Inspection on 14/06/06 for Oakhurst Grange

This inspection was carried out on 14th June 2006.

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 Grange 27/03/08

Oakhurst Grange 19/10/05

Oakhurst Grange 27/05/05

Oakhurst Grange 07/10/04

Oakhurst Grange 26/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakhurst Grange Goffs Park Road Crawley West Sussex RH11 8AY Lead Inspector Mrs L O`Donnell Unannounced Inspection 14th June 2006 09:30 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 Grange DS0000024184.V298467.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 Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakhurst Grange Address Goffs Park Road Crawley West Sussex RH11 8AY 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) 01293 536481 01293 612452 www.bupa.com BUPA Care Homes (CFHCare) Limited Ms Frances Brenda Deane Care Home 120 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30), of places Physical disability (30), Physical disability over 65 years of age (30) Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons accommodated in any of the categories should not exceed 30. 19th October 2005 Date of last inspection Brief Description of the Service: Oakhurst Grange is a care home registered to provide nursing care for 120 Service Users aged 65 years and over, 30 of whom may have dementia. The home was purpose built and consists of four separate 30-bedded houses, Copthorne, Charlwood, Balcombe and Rusper. Each house is single storey and each has its own garden area. Under the current registration Copthorne, Charlwood and Balcombe provide general nursing care and Rusper house provides nursing care for people with dementia. There is a further building which houses the reception area, administration offices, laundry and kitchen facilities. Each of the homes has a unit leader. Mrs F Deane has successfully completed the registration process and is now the Registered Manager of the home. The home is situated within a residential area, close to the town centre of Crawley. The Registered Provider of the home is BUPA. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced and took place over 9 hours. It involved two inspectors and commenced at 9.30am. In addition a further short visit was undertaken on 21 June to speak with the Registered Manager. Prior to the inspection, the Inspectors reviewed the previous inspection reports and any communication received since that inspection. In addition information requested from the home prior to the visit was also reviewed and is included within the report as appropriate. During the visit, the Inspectors spoke with residents, their visitors, and staff on duty. A variety of records were reviewed during the visit, including care plans, risk assessments, staff recruitment and training, accident and incident forms and activity provision. During the past year the Registered Providers have undertaken a programme of audit, review, planning and development to address concerns of poor working practice and standards of care identified through the inspection process and the findings of a detailed adult protection investigation a year ago. Progress within a number of areas has been noted during additional visits made over the last year. At this visit it was clear that significant improvements in standards of care and working practices within the home have been achieved with a demonstrated commitment by the Registered Manager and the senior management team to continue to develop this. All residents spoken with, where able, spoke highly of the staff team and relatives expressed satisfaction at the care provided. (Balcombe House is currently closed. The Registered Providers propose to reopen this house and provide residential dementia care. The Commission has received an application to vary their current registration and this is currently being processed). What the service does well: The home provides a relaxed and welcoming environment – all relatives spoken with considered that they were always made to feel welcome. The staff team demonstrated a good awareness and understanding of residents needs and treated residents respectfully. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 6 There is effective leadership in place and this is now further supported by the appointment of two further senior managers. Staff were observed to engage effectively with residents, who responded positively to this. Activity provision observed on the day was appropriate and meaningful and enjoyed by the residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. An assessment of need is undertaken for all prospective residents. Intermediate care is not offered at the home. EVIDENCE: A sample of assessments undertaken for new residents to the home were seen during the visit. These provided adequate information on all identified care needs of the resident and care plans are then developed from them. Residents who were able to and their representatives advised that they had spoken to staff about their care needs, prior to moving into the home. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 9 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. This judgement has been made from evidence gathered both during and before the visit to this service. The health, personal and social care needs of residents are detailed in an individual plan of care. The healthcare needs of residents are monitored and met. The privacy and dignity of residents is respected by the staff team. The medication procedures in place ensure safe practice in the administration of the resident’s medicines. EVIDENCE: The care plans of seven residents were reviewed during the inspection. It was noted that all aspects of care were clearly identified giving the actions needed by staff to meet these individual needs. Within each care plan there was an ongoing evaluation and the plans were reviewed and updated as necessary. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 10 It was noted that residents and/or their representatives were involved in the care planning process and signed care plans to agree their content. This was confirmed by relatives spoken with who advised that they had had the opportunity to read and discuss care plans with staff. Health care needs were documented within care plans, and access to health professionals was arranged as appropriate. Both residents who were able to, and their relatives, advised that they were satisfied that health care needs were monitored and met. Risk assessments and nutritional assessments were completed and residents were weighed monthly or more frequently if required. In addition where a need was identified recording charts were in place to record food and fluid intake. These were seen to be reviewed and monitored appropriately. Pressure relieving mattresses and cushions were in use where needed and for those residents who were assessed as requiring bedrails, consent was obtained and documented. There appeared to be adequate equipment available around the home and it was noted on one care plan that a special pressure relieving mattress was being rented for the use of one resident. The documentation used was consistent across all three houses. It was noted that there was a significant improvement in the completion of care plans from previous visits and inspections of the home, and all of the care plans seen during the visit were clear and precise. Medication administration records examined showed that all administration of medicines is accurately recorded and at the front of each MAR full details about the resident including any allergies and a photo are attached. At the previous visit in January 2006 concerns had been raised by the pharmacy inspector as to the management and monitoring of blood tests particularly in relation to warfarin doses. At this visit, where residents are prescribed Warfarin a detailed account of the current dose to be given, and when the next blood test is due is attached to the resident’s MAR chart for reference. An updated list of specimen signatures of staff that administer medicines was available for reference. Staff were observed to respect the privacy and dignity of residents throughout the visit and residents who were able to confirmed this. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 11 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 is good. This judgement has been made from evidence gathered both during and before the visit to this service. Activity provision continues to develop and improve with residents able to access a variety of social and recreational activities. Visitors are welcomed into the home at any reasonable time Residents are supported to exercise choice and control over their lives. Residents generally enjoy a varied and nutritious diet. EVIDENCE: During the visit activities co-ordinators/organisers were observed in each of the houses. In one house they were observed to spend time with a group of residents, leading an arts and crafts activity. Residents were not only engaged in the activity but also in a variety of discussions with each other and staff on duty. It was noted that the co-ordinator used both internal and external stimulus to prompt, promote and maintain conversation (sounds, smells, people). Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 12 The activities organiser working on another of the houses had spent the morning visiting the residents, who were in their rooms to chat or read to them, which was part of the normal routine. The residents spoken with, all felt the activities had improved, as there were now three activity organisers - one on each house. The resident’s care plans documented the interests and hobbies of each resident and a map of life, gives details of the background of each resident. It was particularly noted within the dementia care house that significant progress has been made in the recording and provision of social activities within the house. Arranged activities for the week are displayed within the hallway leading to the lounge and dining areas. Activities listed for the forthcoming week included arts and crafts, musical entertainment, ball games, balloons and music, skittles and quoits, 1-1 and room visits and a beauty day. A new activities and social care manager has been appointed and one of the inspectors was able to speak with her during the inspection. It was clear from this that she is reviewing the current activity provision and has discussed with residents their own personal social needs. The social needs care plan have been reviewed and now provide detailed information as to residents needs. It was clear when speaking with the activities and social care manager that she will incorporate individual preferences within the programme of activities. The staff team spoke of their involvement in activity provision. It was also clear through discussions with residents and staff that residents are supported to go out and enjoy the garden areas. Some concerns had been raised over the provision of sheltered areas in one of the garden areas, however it was clear through speaking with the persons in charge at the time of the visit that this is being addressed. All relatives spoken with confirmed that they were able to visit the home at any reasonable time and were always welcomed into the home by the staff team. Through discussions with residents, their relatives and staff it was demonstrated that residents are able to exercise choice over their lives. It was clear through records seen that residents have a choice at mealtimes. Lunch, in one house, was observed to be relaxed with staff available to assist as required. Staff were seen, in all houses, to provide assistance in a sensitive and caring manner. It was however noted in one house, that several residents required assistance and a number of them were observed sitting with their meal in front of them waiting for a member of staff to give them assistance. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 13 Special diets are catered for, including diabetic and soft/pureed meals. Whilst pureed meals in one house were presented well with meat and vegetables separated, in another house given the choice of meal, although the individual components of the meal were kept separate (vegetables, meat etc), they were all of a similar colour and therefore the meal did not look particularly appealing. In addition although pureed, the meal still had textured pieces within it, which was not suitable for one of the residents observed. Individual dietary needs are recorded with resident care plans. Where a need has been identified to monitor food and fluid intake appropriate records are accurately maintained by staff and reviewed regularly. The portions seen were generally large and some residents felt there was too much food at once and would have preferred smaller helpings. The Registered Manager should therefore give consideration to staffing levels and/or the organisation and timing of meals to ensure that all residents receive appropriate assistance and a hot meal, the size of portions and the presentation of pureed meals. The majority of residents spoken with confirmed that the food was generally good and that they enjoyed the meals. Relatives who have visited at mealtimes advised that the meals always looked nice and well presented. Oakhurst Grange DS0000024184.V298467.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, 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There is a complaints procedure in place. Residents are protected from abuse. EVIDENCE: There is a complaints and compliments procedure available within the home. All relatives spoken with were confident who they would discuss any issues or concerns with if necessary. No relatives spoken with had had reason or cause to complain. The inspector was advised by staff in one house that a concern had been raised regarding the provision of a sheltered area in which to sit outside, and the inspector was confident that this was being addressed appropriately. No other complaints were recorded in any of the houses. A new system of documenting compliments had been introduced and all of the houses had a list of compliments already received, including a number of compliments thanking staff for the care provided. The recording of compliments received was generally felt to be a good idea and helped boost staff morale. There are policies and procedures in place in respect of adult protection. Staff spoken with were clear as to the procedures they should follow in the event of Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 15 concerns regarding the protection of the residents. Staff training has also been provided although not all staff spoken with during the visit had yet received this. Adult protection does form part of staff induction training and the training programme seen also included adult protection training, however the Registered Manager must ensure that all staff are trained in this area. Oakhurst Grange DS0000024184.V298467.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, 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is suitable for its purpose and is accessible and well maintained. The home is clean and hygienic with suitable procedures in place to control the spread of infection. EVIDENCE: During the visit a full tour of the premises was undertaken. All parts of the home were noted to be clean and tidy and appeared well maintained. All visitors spoken with were satisfied with the cleanliness and tidiness of the home. The gardens were tidy and residents were observed to spend time sitting outside. Mention has already been made as to the provision of a sheltered area outside one of the houses and this is being addressed. At the time of the last inspection it was noted that the locks to individual resident bedroom doors had been changed within the dementia care unit, Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 17 however concerns had been raised by relatives and staff regarding this. It had been agreed that the Registered Provider would review and risk assess on an individual basis, there was no evidence to suggest that this has been done and the Registered Provider are therefore requested to confirm to the Commission what action has been taken to address this issue. At the time of the visit the home was clean and tidy. Protective clothing was seen to be available for staff to use as appropriate. Laundry facilities are located away from residents rooms and separately from food storage, preparation and cooking areas. Oakhurst Grange DS0000024184.V298467.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. There were sufficient staff on duty to provide the residents with a good standard of care, however provision at lunchtime needs to be reviewed. The home is working towards meeting the target of 50 trained NVQ care staff. Residents are not fully protected by the homes current recruitment procedures. There is a staff training and development programme in place EVIDENCE: Staffing levels within each of the houses appeared appropriate to meet the care and nursing needs of the residents. Records showed that staffing levels were generally two trained nurses with five care assistants in the morning with two trained nurses and four care assistants in the afternoon. At night there is one trained nurse and 2 care assistants. The only concern was at meal times within one of the houses where a high number (13) of residents required assistance with eating and drinking (see standard 15). Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 19 However it was noted that the evening numbers of staff had been increased lately to provide a twilight shift to help at the busy time with supper. Residents, staff and five visitors spoken with all felt that the staffing levels had improved and were appropriate to provide the residents with the care they needed. There was only one negative comment from one resident about the number of staff as he felt he did not get attention quick enough especially when wanting to go to the toilet. Records received prior to the inspection indicated that a wide variety of training courses are available to staff. Each house had a training plan displayed in the office with the training provided for each member of staff. Staff spoken with confirmed that a wide range of training is available and advised that they had attended regular mandatory training and that specialist training on Parkinsons disease and dementia were planned for the near future. The newly appointed deputy manager advised that one of her areas of responsibility is the monitoring and development of the staff training programme. Five staff files were examined of staff employed in the home since the last inspection and it was found from evidence in the file that four members of staff had commenced work in the home prior to the completion of a satisfactory Criminal Records Bureau check (CRB) It appeared that although it was usual practice for the Protection of Vulnerable Adults check (POVA) to be completed once a job offer was accepted, the CRB was applied for after that and was only received after the commencement of employment. This practice is not in line with the recruitment procedures seen for BUPA Care Homes. During the second visit the Registered Manager confirmed that all staff were fully supervised whilst the CRB was pending. However this practice should only be used in exceptional circumstances. The Registered Manager confirmed that this matter would be addressed in all future recruitment. It was confirmed by the Registered Manager during the second visit on 21 June 2006 that 21 of the care staff team have an NVQ at level 2 or above, and that currently 35 are undertaking training to achieve this qualification. Oakhurst Grange DS0000024184.V298467.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, 33, 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. The Registered Manager is experienced and competent to run the home. The views of residents are sought through quality assurance systems. The health safety and welfare of residents and staff are promoted and protected. EVIDENCE: Since the last inspection the Registered Manager has successfully completed the fit person process for registration. Through this she demonstrated that she is qualified, competent and experienced to run the home and meet its stated purpose. This is further supported by the continued improvement of the home Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 21 both in meeting requirements made on previous inspections, but also in terms of internal review and monitoring of the standards of service provision. The management structure of the home has been developed with the appointment of a deputy manager, and a further manager who will oversee the current and proposed dementia care houses. Through discussion with both people appointed to these positions, it was clear that they had developed a good awareness and understanding of the needs of the residents, and demonstrated a commitment to supporting the Registered Manager with the continued improvement and development of the home. There are quality assurance and quality monitoring processes in place both at a local and organisational level. The Commission continues to receive a monthly report from the Registered Provider regarding standards within the home. During the inspection the inspectors were provided with a care home report for 2005, detailing the results of the homes resident satisfaction survey. Overall it was noted that the outcome of the survey was positive. However the Registered Manager advised that any areas which were rated lower than those at the time of the last survey or were lower than excellent or very good, formed the focus of the homes development plan, and were addressed through staff supervision and training, particularly through ‘Personal Best’/customer service training. Records received prior to the inspection demonstrate that equipment within the home is serviced regularly. Tests and checks are undertaken as necessary for fire safety, environmental health, electrical equipment etc. There are policies and procedures in place in respect of safe working practices and staff receive training in these areas. Accident records were reviewed during the second visit on 21 June. These showed that staff record any accident or incidents which occur within the home. Through other records seen and discussions with the Registered Manager it was clear that she undertakes a regular audit of accidents and incidents, identifying any supervisory or training issues for staff which is then arranged. Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakhurst Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Grange DS0000024184.V298467.R01.S.doc Version 5.2 Page 25 - 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!