Inspection on 23/08/06 for Oakfoss House

This inspection was carried out on 23rd August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakfoss House 18/03/09

Oakfoss House 22/03/07

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakfoss House 6 Weavers Road Walkergate Pontefract WF8 1QR Lead Inspector Susan Vardaxi Key Unannounced Inspection 09:00 23rd August 2006 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 Oakfoss House DS0000066782.V303353.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. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakfoss House Address 6 Weavers Road Walkergate Pontefract WF8 1QR 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) 01482 656735 01482 671195 Denestar Limited Marilyn Higgins Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Oakfoss House provides residential care for 22 older people including those who may have mental health problems. The home is situated in a residential area close to the centre of Pontefract and all local amenities and facilities. There is a car parking area to the front and lawn areas to the front and back of the building. Garden furniture is provided for the use of service users in the summer months. The entrance leads to a small office on the right and also a large television lounge. A quiet room is available also for service users and their visitors if required. There is a large dining room. Bedrooms are situated on the first and ground floor and all floors are accessible by shaft lift. All bedrooms are for single occupancy. The fees charged in August 2006 for the service are £359.00 per week. Hairdresser and chiropody are not included. People are informed of the service at the time that an enquiry is made when given a copy of the service users guide and the Commissions inspection reports. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has changed ownership since the last inspection. It is registered with the Commission under the company name of Denestar Ltd. The responsible individual is Mrs Gaynor Saunders. The name of the home and manager remain unchanged. This was an unannounced inspection completed on 23rd August 2006 over nine hours. The visit occurred from 9am to 6pm and included talking with service users, a relative, staff and the manager. Some records were inspected; a tour of the building completed and lunch was taken with the service users. “Have Your Say” comment cards were sent to the home for service users to record their views of the service they receive. Five were completed and returned to the Commission. Doctors from two local surgeries also took part in the survey. The inspectors would like to thank the service users/relatives and GPs and all who participated with the overall inspection process, for their cooperation. There were 22 service users living at the home at the time of the inspection. 16 requirements were made following the last inspection. Substantial progress has been made to address the requirements. Two were outstanding and have been carried forward onto this report. The providers are currently addressing one regarding the emergency call system. However two further requirements have been made as a result of this visit. What the service does well: The overall atmosphere in the home was very pleasant; service users are relaxed, and look comfortable and well cared for. A service user cared for on bed rest for a considerable time, looked clean and comfortable and free from pressure sores. Service users are consulted and involved in decisions about their care and social activities. They made positive comments about the care provided during the inspection. Comments received on a pre inspection survey cards included “staff are kind and patient with service users”, staff look after my relative to the best of their abilities and keep them nice and clean”. Staffing levels were satisfactory. The interaction between staff and service users was seen to be good throughout the day. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 6 Health care arrangements are satisfactory. There are activities and opportunities for service users to go out. The service users spoken with said the meals are generally good; the cook does some home baking daily. What has improved since the last inspection? What they could do better: There have been four requirements made as a result of this inspection. Two of which have been carried forward from the last inspection report. Concerns regarding the adequacy of the emergency call system remain outstanding. The new provider said they are arranging to meet with some Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 7 suppliers in respect of the current emergency call system. It is considered that the location of the call panel could cause delays in answering calls made and some service users sitting in the lounge are unable to use the call system, as they are unable to reach it from their chairs. The automatic door-closing device that operates the laundry door needs repair. Therefore a fire in that room would not be contained should a fire occur when the room was unattended. This also presents a risk of door wedges being used should staff choose to work with the laundry door open. There was a general improvement in the medication recordings, however there would be a risk to service users particularly those who wander if the medication trolley is left unlocked and unattended Mandatory training particularly in respect of first aid, and food hygiene updates is needed to ensure all staff are competent in their work and are kept updated should changes in practices and procedures occur. 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. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 8 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 Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 3. 6 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for completing pre admission assessments are satisfactory. EVIDENCE: The manager said she completes pre admission assessments, evidence of this was seen on files checked. Five comment cards were received from service users, four felt they had received enough information about the service. The manager said a new contract is being developed following the recent change of ownership. The manager said she was arranging for a new service user’s relative to be provided with a copy of the service users guide which was being revised to include information required by the local authority. Intermediate care is not provided. Oakfoss House DS0000066782.V303353.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users needs are set out in care plans and their health care needs are met appropriately. There has been an improvement in the recording of medications; however the unlocked, unattended medication trolley puts service users at risk. The arrangements for the care of service users who become terminally ill are satisfactory. EVIDENCE: Substantial progress has been made in the care planning since the last inspection. A new format has been developed which the manager said is working well. Examination of the care plans showed that nutritional needs have now been identified. It was pleasing to observe that the care plans included the need for extra drinks to be given during the recent hot weather. Records of service users’ weight had been recorded on records examined. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 11 Moving and handling, pressure area and falls risk assessments had been completed. All care plans appeared to include service users’ assessed needs. The daily records do not record that the needs were met on a shift-by-shift basis. A service user seen has been cared for on bed rest for some months, the manager confirmed that they do not have any pressure sores. They looked clean and comfortable. Monitoring charts in the service user’s room had been completed regularly for pressure care and fluid intake. Records of GP, district nurse and other health professional’s visits were seen on record examined. Two GPs took part in the Commission’s inspection survey; the comments cards showed that they are satisfied with the overall care provided at the home. Four service users comments received indicated that they always received the medical support needed. The medication records checked showed an improvement in the recording since the last inspection. The manager had introduced a method of recording boxed tablets as part of her monitoring programme, which after some discussion she decided to discontinue, and the MAR sheet only would be used for recording purposes to avoid duplication that could be confusing. The risks involved in storing the medication and medication sheets for two service users who have the same name was discussed with the manager and it was recommended at the inspection that the pharmacist be contacted for advice to ensure their medication is administered appropriately. The manager has since told the Commission that she has discussed the problems with the pharmacist who she said had recommended two medication trolleys to be used, one on each floor of the home. The medication trolley was seen left unattended and unlocked in the hallway when medication was being administered in the dining room. Five service users completed comment cards, four felt staff listen to them and are usually available when needed. Staff were observed assisting service users with regard to their privacy and dignity. A discussion was held with the manager regarding the arrangements for staff when assisting service users with personal care needs particularly those are unable to make informed choices. The outcome was that an intimate care policy was recommended. The manager said service users are cared for at the home when they become terminally ill unless their needs cannot be met with the support of the district and palliative care nurses. A service user’s care plan included action to be taken at the time of death. The manager said Palliative care training has been arranged. Oakfoss House DS0000066782.V303353.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are satisfied with the overall service provided. Relatives and friends are encouraged to visit and opportunities for service users to go out are provided. Service users or their representatives are involved in decisions that affect their care and advocacy is recommended when needed. EVIDENCE: Information provided on the pre inspection questionnaire completed by the manager shows service users social activities include, quizzes, sing a longs, board games, art and crafts, reminiscences and an external entertainer visits the home. Records of service users’ meetings show that service users ideas on outings are discussed with them. Some service users had been to the coast, an outing to a local garden centre had included a pub lunch. The manager said an outing arranged for the day of the inspection had been cancelled due to a bad weather forecast. This had been rearranged for August and a further outing to Eden Camp in September. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 13 Service users were seen reading newspapers, a service user and their visitors were enjoying a game of dominos in the service user’s bedroom, and these visitors said they visit regularly. The manager said Power of Attorney arrangements have been made for 6 service users and this is dealt with at admission particularly where service users are unable to make informed choices. The meal was taken with the service users in the dining room. The tables and seating arrangements had been rearranged in the room since the last inspection, service users views varied on the changes made. The room looked comfortable and provides a pleasant environment for service users to dine in. The manager said the room had been redecorated and new table linen was on order. There was a choice of meal available for service users; the meals were cooked to a good standard. The cook had done some home baking. Service users spoken with said they always enjoyed their meals and had plenty to eat. Comment cards received showed that service users generally like the meals. Staff were observed assisting service users appropriately. Oakfoss House DS0000066782.V303353.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users right to vote are respected. The complaints procedure is satisfactory. It would appear that staff are aware of their duty under the homes Whistleblowing policy. EVIDENCE: The last entry in the complaints records was dated 2004. A new form for recording complaints has been developed should it be required in the future. Service users’ meetings provide opportunities for service users to air their views about the service. The manager has daily contact with all service users. The complaints procedure is currently being revised to include the contact details for the new owners. Comment cards received by the Commission showed that service users generally know how to make a complaint. The manager said all service users are registered on the electoral register and they generally vote by post. An incident reported to the manager by a member of staff led to appropriate measures being taken and investigation by appropriate agencies concluded no action was needed. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 15 The manager said in house adult protection training is being arranged with the local authority. The local authority’s Whistleblowing policy is being implemented. Oakfoss House DS0000066782.V303353.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,22,24,25,26 Quality outcomes in this area are adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides a clean and pleasant environment for service users to live in. The proposed replacement of some fabrics and furnishings and re decoration will further enhance this. EVIDENCE: There were no outstanding recommendations on the fire officer’s report of 20 January 2006. On arrival at the home new hanging baskets containing flowers were seen at the front of the home, flowers had also been planted in flower boxes at the rear of the home. The provider said the service users had helped with the planting. New fencing has been erected to make the garden more secure at the rear of the home. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 17 It was pleasing to observe that there was a general improvement in the standard of cleanliness throughout the home since the last inspection. The manager said a new domestic regime had been introduced. The carpet in the entrance hall had been replaced following the last inspection. Although an improvement was observed there were areas of the replacement carpet and other carpets that looked stained. The provider considers this to be caused by the glue used to stick the carpets to the floor for safety reasons and the glue shows through. She said a new type of floor covering is being considered. Some new commode chairs had been provided as required at previous inspections. There are some areas in the home that would benefit from redecoration and replacement of fabric’s and furnishings. These have been identified by the manager and provider and included in the home’s annual development plan. It was noted that the home does not have a sluice facility. The provider arranged for this to be provided as soon as it was brought to her attention at the inspection. Concerns regarding the location of the emergency call box were discussed fully with the provider and manager as staff working on the first floor need to go to the ground floor to locate a call which could caused delays in response time. The provider has informed the Commission that she has arranged a meeting with a company to establish if a replacement of the system is required or if the emergency call box needs to be relocated. Some communal bathrooms and toilets were checked and found to be clean and tidy. There was no evidence of bars of soap being left after use as noted at previous inspections and the shower trays were clean. The bath seat in the ground floor bathroom would have benefited from being cleaned. The provider and manager said the wall between the staff room and a first floor toilet is to be knocked through to provide an office for the manager. The staff room is to be relocated on the ground floor. Some running hot water temperatures were checked and were not delivered above 43 degrees centigrade. The laundry room was clean and tidy. However, a door wedge was seen near the door, the automatic door closure was broken. A requirement has been made in standard 38 in respect of this. Oakfoss House DS0000066782.V303353.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The low staff turnover indicates that the home is well managed and staff arrangements are satisfactory. Some mandatory training and mental health training is needed to ensure service users needs are appropriately met. Staff recruitment procedures do not always ensure adequate information is obtained prior to staff commencing employment. EVIDENCE: There is a very low staff turnover at the home, which provides consistency for service users. Staff rosters were seen and the staffing levels at the time of the inspection are considered to be adequate. The manager now has management time when there are 5 or more carers on duty. The manager said the new providers had agreed this to ensure that management tasks are addressed. A carer spoken with said dementia training was planned to take place for all staff commencing on 1st September and she was preparing to commence NVQ training. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 19 Staff training records showed that the deputy manager had provided moving and handling training. The manager said she and the deputy manager had completed a trainer of trainers course. Information provided on the pre inspection questionnaire shows 8 staff have NVQ qualifications. Staff records seen showed some mandatory training was needed particularly in respect of first aid and food hygiene. Staff records showed CRB and POVA first checks have been completed prior to staff commencing employment. However a reference had not been obtained from a member of staff’s previous employer and a second reference could not be provided at the visit. A new member of staff did not have a contract on file; the manager said the new providers were arranging new contracts for staff. The staff application forms do not include a section for applicants to complete for declaration of offences. Oakfoss House DS0000066782.V303353.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and staff benefit from sound leadership and staff are supervised appropriately. Arrangements are made to provide opportunities for service users and staff to be involved in the decision-making. The arrangements for the storage and recording of service users personal allowances are satisfactory. Service users and staff are endangered by the use of door wedges on fire doors. Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has a nursing qualification, she has over fifteen years experience in the care of older people in a residential setting. She said the new providers and deputy manager support her and she has recommenced her NVQ level 4 management training. The manager said she has daily contact with staff and service users and occasionally works in a hand on capacity. Records of three staff meetings and a service users’ meeting held since the last inspection were seen. The responsible individual visits the home regularly. She also completes monthly-unannounced inspections of the home and provides reports to the Commission. Some service users’ personal allowance records were checked, the cash held and records kept balanced. Advocacy arrangements are in place for 6 service users. Records of staff supervisions were seen on staff files checked. Information provided on the pre inspection questionnaire prior to the inspection showed the fire officers last visited in January 2006, fire equipment checks were completed in November 2005 and fire alarm tests completed weekly. The last fire drill recorded was 8.6.2006; the manager said fire drills are held every three months. The manager said the fire exit door to the garden has been renewed as recommended by the health and safety officer. The fire records seen show that the manager and deputy check the emergency lighting weekly. The manager said responsibility for this task is to be delegated to the maintenance person. A door wedge was seen on the floor in the laundry room, it was brought to the manager’s attention at the inspection that the automatic door release was broken. The pre inspection questionnaires recorded standing water tests for Legionella were completed in March 2006 and equipment and system checks are completed regularly. Portable Appliance Testing (PAT) was completed 16.8.2006. Oakfoss House DS0000066782.V303353.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 1 10 2 11 3 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 3 18 3 3 X X 1 X X 3 2 STAFFING Standard No Score 27 3 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X 1 Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13(2) Requirement Timescale for action 30/09/06 2 OP22 23(1)(a) The registered person must ensure that the medication trolley is kept locked when unattended. Service users must be able to 30/09/06 access the emergency call system when sitting in the communal rooms, meanwhile adequate staff presence must occur. Previous timescale of 30th August and 31st January 2006 not met. The registered person must provide a method for staff to immediately identify the location of emergency calls when they are working on the first floor of the home. Previous timescale of 31st January 2006 not met. The registered person must 30/09/06 ensure that two satisfactory references are obtained before staff commence employment, one from the applicant’s previous employer. Fire doors must not be wedged DS0000066782.V303353.R01.S.doc 3. OP29 19(4)© 4 OP38 23(4) 30/09/06 Page 24 Oakfoss House Version 5.2 13(3-5) open: Outstanding from the inspection on 5th January 2006. The laundry door must not be wedged open. Mandatory training must be provided for all staff particularly first aid and food hygiene. The registered person must complete the work recommended in the environmental health officer’s report and notify the Commission when the work has been completed. Previous timescale of 5th January 2006 not met. 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 OP7 OP10 Good Practice Recommendations The daily notes should include that the actual planned care has been delivered. An intimate care policy should be developed and issued to staff for the delivery of personal care, particularly for service users who lack mental capacity. Bath seats should be cleaned after each use to prevent cross infection occurring. 3 OP26 Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Oakfoss House DS0000066782.V303353.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!