Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 27/06/07 for Oaklands Nursing Home

Also see our care home review for Oaklands Nursing Home for more information

This inspection was carried out on 27th June 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.

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

The home had a good atmosphere, tour of the premises found them to be well maintained clean and tidy, residents said, "they lived in clean and nice surroundings". Specialist equipment was provided to maximise each person`s independence. Residents were able to wander around the home safely; daily routines and activities were observed which seem to provide stimulation and enjoyment to the residents. The home is well managed, residents, visitors and staff spoke highly of the manager and said she was very caring, supportive and approachable.Surveys sent out prior to the inspection to residents, relatives and professionals who visit the home. Very positive comments were received about the home, care provided and staff members, other professionals that go into the home said, "the home worked in partnership with them and communication was good". Comments from residents throughout the visit said" I like the home and feel staff work hard to improve things for us" "nothing was too much trouble for the manager and some of the staff" and "staff put a lot of effort into the care they give to us". There was appropriate staffing and skill mix; to meet people`s care needs. Staff were skilled and knowledgeable, care staff could access NVQ training, a number of the staff team had achieved NVQ level 2 in care. This ensured residents at the home were supported and protected. Staff were observed to carry out their duties in a professional manner and showed consideration for residents individual needs. Interaction between residents and staff was good humoured and caring.

What has improved since the last inspection?

All requirements made on the last inspection had been addressed. The registered providers had continued to improve the decoration and refurbishment of the premises and ensured that the home had the facilities and equipment to meet residents care needs.

What the care home could do better:

The registered provider must consider refurbishment of the toilet on the ground floor and installing appropriate grab rails. This will ensure that toilet facilities are provided to meet the needs of people who use the service.

CARE HOMES FOR OLDER PEOPLE Oaklands Nursing Home Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN4 7BQ Lead Inspector Janet McBride Key Unannounced Inspection 27th June 2007 09:50 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 Nursing Home DS0000015868.V329209.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 Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Nursing Home Address Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN4 7BQ 01302 535386 01302 535726 oaklands@fshc.co.uk www.fshc.co.uk Leeland Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Elizabeth Potts Care Home 34 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) Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (34) Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service may admit 2 persons between the age of 60 to 65 years. Service Users that are independent wheelchair users must be accommodated in a room that is 12sq.m or above. One specific service user under the age of 60, named on variation dated 10th July 2006, may reside at the home. 19th October 2005 Date of last inspection Brief Description of the Service: Oaklands Nursing Home is registered to provide nursing care and accommodation for up to 34 older people. Originally registered in 1996 and now owned by Four Seasons group, a company that has other homes with similar categories in the area. The home is located in Bessacarr, which is on the outskirts of Doncaster. It is a converted two-storey property that has been extended and provides a range of communal areas and bathing facilities. Twenty-six of the bedrooms are single with most of them having ensuite facility. The homes gardens are landscaped and well maintained, with a car park being provided. The home is within easy reach of local facilities including pubs, the Dome leisure centre and a supermarket. Bus services pass close by and the town centre is a short ride away. The pre inspection questionnaire said the fees ranged from £420 to £490. There are additional charges for chiropody, hairdressing, magazines, newspapers and door guards. Further information relating to these charges may be obtained from the homes manager. Information about the home is provided to service users and their representatives in the form of a service user guide. Leaflets and other general written information are available at the homes reception. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector over two days for 9:50 hours. Prior to the inspection the manager submitted a pre inspection questionnaire giving information regarding, the building, policies and procedures, residents, staffing and professional visitors to the home. Pre-inspection work was carried out for example, analysis of statutory notifications and all other relevant documentation. Selections of records were examined including, residents files, staff records, complaints records, training and records regarding health and safety monitoring. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible, this was done via surveys being sent out prior to the inspection, from the Commission for Social Care Inspection to people that use the service, staff that work at the home and other professionals that had contact with the home. It also included interviews with staff, residents (personal preferences to be called this) and comments from relatives and visitors on the days of inspection. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. All comments received were collated and used in the inspection process and are contained in this report. The inspector would like to thank all the staff and the residents for their cooperation in the inspection process, one issue was raised and discussed with the manager at the end of the inspection. What the service does well: The home had a good atmosphere, tour of the premises found them to be well maintained clean and tidy, residents said, “they lived in clean and nice surroundings”. Specialist equipment was provided to maximise each person’s independence. Residents were able to wander around the home safely; daily routines and activities were observed which seem to provide stimulation and enjoyment to the residents. The home is well managed, residents, visitors and staff spoke highly of the manager and said she was very caring, supportive and approachable. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 6 Surveys sent out prior to the inspection to residents, relatives and professionals who visit the home. Very positive comments were received about the home, care provided and staff members, other professionals that go into the home said, “the home worked in partnership with them and communication was good”. Comments from residents throughout the visit said“ I like the home and feel staff work hard to improve things for us” “nothing was too much trouble for the manager and some of the staff” and “staff put a lot of effort into the care they give to us”. There was appropriate staffing and skill mix; to meet people’s care needs. Staff were skilled and knowledgeable, care staff could access NVQ training, a number of the staff team had achieved NVQ level 2 in care. This ensured residents at the home were supported and protected. Staff were observed to carry out their duties in a professional manner and showed consideration for residents individual needs. Interaction between residents and staff was good humoured and caring. 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. The summary of this inspection report can be made available in other formats on request. Oaklands Nursing Home DS0000015868.V329209.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 Nursing Home DS0000015868.V329209.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): 1, 2 & 3. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People that use the service were individually assessed prior to admission to ensure their needs would be met. EVIDENCE: Statement of purpose and service users guide were discussed with the manager who confirmed there had been no changes since the last inspection. The manager said that residents using the service were issued with a contract/statement of terms and conditions these contain a scale of charges and any extras that people had to pay for, all of which is documented in this report. The registration certificate was displayed in the home and found up to date with the current services provided. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 9 Three care plans were case tracked and a number of staff and residents spoken to. Records showed that referrals had been received and residents within the home had been fully assessed prior to moving into the home, with other professionals involved if needed. Surveys and residents spoken to confirmed that people had received information about the home and were able to visit before moving into the home, and the last inspection report was available for them to read. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 &10. People who use the service experience Excellent outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People using the service received health and personal care based on their individual needs. Care plans provided staff with sufficient information that ensured they could meet the care needs of people using the service; care plans were monitored and reviewed on a regular basis. EVIDENCE: All residents within the home had nursing needs, three care plans were case tracked, these care plans were cross-referenced with medication records, accident records and any other relevant information. Care plans were developed shortly after the admission, using the initial assessment of need and any other relevant information gathered by professionals, family and residents (if capable) were involved in their care plan. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 11 The resident’s health, personal and social care needs were set out in an individual plan of care, baseline assessments on admission and risk assessment dependant on the individual needs. Records showed that residents had access to health care services including chiropodist, optician and dental services. Some residents had also been referred to specialist services including tissue viability and continence advisors and mental health teams. Medicines in the custody of the home were discussed with the manager, staff on duty and records checked. Both the manager and staff confirmed that nurses administered medication to all the residents, and were handled according to the requirements of the Medicines Act. Random medication sheets were examined, storage, receipt of drugs and safe disposal of medicines were all checked and found satisfactory with evidence that they were administered correctly with the required records kept. Staff spoken to, were aware of individual residents care needs, staff said they ensured that residents are respected at all times, wear own clothes and any personal care is done in private. This was evident when observing staff delivering care to residents, they were seen to approach residents with respect and encouraged independence and choice at all times. Comments on surveys from relatives, visitors and residents seen on the days of the visits were very complementary about staff within the home and the care received. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience Excellent outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People were able to enjoy a lifestyle that suits their individual preferences; regular opportunities were available for people to participate in a wide range of activities in and out of the home. Meals offered were healthy and nutritionally balanced. Likes and dislikes were catered for within the menus offered. EVIDENCE: Residents said they were happy with the level of activities in the home, and comments received indicated that they had a varied programme of activities arranged by the home. Residents and staff gave a number of examples; one to one work, newspapers, magazine and books are available. Spiritual needs can be met either by visiting local churches and church services are held at the home. Motorvation group come into the home on a monthly basis and hairdresser visits weekly. The home had arranged for age concern to visit who offer armchair exercises, if the residents enjoy this it will be organised on a weekly basis. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 13 Comments received on surveys and people spoken to on the visits said, staff supported residents to maintain relationships and encouraged visitors to the home. Residents are also encouraged to go out into the community and access other services or go on social visits with family and friends. Relatives and residents said “visitors were always made welcome” and they could see their relative in private, and staff promoted their involvement with their relative and the home. Staff said they encouraged residents to exercise choice and control over every day living needs if they were capable, those residents who could voice their opinions confirmed this and said “we can make choices in all our daily lives”. They also confirmed they had personal possessions or small items of furniture into the home with them. Residents within the home were provided with a variety of food and menus. Surveys from residents and those residents spoken to after lunch, when asked about the food they said, “we enjoy the meals on offer” “cook will make me an alternative if I don’t like what’s on the menu” .One visitor said they sometimes eat with their relative and “ thought the food was good”. Lunchtime dining tables were set with cutlery, tablemats and condiments, presentation of meals was good with appropriate amounts on plates. Staff were assisting some people to eat, this was done in a dignified and unhurried manner. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People using the service and relatives were provided with information to enable them to raise concerns or complaints about the home and their care. Staff had knowledge and understanding of adult protection issues, which promoted protection of people within the home from abuse. EVIDENCE: The home had a written complaints procedure, which was displayed in the reception area of the home. There was an appropriate system for recording complaints the outcome and the action taken. The manager said there had been three complaints, two made directly to the home and one to Commission for Social Care Inspection since the last inspection. Records showed the complaints received by the home one had been had been investigated and complainants responded, and the other complaint was still being investigated by the regional manager. The complaint that was made directly to the CSCI was referred to adult protection. All procedures were followed and an investigation took place all of which had been resolved. The manager stated that she tries to ensure that any issues or concerns are dealt with immediately. Residents, visitors and surveys confirmed that the manager is very approachable and when issues or concerns arise they were happy to speak to Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 15 the manager, but are aware of the complaints procedure and would be happy to use it if necessary. Policies and procedures were in place regarding the protection of vulnerable adults. Surveys and discussion with staff confirmed they were aware of abuse policies and procedures for adult protection, including whistle blowing policy. Most staff had received training, and those spoken to were able to verbalise the action they would take on receiving any allegations. Oaklands Nursing Home DS0000015868.V329209.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, 21, 24 & 26. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People using the service live in a comfortable and accessible environment, which was clean, tidy and well maintained. Specialist equipment was provided to maximise each person’s independence. EVIDENCE: Location and layout of the home is suitable for its stated purpose, the home is registered for 34 beds, but normal only accommodate 30 residents as they are using the double rooms as single at present. A tour of premises found communal areas to be comfortable, bright, cheerful and looked very homely with pictures and ornaments around the home. The home was well maintained clean and tidy, resident comments said, “they lived in clean and nice surroundings”. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 17 Residents access the upper floor via a passenger lift, and ramps and grab rails are provided to the entrance of the home. Handrails and hoists were provided, aids and equipment were provided for individual residents that have been assessment by specialist therapist. Bedrooms on both floors were furnished and equipped to assure comfort for the residents during the tour of the premises were found to be clean and tidy, residents said they were happy with their bedrooms and said, “my bedroom is nice and is always kept clean”. Quite a number of bedrooms had door guards fitted for those residents that liked their bedroom doors to remain open, some were assessed as needing this facility and other residents had paid for these to be fitted. Toilet, washing and bathing facilities are sufficient to meet resident’s needs, with specialist baths. The bathroom on the ground floor had a normal bath which is not used for bathing residents, however this is the nearest toilet facility to the lounge areas. Therefore this toilet must be fitted with appropriate grab rails. Laundry facilities remain the same and found satisfactory, with residents stating their clothes are kept nice and clean. Sufficient domestic staff were employed and staff were aware of there responsibilities regarding the control of infection. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. There was appropriate staffing and skill mix, to meet people’s care needs. Staff had undertaken basic and induction training, which ensured that they were skilled and knowledgeable. This ensured people at the home were supported and protected. EVIDENCE: Staffing was discussed with the manager and duty rota examined, which shows appropriate staffing levels were in place at the time of inspection, and that domestic and laundry staff were employed in sufficient numbers that ensured the home was clean and tidy and residents clothes were laundered on a regular basis. A registered nurse is on duty at all times, the manager works in a supernummery capacity. One comment on the surveys said that the home was short staffed and residents had to wait for staff support, from observation on the days of inspection and speaking to residents this happens on rare occasions. The staff team were observed to carry out their duties in a professional manner and showed consideration for peoples individual needs. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 19 Staff appeared to be highly regarded by residents within the home and surveys from other professional that go into the home said, “the home worked in partnership with them and communication was good”. The homes recruitment procedure was discussed with the manager and records of three new members staff files were checked. This established that the homes process for recruitment meets all the requirements of legislation and employment law. Two references Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks were made prior to being employed. Records showed documentary evidence of personal identification, and qualifications of nurses including PIN numbers and certificates relating to qualifications were seen in staff files. Each member of staff had an individual training file, these records confirmed that staff had received various training including dementia care, catheter care and infection control. New staff spoken to confirmed they had received three days induction training. Care staff could access National Vocational Qualification (NVQ) training, records indicated that a number of the staff team had achieved NVQ level 2 in care; therefore the home had achieved the 50 ratio of care staff being trained to NVQ Level 2. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. People who use the service experience Excellent outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People who use the service were protected and safeguarded by sound management practises. Policies, procedures and training practices ensured that people were safeguarded and protected. EVIDENCE: The registered manager holds a nursing qualification and had completed the registered management award. She operates an open door policy and accessible to staff, residents and visitors. Residents, visitors and staff spoke highly of the manager and said she was very caring, supportive and approachable. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 21 Quality assurance was discussed with the manager, who said they had recently sent out surveys to residents about life within the home. Results of these will be sent back to the companies head office analysed and fed back to the home. Surveys sent out prior to the inspection to residents, relatives and professionals who visit the home, very positive comments were received about the home, care provided and staff members. A number of audits are completed by the manager or regional manager on a regular basis for example, yearly audit that covers most issues from training to maintenance within the home. Monthly audits are also completed on medication records, bed rail audit, accident reports and regulation 26 visits are completed with reports available. The financial interests of people were discussed with the manager, administrator and records checked. Not many residents were able to manage their own finances, most are assisted by their relatives. Records of accounts and receipts were available for each individual resident. The administrator completes a monthly audit which is sent to the company, who also complete an unannounced audit on finances every six months. Supervision of staff was discussed with the manager, staff on duty and records checked, which showed staff received formal supervision, and yearly appraisal on a regular basis. There were policies and procedures, which promoted the health, safety and welfare of people within the home. Staff and the providers undertook all necessary health and safety checks, which promoted the health and well being of residents. Health and safety was discussed with the staff on duty and various records were examined. The home was maintained, checks were undertaken for example fire prevention, all records were up to date and satisfactory. Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X 3 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 4 X 3 X 3 3 X 3 Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP21 Regulation 23(2)(a) Requirement The registered provider must ensure that toilet facilities are provided with appropriate grab rails to meet the needs of people who use the service. Timescale for action 01/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oaklands Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Nursing Home DS0000015868.V329209.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!