Inspection on 08/02/07 for Oaklands

This inspection was carried out on 8th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 16/12/08

Oaklands 09/01/08

Oaklands 10/07/07

Oaklands 01/06/06

Oaklands 09/02/06

Oaklands 08/09/05

Oaklands 23/11/04

Oaklands 17/06/04

Oaklands 16/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Oaklands Forest Glade Dunton Hills Laindon Essex SS16 6SX Lead Inspector Carolyn Delaney Unannounced Inspection 8th February 2007 10:00 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 DS0000018110.V329453.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 DS0000018110.V329453.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Address Forest Glade Dunton Hills Laindon Essex SS16 6SX 01268 491491 01268 543045 oaklands@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Limited 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) Sallyanne Green Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may admit one person who is over the age of fifty-five years and under the age of sixty-four years whose name is known to the Commission. Date of last inspection Brief Description of the Service: Oakland’s is a large detached, purpose built home on two floors, providing residential accommodation for up to 55 elderly residents. The home is situated in the middle of a modern housing estate. A large attractive garden is located at the rear of the property. There is a rooftop patio on the first floor of the home. Access to facilities in the area can be made by private or public transport. Parking is available to the front of the home. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced Key Inspection carried on 8th February 2007. Records including assessments, care plans, daily care notes and risk assessment documents in respect of three people living at the home were examined. The relatives of twenty-two residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. Eighteen responded. In addition the general practitioners who have patients living at the home were contacted. Two responded. A number of residents and relatives were spoken with. Five members of staff including the homes manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out and the serving of lunch was observed. Each of the Key Standards as identified in the intended outcomes sections of this report have been inspected during this Key Inspection. Other standards, which have not been assessed at this time, may be assessed at the next inspection visit. Where other standards have not been inspected on this occasion they will have been inspected at the previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk Below is a brief overview of the findings of the inspection, which are covered more fully throughout the main body of the report. What the service does well: Fourteen of the eighteen residents relatives who completed surveys said that they were satisfied overall with the care provided by the home. There is good information available for people who may be looking for a care home. Where there are risks identified to the health and safety of residents there are good plans as to how these risks are to be managed. However the home has not been judged as good in any of the outcome areas. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: More information needs to be recorded when staff carry out assessments of a persons needs before they are offered a place at the home so as to ensure that all staff working at the home will be able to use the information so as to provide consistent and appropriate care. The information in care plans should also be more detailed to reflect the specific needs for each person. Staff must follow the homes policies and procedures when administering medicines so as to ensure that residents receive the medicines, which have been prescribed for their treatment. At all times there should be staff on duty who are trained and competent to administer medicines to residents. More could be done so as to ensure that the people living at the home have the opportunity to exercise choices over how they spend their time and more activities could be provided. A number of people living at the home would enjoy more visits outside of the home but have said that there is not suitable transport to allow for this. Some people commented that the food could be better. Complaints are not received and dealt with appropriately. A number of people who have made complaints directly to the home and to the Commission have said that they have not received a satisfactory response and two people have added that they feel that they are ‘fobbed off ..’ by the homes management and that ‘ issues are covered up and not dealt with…’ Recently it has come to light that allegations have been made about some senior staff behaving inappropriately towards residents and their relatives. This was being investigated at the time of this inspection, however it may have been an issue ongoing for some time at the home. There is a persistent problem with odour in one area of the home and there was no evidence that any action had been taken to deal with this. There has been an ongoing issue regarding staffing levels at the home. Where staff are absent due to sickness it is not always clear that proper measures are taken such as employing temporary agency cover. There have been a great number of occasions where there have been insufficient numbers of staff working at the home to provide proper and consistent care for the people living there. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 7 Staff working at the home have not received the training they need so as to be able to care for the people living there The home is not managed well. A number of resident’s relatives have contacted the Commission to raise concerns bout the lack of management presence and the failure of the homes manager to deal with issues that are brought to her attention. Senior Southern Cross management have been made aware of these issues. Due to the concerns raised at this and previous inspections and the failure of the registered provider to ensure that the home is managed so that the needs of people living there are met, the initial steps in the process for legal action against the home have been taken in the issue of Statutory Requirement Notices. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oaklands DS0000018110.V329453.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 DS0000018110.V329453.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 & 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is adequate information made available for any person who may be looking for a care home as a place to live. Information about persons care needs is not recorded in a detailed and consistent manner so as to determine that the home will be able to meet these needs. EVIDENCE: Oaklands has a detailed statement of purpose, which sets out the services provided, by the home. In addition to this residents are provided with a service users guide to living in the home. Four of the five people living at the home who completed ‘ Have Your Say About…’ surveys said that they had received enough information about the Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 10 home before they moved in so that they could decide if it was the right place for them. Three of the five said that they had received a contract; one said that they had not and one was not sure. The pre- admission documents for three people who had recently moved into the home were assessed. An assessment had been carried out by homes manager or deputy manager for each of these three people. Information was not always sufficiently detailed so as to determine that staff working at the home could meet the person’s needs. For example one person had been admitted who had leg ulcers and there was no record of this or the care and treatment this person would need in respect of these. Since this inspection visit there have been issues raised as to how care and treatment has been provided for this person. Southern Cross has a detailed assessment document and for some people sections of this had not been completed. This may be due to the fact that these sections were not applicable to the person, however this was not clearly identified. Oaklands does not provide intermediate or rehabilitative care. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People living at Oaklands do not always receive the care, support and medical treatment, which they require. EVIDENCE: Three of the five residents who completed surveys said that they always receive the care and support they need; the remaining two said that they sometimes did. Of the five people who completed surveys three said that they always receive the medical support that they need, the remaining two said that they usually did. The care plans for four people living at the home were assessed. Information recorded in respect of the care needs of people living at the home was not detailed so as to ensure that all staff working at the home are aware of each individuals needs. For example for one resident who has leg ulcers, there was Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 12 no plan of care, assessment of risks or any information about how staff working at the home were to care for this person. Generally where there were risks to a person’s health and safety a plan to minimise these risks had been developed and was kept under review. A number of resident’s relatives who completed surveys indicated that residents could do with more assistance with maintaining their personal hygiene and could be offered more opportunities for taking baths and showers. Some residents looked well cared for, however a number of the people who reside on the first floor and who are more dependent on staff for their personal care needs did not have clean nails and teeth etc. Oaklands has a policy and procedure for staff to follow so as to ensure that people living at the home receive the medicines, which have been prescribed for them as part of their care and treatment. However a number of resident’s relatives have commented that staff do not always ensure that people at the home take their tablets. Despite some concerns having been raised with staff these issues were not resolved. There have been a number of occasions where there are no staff working during the night who are trained and competent to administer medicines such as painkillers should they be required. Due to the concerns raised by this a Statutory Requirement Notice was issued. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home are not provided opportunities for exercising choice and control over their daily lives and the arrangements for socialising and participating in range of activities does not always meet their needs and expectations. EVIDENCE: Four of the five residents living at the home who completed surveys said that staff listen and act on what they say. The remaining one said that staff sometimes do. There is a programme of planned activities arranged for people living at the home. However it was not evident that this is always implemented due to the lack of staff available. Some residents cannot access activities due to their location within the home. While there are a number of activities available outside of the home a number of residents said that they couldn’t access these due to a lack of transport. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 14 Two of the five residents who completed surveys said that there were always activities arranged by the home that they can participate in. Of the remaining three one said that there usually were and two said that there sometimes were. Some residents commented that they could not access activities, which were available outside of the home due to lack of transport. Other people said that those who reside on the first floor of the home do not have access to the full range of activities. One resident who was spoken with during the day of the inspection said that ‘staff were very busy..’ and that she ‘is lonely as there are so few people she can talk with…’ Seventeen of the residents relatives who completed surveys said that staff welcome them into the home at any time, that they could visit their relative in private and that they were kept informed of important matters. There was little evidence that people living at the home are offered the opportunity to make choices about how they wish to spend their time. One of the five residents who completed surveys said that they always liked the meals at the home; three said that they usually did and one said that they sometimes did. During the day of the inspection the meal was well presented and residents had a choice of meal for lunch. Residents were offered a choice of drinks to accompany their meals and staff were available to offer support to residents as required. Three of the eighteen residents relatives commented that the food provided by the home could be better. One relative said that ‘the food could be more balanced and nutritious..’ and that ‘some of the meal options were not healthy..’. One relative said that they had on a number of occasions complained about the quality of the food offered. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Complaints are not dealt with in an appropriate manner and in accordance with the homes policy and procedure. People living at the home are not protected from abuse, harm and neglect. EVIDENCE: Each of the five residents who completed surveys said that they knew who to speak to if they were unhappy and knew how to make a complaint. Of the eighteen residents relatives who completed surveys thirteen said that they were aware of the homes complaints procedure. Of these eighteen five said that they had cause to make complaint about the home. Two people said that they had raised concerns about staff’s failure to ensure that residents receive medication as tablets had been found on a number of occasions in the resident’s bedrooms or by their chairs. One relative said that they had raised concerns about medication on three separate occasions and that staff had not acted to address the problem. Both of these relatives expressed that their concerns had not been dealt with appropriately. There were no records available on the day of the inspection in respect of these complaints. One relative who has made complaints commented that they felt they were being ‘fobbed off by both management and senior management in the organisation. Since this inspection two relatives have contacted the Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 16 Commission to raise concerns about the attitude of staff towards both residents and visitors to the home. Both complainants did not feel assured that the complaints would be dealt with appropriately and one complainant commented that ‘they felt issues of concern would be covered up by the homes management’. At the time of this inspection it was noted that of the forty-three people working at the home only fifteen have received training in respect of the protection of vulnerable people. Of the fourteen only seven have received this training within the past twelve months. Two members of senior staff had recently been suspended for alleged inappropriate behaviour towards residents including ‘ calling residents and relatives unkind names behind their backs.’ and ‘ making residents wait if they wanted to go to the toilet.’ It has been alleged that this behaviour has been ongoing for some time and that the deputy manager was aware. The homes manager said that the acting manager had been ‘intimidated by senior members of staff..’ and had not reported this behaviour. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Oaklands provides a well-maintained and safe environment for people who live there. Persistent unpleasant odours are not dealt with in a proper manner. EVIDENCE: Oaklands is a purpose built building. There is ample communal spaces including lounge and dining areas. One relative who completed a survey commented that staff use the day room for meetings and that residents are ‘not allowed to use this room..’ It has been noted that during the previous inspections that residents were seated in the homes foyer. Staff said that this is the resident’s choice however staff did not ask residents where they would like to sit. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 18 A number of resident’s bedrooms were viewed with the occupant’s permission. These were clean and well maintained. Some residents had items of personal belongings, which they had brought in, from their homes when they moved into the home. Three of the five residents said that the home is always fresh and clean. The remaining two said that the home usually is. While the home is generally clean and free from unpleasant odours there is one area adjacent to the dining room on the ground floor where there are persistent odours. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff are not employed in sufficient numbers, trained and supported so as to meet the needs of the people who live at the home. EVIDENCE: On the morning of the inspection a number of staff had not arrived to work at the home due to the poor weather conditions. One member of night duty staff stayed on at the home to administer medication and to assist until the homes manager and acting manager arrived at the home. It was noted that on this morning that staff worked hard so as to minimise the impact of staff shortages on the care and support that residents received. There have been a number of occasions where there have been insufficient numbers of staff on duty at the home so as to meet the needs of the people who live there. Where staff have been absent due to illness etc it was not always evident that the use of temporary agency staff had been considered. There have been a number of occasions where there have been no staff working during the night who have been trained to administer medication to residents. The homes manager said on these occasions she would come to the home during the night to administer medicines such as analgesics if required. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 20 However this is not acceptable, as people would have to wait a considerable length of time to receive pain relief. Three of the five residents who completed ‘Have Your Say About…’ surveys said that staff were always available when needed. The other two said that staff sometimes were and one commented that ‘ the home was often short staffed.’ Only six of the seventeen residents relatives who completed surveys said that in their opinion there were always sufficient numbers of staff on duty. There had been no new staff recruited to work at the home since the date of the random inspection, which was carried out in November 2006 when there were serious shortfalls in the practices for recruiting people to work at the home. It has not been possible to determine therefore that these practices have improved. There have been a number of complaints received by the Commission in respect of the competence and attitude of staff working at the home. Some relatives have said that a number of senior staff have in the past been rude to both residents and visitors to the home. Some senior members of staff had been suspended and the homes management was investigating these allegations. The Commission have raised concerns at previous inspections regarding the lack of training provided by Southern Cross so as to ensure that staff working at the home are skilled and competent in their roles and can meet the needs of the people living at the home. Southern Cross have failed to ensure that staff receive training such as moving and handling, fire safety and training in respect of protecting vulnerable people from harm, abuse and neglect. For example of the forty-three people working at the home only fifteen have received training in respect of the protection of vulnerable people. Of the fourteen only seven have received this training within the past twelve months. As a result, following this inspection a Statutory Requirement Notice was issued in respect of the failure of the provider to ensure that staff working at the home receive training for the roles they are to perform and the needs of the people living at the home. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Oaklands is not managed in the best interests of the people who live there and the lack of management presence and staff management puts the welfare and safety of residents at risk. EVIDENCE: A number of people who have contacted the Commission have commented that the homes manager ‘ is rarely available..’ that she ‘does not deal with issues which are brought to her attention. A number of people who have made complaints to the homes manager have said that the response they receive is often ‘ I have told staff…..’ and that staff do not appear to be managed. One resident’s relative who contacted the Commission to make a complaint Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 22 commented that ‘the manager is nowhere to be seen when there are issues to be dealt with at the home…’ Since the date of the key inspection a complaint was received by the Commission regarding the staff shortages, staff moving a resident in an inappropriate manner. The complainant said that despite the homes manager being made aware of the issues that she did not come to deal with the issues and left the home to attend training despite the home being very short staffed that afternoon. Staff working at the home later confirmed this when contacted by the inspector. The manager said that records in respect of staff supervision were confidential and a list of staff with planned dates for supervision was provided. It was not clear as to whether these supervisions had taken place. There was evidence that the home is well maintained and that regular checks in respect of the gas, electrical, fire and mechanical equipment and systems in the home. Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 1 2 X X X X X X 2 STAFFING Standard No Score 27 1 28 X 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X X 2 X 3 Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement There must be robust and consistent arrangement implemented so as to ensure that residents receive the medicines they require as pert of their care and treatment. (Previous timescales following the last two inspections including the timescales of 15 /07/06 & 30/12/06 have not been met.) The people living at the home must be consulted about their wishes for recreation and social interests and arrange a programme of activities taking into consideration the wishes of residents. (Previous timescales following the last two inspections including the timescales of 20/07/06 & 30/12/06 have not been met.) Complaints must be dealt with in accordance with the homes policy and procedure and DS0000018110.V329453.R01.S.doc Timescale for action 30/04/07 2. OP12 16(2) (m) (n) 30/05/07 3. OP16 22 30/05/07 Oaklands Version 5.2 Page 25 Regulation 22 of the Care Homes Regulations 2001. (Previous timescales following the last two inspections including the timescales of 10/07/06 & 30/12/06 have not been met.) Arrangements for the protection of the people living at the home must be implemented and monitored so as to safeguard residents from abuse, harm and neglect. (Previous timescales following the last two inspections including the timescales of 05/07/06 & 30/12/06 have not been met.) So far as is possible the home must be maintained free from unpleasant odours and that measures are implemented so as to dispel odours as they occur. (Previous timescales following the last two inspections including the timescales of 30/07/06 & 30/12/06 have not been met.) Staff must be employed in sufficient numbers to meet the needs of the people who live at the home. (Previous timescales following the last two inspections including the timescales of 30/07/06 & 30/12/06 have not been met.) People must only be recruited to work at the home once all of the checks as required by regulation DS0000018110.V329453.R01.S.doc 4. OP18 13 (2) (6) 30/05/07 5. OP26 16(2) (k) 30/05/07 6. OP27 18 (1) (a) 30/04/07 7. OP29 19 30/05/07 Oaklands Version 5.2 Page 26 for the protection of people living at the home have been carried out. (Previous timescales following the last two key inspections including the timescales of 20/07/06 & 30/12/06 have not been met.) People working at the home must receive training for the roles, which they are to perform, and the needs of the people living at the home. (Previous timescales following the last two inspections including the timescales of 30/07/06 & 30/12/06 have not been met.) A Statutory Requirement Notice has been issued in respect of the registered providers failure to ensure that staff working at the home are provided with training appropriate for the work they are to perform. The registered manager must manage the home in a competent and consistent manner. Oaklands must be managed and conducted so as to meet the needs of the people who live there. 8. OP30 18(1) (c) 22/07/07 9. OP31 9 (1) 30/04/07 10. OP33 12 30/05/07 Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 27 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 OP3 Good Practice Recommendations Assessments of persons needs should be more detailed so as to evidence that taking into account this information and the resources available that the home will be able to meet the needs of the person to be admitted to the home. Care plans should be more detailed so as to provide staff working at the home up to date and accurate information about the needs of residents. More could be done so as to ensure that the more dependent people receive an acceptable level of care in respect of personal hygiene. More could be done so as to allow people living at the home to exercise more control over their daily lives. All areas of the home should be accessible to residents unless it would endanger them to have access. The arrangements for supervising staff should be clear and evidence available for inspection upon request. 2. 3. 4. 5. 6. OP7 OP10 OP14 OP19 OP36 Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oaklands DS0000018110.V329453.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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