Inspection on 12/04/07 for Oaklands House Nursing Home

This inspection was carried out on 12th April 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 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

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

CARE HOMES FOR OLDER PEOPLE Oaklands House Nursing Home Allington Lane West End Southampton Hampshire SO30 3HP Lead Inspector Pat Griffiths Unannounced Inspection 12th April 2007 09:30 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 House Nursing Home DS0000068657.V334691.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 House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands House Nursing Home Address Allington Lane West End Southampton Hampshire SO30 3HP 02380 472581 02380 471272 oaklands@oldercare.co.uk 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) London Residential Healthcare Ltd Mrs Anne McCulloch Care Home 54 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (54), Mental disorder, excluding learning of places disability or dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (54) Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection N/A Brief Description of the Service: Oaklands House Nursing Home is a registered care home providing personal and nursing care, with accommodation for 54 residents of both sexes over the age of sixty-five who may have dementia or a mental health condition. The home is a large detached house, with a large garden and parking area at the front of the house. Accommodation is provided on two floors, which are accessed by stairs and a passenger lift. The home has 5 double bedrooms and 44 singles, all are en-suite with their own sink and lavatory, with bathrooms on each floor. There are two sitting rooms, a dining room and smoking room off the courtyard garden. The home is owned by LHR Homes and is situated in a semi rural location in West End, on the outskirts of Southampton and is easily accessible from the motorway. The current weekly fees for the home are £520 - £700, depending on the assessed care needs of the resident. Hairdressing, newspapers and toiletries are paid for separately. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 12th April 2007. All key standards were examined and the visit included a tour of the home, looking at areas such as bedrooms, communal/shared areas and the home’s kitchen and laundry as well as the garden. Documents and records were examined and staff working practices were observed where this was possible without being intrusive. Residents, visitors and staff were spoken to in order to obtain their views of the service that the home provides. Visitors that spoke to the inspector were very positive about the care their relatives received. The home’s manager was present throughout the visit, the provider was present for some of the day, and both were available to provide assistance and information when required. Other information included in this report is obtained from sources such as a pre-inspection questionnaire completed by the manager, completed survey forms and information that the commission has received since the home was registered in December 2006, such as notices received about incidents that have occurred in the home. What the service does well: What has improved since the last inspection? Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 6 This is the first inspection of this home since registration in December 2006. 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 House Nursing Home DS0000068657.V334691.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 House Nursing Home DS0000068657.V334691.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive pre-admission assessment is completed before a placement is offered, to ensure that all needs can be met. EVIDENCE: The home has recently changed owners and senior management team. The registered manager and staff in the home remain unchanged. The Statement of Purpose and Service Users Guides that have been supplied by the new owners contain the name of another home and do not indicate the care and services available at Oaklands House, the manager said that amended copies with the correct name of the home would be available by the end of April. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 9 All pre-admission assessments are completed by the manager, who demonstrated that she is aware of the importance of assessing the level of care required by potential residents before they move into the home. The files for three recently admitted residents were examined. Each contained a comprehensive assessment, which had been completed prior to admission. The manager said that prospective residents are often unable to visit the home, but this is usually done by friends or relatives, who then advise the potential resident about the home or decide on their behalf. The pre-admission assessments identified personal and social needs as well as health and nursing care needs. Areas that had been assessed included personal care, social, religious and cultural needs, and dietary likes and dislikes, mobility, sight and hearing. The home does not provide intermediate care Oaklands House Nursing Home DS0000068657.V334691.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have individual plans of care and their health care needs are met. Good practices ensure safe medication administration. Staff training ensures that the residents’ rights to privacy, dignity and respect are upheld. EVIDENCE: The inspector looked at three care plans and found that the pre-admission assessments were complemented by more thorough and comprehensive assessments of the resident’s needs when they actually moved into the home. Following admission, re-assessments are completed after 48 hours and 72 hours in the home, which ensures the care plans will meet the needs of the resident. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 11 The care plan contained assessments and evaluations such as risk assessments, manual handling needs, nutrition and skincare. The need for bedrails on beds, footrests on wheelchairs and the ability to use the call bell system had also been assessed and the results used within the care plans. Areas of physical risk had been identified, with guidance for staff to follow to minimise the risk, such as using a Zimmer frame to walk around the home. These assessments gave staff guidance on each person’s abilities and needs and formed the basis of the care plan. The likes and dislike of the residents had been identified, such as what time they like to get up or go to bed, what they like for breakfast and where they would like to eat it. The plans set out clearly the actions staff had to take and what specialist equipment was needed to provide the support and assistance each person required. The plans for care during the night included details such as “if awake at 2am would like a cup of tea”. Observation and discussion with some of the residents concerned confirmed that individuals received the help they needed and that the equipment was in place as set out in their plans of care. The manager said that few of the residents were involved in developing or reviewing their care plans, but several relatives were keen to be involved in developing the plans and agreed with their contents. The manager said that the residents are registered with a local doctors surgery, who visit the residents when required. Other visiting healthcare professionals include the local community dentist, optician and the chiropodist. There is space within the care plans for the visiting healthcare professional visits to be recorded, along with any changes in treatment or medication that has been arranged. All nursing and care staff spoken to were aware of the contents of the care plans and the assistance that the people concerned required. The home had received new written policies and procedures from LHR when they acquired the home, but the policies and procedures concerned with the management and administration of medication were out of date and did not include the changes in legislation regarding the disposal of unused medication in nursing homes. Information regarding these changes in procedure had previously been provided by the manager and was available in the Medication Administration folder. All medication in the home is administered by qualified nurses. During the visit the inspector observed the deputy manager supervising an ‘adaptation nurse’ doing the medication round, this is part of the training they undertake to become registered nurses in the UK. The manager telephoned the inspector the day after the visit and confirmed that all of the homes policies and procedures were being reviewed by staff at head office and will be updated to reflect current legislation and good practice and would be available in the home by the end of the month. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 12 A range of reference materials about medication, such as the British National Formulary and the Nurses and Midwives Council Guidelines for Medication Administration, were available for the staff. Medication is kept in two locked and secured medicine trolleys and metal wall cupboards and where required in a medical refrigerator. Controlled drugs, if required, are stored securely and in an appropriate locked cabinet. Medicines were dispensed from ‘blister packs’, prepared and provided by the local pharmacy, and the registered nurses are responsible for the management and administration of medication. The records for the ordering, receipt, administration and the disposal of medicines were seen to be accurate and up to date. The home has a list of ‘homely remedies’, which is a list of medications that can be administered to residents which have not been prescribed by the doctor, such as paracetamol or cough linctus. The list is signed by the doctor, giving the staff permission to give these medications and under what circumstances. The staff were observed throughout the inspection knocking on doors and waiting for permission to enter. The bedroom doors have locks fitted and are kept locked during the day to stop residents wandering into rooms and disturbing other peoples clothes or possessions. If the residents wish to access their rooms they ask staff to let them in, few of the residents have or want to have keys to their rooms. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current arrangements do not always ensure that there are a variety of activities available for the residents, the home has an open visiting policy. Residents are encouraged to exercise control over their lives. Arrangements ensure contact is maintained with family and friends and a wholesome and balanced diet is available. EVIDENCE: Oaklands House is an established care home that provides nursing care for 54 residents who may have dementia or a mental disorder, on the day of the visit there were 36 people living in the home. The manager said that currently there is no activities organiser in the home but a suitable candidate had been interviewed and was going to start work in the home in May. The activities currently available are musical afternoons, when visiting musicians play the piano, the guitar or organise ‘sing-alongs’ with musical instruments being used by the residents. An art therapist visits weekly and works with the residents Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 14 individually or in small groups. The home has ‘themed menu’ days, such as St Patrick’s Day, Bastille Day and Independence Day and the art therapist helps the residents to make the appropriate decorations for the dining room. One visitor in the home spoke to the inspector and said that the home had an open visiting policy and she was able to visit her relative at times that were convenient for her. The home has a small bus with wheelchair access so that residents, who are able to and want to, can get out and about, to the local garden centre, Country Park and to hospital appointments. The manager said that some people have been for a trip on the ‘Alison McGregor’, a boat in Southampton which is run by a charity and able to take wheelchairs. Local clergy visit the home monthly and the manager said that they are happy to visit more often if requested. Last summer a fete was held in the garden and funds were raised to pay for a plasma television screen, which is on the wall in one corner of the large sitting room. Residents that were able to talk to the inspector said they felt that they were able to make choices, such as what to wear each day, what time they got up or went to bed or how to spend their time, and that staff were available to help if necessary. Staff confirmed that some residents always got up early and got dressed and had their breakfast in the dining room, while others got up later after having breakfast in their bedrooms. Some residents choose to take all their meals in their rooms as they do not like the noise and bustle of the dining room at meal times. All residents spoken to said that the food provided by the home was good and that they could choose the size of the portions they had. The menu for the day was seen written up on a ‘white board’ in the dining room, indicating the choices available, lunch on the day of the visit was chicken curry or casserole and a variety of vegetables. Information about the needs of service users with specific dietary requirements was readily available in the kitchen e.g. diabetic, soft, chopped up, etc. Pureed meals were provided with all their constituents prepared separately ensuring that their appearance was attractive. Menus that were seen indicated that there was a variety of meals available. The cooks told the inspector that they plan the menus and purchase the food for the home, the likes and dislike of the residents are known and are catered for. The meat, fruit and vegetables are purchased locally and delivered several times a week, ensuring they are fresh. There is always one cook on duty at all meals, as well as a kitchen assistant. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, enabling residents, relatives and staff to make complaints should they wish. Staff training in adult protection promotes the safety of the residents. EVIDENCE: The home has a complaints policy in place, details of which are available for staff, residents and their visitors. The home has a complaints log, which is kept locked away to maintain confidentiality, should anyone make a complaint. The manager said that the home has policies and procedures in place regarding adult protection and they have an up to date copy of the local authority adult protection policy, which is available for staff to read. Staff training in adult protection and abuse awareness is undertaken in the induction period for all staff and is on-going throughout the year. Staff completed adult protection training last November and another training session is booked for April. Discussions with staff indicated that they were aware of different types of abuse and who to report any suspicions to. Oaklands House Nursing Home DS0000068657.V334691.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment was safe and well maintained. There are infection control policies and procedures in place and staff practice ensured that as far was reasonably possible residents were protected from the risk of infection. EVIDENCE: The inspector was able to tour the home and see the kitchen, laundry, communal areas and some of the bedrooms. The home has a small ‘quiet’ sitting room and a large sitting room which has access to a courtyard garden, where a small smoking room is being built for the residents that like to smoke. There is also a large dining room, with large windows overlooking the garden. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 17 On the day of the visit the home was seen to be clean and tidy, with no unpleasant odours. The nursing and care staff in the home are supported by ancillary staff, such as housekeepers, cleaners, laundry and kitchen staff. The manager said that the maintenance man is at the home every day and undertakes small repairs and decorating tasks as well as running errands and driving the bus for the residents. The new owner was present during part of the inspection and explained that the home was being refurbished, with new chairs, curtains and carpets being fitted. Bedrooms are being fitted gradually with colour-matching curtains, bedspreads and armchairs, which can be changed to accommodate the tastes of the people moving in to the rooms. The home is going to be decorated inside and out and the car park is to be resurfaced and have lighting fitted. All bedrooms in the home are en-suite with a sink and lavatory and there are bathrooms on each floor. The manager said that the bathrooms are also going to be refurbished and will be tiled and decorated to look colourful and homely, and an ‘assisted’ bath will also installed. The bedrooms seen by the inspector looked light and airy and had been personalised by the residents and their families, with small pieces of furniture, pictures and ornaments. The laundry has sufficient washing machines and dryers and is accessed from the corridor near the kitchen, the dirty linen is not taken through the kitchen or food preparation areas, but is taken through the dining room when it is empty. There are shelves and baskets where the clean clothes are kept until returned to their owners. The manager said that a new tiled splash back would be fitted at the hand washing sink, currently there is nothing in place to protect the wall from water damage. The manager said that the cleaning staff are in the home every day, and all of the bedrooms and communal areas of the home are cleaned during the course of the day. The cook showed the inspector the kitchen and storage areas and discussed the menu and the choices that were available. The kitchen was busy but looked clean and tidy. The cook said that they are using the ‘Safer food, better business’ documentation in the kitchen, which is used to record daily temperatures of the fridges, freezers and cooked food as well as the ‘cleaning diary’ for the kitchen. The kitchen is also due to be refurbished with new wall tiles and ‘splash backs’ behind the sinks. The cook said that they had recently been inspected by an Environmental Health Officer and received a satisfactory report. The large front garden has level access and there are several sitting areas around the lawn, the manager said that residents do not go out into this garden without a member of staff as it is near the main road. All external doors in the home have keypad access, part of the refurbishment includes a reception area that will become the only entrance to the home and access will gained by ringing the bell. The home has policies and procedures in place regarding infection control and suitable equipment such as disposable gloves and aprons were supplied Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 18 throughout the home and staff were seen using them when required. Staff have received training in infection control and on control of substances hazardous to health [COSHH], and communal toilets were seen to have liquid soap and paper towels, with disinfecting hand gel available at the front door. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was an appropriate and satisfactory level and mix of staff that ensured the needs of residents were met. The home had clear staff recruitment, training and development practices that ensured that service users were protected and supported EVIDENCE: The total number of staff employed to work in the home at the time of the fieldwork visit was 36, this included 11 registered nurses and 15 health care assistants, several of the staff are overseas nurses doing adaptation training to become registered nurses in this country and their experience and qualifications are deemed equivalent to NVQ level 3 in care by the home, there was no recorded evidence available to support this decision. The manager said that thirty percent of the staff have an NVQ at level 2 in care, or equivalent, and three more carers have started the training course. The national expectation is that at least 50 of all care staff in a home will have an NVQ at level 2 or above. The staffing duty roster indicates that there are always two trained nurses on duty during the day and one at night. They are supported by five care assistants during the day and three at night. Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 20 Apart from registered nurses and health care assistants the home employed other staff and this includes – Administrator Kitchen assistant Housekeeper Cleaners Laundry assistant Cooks Maintenance personnel An activities organiser is due to start work in the home in May Comments from residents and relatives (including the views expressed in survey forms) indicated that the staffing levels in the home were sufficient and they had confidence in the abilities and competence of the staff to meet their needs. Comments from residents and relatives included the following: “ Carers are kind and friendly to Mum, Dad and I when we visit – all the staff know him by name – they say he’s like their granddad and treat him as such” “My granddad has been at Oaklands for a short time – we feel the care and support given to him and ourselves has been excellent” “My sister seems happy and is well looked after” “I think that they treat their residents with dignity” “Her day to day physical care is good – the nursing staff seem to be appropriately qualified, but not all have elderly care or mental health experience. Care staff have been in the home for some time, so have built up experience. I do know that training is provided” Records were examined of three staff that had recently been employed to work in the home. All statutorily required information and checks had been obtained and conducted before they had started work in the home. The manager confirmed that the registered nurses that are employed in the home have had their professional registrations checked with the Nursing and Midwifery Council [NMC]. All new staff received comprehensive in-house induction. The manager said that the health care assistants are not currently undertaking a training programme to meet the requirements of the training body for the social care workforce i.e. Skills for Care, but that she would be obtaining the training package for them. Training that has been completed includes Health and Safety, Moving and Handling and Adult abuse. Several of the staff have also undertaken training with the Alzheimer’s Society, which is to improve staff Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 21 understanding of dementia care. Further training will be completed during the year. The manager said that staff training needs were identified through appraisals and individual supervision sessions and further training arranged for this year includes Food Hygiene, Infection Control and ‘effective communication’. Oaklands House Nursing Home DS0000068657.V334691.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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s manager provided effective leadership. There were systems and procedures in place for monitoring and maintaining the quality of the service provided and promoting the safety and welfare of everyone living and working in the home. EVIDENCE: The home’s manager is a registered nurse and was in post before the change of ownership. She has had many years experience managing care homes in Scotland and in England. As a result of discussions with the manager and also from observing her in conversation with staff, relatives and residents, she Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 23 presented as knowledgeable, pro-active, open and enthusiastic, sensitive to the needs of both residents and staff and concerned with the quality of the service the home provided. A comment from a relative indicated “ The home is well run and we have no worries or complaints” The home had a large number of comprehensive policies and procedures, which are available and accessible to the staff, but were out of date and had not been updated to reflect changes in legislation or current good practice. The manager said that they would be reviewed, amended and made available to the staff by the end of the month. The home does not look after money for or on behalf of any of the residents. Records examined indicated that the home’s equipment, plant and systems were checked and serviced or implemented at appropriate intervals i.e. passenger lift and hoists; boilers; fire safety equipment alarms, emergency lighting; and portable electrical equipment. There were contracts in place for the disposal of clinical and household waste and pest control. Records indicated that staff attended regular and compulsory fire and other health and safety training and the home’s fire alarm system was checked regularly. There was a fire risk assessment for the premises and regular risk assessments of the premises were undertaken. Oaklands House Nursing Home DS0000068657.V334691.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 X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 X 3 X X 3 Oaklands House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 House Nursing Home DS0000068657.V334691.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 House Nursing Home DS0000068657.V334691.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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