Inspection on 30/05/07 for Oakfield

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oakfield 08/10/07

Oakfield 11/05/06

Oakfield 11/11/05

Oakfield 30/05/05

Oakfield 08/03/05

Oakfield 07/11/04

Oakfield 18/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakfield Weston Park Bath Bath & N E Somerset BA1 4AS Lead Inspector Melanie Edwards Key Unannounced Inspection 29 and 30 May 2007 09:30 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 Oakfield DS0000020247.V336043.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. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakfield Address Weston Park Bath Bath & N E Somerset BA1 4AS 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) 01225 335645 01225 336498 Acegold Limited (a wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Naomi Elizabeth Drewe Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate 28 Patients aged 50 years or over Staffing Notice dated 3/12/2001 applies Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 14th March 2007 Brief Description of the Service: Oakfield is a converted older property, which provides nursing care for up to 28 people over 50 years of age. Situated a short distance from Baths city centre and all its amenities, Oakfield is located in the leafy, Victorian suburb of Weston Park. The accommodation is provided on three floors, all served by a lift, and comprises both single and double rooms. Fees range from £465-£585 per week. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspectors met 15 of the 25 residents currently living at Oakfield Care Home to find out their views. Mrs Drewe, one registered nurse, three care assistants and the chef were interviewed about their roles and responsibilities, training needs, and how they assist and support residents. Staff were observed assisting residents with their needs. The lunch was sampled in the company of residents. A selection of records relating to the day-to-day running and management of the Home were inspected. A number of resident’s care records and care plans were checked and inspected. The majority of the environment was seen; the only areas not checked were a small number of bedrooms. There were a number of pre-inspection feedback forms sent to the Commission for Social Care Inspection area office, from residents, and relatives. This information has been used to help form the judgments in the report. The Lead inspector Melanie Edwards was accompanied by Kath Houson another Regulation Inspector on the first day of the inspection only. Susan Fuller our Pharmacist Inspector carried out an inspection of the medication standard. The report of her visit is available from the Commission on request. What the service does well: What has improved since the last inspection? Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 6 Recruitment procedures have been tightened up. Two written references are being taken up for new staff before they start work at the Home. This is a safety check that must be followed by employers to make sure suitable staff are recruited to work in a Care Home. The service has made an effort to make sure residents are offered a variety of social and therapeutic activities. An activities organiser has been recruited. The previous newly recruited activities organiser resigned very suddenly, meaning the Home had to re advertise for a new activities organiser. 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. Oakfield DS0000020247.V336043.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 Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is adequate. Residents ’ needs are being adequately assessed, and assessment records are reviewed to reflect changing needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents care needs are assessed and how the care they need is being planned, three assessment records were looked at in detail. The assessments include information about each resident’s range of complex care needs, as well as evidence that the person’s health is being assessed. There was a nutritional needs assessment for each resident to show what the person dietary and nutritional needs are. There was a skin vulnerability assessment completed for residents .The assessments show that the residents’ risk of developing pressure sores has been assessed. Actions that need to be taken to minimise risk had been written down. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 9 There are risk assessments in place to help staff to support residents to maintain their own safety in the Home, and while staff help to move them .The benefit of these risk assessments is that they should help residents to stay safe. The staff were assisting residents with their needs in a friendly way during the inspection. A number of residents expressed positive views about the care and service they received. Examples of comments made by them about the staff and the Home included, ‘ they are cheerful and competent ’, `It’s not bad ’, and, ‘ the home is good ’. Two comments were made about how ` task led ’ and ` Regimented ’ the Home is .The people who made the comments did not wish to elaborate on them. There were a number of positive comments made in the questionnaire forms sent to residents’ relatives .Two relatives wrote very positively about the care of their relations who live at the Home. These comments help to convey that residents feel mostly satisfied and happy that the Home is meeting their needs. There are no residents at the Home solely for intermediate care. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10.Quality in this outcome area is adequate. Care plans help to demonstrate how residents’ needs are met. However, care plans are not being reviewed on a sufficiently regular basis. Improvements need to be made to the way that the staff communicate with residents and the way that staff help residents who need assistance with their meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents care plans were reviewed to find out how residents care needs are met. The care plans contained some information to show how to meet residents’ needs. Care plans include an adequate level of detail for staff to follow to support residents with physical, psychological and communication needs. However the care plans seen had not been reviewed and updated on a sufficiently regular basis. The staff must do this to show residents care needs are being monitored and kept under review. There was a record kept for each resident of when the person had seen the GP, the chiropodist and other health care professionals. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 11 The records showed that residents see health professionals such as a Doctor on a regular basis in the Home. This helps show health care needs are being met. Mrs. Drewe said there are meetings held with medical staff to review residents’ needs on a reasonably regular basis. A GP commented very positively to the Commission about the care and service at the Home. Staff were observed carrying out their duties and assisting residents through the morning, and during lunch. Staff were friendly when assisting residents with their needs. However on the first day of the inspection residents who need extra help to eat meals were observed being helped by one member of staff who was helping to feed four people at the same time while standing next to them. This is undignified for residents and conveys a lack of respect for their individuality. A second member of staff was helping residents with their meals by sitting down next to them, and talking to them as they did this. Staff helped to move residents in their wheelchairs without any explanation given to them as to what was happening. Staff put plastic aprons over residents without any explanation. However on the second day of the inspection after a discussion of these occurrences with the staff team the mealtime experience was more dignified for residents . The staff were sitting by residents and were helping to feed residents on a individual basis. Staff were also seen talking to residents. Oakfield DS0000020247.V336043.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): 12,15.Quality in this outcome area is adequate. Residents are provided with some social and therapeutic activities, and a wellbalanced diet. They are able to keep close contact with family and friends if they so wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An activities organiser has been recruited who works for twenty hours a week. They engage residents in a variety of low-key social and therapeutic activities such as bingo, arts and crafts, watching old films, and talking about the old days. The activities organiser was on leave when the inspection took place. A part time activities organiser ran a bingo session for two residents in the lounge. The staff told us that residents who stay in their rooms also have regular contact with the activities organiser. He reads to them and spends time talking to them. This shows that the social needs of those residents are not forgotten. One resident was observed leaving the Home to go out with the support of friends and family. Residents and visitors said that there is a relaxed policy for receiving visitors, who are always made welcome. One visitor said that they are always made very welcome. This demonstrates that visitors feel welcome to see their friends and family when they so wish. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 13 Staff will ask residents on a daily basis what their preferred meal choices are for the following day. There are also alternative meal options available if people do not like the two main meal options. The menu of meal choices that residents are offered was checked to see if residents are being provided with a varied well balanced diet. The menu was well balanced. A small portion of lunch was sampled. The meal consisted of beefsteak pie with potatoes, and cooked vegetables. The meal tasted satisfactory, and was nutritionally well balanced. The chefs keep a list of residents’ meal choices for the day. It was reported that residents are always able to chose an alterative dish however it was noted on both days of the inspection that all residents ate the same meal. Residents did mostly comment positively about meals and said they thought the food they are offered was, good, or very good. However, on the other hand, several residents did say that they found the food `bland’ and lacking in flavour on occasions. This was information was fed back to the Home. Oakfield DS0000020247.V336043.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): 16,18. Quality in this outcome area is good. Complaints about the service are listened to and acted upon wherever possible. There is training and procedures to help to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the complaints procedure on display in the reception area, which includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us. The contact details of the owners are included in the service users guide and with residents ’ contracts, if residents wish to contact the owners directly. Residents said that they see Mrs Drewe regularly and she walks around the Home most days. Residents said they would speak to her if they wished to make a complaint. A number of residents and visitors said Mrs Drewe was very kind and very approachable. The complaints record was looked at and showed that there have been two complaints received since the last inspection. One complaint was still being dealt with by the Home, whilst the second complaint had been dealt with thoroughly. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 15 Staff are provided with training to ensure they are up to date in their understanding of the principle of the protection of vulnerable adults from abuse. The company have their own in house training booklet on the subject of the protection of vulnerable adults. The information seen in the booklet was relevant to helping staff in the work they do. There is an up to date policy in place relating to the issue of protection of vulnerable adults from abuse. In discussion with two care staff they demonstrated they had a good knowledge of the principals of `whistle blowing’ at work. Both staff explained that it is their responsibility to report bad practises if residents are at risk. They understood that the ` whistle blowing procedure ’ also protects them from any negative comebacks from other staff. Oakfield DS0000020247.V336043.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): 19,20,21,23,25,26. Quality in this outcome area is poor. Residents live in an environment that is not satisfactorily clean or totally odour free. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oakfield Care Home is a large property in the Weston area of the City of Bath. The Home is built over three floors, which can be accessed by stairs or lift. The building is about two hundred years old and is about a ten-minute car ride away from Bath City Centre. There are small local shops, a church, pub and Bath Royal United Hospital is nearby Parts of the Home were not satisfactorily clean. Specifically there were a number of bedrooms with dust on surface areas. There were also a number of bedrooms with food crumbs and debris on the floor. There was a strong and unpleasant odour in one part of the Home. Prompt action must be taken to improve the cleanliness and freshness in these areas. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 17 There is specialist equipment and adaptations in place throughout the Home, to assist residents who may have reduced mobility. The majority of bedrooms and all the communal areas were viewed. The majority of bedrooms are for single use, however there are two larger rooms. Rooms were generally satisfactorily decorated and maintained. A number of bedrooms are small in size. Bedrooms have en suite facilities, and there are bathrooms and toilets located within close proximity to rooms. There are suitable adaptations in toilets and bathroom to assist residents with reduced mobility there is also lift access to the second floor. There is a dining room, and a television lounge. Communal living areas were light and looked welcoming. Residents were observed sitting in communal areas looking comfortable in the environment. Oakfield DS0000020247.V336043.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): 27,29,30. Quality in this outcome area is adequate. Residents’ benefit from sufficient number of staff that have done some training to meet their needs. They are also protected by the Homes recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff duty record for May 2007 for nursing and care staff was reviewed to find out if residents benefit from a sufficient number of staff to meet their needs. There is a minimum of one registered nurses on duty at all times and five care assistants in the morning, with one registered nurse and four care assistants in the afternoon. At night there is one registered nurse and two care assistants on duty. Mrs Drewe works nine to five hours and additional hours when needed. There is also catering, domestic, and laundry staff employed, although the numbers of these staff were not reviewed. The training records of one registered nurse and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended some clinical training sessions, and updating over the last twelve months. Staff have also attended some training in the Home. Mrs. Drewe is in the process of booking a number of staff onto a National Vocational Qualification in care award programme. This should help staff to become more competent in the work they do. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 19 To find out if residents are protected by the Homes recruitment practises a sample of staff files were inspected. There are two written professional references taken up for all new staff prior to offering work at the Home. All staff complete a Criminal Records Bureau check before commencing employment. These checks are a safeguard for vulnerable residents, as they should help employers recruit suitable staff. Oakfield DS0000020247.V336043.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): 31,33,36,37,38. Quality in this outcome area is adequate Mrs. Drewe is fit to be in charge, and suitably qualified to run the Home. A detailed audit of the service and the quality of care that is taking place, and benefits residents. Health and safety systems and procedures help protect the health and safety of residents, staff and visitors. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Drewe is a first level registered nurse with years of experience caring for people with a range of nursing needs. She has been the manager of the Home for many years and she is registered with us. This demonstrates fitness to be in charge of a Care Home. The staff reported that staff meetings are held regularly and they are able to make their views known about the running of the Home to Mrs Drewe. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 21 A number of residents said they see Naomi (Mrs Drewe) every day that she is on duty and she pops in on them and asks how they are. This is a good way for Mrs Drewe to make herself available for residents if they need to see her. One person said `Naomi is always available’, another resident said she was `very competent and kind ’. The company who run the Home have introduced a new format for monitoring the quality of the care and the overall service. Someone who does not work at the Home, who may run another Care Home, will be auditing different areas of the service. An action plan will then be devised to address any weaknesses in the Home. Residents will benefit if the Home acts to improve its standards based on the result of these audits that are to take place every three months. The monthly monitoring visits of the Home that must be carried out by a representative of the owners are being undertaken as required by law. There are records of these visits being sent to the Commission. The records demonstrate that the designated individual responsible for the visits spends time with residents and their representatives and observing staff carrying out their duties. Residents’ rights are protected by records that are satisfactorily maintained, up to date, legible and in order. The care records reviewed were satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked safe, (see also the comments written in the environment section of the report about cleanliness and odour). The maintenance man carries out a health and safety audits of the whole environment on a very regular basis. A copy of the document that is used to carry out the audit was checked. It was detailed and aimed to address health and safety areas through the Home. Staff are being provided with some training in health and safety matters including first aid, food hygiene training and moving and handling practises. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. The fire logbook records showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of residents and staff. To further protect the health and safety of residents, staff, and visitors there is an up to date fire safety risk assessment for the Home setting out how fire risks will be assessed and what actions will be taken to minimise them. The kitchen was tidy and organised when viewed. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 22 safety guidance levels. There were also records to demonstrate that `high risk’ foods are temperature probed before serving to ensure the food has reached above minimum required temperature. However the records seen showed foods are not always reaching above the minimum safety temperate so that it is safe to eat. There were cleaning substances being kept in the dry foods and fresh fruit cupboard by the kitchen. These cleaning products need to be stored in a secure cupboard for health and safety reasons to prevent misuse. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 X 3 1 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 2 Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 24 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 OP10 Regulation 12.4(a) Requirement Residents must be helped, and must be spoken to, by staff at all times in a manner that is respectful and maintains their dignity. Cleaning substances must be kept in a secure cupboard when not in use for health and safety reasons. Action must be taken so that the environment is clean and odour free. Timescale for action 01/06/07 2 OP38 13.4 c 01/06/07 3 OP26 16,2(k), 07/06/07 4 OP7 152(b) Care plans must be reviewed and 01/08/07 updated on a regular basis to demonstrate residents needs are met Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP38 Good Practice Recommendations High risk cooked foods, such as meat and fish, must be served to residents at the correct temperatures to prevent the risk of food poisoning. Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Oakfield DS0000020247.V336043.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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