Inspection on 16/06/08 for Oaklands Care Centre

This inspection was carried out on 16th June 2008.

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

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

Other inspections for this house

Oaklands Care Centre 13/05/09

Oaklands Care Centre 26/07/07

Oaklands Care Centre 20/09/06

Oaklands Care Centre 24/02/06

Oaklands Care Centre 11/11/05

Oaklands Care Centre 10/02/05

Oaklands Care Centre 08/09/04

Oaklands Care Centre 29/10/03

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Oaklands Care Centre 4 Oakland Road Moseley Birmingham West Midlands B13 9DN Lead Inspector Lisa Evitts Unannounced Inspection 16th June 2008 09:35 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 Care Centre DS0000024872.V366428.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 Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Care Centre Address 4 Oakland Road Moseley Birmingham West Midlands B13 9DN 0121 449 6662 0121 449 3097 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) www.schealthcare.co.uk Exceler Healthcare Services Limited Mrs Elaine Jean Lancelott Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the Manager successfully undertakes the Registered Managers Award or equivalent by April 2005. 26th July 2007 Date of last inspection Brief Description of the Service: Oakland’s Care Centre provides 24 hour nursing care for 46 older adults. The home has been adapted and extended from an existing property and is situated on a quiet road not far from Moseley village. There is a range of community facilities nearby, and a number of bus routes are within a short walking distance of the home. There is off road car parking to the front of the property. There are lounges and dining rooms situated on two of the three floors of the home and the third floor has bedrooms only. Bedrooms are a mixture of four shared and 32 single rooms, which are spread over three floors. There are no en suite facilities provided by the home. There are assisted bathroom and shower facilities to meet the needs of the people who live there. The home has hoists and pressure relieving equipment for use with people who are assessed as requiring this assistance. There is a passenger lift to all floors, a nurse call system and handrails, which would assist people with limited mobility. The home has a main kitchen, laundry and office space. There is a pleasant garden area to the rear of the home and this is accessible to people who use wheelchairs. Inside the home there are various notice boards, which display information about forthcoming events and other articles, which may be of interest. The last inspection report is available in the reception area, and this enables people to access this information if they choose to read it. The current scale of charges for the home range from £440 - £588 for a residential single room, £480 - £692 for a single nursing room and shared rooms are available at a reduction of £60 per week. Some rooms have a top up fee payable. Additional charges include, hairdressing, toiletries, newspapers and chiropody. Oaklands Care Centre DS0000024872.V366428.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. The focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The visit to the home was undertaken by two inspectors over eight hours and was assisted throughout the day by the Registered Manager. The Operations Manager was also present for part of the day and for feedback. The home did not know that we were visiting. There were 38 people living at the home and one person was receiving hospital care. Information was gathered from speaking to five people who live at the home and observing them, as it was not possible to speak with a number of residents due to communication difficulties. Three people were “case tracked” and one file was partly reviewed. Case tracking involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. Two staff were spoken to and staff were observed performing their duties. Random questionnaires were sent out in order to gain peoples views about the service. Six service users and two staff returned questionnaires to us. Comments were positive about the home and are included in this report. Prior to the inspection the manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This tells us how the home think they are performing and gives us information about the home, staff and people who live there, improvements and plans for further improvements, which was taken into consideration. No immediate requirements were made at the time of this visit. This means that there was nothing urgent that needed to be done to make sure people stayed safe and well. What the service does well: Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 6 People are provided with current information about the service offered to enable them to make an informed decision about whether they would like to live at the home. They can visit the home to see if they would like to live there. People who use the service have access to a range of Health and Social care professionals and this ensures that any healthcare needs are met. People are offered a choice of meals, which meet any dietary, cultural needs or personal preferences. A range of activities is offered should people wish to join in as part of a meaningful lifestyle. The home creates a friendly and welcoming atmosphere where people can personalise their rooms to reflect preferences and tastes. Staff receive training to ensure that they have the knowledge and skills to perform competently within their roles and to meet the needs of the people who live in the home. A core group of staff is maintained which ensures that people know who will be assisting them to meet their needs. People living at the home are encouraged to voice their opinions and are actively involved in making decisions about the home and activities. Personal monies can be held safely by the home if requested. Maintenance checks are completed to ensure that equipment is in full working order and is safe to use. People told us: “I’m happy here, I knew I would be after a couple of days and I’m going to stop here” “There is a good range of activities that have been well thought out” “The food is lovely we get a choice” “Everything is ok here, I would talk to the manageress if I was unhappy” “It’s always like this in here, friendly, everyone talks to you”. “The home is staffed by a very conscientious team” What has improved since the last inspection? The activities programme has been developed to include trips outside of the home. This gives people the opportunity to maintain links with the community if they choose to. New furniture has been purchased for the quiet room and the lounge on the first floor has been redecorated. A number of new commodes have been purchased and new mattresses have been purchased for beds. These Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 7 improvements enhance the environment in which people live, making it pleasant. Sluice disinfectors have been installed so that staff can safely clean commode pots and minimise the risk of infection occurring. The recruitment of staff is robust so that people are protected from harm. 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 Care Centre DS0000024872.V366428.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 Care Centre DS0000024872.V366428.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 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information to enable them to make an informed decision about whether they would like to live at the home. Pre admission assessments ensure that people know their needs can be met prior to moving in. EVIDENCE: The organisation has produced a comprehensive service user guide and statement of purpose. The statement of purpose and service users guide was displayed in the reception area of the home, which ensures that the information is available to people if they choose to read it. The service users guide is also in each person’s bedroom. The documents can be made available on audiocassette so that people with visual impairments can access the information. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 10 The certificate of registration and public liability insurance are on display in the reception area of the home, which enables anyone to view these when visiting. A copy of the previous inspection report is available in reception for anyone to read if they choose to. Comprehensive pre admission assessments are undertaken prior to people coming to live at the home and this ensures that people are confident that their individual assessed needs can be met upon admission to the home. One assessment had not been signed or dated and did not state where the assessment had taken place. It is recommended that staff complete this to show that people’s needs were assessed prior to coming into the home. People who would like to come and live at the home and their relatives are able to visit the home. This means that people have the opportunity to sample what it would be like to live at the home, helping them to make an informed decision. One person who had lived at the home for approximately four weeks told us “I’m happy here, I knew I would be after a couple of days and I’m going to stop here”. The home does not offer intermediate care facilities. Oaklands Care Centre DS0000024872.V366428.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 adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not reflect the care required in all cases and this could result in omissions or inappropriate care being given to residents, which may result in distress and/or harm. EVIDENCE: Each person had a written care plan. This is an individualised plan about what the person is able to do independently and states what assistance is required from staff in order for the person to maintain their needs. We looked at three peoples care files in detail and one file was partly reviewed. Some care plans provided staff with good information about how to meet people needs and these included plans for diabetes and challenging behaviour. The plans included details of what to look for and how to resolve the concerns. Short-term care plans had been written for infections so that staff knew how to monitor the condition. A number of other plans however did not provide enough information for staff to fully understand how to meet peoples needs, for example: ‘moisturise skin appropriately’ and ‘toilet regularly’. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 12 One person had a terminal illness and had been seen by the GP for pain relief. The pain assessment had not been completed. The person had hearing loss; glaucoma and asthma but there were no plans in place to address these problems and so ensure that the person’s needs would be fully met. Personal hygiene plans for Afro Caribbean people did not mention any specific needs in relation to skin or hair care requirements. One person had requested not to be disturbed during the night but there was no risk assessment for how this should be managed safely. Some care plans for moving and handling provided staff with good details about how to get someone from the floor if they should fall but others were not clear. It was of concern that one person had an entry in their daily records regarding a course of antibiotics. There was no evidence to suggest that this person required antibiotics and following discussion with the manager it was discovered that this had been written in the wrong notes for a person who had a same first name. Good nutritional intake charts were kept, however there was some concern about daily records reflecting the intake of people to enable them to maintain good health. An example of this was an entry, which stated “refused lunch but took all other meals well”. The food record for that day showed that this person had not eaten at breakfast or lunch and had only eaten half a sandwich for the evening meal. This was brought to the manager’s attention on the day of the visit. Healthcare professionals including General Practitioners, social workers, chiropodists, community psychiatric nurses and the dentist visit the home to give advice for individual people as required. People can keep their own GP (If the GP is in agreement) or they can be registered with the visiting GP. People appeared to be well supported by staff to choose clothing appropriate for the time of year, which reflected individual cultural, gender and personal preferences. The management of medication was reviewed and people had identity photographs to minimise the risk of a drug error. Photocopies of prescriptions are kept and this enables staff to check that the correct drug has been received into the home as prescribed. Medication Administration Records (MAR) were signed when medication was administered and Controlled Drugs were appropriately stored and recorded. Eye drops and insulin were labelled with the date that they were opened and this ensures that they are discarded at the appropriate time in order to minimise the risk of cross infection. Fridge temperatures are recorded to ensure that medication is stored correctly and in line with its product licence. Medications audited were generally correct, with the exception of variable dosages not being recorded and this is recommended Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 13 so that the effects of the medication can be monitored. One person’s medications had not been signed for but the tablets had been removed from the blister pack. A line had been placed through the signature box and it was not clear if these had been administered or not. There is a payphone available in the home for people to use and people can have their own telephone line installed at an additional cost so that they can make and receive calls in private. There is a post box in reception for people to collect their mail from. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to exercise choice regarding the activities they participate in which promotes their individuality and independence. People are offered a choice of meals, which meet any dietary or cultural needs and preferences. EVIDENCE: The home has a dedicated activities coordinator who works Monday to Friday and an external activity person visits the home on Saturdays to assist people with their interests. There is a weekly activities programme, however the activity coordinator told us that that could be changed if people didn’t want to do what was on the programme. The activities included games, singalongs, chair exercises and arts and crafts. There have been a number of external visiting entertainers including singers and magicians. A local chemist visits the home so that people are able to look at items and make their own choices about purchasing these. There had recently been a trip for some people to Twycross Zoo and a trip to Cannon Hill Park was arranged. People are encouraged to go out of the home if they are able and people go to the local public house. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 15 People are able to have newspapers delivered and this enables them to continue to read articles that are of interest to them. A weekly church service is held and gospel singers visit the home. A nun visits every Friday and will give Holy Communion to those who want to participate in this. One person told us “There is a good range of activities that have been well thought out”. The home has an open visiting policy, which means that people can maintain the relationships that are important to them. Afternoon tea has been introduced on alternate Thursdays where relatives are encouraged to come to the home. A monthly newsletter is written and is produced in large print so that people know what is happening in the home. People were seen engaging in activities throughout the day and people were commenting that they were enjoying the music that was playing. A number of people participated in the church service during the afternoon. There is a four-week menu in place and this offers two hot choices at lunchtime and a choice of sandwiches or hot snack in the evening. The home has a number of residents who are Afro Caribbean and a Caribbean menu is also in place should people wish to choose from this menu. There are alternative choices such as salads and jacket potatoes if people prefer. Staff were observed assisting people at lunchtime and offering extra portions or alternatives. The tables were nicely presented and the atmosphere was unhurried and relaxed. People told us: “That tea was lovely” “The food is lovely we get a choice” “I like the soup” We received one comment on a questionnaire, which said “cooked meals at the weekend are not always up to standard”. This was discussed with the manager who told us that there was a vacancy for the weekend shift, which they were in the process of recruiting to. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. The complaints procedure is comprehensive and is accessible to people should they need to make a complaint. The home has policies, procedures and staff training, which should safeguard people from harm. EVIDENCE: The complaints procedure is displayed in the home and is included in the statement of purpose and service user guide so that people know how to make a complaint if they need to. The home had received four complaints since our last visit. These were documented clearly with details of the nature of the complaint, who had dealt with it, the date resolved and the outcomes and action taken. We had received one complaint, which had been referred back to the providers to investigate under their own complaints procedure. In the reception area is a ‘comments book’ where people can record any concerns that they have about the home, however no one had recorded any comments in here at the time of our visit. The questionnaires returned to us by people living in the home indicated that people had been informed about how to make a complaint if they needed to. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 17 One person spoken to said “Everything is ok here, I would talk to the manageress if I was unhappy”. The home had an adult protection policy in place and had the local multi agency guidelines to follow; this ensures that staff have guidelines to follow in the event of an allegation being made. There have been no allegations of an adult protection nature made at the home since our last visit. The training matrix showed that all but two staff had received training in the Protection Of Vulnerable Adults (POVA); some staff required an update and the manager confirmed that 12 staff were to attend this training. Staff spoken to were able to state the correct actions to take to ensure that people would be safeguarded from harm in the event of an allegation being made. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 18 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): 19,21,24,25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with a homely, clean and comfortable environment in which to live where their privacy is maintained. EVIDENCE: Access to the home is via a bell and a coded door and this ensures that staff know who is entering the building. The reception area is pleasantly decorated and has sofas, which were frequently used by people throughout the visit. The home has lounges and dining rooms situated on two of the three floors of the home and the third floor has bedrooms only. The lounge on the second floor had been decorated and plans were in place to decorate the ground floor lounge in the summer. A quiet room is located on the first floor. At our last visit we recommended that the chairs in this room were replaced, this had been done and provided people with a choice of sitting areas. One person who was using this room to complete a jigsaw said, “I like this room it’s pleasant”. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 19 There are a variety of assisted bathing facilities and showers to meet the needs and personal choices of the people living in the home. Following an infection control audit a second sluice machine had been installed into the home so that staff could safety clean commode pots and reduce the risk of infection in the home. The atmosphere in the home was friendly, calm and relaxed. People living at the home were engaging in conversation with each other and it was clear that they felt this was their home. One person said “It’s always like this in here, friendly, everyone talks to you”. We looked at the bedrooms of the people we case tracked and these were found to be personalised and reflected individual tastes, gender and cultural preferences. People are encouraged to bring in their own possessions in order to have familiar items around them to make their rooms as homely as possible. One room was found to have an unpleasant odour and the carpet was sticky, this was discussed with both the manager and the operations manager on the day and they stated that this would be replaced. Minutes from the residents meeting held in April stated that bedrooms were to be redecorated and that people should let the manager know what colour they would like their rooms. This enables people to voice their choices and live in an environment they choose. The garden area is accessible via a ramp for anyone who needs to use a wheelchair. There are seating areas and a range of raised flowerbeds, which a resident and her relative were seen tending to. The laundry area was tidy and measures were in place to minimise the potential risk of cross infection from soiled linen. The kitchen was clean and foods were dated and labelled so that they were discarded as required in order to minimise the risk of infection. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 20 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. This judgement has been made using available evidence including a visit to this service. People are supported by staff who receive training to ensure that they have the knowledge to meet individual needs. The recruitment procedure should protect people from harm. EVIDENCE: The home has two registered nurses and six care staff on duty throughout the morning, two registered nurses and five care staff throughout the afternoon/evening and one registered nurse and three care staff during the night. In addition to care staff the home has domestic, laundry, kitchen, maintenance and administrative staff to meet all the needs of the people living at the home. The home had kitchen staff vacancies but maintains a core group of care staff, which means that people know who will be assisting them to meet their needs. There are both male and female nurses and carers working at the home, which enables people to choose who they would like to help them to meet their needs. There are currently 85 of staff who have completed a National Vocational Qualification (NVQ) Level 2 in care and the remaining staff are working towards achieving this. This should ensure that the staff have the knowledge and skills to care for people individually and collectively. People told us: Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 21 “The home is staffed by a very conscientious team” “Staff are quite reasonable” “They are nice” Three staff files were reviewed and these were found to contain all the required information to ensure that people employed were deemed safe to work with vulnerable adults. The home has a training matrix and this showed ongoing training in pressure area care (sore skin), customer care, challenging behaviour, dementia awareness, bed rail safety, fire, food hygiene, health and safety, infection control and nutrition. The matrix clearly identified where staff required updates and the home has a training coordinator who provides training every Wednesday in relevant areas. The coordinator was also responsible for induction of new staff which included working nights to induct new night staff. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 22 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): 31,32,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who live there. EVIDENCE: The manager has been in post for a year and has become the Registered Manager of the home. She has numerous years’ experience of caring for older people and in management roles. She has achieved the Registered Managers Award and completes training courses as required. This should ensure that she has the knowledge to support staff and ensure the home is run in the best interests of the people who live there. Staff and resident/relative meetings are held and minutes of these were available for us to look at. The minutes showed that people’s opinions and Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 23 choices were sought and that ideas were acted upon. An example of this is that people living at the home had expressed a desire to have a pet, following further discussion it was decided that the home would have a cat, and people were waiting for the kittens to arrive. Senior managers visit the home and complete Regulation 26 visit reports which report on the quality of service being offered at the home. The organisation has a number of audits in place to monitor the service provided and had recently sent out customer satisfaction questionnaires, which were starting to be returned and would be collated into a report. Prior to the inspection the manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This tells us how the home think they are performing and gives us information about the home, staff and people who live there, improvements and plans for further improvements, which was taken into consideration. Individual records are maintained for people where the home holds personal monies. The balance of money was correct against the cash held in the safe and this should ensure that people’s money is held safely. Health and safety and maintenance checks had been undertaken in the home to ensure that the equipment was in safe and full working order. Staff receive fire drills to ensure that they have the knowledge to safeguard people in the event of a fire. Oaklands Care Centre DS0000024872.V366428.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 3 X 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X 3 3 2 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 3 3 X 3 X X 3 Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 12 (1) Requirement Care plans must provide sufficient information so that staff can assist people to meet all of their needs. Timescale for action 29/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP3 OP9 OP26 Good Practice Recommendations Documentation should be fully completed so that it can be determined who undertook assessments, when and where. Variable doses of medications should be recorded so that the effects can be monitored for the well being of people who live in the home. Action should be taken to remove any offensive odours so that a pleasant environment is provided for people to live in. Oaklands Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Care Centre DS0000024872.V366428.R01.S.doc Version 5.2 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. 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