CARE HOMES FOR OLDER PEOPLE
Oakleigh Retirement Home Oakleigh Road Clayton Bradford BD14 6NP Lead Inspector
Liz Cuddington Key Unannounced Inspection 9th July 2008 10:45 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 Oakleigh Retirement Home DS0000066814.V368235.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. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Oakleigh Retirement Home Address Oakleigh Road Clayton Bradford BD14 6NP 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) 01274 880330 01274 817825 Bel Air Care Limited Sharon Vassell Care Home 31 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (31), Physical disability (1), of places Physical disability over 65 years of age (4) Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 11th July 2007 Brief Description of the Service: Oakleigh is registered to provide personal care for up to 31 people, a small number of whom may be diagnosed with a physical disability or dementia. The home is situated in the Clayton area of Bradford, approximately 3 miles from the city centre. There are bus routes to Halifax and Bradford. There are good community facilities in Clayton village including banks, shops, a post office, hairdressers and pubs. The weekly fees are the local authority rates and are from £341.18 to £377.79. Extra charges are made for single rooms and rooms with en suite facilities. Personal items, hairdressing and chiropody are not included in the fees. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes.
The purpose of this inspection was to assess the quality of the care and support received by the people who live at Oakleigh. The visit to the home was carried out over one day by one inspector. We also looked at information we have received about the home since the last inspection. The last key inspection was in July 2007. Since the last key inspection no complaints or concerns have been made to us about the home. The methods used to gather information included; conversations with the people living at the home, their relatives and the staff, looking at care plans and examining other records. We also received the home’s self-assessment questionnaire before the inspection visit. This questionnaire provides valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well:
The home is well managed and run in the best interests of the people who live there. All the people who live at the home, and the relatives we spoke with, said they are very satisfied with the care and support given by the staff. They said that the staff are responsive to people’s needs and provide care in the way people prefer. Everyone said the staff are excellent and relatives confirmed that they are always contacted when their relative is unwell, or if there is anything else that they need to know. Relatives all said they have peace of mind, knowing that the person they care about is being well looked after.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 6 One person who lives at the home said that when they were unwell the manager and staff provided the best possible care. A healthcare professional we spoke with said that she is happy with the quality of healthcare provided by the home. The pre-admission assessments are thorough and make sure the home can meet people’s needs. The staff understand the needs and preferences of all the people who live at the home. People’s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedure is generally safe. There is good and friendly interaction between the people who live at the home and the staff. There are enough staff on duty to make sure they have time to spend with people, as well as supporting people to take part in individual and group activities. People said they enjoy their meals and there were drinks offered throughout the day. The cook is aware of people’s dietary needs and preferences. The kitchen and the rest of the house is clean, safe and well maintained. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The laundry is well organised, the home has good hygiene procedures in place and the house is clean and well cared for. The home’s recruitment procedures are thorough and all the necessary preemployment checks are carried out, to make sure staff are suitable to work with the people who live at the home. What has improved since the last inspection?
The pre-admission assessments, completed by the home and Social Services, form the basis for developing the person’s individual plan of care and support. People are supported to take part in a wider range of activities, in order to help people meet their social and recreational needs. There is a now an improved staff training programme in place; to make sure staff have the necessary skills and knowledge to help them do their job well.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 7 All personal information is now stored in an office, which is locked when it is not being used. All monies held by the home on behalf of the people who live there are checked regularly by another member of staff, who signs the records to confirm they are accurate. The home has now put in place a range of measures to gain the views of the people who live at Oakleigh and their relatives. This is to obtain information to help improve the services the home offers. 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. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 does not apply People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: Where possible the home encourages people and their families to visit the home and talk to the people who already live at the home and their relatives. The home invites them to come and spend time at the home and have a meal, before reaching a decision. This means that the home can get to know the person’s needs and also the individual and their relatives have the information they need to help them make such an important decision. If this is not possible, a senior member of staff visits people in their own home or in hospital to carry out an assessment and make sure the home can meet their needs before offering a place.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 10 The pre-admission assessments, completed by the home and Social Services, form the basis for developing the person’s individual plan of care and support. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are generally protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: From observation, and discussions with staff and people living at the home, it was clear that the staff are aware of each person’s needs and preferences. The staff make sure they provide the help people need in the way they prefer. Some people’s plans include a brief life history of the individual, which is valuable in helping staff to get to know and understand the people they support and care for. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 12 People receive the medical and healthcare support they need. Any concerns about people’s health are followed up. The District Nurse we spoke with said she is happy with the quality of the care the home’s staff provide. She said that staff will always follow her instructions for care and treatment and confirmed that specialist advice is sought when this is needed. People said the care is good and the staff are kind and helpful. Relatives said they are very satisfied with the care provided. Three care plans were looked at, to make sure that people’s health and personal care needs are being met in the way each person prefers. The plans cover each area of the individual’s care needs. They all contain enough information to guide staff in how to care for and support each person. The care plans contain healthcare assessments, such as assessments for skin integrity and nutrition. Plans also include some risk assessments, to show that potential risks have been considered and ways to minimise risk have been identified. However, two people’s plans did not have risk assessments for serious, identified risks to their own well-being and to the safety of others. These were discussed with the manager and the registered provider during the inspection visit. People and relatives all said they are satisfied with the quality of the care and support the home provides. They said that staff are responsive to people’s needs and give people the care they need in the way they prefer. People said the staff are excellent and relatives said they are always contacted if there is anything they need to know. One family said they have peace of mind, knowing their relative is well looked after. The care plans are reviewed regularly but there was little evidence to show that the individuals and their families are involved in their plans. It is important that people, their family or their representatives, are involved in developing and reviewing their care plan. This makes sure the plan truly reflects the individual’s wishes and preferences. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 13 The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. The records of amounts received, administered and in stock of some medicines that were supplied in their original packaging were not accurate. A ‘brought forward’ system would make it easier to check all quantities of medicines, to confirm that administration is always accurate. This means that the quantities of any medicines carried forward from one recording period to the next need to be noted on the MAR chart and added to the total amount in stock. Where a number of people are on the same medication, each person’s dose must be administered from the supply dispensed in their name. This was not happening when we visited; supplies of some medicines were being used communally. To make sure that safe procedures are followed, all medicines must be administered in accordance with The Royal Pharmaceutical Society’s guidance. Observations during the visit, and people’s comments, confirmed that the staff always treat people with respect and do everything they can to maintain people’s dignity. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The staff provide a range of activities for people to take part in, if they wish. People said there were things to do, but they would like more. Some people prefer one to one activities or small group activities, such as nail care, a hand massage, conversation and reading newspapers. Some people enjoy going out for a walk, others like playing games such as skittles, dominoes and quizzes. All the staff help with activities as part of their duties. The manager explained what activities had taken place recently and the home’s plans to meet people’s preferences. A record is kept of all the activities. Entertainers come in regularly and events are organised to celebrate special occasions.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 15 Everyone confirmed that people are supported to make their own decisions about all aspects of their life. People said they like the meals and thought they were very good. The meals are planned to include the wishes of the people who live at the home and to meet any special dietary needs. Drinks are available throughout the day. At lunchtime there is a choice of main course and dessert and the menus are flexible, to suit people’s preferences. People are involved in the menu planning and there are always alternative choices if people do not want the dishes that are on the day’s menu. On the day of our visit the main course at lunchtime was casserole and vegetables, followed by chocolate pudding and chocolate sauce. A variety of foods were offered at teatime, including delicious homemade cakes. There is always food available for staff to make a snack for people during the evening and night. Some people need to have a soft diet, and this was provided. However, all the components of the main course were pureed together to form a thick brown ‘soup’. The manager said one person had said they wanted their meal prepared this way. The home needs to establish whether other people really prefer this, or if they would enjoy having the separate parts of the meal pureed individually to allow them to enjoy the different flavours of the food. During mealtimes staff were on hand to discreetly assist people who needed some help to eat and to encourage people to finish their meal. Drinks of juice and tea are available throughout the day. Conversations with people confirmed that the staff support people to maintain and meet their cultural needs. People are supported to attend religious services and follow their beliefs within the home, if they wish. Visitors are always welcomed to the home. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are also recorded. Staff said they know what to do if anyone has concerns. Most people who live at the home said they know what to do if they have a concern or complaint. The home’s complaints procedure is displayed in one of the shared areas of the house. Staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. The majority of care staff have had adult protection training, and further training is planned. All the appropriate policies and procedures are in place to guide staff. Oakleigh Retirement Home DS0000066814.V368235.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, 20, 21, 25 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable and generally well-maintained environment. EVIDENCE: The home is clean and generally well maintained and there is an ongoing refurbishment programme. Everyone said the home is always kept fresh and clean. The bedrooms are gradually being re-decorated and new carpets have been fitted in the hallways. The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on both floors of the house. Someone is employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 18 One of the upstairs bathrooms is mainly used as a hairdressing room. It was in a poor state of décor and cleanliness and hair had been left on the floor of the room. The joint on the waste pipe from the toilet was brown from staining and appeared unhygienic and the floor covering was badly marked. The end panel of the bath was missing, making the bath unusable. It was a very unattractive and unhygienic room. Protective gloves and aprons are available for staff to use when necessary. The washing machines have a sluice wash programme, as part of the home’s infection control measures. Oakleigh Retirement Home DS0000066814.V368235.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet people’s care, social and leisure needs. The manager’s hours are supernumerary to this. Staff confirmed that staffing levels are adjusted to meet people’s needs. The District Nurse said there seems to be enough staff on duty when she visits and a member of staff is always available to assist her, if she needs help. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 20 have been completed satisfactorily. The staff employment contracts are currently being updated by the registered provider. The staff confirmed that they have plenty of training opportunities to support them in their roles. Staff said their training was relevant, helped them understand their role and kept them up to date. Sixteen of the twenty-three care staff have completed a National Vocational Qualification (NVQ) in care at level 2. Another two staff are taking the course. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking an NVQ course. In addition staff attend training courses which include infection control, medicines administration, dementia care, and the general principles of care. The manager has put together a basic training pack on the Mental Capacity Act, as well as developing basic training in subjects such as infection control and the care of people who have suffered a stroke. Staff also take the mandatory health and safety and adult protection training and the manager makes sure staff’s knowledge in these areas is kept up to date. Oakleigh Retirement Home DS0000066814.V368235.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, 36 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally safe and well managed and is run in the best interests of the people who live there. EVIDENCE: The home’s manager is a qualified nurse and has also completed the Registered Manager’s Award. She has the experience and skills to run the home in the best interests of the people who live there. The records, and the staff, confirmed that all staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 22 discuss any areas of concern in a confidential setting. Staff also have regular appraisals with their line manager. To maintain confidentiality, people’s personal information is stored in an office that is locked when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. All monies are securely stored and another member of staff, who signs the records to confirm they are accurate, regularly checks each person’s money. The home has quality assurance systems in place, to make sure that people are satisfied with the quality of care and support the home provides. When we visited, the manager was in the process of sending out questionnaires to people’s relatives as well as to the people who live at the home. The manager said the results of the questionnaires would be fed back to people in the home’s newsletter and at residents and relative’s meetings. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. The fire safety checks are carried out regularly and staff have had the necessary training and practice fire drills. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. Some people like to have their bedroom doors open when they are in their room. When we visited these doors were being held open with wedges. This means that in the event of a fire, these doors would not be closed and could not form a safety barrier. If doors are to be kept open, in accordance with people’s wishes, then magnetic door closures must be fitted which are connected to the fire alarm system. The doors would then close automatically in an emergency. This is very important in order to keep people safe, especially in any rooms where there is an additional safety hazard. The home’s kitchen has recently had an inspection by an Environmental Health Officer. The kitchen was awarded four stars and, when we looked, the kitchen was clean, tidy and hygienic. The laundry is well organised and staff make sure that people’s personal clothing, as well as bedding and towels, are properly cared for. There is an infection control system in place to make sure that all soiled laundry is washed hygienically.
Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 23 The registered provider keeps in close contact with the home and completes a monthly report on progress, in accordance with Regulation 26 of the Care Standards Act 2000. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 24 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 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15(2)(c) Requirement To confirm that people, or their representatives, have agreed to their care plan people must sign the plan wherever possible. For the safety of the people who live at the home, risk assessments must be completed for all assessed risks. In order to keep an accurate record of all the medicines that are supplied in their original packaging, a ‘brought forward’ system for recording the amounts carried forward and in stock should be introduced. For the safety of everyone, all medicines must be administered to people from the prescription dispensed in their name, in accordance with the Royal Pharmaceutical Society guidance. To make sure that everyone is kept safe, individual magnetic door closures, connected to the fire alarm system, must be fitted to doors that are regularly kept open. Timescale for action 31/10/08 2. OP7 & OP38 13(4)(c) 31/07/08 3. OP9 13(2) 31/08/08 4. OP9 13(2) 31/07/08 5. OP38 23(4)(c) (i) 31/08/08 Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP14 OP26 Good Practice Recommendations The social activities available in the home should be improved, to meet people’s diverse social and recreational needs. The bathroom that is currently used as a hairdressing room needs to be refurbished, to make it hygienic and more attractive. Oakleigh Retirement Home DS0000066814.V368235.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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
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