Inspection on 19/09/07 for Oakland Care Centre (Moston)

This inspection was carried out on 19th September 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

Oakland Care Centre (Moston) 22/06/09

Oakland Care Centre (Moston) 05/09/06

Oakland Care Centre (Moston) 09/03/06

Oakland Care Centre (Moston) 28/09/05

Oakland Care Centre (Moston) 03/02/05

Oakland Care Centre (Moston) 14/07/04

Oakland Care Centre (Moston) 29/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakland Care Centre (Moston) 134 Kenyon Lane Moston Manchester M40 9DH Lead Inspector Geraldine Blow Unannounced Inspection 19th September 2007 09:45 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 Oakland Care Centre (Moston) DS0000039731.V342755.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. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakland Care Centre (Moston) Address 134 Kenyon Lane Moston Manchester M40 9DH 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) 0161 682 5554 0161 682 7775 oaklandmoston@highfield-care.com www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Mrs Wendy Wood Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (53), Physical disability (1) of places Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The number of service users requiring nursing care at any one time shall not exceed 28 aged 60 years or over. This figure includes one named person out of category by age (PD). The number of service users requiring personal care only at any one time shall not exceed 26 aged 60 years or over. Minimum nursing staffing levels as specified in the notice issued in accordance with Section 13(5) of the Care Standards Act 2000 on 9 May 2003 in relation to those service users requiring nursing care must be maintained. Minimum staffing levels as specified in the Residential Forum Guidance in Care Homes for Older People in relation to those service users requiring personal care only must be maintained. The dependency levels of service users requiring personal care only must be assessed on a continuous basis and staffing levels adjusted, where appropriate, to ensure continued compliance with the Residential Forum Guidance in Care Homes for Older People. 12th March 2007 4. 5. Date of last inspection Brief Description of the Service: Oakland Care Centre (Moston) is a large purpose built provision set in its own grounds and located in the North of the City. The home is owned by Southern Cross Health Care and is registered to offer accommodation to 54 older people. There are car-parking facilities to the front and rear of the building and well maintained gardens with a seating area for residents and their visitors. There is a ramp to the home’s main entrance and a passenger lift that enables access to all levels of the home. The home offers lounges and dining rooms on both floors. All bedrooms are for single use and have en-suite facilities. The home is equipped to meet the needs of those with mobility difficulties and who may require additional space. The charges for fees range from £373.54 to £586 Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the last inspection on 22 March 2007 and supporting information received in Annual Quality Assurance Assessment (AQAA) submitted by the manager prior to this visit. Residents and General Practitioners (GP’s) were sent comment cards. Four resident comment cards were received, 2 of those were completed with the help their family and 2 with the help of staff. No GP comment cards were received by CSCI. This unannounced visit forms part of the overall inspection process and took place on Wednesday 19 September 2007. The opportunity was taken to look at all the core standards of the National Minimum Standards (NMS). This inspection was also used to decide how often the home needs to be visited to make sure that it meets the required standards. As part of the visit time was spent examining relevant documents and files, talking with the home’s manager, several people living at the home, a visitor, some members of staff and a tour of the building was undertaken. What the service does well: Details about the service provided at Oakland Care Centre (Moston) in the form of a Service User Guide and a Statement of Purpose are up to date and available to prospective residents and/or their relatives. All new residents are given a Service User Guide and a Statement of Purpose is available in the main reception and a copy can be provided on request. A pre admission assessment of needs continues to be carried out before a resident is admitted to the home to make sure that their needs can be met. Visits to home by prospective residents and/or their relatives are encouraged before a decision about admission is made. A visitor spoken to confirmed this. As detailed in previous reports the relationships between residents and staff appeared to be very good. On the day of this visit a birthday party was being held. There was an outside entertainer and staff and residents were seen to be enjoying the celebrations. Visitors spoken to were positive about staff attitude and one said, “staff are very helpful and look after my mum very well”. She also said that staff keep her fully informed about her mums care. The home has an open visiting policy and the visitors spoken to said that they could visit whenever they liked and staff always made them feel very welcome. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 6 Policies and procedures were in place to protect residents from abuse and staff had received appropriate awareness training. Staff are encouraged and supported to undertake training to ensure that they have the necessary skills to meet the needs of the residents living at the home. There are good recruitment procedures to ensure that the staff employed are safe to work with residents. The manager had an in-depth knowledge of all the residents and demonstrated a commitment to continually improve standards within the home. The residents and staff benefit from her open door policy and staff spoken to said that she was very supportive. What has improved since the last inspection? What they could do better: One requirement has been made that the use of a particular chair must be risk assessed before any residents uses it. A pre admission assessment of needs is carried out before a resident is admitted to the home to make sure that the home can meet their needs. However it is recommended that the assessment include an assessment of any specific religious and cultural needs. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 7 Recommendations have been made in relation to the recording of thickened fluids given to residents who are prescribed a drink thickener and some recommendations have been made in relation to the care planning process. 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. Oakland Care Centre (Moston) DS0000039731.V342755.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 Oakland Care Centre (Moston) DS0000039731.V342755.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): 1 & 3 (Standard 6 intermediate care is not provided at Oaklands Care Centre). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Prospective residents are given sufficient information to make a decision about where to live and perspective residents needs are assessed prior to them being admitted to the home to ensure that their needs can be met. EVIDENCE: The Statement of Purpose is available to any person to access in the main reception area and a copy can be provided on request. The Service User Guide is given to all newly admitted residents and a visitor spoken to confirmed this. Where possible, prospective residents and their family/representative are encouraged to view the home prior to making a decision about admission. The visitor spoken to said that she had visited the home prior to her mother being admitted and she found staff to be very helpful and informative. A pre admission assessment form is in use to ensure that prospective residents are only admitted on the basis of a full assessment and for those residents who are referred through Care Management arrangements a copy of the Care Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 10 Management Assessment is obtained before admission is arranged. However it was noted that the pre admission assessment did not include an assessment of any specific religious and cultural needs. A recommendation has been made to address this. Following the pre-admission assessment the home confirms in writing to the perspective resident that the home is able/not able to meet their assessed needs. This is seen as good practice. Oakland Care Centre (Moston) does not provide an intermediate care service. Oakland Care Centre (Moston) DS0000039731.V342755.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. This judgement has been made using available evidence including a visit to this service Some shortfalls were identified in ensuring that the health care needs of residents were being met. EVIDENCE: Two residents were case tracked during this inspection visit and their care files were examined. Each resident had an individual plan of care which had been reviewed on a monthly basis. Some areas of the care plans were not person centred and were quite vague and did not clearly set out person’s preferences and individualised action which needed to be taken by staff to ensure that residents’ individual health and personal care needs are fully met. For example some entries include “staff to ensure suitable footwear is on at all times” and “must be transferred in the sling that has been identified” yet there was not details of which sling to use. One care plan identified that the resident “can become agitated and distressed at times” and this was support by entries made in the daily information record yet there was not a plan of care detailing how staff should manage this behaviour. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 12 Some parts of the care plan was found to be contradictory. For example one care plan stated, “ensure buzzer is within easy reach” yet it was also documented “unable to reach call bell”. It is recommended that that all residents care plans are develop on a person centred approach and contain sufficient detail for staff to meet all residents identified needs. Appropriate risk assessments had been undertaken, which included a risk assessment for the use of bed rails. However it was noted that one resident was sat in a ‘Bucket’ chair. This chair is considered a form of restraint and as such a risk assessment of its use must be undertaken. The files were found to be user friendly and easy to use, although the care plan index in some cases did not correctly cross reference to the care plan number. It is recommended that the care plan index correctly cross-references to the car plan number. Evidence was seen that the care plans had been reviewed on a monthly basis but in some cases the care plan had not been updated accordingly. For example the monthly evaluation stated that the resident could no long stand and transfer and required the use of a stand aid yet the plan of care had not been updated and still detailed how the resident could transfer with one carer to assist. Another example is the care plan stated, “can eat most things” yet the evaluation of that care plan stated “unable to eat all food”. It is recommended that the care plan is updated as soon as a change of care need is identified. There was a daily information record, however the entries were of varying standards. Some entries contained detailed information and other entries were vague, lacked detail and did not accurately evidence the care given. In order to ensure that all assessed needs of residents are being met it is recommended that an accurate record of care provided should be kept. It is encouraging that the manager undertakes regular audits of the care plans in an attempt to ensure adequate standards are maintained. Each resident was registered with a General Practitioner and evidence was seen of referral to other specialised services according to individual assessed needs for example District Nurses, Tissue Viability Nurse, Dentist, Dietician and Chiropodists. Medication Administration Record Sheets (MAR) were examined. It was only day 3 of week 1 of the cycle and therefore the records available were minimal. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 13 From the evidence available medication carried over from the previous month had been recorded and deliveries and returns of prescribed medications had been recorded and accounted for so providing a full audit trial. However, it is recommended that 2 staff witness and sign for the disposal of waste medication. There is a copy of the GP’s original prescription so that staff can cross reference the medication received from the dispensing pharmacy with the medication prescribed by the GP. It was noted that when residents are prescribed antibiotics a short-term care plan is not implemented. To ensure that residents care needs are appropriately met it is recommended that when antibiotics are prescribed a short-term care plan is implemented. A tablet count was undertaken of medication that was not included in the blister packs. There were no discrepancies found. From a visual check of the blister packs all medication had been given appropriately. Several residents are prescribed a thickener, which is used to thicken drinks and soups for residents with swallowing impairment had been signed for on the MAR sheet. The thickener was being signed for on the MAR by the nurse administering the medication 4 times a day. However the nurse confirmed that the MAR sheet did not accurately reflect the correct number of thickened drinks given and the signature on the MAR was not necessarily the signature of the staff member who would have given the drink to the resident. It was of some concern that for one particular resident there were no instructions in the care plan or on the MAR as to what consistency the fluids should be thickened to and a separate record of fluids given was record on a ‘nutrition intake’ form and there was no record of exactly what fluids had been given and no record that those fluids had been thickened. In order to ensure that residents care needs are being met a record should be maintained of each drink / soup etc that has been thickened and any other liquid the residents have had to drink. It is essential that the person making the drink signs a record sheet, this does not have to be the nurse and it does not have to be signed on the MAR sheet, a separate drinks recording sheet may be constructed for each resident and the MAR can cross reference to the recording sheet. In addition it is essential that the information received by the Speech and Language Therapist (SALT) for thickening the drinks should be readily available to all staff involved in the preparation of drinks / food for a resident. Recommendations have been made to address these issues. The manager discussed with the inspector several problems they were experiencing with the dispensing pharmacy, for example mediation was being delivered late Friday evening or Saturday Morning morning for use on Monday. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 14 This left no time before the new cycle to started to rectify any problems with the delivery. Meetings had taken place in an attempt to rectify the problems. It was encouraging that a monthly audit of medication is undertaken and a separate record all medication not supplied in the blister packs is kept. This is seen as good practice. From observations made during the inspection and discussions with visitors and members of staff it appeared that the nurses and care staff treat the residents with respect and dignity. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Activities were provided and residents were able to maintain contact with family and friends. EVIDENCE: Since the last inspection a part time activity coordinator had recently been employed and some activities were being undertaken and future activities were being planned. It was encouraging to note that a “client social history” was completed on admission to the home. The manager said that the activity coordinator keeps an individual record of who attends the activities and it was her intention to spend some time talking to residents and their families to obtain information of what activities they would like to do and what their individual interests and hobbies are. Staff and visitors spoken to confirmed that the home facilitated open visiting and visitors could be received in the residents’ own room or any of the communal areas of the home. The visitors said that they are always made to feel very welcome and staff regularly phoned them to keep him informed of any changes or incidents that may have occurred. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 16 From speaking to the visitors and staff it appeared that residents are encouraged to exercise choice and control over their lives and that residents are encouraged to bring personal possessions into the home. As already detailed in this report the ‘nutmeg’ system is in the process of being implemented and a new menu has been piloted. An alternative to the main meal is available at each mealtime or any reasonable alternative is available to residents. Staff spoken to confirmed this. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 17 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. This judgement has been made using available evidence including a visit to this service People are encouraged and supported to raise their concerns and complaints and there are policies, procedures and systems in place to protect residents from abuse. EVIDENCE: As identified in the previous inspection report there was a complaint procedure, which was on display in the main reception area, and a copy was included in the Service User Guide, which every resident had been given. All returned resident comment cards completed by the residents, identified that they knew how to make a complaint and this was reinforce by the visitors spoken to. The manager said that she operates an open door policy and residents, relatives/visitors, staff and visiting professionals to the home are encouraged to raise any concerns or complaints with her. There is a complaint file with details of any complaints, any investigation, including staff statements, copies of any correspondence and an outcome of the complaint. There were policies and procedures in relation to the protection of adults from abuse and Whistle Blowing. The home had a copy of the Manchester MultiAgency Policy on the Protection of Vulnerable Adults from Abuse. The manager and staff spoken to were able to accurately describe the actions to be taken in Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 18 the event of an allegation of abuse and Protection of Vulnerable Adults (POVA) awareness training was being provided on an going basis. Staff spoken to confirmed that they had received the training. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 19 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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Further improvements had been made to the homes décor in order to provide clean, comfortable surroundings for residents. EVIDENCE: As already stated in this report improvements had been made to the décor and furnishings within the home. Although improvements had been made some areas were still in need refurbishment, for example the carpet in the 1st floor lounge was stained and marked and the chairs were showing sighs of wear and tear. However the manager said that the lounge was due for refurbishment and the carpets and chairs were to be replaced. The internal refurbishment of the home was continuing on an ongoing basis. The garden is well maintained and accessible for residents to use. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 20 On a tour of the building it was noted that there was a small hole in the wall of bedroom 16 and the doorframe to bedroom 3 was broken and split. The manager said that she would get them attended to immediately. It was disappointing to note that the recommendation that the general and clinical waste bins should be stored in an enclosed are had not been met. It was noted that there was not any gloves, aprons or wipes stored close to the toilets or bathrooms. Some of the bedrooms had wipes but the majority of the Personal Protective Equipment (PPE) was stored in a locked cupboard. In an attempt to minimise the risk of cross infection and possible distress to residents, it is recommended that PPE are easily accessible to staff should they need them. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. The number and deployment of staff appeared sufficient to meet the residents’ assessed needs and the procedures for recruiting staff were robust and provided adequate safeguards to protect residents. EVIDENCE: At the time of the inspection the home accommodated 52 residents i.e. 20 residents assessed as requiring nursing care and 32 residents assessed as requiring personal care only. The numbers and skill mix of the staff appeared to be sufficient to meet the needs of the number of residents accommodated. One returned resident comment card indicate hat staff were always available when you needed them and the other 3 stated that staff were usually available when you needed them. The home employed 28 care staff, 9 of which had achieved NVQ level 2, 2 members of staff had achieved NVQ level 3 and 6 members of care staff were currently undertaking the training. The staff files examined contained the appropriate documentation as required by Schedule 2 of The Care Homes Regulations 2001. Staff files contained photocopied documents, for example passports and certificates. However Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 22 there was no evidence that the original documents had been seen. It is recommended that that all photocopied documents are signed to indicate that the original had been seen. The NMC website is regularly checked by Southern Cross for nurse suspension or exclusion from the register. These details are sent to the home manager who checks the information. In addition there is a computerised matrix that identifies when PIN numbers are due for renewal. The manager confirmed that all newly recruited members of staff must attend induction training prior to commencing work and evidence was seen of this in the staff files inspected. There was a structured corporate induction in place and the completed Annual Quality Assurance Assessment completed by the manager prior to this visit confirmed that both parts of the Skills for Care National minimum dataset for social care had been completed. Evidence was seen of ongoing staff training and there was a training plan for August to December 2007. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 23 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. This judgement has been made using available evidence including a visit to this service. Systems and procedures were in place to safeguard and protect residents’ financial interests and the home was seen to promote the health, safety and welfare of the residents and staff. EVIDENCE: The manager has been in post for approximately 2 years. Over the past 2 years she has worked hard to steadily improve the standards at Oakland’s Care Centre. She is a committed manager who operates an open management style and encourages residents, visitors and staff to make use of the ‘open door’ policy. At the heart of this style of management is a person centred approach where the focus is on how the individual resident wants their care needs to be Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 24 met. The staff spoken to said they were happy with the way the home is managed and felt that they were very well supported by the manager and the Operations Manager and that the residents receive a good quality care. There is a quality monitoring system to seek feedback from residents and the relatives of the residents who use the service. The administrator is responsible for sending out satisfaction questionnaires on an ongoing basis. The completed questionnaires are sent directly to the company’s head office where the results are reviewed and feedback is given to the manager and she must implement any action required. Recently all relatives had been sent a questionnaire from head office, although the results had not yet been analysed. To ensure that standards are maintained the manager undertakes regular audits, for example a review of pressure ulcers, care plan audits, medication audits, a review of the Regulation 37 reports, and a review of any variants in residents’ weights. In addition the manager holds regular resident/relative meetings and the minutes are on display, as well as encouraging constant feedback by her open door management approach. Evidence was seen that the systems in place safe guarded resident’s financial interests. Southern Cross Healthcare Ltd have a national agreement with CSCI’s Provider Relationship Manager (PRM) regarding residents’ finances. Secure facilities were provided for money and valuables held on behalf of residents and receipts are given. The information provided in the AQAA demonstrated that the home’s maintenance certificates and records were up to date. Appropriate fire safety checks are carried out on a regular basis. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 25 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 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 Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 26 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. Standard OP7 Regulation 13 (4) (c) Requirement The use of the ‘Bucket’ chair is a form of restraint and as such a risk assessment for its use must be undertaken Timescale for action 17/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP3 OP7 Good Practice Recommendations It is recommended that the pre- admission assessment include an assessment of any specific religious and cultural needs. 1. It is recommended that all residents care plans are develop on a person centred approach. 2. It is recommended that the individual plans of care contain more detail and specific information as to how care staff are to meet residents identified care needs. 3. It is recommended that the care plan index correctly cross-references to the care plan number to avoid any confusion. Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 27 4. It is recommended that the care plan is updated as soon as a change of care need is identified. 5. It is recommended that an accurate daily record of the care provided is be kept. 1. It is recommended that individual staff members sign for thickened drinks/soups they give to a resident. 2. It is recommended that the MAR sheet cross-references to where there is an accurate record of thickened fluids. 3. It is recommended that individual instructions for each resident requiring thickened drinks/soups is readily and easily accessible to staff involved in the preparation of drinks / food for a resident. 4. It is recommended that 2 staff witness and sign for the disposal of waste medication. 5. To ensure that residents care needs are fully met it is recommended that when antibiotics are prescribed a short-term care plan is implemented. 4. 5. OP19 OP26 It is recommended that the waste bins are stored in an enclosed area. To reduce the risk of cross infection it is recommended that gloves, aprons and wipes (PPE) are easily accessible to all staff. It is recommended that all photocopied documents are signed to indicate that the original had been seen. 3. OP9 6. OP29 Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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. Extracts may not be used or reproduced without the express permission of CSCI Oakland Care Centre (Moston) DS0000039731.V342755.R01.S.doc Version 5.2 Page 29 - 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. 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