CARE HOMES FOR OLDER PEOPLE
Oakland Care Centre (Moston) 134 Kenyon Lane Moston Manchester M40 9DH Lead Inspector
Geraldine Blow Unannounced Inspection 9th March 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 Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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.V279266.R01.S.doc Version 5.1 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 Southern Cross Home Properties 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.V279266.R01.S.doc Version 5.1 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. 28th September 2005 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 who have recently merged with Highfield Care Homes Limited. The home is registered to offer accommodation to 28 older people requiring nursing care and 26 older people requiring personal care. 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. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 9th March 2006. Time was spent with the manager, administration manager and talking to residents and staff to find their views of the service. Relevant files and documents were seen and a tour was made of the premises. The home had provided the CSCI with an action plan setting out how they were going to carry out the requirements and recommendations made in the previous inspection report. During the inspection it was found that all the requirements, with the exception of 1, had been actioned and now met the National Minimum Standards. Since the last inspection in September 2005 3 allegations of abuse have been made. All 3 have been investigated and the appropriate action has been taken. Due to the 3 allegations of abuse the contracts department suspended admissions to the home, which is standard procedure. That suspension was lifted on 22nd December 2005. As this inspection only looked at a limited number of standards the report should be read together with the previous and any future reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well:
The atmosphere of the home felt relaxed and peaceful. The residents appeared well dressed, happy and settled. Residents spoken to were very positive in their comments on the staff and the support they provide. They have the option and choice to spend time on their own or with their friends and other residents. If people wish to remain in their rooms then meals and refreshments are taken to them. Staff were seen to have good relationships with the residents and appeared kind and sensitive in their approach. The home has an open visitors policy where people can visit residents at any reasonable time. Residents can see visitors in the privacy of their own room or in any of the communal areas. No restrictions are placed on visitors unless requested by the resident or otherwise agreed through the care management and risk assessment process. One resident said that her relatives come on a daily basis and are always made to feel very welcome. The residents spoken to said that a choice of meals were available at each meal time or alternative snacks could be ordered on request. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 6 The home had a complaint policy on display in the main reception area and residents spoken to were aware of how to make a complaint. The home manager appeared honest, open and transparent in her management approach and it was obvious that the home is working hard to improve standards and ensure that the National Minimum Standards are met. She was very visible and approachable during the inspection and took time to stop and speak to all the residents that she passed. The home encourages and support carers to undertake National Vocational Qualification (NVQ) level 2 and level 3 training. The home employed 29 care staff, 8 of those staff have successfully completed level 2 and a further 5 were currently undertaking the study. One member of care staff had successfully completed NVQ level 3 and 2 members of staff was currently undertaking level 3. A further 2 carers have expressed an interest in undertaking level 3. From the systems in place it appeared that the financial interests of residents are safeguarded. What has improved since the last inspection?
Since the last inspection the home had worked hard to improve the care plans and put new care plan documentation into place. The care plans had been regularly reviewed and set out in detail the actions that need to be taken by staff to ensure that all aspects of health and personal care needs of the residents are met. The home has appointed 2 designated activity coordinators and records were kept of the activities undertaken. Time must now be spent documenting the residents’ interests/hobbies and what activities they wish to participate in both individually and as a group. The activity boards had a display of recent photos that were taken during the activities. Each floor had a five-day activity programme on display. The residents spoken to were full of praise for the activity co-ordinators and were very happy with the much improved activities. In addition to the organised activities staff were seen doing 1:1 activities with the residents. For example a member of staff was seen knitting with a resident, another member of staff was seen walking alongside a resident and chatting to her and staff were seen singing along to music with residents in the lounge. The manager had held a productive residents/relatives meeting where, among other things, activities had been discussed. Interest had been shown that a residents committee group would be set up. It was agreed that the resident/relatives meetings would be held every 3 months. The requirements made at the previous inspection regarding the deployment of staff at meal times and the systems of ensure that specifically required food
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 7 items arrive when required and that residents can have food and drink when required or desired had been met. Evidence was seen that the home was keeping all the required documents on staff files as required at the last inspection. The majority of staff had received Protection of Vulnerable Adults training, which includes the action to be taken in the event of an allegation of abuse. Plans were in place for the remaining 9 staff to attend the training on 13th March 2006. Since the last inspection a couple of bedrooms had been re-decorated. The manager had attended an interview with CSCI and has successfully been registered as manager. As already stated in this report the manager has an open, visible management approach, however in addition to this she holds an open surgery, every Monday evening, where she makes herself available to anybody who may wish to see her and discuss any issue they may have. There is a notice in reception advertising this service. This is seen a commendable piece of good practise. What they could do better:
The requirement made at the last inspection that all prescribed medication must be signed for had not been met. The requirement has been reiterated in this report. Although the majority of staff had received Protection of Vulnerable Adult Training the homes policy must be reviewed and updated to accurately reflect the Departments of Health ‘No Secrets’ Guidance. The homes policies and procedures were kept in a file in the office. The office was accessible to staff during office hours. The manager said it was her intention to provide both floors with a copy of all the homes policies and procedures. The manager said that she was in the process of implementing formal supervision. This will be assessed at the next inspection. It is recommended that staff receive formal supervision 6 times a year. The home had quality questionnaires available in the main reception and the manager had sent out a random selection of 25 questionnaires to relatives before Christmas. However, the return rate had been poor, she had only had 2 responses. It was her intention to send out further questionnaires in order to obtain their views of the service provided and then an action plan would be produced to improve the service based on the result of the questionnaire. It is recommended that the questionnaire be sent to the visiting professionals, as well as residents/relatives, in order to gain their opinion of the service.
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 8 The home had computerised records of staff training records. However, the records were not up to date. Evidence must be provided that all staff have undertaken the necessary training. 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. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 9 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.V279266.R01.S.doc Version 5.1 Page 10 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): No judgements were made at this inspection EVIDENCE: The home did not provide an intermediate care service. The other core standard was assessed during the previous inspection. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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 It appeared that the health and personal care needs of the residents were being met at the home. The system for recording all prescribed medicines needed some improvement to provide an accurate audit trail of medication. EVIDENCE: It was commendable that the home’s manager and the operations manager had reviewed all the care plans in the home and it was the manager’s intention to continue to review the plans of care on a regular basis to ensure that the National Minimum Standard is met. The plans of care inspected were found to be detailed, informative and clearly set out the action that needed to be taken by staff to ensure that all aspects of physical and emotional needs of the residents were met. Appropriate risk assessments had been completed and evidence was seen that the care plans had been reviewed on a monthly basis. The requirement made at the previous inspection that food and fluids are appropriately recorded had been met.
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 12 Some evidence was seen that the resident or their representative had been involved in the development of the care plans. However in 1 plan of care the evidence had been archived when the new care plan documentation had been implemented. It is recommended that this evidence be updated in all plans of care. The standard of recording in the daily progress sheets was variable and did not always refer to the residents’ assessed needs or evidence of the actual care delivered. This record must accurately reflect the nursing care provide. The home had a pressure sore risk assessment and there was evidence that the tissue viability nurse was accessed as required. A review of pressure sores/wounds had been undertaken which included wound measurements. A photograph of the wound was seen in order to review the progress. It has been recommend in this report that consent for taking photographs should be obtained. The plan of care documented which pressure-relieving mattress was in use for individual residents. The home had recently changed their dispensing chemist and were 4 days into the new system. The chemist had provided refresher medication training for the staff who administer medication. The nurse in charge confirmed that the prescriptions are coming to the home to be checked against the items ordered before they are submitted to the pharmacy. The nurse in charge was aware it is then the responsibility of the manager/designated person to sign the exemption declaration on the back of the prescription form on behalf of the resident, if the resident is unable to do this for themselves. A copy of all prescriptions are kept in the home. The nurse in charge said that it was practise in the home that verbal orders of medication are only accept if supported by a fax. The drug administration file contained an up to date photograph of all residents to aid easy identification and a list of staff signatures was seen. The requirement from the last inspection that all prescribed medication must be signed for by the person administrating them had not been met. A number of creams, dressings and prescribed shampoos had not been signed for. The requirement has been reiterated in this report. The remaining core standard was assessed at the previous inspection. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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 Social activities had greatly improved. The home supports residents to maintain contact with family and friends EVIDENCE: Since the last inspection the home has appointed 2 part time activities coordinators. Evidence was seen of a daily activity programme and photographs were on display of recent activities, which included a Valentine’s Day concert and a flower arranging session. A recommendation has already been made in this report that consent be obtained for taking residents photographs. As already identified the residents were very happy with the improved activities and the activity co-ordinators themselves. A record has been kept of the activities that have been implemented and during a discussion with the activity co-ordinator it was obvious that the activities were organised to suite the requests of the residents. Minutes were seen of a resident /relatives meeting where activities had been discussed and 3 monthly meetings had been agreed. However, further evidence must be provided that the residents are consulted about their social interests and the planning of activities, outings and entertainment. The activity co-ordinator said that she would consult all residents or their relatives regarding their interest or hobbies and she would also document the discussions that she regularly had with residents about what activities they would like to do.
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 14 The home has an open visitors policy where people can visit residents at any reasonable time. Residents can see visitors in privacy or in quiet communal areas. No restrictions are placed on visitors unless otherwise agreed through the care management and risk assessment process. Residents have the opportunity to participate in religious services based at the home. The residents spoken to confirmed this. The requirement that systems must be introduce to ensure specifically required food items arrive when required appeared to have been met. The manager said that food is delivered in heated trolleys and if food is required at a later time staff go to the kitchen to pick up freshly prepared food. The requirement that staff must be appropriately deployed at meal times to support and supervise residents appeared to have been met. The manager said that all the systems had been reviewed and during lunch staff were seen assisting residents where required. It appeared that the requirement that residents receive food and drinks when required/desired had been met. However, 1 resident told the inspector that she had requested a daily banana, brown bread only and only mashed potatoes. She said that she had spoke to the manager about it who had organised her request. However, systems had slipped slightly and she was not always receiving the daily banana and sometimes she was getting white toast and not brown. This was discussed with the manager during the inspection. The resident also told the inspector that she thought the meals lacked variety. The manager said that all menus were due to be reviewed and she had been liaising with the dietician. The residents spoken to confirmed that a choice of meals was available or alternative snacks could be ordered on request. The remaining core standards were assessed at the previous inspection. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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 The home encourages and supports people to raise their concerns and complaints. There was a policy in place for the protection of vulnerable adults. EVIDENCE: The home has a complaint procedure on display in the main reception that had been given to all residents and the home encourages people to raise their concerns and complaints. This was confirmed by residents spoken to. A record was kept of all complaints made and included details of the investigation and any action taken. Since the last inspection 3 POVA investigations had been undertaken. One had been upheld and appropriate action had been taken. Two others had been investigated and the home were awaiting a final outcome from social services. During the investigations admission to the home had been suspended, which is normal practise. However the suspension was lifted on 22/12/05. The home had a policy for the protection of vulnerable adults. However, this did not accurately reflect the Departments of Health ‘No Secrets Guidance’ as it stated, “The home manager should investigate the details of the incident of abuse or suspected abuse”. This must be reviewed and updated. Evidence was seen that the majority of staff had received POVA training and by the 16/3/06 all staff will have received the training. In addition, staff have been issued with their own copy of the POVA policy, the Whistle Blowing policy,
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 16 the Confidentiality policy, the policy on Challenging Behaviour and have been given the Social Care Code of Practice. The home had the Manchester Multi-Agency Adult Protection Procedure. However, the home does support residents who are placed by different local authorities and they did not have the necessary contact details for making adult protection referrals. These contact numbers must be easily accessible at all times. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgements were made at this inspection. EVIDENCE: The requirement made in relation to the food preparation areas had been met and new lights had been fitted to the areas identified in the last report. It was noted that there were a number of broken and cracked wall tiles in the shower room opposite room 16. These must be replaced. The first drawer in the wardrobe in bedroom 13 was missing. This must be replaced. The core standard was assessed at the previous inspection. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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): 28 & 30 The home was unable to fully clarify that its staff had completed the required training to meet resident’s needs. EVIDENCE: The manager demonstrated that the home has made every effort to meet the National Minimum Standard that 50 of care staff are trained to NVQ level 2. The home has a structured Induction process. The Induction is currently based on the TOPPS guidance. However, the organisation that set the standards of training for all social care services and workers recently introduced new guidance on what an induction programme for new staff should include. These new standards will be compulsory in September 2006. Evidence was seen of a computerised training matrix for all staff. However on examination it was found that the matrix was not up to date. Evidence must be provided that all staff have undertaken the necessary mandatory (including refresher) training and have an individual staff training and development plan. The manager had developed a Training Needs Identification form that staff will have to complete and then it will be discussed during supervision. The requirement made at the last inspection that staff records must contain all the information listed in Schedule 2 of the Care Homes Regulations 2001 appeared to have been met. A random sample of staff files were inspected
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 19 and contained all the required information. In addition, the manager said that a full audit of all staff files had been undertaken by the Regional Administration Manager to identify any areas of non-compliance to the regulations. The recommendation that the home should ensure staffing hours for laundry provision do not fall below one hour per week per resident had been met. The home was now providing 66 hours, which is in excess of the recommendation. The remaining core standards were assessed at the previous inspection. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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): 33,35 & 36 A quality assurance system has been developed to seek residents’ views and the systems for managing residents’ money appeared to protect their interests. EVIDENCE: As already stated in this report a quality audit system was in place. The manager said that it was her intention after reviewing the result of the quality questionnaire to develop an action plan for the further development of the service provided. It has been recommended that the questionnaire be sent to visiting professionals in order to gain that opinion of the service being delivered. The home employs an administration manager who is responsible for managing residents’ money. The regional administration manager and the homes administration manager are currently working together to review all the residents’ accounts. The home has a system where personal allowances and other benefits are held in a resident’s bank account. Money is withdrawn as
Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 21 required and computerised records of transactions and receipts are maintained. Secure facilities were provided for money and valuables held on behalf of residents and receipts were given if possessions were handed over for safekeeping. The manager was in the process of implementing formal supervision. She was aware that staff should receive formal supervision 6 times a year and should cover: • All aspects of practice • Philosophy of care in the home • Career development needs This will be assessed at the next inspection. The requirement made at the previous inspection that risk assessments must be conducted in relation to the homes fire safety and health and safety had been met. The requirement that the home must ensure the timely laundering of residents bedding and clothing appeared to have been met. Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 x x x x x x x x STAFFING Standard No Score 27 x 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 3 x x Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 17 Schedule 3 12(4) Requirement The daily progress report must include an accurate record of all nursing care provided. Timescale for action 31/03/06 2. OP9 The registered person must 31/03/06 ensure that administered medication is contemporaneously signed for on all occasions. (The timescale of 29/9/05 had not been met) Evidence must be provided that residents are consulted about their social interests and the planning of activities, outings and entertainment. 1. The homes Protection of Vulnerable Adults policy must be reviewed and updated to accurately reflect the ‘No Secrets’ Guidance. 2. Up to date contact numbers for POVA referrals must be easily accessible for making referrals to the appropriate local authority. 3. OP12 16 01/04/06 4. OP18 13 30/04/06 Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 24 5. OP21 13 The cracked and broken wall tiles 31/03/06 in the shower room opposite bedroom 16 must be replaced. The missing drawer in the 31/03/06 wardrobe in bedroom 13 must be replaced. 1. Evidence must be provided that all staff have undertaken the necessary mandatory (including refresher) training and have an individual staff training and development plan. 2. The home must develop an induction programme based on the Skills for Care Common Induction Standards. 30/04/06 6. OP24 16 7. OP30 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP7 Good Practice Recommendations It is recommended that the evidence of residents/representatives contirbuaton to the development of care plans be updated. Evidence was seen that photographs had been taken of the residents for the care plan file, the MAR sheet file, of various activites undertakn and of residents wounds. It is recommended that consent be obtained for this practise. It is recommended that the computorised record of staff training be given to the manager in order for her to develop an individual training and develoment plan for each member of staff and to facilitate supervison. 3. OP30 Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Oakland Care Centre (Moston) DS0000039731.V279266.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
