Inspection on 06/07/06 for Oakhurst

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 06/02/07

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 09:30 6th & 7th July 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 Oakhurst Retirement Hotel DS0000066583.V294657.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.V294657.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 Application awaited Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 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. There is a communal lounge, conservatory, and dining room made available to service users and the home provides care for mostly independent, active elderly service users. Since the last inspection the home has changed ownership. A new manager has also been appointed. Fees range from £320 to £426 per week. Oakhurst Retirement Hotel DS0000066583.V294657.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. To help CSCI make decisions about the home the owner and 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 10 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; questionnaires were sent to staff who work at the home; a tour was made of the home and garden; time was spent with the people who live at the home both individually and in groups; and discussions were held with a visitor. In addition a sample group of service users 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 service users, 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 service users 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 and overlooking Victoria Park. This means that many service users are able to continue with previous hobbies and interests. The home has limited parking, and attractive gardens to which some service users rooms have direct access. The home is well-suited to an active older client group, and the owner has a clear admission criteria, so that people who have greater needs than they can care for are not admitted. The home provides an attractive environment for service users to live in, with well decorated rooms and en-suite facilities. There are three communal lounges, so service users can choose where to sit. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 6 Relatives contacted who either replied by post or telephone confirmed that they were very satisfied with the services that the home provides, that they are kept up to date with service users care needs and have been impressed with some of the improvements that have taken place. Feedback was also positive from local general practitioners and other medical support services, whom confirmed that referrals to them were appropriate and that the “all round care of residents was excellent”. Service users spoken to confirmed that they were happy with the home. Typical comments were “It’s a lovely place” and “I am cared for and very comfortable”. What has improved since the last inspection? What they could do better: Appropriate heating systems must be provided to the bathroom and toilet. This is so that service users can use these facilities in comfort. The home is recommended to obtain a lockable refrigerator for medication. This is so that medication requiring refrigeration can be kept securely. A full quality assurance system should be implemented. This will ensure that service users and other stakeholders have a say in which the home is operated, and can give their views about the quality of the services and facilities provided. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 7 The responsible individual should continue with the implementation of the programme of supervision and appraisal. This will help ensure that staff are working to their full potential and feel supported in their work. Staff should receive training in all core and service user specific areas. This will ensure that staff are well trained to care for the service users needs. A full recruitment process should be followed through with all staff prior to appointment. This helps to ensure that service users are cared for by people who are suitable to work with vulnerable people. The home is recommended to increase the amount of person centred and individualised activity in accordance with service user wishes. This is so that activities offered meet the wishes and needs of service users. An application must be submitted for the manager to be registered. 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. Oakhurst Retirement Hotel DS0000066583.V294657.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.V294657.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): 2,3,5,6 Quality in this outcome area is good. Service users 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 service users needs before the service user moves in. EVIDENCE: On the Inspection site visit three service users records were tracked from their first admission to the present day. This included a recent admission. The new management has implemented a new and more robust system of assessment following an inappropriate admission carried out by previous management. This resulted in a service user being moved to another home as their needs proved to be to great for the home to manage. The new systems aim to ensure that the service user is fully assessed prior to admission so that the home can be sure that they are able to meet the service users needs in full, and that the service user and their family can be sure that the home is the right place for them. Ideally this will include trail visits, and opportunities to Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 10 meet with other service users. One service user spoken to who was a recent admission to the home confirmed that they had visited several places before deciding to come to live at Oakhurst. Their decision had been based in large part upon the standard of accommodation on offer and the location of the home. The home owners plan to maintain the home for people who are more “active” elderly people, however they are to make an application to care for up to three service users who may develop a level of manageable confusion whilst living at the home. This ensures that service users who may become a little frail but are still having their needs met can remain at the home, but also recognises as far as possible the wishes of service users who may have chosen to come and live in a home where the service user group is not very frail. The owners have amended the statement of purpose and service user guide to take account of the changes in management and staffing. A service user spoken to confirmed that they had received this information, as did a visitor. The statement of purpose and service user guides contain information on the operation of the home; in the service user guide this should be written in an accessible format, including plain English, and be given to each current and prospective service user. 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 service user can expect to receive in return. It will also include periods of notice required and information on insurance and any rules or restrictions about living at the home, such as policies on smoking, pets etc. The home does not cater for intermediate care. This means they do not provide specialist programmes of intensive rehabilitation to support service users in returning to their own home. Oakhurst Retirement Hotel DS0000066583.V294657.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 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 area is good. Service users health and personal care needs are being met. Systems for the management of medication are satisfactory, except for the secure storage of medication that requires refrigeration. EVIDENCE: Each service user at Oakhurst currently has an individual plan of care, however the new management are implementing an improved system. This system is more ‘person centred’ which means it is better focussed on the needs and wishes of the individual and will help carers support all areas of need in way that reflects the service users wishes in how they like their care to be delivered. Four of these new plans were seen, and when the programme is completed they will be a clear improvement to the previous systems in use. One service user and a family member spoken to confirmed they had seen the plan relating to their care, and that this was an accurate reflection of their needs. The plans Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 12 seen were signed by service users or their advocates to confirm that they met with their wishes. Evidence was seen of service users healthcare needs being met, including hospital appointments and reports, and the new sections of the care plan record medical and nursing appointments. This was confirmed in discussions with three service users, one of whom had recently returned from hospital. Service users confirmed the care they received was of a high quality, and said the staff were very caring and conscientious towards them. Currently no service users require moving and handling, and although some find it difficult to use the stairs, one stated that they wished to keep doing so for as long as possible before using the chairlift. Evidence was seen of regular blood tests being carried out to check medication levels. The homes medication systems were seen. The home has a new medication administration policy and procedure. Medication is dispensed from a monitored dosage system, which means that medication is sent from the pharmacist in a blister pack. This makes it easier for staff to check that medication has been given and minimises the risk of mistakes. Some service users deal with their own medication. This is assessed for each individual, and a lockable box is provided for service users to keep their medication in. One service user does not wish to do this and discussion was held on their management and storage arrangements. Medication requiring refrigeration is maintained in the main refrigerator of the home in a sealed box. At present this is only eye drops, but this may change, and it is preferable that a separate lockable refrigerator is provided. Service users rooms have barrel locks, so that they can be locked if needed or wished. Staff were seen to knock on doors although sometimes with service users with hearing impairments this was followed by them entering the room without waiting for a response. Service users spoken to said that they were happy with the level of privacy shown them. Staff discussions centred around abusive practice and respect for the individual and demonstrated appropriate values and respect for individuals and their chosen lifestyles. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area was good. Service users have opportunities to engage in activities of their choice and welcome visitors. EVIDENCE: Discussion with the homes management and with individual service users 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 service users 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 was displayed in the outer hallway. Discussion was held on ways of increasing person centred and individual activities, which will help staff in supporting service users to lead full and active lives. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 14 Service users 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 is also transport facilities nearby. Service users spoken to varied in their wishes for formal organised activities, and this was reflected in the completed returned questionnaires. One commented that “It is so easy to get used to staying in ones own room” and wished for more activity, others spoken to felt they were quite content as they were. Both service users and a visitor confirmed they were welcomed to visit at any time. Discussion was held on ways of increasing service user opportunities and choices. The manager is planning regular service user meetings which will act as a forum for discussing changes in the home and gathering service user feedback about the services on offer. Discussion was held with the homes cook on the meal provision, the majority of which is home cooked. On the day of the first site visit the meal being prepared was home made meat pie and fresh vegetables with strawberry and rhubarb meringue for dessert. On the second visit the meal was fish and chips with fruit dessert. Both meals were of a good quality and well prepared and served. Service users spoken to confirmed that the food served was plentiful, and some were having to ‘cut back a bit’ as they were putting on weight. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 15 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, 18 Quality in this outcome area is good. Service users have access to a complaints procedure and are protected by the homes policy and procedures on abuse. EVIDENCE: A formal complaints procedure is on display in the homes hallway and has been given to each service user in the service user 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 complaints concerning the care provided have been received. Service users confirmed both in discussion and in anonymous questionnaires 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 and although the policy needed updating to reflect the issued guidance, the required information was available separately in the home. The manager will amend this into one policy. The homes recruitment procedures ensure that staff are fully “Vetted” before appointment and appropriate procedures have been put in place to protect and safeguard service users for whom some cash was previously being held by the home on their behalf. Two staff members have attended POVA training. Oakhurst Retirement Hotel DS0000066583.V294657.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, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. Service users live in an attractive and comfortable environment. EVIDENCE: A tour was made of the home, which included all service user bedrooms, communal areas and service areas. Oakhurst provides a comfortable and homely environment, situated next to Victoria Park, and Paignton library. It offers level access to the town centre, and has attractive gardens to which several rooms have direct access. The home is over three floors, with a stair lift to aid access to the first floor. This means the home is suitable for people with some mobility limitations. The home has attractive communal space, with a small dining room, lounge, conservatory and sunroom. This means that service users have a variety of places in which to sit. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 17 A communal bathroom has an in-bath hoist to aide service users in and out of the bath. There is a communal toilet in the entrance hallway, and in bathrooms on other floors. This means service users have access to a nearby toilet wherever in the home they choose to be. The bathroom on the mezzanine floor has only a small fan heater to provide heat, which means that staff have to go and warm the room first before supporting a service user to bathe. The ground floor toilet has no heating. Both of these are being addressed. An assessment of the premises has been carried out, and has demonstrated that the home can meet the needs of the current service user group. Service users at the home are mostly active elderly people. The home has three rooms suitable for shared occupation, but these are let for single 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. Service users confirmed their bedding is changed weekly and their ironing was done to a good standard. Service user rooms are well decorated, clean, and attractively furnished, with en-suite facilities. A programme of refurbishment has commenced, which is including the replacement of some carpets and décor and repairs to the plumbing and heating/hot water systems. Some rooms have direct access to the gardens via patio doors. One bedroom has an unscreened toilet. 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. At the time of the visit several rooms on the first floor did not have window restriction, which means that the windows could open wide enough for a person to fall through by accident. The management reacted very quickly to this and within a week of the visit confirmed that 10 had been fitted. The home have struggled to recruit a new gardener, and this has led to an area of the garden becoming overgrown which several service users commented on. The owners confirmed they were hoping to have a new person start the week after the inspection. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 18 Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 19 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 was good. EVIDENCE: The new owners and manager are developing a comprehensive staffing package which will meet all legislative requirements when fully implemented. The new system will include a full programme of supervision and appraisal, as well as separate individual files for staff recruitment and employment matters and one for staff training and development. Supervision in this context is a system for enabling staff development as well as performance management, and should help to ensure that service users are being cared for by staff who are working to their full potential and in a consistent way. Three staff files were selected at random for examination on the first site visit. Two Files contained all of the required information, such as references, evidence of identity and a Criminal records bureau check. For the most recently appointed staff member a basic criminal records bureau check had been provided, and an updated one had been applied for. One reference was still awaited. The home has appropriate information available on equal opportunities and have excellent strategies to support staff with identified difficulties. Induction records demonstrated that a comprehensive induction programme has been followed for the most recently appointed staff member. The induction Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 20 programme includes all areas of care, information about the home and the philosophy of care. Discussion was held on training plans, and then later training issues were discussed with the staff group on duty. It is understood that 3 staff wish to do their NVQ award, which is a nationally recognised assessment of the skills and competency of staff. The owner is undertaking her Registered managers award. Further staff training in food hygiene, first aid and medication administration and handling is planned, and on the day of the second visit staff were receiving training in moving and handling practices. This is important in ensuring that staff and service users health is protected when carrying out moving tasks. Additional training in the needs of people with dementia is advised. Discussion was held concerning the numbers of staff on duty. The home must keep this under review as service user dependency increases, as staffing levels do appear low at certain times of the day or week. In particular this relates to service users with mild to moderate confusion, who require additional support and stimulation. The manager confirmed that the staffing levels are satisfactory at present and that she has no concerns that service users needs could not be met. One service user confirmed that “There is always somebody available and they are lovely”. Another commented that “the staff always seem to have too much to do, but they soldier on and are very caring”. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 21 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, 33, 35, 36, 38 Quality in this outcome area was good. The home is being well run. EVIDENCE: The new owners of the home have been registered following a process that involved references, medical checks, criminal records checks and an interview being carried out by CSCI. The responsible individual, Jo Mace, is undertaking training to be a registered manager. The current manager has been in post for six weeks, and is not yet registered, but an application to register her is expected shortly. Being registered will mean that she is legally accountable for day-to-day issues at the home. The owners and manager are developing a new quality assurance system for the home. Questionnaires have been given to all service users, relatives and visiting professionals. A recent audit of these has been done and the next stage will be to produce a report that links to the homes annual development Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 22 plan. Once completed, this system will ensure that service users and other stakeholders are able to formally be involved in the operation of the home, and affect how their care is delivered. Other ways in use at present include a service user meeting which has recently been held to discuss proposed developments for the home and the manager visiting each service user daily to see how they are and if there is anything they need. Discussion was held on the systems for managing service user finances, which provide greater protection for service users. A new policies and procedures manual has been provided and the policies are under constant revision to ensure they meet the needs of all the service users. Discussion was held on health and safety risk assessments for the premises. The home has obtained COSHH assessment sheets, and work is being undertaken on environmental risk assessments, including first aid, legionella and asbestos. Further training is required for staff in general health and safety issues. A risk assessment has been undertaken for each service user and for the recent heat wave. Risk assessments are a way of identifying and minimising risks and only imposing restrictions in proportion to the presenting risk seen. Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 23 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 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 2 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 2 x 3 Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 2 Standard OP21 OP31 Regulation 23 18 Requirement Appropriate heating systems must be provided to the bathroom and toilet. An application must be submitted for the manager to be registered Timescale for action 20/11/06 30/08/06 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 3 4 5 6 Refer to Standard OP12 OP29 OP30 OP36 OP33 OP9 Good Practice Recommendations The home is recommended to increase the amount of person centred and individualised activity in accordance with service user wishes A full recruitment process should be followed through with all staff prior to appointment. Staff should receive training in all core and service user specific areas. The responsible individual should continue with the implementation of the programme of supervision and appraisal. A full quality assurance system should be implemented The home is recommended to obtain a lockable DS0000066583.V294657.R01.S.doc Version 5.2 Page 25 Oakhurst Retirement Hotel refrigerator for medication Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Oakhurst Retirement Hotel DS0000066583.V294657.R01.S.doc Version 5.2 Page 27 - 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!