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Inspection on 15/05/07 for Oaklands Nursing Home - KWD

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

This inspection was carried out on 15th May 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

People have a comprehensive assessment of their needs before coming to live at the home, which is transferred into a detailed plan of their care needs. The home has a minimal staff turnover and staff have good training opportunities available, which has resulted in a high percentage of qualified care staff. Residents confirmed, " The staff are very good". The recruitment and selection of staff is robust and safeguards residents form people who should not work with vulnerable people. Staff also have regular staff supervision by senior staff Residents have a choice of nutritional and tasty food and say, " the food is very good". The home has an effective quality assurance programme ensuring that residents are listened to and any areas of weakness are both identified and addressed. Residents are confident to raise any concerns they have and say both staff and the Manager act upon any concerns.

What has improved since the last inspection?

The refurbishment of the home has greatly enhanced the appearance of the home with the majority of rooms redecorated and the lounge/ dining room and corridor have also had new carpets. Actions have been taken to ensure that staff pass on residents concerns to the manager so that they can be appropriately acted upon. Requirements in relation to medication have been addressed and give assurance that residents have medicines that have been safely and appropriately stored to maintain their effectiveness.

What the care home could do better:

There is a need to explore the suitability and sufficiency of activities that currently take place at the home to ensure that they meet residents` needs. Staff also need to ensure that they inform the Commission for Social care Inspection of any incidents that have affected residents to give assurance that all required actions have taken place.

CARE HOMES FOR OLDER PEOPLE Oaklands Nursing Home - KWD 82 Wartell Bank Kingswinford Dudley West Midlands DY6 7QJ Lead Inspector Mrs Amanda Hennessy Key Unannounced Inspection 15th May 2007 09:00 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 Nursing Home - KWD DS0000004881.V330810.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 - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Nursing Home - KWD Address 82 Wartell Bank Kingswinford Dudley West Midlands DY6 7QJ 01384 291070 01384 291070 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) Mr. Richard Perkins Mr. Charles Fraser Macnamara Mrs. Beverley Jane Freeman Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62), Physical disability (13), Physical disability of places over 65 years of age (3), Terminally ill over 65 years of age (12) Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 13 PD, 3 PD(E), 12 TI(E) and up to 62 OP One service user identified in the variation report dated 23 June may be accommodated at the home in the category of MD(E). This will remain until such time that the current service users placement is terminated. 6th June 2006 Date of last inspection Brief Description of the Service: Oaklands is a care home that can provide both nursing and personal care to older people on one site. The building is normally divided up into two distinct sections, The Lodge and the Manor, although the former has not been used for residents for some time and is currently used as offices. The home offers accommodation to older people, people with a disablement or terminal illness. The home has both single and double rooms but the full occupancy is dependent on the future of the Lodge. There is one large communal lounge/ dining room. The home has a range of facilities and aids necessary for care of older people this including adapted bathing facilities, shaft lift, hoists, grab rails and similar. The home is sited close to the centre of Kingswinford in the centre of a residential area. There is access to bus routes following a short walk. As mentioned, there are plans to extend the home on the Lodge side so as to enable the home to offer sufficient beds so as to fulfil its registered number. The CSCI have not been given any firm dates for the commencement of this work, although the Lodge side of the home is now sealed off. Fees vary between £343 and £450 and are dependant on the needs of the service user and the type of room that will be occupied, the cost of hairdressing; chiropody and personal toiletries are not included in the fee. Oaklands Nursing Home - KWD DS0000004881.V330810.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 undertaken by one inspector. The inspection was carried out between 09.00 and 16.15. The inspection included a tour of the Manor side of the building only, as the Lodge is not currently used to accommodate residents. Eleven service users and nine relatives completed questionnaires that asked their views on the home, and which positively identified their life at the home. A review of information supplied by the Manager (pre inspection questionnaire) was also undertaken and expanded upon during the visit. Care records were reviewed as part of the “case tracking” of four service users and five staff files were also looked at. The manager is Mrs Beverley Freeman. The registered proprietors are Mr. Richard Perkins and Mr. Charles Fraser McNamara. Thirteen of the fifteen requirements made at the previous inspection were met. One requirement was made as a result of this inspection. What the service does well: People have a comprehensive assessment of their needs before coming to live at the home, which is transferred into a detailed plan of their care needs. The home has a minimal staff turnover and staff have good training opportunities available, which has resulted in a high percentage of qualified care staff. Residents confirmed, “ The staff are very good”. The recruitment and selection of staff is robust and safeguards residents form people who should not work with vulnerable people. Staff also have regular staff supervision by senior staff Residents have a choice of nutritional and tasty food and say, “ the food is very good”. The home has an effective quality assurance programme ensuring that residents are listened to and any areas of weakness are both identified and addressed. Residents are confident to raise any concerns they have and say both staff and the Manager act upon any concerns. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oaklands Nursing Home - KWD DS0000004881.V330810.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 - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4, 5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be assured that they will only admitted to the home when the manager feel that the home is suitable to meet their needs. EVIDENCE: Prospective residents, their friends and family have the opportunity to come and visit the home before they make a decision that they would like to come and live there. Prospective residents have an assessment of their needs before they come to live at the home which is undertaken by either the Manager or a senior nurse to give both the prospective resident and the homes staff that they know and are able to meet their needs. The care assessment is also supplemented in most cases by a care management assessment and a range of individual risk assessments. Whenever possible prospective service users or their representatives are involved in the assessment of their needs. The Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 9 Manager writes to the prospective service user confirming that following the assessment of their needs their needs can be met by the home. Residents spoken to said that the home is “very good” and “they give me the help that I need as I couldn’t manage at home on my own”, “I feel safe knowing that if I was to fall they are here”. Care staff spoken to were knowledgeable about residents’ needs and give comprehensive explanation of residents care needs, which were also confirmed by their plans of care. Staff have good training opportunities and access a range of training including training courses that updates them on conditions that affect Oaklands residents. Oaklands Nursing Home - KWD DS0000004881.V330810.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets residents’ health and personal care needs and they are treated with respect and their privacy and dignity is upheld. The storage and administration of medicines at the home is safe and promotes residents’ health and well-being. EVIDENCE: People who live at the home have a plan of care that comprehensively identifies all their needs and provides staff with instructions on how there needs will be met. Care plans are a standard format but identify “ residents individual needs” and were “person centred” moving away from a “one care plan fits all approach” Staff had recorded of residents choose of toiletries as well as instructions what staff should do to supplement a resident’s diet who was unwell and had lost weight. It was evident that care plans do reflect changes to peoples health with one resident requiring a soft diet as their swallow reflex had deteriorated and they needed more frequent turns as they Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 11 were at a greater risk of developing pressure sores due to their deteriorating health. There were two residents who had “sticky eyes” and although they did seek advice and treatment from the residents Doctor they did not develop a plan of care and subsequent review of the “stick eye”. Care plans are developed and regularly reviewed with the involvement of the service user. It is sometimes difficult to read the changes or assess when their care plan has changed as staff do not date any changes and need to consider rewriting the care plan, as current entries may not be easily seen by other staff resulting in changes not being addressed. People who live at the home have required risk assessments for the risk of pressure sores, moving and handling, nutrition and falls which are reviewed monthly as required. People are weighed and have their pulse and blood pressure recorded at least monthly, although if there is concern about their health this is undertaken more frequently. Care records and service users identified that they are appropriately referred to and have visits from Health Professionals such as GPs, specialist nurses, dentists, opticians, chiropodists, dieticians and speech and language therapist. “ I see the doctor if I am unwell”. Visitors spoken to said that they felt that they were informed of any changes in their relative’s health and staff also record these conversations in residents care records. The administration, safekeeping and storage of medicines are undertaken safely by nursing staff. Previous requirements in relation to the storage of and administration of medication have been addressed. An air conditioning unit has also been purchased to give increased assurance that medicines will be stored within required temperatures to give assurance of their safety and effectiveness to protect residents’ health and safety. Over the period of the inspection staff were observed to interact with residents in a kindly way with respect and thoughtfulness. Staff were consistently observed to be sensitive to protecting service users dignity rearranging residents clothes and covered them up with their blankets when they were moved in the hoist to ensure that their dignity was not compromised. People spoken to said that the staff were very good, kind and treated them with respect: “ they are lovely”. Oaklands Nursing Home - KWD DS0000004881.V330810.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The daily life and social activities of the home generally meets service users needs, capabilities and preferences. EVIDENCE: Residents said that they mainly sit in lounge and watch television; there are fortnightly church services and a weekly movement to music session on a Tuesday, which was held during the inspection and residents, said, “ I look forward to the music to movement to do our exercises”. One resident said that she had been out with staff for a walk to the park and” we sat out in the garden when the weather was nice which was lovely”. There is a record of some residents’ life history so that staff have a greater knowledge and understanding of their life and interests to enable them to plan activities that they would be interested in. The lounge was very tranquil with the majority of residents asleep during the morning having no stimulation apart from the television which the majority of residents showed no interest in. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 13 There is a need to review the activities undertaken and assess whether they are sufficient for the residents. One relative said: “ I think there could be more entertainment for residents”. Visitors are welcome at any time and all met said that they always felt welcome at the home. Residents spoken to said that there are several visitors every day The four-week menu provides a balanced and nutritious diet. The menu identifies two choices of meal although residents also said if they didn’t like what was available” staff are very good and get me something else”. Residents and staff all said “ the food is very good here” and “ there is always a choice”. It was nice to see that meal times are a very sociable occasion with the majority of residents going to dining room for their meals. Dining tables all have tablecloths and are appropriately laid with required cutlery, cruets and flowers. The daily menu is displayed on the notice board in the dining room and was corned beef hash or home made cheese pasties with assorted vegetables with either semolina or jelly and cream. Staff offer discreet assistance to feed residents when needed and sensitively asked, “Would you like a napkin to protect that lovely top.” Oaklands Nursing Home - KWD DS0000004881.V330810.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures to highlight concerns and complaints and protect the home’s residents. EVIDENCE: The complaints procedure is on display on the notice board and is in the terms and conditions of residency. Discussions with residents and comment cards received before the inspection said if they had any concerns they would not hesitate to speak to staff. Residents consistently responded, “ I would speak to Bev (the manager)”. The home has received two complaints in the previous year with both appropriately investigated with the outcome of the investigation discussed with the complainant. The home has appropriate policies for staff to highlight concerns whilst feeling safe to do so. There was a record of a recent incident when an agency care worker given a resident several mouthfuls of lunch although they were unable to swallow foods and there was a sign above her bed that identified that she was “ Nil by mouth”. And was unable to tolerate oral foods. Staff had requested that the doctor examine the resident to check that they had not inhaled any of the food and had informed the agency of the workers inappropriate actions but had not informed CSCI. The home has appropriate policies to ensure that staff that are not suitable to work with vulnerable people do not do so by robust recruitment and selection procedures. Staff spoken to have appropriate knowledge of what is abuse and what actions Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 15 they must take if any allegation of abuse is made to them. Staff receive inhouse training in adult protection procedures. Oaklands Nursing Home - KWD DS0000004881.V330810.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, 24.25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean, homely and nicely decorated, lighting in corridors remain poor, which is a hazard to older people. EVIDENCE: There has been a considerable improvement to the standard of decoration of the home since the previous inspection. The lounge, dining room and corridors have had new carpets and have been redecorated and have had new curtains and wooden curtain poles as well as new dining furniture and several new armchairs. Bedrooms have been redecorated and have had new curtain poles put up and are waiting for the new curtains to be put up and have the matching bedspreads to be put on the beds. Residents also said 2 we had new carpets and my bedroom has been painted and I have chosen new curtains.” The flow and return temperatures are being recorded but are lower than required to minimise the risk of infection. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 17 There is new and improved lighting in the lounge / dining room although corridors remain dimly lit which may prevent a risk to the people with poor eyesight. The home is clean, free from offensive odour and has appropriate infection control procedures to minimise the risk of cross infection. Gloves and aprons are available with staff changing aprons and gloves when required. The laundry is well equipped with industrial capacity washing machines and tumble driers that meet the requirements for sluicing and disinfection of linen. There is a sluice disinfector available on the ground floor but there is a need to arrange for suitable cleansing of bedpans and urinals used on the first floor. The waste contract needs has no provision for the removal of clinical waste, which the home does have. Oaklands Nursing Home - KWD DS0000004881.V330810.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff to meet all service users needs. Recruitment and selection procedures are robust and safeguard the service users. Training opportunities are good with a good proportion of qualified care staff enhancing the care that service users receive EVIDENCE: Staffing levels and their experience and qualifications meet resident’s needs. There are additional laundry and domestic staff are also available seven days a week. One member of care staff does go into the kitchen to finalise the preparation of tea. Service users spoken to and comment cards returned said that; “ The staff are very good”. The home has a highly skilled work force and has 10 of its 15 care staff (66 ) with a minimum of National Vocational level 2 qualification (NVQ) or equivalent a further 4 staff are currently undertaking their NVQ 2 qualification. This exceeds the requirement of at least 50 of care staff with NVQ 2. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 19 When new staff are employed they have had all required checks before they commence employment. Recruitment and selection procedures are robust to protect the service users. The home has induction training for all new staff that meets National Training Organisation standards. Staff are supported to undertake further training. Recent training has included fire safety, moving and handling, food hygiene, health and safety, infection control, nutrition in the elderly, tissue viability, specialist feeds and dementia care. Oaklands Nursing Home - KWD DS0000004881.V330810.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed effectively and safely to the benefit and of resident’s health and safety. EVIDENCE: The home has an experienced manager who is also a registered nurse. Staff, visitors and service users all spoke highly of the manager and find her very approachable. The Manager has demonstrated that she is an effective leader with staff aware of their roles and responsibilities. All staff have regular supervision with appropriate records available. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 21 The home has a quality assurance programme based around meeting the National Minimum standards. This has been effective with the home meeting the majority of its previous requirements. Audits of accidents, incidents, pressures sores etc are undertaken monthly to determine whether any other actions need to be undertaken and when required corrective actions are identified and implemented. Service user surveys are regularly undertaken with findings displayed in graph format and displayed on the notice board in the lounge. Documented visits by an identified Responsible Person within the organisation are undertaken regularly. The majority of services users have their finances managed by their families or by the Court of Protection. The home’s staff do not manage the finances but small amounts of service users money can be kept for safe keeping if requested. Records of money held show that there are appropriate procedures in place for the safe handling and storage of this money. The home has required health and safety checks. It was pleasing to see how they responded to guidance for the safe fitting, maintenance, checks and risk assessments of bedrails to protect residents from the risk of accident. There are appropriate and regular checks of the fire alarm, emergency lighting and fire extinguishers to protect service users. Hot water temperature are checked and recorded monthly. The flow and return water temperature is now recorded but is below recommended temperatures to protect against the risk of infection although regular water sampling for the presence of any bacteria is undertaken which does residents some assurance that bacteria is not present. All staff receive regular mandatory training in fire safety, moving and handling, food hygiene, first aid, infection control and health and safety. Maintenance records were reviewed and were found to be complete and up to date. A need to update the waste contract is required to include the removal of clinical waste. Oaklands Nursing Home - KWD DS0000004881.V330810.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x x X X 2 2 2 STAFFING Standard No Score 27 3 28 4 29 3 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 Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 37 Requirement Actions must be undertaken to ensure that required notification to CSCI are made. This is to ensure that all required actions have been undertaken to protect residents health, safety and wellbeing. The home must dispose of clinical waste appropriately and within the required clinical waste bags to safeguard people’s health safety and well being. This requirement was not met and should have been addressed by 07/06/06. 3. OP38 13(4) Hot water must be maintained within safe guidelines. To reduce the risk of infection to people. This requirement was not met and should have been addressed by 30/06/06. 30/06/07 Timescale for action 30/06/07 2. OP26 13(3) 07/06/07 Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP24 OP25 Good Practice Recommendations Arrangements should be reviewed to ensure that residents have all required equipment including the use of an adjustable bed for nursing residents. Lighting should be improved in corridors. Oaklands Nursing Home - KWD DS0000004881.V330810.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 - KWD DS0000004881.V330810.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. 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!