CARE HOMES FOR OLDER PEOPLE
Oaklands Rest Home 216 Stakes Hill Road Waterlooville Portsmouth PO7 5UJ Lead Inspector
Marilyn Lewis Unannounced 10:00 a.m. 4 August 2005
th 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 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 H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Oaklands Rest Home Address 216 Stakes Hill Road Waterlooville Portsmouth Hants PO75UJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 9226 6343 Mr Timothy Maloney Marilyn Collins CRH 25 Category(ies) of DE(E) Dementia over 65 MD(E) Mental disorder registration, with number over 65 OP Old age of places Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16th November 2004 Brief Description of the Service: Oaklands Care Home provides a residential service to older people, older people with mental health problems and older people with physical disabilities. It is situated at the southern end of Waterlooville and is close to local shops and the main bus route. The residents are accommodated in eighteen single bedrooms and three shared rooms. Six of the single rooms have en-suite facilities. The home has three lounges and a dining room all of which are accessible to the residents. There is a large sheltered courtyard, which has potted plants and shrubs providing a pleasant sitting area and lalso a lawned area to the rear of the property. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours on the 4th August 2005. The inspector toured the home and had the opportunity to meet with the registered manager, seven residents, two carers, the cook, the deputy manager, a district nurse and a visiting relative. The registered manager and deputy manager assisted the inspector with the inspection process. Individual care plans were sampled for three of the twenty five residents and records were seen for three staff members, medication, training, supervision, specialist equipment, fire safety and fire drills. Service users at the home wish to be known as the residents and this has been respected in writing this report. What the service does well:
The atmosphere at Oaklands was relaxed and welcoming and all residents and a visitor were satisfied with the care provided at the home. Prospective residents are provided with clear information regarding life at the home and are able to visit to meet with residents and staff. No one is admitted to the home without a full needs assessment to ensure their needs can be met. Clear care plans and good liaison with health professionals provides staff with the information they require to fully meet the needs of the residents. The residents are protected by staff who follow good procedures when dealing with medicines. Residents are able to exercise control over their lives and can choose to participate in a programme of activities and receive visits from relatives and friends. Residents are offered a choice of balanced, appetising meals served in a friendly, relaxed atmosphere. Residents know their complaints will be listened to and acted upon and are protected by the staffs’ knowledge of the good procedures to be followed should abuse be suspected.
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 6 Oaklands, provides specialist equipment, comfortable communal rooms, pleasant garden areas, suitable personalised bedrooms and sufficient bathroom and toilet facilities, giving a clean and homely environment for all who live and visit there. Residents needs are met by the sufficient number and skill mix of trained, supervised, staff employed at the home. The registered manager provides strong leadership and an open approach to management that benefits the residents and staff. Residents and their relatives’ opinions are sought on the quality of care provided at the home. Residents are financial interests are safeguarded by the homes’ good financial procedures. Staff training and safe working practices protects the health, safety and welfare of the residents. What has improved since the last inspection? What they could do better:
Residents safety could be put at risk by the lack of robust procedures for the recruitment of staff. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 5 and 6 Prospective residents are provided with clear information regarding life at the home, have the opportunity to visit the home and have their full needs assessed prior to admission, to ensure the home can meet their needs. Residents are provided with a written contract giving all the terms and conditions for living at the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide that gives prospective residents and their relatives clear information regarding life at the home. The documents provide the aims and objectives of the home, the qualifications and experience of the registered manager and staff and the criteria for admission. Each resident is provided with a written contract detailing the terms and conditions for residency at the home. Since the last inspection the contract has been up dated to include the number of the room to be occupied and now
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 10 states what services are covered by the fees and services that are available at an additional cost, such as hairdressing and newspapers. The registered manager said that a full care needs assessment is undertaken for each resident prior to admission. The assessment is carried out by the registered manager at the home or place or residence of the prospective resident. Full assessments were seen for three residents. The assessments were detailed and included medical history, mobility and psychological needs. The registered manager said that relatives are encouraged to participate in the assessment programme, particularly regarding family history information including photographs of people and places that have played a part in the life of the prospective resident. During the visit the registered manager spoke sensitively to a relative of a prospective resident who was not to be admitted to the home as it was felt the home would not be able to meet the assessed needs of the person. Prospective residents and their relatives are able to visit the home to meet permanent residents and staff. During the inspection visit, requests from relatives wishing to visit the home, taken by the deputy manager, were dealt with in a friendly, understanding manner, with the enquirers encouraged to visit the home at any time. The home does not provide intermediate care and therefore standard six is not applicable. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 Clear individual care plans and good liaison with health professionals gives staff the information required to fully support the residents. The residents are protected by the homes’ good procedures for dealing with medicines. EVIDENCE: The full needs assessment forms the basis for the residents’ individual care plans. Care plans were sampled for three residents. The plans contained clear information on the needs of the resident including personal care, social and psychological care needs. The plans contained risk assessments including those for mobility, nutrition and pressure areas. It was evident while reading the care plans that advice was sought from district nurses, community psychiatric nurses and GPs as required. A district nurse visiting the home at the time of the inspection said that staff at the home were very caring and acted on the advice given. The registered manager said that following discussion with Health Professionals arrangements were in place for one resident to transfer to a nursing home, as their care needs had
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 12 increased and could no longer be met by the home. Records also indicated that dentists, chiropodists and opticians visit the home. The home has good procedures in place for dealing with medicines. Only staff who have received training in medication are allowed to administer the medicines which are supplied in blister pack style. The deputy manager said that new staff members who had received the medication training were supervised when dealing with medicines until both the staff member and the supervisor agreed they were confident and able to carry out the procedures properly. Medication records seen had been completed appropriately. Up to date information on medicines used in the home was readily available to staff. Clear procedures lacking for handling insulin at the last inspection , were now in place, however at present there were no residents who were prescribed insulin. At the time of the inspection there were no residents who were self administering their medication. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents are able to choose to participate in suitable activities, enjoy visits from relatives and friends and are offered a choice of balanced, appetising meals served in a friendly relaxed atmosphere. EVIDENCE: Residents’ interests were recorded in their care plans. One care plan stated that the resident enjoyed knitting, reading the newspaper and watching the television and that although the resident participated in group activities, sometimes liked to spend time alone quietly in their room. While another care plan said that the resident liked an evening newspaper on the weekend and liked to participate in religious services held at the home. The home has an activities programme that is suitable for the residents and includes visits from external support workers to provide bingo sessions, board games and armchair exercises. Local ministers visit the home regularly and a monthly service is held at the home for those who wish to attend. The registered manage said that members of a church also visit to provide hymn singing, which is much enjoyed by the residents. Photographs were seen of residents celebrating their birthdays, when a cake is provided and a buffet style tea.
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 14 Some residents go on outings with family members and two residents go to watch school football. Visitors are able to visit at any time and a relative visiting during the inspection said that she was always made to feel welcome. It was evident during the inspection visit that residents were able to exercise control over their lives, with residents asked by staff what they would like to wear when getting dressed and where they would like to spend time. The home has a number of seating areas and residents were seen to choose which area they would like to be in and which chair they wished to occupy. Five residents spoken to in one lounge said that they were able to choose what they did during the day and staff respected their wishes. One resident was ready to go out to spend time with family members and some were sitting in the courtyard, enjoying the warm weather. The inspector had the opportunity to speak to the cook who said that she had a record of the residents likes and dislikes for food items that were taken into account when arranging the menus. Residents were able to choose to take a cooked breakfast, although most preferred cereals and toast. Lunch on the day of the inspection was corned beef hash, broccoli, cabbage and green beans with gravy, followed by sponge and custard. Alternative meals were available for those who did not wish the main choice. The cook said that residents were asked in the afternoon what they would like for tea with burger in a bun and soup or sandwiches on the menu for that day. Residents are also offered sandwiches and biscuits around 7.30pm. Meals served at lunch looked appetising and residents spoken to during the meal said the food was good. Comments from residents were ‘ food is always good’, ‘I’m never hungry’ and ‘ you can always have an extra helping if you wish’. During lunch staff were observed to ask residents which vegetables they would like and if they would like more. The staff spoke in a friendly unhurried manner and there was a relaxed atmosphere during the meal. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents know that their complaints will be taken seriously and acted upon and they are protected by the staffs’ knowledge of the homes’ good procedures for dealing with suspected abuse. EVIDENCE: The registered manager said that all complaints are taken seriously. The complaints are recorded in a book and on the computer system. The records seen indicated that more information was necessary such as the time it had taken to resolve the issue. The registered manager said that more information was included in the computer records and it was agreed that the written records would be more detailed in the future to give a clearer picture of the complaint investigation process. Two residents asked how they would make a complaint, said that they would discuss any concerns with the registered manager or deputy manager. Both felt their complaint would be listened to and acted upon. A visiting relative also said that any concerns would be discussed with the registered manager, who was always supportive. The home has procedures, including Hampshire County Council, Protection of Vulnerable Adults, in place to be followed should abuse be suspected. A recent concern with regard to adult abuse had been handled very well with Social Services informed quickly. Two staff members spoken to were aware of the procedures to follow and indicated that they would not hesitate to report any concerns to the registered manager or person in charge at the time.
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The provision of a clean, well maintained home, with specialist equipment, comfortable communal rooms, accessible garden areas, personalised suitable bedrooms and sufficient bathroom and toilet facilities, gives a homely environment for those who live and visit there. EVIDENCE: The home provides accommodation over two floors, with a passenger lift and stairs giving residents access to all areas. There is a programme for refurbishment and a maintenance man is employed for routine repair and redecoration of the property. Since the last inspection patio doors have been installed in a ground room to allow residents in wheelchairs access to the rear garden without the necessity of going through a resident’s bedroom. A new washing machine has been purchased and a new passenger lift has also been installed. Five of the residents bedrooms have recently been redecorated and new carpet has been laid in the downstairs hallways. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 17 The enclosed rear garden is laid mainly to lawn and the registered manager said that this area is popular with residents and their relatives during the summer months. There is also an enclosed courtyard with a variety of seats and plants making it a very pleasant area for residents to sit in a sheltered, safe environment. The home has a no smoking policy for indoors but residents who wish are able to smoke in the courtyard area. Three residents sitting in the courtyard during the visit said that they liked it very much. The home has three lounges, a conservatory and a separate dining room. All the rooms are bright and airy with furniture and fittings that looked to be in good condition. Three residents spending time chatting in the main lounge said that they liked the lounge and the seating was comfortable. The kitchen and laundry room are domestic in style and looked clean and in good order on the day of the inspection. The home has sufficient baths, one of which is an assisted bath and there is also a walk in shower. At the time of the inspection one bathroom on the ground floor lacked curtains. The registered manager said the curtains had been laundered and were due to be put back up. All the bathrooms and toilets seen looked clean. Four of the seventeen single bedrooms and one of the four double rooms are fitted with en-suite facilities. Specialist equipment such as hoists, slide sheets and profiling beds are provided for residents as required. A visiting relative said that the profiling bed provided had been of great benefit. The passenger lift and grab rails and ramps provided where required, allow residents maximum independence in moving around the home. Residents’ bedrooms looked homely and cheerful and contained many personal items such as photographs, ornaments and pictures. Screens are provided in double rooms to allow residents privacy as required. One resident sitting in her room at the time the inspector toured the home said that ‘ she had always liked her room’. It was noted during the tour of the home that the window of a bedroom on the first floor was not restricted and gave easy access to the roof of the property. This was brought to the attention of the registered manager who made immediate arrangements for a restrictor to be fitted. The registered manager telephoned the inspector the day after the inspection to confirm the restrictor had been fitted to the window. At the time of the inspection all areas of the home looked clean and there were no offensive odours. Staff receive training in infection control and disposable gloves and aprons were readily available for staff. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Residents needs are met by the sufficient number and skill mix of trained staff employed at the home. However residents’ safety could be put at risk by the lack of robust recruitment procedures. EVIDENCE: The home employs a registered manager, deputy manager, five senior carers and seven carers. Separate staff are employed for catering and domestic duties. The registered manager said that when the cook was off duty a care worker was allocated to prepare meals. However the care worker was on the rota as ‘the cook’ and not counted in the number of carers for the shift. Rotas seen indicated that sufficient staff were on duty at any one time. A staff member said that staffing levels were sufficient and two residents also said that they thought enough staff were on duty. The registered manager said that the rotas were flexible with staffing levels increased if the dependency needs of the residents became higher. The five senior carers hold NVQ level 3 and one of the carers has NVQ level 2. The registered manager said that arrangements were in place for carers who wished, to commence NVQ training later this year. Records were seen for three members of staff. The records contained proof of identity and two written references. However records for one staff member indicated that a Criminal Records Bureau check had not been completed prior
Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 19 to taking up the post, although a check had been completed by their previous employer. The registered manager was told that checks with the Criminal Records Bureau were not transferable and another check was to be completed before the person commences work at the home. Until the new check has taken place the carer was not to work unless supervised. All new staff members are required to complete a six week induction programme and all staff receive training in moving and handling, first aid and infection control. A community psychiatric nurse comes into the home to advise staff on the care of residents with dementia and the registered manager and deputy manager have both enrolled on a course for dementia care. They intend to cascade down the information they gain from the dementia care course to all care staff in the home. The registered manager has produced a file for staff containing up to date information on health issues relevant to the residents, including dementia and diabetes. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36 and 38 Staff and residents benefit from strong leadership and the open approach to management of the home. Residents’ opinions on the quality of care provided at the home are gathered and acted upon and the residents’ financial interests are safeguarded by good financial procedures. Staff training and safe working practices protect the residents’ health, safety and welfare. EVIDENCE: The registered manager is a trained nurse with twelve years experience in providing care for older persons. She has just completed NVQ level 4 in Management. Residents, staff and a visitor all said the registered manager was supportive. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 21 The registered manager operates an open door approach to management that gives the home a relaxed atmosphere. A visitor to the home said that communication was good and that the registered manager was ‘easy to talk’. Staff meetings are held monthly and the minutes of the meetings are given to each staff member. There is also a sealed box for staff comments. The registered manager said that group meetings with residents had not been successful but residents opinions were gained through one to one discussions. Surveys through questionnaires for residents and relatives were conducted twice a year. Each survey focused on a particular issue such as food or the activities programme. The registered manager said that the questionnaires were available in large print. The home keeps small amounts of residents’ money in the home. The monies are kept individually and in a secure place. Receipts are kept for all transactions and records seen for two residents matched the balance held. Staff receive supervision from the registered manager or deputy manager two monthly. The supervision covers all aspects of care practice and training issues. The supervision sessions are arranged at a time suitable to both the staff member and the supervisor and records are kept of the meetings. During the inspection it was noted that hazardous substances such as cleaning fluids were stored securely. The kitchen was in good order with food stored appropriately and the temperatures of the fridge and freezers were being monitored and recorded. Up to date certificates were seen for the maintenance of the passenger lift, hoists, bath equipment and fire safety equipment. Fire records seen indicated that all staff had received fire safety training and fire drill practice. Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 3 Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 23 Yes Are there any outstanding requirements from the last inspection? 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 19 Schedule 2 Requirement Criminal Records Bureau checks must be obtained for all staff that work at the home. This is an outstanding requirement of the inspection dated 16th November 2004 Timescale for action 31/09/05 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 Good Practice Recommendations Oaklands Rest Home H54 S11786 Oaklands Wville v237307 040805.doc Version 1.40 Page 24 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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