This inspection was carried out on 11th February 2009.
CSCI found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Oakford Manor Nursing Home Newshaw Lane Hadfield Glossop Derbyshire SK13 2AJ zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Denise Clark Date: 1 1 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Oakford Manor Nursing Home Newshaw Lane Hadfield Glossop Derbyshire SK13 2AJ 01457861117 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rushcliffe Care Limited care home 34 Number of places (if applicable): Under 65 Over 65 34 0 old age, not falling within any other category physical disability Conditions of registration: 0 34 The maximum number of service users who can be accommodated is 34 The registered person may provide the following categories of service: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical Disability - Code PD Date of last inspection Brief description of the care home Oakford Manor was purchased and registered by Rushcliffe Care Ltd. in October 2007 and the new manager, who was appointed soon afterwards, recently completed her registration with CSCI. The home was established by the previous owners for some years, and is registered for the care of 34 people with nursing and personal care needs Care Homes for Older People Page 2 of 10 Brief description of the care home who are over 65 years of age or who have a substantial physical disability. This is a modern purpose built home situated in Hadfield, near the town of Glossop. The home is on two floors with passenger lift and staircase access, and its accommodation comprises of 16 single bedrooms (15 with en-suite) and 9 shared bedrooms (8 with en-suite). There are two spacious lounge/dining rooms, with a quiet area off the lounge on the ground floor. The home has an activities coordinator who works with residents individually or in small groups to develop their interests and social activities. Support services are in place from local GPs and people are referred to other health support services on request or as required. Information about the service is provided in the Statement of Purpose and Service User Guide; the former is available upon request and people are given a copy of the latter when they move into the home. The current weekly fee is in the range £364 - £498. Care Homes for Older People Page 3 of 10 What we found:
We looked at the homes systems for recording and handling medicines, and watched medicines being given to people after lunch. We saw that medicines were given correctly, but sometimes the medicine chart was signed before the person had taken their medicine. We looked at medicine charts and noted that the quantities of medicines received were recorded on each persons chart. We compared these amounts with the records of administration and the numbers of tablets left in stock, and found two discrepancies. We also noted one gap in the administration records for February.Other medicine charts were complete. We found that any allergies people suffer from were recorded, but if there were no known allergies the record was left blank. We found that controlled drugs were stored and recorded correctly. However, staff did not carry out regular stock checks of controlled drugs; this would be good practice. Medicines requiring cold storage were kept in a locked medicine fridge and the fridge temperature was read each day: The highest and lowest daily temperatures of the medicines fridge were not recorded. One person, who was able to do so, ordered and looked after his own medicines. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14 The personal and health care 30/04/2009 needs of all people coming to live at the home must be assessed before they move in and these must be kept under regular review - at least monthly for areas of need that have been identified as presenting high levels of risk in the persons life. This is so that it can be established that the home is right for them and that the care activities of the homes staff are based on up-to-date information and reflect the complexity of care that is required. 2 7 12 All personal and healthcare 22/01/2009 needs must be met in a timely way by the provision of sufficient numbers of staff at all times. This is so that residents health and welfare is maintained. 3 8 12 All personal and healthcare 22/01/2009 needs must be met in a timely way by the provision of sufficient numbers of staff at all times. This is so that residents Care Homes for Older People Page 5 of 10 health and welfare is maintained. 4 10 12 Staff practices in relation to 28/02/2009 caring for people in wheelchairs, people who need assistance with feeding and those occupying double rooms must at all times be focused on the needs of the individual person. This is so that residents health, welfare and safety is maintained. 5 12 16 People living at the home must be supported to enjoy organised and individualised activities at the home that are based on their identifies needs and preferences. The person responsible must prepare a detailed programme of how this is to be done. This is so that they have opportunities to enjoy a satisfying and stimulating lifestyle that is in line with their capabilities. 6 16 22 All complaints made about the standards of care of people living at the home must be investigated and responded to according to the stated procedure of the home. This is to make sure that good standards of acre are maintained and areas of poor practice eliminated. 7 18 13 All recommendations arising out of any investigations made under statutory Safeguarding procedure must be implemented. 28/02/2009 28/02/2009 28/02/2009 Care Homes for Older People Page 6 of 10 This to make sure that all people living at the home are safeguarded from harm. 8 19 23 The standard of maintenance 28/02/2009 of the homes physical environment must be improved. So that the comfort, safety of and facilities available to the people living at the home is established and their lives enhanced. 9 26 13 The management of soiled 22/01/2009 linen must be improved and be suitable for the purposes of meeting the needs of the people living at the home. An action plan of how this is to be achieved must be forwarded to the Commission by the due date. In order to prevent infection of and risk to the people living at the home. 10 27 12 All personal and healthcare 22/01/2009 needs must be met in a timely way by the provision of sufficient numbers of staff at all times. This is so that residents health and welfare is maintained. 11 29 19 All of the documents and 28/02/2009 checks outlined in Schedule 2 of the Care homes Regulations must be obtained for all staff working at the home. So that only people who are suitable to work at the home do so and the safety of the vulnerable people who live there is safeguarded. Care Homes for Older People Page 7 of 10 12 29 18 All people working at the 28/02/2009 home must receive training in skills suitable for the work that they carry out. So that they work safely and consistently and the people living there are c safeguarded from harm. 13 32 12 The people responsible fopr the running of the home must do so in a way that fully provides for the health and welfare of the people living there. This is so that people living at the home can lead safe and fulfilled lives that meet their needs and preferences. 28/02/2009 14 33 24 The people responsible for the running of the home must make sure that good standards of care are maintained by constantly reviewing activities and practices that take place there. This is so that people living at the home can lead safe and fulfilled lives that meet their needs and preferences. 28/02/2009 15 36 18 Staff must be supported by a 28/02/2009 formal system of meetings that take place every two months with the manager or senior member of staff. This is so that they can have individual opportunities to talk about their work and any problems they may have and to receive advice about ways of improving their performance and the ways in which they care for the homes residents. Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 Medicines must be stored in 10/04/2009 secure cupboards and in a room with restricted access. All medicines must be locked away when unattended. To ensure the safety of people in the home and to prevent theft or misuse. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 9 The registered provider should ensure that regular stock checks of controlled drugs are carried out and recorded, for security reasons. The registered provider should ensure that a current copy of the British National Formulary is available for staff reference. The registered provider should ensure that the maximum and minimum temperature of the medicine refrigerator is recorded daily, to show that medicines are being stored at the correct temperature at all times The registered provider should ensure that the words none known are entered on medication records to confirm that a person has no known allergies, for safety reasons. 2 9 3 9 4 9 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
