Inspection on 16/05/06 for Oakridge House Nursing Home

This inspection was carried out on 16th May 2006.

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

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

Other inspections for this house

Oakridge House Nursing Home 09/05/07

Oakridge House Nursing Home 05/12/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oakridge House Nursing Home Jefferson Road Basingstoke Hampshire RG21 5QS Lead Inspector Anita Tengnah Unannounced Inspection 16th May 2006 10:00 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 Oakridge House Nursing Home DS0000062987.V291078.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. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakridge House Nursing Home Address Jefferson Road Basingstoke Hampshire RG21 5QS 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) 01256 324357 Hampshire County Council TO BE CONFIRMED Care Home 47 Category(ies) of Dementia - over 65 years of age (47), Old age, registration, with number not falling within any other category (47) of places Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Oakridge House Nursing Home is a purpose built home for forty- seven older people, some with Dementia set on a housing estate in Basingstoke. Hampshire County Council is the registered provider and the home is accessible to local services and facilities. Accommodation is provided in single bedroom with en-suite facilities and plenty of communal space is available. The home also has a large garden area creating additional recreational space and accessible to the service users. There was no record/ information available relating to the fees. The manager reported that head office deals with this. The manager confirmed that items such as chiropody, hairdressing, dental care, optician and toiletries are charged as extras and not included in the fee. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A fieldwork visit was undertaken on the 16th of May 2006. The process included a tour of the service when a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. Staff practices were observed; service users and staff records were examined. As part of the case tracking a number of the service users and staff views were sought. At the time of the site visit there was twenty service users. Comments from the service users and one relative included “this is a nice place”, “Staff are all right” and “we have lots of cups of teas”. What the service does well: What has improved since the last inspection? Training in dementia care for staff has commenced. This will lead to the development of care plans and assessments for the service users with dementia. The home has appointed a manager who is in the process of registering with the Commission for Social Care Inspection. Staff and service users said that the manager is available and staff feel confident in approaching her if they have any problems. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 6 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. Oakridge House Nursing Home DS0000062987.V291078.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 Oakridge House Nursing Home DS0000062987.V291078.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The pre admission process ensures that the home can meet the needs of the service users. EVIDENCE: A sample of two newly admitted service users’ records was seen as part of case tracking. It showed that the manager had assessed both service users and care manager’s assessment was available. The manager reported that these assessments are used as part of the care planning. Service users are offered the choice to visit the home prior to admission. A newly admitted service user spoken to said that she was all right, however she wanted to go home. She appeared more settled once her husband came in. The manager confirmed that the service does not provide intermediate care. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 7,8,9,10 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to the service. Some care plans were in place. The care plans do not contain adequate/ current information to inform practice, need to include risk assessments and details of the type of support needed and how this will be achieved. The healthcare needs and access to external agencies is well managed. The medication management is poor and put service users at risks. Support is adequate in assisting service users in making choices as able. EVIDENCE: A sample of 5 care plans was seen as part of the case tracking and service users were spoken with. Some assessments of needs were available, however not all needs had been assessed in particular with regards to falls. There were good daily records maintained that showed delivery of care. Two of the newly admitted service users’ care plans had not been completed. This was discussed with staff, as initial care plans relating to personal care must be in place to Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 10 inform practice. Staff were able to say what support these service users needed. One newly admitted service user did not have manual handling assessment although this information was available in the pre assessment document. This was discussed with staff as she needed support and her care plans must contain this information, so that care can be delivered safely. There were a number of service users who had bed rails in place. Care plans did not detail why the bedrails were used and there were no risk assessments and consent was not sought. Nutritional screening was available in some care plans, this should be reviewed and form part of the assessment process for all service users. It was noted that there were a variety of documents in the care plans that were neither current or did not relate to the present needs of the service users. A review of the care planning system may be beneficial in ensuring that information are current and ensure that the service users needs are met. There was no evidence of family /advocate involvement in the care planning. Given that most service users have a degree of dementia and cannot fully participate in their care planning, this may lead to unmet needs. Staff agreed that this needed to be addressed. Incontinence assessments were available as required. Care plans did not contain adequate details for the types of pads used. Two service users said that the “girls are good “ and help them as they required. The manager reported that all service users are registered with a GP. Provision for service users to retain their own GP was made as appropriate. Records of GP visits and any change of treatment were maintained. The manager reported that access to external healthcare professionals such as district nurses, continence advisors are sought and that they feel supported. Staff discussed the success in wound management for a particular service user who had a grade 5-pressure ulcer, which has now healed. Wound care plans were satisfactory and advice from district nurses was sought as required. The home has the monitored dosage system in place for medication and the relevant documentation is available including a medication policy. Registered nurses administered all medications. Records of medication administered were maintained. There was no service user who was self- administering medication at the time of the visit. All controlled drugs were stored securely and appropriate records were kept. Staff said that they did not see the repeat prescription as these were sent directly to the chemist from the surgery. This was discussed and remedial action must be put in place. It was recommended in the last report staff should access The Royal Pharmaceutical Guidelines relating to the management of medicines in the care home for guidance and support. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 11 The storage of medication was poor. An immediate requirement was made on the day of the visit relating to a large quantity of medication that was left unlocked. Prescribed medications such as Sudocream were also found in communal toilets and bathrooms. Staff must ensure that prescribed medication must be maintained safely and eliminate the risks of these being used as communal. Pain assessments were not available and this was discussed with staff and should be developed as part of medication management. This would be particularly useful for meeting needs, as some of the service users may not be able to verbalise their pain due to their mental status. Staff were observed to close doors when providing personal care. One service user stated that she was treated with respect and that staff were kind. Doors to communal bathrooms and toilets were fitted with appropriate locks. Support was given in a respectful manner and two service users said that staff did address them by their preferred names. Other comments were that staff were “kind and helpful” and they are “good girls”. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. The social and recreational needs of the service users are not fully met. The lack of activities and staff availability lead to unmet needs. Contacts with family are encouraged and supported. Meals are good well balanced however choices are limited. EVIDENCE: There was no planned activity programme for service users available at the time of the visit. Service users spoken with said that they watched television and “ nothing else go on”. The staff reported that confirmed there are limited activities with the exception of puzzles and some board games. Any activity depended on the availability of staff and this was compounded by the poor language skill/ knowledge in delivering this. Other staff said that they did not have time to undertake activities, as they were busy providing personal care and other duties. There was little interaction observed between staff and service users. The manager was aware of this and confirmed that this was being addressed. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 13 The lack of activities and staff interaction was a concern raised from comments received from a service user. The manager reported that the vicar visits regularly and that religious representative from other religions could be accessed as required. It was noted that in some service users care plans their religion, end of life wishes were either left blank or not applicable recorded. As part of the assessment process and care planning staff should ensure that these information are recorded and action taken as appropriate. It was noted that three service users showed some signs of ill being due to their dementia. Two were walking back and forth and entering other service users rooms and staff took them back to the lounge on several occasions. The manager reported that there is plan to equip one of the spare rooms as an activity room that would be run by an occupational therapist. This would have a positive impact for service users and provide them with meaningful activities and meet the needs of the service users. The home has an open visiting policy and a relative spoken with said that he visited his wife daily and staff welcomed him. Record of all visitors to the home was available and reflected the open visiting policy. The home has a planned menu and staff reported that this is rotated on a monthly basis. The kitchen has now been refurbished and staff confirmed that this was working well. Lunchtime meal was observed and the meal appeared appetising, well balanced and nicely presented. Meal is delivered in a hot trolley and staff served them to the service users. Two staff were observed assisting service users with their meals. Hot and cold drinks were available at all times. There is a good facility in the lounge area for drinks preparation. Service users said” we have lots of tea” we like our cups of tea” Five service users stated that meals were good and they ate whatever was provided. Issues raised about meals by service users were that there was no cooked breakfast available. Service users said that a “cooked breakfast would be nice, bacon sandwich”. There was inadequate information available to service users about what the lunchtime meal was on the day of the visit. Two Staff members said that they did not know. The lunchtime meal provided on the day of the visit was different to the planned menu. Staff reported that the meals were adapted at times and menus not followed due to staffing problems and the use of agency staff. The manager reported that meals management was changing and an external agency would be in charge of meals, this would be better managed and dedicated staff would be dealing with the menus. The manager discussed the introduction of a nutritional assessment tool that will include an assessment and care plan following completion of training for staff. The manager reported that the new system would also give service users more choices about meals. Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 14 Oakridge House Nursing Home DS0000062987.V291078.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. The complaint procedure was available and contains information about how to make a complaint. Staff understanding of adult protection and the reporting process is inadequate and can be to the detriment of the service users. EVIDENCE: The home has a complaint procedure in place. The manager stated that this could be provided in other formats such as large prints if required. The manager will investigate all complaints and refer to the provider as appropriate. There was no record of any complaint since the last inspection in the log seen. A service user said that she did not have any “grumbles” and that the staff were nice. A relative said that he would approach the manager if he was worried about anything. The home also has the relevant policies and procedures on adult protection such as the Hampshire adult protection policy and a whistle blowing procedure. It was advised to obtain the ‘no secrets’ guidance at the last inspection. This was not available. Staff stated that they would report to the manager if they had any concerns. Training in the basic adult protection has been completed by Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 16 a number of staff. Two staff members were unsure of the process for reporting any allegation of abuse despite having completed the training. Clear guidance must be available for staff in order to ensure the safety of the service users. Oakridge House Nursing Home DS0000062987.V291078.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home provides the service users with a comfortable and pleasant environment to live in. The infection control procedure at the home is good and safeguard the service users. EVIDENCE: Accommodation is provided in a well- maintained, spacious and homely environment. Adaptation and equipment were available to maintain and support the service users in maintaining their independence. Service users spoken with said that they liked their rooms. Most of the bedrooms were personalised. Call alarms were available in the bedrooms, however some of these were not accessible. The manager reported that extension leads were available if Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 18 needed. It was noted that two service users were provided with these. Staff raised concerns regarding the call alarm system as none of the service users were able to use them and service users say, ” this is not my watch”. The alarm call system is in the form of a wristwatch that is meant for use by both staff and the service users. Other issue was that the “ wrist watch” did not work if wet, as stated by staff. Staff reported that the covers on the alarm system were also pulled off easily and may pose risks. The manager said that this would be looked at. The staff discussed the problems with the door in the en suite bathrooms that tend to close and pose a risks to service users with limited mobility. The manager confirmed that this would be reported and dealt with immediately and also the fan systems in the same areas that staff felt were inadequate. The laundry has been refurbished since the last inspection in December 2005. The home has policy and procedures in place relating to infection control. Staff observed demonstrated good practices in infection control. Protective equipment such as aprons and gloves were available. The sluice area was clean and soiled /infected items were disposed of appropriately. The laundry was not inspected as this is situated in the sister home. Oakridge House Nursing Home DS0000062987.V291078.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to the service. The staffing level was satisfactory, further improvement is planned with a new roster system starting soon. A training programme is in place, however mandatory training need to be improved for newly appointed staff. The recruitment process is poor and do not safeguard the welfare and safety of the service users. EVIDENCE: There were concerns about the accuracy of the duty roster at the last visit in December 05. The manager reported that a new system of staff roster would commence on the 4th of June. Discussion was undertaken that all changes must be recorded and the duty roster should reflect in what capacity staff are employed. Records of staffing showed that there are 2 nurses and 3 carers on the early shift.2 nurses and 2 carers on the afternoon/ evening shift and night duty has 2 nurses and 2 carers. The manager reported that staffing review would be needed when the first floor is back in operation. Service users spoken with say Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 20 that staff are available to provide them with support as required” they come when I call.” The manager reported that two agency staffs have been taken on short- term contract to cover maternity leave. This would provide service users with continuity of care. The home has a training programme in place. Recent training included manual handling updates; incontinence, foot care and 8 staff have completed dementia foundation training. Four other staff members have been booked on the dementia training. The manager stated that three staff would be commencing NVQ level 2 in care; at present there is only one carer who has achieved this. Mandatory training in fire safety and moving and handling needs to be improved as records showed that these had not been completed following initial induction training. A sample of four staff records was seen as part of the visit. Records showed that only one member of staff had a current Criminal Record Bureau Check (CRB) and POVA first check. Another staff member work permit related to her previous employer. Record of training such as manual handling and fire safety were not available for these staff members. The manager stated that the personnel department dealt with the recruitment. The provider must ensure that all appropriate checks are undertaken prior to employment and records must be maintained and available as Schedule 2. Oakridge House Nursing Home DS0000062987.V291078.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. The home is managed appropriately and there are clear lines of accountability. There is a shortfall in staff supervision that impact on service users. The financial interests of the service users are safeguarded. The health and safety of the service users are satisfactory; some improvement in mandatory training for staff is needed. EVIDENCE: The home has appointed a manager since the last inspection. The manager is in the process of applying to be registered with the Commission for Social Care Inspection CSCI). There are clear lines of accountability within the home. The manger undertakes regular training to update her skills and to maintain her Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 22 registration as a nurse. She confirmed that she is planning top start her NVQ level 4 in management in September 2006. Staff and service users spoken with were complimentary about the manager and staff stated that she was approachable and supportive. Regular staff meetings have started as part of the process of updating staff and informing practices. There is a structured programme of supervision in the home. The manager reported that only two staff members are currently receiving supervision due to time constraint. She is aware of the shortfalls as reported that some of the staff needed extra support due to language problems and improving the way that they interact with the service users. The manger said that a clinical nurse was due to be appointed who will support her in her role and undertake supervision of staff. This will be monitored at the next visit. As part of the audit monthly Regulation 26 visits are undertaken and reports of these are sent to the commission. It showed that service users are involved as part of the process and their views sought. The annual internal auditing of stakeholders views have not started and is planned. The manager does not act appointee for any service users’ financial affairs. There are 2 service users who have Power of Attorney and the head office deals with these. The family mostly deal with Service users’ personal allowances and some by the home. Records of these are maintained at the home. There is an ongoing programme of equipment servicing in progress to ensure the health and safety of the service users. Records showed that hoists were checked in May 06, fire equipment n April 06, temperature and water heating check in compliance with Legionella in March o6. The policies relating to health and safety have been placed in the staff room and clinical room and are easily accessible to staff as required. As reported previously the training in manual handling and fire safety for some staff must be formalised following initial induction to safeguard the service users. The substances that are hazardous to health are mainly kept securely except for one cleaning fluid was found in the communal bathroom and removed on the day of the visit. Staff must be made aware of this and ensure that the safety of the service users is not compromised. Oakridge House Nursing Home DS0000062987.V291078.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 X 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 2 X 2 Oakridge House Nursing Home DS0000062987.V291078.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 OP7 Regulation 15 (2) 13 (4) Requirement The care plans must be further developed to include risk assessments for falls. Evidence of service users/ family involvement in the formulation of care plans and consents for the use of bedrails maintained. The registered person must ensure service users receive meaningful activities. This is a repeated requirement of 05/03/06 The registered person must ensure that medications are stored securely at all times. Immediate requirement of 16/05/06 The registered person must ensure all the relevant checks are undertaken and documentation is in place to show staff are able to work within the United Kingdom. This is a repeated requirement of 05/01/06. The registered person must DS0000062987.V291078.R01.S.doc Timescale for action 15/07/06 2 OP12 16(2)(m) 15/07/06 3 OP9 13(2) Schedule 3 18(1)(a) Schedule 2. 16/05/06 4. OP29 15/07/06 5. OP30 18(1)(a) 15/07/06 Page 25 Oakridge House Nursing Home Version 5.2 ensure all staff have mandatory training in manual handling and fire safety. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakridge House Nursing Home DS0000062987.V291078.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oakridge House Nursing Home DS0000062987.V291078.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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!