Inspection on 29/08/06 for Oaklands

This inspection was carried out on 29th August 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oaklands 08/08/07

Oaklands 19/04/06

Oaklands 21/12/05

Oaklands 04/08/05

Oaklands 14/09/04

Oaklands 15/04/04

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 Oaklands Shaw Road Royton Oldham OL2 6DA Lead Inspector Michelle Haller Unannounced Inspection 29th August 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 Oaklands DS0000005513.V311354.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. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Address Shaw Road Royton Oldham OL2 6DA 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 627 1142 F/P 0161 627 1142 Oaklands Rest Home Limited Amanda Dack Care Home 18 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (10), Sensory Impairment over 65 years of age (2) Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 18 service users to include: *up to 10 service users in the category OP (Old age not falling within any other category). *up to 8 service users in the category DE(E) (Dementia over 65 years of age). *up to 2 service users in the category SI(E) (Sensory impairment over 65 years of age). *up to 1 service user in the category MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 19th April 2006 2. Date of last inspection Brief Description of the Service: Oaklands Rest Home is a privately owned care home with 18 registered places for people over 65 years of age and whose needs fall within the following categories: dementia; physical disability; mental disorder and old age. The building, which is a detached property, is situated on the main Shaw Road in the Royton area of Oldham. It is approximately two miles from the town centre and is in easy reach of public transport and community facilities. Accommodation comprises of three single en-suite bedrooms, three single and six double bedrooms with shared en-suite toilet facilities. Lounge/dining facilities are provided in three adjoining areas, which comprise two lounge areas and a dining area, the latter being situated to the rear of the building and next to the kitchen. The home charges £313.88 each week. The manager was advised that the CSCI report was to be kept on display and made readily available to prospective service users and their families. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included a site visit was undertaken over a period totalling 6 hours. The inspection process involved interviews with two service users and three relatives. One member of staff was also interviewed and in depth discussions with the acting manager also took place. Five care files and other records and reports pertaining to these service users where looked at. Other documents concerning the running of the home were also examined. A tour of the bedrooms and communal areas of the home was also undertaken and during the course of the inspection the interactions between staff and service users was observed. What the service does well: What has improved since the last inspection? Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 6 The Acting Manager has made improvements to the running of the home and has made sure that most of what was detailed in the last inspection report for action has been addressed. There is now clear evidence that service users and their representatives are involved in the development and review of their care. Since that last inspection the cleaning programme that was introduced has resulted in an improvement in over-all cleanliness. Efforts have been made to enable service users to have dignity and privacy. Since the last inspection carpets have been replaced in some areas of the home. A cupboard has now been installed to ensure that all medication can be securely stored at all times. A training calendar has been developed and a significant number of staff have now completed the National Vocational Qualification (NVQ) level 2 in care, and staff have now received adult protection training and are due to attend other relevant courses. The owners have provided CSCI with a report of findings during their unannounced visits to the home, and service users have completed a quality assurance questionnaire. What they could do better: The home needs to ensure that they can accurately monitor the weight of service users who cannot stand. This will ensure that their health continues to be promoted. The home needs to make sure that service users are given frequent opportunities to make suggestions about the activities arranged by the home. The home needs to continue taking steps in relation to the building and ensuring locks on bathroom and toilet doors can be opened from the outside in the event of an emergency. The home must make sure that safety equipment such as call-bells; emergency lighting and hoists are fully operational and well maintained, and that records support such maintenance. The home must continue with its’ process of discarding worn bedroom furniture and consider making the replacement of stained and worn bed bases and bed heads a priority. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 7 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. Oaklands DS0000005513.V311354.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 Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Oaklands provides adequate information to make an informed choice about moving into the home. The home continues to ensure that service users have their health needs realised though completion of comprehensive needs assessment prior to, or soon after, becoming resident in the home. EVIDENCE: Five service users care files, including those of the most recent admission, and other correspondence were examined and case tracked. Each file contained an assessment that detailed the health and psychological needs and social interests of service users. These had been completed prior to or very soon after admission. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 10 Service users and their relatives confirmed that they had been consulted about their needs and preferences to make sure that these could be met in the home. Comments made included ‘…was admitted as an emergency and has multiple needs that were discussed with the manager.’ The manager described the admission process which was flexible and included home visits. The admission policy also states that potential service users are able to visit the home at any time. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The health care needs of service users are well-documented and known to staff, which ensures their needs are met, however, additional specialist equipment would improve the monitoring of the weight of service users. The medication policy, guidelines, storage, recording and practice promotes the safe administration of drugs. The privacy and dignity of service users is promoted by actions taken by the staff. EVIDENCE: All care files that were examined contained care plans that provided detailed information to staff about the support needed and the manner in which it was to be provided. Risk assessments were in place and these concerned falls, poor appetite and pressure area care. Moving and handling assessments were also in place. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 12 Records and reports also demonstrated that preferences such as when to go to bed and food preferences were also recorded and steps taken to make sure that staff facilitated these choices. Signatures and updating of records demonstrated that care plans were reviewed on a monthly basis. Service users or their representatives signed to say that they had read their Care Plans. Daily reports were written in a manner that indicated that service users were treated with respect and supported in making choices about the care they received. Letters, examination results and other correspondence confirmed that specialist and routine health care was provided. This included, district nurses, the falls team, continence support service, optician, dentist and general practitioners. Daily reports confirmed that instructions were followed and the general condition of service users monitored and any changes were responded to. The manager stated that a member of staff escorted the service users to hospital or appointments as this helped with communication during the examination, she also felt that the service users benefited from the emotional and physical support. Service users and their relatives confirmed this and it was witnessed on the day of inspection. The medication policy was read and assessed as been detailed enough to provide staff with guidance in relation to storing, administrating and recording medication. Those responsible for administering medication had received update medication training in February 2006. The home has purchased a lockable cupboard that houses the medicine fridge. This was not in use on the day of inspection. Staff were observed distributing medication and this was in keeping with the guidelines and service users were not put at any risk Service users were satisfied with the manner in which medication was handled and one person commented ‘They are good with medicine and make sure that …is given, and they watch that I’m okay’. The home has purchased a cabinet that ensures that bathing toiletries are kept separate for each person. Privacy screens were noted in two of the three shared bedrooms and it was noted that any personal care was discussed quietly and the dignity of service users considered and preserved. The provider has indicated (through the last improvement plan) that one of the 3 double bedrooms is now used as a single bedroom, hence no privacy screen has been provided. The registered person needs to make sure that there are privacy screens in all shared bedrooms unless a double room is formally contracted to a service user as a single room. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 13 Comments concerning health and personal care included: ‘They’re good- I think they’re brilliant here…got a chest infection and they called the doctor rightaway..is taken for hospital appointments. She is bathed, hair done, physically ….is very well cared for’. And ‘They have been very good- we are kept clean and tidy.’ And ‘Staff are very sensitive and supportive it has been a difficult time and they have been very good, it hasn’t mattered what time we’ve visited, or who we’ve seen we are always made welcome, and had the same level of interest from all staff.’ ‘They listen to us.’ And ‘During the hot spell they were never without a drink.’ The main concern with health and personal care was the problem of monitoring the weight of the most frail service users. It was noted that some frail service users had not been weighed because the home does not have “sit and weigh” scale, and they are unable to weight bear. Without the use of such equipment, the home will have difficulty in assessing and addressing any issues relating to weight loss. This issue was discussed with the manager. Body charts and diagrams for recording the condition of the skin were in use but the home needs to make sure they are used for all service users where this may be an issue. During the tour of the building it was noted that a number of bathroom doors still need to have locks that can be opened from the outside fitted. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. The range of activities in the home provides service users with the opportunity to participate in a range of meaningful activities in the home to prevent boredom and promote physical and mental wellbeing. The home encourages service users to use the local community, and visiting in the home is flexible and in line with the needs of the service users ensuring that they maintain good contact with family and friends. The nutritional value of meals in the home is in keeping with current guidelines and the choice is varied and enjoyed by services users. EVIDENCE: The home has now developed an activities calendar and offer Arts and crafts, armchair aerobics, board games, bingo, sing-a-longs, pamper days and film nights. Service users are also given the opportunity to go out to the local market once a week this is a new development which is very popular and enjoyed by those who like to get out the building. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 15 It was observed that service users had a good rapport with each other and staff. The activity, a game of eye-spy was observed. Care staff led this, and the service users who joined in clearly enjoyed the game, were challenged and interested in taking part. The majority of comments concerning activities were positive and included: ‘They do go out to the market but … only really likes bingo.’ And ‘there is a choice of three televisions and good access so he can please himself.’ Other observations indicated that some service users would also appreciate group excursions and outside entertainers. Care files also contained a record of the activities in which each person participated and their response. The home’s service user guide states that visiting can take place at anytime that is convenient to the service user. Service users and their relatives were pleased to say that visiting was very flexible and could take place at any time that was convenient to them. And a number of visitors were observed throughout the day of inspection. Comments included ‘It’s home from home I can visit any time.’ And ‘I can have visitors any time, and they (the staff) give me messages.’ Discussion with the manager also indicated that she was trying to make links with local religious ministers in an effort to have an act of Worship take place in the home. During the tour of the premises it was observed that the majority of service users had brought with them their own belongings and rooms had been personalised. Signatures on documents verified that service user were aware that they had access to information that was being kept. Further actions are required by the home concerning the introduction of an advocacy service however, service users where confident that they could rely on relatives and staff in the short term. Comments from service users included: ‘My daughter sees to most things.’ And ‘They listen to us which is nice.’ Meals and mealtime in the home is good. The dining room is clean and furniture is clean and pleasant to use. Service users are offered a variety of home prepared and ready made meals that they enjoy. On the day of inspection the menu for the day included, eggs, cereal, fruit and toast for breakfast; lunch was Chicken Casserole or steak pie and mash potatoes, garden peas and cauliflower followed by ice-cream and chocolate sauce with fruit juice or water to drink. The choice at teatime was going to be chicken burgers, fired onions or eggs on toast. Supper included horlicks, jam sandwiches, toast or biscuits. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 16 The larder and freezer were stocked with a varied selection of quality brand frozen foods that included vegetables, white and brown bread, pies and burgers as well as frozen joints of meat. Tinned and fresh fruit was also in evidence. The lunchtime meal was observed and was nicely presented and service users looked happy and each appeared to enjoy their choice of meal. Staff were observed supporting service users during meal times with patience and in a dignified manner, giving verbal encouragement and taking plenty of time. The diet taken by the most frail service users were recorded in detail. Service users and relatives were enthusiastic and positive about the meals provided by the home, comments included: ‘The food is not to be faulted- it is home made and well balanced and we get fruit with breakfast.’ And ‘The food is very good - in fact it is excellent.’ Oaklands DS0000005513.V311354.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The home complaints procedure continues to be robust and service users are listened to and their concerns taken seriously. The home’s protection of vulnerable adults POVA guidelines needs additional information however staff have now received POVA training and are more able to promote the safety of service users. EVIDENCE: Discussion with service user and their relatives indicated that they had not felt cause for complain and that they had no concerns, however, they stated that they would speak to the manager or person in charge at the time if the need arose. Comments included; ‘If I had a complaint I would talk to person in charge.’ The complaints procedure in the home was robust and a copy was held on each file. The manager is aware that the protection of vulnerable adults (POVA) guidelines for the home require updating and additional information before it provides staff with sufficient information about the actions they should take to safe guard service users. However staff training in this area has become a priority, and letters and certificates confirmed that all staff have now either completed or are due to complete POVA training provided by Oldham Council. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 18 Staff who were interviewed said that the training had broadened their understanding about protecting vulnerable adults and gave comprehensive answers when questioned about promoting the safety of service users. Oaklands DS0000005513.V311354.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The communal areas in the home are in the main clean and provide service users with a comfortable environment. All the bedrooms can be furnished in a flexible manner and many were well personalised. Although several have been redecorated a significant number continue to be poorly furnished. The Health, safety and comfort of service users are not fully promoted because some systems in the home do not work properly. The laundry area in the home remains in need of refurbishment. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 20 EVIDENCE: A tour of the lounge, hallways and bedrooms was completed. It was noted that the carpet in the hallway outside the office and in a number of en-suite areas had been replaced. In addition radiator guards had been fitted. The cleaning roster that was introduced has been effective as the communal areas; chairs, tables and carpet were clean and free from bad odours. The majority of bedrooms were entered and although some had been refurbished since the previous inspection, there was still concern that bed bases and head boards in the majority of rooms were heavily stained and looked unpleasant, further more in one room that had been re-carpeted the bad odour seemed to be caused by the bed. Random call bells were checked. It was noted that they could not be operated from the call extension lead. This was discussed with the manager. All the rooms had been personalised and it was clear that service users liked the space and freedom to furnish their bedrooms as they pleased. Service users and relatives commented however that the ‘home feels clean’. No improvements have been made to the laundry area since the last inspection. The provider has plans to address this through some refurbishment/extension to the home, however no date for this has been set. The provider is in discussion with CSCI regarding a suitable timescale for this work to be done. Oaklands DS0000005513.V311354.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. There are sufficient staff employed to meet the physical, social and emotional needs of services users. Staff have the skills, experience and attitude to meet the needs of service users. The homes recruitment policies and practices are robust and promotes the safety of service users. The training calendar is comprehensive and will lead to service users receiving support from a trained and competent workforce. EVIDENCE: The home employs enough staff to meet the needs of service users. On the day of inspection the manager and three care staff were on duty supporting 15 service users. In addition to this were a cook and cleaner. On this day a newly recruited night carer was also working a shift shadowing the more experienced staff. There were also three carers on duty in the evenings and two carers during the night. The staffing roster was examined and confirmed that this was the usual number of staff. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 22 Service users were satisfied with the number of staff on duty and it was observed that staff were able to spend time talking to and relating to service users as well as meeting their health and other physical needs. Of the 19 staff employed as carers in the home 10 have now completed NVQ level 2 in care. Certificates also verified that other training has included adult protection, an Induction into social care and medication training. The manager now has access to the Oldham Partnership and the training provided by Oldham Council. Correspondence confirmed that staff are enrolled onto a number of these courses including moving and handling, food hygiene and health and safety, dementia awareness and infection control. The need for other training such as first aid training and activities in residential homes was also discussed. Service users stated that the staff ‘Have been very good’ and ‘The staff are good - very affable.’ And ‘Absolutely wonderful staff.’ Oaklands DS0000005513.V311354.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The Acting Manager has made improvements to the running of the home since the last inspection. The quality assurance system needs be developed further to allow everyone involved, to comment on the quality of the service so that improvements and changes can be made that will be of benefit to the service users. The finances of service users are safeguarded by actions taken by the home. Further action by the provider is required particularly in relation to fire safety in order to fully promote the health, safety and welfare of service users and staff. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 24 EVIDENCE: The deputy manager currently manages the home and is managing to raise standards and support staff and service users, however, this person will not be applying to be the registered manager. However, she does intend to remain at the home as the deputy and will provide support to the new manager, when one is recruited. As the home has been without a registered manager since May 2006, it is imperative that a suitable manager is appointed as soon as possible. The home has introduced a formal quality assurance monitoring questionnaire. The manager is in the process of collating and analysing the information. The manager stated that the owners visit the home on a regular basis and CSCI have received a recent Regulation 26 report that detailed the outcome of a visit to the home made by the owners. The service users and their relatives did not appear to have a clear view about the involvement of the owners, however, they were confident that they could make their views known to the manager and that she would listen to their ideas. Oldham social services commenced managing the finances of service users in the home in 2005 and continue to monitor this area. The home has policies and procedures relating to fire safety and is in the process of developing new infection control, moving and handling and other policies concerning the health and safety issues in the home. The accident record showed that steps had been taken to analyse the accidents in the home and steps were taken to reduce and prevent recurrence. The fire safety logbook confirmed that fire drills had taken place, however the records also demonstrated that problems with fire safety equipment such as the emergency lighting had been brought to the attention of the owners and insufficient action had been taken. This was particularly evident on the day of inspection as a power cut identified that emergency lighting in the hallway near the stairs and other areas in the home were not working. These had not been fixed even though power cuts had become a regular occurrence in the area during the previous weeks. In addition to not mending the emergency lighting as requested areas of the home such as the office and toilet areas were plunged into complete darkness yet staff had not been provided with torches or ancillary lighting such as battery operated light fittings. Neither was there any florescent or ‘glow in the dark’ signs that would assist with getting out of an area that was thrown into total darkness. The manager and owners were alerted to this on the day of inspection. The local fire officers were also informed. They have subsequently visited the home and have confirmed to CSCI that all matters relating to fire safety have now been attended to. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 25 Although the owners have stated in their improvement plan that equipment such as lifts, hoists, electrical appliances and gas safety has been maintained and serviced further evidence such as receipts/certificates/reports are required as evidence and should be kept on site at the home for inspection purposes. Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 2 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 2 X X X 3 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 1 Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 27 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 OP24 Regulation 23 Requirement Timescale for action 01/12/06 2. OP38 13 (4) a The registered person must continue with the refurbishment of the home as outlined in the improvement plan sent to CSCI dated 11/08/06. The registered person must 01/12/06 demonstrate (through documentation such as servicing records) that all equipment such as lifts, nurse call bells and hoists are regularly checked, deemed safe and operational by appropriately qualified individuals. Copies of such records must be sent to the CSCI (Previous timescale 01/06/06 not met) Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 28 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 OP19 OP10 Good Practice Recommendations The provider should extend the refurbishment of the home beyond replacing carpets and decorating bedrooms, to the replacement of stained bed bases and bed heads. The provider should ensure that any double bedroom which is in use as a double should have the provision of a privacy screen so as to promote service users privacy and dignity. Service users should be consulted on the types of activities they would like to see take place in the home. Locks fitted to bathroom and toilet doors should be operable from the outside, for use in an emergency. The provision of “sit and weight” scales to aid in the promotion of good health should be provided, or some other means of measuring the weight loss or gain of services users should be in place. The quality assurance system which has commenced with service users should be further extended to include gathering the views of other visitors to the home such as relatives, GP’s, district nurses, other professionals. 3 4 5 OP12 OP19 OP8 5 OP33 Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Oaklands DS0000005513.V311354.R01.S.doc Version 5.2 Page 30 - 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!