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Inspection on 08/08/05 for Oaklands House Residential Home

Also see our care home review for Oaklands House Residential Home for more information

This inspection was carried out on 8th August 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are clearly looked after by a committed team of staff. Comments from residents included "having to give up your own home is hard, but to be cared for by such a wonderful staff team makes up for it." Other residents said that they very much welcomed the privacy afforded to them and that their wish to undertake their own personal care was respected. Staff are seen to be very helpful and "are wonderful" "they can`t do enough for you." The environment supports residents` wishes to retain their independence for as long as possible. Rails and a mobile hoist are provided to help residents use their own en suite facilities and rails are also available to support residents walking around the house. Residents are also very pleased with their rooms. One resident who has a bedroom on the top floor said " my room is small, but I love it and would not want to change it", "I love spending time in here." Another resident commented that their room was splendid and said "I am able to make my visitors comfortable when they come to visit." The staff team are provided with excellent training opportunities. The number of staff who have completed their National Vocational Qualification (NVQ) level II is well above the minimum standard of 50%. They are also well supported by senior staff at the home and provided with 1:1 supervision, which provides an opportunity to discuss their practice.

What has improved since the last inspection?

The four requirements relating to medication have been actioned and evidence available to show that the areas of concern are being monitored. The environment is maintained to a high standard but an en-suite bathroom has been developed to make access easier. The conservatory has been completed and provides another area for residents to use. It also provides a lovely view of the garden. A patio seated area can be accessed from the conservatory should a resident wish to sit outside in the warmer weather. A new non-slip kitchen floor has been laid which the Chef confirmed is safer but is also easier to keep clean. The organisation has appointed an additional director with responsibility for training. From the information provided by the operations director it would seem and this has improved staff retention and less staff sickness, which indicates the positive impact this post has provided.

What the care home could do better:

The residents were asked what could be done better and none of them could identify any areas for improvement. One requirement has been made about the need to inform The Commission for Social Care Inspection (CSCI) about any thefts within the home. Two recommendations have been made. One of these relate to the safety of residents when accessing the roof garden. The other one is administrative and will help to support the practice within the home.

CARE HOMES FOR OLDER PEOPLE Oaklands House Residential Home Blackwater Covert Reydon Southwold Suffolk, IP18 6RD Lead Inspector Anna Rogers Announced 8 August 2005 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 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 Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oaklands House Residential Home Address Blackwater Covert Reydon Southwold Suffolk IP18 6RD 01502 724955 01502 724955 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Pri-Med Group Ltd Mrs Aileen Janice Bond Care Home 29 Category(ies) of OP Old Age (29) registration, with number of places Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5th January 2005 Brief Description of the Service: Oaklands is a large detached property, and stands in wooded grounds within the Suffolk village of Reydon. The home has been adapted to meet the needs of older people in a hotel style setting and is registered to provide care and support for up to 29 service users. Oaklands is part of the Pri-Med Group of care and nursing homes, which was founded in 1976. Oaklands has a choice of attractive ground floor communal lounges, large conservatory and a spacious dining room. Good views are available of the landscaped grounds. The accommodation is on three floors with 6 bedrooms on the ground floor, 13 bedrooms on the first floor and 10 bedrooms on the second floor. There are two shaft lifts, which provide access to the first floor bedroom area, with one serving the second floor bedrooms. All rooms are single occupancy and spacious, with en suite facilities. In all bar three of the en suite rooms this includes a bath or shower as well as the standard toilet and hand washbasin. The home has its own minibus transport enabling service users access to local shops, arranged entertainment events or day trips out. The minibus also provides access to Southwold and Lowestoft, for shopping. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on Monday 8th August 2005 at 10am and was completed by 16.30. Mrs Aileen Bond (Manager) and Mrs Carol Roberts (Operations Director) were available throughout the inspection and contributed to the inspection process. Evidence for the inspection was gained from the Pre Inspection Questionnaire (PIQ) completed by the Manager. Two comment cards were received from residents and two from relatives. During the inspection six residents were spoken with individually and others were spoken with informally. Seven members of staff including the Manager, Chef, care staff and domestic staff were spoken with individually. A number of records were examined including those relating to the care of residents, staff records and a selection of policies and procedures. A tour of the home was also undertaken with the Registered Manager. What the service does well: Residents are clearly looked after by a committed team of staff. Comments from residents included “having to give up your own home is hard, but to be cared for by such a wonderful staff team makes up for it.” Other residents said that they very much welcomed the privacy afforded to them and that their wish to undertake their own personal care was respected. Staff are seen to be very helpful and “are wonderful” “they can’t do enough for you.” The environment supports residents’ wishes to retain their independence for as long as possible. Rails and a mobile hoist are provided to help residents use their own en suite facilities and rails are also available to support residents walking around the house. Residents are also very pleased with their rooms. One resident who has a bedroom on the top floor said “ my room is small, but I love it and would not want to change it”, “I love spending time in here.” Another resident commented that their room was splendid and said “I am able to make my visitors comfortable when they come to visit.” The staff team are provided with excellent training opportunities. The number of staff who have completed their National Vocational Qualification (NVQ) level II is well above the minimum standard of 50 . They are also well supported by senior staff at the home and provided with 1:1 supervision, which provides an opportunity to discuss their practice. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 3 Prospective residents can expect to be provided with comprehensive information about the home in order to make an informed choice. The admissions process is thorough and a full assessment of prospective residents is undertaken. EVIDENCE: The home provides excellent information including a brochure, statement of purpose and service user’s guide which are well presented and informative documents. Resident’s files seen confirmed that each resident had had an assessment prior to their admission, which the registered manager had undertaken. Each file contained the terms and conditions of residency and had been signed by either the resident or their next of kin. All files recorded the next of kin and contact number. However none of the files contained information about the arrangements to be followed in the event of the resident being ill, dying or death. Further comment is made in the following section. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 9 One of the residents spoken with described their admission to the home. They confirmed that they had an opportunity to visit prior to making a decision. They said they remembered the warm welcome given and time taken to answer their questions. The home does not provide intermediate care therefore Standard 6 is not relevant to this inspection. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 Residents can expect their health care needs to be met and are treated with dignity and their privacy respected at all times. There are clear procedures in place, which identifies that the home will care for residents until they die, however further detail is required on residents files to ensure the wishes of residents are followed. EVIDENCE: Three residents files were examined and all contained within the care plan information about the level of care required. There was evidence that the needs identified in the assessment had been incorporated into the plan and the plan updated as required. The assessments also included nutrition, assessment to self-administer medication, and moving and handling assessments. Each care plan contained a number of components including, social and spiritual needs, personal, eating and drinking, mobility, communication, sleep, safe environment and health. Each component provided sufficient detail about the intervention support required. Daily notes are kept for each resident. Two of the residents are extremely independent and this was reflected in their daily notes. The third resident requires quite a lot of support from staff and this was demonstrated in the notes. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 11 The resident’s daily notes record when a resident has had a fall and entries were found to cross reference to the accident forms completed. There was also evidence that where a resident has fallen on a number of occasions over a short period moving and handling risk assessments have been updated. The ability and wishes of the resident to self medicate are assessed by the manager in conjunction with the resident during the initial assessment. Residents are provided with their weeks medication in dosette boxes direct from the Pharmacist and a lockable cupboard in their rooms is provided. Requirements made following the last inspection have been actioned. The inspector looked at the system in place for the storage, administration, recording and disposal of medication and all were all satisfactory. It is clear that following the requirement relating to the signing of medication administration records (MAR) charts is being carefully monitored by the manager and their deputy and any gaps followed up immediately and a record kept of the action taken. As noted in the previous section resident’s files identified the next of kin with contact details. However none of the files contained information about the arrangements to be followed in the event of the resident being ill, dying or death. This was discussed with the manager who explained that when a resident became unwell individual arrangements would be discussed with the next of kin re contact and the arrangements to be followed in the event of death. A recommendation is made to ensure that this process is recorded on the residents file. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Residents can expect to be encouraged to maintain contact with their family, friends and the local community and to make their own choices. The menu provided ensures residents are provided with a choice of well-balanced meals. EVIDENCE: Residents spoken with confirmed that they are able to have visitors at all reasonable times to them. Residents described their daily routines, which demonstrated the autonomy they are given to times for getting up and going to bed, where they have their meals, the choice of meals and how they spend their day. It has been noted in previous inspections the range of activities that are available. Residents spoken with described the process for deciding whether they wish to be involved in either an in-house activity or to go out on an outing. All spoken with indicated that they had a choice about whether they joined in or not. Their was evidence in residents files about the range of outings being planned for the summer months including trips to Fritton Lake and picnic, and Easton Farm Park. Residents also indicated that they are involved in identifying possible trips. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 13 There was clear evidence that residents are encouraged and supported by the staff team to remain as independent as they can. Residents spoken with discussed their forthcoming arrangements for contact with family and friends and going out. Residents felt it important to “tell matron” if they were going out and what time they would be back out of courtesy rather than expectation. Resident’s bedrooms confirmed that they are able to bring small items of furniture and other personal memorabilia with them. Residents spoken with said have “familiar things” about made them feel “at home” and some felt contributed to how quickly they settled into their new environment. The environment also supports resident’s wishes to retain their independence. For example some of the rooms have en suite facilities with a bath and some residents clearly prefer to use this facility rather than the facilities available in the communal areas of the home. One resident described how important their privacy was when bathing and said they preferred to undertake this them selves in their own bathroom. The manager also explained that there is a mobile hoist for use in the en-suite facilities so that even if the resident required support from staff they could continue to receive this in their own accommodation. There is an attractive dining room available and the space enables residents with mobility difficulties to access the area safely. Great attention is given to the setting of tables and presentation of meals. It was noted that the induction programme for staff includes the setting of tables and trays for meals served in residents accommodation. The menus provided showed the excellent choice given to residents. The menu for the day of inspection included a choice of two main dishes (Chicken Supreme or Fish Vol-au-Vents) and a choice of either a hot dessert or a cold dessert from the Trolley. The supper menu also provided choices of a main dish and dessert. Residents spoken with were all complimentary about the meals and one resident said, “if I didn’t like it I would tell them”. There was evidence in the daily notes of one resident who had said they did not enjoy the meal they had chosen on one day but this was a rare. The Chef has worked at the home for a number of years and it was clear from discussion with them that they had an understanding about providing meals to older people. The Chef keeps a clear record of fridge/freezer temperatures, had a good system for ensuring kitchen cleanliness and for defrosting fridges and freezers. The stock room was orderly with a system for ensuring rotation of stock by date order. There was a varied and good selection of food available with evidence of home made food including puddings, cakes and a birthday cake for one of the residents. Food in fridges was appropriately covered. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18 Residents can expect that any complaints they may make will be taken seriously and investigated fully. The home has a clear policy and procedure in place for dealing with allegations or suspicions of abuse. Residents can expect that the recruitment safeguards in relation to Criminal Record Bureau (CRB) checks are followed to protect their safety. EVIDENCE: The record of complaints shows that one complaint has been received within the last 12 months. The record indicated that the complaint relating to loss of money from a residents bedroom had been investigated and action taken to minimise a further incident. Discussion with the manager indicated that the money was replaced and they did not feel it warranted a notification to Commission for Social Care Inspection (CSCI). However the home must notify the Commission of any thefts within the home as required by Regulation 37 of The Care Homes Regulations 2001. Discussion with residents confirmed that feel able to express any concerns to the Matron but also said that they have very little to complain about. Arrangements are in place for residents to vote. The manager confirmed that residents are able to register their vote either by a postal vote or in person. The training records show that “Adult Abuse Awareness training (POVA) training is seen as mandatory for care staff. No members of staff have been included on the POVA register since the last inspection. Staff spoken with also confirmed that they had covered adult abuse during their NVQ training. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 15 It was evident from discussion with staff that if they witnessed a resident being inappropriately treated they would report their concern to the manager. Staff also acknowledged that if they saw any unidentified bruises on a resident they would report this also. Three personnel files of staff members who have been recently recruited to the home since the last inspection were seen. The records show that the appropriate checks were undertaken including a Criminal Record Bureau (CRB) check. There was evidence that in one instance a Protection of Vulnerable Adults (POVA) 1st check had been undertaken prior to the member of staff commencing their duties. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24,26 Residents can expect to live in a safe and well-maintained environment. Residents who use this service can expect all areas to be clean and fresh and actively encouraged to personalise their own bedrooms. EVIDENCE: It is evident that a lot of thought and consideration has gone into the planning of the home to ensure it is suitable for its stated purpose. The main building is old but adaptations have been made to make it accessible. All areas seen have been maintained to a high standard. Well-maintained grounds and gardens surrounded the home, and were also easily accessible. There was limited parking available for visitors and staff, to the front and side of the home. A large conservatory has been added to the communal facilities and this opens out onto a wooden balcony that overlooked the gardens. The conservatory has been tastefully done and provides good space for residents to walk around easily. A number of tables and chairs have been provided should residents’ want to either have their meals there or to use the area for activities and board games. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 17 There is a roof garden patio area. One of the residents provides the colourful pots and baskets for this area and they also look after the plants. Since the last inspection the wooden ramp leading to this area has been replaced with a metal one. On the day of this inspection it had been raining and the surface was slippery. It is recommended that a risk assessment is undertaken and action taken from any risk identified particularly as this area also provides a fire exit from one part of the building to another from the top floor. As noted in a previous section of this report residents’ are encouraged to personalise their bedrooms with small items of furniture and personal memorabilia. Rooms seen were attractively furnished with good quality furniture and fittings provided by the home. Residents are also provided with a television and screen enhancer if required. Discussion with residents confirmed how much they liked their rooms and enjoyed the time they spent in them. All areas of the home were clean and well cared for. There is a team of domestic staff who ensure that all areas are well maintained. Discussion with domestics confirmed their understanding of cross infection control. All cleaning materials are kept secure when not in use by the domestic staff and they confirmed that there are always plenty of supplies of cleaning materials and gloves. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29,30 Residents can expect to be cared for by a staff team who are qualified, skilled and experienced. Residents can expect that the recruitment policy and procedures will be followed to ensure their safety. EVIDENCE: The data in the Pre Inspection Questionnaire provided by the Manager indicates that 83 of the care staff hold a National Vocational Qualification (NVQ) level 2 or above. There is clear evidence of the commitment by the Registered Persons to support staff with training opportunities. Since the last inspection an additional post within the organisation has been developed to further support the training programme. The Operations Director informed the inspector that having a dedicated person for training has reduced sickness levels and supported staff retention throughout the organisation. Time was spent with the training co-ordinator who usually visits the home on a weekly basis to support and supervise staff during their induction and foundation training. Each new member of staff also has a “mentor” (another member of staff) to support them. The co-ordinator also arranges the NVQ courses for staff and is an NVQ D32 Assessor. Three personnel files of staff members who have been recently recruited to the home since the last inspection were seen. The records show that the appropriate checks were undertaken including a Criminal Record Bureau (CRB) check. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 38 There is an effective system in place for monitoring the quality of care provided. Residents can expect staff to be well supported by senior staff with I:I supervision provided. EVIDENCE: The organisation has a system to ensure that standards are monitored, ranging from visits by senior managers, to formal audits. Copies of reports from these visitors required under Regulation 33 are routinely sent to The Commission for Social Care Inspection (CSCI) and demonstrate the monitoring of practice. The home has its own quality assurance system in the form of an annual questionnaire for residents to complete. The outcome of the last audit indicates that the resident population are very satisfied with the care provided. 100 was achieved for the care given by the staff team to residents. The inspector was informed that the questionnaire is to be extended to external agencies who are involved in the home. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 20 The responses received from residents and relatives to The Commission for Social Care Inspection (CSCI) questionnaires indicate that the home provides an excellent and professional service. Comments confirm that residents are happy with the service and relatives were full of praise and admiration for the staff team and felt they did a wonderful job of caring for their relatives. Discussion with staff confirmed that they receive 1:1 supervision from the manager, which is helpful and supportive. The frequency was not on this occasion confirmed from looking at the records of supervision undertaken. There was evidence that staff are provided with training relating to health and safety of residents including moving and handling, first aid, fire safety, and food hygiene. As already noted in a previous section staff are aware of the cross-infection control procedures. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 x 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 3 3 x x 3 x x 3 x 3 Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 22 NO Are there any outstanding requirements from the last inspection? 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 16 Regulation 37 Requirement The manager must notify The Commission for Social Care Inspection (CSCI) of all reported thefts at the home as required by Regulation 37 of The Care Homes Regulations. Timescale for action Immediate RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 11 19 Good Practice Recommendations Information should be recorded on residents files to inidcate what the arrangments are for contacting members of their family in the event of a resident becoming ill . A risk assessment should be undertaken and action taken on any identifed risk on the metal ramp used to access the roof patio area. Oaklands House Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ National Enquiry Line: 0845 015 0120 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 Residential Home I54 - I04 S24463 Oaklands V231294 050808 Stage 4.doc Version 1.40 Page 24 - 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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