Inspection on 08/05/08 for Oaklands North Care Home

This inspection was carried out on 8th May 2008.

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

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

Other inspections for this house

Oaklands North Care Home 13/07/10

Oaklands North Care Home 23/10/09

Oaklands North Care Home 07/06/07

Oaklands North Care Home 09/01/06

Oaklands North Care Home 10/04/05

Oaklands North Care Home 08/07/04

Oaklands North Care Home 14/04/04

Oaklands North Care Home 22/01/04

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

CARE HOMES FOR OLDER PEOPLE Oaklands North Care Home North Road Whaley Thorns Langwith Derbyshire NG20 9BN Lead Inspector Rob Cooper Unannounced Inspection 8th May 2008 10:00 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 North Care Home DS0000058022.V364099.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 North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands North Care Home Address North Road Whaley Thorns Langwith Derbyshire NG20 9BN 01623 744412 01623 748759 oaklands@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited 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) Miss Josephine Farren Care Home 40 Category(ies) of Dementia (20), Mental disorder, excluding registration, with number learning disability or dementia (20) of places Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Southern Cross Care Homes No.2 Limited may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder - Code MD, MD over the age of 55 years and over. Dementia - Code DE 60 years and over. Mental disorder - Code MD, age 55 years and over. 2. Dementia - Code DE, age 60 years and over. The maximum number of service users who can be accommodated is 40. 7th June 2007 Date of last inspection Brief Description of the Service: The Oakland’s North Care Home is a purpose built 40 bedded home set on the outskirts of the village of Whaley Thorns. People who live at the care home’s rooms are situated on two floors, each with its own lounge and dining areas. The home is registered to provide nursing care for people with dementia (20 places) and mental disorder (20 places.) The ground floor is dedicated to caring for people with dementia with the first floor housing people with mental health needs. The home is within walking distance of the few local shops and GP surgery. The range of fees charged at the home are £355.81 - £665.52 per week with extra charges made for Chiropody, toiletries and newspapers. This information is taken from documents in the home during the visit. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was an unannounced visit as part of the key inspection process – so that no one at Oaklands North Care Home knew that the inspection visit was going to take place. The visit took approximately six and a half hours through the middle of the day, with one inspector present. The methods used during this key inspection and visit Oaklands North Care Home, where a method called case tracking was used; this involved identifying four people who live at the care home and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of Oaklands North, looking at the activities on offer, and talking to two people who live there, three relatives and three members of staff about the quality of the service, and their experiences of living, visiting and working at Oaklands North Care Home. During 2007 the Commission for Social care inspection introduced an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like Oaklands North to self assess their service. Information provided by Oaklands North helped to form the judgements in this report. The registered manager Jo Farren is currently on a secondment, and therefore the deputy manager provided much of the information during this key inspection visit, although Jo did call in and offer additional information and support to the deputy manager. On the day of this inspection there were thirty service users in residence. During this inspection visit a ‘thematic probe’ was carried out. This means that specific questions were asked and certain documents seen, which related to safeguarding adults. People who would want to live at there can obtain information about Oaklands North direct from the care home, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. In addition information about Oaklands North Care Home and the services it provides can be found at the following web site: www.ashbournesl.co.uk. This web site also contains a link to the Commission’s latest inspection report. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: No statutory requirements have been made as a result of this inspection visit, however better recording of people’s wishes at the time of their death will make this difficult time easier for all concerned, and having two written references for every member of staff on file will help ensure that people who live at Oaklands North are safe. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 7 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 North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People, who currently live at Oaklands North, and those who potentially would want to, have access to detailed information about the services on offer. People who live at the care home have contracts or a service agreement and they receive a comprehensive assessment of their needs before the service is offered, which all allows people to make an informed decision about whether Oaklands North can meet their needs. EVIDENCE: Both the statement of purpose and service user guide for Oaklands North were seen during the inspection visit. Both documents contained all of the information which would allow people who live at the care home and those who might in the future to make an informed choice about living at Oaklands North. Discussions with two people who live at Oaklands North showed that they had been given copies of the service user guide, and copies were seen in their Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 10 bedrooms. The foyer at Oaklands North also has copies of the last inspection report on display. In addition people who live at the care home and those who might want to in the future can visit the following web site at: www.ashbournesl.co.uk. Which also gives details of the services on offer, and has a link to Oaklands North’s latest inspection report. As part of the case tracking process four people who live at the care home were identified, and their files were seen, each one contained an agreement from Social Services to fund their placement, and a copy of the terms and conditions of residence. Each of those four files that were seen contained a formal assessment of need. The assessments had all been completed in-house, and covered areas such as: the risk of falls, continence, dependency, and nutrition. The evidence showed that the information provided by these assessments had been used to draw up the service user’s care plans. Evidence was seen that the assessments had been completed for all four people who live at the care home before they moved in to Oaklands North. A copy of this pre-admission assessment document showed that it to be in-depth, and that it covered a range of basic health and social care topics. In addition there is a specific dementia assessment in place, for those four people who live at the care home who have been diagnosed as having dementia. Oaklands North does not offer intermediate care, and therefore this National Minimum Standard was not assessed. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People, who live at Oaklands North, have their personal care given in a professional and caring manner by the staff, which means that their personal and healthcare needs are being met. EVIDENCE: Each of the people who live at the care home has a file which contains a plan of care, which identifies personal goals and the person’s needs and how to meet them. Evidence was seen that care plans were being reviewed regularly, and following a requirement made at the last inspection, care plans had been updated to ensure that there was sufficient detail so that staff can meet people’s specific needs. None of the files that were seen contained specific health care plans. However health care information was included throughout the care files in a variety of different recording systems. Oaklands North use outside professionals such as Vision Call – a community based opticians who visit the home to test people’s eyes and sort out prescriptions for new spectacles where they are needed. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 12 Two people who live at the care home were asked about seeing the doctor, and they both said that the staff would get them a doctor if they were unwell, and they needed one. Boots the chemist provides Oaklands North with their medication. Medication is provided in blister packs. This type of system does help to cut down on errors, and makes monitoring easier. The qualified nurses working at Oaklands North are currently responsible for administering medication, and a review of staff training records and discussions with one nurse showed that they were receiving training and support to administer the medication. An inspection of Oaklands North’s medication systems showed that medication is handled safely. Administration records were seen and found to be complete. No one who lives at Oaklands North currently self-medicates. Procedures for disposing of medication and/or returning to Boots have been reviewed and are better able to protect people who live at the care home. Discussions with two people who live at the care home, and observation of the staff working with people generally showed that the staff treated individuals with respect and dignity. This included observing staff knocking on people’s doors before entering, and speaking to people in a respectful manner. Downstairs where many of the people have dementia there is a clear strategy in place, to help them – for example: a place setting with cups and saucers and cutlery on a tactile board out side the dining room, and similar tactile boards outside bathrooms and lounges to help give people clues as to where they are in the building. Each of the people who live at the care home’s files that were seen had a section relating to ‘last wishes’ however these had not been completed, and while appreciating that this is a difficult area to discuss, details recorded in the files of who to contact, and any religious considerations relating to custom, would make the inevitable less traumatic for all concerned at a difficult time. Oaklands North Care Home DS0000058022.V364099.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 & 15 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People living at Oaklands North have a lifestyle that reflects their cultural, social and religious interests, and needs, which means that their social care needs are being met. EVIDENCE: Oaklands North currently employs a part time activity co-ordinator who takes responsibility for arranging outings, activities and pastimes for people who live at the care home. In the foyer there is a ‘dolls corner’ which is part of a recognised therapy in dementia care, and which is very popular with several of the people who live downstairs. In addition there are rummage boxes in the corridors, with assorted items for people to take, hold and arrange, again part of a recognised and recorded dementia strategy. In the downstairs lounge there is a ‘Snoezelan’ relaxation corner, with soft lighting and sensory materials, to help people with relaxation. During the inspection visit a bingo session was observed upstairs, which was very popular, and the notice boards identified a number of other activities organised for people who live at the care home, while items of artwork produced by those people were also on display. Discussions with two people who live at the care home showed that they Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 14 thought there was a great deal going on, and they were happy with the activities, with one saying: “I really like the bingo, and sometimes we have quizzes”, while the second person said: “there’s a lot going on and the activity co-ordinator is very good at organising things, we’re going out in the bus tomorrow.” Three relatives were spoken with, and they said that they were happy with the care that their relative was receiving, and that the staff made them feel very welcome, and that they were able to visit when they wanted. In their AQAA Oaklands North said: “Family and friends are encouraged to join clients at functions, outings and various in house activities’, and ‘Families are accommodated to celebrate birthdays, anniversaries and other special occasions within the home.’ During the course of the inspection visit staff were observed to see how they interacted with people, and whether choices were offered, and this was seen to be a positive experience with choice being offered around meals, drinks and some activities. Discussions with two people who live at the care home, showed that they both thought they had control over what time they went to bed, and got up in the morning, and that the staff asked them about refreshments, food and activities. On the day of this inspection visit there was a choice of meal on offer including a vegetarian option. The menu was displayed on the wall in the dining rooms, and both people who were asked said they either knew what was for dinner, or knew how to find out. Information relating to people’s preferences and food likes and dislikes was also seen in the kitchen. The food was well presented, and the dining room was attractively laid out. Two people who live at the care home who were spoken with had good things to say about the food with comments such as: “The food is smashing” and “I like the food very much.” Oaklands North Care Home DS0000058022.V364099.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 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People living at Oaklands North are safe, as a result of the policies, procedures and systems that are in place, and those people and their relatives are confident that their complaints will be taken seriously and dealt with. EVIDENCE: Oaklands North has received three complaints since the last key inspection in June 2007. A review of the complaints folder showed that the complaints had been dealt with in line with Oaklands North’s complaints procedure. The Commission had also received a concern from one relative. Discussions with the deputy manager about this concern, and a discussion with the person that it related to indicated that the management at Oaklands North were not aware of the concern, but they said they would have addressed the issue had they been made aware of it. A review of the staff training records in relation to safeguarding adults showed that significant portions of the staff team had undertaken this training, with 89 of the current staff team having had safeguarding adults training within the last twelve months. This training is aimed at raising staff awareness of abuse, and issues around abuse and through raising those issues, offering people who live at the care home greater protection against abusive practice, while also making sure that the staff understand the correct policy and procedure to follow if and when abusive practice is found. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 16 Information was also gathered for the thematic probe in relation to safeguarding adults, and several staff members were asked specific questions about safeguarding topics. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People living at Oaklands North live in a safe, clean, well maintained and comfortable home, with their personal possessions around them, which means that they are living in ‘homely’ surroundings that meet their needs. EVIDENCE: A partial tour of Oaklands North showed that it was comfortable and well maintained. Discussions with two people who live there showed that they were happy with Oaklands North, with among their comments: “It’s a very nice home”, it’s very comfortable” and “ It’s lovely.” In their AQAA Oaklands North said in relation to ‘what they do well’: “A warm and comfortable environment in relation to the service users needs” “A happy homely environment” As already mentioned the tactile boards to help those people with dementia to recognise different rooms is a very positive way of signposting without the negative effects of making the home look like an institution. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 18 Domestic staff were seen cleaning in different parts of Oaklands North during the inspection visit, and discussions with a domestic member of staff indicated that there were good systems in place for cleaning, and that Oaklands North had a good range and supply of cleaning materials. The building was found to be clean, and smelt fresh throughout. Oaklands North Care Home DS0000058022.V364099.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 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Staff at Oaklands North have been recruited professionally, and are competent and trained to do their jobs, however a problem with documentation means that the people who live at the care home are potentially at risk. People living at Oaklands North have staff who are able to meet their needs. EVIDENCE: The staffing rota and staffing levels for Oaklands North were reviewed and this showed that there was enough staff currently employed to meet people’s needs. In their AQAA Oaklands North said: “Continuity of care has been achieved through good staff retention and skill mix. Staff employed are of different ages and experience which gives stability and a good balance” and “We ensure there are sufficient staff on duty at all times to meet the needs of the clients.” The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the staff training records showed that currently there are nineteen care staff at Oaklands North, of whom there are nine staff with NVQ level II qualifications and seven more currently studying for their NVQ level II. In addition three people have their NVQ level III qualification. It is recommended Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 20 that a minimum of 50 of the care team are NVQ qualified, and the staff team at Oaklands North have achieved this figure. The files of four members of staff were seen, to check that they contained all of the information that would show that staff at Oaklands North had been recruited in a safe manner – namely that applicants had filled out an application form, provided two written references and had had a Criminal Records Bureau check. The documentation showed that Oaklands North’s recruitment policy and procedure had not worked fully to protect people living at the care home, as the records showed two staff did not have two written references on file. Discussions with two members of staff about their recruitment showed that they had gone through all of the pre-employment checks, and had not started working until those checks had been completed. Which shows that the problem relates to certain members of staff and not all of them. The staff training records showed that Oaklands North does have a training plan for its staff, and that staff training and development is given a high priority. The training records showed that staff were receiving the training to be able to do their jobs. Discussions with three staff members provided evidence of the training courses staff had attended, including training in fire safety, dementia and health & safety etc. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 21 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 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Oaklands North is a safe, well-managed care home with good systems for ensuring it’s quality in place, which means that efforts are being made to improve the quality of the care on offer at Oaklands North. EVIDENCE: Oakland North currently has a vacancy for the post of Registered Manager and the recruitment process has just begun to find a suitable candidate. In the short term the former Registered manager, who is now working elsewhere within the organisation is overseeing the management arrangements at Oaklands North. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 22 Oaklands North has a quality assurance system, which relies on questionnaires being filled in by people who live at the care home and visitors. Copies of the questionnaires are sent out and collated from Head Office, and feedback is given to registered managers on a regular basis, improvement plans produced from this feedback were seen. Copies of Regulation 26 visits were seen – these are monthly visits to the home by representatives of the owners to carry out a management inspection and report. The people who live at Oaklands North have a system for their cash needs. This is operated on behalf of some of the people by the staff (dependent on choice and ability to manage the money), and four people’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of people’s expenditure to be seen. Oaklands North has a system in place for supervising its staff. This relies on staff receiving formal supervision, with one of the senior members of staff. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. Three staff members were asked about formal supervision, and all three said they were having supervision, and felt well supported within their jobs. In their AQAA Oaklands North said: “All staff receive regular supervisions where care plans, documentation, key workers, training policies and procedures are discussed.” A range of different health & safety records were seen, including the fire safety records – weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date, which means that people are living and working in a safe environment. Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 23 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 3 4 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 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 24 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. 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. 1. Refer to Standard OP11 Good Practice Recommendations People who live at the care home’s wishes at the time of their death should be recorded within care plans, so that they, their relatives and staff are aware of those wishes at the time of the persons death. All staff members should have two written references on file to show they had been recruited in a professional manner, and that people are safe. Copies of these references should be available for inspection. 2. OP29 Oaklands North Care Home DS0000058022.V364099.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 North Care Home DS0000058022.V364099.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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