Inspection on 17/10/05 for Oakland House Nursing Home

This inspection was carried out on 17th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakland House Nursing Home 29/11/06

Oakland House Nursing Home 04/01/06

Oakland House Nursing Home 08/02/05

Oakland House Nursing Home 11/08/04

Oakland House Nursing Home 26/01/04

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Oakland House Nursing Home 290/292 Dickenson Road Longsight Manchester M13 0YL Lead Inspector Tracey Rasmussen Unannounced Inspection 17th October 2005 09:50 Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 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 House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 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 and Care Homes for Adults 18 – 65*. 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 House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakland House Nursing Home Address 290/292 Dickenson Road Longsight Manchester M13 0YL 0161 257 2395 0161 248 0652 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) Beamdouble Limited Lesley Mary Sturgeon Care Home 38 Category(ies) of Dementia - over 65 years of age (13), Mental registration, with number disorder, excluding learning disability or of places dementia (25) Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 38 service users will be accommodated That the home continues to comply with the minmum nursing staffing levels as specified in the Notice of Proposal to register and its attachments, issued under Section 13 (5) of the Care Standards Act 2000 on 16th July 2003. All service users accommodated on the home`s ground floor will be aged 60 years or over except where a variation has been granted in respect of age and dementia for a named individual in receipt of nursing care. All service users accommodated on the home`s first and second floors will be aged between 18 and 65 years at the time of their admission to the home and require nursing care by reason of mental illness excluding learning disability and dementia. The service should,at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th February 2005 3. 4. 5. Date of last inspection Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 5 Brief Description of the Service: Oaklands House Nursing Home is a care home that provides 24 hour nursing care and accommodation to 38 service users, of whom up to 12 maybe above pensionable age. The home specialises in providing a service to people with enduring mental health needs. At this visit 33 service users were living at the home. Equilibrium Healthcare Limited owned the premises. Ms. Lesley Sturgeon was the registered manager and was supported by two administrators and an experienced team of trained nurses, care assistants and ancillary staff. The home was situated in a busy residential area in the Longsight district of the city centre and was served by good public transport links and within easy reach of Manchester City Centre. The home was close to local facilities, shops, a market and other community facilities. The home consisted of a large, converted building with a large purpose built extension. The home provides accommodation on three floors for up to 38 residents. There are between 12 or 13 service users accommodated on each floor in single bedrooms, none have en-suite facilities. Each floor has a nonsmoking lounge, smoking lounge, dining area, communal toilets, one bathroom and one shower room. Security coded locks are provided on all exit doors on all three floors. The home has off the road parking for approximately 10 vehicles. The main entrance to the home was at the rear of the building, away from the main road. The entrance to the home was at ground level and was accessible to wheelchair users. A small enclosed garden area was accessible on the ground floor. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over more than seven hours on Monday 17th October by one inspector. Not all the standards were assessed at this visit. A tour of the home took place and care and staff records were seen. Four residents and six staff were spoken to and routines in the home were observed. A variation in the home’s categories of registration had been agreed by the CSCI and the home was about to change its service provision. The change in registration will mean that the home will no longer provide a dementia care service and instead will provide nursing and personal care for people with an enduring mental health problems. A short verbal feedback of the findings from the inspection was given to the manager and the administrator of the home. What the service does well: Information about the homes services and facilities was readily available at the main entrance into the home. Copies of the previous inspection reports were available and the complaints procedure was displayed in several areas in the home. Copies of the home’s service user guide were provided to each resident and these were available in resident’s bedrooms. Staff were motivated and enthusiastic about working in the home. One to one support for service users is provided regularly to enable service users to go out into the local community to socialise, maintain family contact and to shop. Staffing levels (nursing and care staff) were good and each floor of the home had a dedicated activity therapist. Over 80 of care staff (support workers) had achieved an NVQ 2 and all staff spoken too said that they went frequently on training courses. Support workers and activity therapists spoken too had been trained as qualified firstaiders and had received training in abuse and risk assessment. The manager had been in post for just over a year and together with her team was improving and developing the service provided. The manager tries to involve services users, their representatives and staff in developing the home by holding meetings with the different groups. Consultation with residents in relation to minimising personal risks and the general environment such as menus has been undertaken. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 7 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. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Residents receive information about the home, have their needs assessed and are able to visit prior to making any decisions about their future. EVIDENCE: A Statement of Purpose and Service User Guide was readily accessible to all people entering Oaklands. Copies of recent inspection reports and the home’s complaint’s procedure were also available in the reception of the home. Copies of the service guide were also provided to residents. The home undertakes a full assessment of a potential new service user upon receipt of a referral from a care manager. The managers stated that she evaluated all the information available including the home’s assessment, the care managers assessment, the staff teams view and the current needs of the Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 10 residents already accommodated before the offer of a placement is made to a new resident. The manager emphasised that potential new service users are encouraged to visit the home as many times as they wish to allow them time to decide to move into the home. The manager did state that where an introductory period was not possible then this was documented. A sample of resident’s case files were viewed on each floor of the home and these contained detailed pre-admission information and community care and mental health assessments. Risk assessments and care plans were recorded in response to identified needs. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 and 9 The care planning documentation was sufficient to meet personal, mental and health care needs of residents. Residents do have a say in how the home is run. EVIDENCE: Care plans were viewed on all three floors of the home. The home’s assessment process is supported by community mental health assessment to identify each resident’s needs and the associated risks. Risk assessments are recorded and the outcomes of these are reflected in the care plans. A number of care plans were very detailed containing person centred information about resident’s behaviour and the strategies for managing these Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 12 behaviours. The manager did say that this was an area that had been developed since she had commenced in post. She acknowledged that further work was being undertaken to ensure the social aspects and aspirational needs of the resident were documented as clearly in all plans of care. Residents were dressed according to preference and support was provided discretely to ensure that soiled clothing was changed. The manager was undertaking random audits of care records to ensure that resident documentation was recorded in detail. Examples of some the care plan audits were available. Residents had signed the risk assessments and care plans and there was other recorded evidence to show that the resident was consulted about the service they received. Care plans were reviewed and updated regularly. Evaluations were detailed. Resident case files contained background medical information and details of community and health resources used by the service user. The manager has held resident meetings and minutes from these were available on each of the floors. Relative and staff meeting are also undertaken. The home undertakes consultation questionnaires about the choice of meals on the menu. Residents spoken too about living in the home said “it was alright”. One gentleman did say he wanted to go home and another gentleman said he was “okay and he didn’t want to go anywhere”. Reviews of care are undertaken regularly and the resident is encouraged and supported to participate in this. The manager has a system of audits in place whereby different aspects of the service is audited and action implemented to address any shortfalls in the service. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the 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 and 16 Residents are supported to be part of the local community, to maintain contact with family and to pursue leisure activities. Residents are treated with respect and dignity Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 14 EVIDENCE: The home employs three activity support workers or therapists who work fulltime. Each floor of the home has its own dedicated activity therapist who works closely with residents to identify want they want to do individually or has a group. The activity therapist provides the necessary assistance and support to the resident group to ensure that the ‘want’ is achieved. At this visit two residents were taken out at different times of the day in the home’s transport to visit family members. One resident went to the local GPs, another resident went out shopping and another user went to the local library. Two floors had a movie afternoon with popcorn. The residents seemed to enjoy this. The activity therapist maintains a record of the activities the resident’s had participated in and records an evaluation of the day’s activities. Activities include visiting the local swimming pool, shopping and trips to Blackpool The home is situated literally a two minutes walk away from the local market and one resident explained that he enjoyed going out on a Tuesday because he went to the flea market. The manager reported that one resident had been supported to consider going on holiday but a final decision by the service user had not been made. Staff were respectful and attentive in their approaches and interactions with residents. Relationships between residents and staff appeared relaxed and care staff had a good understanding of the residents needs. Bedroom doors were lockable and residents provided with keys, in accordance with a risk assessment. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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 and 20 Residents’ health care needs are met. Medication practices are safe. EVIDENCE: Care records seen in the home all contained information about residents’ health care needs. Records had information from a range of other professionals including Care Managers, Psychiatrist, Dentist, Opticians, Tissue Viability and Diabetic Nurse. The home had improved the medication service since the last visit. Medication storage rooms had been extended; all contained medical fridges and daily temperatures were recorded. Medication was checked on the first and second floor at this visit. The home uses a monitored dosage system and was at the beginning of a new medication month. Stocks of medication were not excessive and disposal of unused medication was via an approved waste Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 16 disposal contractor. The medication procedures for the home had been rewritten following advice from the CSCI and local PCT. The manager had used the skills of the home’s pharmacist and the local PCT pharmacist to provide nursing staff with training in the best practice managing medication. Staff had also undertaken a distance learning training course for the safe management of medication. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home’s complaint procedure is known and used by residents. Residents are protected from abuse. EVIDENCE: The complaint procedure is displayed throughout the home. The manager records all complaint received and responds in writing to the complainant following an investigation. The home had one complaint since the last inspection. Staff spoken too had had training in abuse. One staff member said the training was “an eye opener”. Records were available of training in abuse and a number of staff do still need this training. Further training had been booked for staff. The manager was struggling to get external support from the multi-disciplinary team with regards a potential abuse issue. As a result she had implemented a risk assessment to promote the safety of residents. Some personal monies are held by the home for some residents. The home’s procedures and practices in relation to this were not assessed at this visit. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Residents live in a home that needs further redecoration and refurbishment. Parts of the home need cleaning. EVIDENCE: Parts of the home had been redecorated and re-carpeted and a new larger communal kitchen area for residents has been provided on the ground floor. The top floor smoking room has had two widows fitted, which has increased the natural light and improved ventilation. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 19 Several areas in the home still need decorating and refurbishing and there is a distinct lack of homeliness in some areas. A number of bedroom floors are not carpeted; this was reported to be due to behaviours associated with mental health problems. The manager did state that a redecoration and refurbishment plan for the bedrooms was about to commence later this year. Windows did have opening restrictors but two windows did not have handles to close the window with. It was reported that these had been reported and were waiting to be repaired. Cleanliness of the home was not of a high standard. The manager acknowledged that she was struggling to recruit domestic cleaners and was currently reliant on agency workers Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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, 32, 33, 34 and 35 Management and administrative support systems are good. Sufficient staffing levels and a competent well-trained staff team supports service users in activities of daily living. Staff vetting procedures are safe. EVIDENCE: A comprehensive team of staff, who have specific roles and responsibilities, supports the manager of the home. The manager was clear about the areas that still need developing in the home and had implemented strategies to address these. The manager had almost completed her NVQ 4 qualification in management. Staff spoken to were enthusiastic about working in the home and were complimentary about the manager’s leadership style. Records of staff training Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 21 were available and the administration manager was in the process of computerising training records. Thirteen of the sixteen support workers had completed their NVQ 2 or 3 and all staff spoken to have attended various training courses, including statutory training. Induction training in the home was undertaken and new staff members were supernumerary for one week. The company is in the process of providing the home with a corporate induction-training package based on the induction standards identified by Skills for Care. Two newer staff members spoken too said they felt sufficiently supported in the home. Staff vetting procedures were comprehensive and records were available. Staffing levels were appropriate with a mix of nursing, support workers and activity therapists. Staff’s interactions with service users were not rushed and the atmosphere in the home was relaxed. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 42 The management of the home promotes the health and wellbeing of the service users. Service users do have a say in how the home is run. EVIDENCE: Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 23 The manager reported that she almost completed her NVQ 4 in management. Staff stated they felt supported by the manager’s style and could approach her with any concerns. Records were available of meetings that had recently been undertaken with residents, with relatives and with staff. The manager also discussed staff supervision that is provided in the home. Residents were observed seeking out staff if they had a concern. Staff provided encouragement and reassurance and physical assistance if that was required. Consultation in the form of questionnaires for example had been sent to residents. Health and safety maintenance records were available and these appeared up to date. Fire safety records were maintained appropriately. A number of staff had recently attended fire marshal training. Four staff spoken too were also qualified first aiders. Training in other mandatory health and safety had been provided. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT 37 3 38 3 39 x 40 x 41 x 42 3 43 x Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 2 x 3 3 x x 3 2 3 x 3 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 Requirement The registered person must ensure that care plan documentation contains detailed person centred needs and interventions. The registered person must ensure that care plans contain details of the social aspects of the service available and enjoyed by the residents. This information must be consistently recorded. The registered person must ensure that all staff undertakes training in the protection of vulnerable adults and abuse. The registered person must ensure that a rolling programme of refurbishment and redecoration continues. The registered person must continue to recruit permanent domestic employees to the home to ensure a minimum standard of cleanliness is maintained throughout. Timescale for action 30/12/05 2 YA13 12 30/12/05 3 YA23 12 30/12/05 4 YA24 23 30/12/05 5 YA30 13 30/12/05 Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 26 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 Refer to Standard YA37 Good Practice Recommendations The registered manager should continue training to achieve the NVQ 4 in Management. Oakland House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 27 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 House Nursing Home DS0000021653.V258987.R01.S.doc Version 5.0 Page 28 - 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. 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