Inspection on 22/08/06 for Oaklea House

This inspection was carried out on 22nd August 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklea House 29/06/07

Oaklea House 23/01/06

Oaklea House 25/08/05

Oaklea House 18/10/04

Oaklea House 26/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Oaklea House Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE Lead Inspector Jane Capron Key Unannounced Inspection 22 August 2006 09:00 Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 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 Oaklea House DS0000004986.V307864.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 Adults 18-65. 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. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea House Address Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE 01782 373236 F/P 01782 399244 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) Mrs Grace Jeffries Mr Ronald Jeffries Mrs Helen Lynne West Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user over the age of 65 years be admitted. The 12 LD(E) refers to current service users who become 65 years whilst living in the home. 23 January 2006 Date of last inspection Brief Description of the Service: Oaklea is a registered care home for 12 people of both genders with a learning disability. The home is set in a large house set back from the A34 road at Tittensor. It is located on a bus route and is close to a pub and the local parish church. The home has car-parking facilities at the rear and has a garden where service users can sit. The home has its own transport. The homes main role is to provide support, encouragement and supervision to enable the residents to develop their potential and to be as independent as possible. . Many of the service users access the college at Newcastle under Lyme or local authority day services. The staff at the home provide stimulation for those residents that do not attend formal activities during the week. Residents, according to ability, assist with practical tasks around the home including meal preparation, laying tables, washing up, and keeping their bedrooms tidy and assisting with the gardening. The home provides a range of outside leisure activities for all the service users and they access local facilities and facilities further a field in Newcastle and Stoke. The staff accompany the service users on holiday at least once a year. The fees for the home are between £345 and £558 per week. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a four-hour period. Six of the residents were away on holiday in Torquay but all the residents that were present at the home were spoken to both as a group and individually to gain their views about living at the home. The deputy manager and the staff member on duty were spoken to. The inspection included examining a sample of residents’ files and a sample of health and safety documentation including the records relating to fire safety. The arrangements for administering medication were looked at as well as the arrangements for safeguarding residents’ finances. The recruitment procedures were looked as well as the training provided to the staff. The communal rooms were looked at as well as a sample of the bedroom accommodation. Prior to the inspection a survey took place of residents, relatives and professionals. What the service does well: All the residents liked living at the home and had developed good relationships with the staff. The home was described by one resident as ‘perfect’ and the staff were described as ‘kind and caring’. Another resident said that Oaklea was ‘a very lovely home’ and that she would never leave. Additional comments included ‘ living at the home was lots of fun’, ‘I like everything’, and ‘the staff are friendly’. Residents living at the home had a good lifestyle. They took part in a range of educational, social and leisure activities and were supported to develop their independent living skills. Residents said that they chose the meals and helped to make meals and laid and cleared the table and went with staff to do the food shopping. Some residents helped with keeping the home clean and tidy. The residents were consulted over aspects of running the home and they felt that staff listened to their views. Residents were aware of how to complain and felt that staff would sort out any problems they had. The residents’ health care needs were being met. Residents attended for routine health checks and were supported to attend any required health care appointments. Health professionals stated that the home worked in partnership with them. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 6 The home’s staffing levels supported residents to have all their needs met and the roster allowed for flexibility to allow for more staff to be on duty when most residents were at the home. The staff were well committed and motivated to provide the residents with a varied lifestyle that promoted their rights. There was a high level of qualified staff and staff had received training in communication skills and dementia care. The staff were fully aware of residents needs and how these were to be met. Relatives were happy with the care provided at the home. They felt welcomed when they visited and were kept informed over their relative. One relative commented that ‘since my daughter has lived there she has blossomed and become a different person’ and another comment stated that there was ‘excellent management at Oaklea, the senior carers put those in their charge first and my daughter is happy there’. The home was being well managed with the manager having the required qualifications. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home has a Statement of Purpose this needs to be include all relevant information and a service user guide needs to be produced in a userfriendly format to ensure that residents have all the information to know the services the home offers. The home’s admission process ensures that an assessment takes place and that the home is able to meet the needs of its residents. The home provided all residents with a contract outlining the terms and conditions. EVIDENCE: The home had a Statement of Purpose that provided information over what the home offered. It was however noted that there was an error relating to the funding of a holiday that needed to be altered to ensure that the document provided the accurate information. In addition the home needed to develop a service user guide that was accessible to residents. Case tracking of service user files confirmed that all residents had an assessment both by the home and by the local authority prior to a resident being admitted to the home. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 9 The assessment covered the necessary areas including health and personal care, educational and social issues and financial and family relationships. The assessment completed identified whether the home was able to meet the needs of residents. The home staffing levels and staff training provided the necessary skills and knowledge to work effectively with the residents to support them to have their needs met. The home worked effectively with health professionals to ensure that residents’ healthcare needs were being met. A copy of a contract was present on all files. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s care planning procedures ensured that residents’ needs were identified and that the support needed was clearly identified ensuring that their needs were being met. The home’s practices empowered the residents to make choices and to make decisions about their lifestyle. EVIDENCE: All residents had an individual plan. These covered areas such as health and personal care, financial support, educational needs, domestic tasks and social and spiritual needs. The plans identified the involvement of other professionals. Residents confirmed that they met with staff to develop and review their plans. The home had developed a range of individual risk assessments that included self-medication, access to the community, showering and use of kitchen equipment. Residents stated that they were involved in making decisions about what they wanted to do and that staff provided them with support when needed. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 11 One resident stated that she decided how she spent her time including choosing what college courses to do and what time she got up and went to bed. Residents said that they met every week to decide on the weeks menus and that if they did not like something they could have something else. They also stated that they had residents’ forums where they discussed such things as the activities they wanted to do and where to go on holiday. They also said that they discussed any problems related to living together in the home. A discussion with the staff member on duty identified how residents were supported to make decisions and choices and how the home supported residents with limited verbal speech to make choices about their lives. The staff member was aware of residents’ methods of non-verbal communication to show preferences. The home also had a range of pictures that they used with one resident to gain their views over issues. The home had developed a support plan for the support each resident needed in respect of managing their money and budgeting. The residents confirmed that they took part in a range of activities relating to the running of the home. They were involved in meal preparation including washing up and setting and laying the table. As identified previously they took part in resident forums and they completed resident surveys to gains their views of the home. The home had developed the fire procedure and the complaints procedure in a pictorial format. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home support residents to develop their skills and to take part in a range of educational, social and leisure activities both in and out of the home ensuring that they enjoy a full life. The home provides residents with meals that are varied and provide them with choice. The home provides residents with a relaxed atmosphere where choice, independence and residents’ rights are promoted. Residents are supported to maintain relationships with family and friends and visitors to the home are made welcome. EVIDENCE: The home encouraged residents to develop their skills in communication, independent living and in social and emotional aspects of their lives. Staff were aware of residents’ methods of non- verbal communication and used symbols to communicate with one resident. The home was supported by the Speech and Language therapy service. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 13 All residents were involved in a range of independent living tasks including shopping, budgeting, meal preparation, setting and clearing the table and assisting with keeping the home clean and tidy. On the day before the inspection several residents had been helping staff to strip the wallpaper off the lounge walls that was to be decorated. Many of the residents attended college or the local authority day services. Three of the residents did voluntary work in a charity shop. Residents said that they were involved in wide range of activities. Most residents attended the Dolphin club twice a week. Several residents went to church. Other activities include going to the pub, out for meals, shopping, doing arts and crafts, using the computer and having discos and karaoke nights. The home organised and paid for a number of days out and this year visits had included trips to Blackpool and to Drayton Manor Park. The home organised holidays that were paid for by the residents. This year six residents had been to Llandudno and six to Torquay. The home has its own mini bus that the residents contribute towards. The residents access the community on a daily basis using local shops, the post office, and the bank and using local health care services. They go to the local pub just down the road and the local church. Residents are supported to maintain contact with friends and relatives. Friends are welcome to visit the home and have a meal. Relatives stated in the pre inspection questionnaire that they were made welcome when the visited. The staff were supportive of residents’ rights to intimate relationships and sought any necessary specialist services. The home had relaxed routines. Residents could get up and go to bed when they wanted. They could go to their bedrooms whenever they wanted and always had access to the communal rooms. There were no fixed times for meals and these were provided at the convenience of the residents. Breakfast was taken when a resident got up. The main meal tended to be taken at lunchtime and at teatime there was a hot snack type meal such as pizza. Snacks were provided between meals and residents had supper if they wished it. Residents were very involved in the meal process including setting and laying the table, washing up and helping to prepare the meal. The home monitored residents’ weight and followed up on any weight losses and gains. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s staff were aware of the personal care needs and healthcare needs of the residents and had procedures in place to ensure that these needs were met. The home’s medication procedure was ensuring that the residents’ medication needs were met. EVIDENCE: Case tracking showed that the personal care needs of the residents were being met. The individual preferences of the residents were identified and the home had developed a 24-hour care plan. Residents said that the staff were caring and provided the support they needed to meet their own personal care needs. Residents said that the staff encouraged them to undertake the tasks they were able but were available to help them do such tasks as washing hair and shaving. Residents were supported to go shopping and to buy their own clothes and toiletries. The home had developed links with specialist health care staff including Community Nurses, Speech and Language therapists and staff from the psychiatric services. The support plans showed the healthcare needs of residents and residents attended the dentist and the optician and any necessary health care screening. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 15 Residents confirmed that they attended the dentist and saw the doctor when needed. Records showed that the residents were receiving health care reviews. The home had received training in dementia care in order to provide the support needed by one resident. Staff were aware of their needs and how to respond to them. The home supported residents to access hospital appointments. Staff were alert to changes in behaviour and to any weight changes that may be an indicator of a health condition. The home had a bottle to person procedure for the administration of medication. Medication was stored securely and an examination of the records showed no gaps and an explanation was provided when medication was not administered. Staff that administered and medication had been trained. The home was supporting several residents to self medicate and assessments were in place to support this. The home had effective systems for checking medication when received and for returning unused medication. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure was well known by relatives and residents and residents felt that their views were listened to and acted upon. Staff were aware of the issues relating to adult protection and this contributed to the residents safety however the resident’ protection would be increased through improvements in the method of recording expenditure. EVIDENCE: The home’s complaints procedure was well known to relatives and residents. All residents spoken to were able to describe the actions they would take if they were unhappy. The home had developed the procedure in a symbol format. The home maintained a record of complaints and since the last inspection there had been one complaint. This concerned the actions of one resident o another resident. The record showed that this had been responded to by the home. The home had a procedure in place to respond to issues of adult protection and the staff member spoken to was aware of the procedure. Residents said that they felt safe at the home and that they discussed at the resident forums any problems and difficulties between residents. They were confident that the staff would sort out any concerns. The home had procedures in place to safeguard residents’ finances. These were recorded and sampling showed that the records corresponded with the money held. The residents would be better protected by ensuring that receipts were more often obtained. This would also provide a better audit trail. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27,28,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provided residents with suitable accommodation that was well maintained. Bedrooms provided residents with a private area that they could make their own with personal possessions. The communal rooms were suitable to meet the needs of the residents. EVIDENCE: The home provided residents with suitable accommodation. The home was located on the main A34 between Stone and Newcastle. Externally the home had a car park and a raised garden where residents could sit outside. The home had a domestic style kitchen, a lounge with dining area at one end and a large reception area that was used as a second lounge. The home was in the process of decorating the lounge/ dining room. The home had a small laundry with washer. The home would benefit from the provision of a drier to assist with laundry during wet weather. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 18 The bedroom accommodation was located on both the ground and first floors. Residents said they liked their bedrooms. The home had two shared rooms and residents in these rooms had been consulted over whether they were happy sharing a bedroom. Eight bedrooms had ensuite facilities. All bedrooms were lockable and assessments were in place for those residents that had keys. All bedrooms were well personalised with each bedroom reflecting the likes of the residents. The home was clean and tidy throughout. The home had infection control practices in place and had supplies if aprons and gloves. Many of the staff had completed training in infection control. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,3435,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s staff were suitably trained and had the necessary qualities and commitment to provide the residents with a varied lifestyle that promoted their rights and developed their skills. The staffing levels were suitable to meet the holistic needs of the residents. The residents were being protected by the home’s recruitment and selection procedures. EVIDENCE: All the residents spoke highly of the staff. They felt them to be caring, kind and helpful and that they listened to their views. Discussions with the staff on duty showed them to be highly motivated and committed to the residents. The staff had knowledge over residents’ conditions and arranged training to ensure staff were up to date in current practices. The home had provided training in dementia care to be able to meet the needs of residents with this condition. The home had also worked with the Speech and Language therapist to develop methods of effective communication with residents with limited verbal speech. Training had been provided in working with people with difficult behaviour. Information provided by doctors and other healthcare specialists showed that the home worked effectively with them. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 20 Of the eight care staff at the home six had obtained NVQ level 2. Several had obtained or were studying for level 3. Two staff had undertaken LDAFF training. The home provided sufficient staff to meet the needs of the residents. The staff levels varied according to the needs of the residents. At times when there was one resident in the home there would be one care staff and the manager on duty but this level could rise to three care staff at times during the evening and weekends when all the residents were at the home. This level of staff enabled residents to be supported to access the community, to take part in activities and to assist in independent living tasks around the home. The home provided two sleep in staff. The staff were well supported. The home had staff meetings and all staff received individual supervision. The home’s recruitment and selection procedures ensured that prospective residents completed application forms and were subject to pre employment checks including CR and two references. The home also had an appraisal system in place. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from a home that is well run with manager that is suitably qualified and who is well respected. The home has systems in place that include the residents, to monitor and review the service but there are areas where this can be improved. The home’s health and safety procedures are in the main protecting the residents but the home needs to develop its evacuation plan. EVIDENCE: The home continued to have the same manager who was suitably qualified and undertook training to remain up to date with current practices. She had the responsibility to ensure that the home complied with current legislation and standards. Staff and residents spoken to spoke highly of the manager feeling her to be supportive and to have an open style of management. Residents felt that she was approachable and they were confident that she would sort out any problems they had. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 22 The home had a Quality Assurance policy in place. The home undertook surveys of residents, relatives and professionals to obtain their views of the service. The home had in place a procedure for undertaking audits but these had not always been completed. The home had a health and safety procedures and a sample was inspected. Staff had received the necessary training in fire, first aid, moving and handling and food hygiene and a number of staff had been trained in infection control. The home safety stored hazardous substances and had procedures in place for the safe handling of threes products. The home had fire safety procedures in place and the home had undertaken the required testing and servicing of fire alarms and fire equipments and emergency lighting. The home undertook regular fire drills at varying times during the day and night. The home needed to develop an evacuation plan that including any individual needs of residents. The home maintained records of accidents. The home had plans in place to ensure the security of the premises. Oaklea House DS0000004986.V307864.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 Adults 18-65 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 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 2 X X 2 X Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 24 no 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. 2. 3. Standard YA1 YA23 YA42 Regulation 4&5 Requirement Timescale for action 01/11/06 24/09/06 01/10/06 To update the Statement of Purpose and service user guide. 13(6) To improve the system for the administration and recording of residents’ expenditure 23(4)(c)(iii) To develop an evacuation plan that includes the specific needs of residents. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA6 YA39 YA30 Good Practice Recommendations To consider introducing a more person centred care planning approach. To fully implement the Quality Assurance system. To consider the provision of a drier in the laundry. Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Oaklea House DS0000004986.V307864.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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