted gel hand wipe packs. However a full bin was observed for 15 minutes without a lid and ignored by several passing staff in a dining room, the bin was full and contained dirt and other items such as disposable gloves, which should have been disposed off separately. When it became clear that no action was being taken the inspector reported it to management who took prompt action. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 34 Staffing ratios meet residents assessed needs and are under continuous and competent review. The home follows tight and robust recruitment practices to ensure that as far as possible only suitable staff is employed. Training was assessed at the last inspection and found to be exceptional. EVIDENCE: Rota’s inspected showed that staffing ratios had increased by 1 person over the last year as reported at the last inspection in relation to the Main House between the busiest time of 8-10am. Staff confirmed that this was beneficial to supporting morning routines. It was also found that discussions were taking place to increase this to 8-11am, and to have an extra waking night person. The Pavilion was found to be have 7 staff plus a deputy for the 12 residents during the day, and one staff 8-10am for the more independent residents in the bungalows [6 residents]. These levels decrease in the evenings according to need. Dedicated day care workers and the availability of deputy managers also boost staffing. The manager assured the Inspectors that staffing levels were sufficient to meet need. The 6 people who live in the bungalow have no staff support on their premises and are aware of calling the Main House if they have a problem day or night. The manager stated that there was a plan to increase staff support at night to the Main House when 2 resident vacancies are filled, which in turn will increase night-time support for the bungalows. The deputy of the Pavilion stated that he is in discussions with Social services Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 20 to increase 1:1 funding to some residents to increase staffing. Staffing levels are under close review due to the older person needs of some people at the Main House. The older person needs of some in the Main house will only increase meaning that two waking night staff will be required soon. One of the personnel managers also works occasional nights in the Main house and described the work as manageable for one person at present to up to 25 residents with a sleep in person as back up [not frequently used]. The more independent residents in the bungalows may also need more support with skill development such as in the maintenance of clean environments. They have a call-system when they wish to access support. The inspectors were satisfied that the management were competent at assessing needs and what staffing support is needed. Since the last inspection the organisation has been successful in accessing several hours [2] more 1:1 staffing hours per week for two residents. The inspector looked at two staffing files for recently employed staff and found all necessary documents in place before the person’s started working with residents. These documents included ID checks, Police CRB disclosures, two satisfactory references, and POVA Firsts where staff names are checked against a register. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this inspection. At the last inspection [09/06/05] standards 37, 38, 39, and 42 were inspected with all found to be met with standard 37 exceeded. EVIDENCE: Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X X X 2 LIFESTYLES Standard No Score 11 X 12 2 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakdown House Score X 3 X x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000021177.V248992.R01.S.doc Version 5.0 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 YA17 Regulation 16[2][1] Requirement That the registered person must ensure that food served [by the cook] is provided in adequate quantities, is suitable, and properly prepared and served at the right temperature. That all arrangements relating to food safety are observed in accordance with both legal requirements and best practice guidance. That the registered person must ensure that satisfactory standards of hygiene are maintained in all homes. To include the disposal of clinical waste, sealing of bins, management of odours, cleanliness of the bungalows. Timescale for action 25/12/05 2 YA30 16[2][j] 13[3] 25/12/05 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 Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 24 1 2 3 YA5 YA6 YA12 4 YA30 That Service user [Resident] contracts are also signed by an independent representative/advocate. That service user profiles are kept up to date in line with recorded changing needs. That all service users are consulted with in relation to their views on activities currently being offered on a daily basis. That particular consideration is given to weekend activities. That cleaning practices in relation to the Bungalows is reviewed involving service users with the aim of improving hygiene. That sufficient staff support is provided where necessary. Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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 Oakdown House DS0000021177.V248992.R01.S.doc Version 5.0 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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