Inspection on 14/05/08 for Oakford Manor Nursing Home

This inspection was carried out on 14th May 2008.

CSCI found this care home to be providing an Good service.

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

Oakford Manor Nursing Home 17/06/09

Oakford Manor Nursing Home 06/05/09

Oakford Manor Nursing Home 11/02/09

Oakford Manor Nursing Home 14/01/09

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Oakford Manor Nursing Home Newshaw Lane Hadfield Glossop Derbyshire SK13 2AJ Lead Inspector Brian Marks Unannounced Inspection 14th May 2008 09:00 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 Oakford Manor Nursing Home DS0000071198.V364211.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. Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakford Manor Nursing Home Address Newshaw Lane Hadfield Glossop Derbyshire SK13 2AJ 01457 861117 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) Rushcliffe Care Limited Claire Dixon Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability (34) of places Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 The maximum number of service users who can be accommodated is 34 Newly Re-registered Service 2. Date of last inspection Brief Description of the Service: 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 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. Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us and the written annual quality assurance assessment document (AQAA), which was returned before the inspection. Two written surveys from staff and four from people living at the home were also returned before the inspection and all this material assisted with the preparation of a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent with the manager of the home, who was in charge during the visit, and the visiting senior manager from the company, and talking with two of the nurses and six of the staff working on the day shifts. The care records of four people who live at the home were examined in detail and three of these were interviewed along with seven others who were living there on the day of the inspection. Three relatives who were at the home were also spoken to. What the service does well: Everybody spoken to at this inspection – residents, visitors, and staff – was very positive about the care being provided at the home and how the changes brought in since the new owners and manager took over had improved things for everybody. Although change has been difficult for some staff, those spoken to talked of the good morale in the staff group and about how everyone wants to work together to make the home’s residents comfortable and safe. ‘Things have changed for the better again and it’s a happy home once more’. ‘I’ve been in a number of homes and this is by far the best’. ‘There’s not much you could do to improve things here’ ‘Although there’s no place like home, I’ve been well looked after for the few days I’ve been here’. Behind the scenes the administration and organisation of the home has been improved, including new care records and documentation, and these help staff to work consistently and in the ways that the residents want. Because the home is relatively new and purpose built it remains a light, airy and comfortable place in which to live and work. Corridors are spacious and Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 6 residents have spoken about the convenience of arrangements within the home. Staffing levels have been returned to a satisfactory level and residents confirmed that there is always somebody around if they need them. Good levels of training have also been revived and the required target for achievement in the National Vocational Qualification (NVQ) award should be met later this year. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakford Manor Nursing Home DS0000071198.V364211.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 Oakford Manor Nursing Home DS0000071198.V364211.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified. EVIDENCE: The new owners have put into place a completely revised format for care records, and all of the ones looked at contain a range of assessment forms that were completed by the manager when the people concerned came to live at the home. These include a brief initial enquiry/assessment and a more detailed admission assessment that covers all the important areas in people’s lives and the problems they are facing. All the records have additional assessments of the general risks facing people and specific areas of risk such as safe moving and handling, skin breakdown and pressure sores, falls, pain, nutrition and dependency. However, none of the records looked at contain life histories of the people concerned, which could describe their lives in terms of positive achievements rather than just the problems they are facing at the present. The AQAA indicated that people wanting to come and live at the home are welcome to visit before making a decision about moving in, and all Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 9 the people spoken said that all of their needs are met and that ‘special needs are cared for’. The home does not provide intermediate care so Standard 6 does not apply. Oakford Manor Nursing Home DS0000071198.V364211.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, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessment records promote safety and consistency, they encourage staff to work in ways that respect individuality and privacy. EVIDENCE: The new proprietors have introduced a new format for all care records and all of the files looked have been updated and renewed. As noted above they contain clear and comprehensive descriptions of the areas where people need help or where they experience risk, as well as their preferences and abilities and areas in which they are independent. Care activities to be carried out by staff are clearly identified and each file looked at contains a record that indicates a full monthly evaluation taking place. There is a section in each care plan that indicates the social and leisure needs of the person but not a detailed background history that would complete the picture. The care staff spoken to confirmed that these are now used by all of them to support their work and are useful and practical to work with. The AQAA confirmed that contact with external healthcare services such as GP, chiropody, optician, dentist and nurses is good, and if people need help to access these services it is clearly identified. Some of the people spoken to Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 11 confirmed that support to attend the local hospital and outpatient clinics is arranged and relatives said that they are kept informed of any difficulties, including accidents, that may occur. The AQAA also stated that it is part of the home’s philosophy to ensure the dignity of residents is promoted alongside increasing their independence as much as possible, and this was echoed by entries in the care plans looked at and what people said to us: ‘His skin care is particularly important and this is well managed. Its all about his wellbeing’. ‘Care is given carefully and thoughtfully and they use the hoisting equipment properly so that I feel safe’. Examination of the arrangements for the receipt, storage and administration of medicines to residents indicated these to be generally satisfactory. Medication is stored securely and the home uses the Boots Monitored Dosage System for administration. The manager has recently carried out an audit of medicines herself and has clearly identified any areas in recording that needed attention. The medicines in the system for one resident had been double stocked and the written record did not completely match the contents of the storage cassette; the manager was made aware of this at the end of the inspection. There are a number of people living at the home who are using controlled drugs and it was noted that one drug for occasional use by one person was present in particularly high quantities. It was not clear if the cabinet for storing these drugs, which had been recently moved, was complying with the new legal requirements for its fixings and use. The home also has its own policy on dealing with medication and all senior staff have undertaken medication training. Oakford Manor Nursing Home DS0000071198.V364211.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, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People enjoy the lifestyle, routines and meals at the home as well as the opportunity to take part in organised leisure and social activities. EVIDENCE: The people spoken to confirmed that are very happy with life at the home and they are able to do as much or as little as they like. A new activities coordinator was appointed when the new providers took over the home and her visits have been increased to four times a week. However, because of her absence due to sickness, people felt that there was less being organised and that the home is ‘a bit low on activities’. One person felt that this varied amongst the different groups living at the home so that ‘things are better for the younger ones but it’s socially more difficult for the older ones’, and somebody from the latter group agreed with this. People are also encouraged to maintain the outside activities they previously had, and one person goes to an organised day service twice a week whilst another goes weekly shopping with friends. The family members spoken to talked about the relaxed atmosphere of the home and the welcome they always receive from the staff, and one who lives very close to the home said that she ‘can pop in at any time and things are Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 13 always the same’. There are regular visits by the hairdresser, which people said are very popular, and the monthly visits by a local Catholic priest and those of a layperson to organise spiritual activities are enjoyed by a small committed group. One of these described how as a result of this he has been encouraged to start a course studying theology. Three of the residents who have problems of physical disability rather than old age spoke about the level of independence they have retained whilst living at the home and how they have been encouraged to maintain outside activities and contacts. A brief visit was made to the kitchen and the long-established cook described current arrangements. Good standards in the catering service have continued, and a regular 3-week menu is being followed. This indicates a choice at the main meals of the day and the cook described how she has tried to experiment with more cosmopolitan meals, which have been successful with a small number of people. Previously the main meal of the day was in the early evening but this has recently changed back to lunchtime and the popularity of this move is currently being looked at. People spoken to confirmed the variety and quality of meals being served and that a hot option is regularly available for breakfast; supper is available for those that want it. The cook makes arrangements for people with special dietary needs, and these include two who are diabetic and a small number who need a softened or liquid diet. Oakford Manor Nursing Home DS0000071198.V364211.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: The home has a complaints procedure, which is available to residents and their friends and relatives. The AQAA indicated that the home’s management has recorded three complaints since the new providers took over the home and records indicated that these were satisfactorily dealt with and quickly resolved. In addition an anonymous complaint was referred to the Commission just before this inspection and was being looked at by the home’s line manager. All the people spoken to were clear about getting problems resolved and confident that they would be listened to: ‘Any problems and I go to Matron’. ‘I would feel confident about speaking out’. ‘I’ve had no reason to raise any problems but would be comfortable to see to the manager who is very easy to speak to’. The AQAA indicate that, as part of the rebuilding of the staff team since her arrival, the manager has increased levels of staff training (see below) and this has included ensuring that all staff are clear in their responsibilities to safeguard the vulnerable people living at the home and to encourage staff to make full use of the systems in place. Records indicate that all staff have received instruction in this matter, and the manager has applied to a local Social Services Department to become an approved trainer. Because the Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 15 home receives people from a number of different Local Authorities there has been an expectation that the manager should follow a number of different statutory procedures in respect of safeguarding vulnerable people and the home’s policy manual reflects this potential for confusion. Oakford Manor Nursing Home DS0000071198.V364211.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, 22 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean comfortable and well-maintained environment. EVIDENCE: The home is set in a residential area close to Hadfield village centre and gives good access to local facilities. It is purpose built and remains homely, light and comfortable in appearance with open communal areas and wide corridors for easy access. Since the new proprietors took over the home a programme of redecoration and refurbishment has commenced and during a tour of the building the following was noted: • The ground floor has been redecorated with a more modern colour scheme. • New furniture has been purchased for the lounge and dining room on the ground floor. • All bathrooms have been cleared and made available for residents to use; storage areas have been improved as a result. Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 17 Staff and residents spoken to were very positive about the improvements carried out: ‘It has a much brighter and fresher look to it now and will be very nice when it’s all finished’. Good levels of equipment were noted in place around the building and in bathrooms and bedrooms, and those residents spoken to who have mobility needs, including one person who is registered blind, all reported that arrangements are satisfactory and that they are able to get around the home without difficulty: ‘The corridors are very wide and although some doorways are a bit tricky I’m managing very well’. They also said that staff are trained to use the equipment and deal with them in safe ways. The home has an infection control policy and procedure, and records indicate that staff have continued to receive training in this subject. The laundry is well laid out and the washing machines have a sluice wash facility. On the day of the inspection the home was clean, tidy and free from odours and the residents spoken to had no complaints about the laundry service; all residents observed in the home wore clean and well-presented clothing. Oakford Manor Nursing Home DS0000071198.V364211.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, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from staff who are on duty in sufficient numbers and who have been properly recruited and trained. EVIDENCE: During 2007 the home underwent a very unstable period and a significant turnover of staff took place in the latter half of the year. With the purchase of the home by the new providers new staff have been taken on and a new manager appointed. At the time of this inspection there were no vacancies in the staff group and the staff roster indicated that the use of agency staff has been stopped. The roster also indicates that the level of staff on duty has been established to the same levels as were previously agreed with us. There are two nurses on duty throughout the day and seven carers on the morning shift with four carers on the afternoon shift. People living at the home said that staffing levels were satisfactory and that care needs are being met: ‘Staffing levels are OK throughout the week and staff always respond to the call bell’. ‘There’s always enough staff here and they are kept very busy’. ‘Staff are very good and always available’. ‘Always staff around when I need them’. The AQAA indicated that the numbers of care staff achieving or currently undertaking NVQ training has been increased and the 50 target should be achieved later this year. Additionally four of the nurses are completing NVQ at Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 19 level 4 and domestic and kitchen staff are also being supported to get the appropriate qualification as well. The nurses are all completing extended training in managing medicines, and records indicate that good achievements have been made across the board for the training of the care staff. The staff spoken to confirmed that the new management regime has been very good for them in this respect. A recently appointed nurse described an extended period of induction training that she had to follow and confirmed that all new starters follow this using a workbook that is provided through a training agency. Although recently appointed staff described how a proper recruitment system had been followed for them, the relevant files are kept at the company’s HQ and were not available for this inspection. The manager agreed that copies of the important documents such as references and other legally required checks would be made for new staff appointments in the future and kept at the home. Oakford Manor Nursing Home DS0000071198.V364211.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, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a well-managed and safe environment in which to live and work, and the new owners and manager have worked hard to establish a service that people are proud of. EVIDENCE: The new providers and manager took over the running of the home in the latter part of 2007 and the manager has recently completed her registration process with the Commission. All of the comments received from staff, relatives and people living at the home were very positive about the impact she has made, and about the level of organisation and improvements that have been made since these changes took place. We received comments about the improvements in the building, improvements in communication, and new systems being introduced that make sure that the right standard of care is being given. Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 21 People said that the manager makes sure that problems are dealt with as they arise and that they had no problems approaching her if they had any concerns: ‘If I was worried about something I would go to the manager – one in a million’. ‘Things have improved with the new manager’. ‘The home runs smoothly and businesslike’. ‘We’ve regained continuity in the way we work and I’m proud of the job we do’. Staff in particular said they are well supported by the home’s manager and although the nurses meet individually with her regularly, the system of supervision for care staff has not been re-established fully. The AQAA indicated that systems have been put into place to monitor the quality of care being provided at the home and staff spoken to described a system of formal and informal audits that support this. The manager is supported by regular visits from her line manager within the company and between them they have been responsible for maintaining the programme of improvement at the home. These have included regular meetings with the different groups of people involved with the home, a quality survey and the legally required monthly visit on behalf of the proprietors. The company has also achieved the national award – Investors in People – that reflects good standards in relation to staff matters. The systems for the safe keeping of residents’ personal spending money have been retained and these are satisfactory. The AQAA indicated good standards of health and safety activity and regular servicing of equipment, and the home’s handyman makes sure that any problems are dealt with quickly. Observations made around the building indicated it to be hazard free. Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A as this is the first inspection of this re-registered service. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP18 Good Practice Recommendations The manager should ensure that the storage arrangements for controlled medicines comply with the new Regulations. The manager should clarify with the key managers in all the local Social Services Departments any differences in procedures to safeguard vulnerable adults, in order to make sure that the correct course of action is followed when a need to report occurs. Staff should be supported by a 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 home’s residents. 3. OP36 Oakford Manor Nursing Home DS0000071198.V364211.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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