Inspection on 19/04/07 for Oaklands Rest Home

This inspection was carried out on 19th April 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

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

CARE HOMES FOR OLDER PEOPLE Oaklands Rest Home Veals Lane Marchwood Southampton Hampshire SO40 4WW Lead Inspector Ms Pat Griffiths Unannounced Inspection 19th April 2007 09:30 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 Rest Home DS0000068814.V334715.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 Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Rest Home Address Veals Lane Marchwood Southampton Hampshire SO40 4WW 023 8084 5759 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) www.marlboroughnursinghome.co.uk Marlacourt Ltd Post Vacant Care Home 17 Category(ies) of Dementia - over 65 years of age (17) registration, with number of places Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection since registration in December 2006 Brief Description of the Service: Oaklands Rest home is a small, family owned, care home that provides personal care only for up to 17 people over the age of 65 who have dementia. The home is a detached house on the edge of the New Forest. It is close to public transport links, shops and churches and it is a short walk to the nearby town of Marchwood. There are large grounds, with a patio area, fishpond, large lawns and parking at the front of the house. The accommodation is over two floors, with a passenger lift providing access to the first floor. There are two sitting rooms at the front of the house, a large dining room and kitchen and laundry facilities on site. There are thirteen bedrooms, ten are single rooms and three are doubles. Five of the single rooms and two of the double rooms have en-suite facilities. There are two bathrooms and a shower available. The current fees for the home are £329 - £420 per week, depending on care needs and accommodation. Hairdressing, toiletries, chiropody and newspapers are not included and are billed separately. Oaklands Rest Home DS0000068814.V334715.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 key inspection, when all key standards were examined in the home. This was the first visit since the ownership of the home changed in December 2006. The manager, who started working in the home in December 2006, assisted the inspector during the visit as well as dealing with some of the day-to-day running of the home. Most of the residents were spoken to and one visitor, all of whom said positive things about the home and the staff. The inspector toured the home, looking at some of the bedrooms and the communal areas. Documentation such as personnel and residents records were looked at, as well as polices and procedures. Residents were observed making use of the communal areas, their bedrooms and part of the patio area in the garden. A completed pre-inspection questionnaire and service user survey cards from people who use the service and their relatives had been returned to the commission. What the service does well: What has improved since the last inspection? What they could do better: The manager will need to evidence that she is undertaking an NVQ in care to complete her application for registered manager of the home. The statement of Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 6 purpose, service users guide and policies and procedures are being reviewed and amended to reflect the type of care provided in the home. 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 Rest Home DS0000068814.V334715.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 Rest Home DS0000068814.V334715.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. People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. A comprehensive pre-admission assessment ensures that all of their needs can be met before people move into the home. Standard 6 does not apply to this service EVIDENCE: The home has recently changed owners, there is also a new manager, but the staff in the home have remain unchanged. The current statement of purpose and service users guides supplied by the new owners contain references to the provision of nursing care – but Oakland’s House only provides personal care and these documents are due to be reviewed, changed and made available. Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 9 All preadmission assessments are completed by the manager, who demonstrated that she is aware of the importance of assessing the level of care required by potential residents before they move into the home. The files for three recently admitted residents were examined. Each contained a comprehensive assessment, which had been completed prior to admission. The manager said that prospective residents usually visit the home, but often friends or relatives will visit and then advise the potential resident about the home or decide on their behalf. The pre admission assessments identified personal and social needs as well as health care needs. Areas that had been assessed included personal care, social, religious and cultural needs, dietary likes and dislikes, mobility, sight and hearing. Oaklands Rest Home DS0000068814.V334715.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 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Consistent care planning ensures that the needs of the residents are met. Medication training ensures the residents are protected. EVIDENCE: The care plan contained assessments and evaluations such as risk assessments, manual handling needs, nutrition and skincare. Areas of physical risk had been identified, with guidance for staff to follow to minimise the risk, giving staff guidance on each person’s abilities and needs and formed the basis of the care plan. The likes and dislike of the residents had been identified, such as what time they like to get up or go to bed, what they like for breakfast and where they would like to eat it. The plans set out clearly the actions staff had to take and what was needed to provide the support and assistance each person required. The plans for care during the night included details such as “if awake at 2am would like a cup of tea”. Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 11 Observation and discussion with some of the residents confirmed that individuals received the help they needed and were happy with the care and support provided in the home. The manager said that few of the residents were involved in developing or reviewing their care plans, but some relatives like to be kept informed. The manager said that the residents are registered with a local doctors surgery, who visit the residents when required. Other visiting healthcare professionals include the local community dentist, optician, district nurse and the chiropodist. There is space within the care plans for the visiting healthcare professional visits to be recorded, along with any changes in treatment or medication that has been arranged. All care staff spoken to were aware of the contents of the care plans and the assistance that the people concerned required. The home has received new written policies and procedures regarding medication, including ordering, storage administration and disposal of medicines. On the day of the visit the community pharmacist was visiting the home to teach staff how to manage medication stock levels and how to order more supplies. The same pharmacist had visited the home earlier and provided medication administration training for the staff. The manager said that staff have their skills and competencies assessed before they are allowed to administer medication to the people in the home. None of the residents manage their own medication. Up-to-date photographs of the residents were seen in the MAR sheets [Medication Administration Record] to reduce the risk of medication being given to the wrong person. Medication is kept in a locked and secure medicine trolley and metal wall cupboards. Medicines were dispensed from ‘blister packs’, prepared and provided by the local pharmacy. The home has individual lists of ‘homely remedies’ for each resident, which is a list of medications that can be administered to residents, which have not been prescribed by the doctor, such as paracetamol or cough linctus. The list is signed by the doctor, giving the staff permission to give these medications and under what circumstances. The staff were observed throughout the inspection knocking on doors and waiting for permission to enter, and speaking to residents in a friendly and courteous manner Oaklands Rest Home DS0000068814.V334715.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 and 15 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The people who use this service have good quality food and their diverse needs are generally well supported. The risks in the home are well managed and the residents are enabled to do what they wish and see whom they wish. EVIDENCE: The home has an activities organiser, who is also the cook during the morning. She is very committed to ensuring that the residents do what they want to do, when they want to do it, so all activities have flexible arrangements, some are done individually and some in groups. Activities include arts and crafts, which may be drawing and colouring pictures of flowers, cooking, baking and gardening. There is a greenhouse attached to the side of the house and the residents have been encouraged and helped to plant sweet peas and tomatoes plants and several are involved in watering and tending to the plants. Details of any activities done in the home are recorded in the individual care plans. The garden is being cleared and made safe, when the work is complete there will be safe areas for the residents to wander around and sit out in if they Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 13 wish. The home has an open visiting policy and one visitor that spoke to the inspector felt that the care in the home was improving with the new management, they had no concerns and were happy with the care that their relative was receiving. The cook has designed new menus that are seasonal and based on the likes and dislike of the residents. She spends time each day with the residents to ensure they make informed choices about their meals for the day. The residents are free to wander around the home during the day and some are assisted to sit in the garden to smoke, as smoking is not allowed within the home. The inspector spent some time chatting with the residents and drinking tea and coffee, while some seem to have had several breakfasts during the morning the cook was monitoring their eating, to ensure they would also eat their lunch at the appropriate time. All meals and drinks taken by the residents are logged in the care plans, with details of the meal choice and amounts eaten. The staff confirmed that this has ensured that missed meals do not go unnoticed and residents can be reminded of what they have eaten during the day. The residents said they liked the food and the choices they had, they felt they were helped to decide for themselves and were pleased that they could decide where to have their meals if they did not want to sit in the dining room. Specialist diets such as those for diabetics and vegetarians are catered for and the cook showed the inspector the extra meals she had prepared and frozen to ensure that there would always be choices available for those residents. Oaklands Rest Home DS0000068814.V334715.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 and 18 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People using this service are safeguarded by a complaints procedure which is available to them, their relatives and the staff. Staff training in adult protection also promotes the safety of the residents. EVIDENCE: The home has a complaints policy in place, details of which are available for staff, residents and their visitors. Visitors that spoke with the inspector felt happy that they could take any complaints to the manager and that it would be dealt with properly. They also commented that they had no concerns and the home was improving with the new management and ownership. A complaint was made to the commission by the relatives of a prospective resident about a dirty, smelly room in the home, but no complaints have been made to the home. The manager said that an up to date copy of the local authority adult protection procedure was being obtained and would be available for staff to read. Staff have completed adult protection training during the last six months and those that spoke with the inspector indicated that they understood the prevention of abuse and adult protection policies. Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 15 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 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People using this service are protected from the risk of infection and live in a safe environment. EVIDENCE: The inspector was able to tour the home and see some of the bedrooms, kitchen, laundry and communal areas. The bedrooms seen by the inspector looked homely and had been personalised by the residents and their families. The residents commented that they were glad that they could bring some of their ‘bit and pieces’ with them, which included small items of furniture, pictures, ornaments and photographs of their families. There are two sitting rooms at the front of the house, one of which was not being used on the day of the visit as there had been a swarm of bees, but following a visit from pest Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 16 control personnel in the afternoon, the room was ready for use again. There is a large dining room with several tables, where people in the home take their meals and often sit for tea and coffee and a chat with the staff. The kitchen is medium sized, with a separate storage room for dry goods and frozen foods. The cook and inspector discussed the ‘Safer food, better business’ kitchen handbook, which are kitchen diaries that are used to log daily fridge and freezer temperatures as well as the cleaning schedule for the kitchen. The cook said she would contact the environmental health department to obtain a copy and start using it in the kitchen. The laundry is in a corridor at the back of the home and dirty laundry is not taken through the kitchen or food preparation areas. The manager said that the home has bought a new domestic washing machine and dryers, there are also some old industrial ones still in place, but not in use, that are due to be removed from the home shortly. There is a hand washbasin in the laundry, but on the day of the visit it was being used to wash commode pots. The manager said that an alternative arrangement was being sought, and a new sink for hand washing only would be installed when the old machines were removed. Improvements to the building are already in hand, the front of the house has been decorated and parts of the garden tidied. The manager said that a lot of the internal decoration has been completed and there is a rolling programme of decoration in place and bedrooms are being decorated when people move out. On the day of the visit the home it was seen to be clean and tidy, with no unpleasant odours in the communal areas. The carpet in one of the bedrooms was malodorous, but because of the complex needs of the resident it was not due to be changed until the resident moved out and the carpet was being cleaned thoroughly every day. Areas of the gardens are being cut back, establishing boundaries and revealing lots of rubbish. The manager has employed a gardener and residents have been involved in planning new flowerbeds in different parts of the garden. A small patio area near the back door is accessible to residents, who sit out in the sunshine or go out for a smoke. There is a larger area of paving that will be cleared and made safe before it is made available to the residents. The manager said that it was hoped to clear the weeds from the pond at the front of the garden and make it safe for the residents by fencing it in or placing a large grille over the water. It is also planned to securely enclose the garden so that the people who live in the home can wander freely and safely in the grounds of the home and not stray out onto the road at the front. There are some old outbuildings at the back of the home that are in a dilapidated state, but are not accessible to the residents. The care staff in the home are supported by a cook and cleaner who both work in the home daily and protective clothing such as aprons and gloves were seen to be available to all of the staff. Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 17 Oaklands Rest Home DS0000068814.V334715.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 and 30 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The staffing numbers, skill mix and training ensure that people using this service are protected and supported. EVIDENCE: The home employs fifteen staff, thirteen work as carers and there is a cook and a cleaner who also do shifts as care staff. The manager said that the family who own the home also do the shopping for the home and undertake some of the minor repairs and maintenance jobs in the house. One of the care staff has completed a National Vocational Qualification [NVQ] in care, two others are currently undertaking the course and five more plan to start the course soon. It is a national expectation that 50 of all care staff will have an NVQ2 in care. The manager said that staff are being encouraged to undertake the training. The home has a recruitment policy, but no new staff have been employed since the change of ownership in the home, in December 2006. The inspector looked at three staff files and all mandatory information and checks had been completed before they had started work in the home. Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 19 The training programme was seen, and the majority of the staff have completed training in dementia awareness, manual handling, adult protection, infection control and medication administration. Two have received recent health and safety training and two have up to date first aid certificates. Three staff have food hygiene certificates. There is no evidence that staff have received fire safety training since July 2006, but a faulty fire alarm has ensured recent fire safety practice for the staff. The fault was repaired and the system is due to be serviced soon. The pre-inspection questionnaire, completed by the manager, indicated that a fire lecture or training was going to take place in March 2007. The manager said that the home does not currently have a training programme in place to meet the requirements of the training body for the social care workforce i.e. Skills for Care, but that she would be obtaining the training package. The manager said that staff training needs were identified through individual supervision sessions and further training arranged when needed. The pre-inspection questionnaire indicated that training that is planned for the staff includes food hygiene, health and safety, fire safety, adult protection and dementia awareness. The home had a large number of comprehensive policies and procedures, which are available and accessible to the staff, but they come from the parent company and not all are relevant to the type of care provided by this home. The manager said that they would be reviewed, amended and made available shortly. Comments from people who live in the home and their relatives include: ‘All of the staff are friendly and patient, the care is good’ ‘Craft activities are frequently on offer and the food is good’ ‘ the staff are very caring and supporting towards my Dad who needs a lot of reassurance at times’ ‘The care staff are exceptionally good, they are kind and considerate to all of the residents’ Staff commented: ‘it’s much better now’ ‘the new manager is ace!’ ‘we can do the job properly now, we have had the training’ Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 20 ‘it’s been exciting to develop the menus and activities for the residents’ Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People using this service are safeguarded by good management, which does not restrict their independence or choices. The use of external healthcare professionals and specialist equipment reduces the risk of injury to the people using the service. EVIDENCE: The home is run by an experienced manager, who has previously managed a domiciliary care agency. She has completed her NVQ4 in management, but does not have a care qualification. The manager is not registered with the commission, and is aware that a qualification in care is needed to become a Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 22 registered manager in a care home, so she is arranging the necessary training. Following discussions with the manager and from observing her in conversation with staff, relatives and residents, she presented as knowledgeable, proactive, open and enthusiastic, sensitive to the needs of both residents and staff and concerned with the quality of the service that the home provided. The manager said that a service users survey had been sent out recently, but the completed questionnaires had not been returned yet. The home does not keep or manage any monies for the residents. Arrangements are in place to ensure that the home is locked and secure at night. During the day access is gained by ringing the doorbell. The pre-inspection questionnaire indicated that the home’s equipment, and systems were checked and serviced at appropriate intervals i.e. passenger lift and hoists; boilers; fire safety equipment alarms, emergency lighting; and portable electrical equipment. The manager said that she is aware that ‘lots more needs to be done’ in the home and that things are being done in a measured fashion. The home has the new company’s written policies and procedures, the manager said that they are being amended to provide a better outline of the type of care available in the home, which only provides personal care for elderly people with dementia Comments from people who live in the home and their relatives include: ‘it’s lovely’ ‘ I like to sing and they let me’ ‘he likes to sing all the time but I just keep quiet’ ‘it’s OK, they feed you, and I like lots of coffee’ ‘ We have very good communications with the manager, the previous owners were vague’ ‘The home is working well to provide the very highest standards and yet provide a homely atmosphere for all the residents’ ‘The new owners have made a tremendous change for the good, have improved facilities and the catering’ Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X 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 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oaklands Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rest Home DS0000068814.V334715.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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