Inspection on 05/09/07 for Oaklands Grange

This inspection was carried out on 5th September 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklands Grange 15/11/06

Oaklands Grange 11/01/06

Oaklands Grange 25/05/05

Oaklands Grange 17/11/04

Oaklands Grange 21/06/04

Oaklands Grange 04/03/04

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

CARE HOME ADULTS 18-65 Oaklands Grange 53 Seabank Road Wallasey Wirral CH45 7PA Lead Inspector Peter Cresswell Key Unannounced Inspection 5th September 2007 10:00 Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 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 Grange DS0000018921.V343525.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 Adults 18-65. 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 Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Grange Address 53 Seabank Road Wallasey Wirral CH45 7PA 0151 630 5804 F/P 0151 630 5804 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) Pinpoint Developments Limited Iris Pamela Carter Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 15 Adults (aged 18-64 years) with a mental disorder (excluding learning disability) may be accommodated and may from time to time include up to three persons with a mental disorder aged over 65 years, the total not to exceed 15. 15th November 2006 Date of last inspection Brief Description of the Service: Oaklands Grange provides care for adults who are experiencing mental health problems. The building is a three storey detached house on the main road between New Brighton and Seacombe, within half a mile of Liscard town centre. Shops, a post office and other community facilities are nearby and the riverfront at Egremont promenade is only a short walk away. Buses to New Brighton and Seacombe stop close by. Three bedrooms are shared and the remainder used for single occupancy. People living at Oaklands Grange have the use of a TV lounge, lounge/dining room and a rear garden. A small quiet room on the first floor can also be used for seeing visitors. The home has a ‘no smoking’ policy. There is space for car parking at the rear of the building. Fees at Oaklands Grange are £352.24 a week. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced site visit. During the visit the CSCI lead inspector was joined by an ‘expert by experience’, someone with direct experience of using care services. The expert talked in private to five of the people who live at Oaklands Grange. His findings are included in this report. The lead inspector toured the home, examined documents including care plans, medication records, fire safety records, staff recruitment and training. He also spoke to the manager, a member of staff, one of the owners, a relative and a number of the people who live in the home. The owners completed an Annual Quality Assurance Assessment (AQAA) as part of the inspection. The AQAA has to be sent to the Commission for Social Care Inspection each year and it includes a self assessment of how the service is performing. What the service does well: What has improved since the last inspection? What they could do better: Staff cannot start work under any circumstances unless POVA clearance has been received. The statement of purpose needs to be updated to fully describe what the home provides. Some minor improvements are needed to the medication system. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 6 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 Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. Quality in this outcome area is good. People are only admitted to the home if their needs have been properly assessed, ensuring that the service provided by the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection Oaklands Grange has become a ‘no smoking’ home. The people who live there can now only smoke outside of the building. The normal smoking area is in the back garden, where there is a small canopy on a garden building. This information is not yet included in the home’s Statement of Purpose, so it needs to be amended to clearly set out the new rules on smoking. It should also be amended to fully set out the existing policy of allowing residents to stay in Oaklands Grange after they reach the age of 65, as long as the home is able to meet their needs. If this is clearly set out in the statement there is no need to apply for variations to registration as set out in the statement at the moment. The opportunity should also be taken to bring the statement fully up to date, for instance by removing references to the National Care Standards Commission, which was replaced by the Commission for Social Care Inspection two years ago. One person had been admitted since the last inspection and a detailed assessment from Cheshire and Wirral NHS Trust was on file. This and the manager’s assessment had been used as the basis for the detailed care plan. Each resident has a contract but these have not yet been updated to reflect the home’s new smoke-free policy. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is good. Care plans are detailed and are reviewed regularly, ensuring that day to day care is based on up to date information. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As described in the previous section, there are detailed care plans, initially based on the assessment documents, for each person who lives at the home. The plans are reviewed regularly. Residents are encouraged to take part in the reviews with their keyworker and they normally sign the results of the review. The care plans are amended if any changes are decided, but as they are handwritten this is not especially straightforward. This process would be easier if records were kept on computer but Oaklands Grange still does not have one. Staff make daily reports – often quite detailed - on individual files. A shift handover/message book is used and staff take care to ensure that it does not contain any confidential information. Life at Oaklands Grange is very informal and the residents are involved in decisions about how the home is run on a day to day basis, including taking part in meetings. The manager said that meetings are held as and when residents ask for them and the home’s AQAA documentation stated that Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 10 ‘service user meetings are held on a regular basis’. However, there was only evidence of one such meeting this year. More regular meetings would help to strengthen the residents’ influence over the running of the home. The expert by experience reported that “residents’ meetings take place only every few months; they are not regular and most residents I spoke to seem to think that regular meetings would be helpful, perhaps once a month.” The expert by experience felt the fact that only two women lived at the home ‘seems to lead to some tensions and an imbalance’. The people who live in the home were consulted over its becoming smoke free and all those who spoke to the inspector – smokers included – supported the decision. However, there was no written evidence of the issue having been formally discussed, for instance at a residents’ meeting. Some people prefer to be accompanied by staff when they go out, and this is arranged, though one person did tell the expert by experience that they were not accompanied to appointments and would rather that they were. Appropriate risk assessments are on file. Residents sign a book to indicate if they are in or out of the home and when they are expected back; several did so during the site visit and they accept this as a sensible precaution. One told the expert by experience that they were ‘free to come and go as they wish, just needing to sign in and out’. One Community Psychiatric Nurse visited the home during the site visit and spoke briefly to the inspector. People told the expert by experience that they had good access to GPs and one mentioned having a visit from a CPN every week. Files are securely stored in the manager’s office, which is never left unattended unless it is locked. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. Daily routines in the home are relaxed and residents take part in everyday activities of their choice in the community. The meals in the home offer choice and variety for the residents, who enjoy the food provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at Oaklands Grange take part in a range of everyday activities in the local community, such as shopping and going to the pub. Staff support them in these when necessary though many are happy to go out alone or with friends. Weekend staffing does not normally allow for much support for residents who want to go out with a member of staff. Some people also attend day/drop-in centres and talked to the inspector about the activities they take part in. Some people choose to spend most of their time in the home and said that they are happy to do so. In the home they watch TV and films, and listen to music. Some of them like to watch football on the television but unfortunately there are few matches on mainstream television nowadays. There is a central programme of activities that everyone can join in if they want to do so. This includes local outings, bingo, walks, card games, arts and crafts and cooking. Pub lunches and walks with George the boxer dog remain Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 12 popular. There were some photographs of different outings and activities, including walks along the front and walking the dog. Most people go out on their own and several went out to day centres and drop in centres during the course of the site visit. Another said that he had been to the newsagents, where he had done some shopping for another resident. Other people talked about the things they do, including going to local drop-in centres or shops, visiting friends and relatives. One person is involved in a multi media workshop. Some residents told the expert by experience that ‘it would be good to have a pool table, table tennis table, something at the home for exercise, to have Sky TV – there are lots of football fans here’. They told the expert that they valued hairdressing by a member of staff and mentioned ‘knitting, bingo every Monday, reading, art, voluntary cleaning of bedroom’ as things they took part in. The people who spoke to the expert that the home arranged some day outings, though one would prefer to go on longer holidays with other residents. One felt it would help if there were more communal activities. People who have left the home still call in from time to time to see old friends and even on occasion stay for a meal. The manager said that they are always made welcome. Residents make decisions about their own personal lives and are supported in this by the manager and her staff. Families are encouraged to visit and are welcome at any time. They can see residents in their own rooms or in one of the three communal spaces. Several people visit their families and the home liaises with families over the residents’ welfare where this is appropriate. The inspector spoke to one relative on the phone during the site visit. Residents told the expert by experience that ‘the neighbours are all very friendly’ and ‘there is no discrimination in the neighbourhood’. In the AQAA the owners said that the home ‘has a robust equal opportunity policy.’ The inspector spoke to a relative of one of the residents, who said she was ‘very pleased’ with the care at Oaklands Grange, which she compared favourably to other establishments she had experience of. Most people get their own breakfast when they get up. The main meal of the day is served in the early evening – round about 5 p.m. – which most people say suits them, and anyone who wants to eat later can do so. Residents said that they can always have something else, though a formal choice is not always set out on the menu. The menu is usually displayed on a small blackboard in the dining room so everyone is aware of what is on offer for the day. Specialist diets are catered for and one person has a vegan diet. There is no longer a specialist cook in the home so care staff have to share this duty. The expert by experience reported that ‘most residents considered there was a good choice of meals’. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21. Quality in this outcome area is good. People’s physical and emotional needs are met. Medication is generally well organised, protecting the interests of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most people living in the home do not routinely need physical personal support but they are given any personal care that they need, including emotional support and encouragement through the home’s keyworker system. One person told the expert by experience that ‘staff members do all the cleaning and washing’, though in fact several do help out around the home. Residents have access to all community and specialist health services and most have Community Psychiatric Nurses (CPNs), one of whom visited the home during the site visit and briefly spoke to the inspector. Care plans and files include details of relevant health care professionals. The dispensing pharmacist provides each person’s medication in individual NOMAD cassettes. Medication was checked for a number of residents and was found to be accurately recorded other than one tablet which had not been recorded as having been administered. Staff need to take great care to accurately record all medication. The manager has put some information on the Medication Administration Record (MAR) sheet about when ‘PRN’ (‘as required’) medication is to be given. More detail about this would be helpful to Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 14 make sure that staff know the exact circumstances when the medication should be used (see paragraph 6.2.2 of the Royal Pharmaceutical Society’s Administration and Control of Medicines in Care Homes and Children’s Services). Where relatively large stocks of prescribed PRN medication are kept (e.g. Paracetamol) it was difficult to check that all of the tablets had been accounted for. This could easily be avoided by recording the number of tablets ‘carried over’ each month. Although most residents are younger adults (under 64), details of, for instance, their funeral wishes, if any, are kept on file. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. The home has satisfactory complaints and adult protection procedures to protect residents and enable them to make their views heard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oaklands Grange has appropriate complaints and adult abuse procedures. There have been no complaints or adult protection referrals since the last inspection. Staff have been trained in Safeguarding Adults. The expert by experience reported ‘a resident remarked that there was no abuse here, in contrast to previous homes.’ Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. The home provides clean, well furnished, homely accommodation that meets the needs of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was clean and tidy on the day of this unannounced site visit. Bedrooms are highly personalised in most cases and furniture is renewed on a rolling programme. Several beds had been replaced since the last inspection. The person who used to visit for respite and share a room with another resident no longer does so and that room is now for single use only. There is a vacant room at the moment and those people sharing rooms were given the opportunity to move into it but declined. It remains important that these choices are recorded in some detail and that residents are given the clear option of moving to a single room, rather than being asked if they ‘mind’ sharing. It is not proposed to use any more rooms for sharing. The expert by experience reported that ‘many residents I met have their own CD players, TVs, alarm clocks and radios in their room.’ The lounge/diner, which has French windows leading on to the garden, is the most popular room. The room has been redecorated and refurnished with a Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 17 new dining room suite and sofas. There is a new suite in the main TV room, which has also been re-carpeted and re-decorated. Many of the corridor walls display artwork produced by one of the residents. The kitchen has been completely re-fitted and has new cupboards, tiled floor and fridges and a five ring, double oven cooker. Residents use the kitchen to make snacks and drinks and were very pleased with the new kitchen. The old chest freezer is kept in an outside building and the lid still does not fit properly but the temperatures recorded are safe. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. Quality in this outcome area is adequate. The manager is supported by senior staff in providing leadership to the experienced staff group, providing stability and well-planned care to the residents. Training gives staff the skills to provide the care that residents need. This judgement has been made using available evidence including a visit to this service. Staff recruitment checks do not fully protect the residents. EVIDENCE: The staff team remains stable, and the manager is supported by two senior care assistants. Relationships between staff and residents are informal and relaxed. The cook has left so care staff have been given extra hours to do the cooking. The overall number of care hours meets the required standard but there is only one member of care staff on duty on Sundays. Two new members of staff have been employed since the previous inspection. The manager carries out the appropriate checks before new staff are allowed to start work. However, in one case a member of staff had started work two weeks before POVA clearance had been received. POVA is the Protection of Vulnerable Adults register. The manager said that during that period the member of staff had been accompanied at all times and the check when received was clear. The member of staff has turned out to be a valuable member of the team. However, it is not permitted under any circumstances to employ a member of staff to start before at least POVA First (fast tracked) clearance is received. Residents are not directly involved in the recruitment and interview process, Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 19 though new staff visit the home to meet them before their appointment is confirmed. Seven members of the care staff have NVQ2 or above and one has recently completed the course so the home meets the national standard of 50 staff qualified to NVQ2 level. Other recent training has included Mental Health and Safeguarding Adults. Other training is done by video. The owners said in the Annual Quality Assurance Assessment: ‘more specialist training is difficult to access. We have recently employed the services of an external training agency to teach about “mental health issues”. This was at great cost and was limited as to the amount of specific knowledge that was passed on.’ Induction training is recorded but should always be signed and dated. It would be easier to monitor the training if a training matrix was maintained. Staff are supervised every two months by the manager who records the sessions and also carries out staff appraisals. One person told the expert by experience that ‘the staff respond to how I want to be treated’. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42. Quality in this outcome area is good. The home is well managed, with records properly and safely kept, protecting the welfare of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is qualified and experienced. Residents told the expert by experience that she is ‘a good manager and all staff respond to her direction’. Quality assurance is managed informally via residents’ meetings and questionnaires. The Registered Person (the owner) visits the home regularly in accordance with Regulation 26 of the Care Homes Regulations 2001 and forwards reports of those visits to the Commission for Social Care Inspection. The manager uses surveys and questionnaires to gain the views of the residents as well as informal chats, contacts with key workers and residents’ meetings. In the AQAA the owner said that improvement in the quality assurance system was part of the improvement plan for the next twelve months. This could include a recognised QA tool. Fire safety checks and training were up to date and gas and electrical safety certificates were in place. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 21 Accidents are recorded properly but would be easier to monitor if the reports were filed centrally, with a note being kept on the individual’s file. The temperature of the fridge and freezers is checked every day and recorded. The manager has a copy of the Food Standard Agency’s programme Safer Food, Better Business and has prepared a schedule for implementing it. This programme enables homes to set up a system for monitoring and regulating their own food safety procedures. Oaklands Grange DS0000018921.V343525.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 Adults 18-65 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 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 X Oaklands Grange DS0000018921.V343525.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 YA1 Regulation 4 Requirement Timescale for action 01/11/07 2. YA34 19 The statement of purpose must be amended to reflect the services provided and must therefore be amended to include the following: * service users are no longer allowed to smoke in the building; * the existing policy of supporting residents over the age of 64 for as long as the service is able to meet their needs; * reference to the Commission for Social Care Inspection rather than the now defunct ‘National Care Standards Commission’. The registered person must not 05/09/07 employ a person to work at the care home unless they are fit to work at the home. In particular, the registered person must ensure that every new employee has received Protection of Vulnerable Adults (POVA) clearance before they start work. Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 24 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. Refer to Standard YA8 YA20 Good Practice Recommendations Residents should be consulted as to whether they would like residents’ meetings to be held more regularly. Care plans should include full details of the circumstances in which PRN (as required) medication should be administered. Staff should be reminded of the importance of accurately and promptly recording the administration of all medication. It would be helpful if a dedicated cook was employed. 3. YA33 Oaklands Grange DS0000018921.V343525.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Merseyside Area Office 2nd Floor, South Wing Burlington House Crosby Road North Waterloo L22 0LG 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 Grange DS0000018921.V343525.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. 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