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Inspection on 25/08/05 for Oaklea House

Also see our care home review for Oaklea House for more information

This inspection was carried out on 25th August 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the residents spoken to liked living at the home. They spoke highly of the staff and felt that they were supportive and listened to them. The residents benefited from having a full and varied lifestyle. They took part in a wide range of activities both in and out of the home. They were involved in the local community with a number attending the local church and many regularly going to the local pub. Residents were provided with a holiday once a year. Residents were encouraged to be involved in aspects of running the home including choosing the menus, going shopping and being involved in food preparation and domestic tasks. The routines at the home were quite flexible with residents able to decide how to spend their time and deciding when to get up and go to bed. The views of residents were sought through residents` meetings and through surveys. The residents liked the food and stated that if they did not like a meal there was always an alternative. The residents had their personal care and health care needs met.The staff at the home were aware of the individual needs and wishes of the residents. Staff were suitably supported, supervised and trained and were well motivated and committed to provide a good service to the residents. The home was well led and the manager had an open and inclusive style of management encouraging ideas from staff and residents. The home reviewed and evaluated the service providing the information to develop and improve the service.

What has improved since the last inspection?

Since the last inspection there have been some improvements to the home. There had been some decorating, locks fitted to all the bedroom doors increasing the privacy of the residents, and the shower downstairs has been upgraded. The homes recruitment and selection process was now showing that the necessary pre employment checks had been completed. The staff`s training now included infection control and the home had the required infection control equipment.

What the care home could do better:

The home was providing a good quality of service and had met all of the previous requirements. The home did however need to ensure that the regulations in respect of the testing of portable electrical equipment was met. Whilst involving the residents in their care planning the residents could benefit from the home developing the person centred planning approach to care planning.

CARE HOME ADULTS 18-65 Oaklea House Stone Road Tittensor Stoke on Trent Staffordshire ST12 9HE Lead Inspector Jane Capron Announced 25 August 2005 09:30am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oaklea House Address Stone Road Tittensor Stoke on Trent Staffordshire ST12 9HE 01782 373236 01782 399244 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) Mrs Grace Jeffries Mrs Helen Lynne West Care Home 12 12 12 Category(ies) of LD registration, with number LD (E) of places Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No service user over the age of 65 years to be admitted. The 12 LD (E) refers to the current service users who become 65 years whilst living in the home. Date of last inspection 18th October 2004 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 home’s main role is to provide support, encouragement and empowerment for the service users. 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 service users that do not attend formal activities during the week. Service users, 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. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day lasting approximately six hours. The inspection included discussions with the registered manager, staff on duty and seven residents. A range of documentation was examined including a sample of care plans and documentation relating to health and safety. The procedures in place for the management of residents’ finances were examined. The premises were inspected including a sample of bedrooms. A pre inspection report was completed by the home and a pre inspection survey or residents, relatives and professionals took place. A high level of responses were received including ten residents, eleven relatives and a Social Worker and the GP practice. All provided positive responses being happy with the care provided at the home. Since the last inspection the CSCI has not received any complaints and no additional visits have taken place. What the service does well: All the residents spoken to liked living at the home. They spoke highly of the staff and felt that they were supportive and listened to them. The residents benefited from having a full and varied lifestyle. They took part in a wide range of activities both in and out of the home. They were involved in the local community with a number attending the local church and many regularly going to the local pub. Residents were provided with a holiday once a year. Residents were encouraged to be involved in aspects of running the home including choosing the menus, going shopping and being involved in food preparation and domestic tasks. The routines at the home were quite flexible with residents able to decide how to spend their time and deciding when to get up and go to bed. The views of residents were sought through residents’ meetings and through surveys. The residents liked the food and stated that if they did not like a meal there was always an alternative. The residents had their personal care and health care needs met. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 6 The staff at the home were aware of the individual needs and wishes of the residents. Staff were suitably supported, supervised and trained and were well motivated and committed to provide a good service to the residents. The home was well led and the manager had an open and inclusive style of management encouraging ideas from staff and residents. The home reviewed and evaluated the service providing the information to develop and improve the service. 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 E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 2,3,4,5 Assessments identifying needs were completed prior to a decision over admission ensuring that the staff were able to meet residents’ needs. Residents were able to spend time at the home before moving in allowing them to decide if the home was suitable for them. Contracts were provided ensuring that residents and representatives were aware of the services provided of their, and the home’s rights and responsibilities. The home’s quality of staff and the working relationships with other professionals provided the residents with the support they needed to have their needs met. EVIDENCE: The home undertook assessment prior to placements being offered unless a placement was undertaken urgently and then an assessment was completed by the home during the early days after admission. In all cases the local authority also undertook an assessment. Prior to admission prospective residents were provided with the opportunity to visit the home and spend time getting to know staff and residents. The home provided residents and/ or their representatives with a contract outlining the terms and condition of occupancy. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 9 Discussions with staff and residents showed that the home was able to meet the current residents’ needs. Staff had the necessary knowledge and training and were aware of each resident’s individual needs and their likes and dislikes. The home had developed positive working relationships with other professionals both related to health and social needs. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 The home’s care planning processes ensured that the information was available for staff to meet the residents’ needs and to take account of the preferences of the residents. The home supported residents to take decisions over their lives and to participate in daily activities within the home providing them with control over their lives and to have a voice in the running of their home. The home’s risk assessments ensured that risks were minimised and did not place unnecessary restrictions on residents’ lifestyles. EVIDENCE: Individual plans of care had been developed that covered the areas of health, personal care, occupational and leisure activities. These showed the support needed and the actions required for the needs to be met. Plans had been reviewed. Residents were involved in the care planning and reviewing process. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 11 Residents were encouraged and empowered to make decisions over their lives and to take an active part in aspects of running the home. Staff were aware of their role in supporting choice and decision making and were able to identify different methods of providing this support. They were aware of the differing levels of support needed by different residents. Residents choose when to get up and go to bed and how to spend their time in the home. They chose whether to take part in activities and when to spend time in their rooms or in the communal areas. They were all involved in shopping for their personal items and clothes and went shopping for the food. Resident meetings were held to discuss such issues as holidays, trips out and activities. A weekly meeting was held to plan the following weeks menus. One resident had recently organised a day trip for all the residents. Residents undertook household tasks such as laying and clearing the table, helping to clean their bedrooms, food preparation and ironing. The home supported residents to manage their finances and this was documented in the care plans. Suitable records were being kept and expenditure was supported by receipts were possible. Risk assessments were on file and these identified the nature of the risk and the actions to reduce risks to an acceptable level. These were kept under review. Risks covered such tasks as use of the kitchen, accessing the community and showering. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,16,17 The home’s policies ensured that residents were able to have a varied and fulfilling lifestyle that was based on residents’ individual preferences and provided them with opportunities to develop their independent living skills. The home’s routines were flexible providing the residents with a good lifestyle where they were able to have control over their daily lives. The procedures relating to meals provided the residents with variety and choice and encouraged them to be involved in deciding the menus and in preparing the meals. EVIDENCE: The home provided residents with a full and varied lifestyle. They had the opportunity to attend college undertaking a range of courses. A number attended local authority day services. Residents were able to enjoy a range of leisure activities both in and out of the home. These included going shopping, bowling, going to a local club, going out for meals and pubs and out for day Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 13 trips. Within the home residents tool part in activities relating to art and crafts, baking, beauty evenings, videos and karaoke evenings. The residents took part in local community activities such as discos at the local church and going to the local pub. One of the residents ran the church disco. A number of residents attended the local church on a weekly basis. One resident spent time helping in the garden at the home. The home funded all the residents to have a holiday and this year residents had decided to go to the Isle of Wight. Some residents also had a second holiday. The home had its own transport and the residents contributed to this. Residents contributed towards a range of daily living activities related to maintaining and developing their independence. These included ironing, food preparation, baking and certain domestic tasks. Residents were involved in managing their own finances and all went shopping either with other residents or with the support of staff. The home had a relaxed and friendly atmosphere where routines were flexible. Times for getting up and going to bed were flexible. Activities were flexible with residents able to choose whether to be involved or not. Residents were provided with the opportunity to make a range of choices over their daily lives and their lifestyle. Without exception the residents stated that they liked the meals and that they were involved in choosing the meals. They were involved in preparing and cooking meals and set the table and helped to wash up. The home provided a varied menu that considered the preferences of the residents and allowed residents to have an alternative if they did not like the meal offered. The home monitored the diet of the residents and regularly monitored their weight. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 The home’s policies and procedures ensured that residents’ personal care and healthcare needs were met providing them with a healthy lifestyle that promoted their welfare. The staff had the necessary knowledge to respond to the needs of residents, as they got older, and to support them if they needed to move if the home were no longer able to meet their needs. EVIDENCE: The care plans identified the personal care and health care needs of the residents. Residents stated that they saw the doctor when they felt ill and saw other health professionals if they needed to. Records showed that residents undertook the necessary health screening and that the home involved a range of other professionals such as speech and language therapists, community nurses and behavioural and psychiatric specialists. Resident were supported to access health care professionals although they financially contributed towards this support. Residents attended for dental and eye checks and visited the chiropody. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 15 The staff were aware of the individual health and personal care needs and preferences of the residents. Staff promoted residents independence and respected their privacy and dignity when supporting residents with their personal care tasks. Although some support and encouragement was required most residents were able to maintain most of their own personal care needs. Support was provided when needed in buying clothes and toiletries. The home supported residents with hair and nail care. The home’s staff were very aware of the implications of ageing upon the residents and had undertaken training in the effects of ageing including dementia. The home had links with the relevant health care professionals who supported both the residents and staff in responding to the changed needs of the residents. The home supported residents with community services whilst they were able and when they were unable to meet a residents’ needs they were involved in seeking alternative placements and maintaining contact with them when they moved. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 22,23 The home complaints procedure provided the residents with the opportunity to raise concerns and to be assured that their concerns would be responded to in a timely and appropriate manner. The adult protection policy and the training of staff increased the protection for residents living at the home. EVIDENCE: The home had a complaints procedure in place that had been provided to the residents. The home was in the process of developing the procedure in a pictorial form. The home viewed complaints as a method of improving their service and felt positive that residents felt able to raise issues over the service. The home maintained a record of complaints and this showed that complaints were responded to appropriately. Residents were able to explain how they would make a complaint and had people external to the home that could support them if necessary. Residents felt confident that the staff would deal with any concern they raised. The home had a adult protection policy and staff had received training in responding to any incidents. The home maintained the necessary records over residents’ finances and receipts supported expenditure. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 standard(s) 25,26,27,28,30 The home’s environment was satisfactorily maintained and was domestic in style and provided the residents with a homely environment that provided them with suitable private and communal accommodation. The home’s hygiene and laundry procedures provided the residents with a home that was clean and that took the necessary action to control infections. EVIDENCE: The home is located on the main A34 and is set back from the road. It is close to the local parish church and the local pub. The home is located on a bus route. The home’s premises are a two-storey property with a rear garden and car park. The home was decorated in a domestic manner throughout. The home was suitably maintained. Since the last inspection the home’s downstairs shower had been replaced, there had been some decorating of communal toilets and all bedrooms had been fitted with locks to provide residents with increased privacy. The home had suitable communal areas with a domestic style kitchen/ diner and large lounge/ diner and a large entrance hall, which is used as a second sitting/activity area. The home had a bathroom Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 18 with shower over and toilet upstairs and a shower downstairs. There were also two separate toilets and a staff toilet. The home had six single bedrooms, four having ensuite facilities, and three double rooms all with ensuite facilities. All bedrooms have suitable furnishings and furniture with a locked facility provided for each resident. Bedrooms were personalised with residents’ belongings and ornaments and photographs. All rooms had TVs. The home had schedules for the cleaning of the home and had the necessary protective equipment for staff. Procedures were in place for the control of the legionnella bacteria. The home had a small domestic style laundry. A number of staff were in the process of doing a distance learning programme in infection control. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36 The staffing levels at the home provided the necessary level of support to enable the residents to have their health, personal and social care needs met. The staff at the home had the necessary skills and personal qualities to develop positive relationships with the residents and to work with them to ensure their needs were met. The recruitment and selection procedures and the supervision provided to the staff provided residents with support and protection. EVIDENCE: The staff were aware of their role in supporting and empowering residents and were aware of the individual needs and preferences of the residents. Residents felt that staff were caring and had clearly developed close relationships with staff. Staff were provided with a contract outlining the terms and conditions and with a job descriptions. Staff were subject to the pre employment checks including references and CRB checks and all staff completed a health form prior to employment. Staff were subject to a probationary period. All staff undertook an induction period and completed an induction programme. The home’s owners had a good record of staff training Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 20 and supporting staff to undertake NVQ qualifications. Most of the staff at the home had obtained NVQ level 2 or above. Staff’s roles included undertaking domestic and cleaning tasks and they supporting residents with these tasks. Staff spoken to were caring, showed commitment to the residents and often joined trips out when they were not on duty. There were both male and female staff working at the home. The home’s staffing levels allowed for a minimum of two care staff on duty throughout the day but the rosters showed that there were often three care staff on duty. In addition to this the care manager was on duty during the week. The staffing levels were such as to allow residents to go out during the day and evening but enabling residents to remain at the home if they wished. There were two sleeps-in staff during the night. The home had access to maintenance staff employed by the company. The home had a staffing group that was supportive and flexible. Staff had their training recorded in their personnel files and this showed that each staff member was expected to undertake a range of relevant training. Staff received individual formal supervision, which was recorded in their files. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, 39,42 The home was well-led providing residents with a varied and fulfilling lifestyle that met their needs, reflected their preferences and gave them the opportunity to develop. The home had systems in place to review and evaluate the service providing the residents with a home that consulted them and was always looking at ways to develop and provide a better service. With one exception the home’s health and safety procedures promoted the safety, welfare and protection of the staff and residents. EVIDENCE: The manager of the home had the necessary skills, knowledge and experience to effectively manage the home. She had obtained NVQ level 4 and undertook periodic training to keep up to date. The manager was well regarded by staff Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 22 and residents. She was very supportive to staff. The manager was committed to ensuring that the residents received the necessary support and that they had opportunities to develop. She actively promoted the residents’ wellbeing and promoted the values of independence, empowerment and inclusion. The manager had an open door policy to staff and residents and included them in planning and developments within the home. She was open to new ideas and practices and encouraged staff and residents to come up with new initiatives to improve the services provided at the home. The manager was well supported by the deputy. The home had some quality assurance procedures in place that included surveys of the residents, relatives and staff. The home also undertook a number of monthly checks of environmental issues and files. The home had a health and safety policy and had procedures in place for safe working practices. Staff had undertaken the necessary training in health and safety, including lifting and handling, fire safety, food hygiene, infection control and first aid. The necessary fire testing and fire drills had taken place. The home had had a successful inspection by the environmental health department. The home had undertaken the servicing of boilers and had the necessary gas and electrical certificates in place. PAT testing did need to be undertaken. Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 4 4 4 x 3 4 Standard No 31 32 33 34 35 36 Score 4 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oaklea House Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 4 4 3 x x 2 x E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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. Standard 42 Regulation 13(4)(c) Requirement To ensure that regulations relating to portable appliance testing is adhered to Timescale for action 24/ 9/05 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 6 Good Practice Recommendations To consider introducing a more person centred care planning approach Oaklea House E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - 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 E51-E09 s4986 Oaklea House 250805 v240782 Stage 4.doc Version 1.40 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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