Inspection on 16/08/05 for Oakfield House

This inspection was carried out on 16th August 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 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 House 27/09/06

Oakfield House 13/12/05

Oakfield House 27/01/05

Oakfield House 11/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakfield House High Street Wingham Canterbury Kent CT3 1BU Lead Inspector Chris Randall Announced Inspection 16 August 2005 : 09.25 hrs th 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 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 House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oakfield House Address High Street, Wingham, Canterbury, Kent, CT3 1BU. Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 721107 Mr Roger Clive Field, Mrs. Gloria Ann Field, & Mr. Robin Grant Field Mr Robin Grant Field CRH 30 Category(ies) of OP Old Age registration, with number of places Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Not more than 30 persons ages 65yrs and over. Date of last inspection 27.01.05 Brief Description of the Service: Oakfield House is an extended, large detached property, formerly the village schoolhouse and later used as a print shop The home is registered to provide residential care for 30 older people over the age of 65. Accommodation in the home is on two floors and there is a stair lift available for access to the first floor. The home comprises of 27 rooms, 24 which are single, and 3 which can be used as double rooms if there is a special request for a couple to share (currently all rooms are occupied as single rooms and the home accommodates 27 residents). All rooms have the benefit of en-suite toilet and wash-basin facilities. Each room has a television point, and a call bell, and most have telephone points. The home is located on the main road from Canterbury to Sandwich, within the quiet village of Wingham, and there is easy access to public transport. The location of the home gives it the benefit of being within easy walking distance of the church, shops, post office and local public houses. The front of the building looks welcoming with flowers in tubs and baskets. To the side there is an attractive patio area and well kept garden and at the rear there is car parking space. Oakfield House is a family run business owned by Mr. Roger Field, Mrs. Gloria Field and their son Mr. Robin Field. Mrs. Gloria Field and Mr. Robin Field were joint managers but this has now changed to Mr. Robin Field as the sole Registered Manager. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took 15 hours (10.5 hours over two days at the home plus preparation time). Time in the home consisted of a tour of the building and gardens; talking to management, most residents, 20 in some depth, and 9 staff; observing an activities session; observing and sharing lunch with the residents; inspection of medication procedures; and examination of some records. The home was very clean and fresh smelling, and there was a welcoming atmosphere. Residents looked happy and well cared for and staffs were seen treating residents with respect and upholding their dignity. Resident comments included, “Its top notch”, “I like it here”, “I would not live anywhere else”, and “we think this is the best”, and visitors commented, “Its super, it suits mum down to the ground”, and “we have been pleasantly surprised – we liked it immediately”. Staff said, “Its really nice here, the people are lovely”, and “this home is run beautifully”. What the service does well: What has improved since the last inspection? The registered manager has completed his NVQ4/Registgered Managers Award qualification. The kitchen has been fitted with a new cooker range. Ongoing decoration and repairs have been carried out throughout the home as required. Carers are continuing with training in NVQ Levels 2 & 3. Also, the home has introduced a new policy on risk management regarding falling. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 6 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. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4, & 5. Pre-admission assessment, trial visits, and information given to prospective residents ensure that they can be happy their needs will be met by the home. EVIDENCE: The registered manager and the head of care visit prospective residents in their own homes or in hospital to complete a pre-admission assessment. For those funded under the care management scheme a joint assessment is also obtained. Before drawing up a care plan the management ensure they have had the chance to talk to the prospective resident and their families or carers to gain as full a picture as possible. Trial visits are encouraged at the home; some prospective residents come for the day, whilst the majority come to stay for a holiday or respite care. The manager feels that 10 days is a good length of time for the home to be able to assess if they can fully meet the needs of the resident and for that person to get a feel for the home to decide if they would be happy to stay. If the home does not feel that it can fully meet the needs of the prospective resident at this time they will not admit them as a permanent resident but will refer them on to more suitable accommodation. Once a resident moves in on a permanent Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 9 basis the first four weeks of occupancy are always classed as a trial period. The ethos of the home is that it is a ‘home for life’. All residents are issued with a statement of terms and conditions or contract when they move into the home and this contract indicates the number of the room they will be occupying and what is, and is not, included in the contract price. This home does not offer the service of intermediate care. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, & 11 The health and personal care needs of residents are met, and they are treated with respect and sensitivity throughout their stay. EVIDENCE: Health care in the home is overseen by the homes Head of Care who has worked at the home for many years. The home maintains a comprehensive care plan for all residents based initially on pre-admission assessment and updated and amended to reflect ongoing changes in needs. These care plans include general information, medical history, risk assessments, monthly updates, key worker assessments, details of medical appointments, a personal care chart, a medical disclosure approval, pre-admission form, and various appropriate charts. Should there be any indication of pressure areas developing the home contacts the district nurses who give advice and support and provide appropriate equipment. The continence nurses also approached through the district nurses when her services are required. Residents have the opportunity for exercise and physical activity with a regular keep fit class and through walks around the home, in the grounds, or for the more able around the village. Nutritional Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 11 screening is undertaken and weights are taken and recorded monthly. All residents are able to register with the GP of their own choice, subject to availability. The doctors from the Ash surgery currently do routine visits and reviews of their patients every 4-5 weeks. Other professional services, chiropody, optician, and dentist are arranged and residents either visit the surgeries or domiciliary visits are organised according to the wishes of the resident. Hi-Kent visit the home regularly to service and check hearing aids, and appointments to visit the hearing specialist are arranged through the local surgery. A visitor commented, “the care is excellent”, a resident said “they give me the care I need”, and staff commented, “the level of care is very good here”, and “they get good care”. Residents who wish to administer their own medication are enabled to do so following risk assessment. Staffs that are trained to undertake this task administer medication for the remainder of the residents. The staffs have received initial training from Boots with ongoing in house training and monitoring. Boots have recently organised new medication training courses and staff will be attending these to update and improve their knowledge and skills. The home uses the monitored dosage system for their drug administration. All drugs are correctly stored, there is an audit trail of drugs received, given, or returned to the pharmacy. Drugs were witnessed to be sensitively and appropriately administered to residents. If the home has any concerns about medication they contact the pharmacist or G.P. Service users are treated with respect at Oakfield. Residents commented, “the staff are very good, very patient, they treat us with respect”, and “they always knock on my door”. Some of the residents have their own telephone lines in their bedrooms and there is a telephone available for those who do not wish to avail themselves of this service. When residents come to the end of their years the home will look after them and enable them to die ‘at home’ unless there is a medical reason why they need hospital treatment. During this time the local doctors and the district nurses give a great deal of support. Families can come in and stay as long as they wish with the agreement of the resident, and are supported by staff who talk and listen to them and offer them drinks, meals etc. Staffs receive any additional support needed from management at this time. The manager and members of staff attend the funeral of any resident who has died if at all possible. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, & 15 The lifestyle of residents matches their choices and expectations, they are able to maintain contact with their families and friends and they receive a nutritious diet. EVIDENCE: Oakfield House provides a varied programme of events which are advertised on the activities board and include painting, craft session, quizzes, cards, sing along, pat-a-dog, bingo, and exercise sessions. On the day of the inspection a craft session was taking place and some residents were knitting cot blanket for the premature babies unit, making lavender sachets, and knitting squares to make cushions. The craft organiser visits fortnightly. The home has a visiting hairdresser and they have their own calendar girls calendar in the room used as a salon with pictures of various residents having their hair attended to. A Holy Communion service is held in house monthly and a prayer meeting weekly. The home also organises lifts for residents wishing to attend church. Meetings of the local W.I. and Merry and Bright are advertised on the notice board. Some residents go to an Age Concern meeting and are collected by courtesy bus. There is a library, which includes large print books, and the Kent Library Service changes the books regularly. The home also holds occasional parties to which relatives, friends, and people from the community are invited and collages of photographs from such events are displayed around the corridors. It is the residents’ personal choice as to whether they wish to join in Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 13 any activity or not. Residents commented, “I do keep fit, and bingo, and whilst I am active and able I will keep my own room clean”, “We have exercises”, “I like to join in”, and “the party was very good, a lovely evening”, visitor comments included “They get lots of stimulation”, and “we came to a social evening with a buffet supper”, and a staff member commented “you have enough time to talk to the residents here”. Residents families and friends are made welcome in the home and can see the resident wherever and whenever the resident chooses, sometimes choosing to take them out for a while. Visitors’ comments included, “They make me welcome”. Residents are encouraged to continue making choices about all aspects of their lives, such as time to get up and go to bed, what and where to eat, who to see, whether or not to join in activities, and where to sit and with whom. The home holds regular residents meetings and at a recent meeting the residents had an input into the types of replacement chairs and tables that are to be purchased for the dining room. Residents commented “we are having arms on the new chairs in the dining room”, and “if you want something different (food) they will get it for you”. Residents, or their families or powers of attorney, handle their own financial affairs. Residents are encouraged to bring in any personal possessions that are important to them. The menu at Oakfield House is varied, makes good use of fresh meat and vegetables, and provides balanced, nutritious and well-presented meals. At lunchtime the vegetables are served in dishes for those who are able to assist themselves, and served onto the plate, having first ascertained choice, for those who are unable to manage this task on their own. Current special diets include diabetic and one resident who is on soft food. The soft diet is served in the residents preferred manner and this encourages a good intake of vegetables and fibre. Mealtimes are social occasions and are not rushed. Drinks are readily available throughout the day and night. Resident comments included, The food is good, we get plenty of vegetables”, “the food is good on the whole, they are willing to react to any criticism”, “Drinks are available all day”, and “xxxxx cooks us things he knows we like”, and staff commented, “the food is good, and they have a choice”, “we buy vegetables from the local farm shop”, and “the management never quibble about what’s spent on food”. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, & 18 The residents can be confident that they will be protected from abuse and that any complaints they have will be taken seriously. EVIDENCE: The home operates a clear, concise complaints procedure. There have been no complaints since the last inspection. However there has been one adult protection investigation. The adult protection co-ordinator was very satisfied with the way the manager dealt with this investigation. A group of residents said, “We have no complaints”, a visitor said, “she (his relative) is very content”, and a staff member commented, “Its lovely here, I can’t fault it”. The home displays and makes available information for residents who may need to access advocacy services. Residents who wish to take part in the election process can choose if, and how, they wish to do this, i.e. visits to the polling station or use of the postal voting service. Residents are protected form abuse or harm. The home has clear policies on abuse and whistle blowing. The recent revision of the adult protection protocols has been received at the home. A copy of procedures regarding adult protection, and details of the whistle blowing policy, are prominently displayed in the staff room. No staff member is employed until a POVA check has been completed. Staff indicated their awareness of abuse and how to report any concerns they might have. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, & 26 Residents live in a clean, comfortable, homely and well maintained environment with facilities that meet their needs. EVIDENCE: The home is accessible, safe homely in character, and well maintained. There is a programme of routine maintenance with all bedrooms being decorated before a new permanent resident moves in. The grounds are kept very tidy and attractive. Mrs. Field plants up the baskets and tubs at the front of the house and a gardener is employed 2 mornings a week to keep the rest under control. Communal space in the home consists of a dining room, a lounge, a light and bright conservatory which is divided into two different areas of grouped seating, a room that is used for the hairdresser and also for residents who wish to see their guests in private but not in their own bedrooms. The furnishings, fittings and carpeting in the communal rooms are domestic in style. There is Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 16 an outside garden area, and also a patio area with tables and chairs for residents to enjoy the fresh air. In addition to the en-suite toilets in bedrooms there are also a further 6 toilets, a shower room and three bathrooms. The home has had an environmental assessment of its premises and facilities undertaken by an occupational therapist. Disability equipment available includes 3 assisted baths, 2 flush floor showers, a stair lift, raised toilet seats, grab rails, and handrails. A call bell system is also provided in all bedrooms and toilets. The home has 27 bedrooms all of which have en-suite toilet and washbasin facilities, with one bedroom also having a bath in the en-suite. 3 of the rooms are suitable for use as double rooms although at present they are all occupied as singles. The rooms are all appropriately furnished, with many of the residents choosing to bring in their own pieces of furniture and belongings in order to personalised their room. All bedrooms have domestic style lighting and furnishings suitable to the needs of the residents, they are all carpeted and all have individually thermostatically controlled radiators. Residents commented, “I’ve got a lovely room”, and “Its very home like”, and a visitor commented “xxxxx brought in her own bed and chair”. The home is clean, hygienic and free from offensive odours throughout. Laundry facilities are appropriate and there is a washing machine available with a sluicing facility incorporated. Foul laundry is washed at correct temperatures. The homes policies and procedures for infection control, including the provision and use of gloves and aprons, are appropriate. A staff member commented, “it’s always bright and fresh, no smells”. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, & 30 A team of appropriately recruited staffs, who receive the training necessary to ensure they are competent to fulfil their roles, care for residents. EVIDENCE: The staff rota demonstrates that there are sufficient staffs on duty to meet the needs of the residents. In addition to the manager current staffing levels show 3 carers on duty during the day, 2 waking night staff, 2 domestics during the week and 1 at the weekend, a cook each day, and the gardener/handyman twice a week. The head of care spends some of her time on shift as a carer and also has some dedicated office time. All staff who perform personal care are aged 18 or above and nobody under the age of 21 is left in charge of the home. Currently 6 of the 15 care staff hold an NVQ 2 qualification i.e. 40 . However some carers are at present undertaking this training and if they are included in the figures the 50 level is exceeded. A further 2 carers are also waiting to be enrolled in this training. In addition 2 carers are currently progressing from Level 2 to Level 3. It is recommended that the home continue working towards the care staff achieving and maintaining a minimum of 50 trained to NVQ level 2 or above. The home operates a robust recruitment policy and procedure to protect its residents. Many of the staffs that work at Oakfield come from the village and are known to the providers and the rest of the staff team. No staffs are allowed to work in the home until 2 satisfactory references and a satisfactory Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 18 POVA check have been received. All appointments are subject to receipt of a satisfactory CRB check. All staffs are employed in accordance with the GSCC code of conduct, and all receive a written statement of terms and conditions of employment. Newly employed staffs all undertake induction and foundation training to TOPPS specification. During induction staffs are trained in adult protection and abuse. Training courses undertaken by staffs include, first aid, basic food hygiene, health and safety, fire training and evacuation, moving and handling, and medication. Boots are introducing 2 new levels of medication training, foundation and advanced, the manager and head of care are to attend both courses before deciding which is the best and most relevant course for the other staff to attend. All staffs receive in excess of 3 paid days training per year. Resident comments included, “the staff are very nice”, “they look after us very well they are very busy but always do anything for you”, “the carers are good”, “the staff are very good but unfortunately the older ones are leaving”, and “the staff are very good, they look after us well”. Visitors said “they are always very helpful”, “they are very good here”, and “I cant fault the staff”. Staffs comments included, “we all get on well and work as a team”, “I enjoy the work, I get support from Robin and all the carers”, “the team work is brilliant”, and “coming back to working in residential care is very good”. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37, & 38 Residents can be confident of living in a well run and safe home with good systems of administration and sound financial procedures in place. EVIDENCE: The role of registered manager has been shared between Mrs. Gloria Field and Mr. Robin Field, with Mr. Robin Field doing the majority of the day-to-day running of the home. Mrs. Field has now decided to step back from the management position, although she will remain as one of the providers and will still be evident in the home. Robin Field, who has managed the home jointly with his mother for the past 6 years, has now completed his NVQ 4/RMA qualification, he also holds the A1 & A2 assessors certification. In addition he attends various other courses, and updates his knowledge and maintains his personal development through reading relevant publications and information. There are clear lines of Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 20 accountability in the home and all residents and staff know where to come if they experience any problems. The manager operates an open and transparent ethos in the home and an ‘open door’ policy. The office door is normally open and the manager is ready to greet residents, staff or visitors who wish to see him. Residents commented “We see the owners a lot, they are nice people”, and “the manager is always here”, staff commented, “I get support from Robin”, “if I have any problems I go straight to Robin and its dealt with”, “we have the full support of the manager and head of care”, and “we get support from management”, and a visitor said “the manager is good”. Quality control strategies have been developed. Residents and visiting professionals are circulated with questionnaires twice a year and families questionnaires are annual. The home has an annual development plan and an informal business plan. The manager also carries out self monitoring of the environment 3-6 monthly and keeps the risk assessments for the building up to date. The home is financially viable, and insurance cover is in date and at an appropriate level. The only resident monies that the home looks after is small amounts of petty cash. All monies are properly accounted for and receipts are kept for all transactions. Care staffs have supervision a minimum of 6 times a year, which includes one annual appraisal session, and records are kept of these sessions. All records in the home are kept up to date and relevant and securely stored. Policies and procedures are reviewed annually or more often if appropriate. The health and safety of residents and staff is of a priority to the home. Safe working practices are ensured through appropriate training e.g. moving and handling, fire, first aid, basic food hygiene and infection control. COSHH substances are properly stored in a locked cupboard. Maintenance certificates viewed were all up to date. Window restrictors are fitted. Currently there is only one radiator that is covered, however all radiators are thermostatically controlled and risk assessments have been carried out on radiators throughout the building. Covers are available for fitting when the need arises or the risk changes. All accidents are properly recorded and notifications through the RIDOR system are made when needed. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. Refer to Standard 28.1 Good Practice Recommendations To continue working towards 50 of the care staff achieving NVQ Level 2 or above. Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Oakfield House H56-H05 S23509 Oakfield House V235052 160805 stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!