Inspection on 06/02/07 for Oakhurst

This inspection was carried out on 6th February 2007.

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

Oakhurst 27/08/08

Oakhurst 30/10/07

Oakhurst 06/07/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakhurst Retirement Hotel 4 Courtland Road Paignton Devon TQ3 2AB Lead Inspector Michelle Finniear Unannounced Inspection 08:45 6th and 7 February 2007 th 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 Oakhurst Retirement Hotel DS0000066583.V325261.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. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakhurst Retirement Hotel Address 4 Courtland Road Paignton Devon TQ3 2AB 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) 01803 524414 01803 524414 Oakhurst Retirement Hotel Ltd Mrs Sara Watson Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This Care Home may provide care to four residents, named elsewhere, in the category DE(E). (This condition will be replaced by a full registration category for DE(E).) This care home may provide care to one resident, named elsewhere, in the category MD(E) 6th July 2006 Date of last inspection Brief Description of the Service: Oakhurst is a large detached property situated on the level, very close to local facilities such as the library, park, and shops. The home comprises of three storeys: garden, ground and first floor, with the first floor landing being serviced by a chair lift, whilst the four rooms at garden level have direct access on to the homes gardens. The home provides accommodation for up to 16 people who are over the age of 65. The home used to provide care for mostly independent, active elderly residents, but a recent application has been processed for the home to also accommodate residents who have a degree of memory loss associated with age. There is a communal lounge, conservatory, and dining room available to residents Since the last inspection the manager has become registered. This means she is responsible for the day to day operation of the home. Fees range from £320 to £426 per week. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is a summary of a cycle of Inspection activity at Oakhurst since the last inspection visit in July 2006. To help CSCI make decisions about the home the responsible individual from the company which owns the home and the manager gave us information in writing about how the home is run; documents submitted since the last inspection were examined along with the records of what was found at the last inspection; two site visits totalling 13 hours were carried out with no prior notice being given to the home as to the date and timing of the first visit; discussions were held with the manager and staff on duty; various records were sampled, such as care plans and risk assessments; a tour was made of the home; and time was spent with the people who live at the home both individually and in groups. In addition a sample group of four residents were selected and their experience of care was ‘tracked’ and followed through records and discussions with staff and management from the early days of their admission to the current date – looking at how well the home understands and meets their needs, and the opportunities and lifestyle they experience. Time was then spent with these residents, and questionnaires were sent to their relatives, general practitioners and healthcare practitioners where appropriate. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that residents experience of the home forms the basis of this report. What the service does well: Oakhurst is in a central position, with level access to the town centre in Paignton, next to the library, shops, several clubs for older people and overlooking Victoria Park. This means that many residents are able to continue with previous hobbies and interests. The home has limited parking, but there is parking on streets nearby and there are attractive gardens to which some residents rooms have direct access. A new ramp has been provided to access these areas. The home provides an attractive environment for residents to live in, with well decorated rooms and en-suite facilities. There are three communal lounges, so residents can choose where to sit, although the conservatory is not heated, so is not available all year round. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 6 Staffing levels have increased since the last inspection and the home have recruited some new, experienced staff. Residents spoken to confirmed that the home was comfortable and that the staff were kind. There were clearly good relationships between staff and residents seen during the course of the two visits. What has improved since the last inspection? What they could do better: Remedy the odour and cleanliness problem in the identified room and corridor area. This is so that all residents can live in clean and comfortable surroundings, free from odour. Keep the number of staff on duty under review, and always make sure that there are enough staff to care for the residents needs, particularly in view of Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 7 the proposed change in categories to include people with confusion who require more assistance and supervision. This is so that there are enough staff on duty at all times. The responsible individual should continue to increase the amount of person centred occupation opportunities in accordance with resident wishes and current best practice. This is so that residents have things that they like to do available to them. The responsible individual should ensure the medication refrigerator is lockable and can be maintained at the required temperature. This is so that medication can be stored safely. The responsible individual should continue to increase the amount of person centred care planning. This is so that each individuals plan of care is tailored to meet their individual needs and reflect the way they wish their care to be delivered. The responsible individual is recommended to provide heating for the conservatory area so that this is useable space whatever the season, if this area is not to be altered in the near future . 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. Oakhurst Retirement Hotel DS0000066583.V325261.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 Oakhurst Retirement Hotel DS0000066583.V325261.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 6 Quality in this outcome area is good. Residents receive the information they need to enable them to decide if the home is the right place for them. The home ensures they can meet residents needs before the resident moves in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the Inspection site visit four residents records were seen. These included three recent admissions to the home as well as a resident who had been at the home for several years. The home has a full pre-admission assessment process available. This ensures that they can be sure that they are able to meet the potential new residents needs in full, and that the resident and their family can be sure that the home is the right place for them before a decision is made about them moving in. Ideally this will also include trial visits, and opportunities to meet with other Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 10 residents. Discussion was held with the manager on how the most recent admissions had been referred to the home and then time was spent with one of these residents who explained how they had chosen to move there. Their decision had been based in large part upon the accommodation available, the ‘feel’ and the location of the home. Other residents assessments had been completed at their home or with the support of relatives. Advice and information was also sought from professionals who may have been supporting the resident in the community, such as community psychiatric nurses or social workers. The owners have recently amended the statement of purpose and service user (or resident) guide to take account of the proposed changes in resident category, with the proposed addition of the Dementia category, and the confirmed registration of the manager. This new category will mean the home will be able to take in older people with memory loss. The statement of purpose and resident guide contain information on the operation of the home; in the resident guide this should be written in an accessible format, including plain English, and be given to each current and prospective resident. The guide also contains a copy of the statement of terms and conditions of residency. This is a document, like a contract, which explains how much the fees will be and what the resident can expect to receive in return. It will also include periods of notice required, information on insurance and any rules or restrictions about living at the home, such as policies on smoking, pets etc. One resident was able to show they had a copy of this document and others could be seen on file. The home does not cater for intermediate care. This means they do not provide specialist programmes of intensive rehabilitation to support residents in returning to their own home. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 11 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, 10 Quality in this outcome area is good. Residents care is well planned. Medication is being managed safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident at Oakhurst has an individual plan of care, detailing what care and support they need and how this is to be achieved. In some cases this is based on what the resident has themselves said about how they wish their care to be delivered. For newer residents there is an interim plan produced, which will be finalised once the home has got to know the person well, and they have settled into the home. Some of these were a little overdue. Plans are being reviewed regularly and discussions with residents and staff indicated that showed that they were being followed and were an accurate reflection of the residents needs. It is recommended that the plans for people with memory loss who are now being admitted contain more ‘person centred’ Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 12 information and on the lives they have led. This will help staff care for residents with a greater knowledge of the person and their experiences. Some of this information will need to come from relatives or supporting professionals. Suggestions were made on resources and ways to capture this information in a useful format. Currently no residents require support with moving or hoisting. There is a chairlift to access the mezzanine floor and discussions were held on making alterations to the lower ground floor stairs and the fitting of another chairlift to help improve access to some of the lower ground floor rooms. Files showed residents are registered with several different general practitioners and information is kept on their healthcare needs and appointments. Residents confirmed that arrangements are made for them to attend healthcare appointments, but that an escort is not always provided. This was confirmed with the manager. Supporting residents with visual impairments or memory loss at routine appointments is good practice if no relative is available to accompany them. The arrangements for medication management were satisfactory, with residents medicines being kept in a locked cupboard and individually signed for every time they are given out. Discussion was held with a member of staff and the manager about the training they have received and the systems in use. Currently the home uses a monitored dosage system, which means that the medication is pre-packed in a series of blister packs by the pharmacist. This makes it easier to see if medication has been taken and reduces errors. Controlled medication, which is medication that needs to be stored and given out with extra precautions due to it’s strength or effects, was being dealt with appropriately and safely. Some residents deal with their own medication. This is assessed for each individual, and a lockable box is provided for them to keep their medication in. The home has provided a small refrigerator for medication requiring to be kept cold, such as eye drops. On the day of the site visit this was not working. The owner repaired it during the visit, however the temperature should be monitored to ensure medication is being kept safely. This also should be capable of being locked. Observations made during the site visit showed that residents were being treated respectfully by staff. There were several instances of humorous discussions between staff and residents seen, and residents confirmed that staff were kind and responded well to their needs. Residents bedrooms have locks, so that they can be locked if needed or wished. Staff were seen to knock on doors although sometimes with residents with hearing impairments this was followed by them entering the room without waiting for a response. Residents spoken to said that they were happy with the level of privacy shown them. One resident seen now has a severe visual impairment. Discussion was held with the manager on this and it’s management. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 13 Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. Residents have opportunities to retain or engage in activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the homes management and with individual residents indicated that they have the ability to exercise choice in relation to some activities of daily living, for example whether to participate in leisure and social activities provided, some choices at mealtimes as to what to eat and where, choices in personal and social relationships and support to follow chosen religious observance. This might include for example being taken to a local church or the home arranging for an in-house communion service. The homes care plans record residents interests and discussion was held with the manager and owners on activities available in the home. A new programme of activities is being developed, and details of forthcoming events were displayed in the outer hallway. On the day of the first site visit the majority of Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 15 the residents were taken to a local bowling match, as it had been discovered that many of the residents had been active in the bowling community before their admission to the home. The trip had proved very popular with several residents meeting up with people they had previously lost contact with. Discussion was held on ways of increasing ‘person centred’ and individual activities, which will help staff in supporting residents to lead full and active lives. This is particularly the case for those newer residents with memory loss, who may need additional support and motivation to participate in more traditional activities. Residents who are able are encouraged to participate in the local community. The home is situated next to Paignton Library and is close to the town centre and local shops and clubs for older people. There are also transport facilities nearby. Discussion was held with the homes cook on the meal provision, the majority of which is home cooked. On the day of the second site visit the meal being prepared was Roast chicken and fresh vegetables with dessert. The meal seen served was of a good quality and well prepared and served. Residents spoken to confirmed that the food served was plentiful, and attractive. The home has two sittings for meals which will be resolved in future with the proposed improvements in accommodation planned. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. The home has an effective complaints procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A formal complaints procedure is on display in the homes hallway and has been given to each resident in the resident guide. The procedure sets out in detail the procedure to be followed in case of a complaint and the timescales in which a response must be given. No formal complaints concerning the care provided have been received. One complaint was received during the last year by CSCI, which related to changes since the new owners came in. This was addressed with the home and no action was needed. Residents confirmed that they knew who they would go to with a concern or complaint about the home. The home has information available on adult protection procedures. Recruitment procedures ensure that staff are fully “Vetted” before appointment. Some staff have attended POVA training, and further training is to follow in the near future. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. Oakhurst provides a comfortable environment for residents to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour was made of the home, which included all resident bedrooms, communal areas and service areas. Oakhurst provides a comfortable and homely environment, situated next to Victoria Park, and Paignton library. The home is over three floors, with a stair lift to aid access to the first floor. Lower ground floor rooms are reached by one of two staircases. This means some areas of the home are suitable for people with some mobility limitations, but not for people who are wheelchair users. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 18 Since the last inspection heating has been provided to a bathroom and toilet and a ramp has been constructed to enable residents to access the garden easier. The home has attractive communal space, with a small dining room, lounge, conservatory and sunroom. This means that residents have a variety of places in which to sit. The sunroom however is not heated, so in winter is not really useable space at this time. A communal bathroom has an in-bath hoist to aide residents in and out of the bath. There is a communal toilet in the entrance hallway, and in bathrooms on other floors. This means residents have access to a nearby toilet wherever in the home they choose to be. One shared room has now been let to two residents, but other rooms are currently in single occupation. There are three rooms suitable to be used for shared occupancy. The home has a washing machine situated to the rear of the building under a small shelter. A tumble dryer is situated in an outbuilding. This is due to be improved in future with the proposed extension. Residents confirmed their bedding is changed weekly and their ironing was done to a good standard. Resident rooms are well decorated, clean, and attractively furnished, with ensuite facilities. One room and an area of corridor had an odour and specific cleanliness problem, which was discussed with the manager on the site visit. Comments regarding this area were also received. It is acknowledged that the home has replaced the carpet in this area in the last year and that specialist advice has been sought, however it remains a significant problem. Action was agreed during the site visit for this room and corridor area. Regular fire tests and drills are carried out and evidence was seen of this in the fire log book. Environmental health officers last visited the home in the summer of 2005 to carry out a food safety inspection, and made only minor requirements such as the repair of a work-surface, however the home is planning an entire new kitchen to be fitted once an extension to part of the home is completed. This will also give additional dining space. The home has parking to the front and there is restricted on street parking nearby. The home owner stated she has plans to develop the garden to a sensory area, with particular reference paid to the design features for people with dementia. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 19 Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 20 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, 30 Quality in this outcome area is adequate. Some areas of practice were good. Oakhurst has a thorough recruitment procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the site visit three staff files were selected at random to be inspected. The files contained evidence of the recruitment process followed when new staff are being appointed. Files seen showed that a full recruitment process is followed, with staff completing application forms, providing references and undertaking a criminal records bureau check. This should help to protect residents from being cared for by people who are unsuitable to work with vulnerable adults. Discussion was held on the induction and foundation training process followed for new staff. This was seen and discussed with the manager, and is comprehensive, incorporating information on philosophy of the home as well as care tasks. There is a training needs analysis matrix for the staff which has identified which updates are required and set dates for staff to achieve this. This should mean that all staff receive the training and updates they need to care for residents. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 21 The staff seen on the inspection were very caring and committed to the residents they were looking after. Recent training at the home has included training in dementia, moving and handling, food hygiene, Protection of vulnerable adults and falls prevention. Further training is planned in core training, medication and falls prevention.. Discussion was held with two members of staff about National vocational qualifications that they are currently taking or may wish to take in the future. National vocational qualifications are a nationally recognised award recognising the level of skill and competency of a member of staff in their work role. Discussion was held with the manager and responsible individual on the number of staff on duty. The manager has recently increased the staffing compliment, however there were times when care staffing levels were low, for example at weekends. In addition the manager is counted as a care staff member for much of the week. The manager has the authority to bring in additional staff at times of extra pressure. Some staff have flexible job roles which means that they are able to support care staff from time to time if there is a need. Other dedicated domestic staff are also employed, including cleaning and catering staff. Throughout the day staff were clearly busy, however no residents seemed rushed whilst carrying out tasks. The staffing levels must be monitored. In addition at the time of the visit the alarm call system was not working properly. The home had made arrangements for staff to regularly tour the home during the night and have tried to have the system repaired. When this was unsuccessful the home had made arrangements for a new system to be fitted. Until this was installed the home agreed to ensure that an awake member of staff was available at nights to ensure that residents who may need assistance can be more safely identified and supported during the night. Risk assessments are available for working practices including a recently completed pregnancy risk assessment, to ensure that staff can safely carry out their work. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 22 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 38, Quality in this outcome area is good. The home is being well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the manager Mrs Sara Watson has been registered. That means she has taken on a legal responsibility, along with the responsible individual from the owning company, for the day to day practices at the home. Sara is an experienced carer and care manager and is qualified to manage the home. Oakhurst has a quality assurance system which incorporates a series of questionnaires from residents, relatives and visiting professionals. Responses Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 23 from these have been collated into a report identifying the outcomes and any themes identified and any action needed as a result. Discussions were held with the responsible individual from the owning company on how she intends to develop this system further in the coming year. This helps ensure residents have opportunities to influence the way the home operates. The manager confirmed the home does not deal with any finances for residents. These are dealt with by the person themselves, relatives or through formal procedures such as Power of attorney or court of protection. A new system has been commenced for the supervision of staff. Supervision is a process combining personal development and performance management and should help to ensure that staff are working to their full potential to support residents in a consistent way. Discussion was held on health and safety practices at the home, and a review was held of records, risk assessment and maintenance information. These showed that the homes maintenance programme is working well and that contracts are in place for servicing of equipment and testing of fire appliances. Training has been booked for staff in health and safety, and training has recently been undertaken to changes in food hygiene legislation. Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 24 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 3 3 3 x 3 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 3 3 3 3 3 3 2 STAFFING Standard No Score 27 2 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 Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 25 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 OP26 Regulation 16 (2) (k), 23 Requirement The registered person shall…..Keep the care home free from offensive odours. (Remedy the odour and cleanliness problem in the identified room and corridor area.) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of residents- ensure that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of residents; Timescale for action 12/03/07 2 OP27 18 (a) 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 26 1. OP12 The responsible individual is recommended to increase the amount of person centred and individualised activity in accordance with resident wishes and current best practice in view of the proposed addition of the dementia care category. The responsible individual is recommended to ensure the medication refrigerator is lockable and can be maintained at the required temperature. The responsible individual is recommended to increase the amount of person centred care planning. The responsible individual is recommended to provide heating for the conservatory area so that this is useable space whatever the season. 2. OP9 3. 4. OP7 OP20 Oakhurst Retirement Hotel DS0000066583.V325261.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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