Inspection on 09/01/08 for Oaklands

This inspection was carried out on 9th January 2008.

CSCI found this care home to be providing an Adequate service.

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 10/07/07

Oaklands 08/02/07

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 A Thompson Unannounced Inspection 10:15 9th & 11 January 2008 th 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.V357536.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.V357536.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 Ltd 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) Obafemi Shoyombo Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Oaklands DS0000018110.V357536.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. 7th September 2007 Date of last inspection Brief Description of the Service: Oaklands is a large detached, purpose built home providing residential accommodation for up to fifty five people on two floors. Residents’ bedrooms are located on both floors of the home and comprise of forty seven single and five shared rooms. On the day of the inspection three of the shared rooms were being used as singles. Communal rooms comprise of one lounge, one dining room and the large front foyer on the ground floor. On the first floor there is one lounge / dining room. There is a passenger lift to enable full access between floors. At the rear of the home there is a garden that is fully enclosed and accessible to residents. The home provides 24-hour personal care and support to residents with varying dependency levels. Oaklands is sited in the middle of a modern housing estate with local shops close by. Visitor car parking is provided to the front of the property. The current weekly charge for a room ranges from £350.00 to £650.00. Past inspection reports are available from the home, and from the CSCI internet website. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced key inspection commenced on Wednesday 9th January 2008, with a second visit taking place on 11th January to complete the process. The content of this report reflects the inspector’s findings on the day/s of the inspection along with information provided by the service and feedback by residents, relatives, staff and other parties. The last key inspection was carried out on 10th July 2007. Since that date one additional unannounced visit was carried out by CSCI on 7th September 2007, in order to follow up on requirements made in a Statutory Requirement Notice issued on 29th July 2007. This notice was raised by CSCI against Oaklands following concerns about lack on compliance with requirements made from the inspection on 10th July. The outcome of the additional inspection on 7th September found that good progress had, by then, been made in meeting these requirements. This progress was judged as mainly due to the efforts of the new manager and deputy manager. Evidence gathering at this inspection (9th January 2008) included discussions with residents, visitors (including relatives and healthcare professionals), the manager, deputy manager and staff on duty. CSCI survey questionnaires were also provided to residents, staff and other interested parties. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Fourteen residents were spoken with and five survey forms were returned. The majority of those who expressed an opinion confirmed that they were generally satisfied with the home and with the care and staff attitudes, although some indicated that it could depend on which member of staff you saw as to how helpful they were. Actual comments received included, ‘staff are good here’, ‘I have no complaints’ ‘the staff are very helpful’ and ‘they are usually around if I need them’. Comments on the food included, ‘the food is really quite good’ and I get more than enough to eat’, ‘the food is usually good’ and ‘I get a choice and enough to eat’, ‘the food is variable, sometimes it’s ok sometimes it’s not’. Those spoken to also said that they were mostly satisfied with the quality of accommodation offered, comments made included ‘my room is comfortable and warm’. ‘I’ve got my own room and I like it’ and ‘I like my room but sometimes it’s a bit cold by the window’. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 6 Visitors spoken with indicated that they thought the staff did their best to support residents needs. Questionnaires were also left at the home so that relatives had the opportunity to make their views on the service known to the Commission. At the time of writing this report four had been returned. Comments in these were mainly positive about staff attitudes and the care provided but two did think that staffing levels should be increased. Other comments from relatives about staffing suggested that night staff were expected to undertake domestic duties, which could reduce the time they have to support residents. Staff said they had received improved guidance and support since the new management team took up post in August 2007. They also said that they had been offered training opportunities appropriate to their roles, but some did not think that the numbers of staff on duty were always sufficient to meet the residents support needs. Twenty four standards were looked at and the outcomes for residents against seventeen of these was good, with seven adequate. As a result this report includes three statutory requirements for action, and three good practice recommendations. What the service does well: What has improved since the last inspection? Care plans were in place in all residents files seen, these included full assessments of needs completed at time of admission. Meals are served following a table plan to ensure all sitting on a table receive their meals together. Staff were seen to provide appropriate support at meal times observed. Cleaning products are kept safely stored. Records were available to confirm that equipment and systems in the home had been checked/serviced. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 7 Agency staff receive basic documented induction training when they first work at Oaklands. Evidence was on files to confirm that agency staff had been recruited properly, including getting references and police checks. Full recruitment checks had been carried out for new staff employed. New cleaning schedules had been put into place to minimise unpleasant odours in the home. The practice of some staff referring to residents by their room number had stopped. Risk assessments were seen in all residents files inspected. Staff training in the home was now provided using an empty double room on the first floor instead of the residents lounge on the ground floor. A new TV had been installed in the ground floor lounge. 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. The summary of this inspection report can be made available in other formats on request. Oaklands DS0000018110.V357536.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.V357536.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): 3. Quality in this outcome area is good. Peoples who use the service can be confident that the admission processes ensure that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A pre-admission assessment was carried out for potential residents to ensure that their needs could be met. Evidence of this process was seen in care plan files for residents admitted since the last inspection and gathered from discussions with relatives. Assessment headings covered included: communication, mobility, personal hygiene, nutrition, vision, continence, behaviour, manual handling, hearing, medication, foot & oral care, falls social & risks. A care plan is commenced leading up to admission, with completion as soon as possible after. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. The health and personal care residents receive is individualised and based on their assessed needs. Residents rights to privacy is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care plans were inspected. Included was background information, personal details, and next of kin contacts. The residents’ needs/action sheet included the aim of care taking account of the headings assessed when carrying out the initial assessment, and further sections added after admission. These were a physical & social assessment, a social profile, pressure care risks and a dependency assessment. Care plans seen also included risk assessments, records of residents’ weight, consultations, had been regularly reviewed (at least monthly) and included review and evaluation record sheets. Evidence was also seen that relatives had been kept informed of care plan reviews and had been invited to attend. Residents who expressed an opinion confirmed they were able to take part in the review process. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 11 The manager said that District Nursing services support the home in pressure sore assessment and will also supply appropriate aids and treatment. Continence issues are supported by the community continence nurse, who visited the home on the first day of this inspection to provide training to staff on continence promotion. A dentist visits the home, as does a chiropodist and an optician. Hearing tests are also available in the home, provided by the company who carry out sight tests. Records of visits with written outcome notes were seen. The home’s medication policies and procedures were seen and covered ordering, receipt, storage, administration, homely remedies, self medicating (including a risk assessment) and returns of unused stocks. Staff had been given training on medication issues. Evidence was seen of courses provided entitled ‘ Care of Medicines (Foundation & Advanced) course’, and of pharmacist training entitled ‘Safe Handling of Medicines’. The manager said that only senior staff administer medication, staff spoken with confirmed this. They also said that they are assessed by the deputy manager before they are allowed to take responsibility for administering medication to residents, however documented evidence of this had not been kept. The deputy manager said she would have these records available for future inspections. Medication administration records were inspected and were acceptable. Discussions with individual residents indicated that most thought they were treated with respect by staff, and staff on duty were seen to be patient and helpful in their dealings with residents. Fourteen residents were spoken with and five survey forms were returned. The majority of those who expressed an opinion confirmed that they were generally satisfied with the home and with the care and staff attitudes, although some indicated that it could depend on which member of staff you saw as to how helpful they were. Actual comments received included, ‘staff are good here’, ‘I have no complaints’ ‘the staff are very helpful’ and ‘they are usually around if I need them’. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Residents had regular opportunities to engage in activities but these may not suit all. Residents were encouraged to maintain contact with family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents meetings had taken place, minutes of issues discussed and decisions made were inspected. Since the new manager had joined Oakland’s in August 2007 he had also held two relatives meetings. Future meetings had been planned on a monthly programme for residents and relatives. The home had two part time activities coordinators who provide activities over 36 hours each week. Activity programmes were seen displayed around the home and in private rooms. Individual records had been kept for each resident of the activities offered, taken part in and progress made. These included: 1-1 discussions, bingo, quizzes, entertainers (once a month), hairdresser, beauty care, games, cards, arts & crafts and indoor exercise. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 13 One activities coordinator told the inspector that outings are also provided using a hired coach paid for by the owners of Oaklands. Places reported as visited included local theatre, museums and the seaside. Other activities reported as available were: a clothes shop visits occasionally, local clergy visit weekly to hold a communion service, a ‘pat dog’ visits and several residents attend a weekly social club. Most residents spoken with who expressed any opinion, confirmed they were satisfied with the choices and options made available to them regarding daily routines and leisure interests on offer. Although several said they chose not to take part, one of the reasons given was that the activities available were ‘childish’. Staff employed for the role of providing activities need to be given updated training to ensure they have the skills and knowledge to offer stimulating and meaningful activities to all people living at Oaklands. Visitors spoken with said they were made welcome by staff, they also confirmed that residents activities did take place. Inspection of private rooms confirmed that residents had been permitted to bring their own personal items with them on admission. There was also confirmation of this direct from residents, who, when asked, pointed out the furniture and personal items they had brought in with them. Menus seen evidenced a nutritional range of food available. The main daily meal is lunch with at least two choices, there is also a choice at tea. Since the last key inspection the manager had introduced the practice of the early morning (0630 hrs) and evening supper (2000 hrs) trolleys having toast, sandwiches and biscuits available for residents to eat. This idea is to ensure residents do not get hungry between meals. Residents and staff spoken with confirmed this practice happens daily. Other recent changes to mealtime practice were for residents to be encouraged to eat in the dining room (and not the entrance foyer) and for meals to be served by a table plan on a rotational basis. Evidence of this practice was seen on the day and residents sitting together at the same tables confirmed that they now usually get their meals at the same time so they can eat together. Many liked the food but some were not completely satisfied with the quality of meals. Comments included, ‘the food is really quite good’ and I get more than enough to eat’, ‘the food is usually good’ and ‘I get a choice and enough to eat’, ‘the food is variable, sometimes it’s ok sometimes it’s not’. The manager said that residents views on the food were sought at their monthly meetings and changes to menus were made according to their likes/dislikes. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 14 He gave an example of the bread now used for sandwiches was thick sliced instead of thin, this was in response to negative comments from some residents about the bread. The manager also said that cooked breakfasts were served daily to those residents who wished, and that some residents choose to eat in their rooms for privacy and convenience. Evidence of this was seen by the inspector whilst touring the building. Oaklands DS0000018110.V357536.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 good. People who live at Oaklands have access to a complaint procedure that ensures that they are listened to. The home operates a system of practices and procedures to ensure the protection of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Oaklands complaints procedure was seen and contained guidance on how to make a complaint and who to complain to. Also included were timescales for responses from staff. In-house guidance included a detailed ‘management of complaints’ policy and procedure guide for managers reference. Evidence was seen to confirm that records are maintained in the home of complaints received (three logged since previous inspection), and of any investigation and resulting outcomes. Residents spoken with said they knew who to speak to if they had any concerns, and that the new manager had responded positively to any queries/issues they had raised. There is a company in-house trainer on adult protection matters who has provided training on this subject to staff. This included clarifying types of abuse, recognising signs and required actions if abuse suspected. Staff spoken with displayed awareness of this subject and procedure, and evidence of the training was seen. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 16 The homes policy on adult protection was inspected, included was written guidance for staff on recognising and reporting abuse and action to be taken by staff and the person in charge if abuse is suspected. Oaklands also had a written ‘whistleblowing’ policy issued to staff which provided guidance on their responsibilities to report any concerns to management. Oaklands DS0000018110.V357536.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): 19,21,26 Quality in this outcome area is good. The people living at Oaklands benefit from living in a comfortable, well maintained and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection a housekeeper had been employed who had organised a general improvement to the cleanliness of communal areas. The inspector was told that corridor carpets are now cleaned every two weeks, and carpets seen on the ground floor were indeed clean and looked in good condition. Carpets in some of the first floor corridors looked a little jaded but seemed clean. A slight malodour was noted at the beginning of the first day of the inspection outside one bedroom on the ground floor. The manager said this is due to a continence issue and the home was receiving support from the local continence nurse to solve the problem. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 18 Bedrooms seen were well decorated, clean, comfortable and made homely with people’s personal possessions. During discussion with residents all said their rooms were comfortable. All private rooms had en-suite wc. Lighting in residents’ rooms was considered domestic in character and fully appropriate for individuals requirements/needs. Oaklands has four bathrooms and two ‘walk-in’ shower rooms. Only two of the baths had fixed hoists but the manager advised that he was planning to have hoists fitted to the remaining two baths. On the day of the inspection the premises were considered to be clean and hygienic, with the exception of a dirty carpet in the ground floor dining room. Staff reported that this is cleaned regularly but it is recommended that cleaning occurs more frequently to ensure a clean and hygienic environment for residents to eat. The laundry was viewed and was considered to have appropriate equipment and space for the home’s laundry needs. Oaklands DS0000018110.V357536.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 good. The recruitment procedure in the home provides the safeguards to ensure that appropriate staff are employed. People living in Oaklands are cared for by staff who are provided with a programme of training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s staffing rota was inspected and confirmed staffing levels as seven care staff on duty on morning shifts and six on afternoon shifts. Separate and additional rostered staff were employed to undertake cooking, kitchen assistant, administrative, activities, housekeeping, maintenance and domestic duties. Discussion with staff and records seen confirmed that regular staff meetings are held to provide a forum for support and discussion, as well as for the management team to clarify expectations of roles. Files were inspected for staff employed since the last inspection. Evidence was seen to confirm that application forms had been completed, interviews held (with notes kept), written references obtained, written terms & conditions issued and criminal records checks undertaken. Copies of proof of ID, photographs and job descriptions were also on file. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 20 New staff undergo initial three day induction training, and then work through a six week induction training programme and workbook, which is based on the Skills for Care format. Records of this were seen, and staff spoken with confirmed they had received induction training. The manager reported that usage of agency staff had been reduced since the last inspection, and none had been used for two months leading up to this visit. However following comments in the last inspection report he had introduced a short induction training programme for agency staff new to the home. Evidence of this format was seen, new agency staff are ‘shadowed’ for their first shift and agencies now have to provide evidence to Oaklands that their staff have been recruited properly. This evidence was seen including written assurance from the agency that CRB checks had been effected. Training records and discussion with staff confirmed that staff had been provided training on: medication, health & safety, fire safety, manual handling, food hygiene, infection control, challenging behaviour, abuse, nutrition, dementia, care planning, first aid, diabetes, continence, COSHH and NVQ. Oaklands DS0000018110.V357536.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): 31,33,35,36,37,38 Quality in this outcome area is adequate. People living at Oaklands can expect that the person in charge is competent for the role and that the home is safe, but could not be sure that their views have been listened to with regard to planning the day to day service provision. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new manager had been in post at Oaklands since August 2007 and is now registered with CSCI. He said he had the NVQ level 3 award and was working towards his RMA (registered managers award NVQ 4). Other qualifications included a postgraduate Psychodynamics in Old Age award. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 22 He said he had sixteen years experience in the care sector working with various service user groups. Seven years of these were in a supervisory role. We judged that since joining Oaklands the manager had worked, in close cooperation with the new deputy manager, with commitment and enthusiasm to improve the overall service provision, outcomes and choices available to residents. It is hoped that these improvements can be maintained and added too. Some quality assurance (QA) questionnaire surveys had been sent to residents and relatives in 2007. However there were only eleven responses on file as received since the last key inspection, and there was no evidence of any collation of these nor a summary of any actions taken. The views of residents and stakeholders must be included when planning for service improvements, and evidence needs to be available for inspection of the numbers involved in the process, with summaries of the findings and of any resulting actions taken. Residents personal allowance monies were held for safe keeping by the home. Records of the system used for recording transactions and of balances held by the provider were acceptable. However the method of evidencing that cash paid out had actually been received by the vendor were not all acceptable, as some amounts paid to a hairdresser did not have signatures. This issue was discussed with the manager who agreed to update the procedure used. A programme of 1-1 formal staff supervision sessions had commenced under the new management team, but owing to the short time scale that the new manager had been in post had not been held at the recommended frequency since the last key inspection. The format used included an overview and principles of good supervision with recorded notes on content, items taken forward and any tasks to be carried out. It is recommended that these meetings take place at least six times a year. Random samples of records required to be kept were inspected. These included: complaints, assessments, care plans, staff rotas, staff recruitment, accident records, visitors book, fire drills, regulation 37 notices, regulation 26 reports (registered person monthly reports), menus, medication, background info’ and next of kin details, cash held for safekeeping and fire procedures. All seen were satisfactory except some records of cash paid out, as detailed above. Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 23 Discussions with staff, management and inspection of records confirmed that training is provided to staff in moving and handling, fire safety, food hygiene, first aid and basic training in infection control. Certificates and service records were seen to confirm that the home’s fire equipment & alarms, passenger lifts, hoists, gas supply, portable electrical appliances and electrical installation supply had all been tested/serviced. The home had COSHH data sheets for cleaning substances used (seen) and there was a premises fire risk assessment in place (also seen). Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 24 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 2 2 3 Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 25 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 OP12 Regulation 16 Requirement All people at the home must be offered opportunities to participate in stimulating activities that they are happy with. The home’s Quality Assurance system must include consultations on a regular basis with people that live at the home to ensure their views are sought about the services provided. Records must be available for inspection to confirm, where practicably possible, that monies paid out by staff on behalf of residents has been properly receipted with signatures obtained from the vendor. Timescale for action 31/05/08 2 OP33 24 30/06/08 3 OP35 OP37 17 schedule 4 29/02/08 Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Staff training on medication practices and procedures should include evidence that they have been assessed as competent to carrying out the role of administering medication, before they are permitted to take on this responsibility. Staff should have recorded 1-1 supervision meetings at least six times a year to ensure they are supported in their work. The carpet in the ground floor dining room should be cleaned to ensure a clean and hygienic environment for residents to eat. 2 OP36 3 OP19 Oaklands DS0000018110.V357536.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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.V357536.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!