CARE HOMES FOR OLDER PEOPLE
OAKMEADOW COMMUNITY SUPPORT CENTRE Peelhouse Lane Widnes Cheshire WA8 6TJ Lead Inspector
David Jones Unannounced 20 June 2005 12:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Oakmeadow Community Support Centre Address Peelhouse Lane Widnes Cheshire WA8 6TJ 0151-424-9185 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) Halton Borough Council Francine Coy Care Home 32 Category(ies) of OP - Old Age (32) registration, with number DE(E) - Dementia over 65 (3) of places DE - Dementia (10) PD - Physical disability (2) OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1 The home is registered for a maximum of 32 service users to include: * Up to 22 service users in the category of OP (old age not falling within any other category). (Hawthorns 7, Ashleigh 8 and Elms 7 = 22) * Up to 10 service users in the category DE(E) (dementia over the age of 65) may be accommodated. (Chestnut and Beeches). * Up to 3 service users in the category DE (dementia 55 years and over) may be accommodated. (Hawthorns1, Chestnuts and Beeches 2) * Up to 2 service users in the category PD (physical disability 55 years and over may be accommodated. (Hawthorns 2) * Up to 2 service users in the category OP (old age not falling within any other category) who are 60 years of age and over may be accommodated on Hawthorns and Elms areas of the home from time to time. 2 The registered manager must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of service users at all times and shall comply with any guidelines that may be issued through the Commission for Social Care Inspection. 3 4 The registered provider must ensure that Ms Francine Coy achieves a qualification at NVQ level 4 in care by 31st December 2005 Date of last inspection 19 January 2005 OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Oak Meadow is a Local Authority Community Support Centre that incorporates a day centre and a personal care home. The day centre is not subject to insepection. The care home offers personal care on a permanent or short term/respite basis for up to 32 older people. It incorpoarates an inetrmediate care unit The Hawthorns for up to 7 residents and dementia care unit The Beeches and Chestnuts for ten residents. It is owned and managed by Halton Borough Council. The premises are purpose built and designed to meet the needs of older people. They are set out on three floors comprising first, second and mezzanine floors. Access to the second floor is provided by stairways and a passenger lift. Accommodation is set out in a number of group living areas each equipped with lounge/dining room with kitchenette, and bathroom and toilet facilities. Twenty single bedrooms each have a washbasin, hot and cold running water and privacy screening, where required. A further 12 single bedrooms are provided with en-suite facilities. Kitchen and laundry facilities are located on the mezzanine floor, which are only accessible from the lift in the interior of the building. The home is located in a residential area of Widnes with access to public transport and local amenities OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place on one day the 20th June 2005, over a 7-hour period. Five residents, four members of staff, a resident health care professional and one visitor were spoken with during the inspection. We looked at some parts of the building, inspected medication systems, looked at some records and read the case notes of four residents. What the service does well: What has improved since the last inspection?
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 7 The handy man has made a concerted effort to clean the home’s carpets and some are now of an acceptable standard. Firm arrangements have been made to ensure that the backs of kitchen appliances are cleaned on a regular basis and this information has been recorded on the home’s cleaning schedules. Certain aspects of the home have been refurbished including the lounge dining areas and one of the lounges has been completely re-decorated and supplied with new furniture. Peeling wallpaper in residents’ bedrooms has been repasted. All staff have received training in the care of residents with a dementia and a further five have achieved an NVQ level 2 or above in care. A new care planning format is being introduced which is designed to ensure that all residents’ health and social care needs are known and planned for including social care needs. Residents or their representatives are invited to sign care plans to confirm agreement and participation. What they could do better:
The home’s admissions procedures require further development to make sure that new residents are offered the opportunity to discuss the home’s suitability with the manager or senior staff and each must receive written confirmation as to how the home will meet their identified needs prior to them moving in. Without this information residents are disadvantaged when making decisions about the home. The registered persons must make sure that each new resident is provided with an appropriate care plan at the point of moving in to the home or shortly after. Care plans should be developed further to make sure that all residents’ identified needs including social care needs are known and planned for. Carpets in corridors, which are stained and ingrained must be cleaned or replaced. The home’s quality assurance systems must be further developed to make sure that residents, their representatives and other interested parties are asked about the quality of care provided and their views acted upon. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 8 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. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 5.New residents can visit the home before moving in to help them make an informed choice. No resident moves into the home without having their needs assessed by a competent person. Residents are not given written confirmation that the home canmeet their needs before moving in. Without this information they are disadvantaged when making decisions about the suitability of the home. Residents purchasing their care privately receive a contract and those supported by a placing agency receive a statement of terms and conditions. EVIDENCE: Reading the case records relating to three residents, confirmed that Oakmeadow’s assessment procedures were appropriate. In each case it was evident that a competent person had assessed the resident’s needs before they moved in. The practice manager said that new residents are invited to visit the home before moving in but this was not confirmed in the home’s admissions procedure. See recommendation 1.
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 11 There are no specific arrangements for senior staff to discuss the home’s suitability with new residents, and they are not given written confirmation as to how their needs will be met before they move in. New, or potential residents, need this information if they are to make an informed choice about moving in to the home. See requirement 1. Senior staff normally write care plans on the day of moving in or shortly after. It was noted, however, that a resident who had been admitted on the 9th 0f June 2005 did not have a care plan. See requirement 2. Documents seen confirmed that residents purchasing their care privately are provided with contracts and those supported by a placing authority are provided with written terms and conditions. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. The home’s care planning systems are based on good practice ensuring that residents identified needs are planned for. Some of the care plans require further development to ensure that the personal care needs of residents are consistently met. The home works closely with other health and social care professionals and residents are assured that their health care needs will be addressed. Arrangements for storage and administration of medication ensure that residents are safe and receive prescribed medication on time. EVIDENCE: OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 13 The home’s care planning processes are based on good practice. Discussion with residents, relatives and staff indicated that residents are involved with developing their care plans and arrangements for care and support are developed according to individual needs, interests and preferences. Some residents had signed their care plans. Two of three care plans seen as part of a case tracking exercise, required further development. One care plan focused mainly on the rehabilitative aspects of the resident’s needs and did not confirm how their social care needs were to be addressed. See recommendation 2. A care plan relating to a resident who had dementia had not been draw up. The preadmission assessment from the placing social worker indicated that the resident required orientation to address their needs. Staff were familiar with this resident’s personal care needs but there were no specific arrangements to address mental health needs and ensure appropriate arrangements for stimulation and orientation are in place. Care plans must confirm how resident s needs are being met in the appropriate detail to ensure that all staff including agency staff know how to meet residents’ needs. See requirement 2. Information provided by the Practice manager indicated that a new care-planning document was to be introduced and used in all areas of the home including the intermediate care unit. The new care-planning document was designed to address all individual health and social care needs. A medicines check confirmed that medication was stored, administered and recorded appropriately. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15. The lifestyle in the home reflects the expectations and personal preferences of residents and choice is promoted. Visitors are made welcome, the standard of catering is good and residents have access to a range of appropriate activities. EVIDENCE: The atmosphere was relaxed, pleasant and sociable. A visiting relative confirmed that they were made welcome and could see their relative in private if they wished. The home employed an activities co-ordinator and there was evidence of on-going activities including arts and crafts around the premises. Residents said that a range of suitable activities were on offer including escorted outings to local community amenities. One relative said the standard of care, facilities and services were good and exceeded expectations. One resident said that the staff were great; they treated her with respect and were friendly and sociable. She had been escorted to the shops that day and she had bought a new jumper from the Market. All residents praised the standard of catering. The menu offered a varied and nutritious diet and special dietary needs were catered for.
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 15 Reading documents and talking with staff indicated that residents’ rights to make choices were respected and acted upon appropriately. On one occasion a resident had refused medication because she was not sure that it was having the appropriate affect. The individual’s rights to refuse medication were respected but staff sought guidance from District Nurses who advised staff who were able to reassure the resident. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. Complaints were acted upon and appropriately investigated and appropriate procedures were in place for the protection of vulnerable adults. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information on how to make a complaint. One complaint had been received since the last inspection. A record is kept in the home of all complaints made, including details of the investigations and any action taken as a result. Robust procedures for responding to suspicion or evidence of abuse or neglect were in place including whistle blowing as in accordance with the Public Interest Disclosure Act 1998. An adult protection investigation was ongoing at the time of the inspection. Appropriate action had been taken to protect vulnerable residents. Information provided by the manager indicated that all staff had received guidance and training on the implementation of adult protection procedures OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26.The location and layout of the home is suitable for its stated purpose, it is accessible, safe, comfortable and well maintained. The standard of cleanliness is good but the carpets on one of the corridors require deep cleaning to remove in-ground stains. EVIDENCE: The home is located in a residential area of Widnes with access to public transport and local amenities. Accommodation is set out in a number of group living areas each equipped with lounge/dining room with kitchenette, and discrete bathroom and toilet facilities. Residents have access to recently landscaped gardens. There are 20 single bedrooms with washbasin, hot and cold running water and privacy screening, where required, and a further 12 single bedrooms with en-suite facilities. There are also kitchen and laundry facilities located on the mezzanine floor, which are only accessible via the lift from the interior of the building.
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 18 Lounge dining areas have been refitted with new kitchen units and one has been completely redecorated and supplied with new seating. A programme of routine maintenance is in place. The home was found to be in a good state of repair and interior decoration. The home’s carpets had become stained in a number of areas. The registered manager said that the handy man had made a concerted effort to remove staining but some stains had become ingrained. The registered persons must ensure that the carpets are appropriately and if necessary professionally cleaned. See requirement 3. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. Staff were deployed in appropriate numbers and skill mix sufficient for the well being of residents. Residents are protected by the homes thorough recruitment procedures. EVIDENCE: Eighteen out of a possible 32 older people were living at Oakmeadow. Observation and staff rosters indicated that staff were employed in appropriate numbers. There is a minimum of two senior care staff supported by five care assistants on duty throughout the day time period. The home aims to employ a minimum of one senior care assistant on duty at nighttime supported by 3 night care assistants. There was a vacancy for one nighttime care assistant at the time of the visit. This resulted in a reduction of one care assistant on duty two nights per week. However with reduced numbers of people accommodated this did not affect the home’s capacity to meet residents’ needs. Information provided by the manager indicated that 18 members of the 41 strong care staff team had achieved an NVQ in care to level two or above and a further three were working towards the qualification. When 21 staff have attained this qualification the standard of at least 50 of the home’s care staff team achieving an NVQ level 2 in care will be met. Discussion with the manager indicated that Halton Borough Council continue to operate a comprehensive staff-training programme that had been developed to incorporate “Skills For Care” staff training standards. All staff had recently received training in the care of residents with dementia.
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 20 A Community Psychiatric nurse who was based at the home for a temporary period said that the staff team are skilled and knowledgeable about meeting the needs of people with dementia. Reading of two staff records confirmed that Halton Borough Council operates thorough recruitment procedures based on equal opportunities and ensuring the protection of residents. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, and 35. The home is well managed. Residents benefit from the ethos, leadership and management of the home. Resident’s financial interests are safe guarded and their health and welfare promoted. Quality assurance arrangements require further development to make sure that residents and their representatives are consulted about the quality of care and service provided and their views are acted upon. EVIDENCE: The current manager is a qualified nurse, an experienced practitioner in the care of older people and has acquired the registered managers award. Information provided prior to the inspection indicated that a new manager has been appointed who was undergoing a probationary period at the time of the visit under the supervision of the current manager.
OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 22 The manager’s job description was viewed on line on Halton Borough Council’s intranet system. It was noted that this confirmed the registered managers responsibilities under the Care Standards Act 2000. The manager was said to amend the job description as it referred to the registering body as the NCSC. This should be changed to the CSCI. Residents benefited from the ethos, leadership and management of the home. The atmosphere in the home at the time of the inspection was relaxed and sociable. Residents and visiting relatives spoke highly of the home indicating satisfaction with facilities and services and the standard of care provided. Staff presented in good humour and were seen to carry out their duties in an efficient and effective manner. Staff said that the management team were approachable and accessible. The manager routinely consulted staff and sought to involve them in problem solving and the general management of the home. However, the home did not use a structured quality assurance system or conduct resident surveys. See requirement 4. There was said to be a sense of teamwork amongst the staff and management teams. Staff and resident meetings were held on a regular basis. The registered manager ensures that residents control their own money except where they state that they do not wish to or they lack capacity. Where money is held on behalf of a resident appropriate records are maintained. OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 2 x 3 x x x OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 24 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 OP3 Regulation 14 Requirement The registered persons must not provide accommodation to a resident unless the full requirements of regulation 14 are met including: · there has been appropriate consultation with the resident regarding the assessment · the registered person has confirmed in writing to the resident that having regard to the assessment the care home is suitable for the purposes of meeting his/her needs in respect of his/her health and welfare. The registered persons must ensure that care plans confirm how service users’ needs are to be met. (Previous timescales of 01/10/04 and 31.01.05 not met.) The registered persons must ensure that carpets in the corridors are appropriately cleaned. (previous timescale of 31.03.05 not met). Timescale for action 31/08/05 2. OP7 15 15/07/05 3. OP26 23 15/08/05 OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 25 4. OP33 24 The registered persons must establish and maintain a system for reviewing at appropriate intervals and improving the quality of care in the home including consultation with service users and their representatives. (Previous timescale of 31/12/04 and 31.03.05 not met.) 31.08.05 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 OP3 Good Practice Recommendations The registered persons should develop the home’s admissions procedures to ensure that all new residents are invited to visit and test drive the home prior to admission The registered persons should ensure that care plans address service user social care needs. The registered persons should ensure that a minimum of 50 of staff achieve an NVQ level 2 in care. 2. 3. OP7 OP28 OAKMEADOW COMMUNITY SUPPORT CENTRE F51 F01 S37125 Oakmeadow V231325 200605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire, CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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