Inspection on 19/01/07 for Oaklands Care Home

This inspection was carried out on 19th January 2007.

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

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

Other inspections for this house

Oaklands Care Home 28/09/07

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

CARE HOMES FOR OLDER PEOPLE Oaklands Care Home Weston Lane Oswestry Shropshire SY11 2BQ Lead Inspector Karen Powell Key Unannounced Inspection 19th January 2007 10:15 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 Home DS0000068187.V320050.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 Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Care Home Address Weston Lane Oswestry Shropshire SY11 2BQ 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) 07966 392252 Sure Care (UK) Ltd *** Post Vacant *** Care Home 18 Category(ies) of Dementia - over 65 years of age (18) registration, with number of places Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Oakland’s is a service designed to meet the needs of eighteen frail elderly people, particularly those suffering from mental disorder, generally dementia. The home is situated in a quiet residential area within easy reach of the centre of Oswestry with gardens at the rear for use by service users. The home is owned by Sure Care (UK) Ltd. The post of manager is currently vacant and one of the senior carers who is experienced and qualified is currently managing the home with the support of a manager from another service owned by the company and the owners who regularly visit the home. There is also a qualified nurse who also works at another Sure Care home who lives in the flat above the home and is available to support the senior carer if required. The post of manager is to be recruited to in the near future. The accommodation is an adapted large family house, perhaps not ideally suited for its purpose it has a mixture of single and double rooms on two floors, appropriate aids and adaptations have been installed to meet individual needs of the service users. Access to the first floor for those who cannot use the stairs is provided by a stair lift. The home is situated in the town of Oswestry. There is a railway station three miles away at Gobowen, which links to all main lines. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of this service, which was registered on 22nd August 2006 with the Commission for Social Care Inspection. It was an unannounced key inspection. One inspector carried out the visit, which lasted four and a half hours. It included talking with the new providers, the person in charge Carol Thompson, service users and members of staff on duty along with case tracking service users, observing work practices, looking at a number of records and a tour of the home. The new providers acknowledge that there are significant improvements required to improve this service and already in the short time under new ownership are demonstrating their commitment to do this. This report will therefore show a number of shortfalls, however this is expected to improve as the developments for the home continue to be implemented. All 22 key national minimum standards for older people were assessed and in addition standards 1, 7 & 37 and a quality rating provided based on each outcome area for service users. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The service users, Carol Thompson and staff on duty were welcoming and cooperated fully throughout the inspection. What the service does well: What has improved since the last inspection? This is a new registration and this is the first inspection. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Prospective service users and their representatives have the information needed to choose a home, which will meet their needs. There is a clear assessment process in place. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On arrival at the home it was seen that there is an up to date copy of the statement of purpose, last inspection report and the homes policies and procedures handbook in the hallway. Written information in the form of a service user guide is given to service users upon admission to the home. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 9 All service users are assessed by an appropriately qualified person prior to moving into the home. Discussion with the person in charge and examination of the newest service user file confirmed this had taken place before the admission. The family involved had visited the home prior to the admission to look around on behalf of their relative. The home will not accept anyone without an assessment having been undertaken to ensure that they can meet the needs of the person concerned through the service they deliver as detailed in the statement of purpose. The individual concerned had been supported through the local authority care management arrangements and an assessment from the social worker had been obtained. Oaklands Care Home DS0000068187.V320050.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 The health and personal care, which a service user receives, is based on their individual needs. Generally the principles of respect, dignity and privacy are put into practice. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The person in charge acknowledged that care plans are in need of some developmental work to improve the existing documentation the home uses. Not all service users have a plan of care in place. The newest service user who was admitted for respite did not have a plan of care. This was discussed with the person in charge and confirmed that irrespective of the type of placement all individuals must have a care plan, which sets out in detail their care needs and how those needs are to be met by staff delivering their care. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 11 Those care plans seen did not reflect some of the good care practices taking place at the home, examples were given to Carol Thompson during discussion. Care plans had not been reviewed on a regular basis or up dated where necessary. It was observed during the inspection that service users do have access to health care professionals. The home accessed information from the district nurses regarding stroke awareness information when it was required at the home. One service users was visited by their GP and the consultation was seen to take place in the service users bedroom. Discussion regarding one service user revealed that they are visited by the community mental health services. The home or service users family can arrange access to dental, chiropody and optical services. The home works to an efficient medication policy. Some care staff have completed a medication awareness course at Boots chemist. It was stated by Carol Thompson that two further staff are due to complete the next course in the near future. Advice is sought from the pharmacist at Church Street pharmacy. The home operates the monitored dosage system. One service users medication was audited as part of the medication standard. Medication administration records were seen to be satisfactory. Storage is not ideal and currently takes place in a cupboard within the kitchen. Items identified at the inspection such as wage packets, personal belongings should not be stored in the medication cabinet. The person in charge informed the inspector that it is likely that a drugs trolley is going to be acquired in the near future. Controlled drugs administration was satisfactory. However, storage was not in appropriate facilities, recording was satisfactory but it was not being recorded in a record that meets the required standards. Staff are aware of the need to treat service users with respect and to consider dignity when delivering personal care. Observations of one carer feeding a service user in their bedroom were seen to be sensitive and considerate in the given circumstances. Personal care was being delivered in service users own bedrooms. The use of protecting service users clothing at meal times with blue plastic aprons provided for staff as protective clothing should cease as this is considered to compromise individuals dignity. Alternative forms of protection should be explored for service users. Oaklands Care Home DS0000068187.V320050.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 Social activities are available to service users and take into account personal choices. Service users are encouraged to keep in contact with family and friends. Service users receive a healthy, varied diet according to their assessed requirement and choice. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff encourage service users to share with them any past interests/hobbies/activities that they enjoy. Where this information is not possible to be gained from the service user the staff will discuss with relatives. A record for each service user is kept to capture activities that they have taken part in and whether they have enjoyed it. This helps staff to plan activities tailored to individual choice and preference. A variety of activities were recorded. Additional time has been built into the staff rota, which now gives staff designated time in the afternoon for activities to take place. Observations Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 13 on the day of the inspection were made of staff encouraging a sing a long session and dance for service users who are more able. After the session service users were heard singing as they wondered around the home. One staff member told the inspector that they recently played a tape of the Welsh male voice choir for one service user whose first language is Welsh they were heard to sing along to the tape in their native language. Service users are encouraged to maintain contact with their relatives and friends. One service user had a visitor during the inspection. Relatives are able to stay with their loved one if they are poorly and are provided with a ‘roll away’ bed if they wish to stay over night. Due to the nature of the service user group living at the home most service users are unable to deal with their own finances. Where it is not possible for service users to manage their own finances the home will support those service users who need help in financial matters. Staff work to a clear robust policy that protects service users from financial abuse and there is clear guidance, which the acting manager follows. An audit on one service user’s money and records was undertaken all aspects of the process were found to be satisfactory. Service users are encouraged to bring personal belongings with them when they move into the home. Those rooms seen were personalised and individual. Service users are given a healthy diet. Discussions with the cook regarding specialist diets demonstrated a good understanding of service user assessed needs with regard to special diets and individual likes and dislikes. The lunch time meal was observed and care staff were seen to be sensitive to those service users who find it difficult to eat independently. The meal was not hurried and staff gave service users time to enjoy their meal. Service users spoken to said they enjoyed their lunch. Tables were set appropriately and included condiments for service users to help themselves, promoting independence. Drinks were seen to be offered to service users during the inspection at appropriate intervals. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 There is a clear and accessible complaints procedure in place. Services users are protected from abuse by clear policies and procedures, staff training in the topic of adult protection is in need of updating. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear complaints procedure in place, which is displayed in the hallway at the front of the home. This is also published in the written information about the home. The details of the previous provider must be removed from this document and replaced with the new provider details. It was stated by Carol Thompson that there have been no complaints since the last inspection. There have been no complaints to the Commission for Social Care Inspection. Clear policies and procedures are in place regarding adult protection. The training files of two staff were examined during the inspection process. One was of a new recruit to the staff team and the second was of a long standing employee. There was no evidence on either file to demonstrate that adult Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 15 protection training had been undertaken. It was stated by Carol Thompson that adult protection training is to be arranged to take place from May 2007 onwards for all staff who require it. There have been no referrals to the adult protection team regarding allegations of abuse. Staff are aware of when to report issues and who to report concerns to. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 16 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 An ongoing refurbishment programme has been implemented and improvements to the environment can be seen. The home is clean and staff follow clear infection control guidance. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are a number of environmental issues throughout the home where decoration and refurbishment is required. The new providers fully acknowledge this and have a planned programme of refurbishment. Since taking ownership good progress has been demonstrated in the commitment to improve the Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 17 quality of the environment in which service users live. Four bedrooms have been re decorated and one bedroom re carpeted. There are plans to re furbish all bedrooms and bathrooms. Ten new beds are on order to replace existing worn beds. New bed linen has been purchased and was seen to be in use. The home has a no smoking policy and those service users who wish to smoke may do so in the conservatory at the rear of the home. The appointment of a handy person three days a week has had a good impact on addressing general maintenance issues. The use of a book to record work that needs to be undertaken was seen to be working well. Work is acted upon quickly and efficiently. The laundry is sited upstairs and is equipped for the needs of the home. A sluice has been installed on the first floor. There is a clear procedure for dealing with soiled linen. Clinical waste bins have been acquired and there is a contract for disposal of clinical waste. COSHH risk assessments were completed. During a tour of the home a number of containers of bleach were seen on the floor in the pantry, these should be stored away securely. Since the new providers have taken ownership of the home there has been an appointment of a housekeeper/domestic staff member who is employed four days per week. All areas of the home were found to be clean and tidy. The appointment of this individual ensures care staff are employed to the role of caring allowing them to devote their time to caring duties. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The home does not currently have sufficient NVQ trained staff to meet national minimum standard ratios that are expected. Mandatory training is being rolled out on a planned basis to all staff. The recruitment process is applied to staff appointed at the home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is pleasing to see that there has been designated time for activities to be carried out with the service users. One staff member commented that it is good to be able to spend some quality time with the service users. Also noted is the appointment of a housekeeper to the home. Rotas examined for the month of December 2006 and January 2007 showed that on five mornings 24th, 25th, 26th, 28th and 29th in December two mornings in January the 7th and 11th staffing levels fell below safe and acceptable to Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 19 deliver care to service users. This is not acceptable for the number and assessed needs of service users living at the home. Discussion with Carol Thompson confirmed the number of staff who are NVQ qualified falls below national minimum standards. There are currently three staff that hold NVQ certificates, two are undertaking NVQ training and it was stated that two are expected to enrol for training. Planned training in moving and handling is scheduled for 12th and 21st of January. Four staff have undertaken medication training provided by Boots and a further course is being arranged for two other care staff. A dementia training course has been arranged for three staff to attend on 6th February. All senior staff have attended infection control training. Other training courses planned but dates to be arranged are first aid, food hygiene and adult protection training. The file of the newest recruit was examined to monitor the recruitment process. This was seen to contain all necessary pre employment checks with the exception of two references which the person in charge explained that they were possibly at the organisations other home due to the individual concerned working between the two homes. This practice should be reviewed so that this information is available for inspection at all times. Similarly there was no evidence that this individual had completed induction training, it was thought by the person in charge that induction training was carried out at the organisations other service. Once again the home must be able to demonstrate that induction training linked to the skills for care council has been completed. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. There is no registered manager of the service, however a senior member of staff is currently in charge of the home with an adequate support network in place to manage the home efficiently. There is an annual development plan for the home based on planning and review of the service. Matters pertaining to the health, safety and welfare of service users is satisfactory. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 21 EVIDENCE: The post of manager is currently vacant. The person in charge is Carol Thompson. Carol has a number of year’s experience of working in the care sector and worked at the home under previous ownership in a senior role. Carol is currently supported by the new owners on a regular basis. In addition to this support she is supported by the registered manager of one of the other group homes, which is local to Oakland’s. There is also a nurse who lives on site and if required can be contacted for support. On the day of the inspection the new owners made themselves available to meet the inspector to discuss the overall progress and future development plans for Oakland’s. it was evident that the person in charge has been included in discussions about planning and future development of the service. The registered provider has carried out an independent visit to the service under regulation 26 on 23rd January 2007. A copy of the report of the visit has been sent to CSCI. The home is keen to work closely with service users family and professionals. Carol Thompson has undertaken supervision of all staff and acknowledged will be carried out at required intervals. Most service users living at the home have assistance to manage their finances. An audit of one service users money kept in safe keeping was found to be satisfactory. All matters pertaining to the health, safety and welfare of service users was found to be satisfactory with the exception of bleach, which was not being stored correctly. Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x 2 2 Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 23 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 15(1) (2) (a) (b) (c) (d) 13 (2) Requirement All service users must have a care plan which must be reviewed monthly or when necessary. Controlled drugs must be stored in accordance with the The Misuse of Drugs Act 1971 and subsequent Regulations (Safe Custody) 1973 and 1985 Controlled drugs must be recorded in a controlled drugs hardbound book, which is page, numbered. Service users dignity must be maintained at all times and an alternative form of protection for clothing at meal times must be used. Adult protection training must be undertaken by all new staff and those staff who require refresher training. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service usersensure that at all times suitably qualified, competent and DS0000068187.V320050.R01.S.doc Timescale for action 19/04/07 2 OP9 19/04/07 3 OP9 13 (2) 19/02/07 4 OP10 12 (4) (a) 19/04/07 5 OP18 13 (6) 18 (1)(a) 18(1)(a) 19/04/07 6 OP27 20/01/07 Oaklands Care Home Version 5.2 Page 24 7 OP28 18(1)(a) 8 9 OP31 OP37 8(1)(a)(b) (2)(a)(b) 17 (1)(2)(3)( 4) 13(4)(a) 10 OP38 experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service usersensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. A person must be appointed to manage the home. Records required for regulation must be made available for inspection at all times. This includes references and training records. All chemicals used at the home must be stored appropriately and not pose a risk to service users 19/04/07 19/03/07 19/03/07 19/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oaklands Care Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Home DS0000068187.V320050.R01.S.doc Version 5.2 Page 26 - 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!