Inspection on 04/08/05 for Oaklands

This inspection was carried out on 4th August 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oaklands 08/08/07

Oaklands 29/08/06

Oaklands 19/04/06

Oaklands 21/12/05

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 4 August 2005 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 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 F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oaklands Address Shaw Road Royton Oldham OL2 6DA 0161 627 1142 0161 627 1142 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr George Wootton Mr Geoffrey Wootton Care Home 18 Category(ies) of DE(E) Dementia over 65 - 8 registration, with number MD(E) Mental Disorder over 65 - 1 of places OP Old Age - 10 SI(E) Sensory Impairment over 65 - 2 Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 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. 2 Date of last inspection 14th September 2004 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. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of eight and half hours. During this time four service user files where examined, three service users and four sets of relatives where interviewed. Policy and other document concerning the running of the home was scrutinised, the newest recruit was interviewed and the manager questioned. In addition a tour of the private and public areas of the building was undertaken, one meal was sampled and observation of the interactions between those working and living in the home was made. On the day of inspection the home appeared calm and efficiently run. Relatives where observed visiting the service users throughout the day. In addition a review of care involving the service user, their relative and social worker also took place. Every one interviewed was positive about the manager who had started work in the home since the last inspection. A number of matters remain outstanding from previous inspections that have not been addressed by the owners of the home. What the service does well: What has improved since the last inspection? The details of assessments and the instructions written in care plans have greatly improved. The handling of medication and the standards of record keeping in the home has recently improved. Some new furniture has been provided in the communal areas. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 6 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. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4 and 5 Prospective service users are not given sufficient information about the services provided in the home to make a fully informed decision. Service users only move into the home following a comprehensive needs assessment. Service users, their relatives and their representatives are able to visit the home in order to assess the facilities and suitability of the home. EVIDENCE: In the course of the inspection the homes statement of purpose and service user guide was examined. The manager was updating its service user guide and statement of purpose. Neither of these documents currently provides sufficient details regarding the staff compliment, neither do these documents make clear the funding arrangements for all the services provided. During the inspection four service user files where examined these where the service user who had resided in the home since 1999, the newest admission Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 9 and 2 others chosen at random. Three service users and four relatives were also interviewed. All four files contained comprehensive needs led assessments. Detailing the health, psychological and social needs of the service users. There was also a comprehensive report highlighting the past interests and life experiences interest prior to requiring residential care in addition to details of current activities and current interest. The relatives of the person most recently admitted stated that they had visited the home prior that person moving in. The manager stated that it was customary for potential service users and their representatives to be given the opportunity to visit the home. Notes made in the admissions book further confirmed this. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7,8,9 and 10 Service users health, personal and social care needs are set out in care plans. The health needs of service users could be better met. The medication policy and treatment of medication in the home is satisfactory. Service users are treated with dignity and respect in maximising their potential. EVIDENCE: In the course of the inspection four service user files where fully scrutinised and discussion was undertaken with staff, service users, relatives and the manager in relation to how health, personal and social care needs where met. The reports, charts and correspondence examined on service user files demonstrated that for the most part all care needs was adequately met thorough staff intervention and support. This included ensuring that timely and relevant health care professionals such as, general practitioners, district nurses, specialist nurses, dentist, optician, podiatrist and others gave advise or attended to the needs of service users. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 11 Care plans provided sufficient details to enable staff to complete the tasks required to meet the needs of the service user. Staff and service users stated that when necessary staff where provided to escort them to hospital for appointments or in an emergency. The main omissions concerned, nutritional screening and tissue viability assessment and updating care plans to reflect the changing needs of service users. It was noted that a significant number of service users were assessed as having ‘thin’ skin, however this did not trigger completion of a more specific and specialist assessment. It was also noted that although a risk may be identified a risks reduction assessment and corresponding protocol was not routinely developed. These issues where discussed with the manager. The homes medication policy and medication administration (MAR) record sheets were examined. All the medication administered in the home on the day of inspection had been correctly recorded and was being correctly stored. In addition all MAR sheets had pictures of service users to reduce the risk of missadministration of medication. The newest recruit was keen to say that she was introduced to the medication system in a methodical manner. This included closely observing for one week while drugs were being administered and then being closely observed by the manager as she became accustomed to administering medication. Service users and relatives stated that all personal and health care was carried out in privacy. The manager stated that for service users with bedrooms up stairs, an empty down stairs room was currently being used for examinations and other health procedures. Throughout the day staff were observed supporting service users in a dignified manner and with care and patience. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12, 13,14 and 15. The home does not fully meet the service user’s recreational or cultural needs. Service user can receive visitors at any time during their stay at Oaklands. Meals are tasty and served in an appealing and unhurried manner, but menu planning and the availability of fresh fruit and vegetable could be improved. EVIDENCE: All the service users interviewed stated that there were not sufficient activities or organised excursions in the home. This was discussed with the manager who stated that she was in the process of establishing an activities fund through organising a staff lottery by which half the winnings go into the residence fund. The owners of the home do not make any financial contribution towards activities in the home, although they have a statutory responsibility to provide for the recreation and occupation of service users. Due to the lack of financial commitment by the owners there is no activities calendar currently active in the home. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 13 Service users stated and this was confirmed by relatives, that there where no problems with visiting the home. Relatives also stated that staff welcomed them and they were particularly complimentary about the new manager. Only one service user manages her finances. She stated that the manager supports her in banking her money and paying her bills. Otherwise service users relatives and representatives handle personal finances. Service users with particular routines are able to maintain them when they move into the home, for example service users can get up and go to bed when they are ready. Service users can also spend time in their rooms as they wish. The menu demonstrated that three meals are offered to service users each day. Items on the menu included hot pots, salads, stews, pies and sausages. The regular cook was on holiday on the day of this inspection and care staff where preparing the meals. The lunch was shepherds pie and egg chips and bacon was the alternative main meal. The desert was apple crumble or yoghurt for service users on a diabetic diet or as an alternative. Service users clearly enjoyed the lunch provided and where heard expressing their appreciation to the manager, the person who prepared the meal and between themselves. Examination of the food stores demonstrated that no improvement had occurred in respect of the provision of fresh fruit or vegetables in the home. On the day of inspection there were no fresh fruit and the only vegetables where potatoes and onions, however there was frozen vegetable and a quantity of tinned fruit. This was discussed with the manager who stated that she was not responsible for purchasing the food in the home. This lack of fresh fruit and vegetables also means that it is not possible to offer services users with diabetes to be offered a choice of menu. On the day of inspection this caused obvious distress and disappointment to one service user. Concerns about the lack of fresh fruit and vegetables was highlighted at a previous inspection and have not been addressed by the owners of the home. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The complaints procedure at Oaklands enables service user and their relatives to be confident that complaints are taken seriously and acted upon. Staff need to receive training in the prevention of abuse to ensure service users are fully protected. EVIDENCE: The complaints procedure in Oaklands provides sufficient detail of how service users and their representatives can lodge complaints. Discussion with four groups of relatives and a number of service users confirmed that they knew who to go if a complaint was necessary. Those who had made complaints felt that they had been dealt with fairly and the outcome was satisfactory. The staff interviewed was not aware of the home’s prevention of adult abuse policy, however when presented with scenarios she was clear in the actions she would take to raise concerns. Discussion with the manager confirmed that staff training in this area is required. The home’s adult protection policy also needs to be revised to ensure that when investigations are taking place CSCI should be informed. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19, 20,21,22,23,24,25 and 26. Oaklands is not a well maintained home, and not all areas are safe. The exterior to the home is well maintained, however, not all service users can access it safely. The number of toilets and bathrooms is sufficient to meet the needs of service users. There is limited equipment available to maximise the independence of service users. Service users rooms are flexible and can be furnished to meet their needs. The standard of cleanliness within the home should be improved. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 16 EVIDENCE: In the process of inspection the external grounds were assessed and a tour of the private and communal areas in the home was undertaken. The gardens are well maintained but the front has a steeply sloped and the side garden is open and service users are able to enjoy the grounds provided staff are able to observe those who may want to walk about. The layout of the home meets the needs of service users. The furniture in the communal areas is domestic in appearance and there is sufficient lighting to enable service users to read if they so wish. Nearly all the interior areas of the home require some attention. Since the last inspection some new furniture has been purchased, however in the sitting area near the kitchen the seating is in need of replacing. The carpet in this area was heavily stained. Toilets are accessible but the home has not been assessed for aids and adaptations, which may improve accessibility to some service users. The flooring in a number of toilets and bathrooms was in poor condition. The cloakroom was very smelly and on close examination an open drain was found under a bin. This was discussed with the manager who agreed to contact the local environmental health officer for advice. The chair on the bath lift was stained and the casing for the frame was cracked. Commodes were in place in a significant number of bedrooms. These commodes where rusty and the plastic coating had disintegrated in addition none of them had lids. Inspection of the bedrooms revealed that a number where musty and others smelled of stale urine. A significant number of bed bases and mattresses where heavily stained. The furniture provided in the majority of bedrooms was in very poor repair. Broken furniture had been repaired with visible screws. One unit had a spike poking out where a handle had fallen off. The edges of the furniture was chipped leaving sharp, jagged and rough edges. In addition the drawers in a number of these units could not be closed and posed additional hazard to service users and staff. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 17 Radiators have been covered, it was noted in the dining room however that a pipe in the dining area was very hot and capable of burning a service user. This was brought to the attention of the manager. The laundry area was inspected and was smelly and grimy. Neither the floor nor walls are washable. Dirty clothes and soiled bedding was piled together on the floor, as laundry baskets were not provided. The washing machine offers a programme to disinfect soiled bedding and underwear. Standards of cleanliness in the kitchen were very poor and it was evident that cleaning routines in accordance with health and safety regulations had not been activated. Staff have been provided with an alcohol spray to clean their hands, however they where observed moving between the kitchen and toilet areas without protective clothing. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 The numbers of staff in the home is sufficient to meet the needs of the service users. Additional funding is required to ensure staff receive statutory training. The homes recruitment policies do not protect service users and are unsafe. EVIDENCE: On the day of this inspection there were 3 care staff, the manager and a domestic serving the needs of 17 service users. The cook was on holiday and her duties were covered by one of the care staff. The roster demonstrated that ordinarily during the day there were three care staff, the manager, the cook and a domestic on duty, in the late afternoon there were generally one senior care assistant plus two care assistants and at night two staff were employed to wake and watch. The manager considered herself to be on call at all times unless on holiday. Currently one member of staff has NVQ 2 in care and a number are registered as undertaking the course. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 19 There is no official induction package being used in the home and the manager is investigating access to free courses in order to update staff training. Discussion with staff and observations made throughout the day demonstrated the need for training in prevention of cross infection, and also adult protection. The manager stated that she was aware that there were a lot of training needs for all the staff in the home- although some was being covered by the NVQ 2 modules, there was acknowledgment that some aspects of care needed more in-depth and specialist training. Staff interviewed had completed a number of courses prior to her employment in the home. It was not possible to examine staff files on the day of inspection as the owners had taken them. Although staff files where not available discussion with manager indicated that a POVA first check had not been completed for the most recent recruit. This would indicate that recruitment practises in the home are unsafe and do not protect service users. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36 and 38 The manager offers leadership and is a positive influence in the home, but is undermined due to the lack of action by the home’s owners to fulfil their statutory responsibilities. There is no evidence that the home is run in the best interest of service users. Service users finances are not safeguarded. Systems for the supervision of staff need to be improved The owners of the home do not promote the health and safety of service users. EVIDENCE: The manager although newly appointed is popular with service users and was seen to be having some influence of the way the home is being run. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 21 The following comments received from services users and their relatives included ‘Nothing is too much trouble for her, the staff and manager are lovely- even nicer than before’. And in reference to the manager one relative stated ‘I’m quite pleased with how she is and it’s a nice calm place now- she responds well to the new manager- her face lights up when she sees her.’ Unfortunately all the good work by staff is compromised by the lack of the owners of the home to provide staff training and adequately resources to ensure the environment of the home meets even the national minimum standards. Discussion with the manager indicated that she had previously kept herself abreast of new developments and procedures relating to care of older people. The manager clearly knows all the service users and works alongside staff. The manager is in the process of introducing supervision and appraisal. There is further discussion needed in how to accommodate staff employed to work only at night. Team meetings do not occur however staff are requested to come in 10 minutes early to allow for a hand over at each shift. There is no development plan in the home however service users and relatives are generally satisfied with the care provided, though an increase in activities would give some further improvement. The accident log was examined and found to be in order. Prior to the inspection concerns were raised with social service regarding the handling of service users finances previous to the appointment of the current manager. The owners of the home as required under Regulation 37 did not bring details of these concerns to the attention of CSCI. A recent inspection of the home by officer form Greater Manchester Fire Service identified that a number of concerns that must be actioned by the owners of the home. Food safety and other health and safety checks should be undertaken to ensure the owners of the home meet their statutory responsibilities. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 1 2 3 3 3 1 3 1 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 2 3 2 x 1 1 x 1 Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 23 YES 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 1 Regulation 4 Requirement The registered person must develop a statement of purpose and service user guide that provides a full description of the services to be provided at Oakland. (Previous timescales of 31/12/04 not met) The registered person must ensure that needs of all service users are fully assessed, regularly reviewed and fully detailed on their plan of care. The registered person must ensure that a programme of activities is arranged to meet the assessed needs of all service users. (Previous timescales of 31/12/04 not met) The registered person must ensure that adequate quatities of fresh food and vegatables are provided in the home and are available at such times as are required by service users. The registered person must ensure that all staff rceive training in the recognition and prevention of abuse.(Previous timescales of 31/12/04 not met) The registered person must initiate a programme of Timescale for action 01/12/05 2. 8 15 01/10/05 3. 12 16 01/10/05 4. 15 16 01/11/05 5. 18 13(6) 01/10/05 6. Oaklands 19, 20 and 24 23 01/10/05 Page 24 F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 7. 24 23 8. 26 23 9. 29 19 10. 30 and 31 18 11. 30 and 31 9 12. 31 and 34 37 13. 36 18 refurbishment to improve the quality of furniture provided throughout the home.(Previous timescales of 31/03/05 not met) The registered person must ensure that equipment provided in the home is maintained in good working order. The registered person must ensure that all areas of the home are safe, clean and free from offensive odours.(Previous timescales of 30/11/04 not met) The registered person must ensure that staff employed are fit to work at the care home by obtaining the information and documents specified in paragraphs 1-6 of Schedule 2; of the Care Homes Regulations 2001. The registered person must ensure that persons employed to work in the home are provided with training appropriate to the work they are to perform; and suitable assistance, including time off for the purpose of obtaining further qualifications appropriate to their work. (Previous timescales of 31/12/04 not met) The registered person must provide the Commission for Social Care Inspection with a copy of the homes annual development plan. The registered person must ensure that all notification detailed under Regulations 37 are fowarded to the Commission for Social Care Inspection within 24 hours of their occurance. The registered person must ensure that staff receive regular supervision in accordance with the standards and regulations (Previous timescales of 31/12/04 F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc 01/10/05 01/10/05 01/10/05 01/10/05 01/11/05 01/10/05 01/11/05 Oaklands Version 1.30 Page 25 not met) 14. 31 and 38 25 The registered person must ensure that all health and safety checks and any appropriate action following these checks are undertaken throughout the home. 01/12/05 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 30 and 31 Good Practice Recommendations The registered person should ensure that 50 of the care staff have obtainede a NVQ at Level 2 by 31st December 2005. Oaklands F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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 F54 F04 s5513 Oaklands un v221074 040805 Stage 4.doc Version 1.30 Page 27 - 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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