Inspection on 27/02/07 for Oaklea Nursing Home

This inspection was carried out on 27th February 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oaklea Nursing Home 15/11/05

Oaklea Nursing Home 04/08/05

Oaklea Nursing Home 17/12/04

Oaklea Nursing Home 22/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Oaklea Nursing Home 2 - 4 Eastbourne Road Linthorpe Middlesbrough TS5 6QW Lead Inspector Katherine Acheson Key Unannounced Inspection 12:00 27th February and 8th March 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea Nursing Home Address 2 - 4 Eastbourne Road Linthorpe Middlesbrough TS5 6QW 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) 01642 819667 F/P 01642 819667 Oaklea Nursing Home Ltd Mrs Elaine Bloomer Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability over 65 years of age (0) of places Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to five service users aged 55 to 64 years of age may be accommodated at any time within the OP category of registration. 15th November 2005 Date of last inspection Brief Description of the Service: Oaklea Nursing Home is registered to provide personal and nursing care to twenty residents aged sixty-five and above. The home is situated on Eastbourne Road, Middlesbrough, and is close to Linthorpe Village and other local amenities. The home has been converted from two houses and provides accommodation in the form of fourteen single bedrooms and three double bedrooms. All bedrooms meet with size requirements of National Minimum Standards, however, do not have ensuite facilities. There are two lounge areas and a separate dining room. The home is set in its own grounds and has a large patio/garden area to the front of the property. The cost of care at the time of the inspection visit ranged from £338 to £476 per week depending on the category of care. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection of the home was carried out over two days the 27th February and 8th of March 2007. On the first day of the inspection the Inspector arrived unannounced. The Manager of the home was aware of the second day of the inspection. On the 27th February 2007 the Inspector arrived at 12:00 and left at 15:00. On the 8th March 2007 the Inspector arrived at 09:45 and left at 16:20. Four residents were spoken to during the visit. two care staff, the Chef and the Manager. Discussions took place with Numerous records including care plans, menus, complaints and staff recruitment and training records were examined. The Inspector walked around the home. Requirements identified at the last inspection in June 2006 were re-visited. The details of any issues identified at this inspection requiring action are to be found at the back of this report. What the service does well: What has improved since the last inspection? All but one of the requirements highlighted at the last inspection have been addressed. A number of training sessions have been made available to staff these have included dementia awareness, Parkinson’s disease and epilepsy. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 6 Staff files have been updated to include proof of identity and a recent photograph. The homes quality assurance survey has been published and made available. The Manager now carries an audit of controlled drugs on a regular basis. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents are carried out to ensure that the home can meet their needs. EVIDENCE: The Manager said that prospective residents receive an assessment that is carried out by a social worker or other health care professional. A copy of this assessment is forwarded to the home before admission and reviewed by the Manager and staff to ensure that the home can meet their needs. The Manager said that for those residents who are self-funding, or who had complex nursing and care needs she would carry out a pre-admission assessment visiting the person in hospital or their home. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 9 The home does not provided intermediate care. During the inspection a review of the homes registration certificate was undertaken with the Manager. The Commission for Social Care Regional Registration Team will issue a notice of proposal of changes to the Registered Person to agree or appeal against the review. A new registration certificate will be issued to the home and as such the Registered Person must then review the homes statement of purpose and service user guide to ensure that it contains all of the required information. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of care, however some resident plans of care do not contain enough detail as such could compromise care required. Residents are treated with respect and their right to privacy is upheld. In general good procedures are in place to ensure safe practice in respect of the handling of medication, however improvement is needed to ensure that all medication prescribed to residents is received and administered on time. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 11 EVIDENCE: Two plans of care were examined at random on the first day of the inspection. Residents files examined contained a detailed assessment of the resident, however plans of care developed following the assessment contained limited information. For example one resident required assistance with mobility, however the plan of care did not describe intervention or equipment required to assist. The home are still using core care plans which are a pre-printed plan of care which appears more like a task list rather than an individual Plan of care. Core Care plans are to be added to or amended to reflect choice and care needs of the resident, however resident files examined during the visit did not show this. The second plan of care examined described the resident as having pain yet the plan of care did not identify location of pain, medication prescribed or how the pain can be managed and controlled. Care plans examined were not evaluated on a monthly basis, nor did they include a baseline observation/evaluation of resident’s limitations, abilities or assistance required. Care plans examined were not signed by the resident to confirm that they had been involved in drawing up the plan of care. A discussion took place with the Manager in respect of care plans examined. The Manager was advised that previous inspections had identified that care plans were not sufficiently detailed and that she had taken action to address the situation, however care plans examined during the first day of the inspection again do not meet standard. The Manager acknowledged that care plans required further development. On the second day of the visit the Manager asked if the Inspector would reexamine care plans looked at on the first day of the inspection. Care plans had been updated to reflect individual needs and requirements and were much more detailed. The Manager said that she would carry out an audit/review of all resident’s plans of care to ensure that they were brought up to standard. Four residents were spoken to during the inspection comments made in respect of care provided included, “I have been in three homes this is by far the best attention and food I have had” “The care staff are very good indeed” “I’m happy enough” “I’m happy everybody is very good” Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 12 “They will do anything for you.” Residents spoken to confirmed that their dignity and privacy was respected. During the inspection arrangements for receiving, storing, administering, recording and disposing of resident’s medication were observed and examined. The Manager said that it is the responsibility of trained nurses to administer medication to residents. During the visit a medication audit of the two residents files sampled during the inspection along with one other was carried out. Medication administration charts had been completed correctly and the stock balance of medication belonging to the residents was correct, matching up with medication ordered, received, administered and remaining in the home. The medication audit did highlight some areas of concern. One resident appeared to be without one of their prescribed medications for a period of nine days. The Manager said that this had been flagged up with the supplying pharmacist who failed to address the problem. She stated that the home have had numerous problems with their current pharmacy supplier and as such are to change to a new supplier from April 2007. Evidence was available to confirm that the home were changing pharmacy supplier. It was also identified that the home are not keeping a record of medication coming into the home and that returned for residents who are admitted short term for example respite care. The Manager said that she would take action to address the situation. Records were evidenced to confirm that the Manager carries out an audit/stock check of controlled drugs. The Primary Care Trust Pharmacist had visited the home in November 2006 and highlighted that the home should use syringes to draw up small volumes of liquid rather than measuring out in medicine pots and that policies and procedures need to be reviewed. The Manager said that she had addressed both areas. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate and enjoyable activities take place at the home providing residents with stimulation. Visitors are encouraged and made to feel welcome at anytime. In general the food served to residents is enjoyed. EVIDENCE: The home does not employ an Activity Co-ordinator it relies on care staff to provide stimulation through leisure and activities when time permits. The Manager said that since last inspection she has developed a daily plan of activities for residents. Activities mentioned included bingo, dominoes, cards and reminiscence. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 14 The Manager said that entertainers come in twice yearly and that a singer/entertainer is to visit for their annual Easter bonnet party. Residents spoken to said that they felt that there were sufficient activities and outings provided by the home. Resident comments in respect of activities and outings included, “There’s enough going on I couldn’t grumble about anything. The girls take me out shopping to town, last week we went shopping to the local shops and I got two blouses” “We do quizzes and sing songs, most days there is enough going on” “I had a party for my 80th Birthday it was lovely” “We went to the Little Theatre at Christmas to see the pantomime Peter Pan.” The home supports residents to practice their religion and that visits from clergy are available to the home, residents spoken to confirmed that this was the case. Residents interviewed spoke of flexibility in routine and freedom of choice. Residents spoken to during the inspection said that contact with family and friends is encouraged and that visitors are made to feel welcome at any time. Residents spoken to during the inspection in general said that they liked the food that is provided, One resident said, “We had corned beef pie today it was lovely” another said, “The food is ok” another said, “The food is alright but sometimes a bit repetitive”. A discussion with the Chef during the inspection highlighted that there are to be some changes to the homes menu in the near future. It was highlighted during the last inspection of the home in June 2006 that mashed potato was on the menu twelve days out of fourteen. Menus examined during this inspection identified variations in the type of potato offered. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are encouraged and supported to make any complaints they feel necessary, however the complaint policy/procedure could be strengthened to include information of residents/relatives rights to complain to commissioning agencies such as Social Services and Primary Care Trusts. Adult protection procedures are in place, which help protect residents from abuse. EVIDENCE: The home has a complaints policy/procedure. This policy/procedure should be updated to inform residents/relatives of their right to complain to any commissioning authorities such as the Primary Care Trust or Social Services. The complaint procedure within the statement of purpose/service user guide should also to be updated to include such information. The complaint procedure should also be updated to include contact address of Registered Provider. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 16 Residents spoken to during the inspection said that they would feel comfortable in raising and concern or making a complaint to the staff or management of the home. The home keeps a record of complaints. There has been one complaint in the last twelve months from a person who had previously worked at the home. This complaint resulted in the Health and Safety Executive carrying out an inspection of the home in June 2006. The Commission for Social Care Inspection were informed of a number of improvements that the home were required to make, the Health and Safety Executive are to carry out a further inspection to check compliance. The complainant also advised of six other concerns in respect of care practice and general issues, none of which were upheld. The home has an adult protection policy and a copy of the Teeswide Guidance regarding the protection of vulnerable adults. There have been no adult protection referrals in the last twelve months. Residents spoken to during the visit said that they felt safe. The Manager said that Adult Protection training is provided to staff on commencement of their employment, however not on a regular basis thereafter. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Communal areas in the home are decorated and furnished to an adequate standard, however some of the bedroom furniture is worn with age. The homes sluice is not of an acceptable standard, and as such the risk of infection is increased. EVIDENCE: During the inspection a walk around of the premises was undertaken, Communal areas were observed to be homely with appropriate furnishings throughout. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 18 Bedrooms visited were personalized again with appropriate furnishings, however some looking worn as the result of age. It was identified at the last inspection in June 2006 that the carpet in bedroom four must be replaced, this had been addressed. The last inspection also identified a number of window restrictors that were broken and required repair the Manager said that this too had been addressed. Previous inspections have identified that the sluice on the first floor of the home required refurbishment. Previous attempts have been made by the Provider to upgrade the facility, however work undertaken has not been completed to an acceptable standard. The Manager advised the Inspector on this visit to the home that the sluice had been refurbished, however again on examination this was not to an acceptable standard. New counter tops have been fitted in this area, however it appears that the whole cut out for the sink has been made too large and as such needed to be filled with a large amount of silicone. The silicone had sunk leaving a surface that was not ready cleanable increasing the risk of infection. Following this inspection a meeting took place with the Manager and Provider of the home who advised that the counter tops in the sluice are to be replaced. On the day of the inspection the home was observed to be clean and odour free. The Manager said that appropriate policies and procedures are in place in respect of control and infection. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home receive induction, mandatory and other relevant training which will help to provide them with the knowledge to provide good quality care. In general good recruitment procedures are followed, however, applying for a reference from the staff members last employer will further enhance this. EVIDENCE: There were sixteen residents residing at the home at the time of the inspection. Staffing rotas examined informed the inspector that there were three care staff on duty on a morning, three on an afternoon, three on an evening and one on night duty. In addition to one qualified nurse is on duty day and night. The Manager of the home works two days supernumerary a week. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 20 Residents and staff spoken to during the inspection said they felt there were sufficient staff on duty. The Manager said that 55 of care staff working at the home have achieved an NVQ level 2 or 3 in care. Two files of recently appointed staff were examined at random during the inspection. Files examined contained evidence to confirm that Criminal Record Bureau checks/POVA FIRST had been applied for and received prior to the commencement of employment. References were available of staff files, however staff files examined did not contain a reference from the last employer. Staff files examined contained a photograph and proof of identity. The Manager said that all newly appointed staff receive induction training that meets with the requirements for Skills for Care; records were evidenced to confirm that this was the case. The Manager said that the home provide a rolling programme of mandatory training to staff. The Manager said that moving and handling training is planned ahead at least two training sessions are planned in each year. The Manager was asked what would happen if a new member of staff was appointed between training sessions. She replied, “New starters do not lift residents until they have been on the training”. Staff spoken to during the inspection said that they receive regular mandatory training and that they have attended other training in the last twelve months on, epilepsy and Parkinson’s disease and dementia awareness. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home seeks the views of residents to ensure that it is managed with their best interest. Systems are in place to ensure resident’s money is managed appropriately. Systems are in place to ensure health and safety of residents and staff is promoted. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager is a First Level Registered Nurse who has worked in the nursing and residential home setting for many years. Quality assurance and quality monitoring practices are in place. Surveys are sent out to residents on an annual basis to see if they are happy with the home and care that is provided. The results of the survey are published. The results of the survey carried out in December 2006 were displayed in the home for all to see. The home operates an effective system in which they look after the personal allowance of a number of residents. The home operates a rolling programme of servicing appliances and equipment. Records examined at random confirmed that the home’s fire extinguishers, fire alarm system, and gas boilers are serviced on a regular basis. Records were available to confirm that tests of the fire alarm system are carried out. The Manager said that she has spoken to the Fire Authority and that she is to carry out a fire drill that includes evacuation of residents on an annual basis. Records were available to confirm that a fire drill had been carried out in June 2006. Water temperatures in resident bedrooms and communal bathrooms are taken on a regular basis by the home’s handyman. As highlighted earlier in the report, the sluice must be refurbished to an acceptable standard to reduce/prevent the spread of infection. Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 1 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 3 X 3 X 3 X X 2 Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP21 Regulation 23 Requirement The sluice requires refurbishment Previous timescale for action of 30th August 2006 not met 2 OP1 4,5 The homes statement of purpose and service user guide must be updated to reflect agreed changes to registration • Care plans require further development to ensure that they are individual to the resident. Care plans must include limitations, preferences and assistance required to meet the needs • Care plans must be evaluated on a monthly basis • Care plans must contain signatures to confirm that they have been drawn up with the resident or their representative • The Registered Person must ensure that they keep a record of DS0000000194.V331527.R01.S.doc Timescale for action 08/03/07 30/06/07 3 OP7 14, 15 30/05/07 5 OP9 13 08/03/07 Oaklea Nursing Home Version 5.2 Page 25 6 OP19 16, 23 7 OP29 19 medication coming into the home and that returned for residents receiving short term care • The Registered Person must ensure that they are in receipt of all medications prescribed to residents. No unnecessary gaps in administering medication to residents must occur The Registered Person must plan 30/05/07 a programme of refurbishment in which to replace worn bedroom furniture The Registered Person must 08/03/07 ensure where possible that references for new staff are obtained from their previous employer 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 OP16 Good Practice Recommendations • The Complaints policy/procedure should be updated to include information of resident’s rights to complain to commissioning agencies such as Social Services and the Primary Care Trust. The homes statement of purpose and service user guide should also be updated to reflect such information The complaint procedure should be updated to include contact details including address of the Provider • Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oaklea Nursing Home DS0000000194.V331527.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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