Inspection on 06/02/07 for Oaklands Residential Home, Barnstaple

This inspection was carried out on 6th February 2007.

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

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

Other inspections for this house

Oaklands Residential Home,... 23/03/06

Oaklands Residential Home,... 05/10/05

Oaklands Residential Home,... 02/03/05

Oaklands Residential Home,... 26/07/04

Oaklands Residential Home,... 03/03/04

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Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oaklands Residential Home, Barnstaple Oaklands Westfield Avenue Sticklepath Barnstaple Devon EX31 2DY Lead Inspector Andy Towse Key Unannounced Inspection 6th February 2007 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 Residential Home, Barnstaple DS0000057690.V316122.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 Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Residential Home, Barnstaple Address Oaklands Westfield Avenue Sticklepath Barnstaple Devon EX31 2DY 01271 374231 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 John Patrick Hall Mrs Ruth Edith Matthews Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd March 2006 Brief Description of the Service: Oaklands, is a care home found in a residential area on the outskirts of the market town of Barnstaple and provides personal care and accommodation for up to 25 people. The home is registered to provide care for people over 65 years of age who have general care needs and needs associated with a dementia type illness. Care and services are provided in a large extended detached house, close care bungalows have been built in the grounds but the home continues to have some views of the Taw estuary and accessible areas outside for residents. The accommodation at the home includes a large lounge and a large dining room; residents rooms are for single use, most of these are on the ground floor. The 3 residents rooms on the first floor are reached either by stairs or a stair lift. Fees charged range from £274.00 to £395.00 per week, with additional charges levied for things such as hairdressing, chiropody, toiletries, incontinence pads and taxis. Copies of previous inspection reports are available in the entrance foyer of the home. Oaklands Residential Home, Barnstaple DS0000057690.V316122.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 which took place over a period of seven and a half hours. The information contained in this report came from responses to surveys forwarded to some residents and members of staff prior to the inspection, together with a questionnaire completed by the registered manager. The inspection comprised a visit to the home, a discussion with the registered manager, proprietor and residents, combined with observation of care practices, a tour of the premises and examination of records including care plans. The information gained from both the inspection and the responses to the surveys forms the basis of the following report. What the service does well: What has improved since the last inspection? Since the last inspection the home has now started to carry out pre admission assessments of residents to ensure that only residents whose needs can be met are admitted to the home. As recommended in the previous inspection report, the home’s quality assurance questionnaire now includes the views of visiting professionals and other stakeholders. As recommended in the last inspection report a wash hand basin has been installed in the main bathroom to improve infection control facilities within the home. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 6 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 Residential Home, Barnstaple DS0000057690.V316122.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 Residential Home, Barnstaple DS0000057690.V316122.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured, by the pre-admission assessment, that the home can meet their needs. EVIDENCE: The files of three residents were examined. One contained an assessment which had been compiled when the prospective resident visited the home prior to moving in. The deputy manager had carried out the assessment. The registered manager said the deputy was an ex nurse and had appropriate training for her to undertake assessments. The file also contained an assessment summary compiled by a social worker which gave information regarding mobility, communication skills and risk of pressure sores which further complemented the assessment carried out by the home which covered Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 9 the aforementioned issues as well as those relating to hearing, sight, personal hygiene, continence, feeding and medication. Three residents spoken to said that they or their relatives had visited the home as part of the admission process. This had enabled them to make an informed choice about the home meeting their needs and whether to become resident there. Evidence on other residents’ files shows that it is the practice for the deputy manager to carry out an assessment as part of the admission process and this ensures that the home only admits residents whose needs it can meet. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents would benefit from care plans which set out in detail the action which needs to be taken by staff to ensure that all aspects of their health, personal and social care needs are met. Residents would benefit from being involved in the compilation and reviewing of their care plans. Residents’ health care needs are well met and regularly monitored. Residents benefit from the home having an appropriate medication procedure. Residents’ privacy and dignity is sometimes compromised. EVIDENCE: Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 11 The files of three residents were inspected. All were seen to contain care plans. Some care plans were those compiled by social services as part of the admission process and thereafter a separate care plan was drawn up by the home. On examination the care plans drawn up by the home comprised thorough assessments which needed to be developed to set out in detail the action which needed to be taken by staff to ensure that social and health care needs were fully met. The information about each resident was comprehensive and in discussion with the manager we were assured that it could be incorporated into care plans. In order for residents to have ownership of their lives it is useful if their views and opinions are sought with regard to their care plans. From discussion with residents it was apparent that they were not involved in the compilation of their care plans nor were they involved in the monthly reviewing of their needs. The home does run a key worker system but the home’s description of this role made it explicit that it was not an integral part of the role of a care assistant and was optional. Residents spoken to were not aware of whether or not they had a key worker. An effective key worker system would ensure a continuity of care as designated staff would, as part of their role as care assistants, have responsibility to ensure that care plans were carried out for specific residents. The monthly reviewing of care plans by the deputy manager ensured that staff were aware of any changes in the needs of residents and could ensure that these were met. Every file contained a well written and researched history of the resident. This is good practice as it enables staff to understand and appreciate the resident’s life history and appreciate their individuality. To ensure the health and safety of residents, all files contain risk assessments. These related to issues such as risk of falling and risk of fracture, and had been carried out by the deputy manager. Entries on all files showed that the residents at Oaklands have regular contact with general practitioners and healthcare professionals. Examples being a resident with diabetes having regular checks by either a general practitioner or the specialist nurse, or another entry showing that the health of a resident was monitored following a change in medication. Residents have an annual medical review and there were entries in the records which demonstrated frequent contact with general practitioners for medical support which resulted from observation of the residents’ health needs. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 12 A daily diary is kept in which all issues relating to the health and wellbeing of residents are recorded. The registered manager said that this had to be read by all staff when they came on duty to ensure that they were aware of the needs of the residents before commencing work. Medication is kept in a locked room. There is a separate fridge for medication which needs to be kept at a low temperature. Controlled drugs are kept separately. The administration of medication was seen to be carried out correctly and recorded appropriately. In discussion with two staff, both were able to give good examples of how they ensured that a resident was given privacy and retained their dignity. In observing staff however it was seen on several occasions that staff knocked on bedroom and toilet doors and proceeded to open them without waiting for permission to enter, which resulted in one resident having his/her privacy disregarded. On another occasion, a resident was asked about whether he/she wanted to use the toilet, with that request being clearly audible from an adjacent area of the home. These issues were discussed with the registered manger and the proprietor who agreed that they would take action to ensure that staff were more aware of the right of residents to privacy and dignity. Residents have access to a telephone, but this does not always ensure that they are able to make and receive telephone calls in private. This was discussed with the registered manager and the proprietor and the possibility of another type of phone being installed to facilitate this. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a range of activities which if improved on would provide a more stimulating environment for the residents. Residents benefit from visitors being welcome at any time. Residents are satisfied with the standard of food and choice available which reflects their choice. EVIDENCE: During the inspection residents were seen to have unrestricted access all areas of the home. From observation and in discussion residents said that they were free to do as they chose depending upon their abilities. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 14 Information supplied by the registered manager prior to the inspection said that within the home residents were offered activities such as cards, bingo, exercises, visiting choir, brownies and entertainment and within the wider community, family outings, stroke club, concerts and coffee meetings. The list of activities in the home showed there to be an activity listed for each day, such as bingo, dominoes, craft morning, musical exercises, sing a long and daily newspaper and nostalgia. Responses from residents to the pre inspection survey showed that of the three, for one there were never any activities he/she could take part in and the remaining two said sometimes or usually there were activities they could participate in. One resident who was case tracked said that there was ‘not a lot to do’ in the home. Whilst the home offers a range of activities it might be useful if they discussed with residents more regarding what activities they would like to be involved in and incorporate these into the care plans. During the inspection most interaction between staff and residents was task oriented with little stimulatory activity observed. This was discussed with a staff member who said that a ‘few exercises had been done earlier’, and listed activities available whilst explaining that the reason was also that they were a staff member short that morning. The manager said that the previous week a keyboard player accompanied by a singer had visited the home and it was anticipated that this event would be repeated every 6 to 8 weeks as residents had enjoyed it. With regard to the spiritual needs of residents, the home is visited each month by two local members of the clergy who hold communion and a service within the home. Residents are free to have visitors at any time. This is stated in the Service User guide and was confirmed in discussion with two residents who said that they regularly saw their relatives and that they were made welcome. Residents spoken to said that they were free to do whatever they wanted and had unrestricted access to all areas of the home. The home offers a three week rotating menu. The cook was not interviewed as part of the inspection, however issues relating to the menu were discussed with the registered manager, the proprietor and various residents as well as observations made during mealtimes. The registered manager explained that menus were decided based upon what had been prepared in the past and had been enjoyed by residents. She said that if residents did not like something that was on the menu it would be changed. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 15 At the two most recent residents’ meetings held on 28/5/06 and 10/9/06 issues relating to the menu had been discussed. The minutes of these meetings showed that residents had made many suggestions about changes in the menu. At the time of the inspection some of the suggestions made by residents had been incorporated into the menu. In conversation residents were positive about the food available. One said the food was good and that there was a lot of choice, another that he/she was content with the food available. These comments were reflected in the three responses received from residents in the survey circulated prior to the inspection. Mealtimes were seen to be relaxed and residents were seen to be offered a choice of food at tea time. This was also commented on favourably in a response by a stakeholder in the Quality Assurance questionnaire circulated by the home (Management and Administration). Residents were seen to be able to choose where they ate their meals. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have confidence in approaching the registered manager to make a complaint. Residents are further protected by the home ensuring that all relatives are aware of the complaints procedure. Residents are protected by staff being aware of what constitutes abuse and what to do if they suspect that it is occurring. EVIDENCE: All residents at Oaklands have a copy of the home’s Statement of Purpose which contains the home’s complaints policy. This means that all residents and potential residents have access to information which would enable them to make a complaint. Two residents were spoken to during the inspection. When asked about how they would make a complaint they both said they would go to the registered manager. In response to the quality assurance questionnaire all relatives have been sent a copy of the home’s ‘Service User Guide’ to ensure that they are aware of the home’s complaints procedure (Standard 33). Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 17 Of the three responses received from residents to the pre inspection survey two of the three residents considered that they ‘usually’ knew how to make a complaint, with the third being considered unable to make a complaint due to lack of capacity. As stated previously, all relatives are now aware of the home’s complaints procedure so can act on behalf of residents if they so wish. Residents’ welfare is protected by staff, who, when spoken to were aware of what constituted abuse, gave examples and were aware of what to do if they suspected that it was occurring. The home also includes training in the protection of vulnerable adults in its training programme which ensures that all staff will have appropriate knowledge to recognise abuse and what action should be taken should it occur. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well maintained and clean environment. EVIDENCE: Oaklands comprises an extended older type property. It is on two floors and with the majority of residents being accommodated in single occupancy bedrooms. All areas can be accessed by residents using either lifts or stairs. Bedrooms have been personalised and residents can go to their rooms at any time. Whilst bedroom doors are not lockable, this facility is available to residents who want it. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 19 The home has its own garden and is surrounded by purpose built accommodation for elderly people. Internally the home is well maintained. Since the last inspection the environment has been improved for residents by a wash hand basin being installed in the main bathroom, new flooring in four bedrooms, some new carpets elsewhere in the home, some new double glazing being installed and some exterior and interior redecoration taking place. The safety of residents and the maintenance of the physical environment is ensured by staff reporting any deterioration of the premises in a log book. Examination of this record showed that anything reported was acted upon. On the day of the inspection the home was seen to have a good standard of hygiene and cleanliness. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Residents benefit from adequate numbers of staff who have received training in appropriate health & safety topics. The home is on course for having a high percentage of its staff with NVQ 2 qualifications, this means residents will benefit further from a staff team who are suitably trained. The registered manager needs to ensure that the home operates a rigorous recruitment procedure in order to ensure the safety of residents. EVIDENCE: At the time of the inspection there appeared to be appropriate numbers of staff on duty to meet the basic needs of residents, though as stated previously, the home was a staff member short during the inspection. This resulted in there being less staff time available for activities and the creation of a more stimulating environment for the residents. The home carried out a quality audit circulating questionnaires to residents’ relatives and other people involved with the home. The responses from this Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 21 survey was positive regarding the ‘friendly and helpful’ attitudes displayed by staff. Information supplied by the registered manager in the pre inspection questionnaire showed that the home made available mandatory training such as the Protection of Vulnerable Adults, Moving and Handling, First Aid and Infection Control, future training also showed that these are part of a rolling programme of training and would also include Food Hygiene and Dementia. As several residents of the home have forms of dementia it is positive to see that it is the intention of the registered manager to obtain specialist training in this subject so that staff will be more able to understand and meet the needs of these residents. At the time of the inspection six out of seventeen care staff had obtained an NVQ level 2 qualification, four others were undertaking this training and four were due to commence. The home is therefore on course to have a high percentage of staff with qualifications in care which will enhance the service they offer. The files of four staff were examined. One contained only one reference which gave no relevant information to confirm the person’s suitability to work in care. The registered manager said that references had been applied for however this staff member had commenced employment at the home. One staff member was working at the home before he/she had been cleared regarding the protection of vulnerable adults register and another, although in receipt of a police check had commenced employment before being cleared on the protection of vulnerable adult register. To ensure the safety of residents it is important that the identity of staff is confirmed, and this is usually done by use of passports, birth certificates and driving licences. Not all files contained evidence which could confirm the identity of the staff member. The importance of a robust recruitment procedure in ensuring the safety of residents was discussed with the registered manager and the proprietor. With immediate effect they responded by removing staff members who had not had the necessary clearances. They have also written to the Commission to state their future compliance with the expected recruitment practices which will ensure the safety of residents. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents benefit from the home being managed by a manager who has appropriate experience and qualifications. The home operates an ongoing quality assurance system which is being expanded to ensure that the views of residents guide the development of the service. Money held on behalf of residents is appropriately recorded however, valuables held should be recorded. Policies, procedures and the maintenance of equipment means that residents live in a safe environment. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 23 . EVIDENCE: The registered manager has considerable experience of working with elderly people having worked at Oaklands for ten years. For three of those years she has been the registered manager. To complement her experience she now has attained her NVQ 4 and Registered Manager’s Award. In discussion and from examination of records it was apparent that the home is managed by both the registered manager and the deputy manager, as much of the assessment work and developing of the service was delegated to the deputy manager. The owner was present on the day of the inspection and it was clear that he was known to both residents and staff and spends time at the home on a regular basis. Oaklands operates quality assurance and monitoring systems by which it assesses the quality of the service it offers. Since the last inspection a questionnaire comprising questions about whether visitors are made welcome, awareness of complaints procedure, state of communal rooms and whether residents look clean and tidy and well cared has been circulated to relatives and other people involved with the home. The responses to this questionnaire were positive, with comments made about staff being ‘friendly and helpful’. Two of the responses had identified an issue relating to heating in specific rooms of the home. At the time of the inspection it was seen that the issue raised was being addressed. Some relatives were also unaware of the home’s complaints procedure. To address this all relatives were sent a copy of the home’s ‘Service User Guide’ which contained a copy of the complaints procedure as well as other relevant information about the home. These actions demonstrate that the home acted on issues brought up in the survey. With regard to the residents’ perceptions of care and their quality of life, we were informed by the registered manager that the deputy manager was redesigning a questionnaire for the residents. This would include questions about how residents felt in the home, did they feel safe, warm and comfortable, were the meals adequate and were there enough activities available. The home encourages residents wherever possible to either look after their own money or where that is not possible, let their relatives take responsibility for it. In instances where this is not possible the home will look after money on behalf of residents. When this happens the home operates a system whereby Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 24 all monetary transactions are recorded, signed by staff, with, wherever possible, receipts being obtained. It is not usual for the home to hold valuables on behalf of residents, however on the day of the inspection a valuable was being held on behalf of a resident, and whilst this was held in a safe place, no receipt had been obtained. So what? According to information supplied by the registered manager prior to the inspection, the home has carried out all the necessary safety checking and servicing of equipment to ensure that the residents live in a safe environment. The information supplied by the manager stated that assessments relating to the care of substances harmful to health (COSHH) had been completed in February 2006. That gas and electrical installations had been safety tested in 2006 as had lifts and other hoists and adaptations. Fire equipment is tested regularly and staff have training regarding fire safety. The information supplied by the registered manager also shows that the home has the required policies and procedures, which ensure the safety and wellbeing of residents and staff and that these had been reviewed during 2006. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 25 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 TheCHOICE 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 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 26 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 OP29 Regulation 17 (2) Requirement The registered person shall maintain in the care homes the records specified in Schedule 4. (This refers to the need to safeguard residents by ensuring that all staff have two references, proof of identity and clearance in respect of POVA First prior to commencing employment within the home) Timescale for action 06/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Care Plans should be developed to to set out in detail the action which needs to be taken by care staff to ensure that all aspects of personal and social care needs of the resident are met. Residents care plans need developing from assessments to setting out in detail the action which needs to be taken by DS0000057690.V316122.R01.S.doc Version 5.2 Page 27 2. OP7 Oaklands Residential Home, Barnstaple 3 4 5 OP7 OP10 OP35 staff to ensure that all aspects of the health, personal and social care needs of the resident are met. The current system of key working needs formalising and made an integral part of a care worker’s role if it is to be effective Although staff have the knowledge of what constitutes good practice regarding privacy and dignity, if it is to be effective, this needs to be put into practice at all times Records and receipts are kept of possessions handed over for safe keeping. Oaklands Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Residential Home, Barnstaple DS0000057690.V316122.R01.S.doc Version 5.2 Page 29 - 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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