Inspection on 09/05/07 for Oakridge House Nursing Home

This inspection was carried out on 9th May 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oakridge House Nursing Home 16/05/06

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 Kathryn Kirk Unannounced Inspection 9th May 2007 09:30 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.V338176.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.V338176.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 Mrs Janette Kuttner 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.V338176.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2006 Brief Description of the Service: Oakridge House Nursing Home is a purpose built home for forty- seven older people, some with Dementia. Hampshire County Council is the registered provider and the home is accessible to local services and facilities. The home is divided into four units, each with their own communal living space. All bedrooms are single and all have en suite facilities. The home also has a large garden area creating additional recreational space Weekly fees are £446. This is the rate for April 07-March 08. This information was provided by the service in May 2007. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this inspection 39 people were living at Oakridge House. Evidence was gathered for this report in the following ways: 10 people who live at Oakridge House and 15 of their relatives completed a written survey about the service. The manager completed a questionnaire, which included information about peoples needs, staffing skills and levels, and policies and procedures. A visit was made to the home on 9th May 2007. During this time, six people who live at Oakridge and 8 staff spoke about their experience of living and working at the home. Other peoples’ needs were such that they were unable to contribute verbally and so time was spent observing how staff interacted with them. Some of the homes records were also looked at to check that the service was following their own policies and procedures. All communal areas and some bedrooms were visited, to establish how safe and clean the environment was. Reference will also be made in this report to a random inspection to the home, carried out in October 2006 The purpose of this was to follow up requirements made at the previous key inspection in May 2006. The findings of this report are that the overall quality of the service is good. No requirements or recommendations have been made as a result of this inspection. What the service does well: People are broadly satisfied with the quality of the service provided The following responses are fairly representative the views of people who were asked what the service does well. “we are comfortable and well looked after” “Overall we are very happy with my parents care residents are washed and dressed well mother has vascular dementia and they treat her very well Resident’s needs and abilities are clearly established before admission and plans of care drawn up for each person are detailed and are consistently followed by staff. Staff work hard to encourage service users to maintain their existing skills, for example, in helping them to maintain their own personal care for as long as possible. Health is well monitored and procedures for Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 6 dealing with medicines protect service users. Privacy and dignity are respected. There are effective procedures to handle complaints and to protect service users from abuse. The environment is clean, spacious and bright. Staff are provided with a good range of training and recruitment procedures are thorough. The home is well managed. Staff are very keen to continue to improve the service and listen and are prepared to act upon suggestions made. What has improved since the last inspection? What they could do better: A large proportion of people asked said that the service needs to increase levels of staffing and to employ more permanent staff instead of agency staff. There has been some increase in staffing levels but the service is yet to recruit more permanent members of staff. It is agreed by all, that people at Oakridge require a high level of support that can only be properly given by staff who have time get to know them. The recuitment of more permanent staff would therefore clearly improve the service. The manager is in the process of trying to do this. The manager has agreed to review the use of communal wheelchairs, to ensure that all people who are entitled to their own are provided with one and that there is an adequate supply of communal chairs for occasional use. The manager has agreed to look into procedures for people to have their own telephones, if this is their wish. More attention should be given to ensure that the needs of people with sensory deprivations are always met. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 7 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. Oakridge House Nursing Home DS0000062987.V338176.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 Oakridge House Nursing Home DS0000062987.V338176.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, Intermediate care is not provided and therefore standard 6 does not apply. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A full assessment of the needs, which is completed before a move into Oakridge House is agreed, helps to ensure that the service can provide the appropriate level of care and support for all. EVIDENCE: All people are referred to Oakridge House through care management arrangements. This means that they have all had their health and social needs assessed before a move to the home is considered. Staff at the home have access to this information and this helps to ensure that peoples needs and wishes are understood and that if a move to the home is agreed, that the service will be appropriate for them Staff confirmed that service users and/ or family members are offered the choice to visit the home prior to admission Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 10 When asked did you receive enough information about this home before you moved in so you could decide if it was the right place for you? 7/10 people said yes, two said “no”, although one commented we did not receive any information as we went and looked at it at short notice but was very impressed straight away Oakridge House Nursing Home DS0000062987.V338176.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff work effectively to well designed care plans to ensure that needs are met. Assessment of risk has improved to further protect peoples wellbeing. Good procedures and systems ensure that medication is managed safely. Service users rights to privacy and dignity are always observed. EVIDENCE: The random inspection in October 2006, looked at two areas relating to the health and personal care needs of people. Two requirements about this had been made during the key inspection of May 2006 These were; that care plans needed to include a risk assessment for falls, consent for use of bedrails and that evidence was needed that service users and or their families were involved in the care planning process. There was also an immediate requirement made that medication must be stored securely at all times. The service responded in a timely fashion to say that the latter requirement had been met. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 12 The outcome of the random inspection was that some improvements had been made to care plans , for example information regarding the use of bedrails, although there still needed to be more evidence that service users or their representatives were involved in the care planning process and documentation regarding the risk of falls was not clear. This requirement was therefore partially met. At this key inspection the following evidence was gathered: Of the 15 relatives asked do you feel that the care home meets the needs of your relative? 12/15 answered “always” one commented on the whole I am pleased with the way my mother is looked after 2/15 said “usually” When asked Does the care home give the support or care to your relative that you expect or agreed? 11/15 said “always”, one person for example, commented that their relative was “always well cared for, always clean,” 3/15 relatives answered “usually” to this question. Service users who were surveyed largely agreed with this view, 6/10 people said that they always received the care and support that they need and 3/10 said that they usually did. During the visit, two care plans were examined. They were very detailed and recorded all aspects of personal and health needs They also considered communication issues. A daily living plan detailed each persons needs throughout the day and included information about how many staff were required to support the person. Specific care plans were also present where a particular need had been identified, i.e. to maintain skin integrity. The care plans were written to ensure that people maintain as much independence as possible, i.e. one said “encourage x to wash as much of self as possible” and “enable x to choose own clothes if able” A record of the persons needs during the night was documented in a separate care plan. Records showed that both day and night plans were reviewed every month and that alterations had been made where needed. Staff said that a copy of the care plan is kept in peoples’ bedrooms. Staff said that not many people are able to sign their care plan to indicate their agreement to it, however they said that they consulted with relatives to ensure that the written information was accurate. Risk assessments were seen for the following: Use of Bedrails, falls, moving and handling and nutrition. Those seen were current and staff had signed to say that they had been discussed and agreed with relatives. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 13 Records seen show that health checks are recorded and that health needs are effectively monitored, for example, a blood monitoring chart for diabetes, was appropriately completed. Service users surveyed were asked, Do you receive the medical support you need? 8/10 said always 1/10 said usually and 1/10 did not reply to this question. One relative was concerned about a shortage of wheelchairs that are available in the home, which made it difficult to take their parent out of the building. This was also observed to be the case during the visit. Although some people had their own chair, a significant number were relying on using communal ones as the distance to bedrooms and lounge and dining rooms was further than they could walk. This was discussed with the manager who said that some people were being assessed for their own chairs but agreed to review the situation. Staff on duty during the visit described the procedures for managing medication. No people living at the home administer their own medication. All medicines were found to be securely stored. This included controlled drugs and liquids that required being stored in a fridge. Records showed that fridge temperatures were regularly monitored to ensure that medicines are stored at the correct temperature. Records show that only trained nurses administer medicines. Staff said there is mandatory training in medicine administration for all staff that have this responsibility. Records of drugs administered for two people were checked and were found to be filled in without any gaps. A copy of all prescriptions was seen to be kept. All service users said that the staff respected their privacy and dignity and staff were observed knocking on bedroom doors and waiting for a response before entering. All bedrooms are single. One relative commented “it would be nice if the rooms could have a telephone, I feel bad to make the office staff walk from one end of the building to the other with a mobile phone” This information was shared with the manager who agreed to look into this matter. Oakridge House Nursing Home DS0000062987.V338176.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a commitment in the service to improve peoples choices in their daily lives and to increase the activities available to them. Positive work has been done in this respect, however the service needs to consolidate and improve further, especially when considering the needs of people with sensory deprivations. EVIDENCE: At the last key inspection in May 2006, a requirement was made that service users must receive meaningful activities. Some improvements had been made at the time of the random inspection in October 2006, meaning that the requirement had been partially met. The following questions were asked about how well the service satisfies different needs, interests and lifestyles: “Does the home meet different needs of people? Most relatives answered that it always or usually did. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 15 “Does the care service support people to live the life they choose” One third of relatives said that it always did and nearly half answered usually to this question. One person commented “x” has a lovely room with many of her own bits and bobs around her. I visit every day and am always made to feel very welcome. I sometimes take the dog with me which “x” enjoys. There is a lovely home from home atmosphere.” On the other hand, one family member said that they were concerned that staff did not assist their relative, who was deaf, to access to subtitles on their television. This was also observed to be the case on the day of the visit. This was discussed with the manager who agreed to sort this out. People were asked Are there activities arranged by the home that you can take part in? 1/10 said always, 3/10 said usually, 1/10 said QUERY NUMBERS?? sometimes and commented we have never seen any activities. There was once a musician but “x” was not taken to the concert. Although she is deaf she can feel the beat of music and would enjoy even being taken to another room for a short time” Half the respondents did not answer this question. One staff said would like to see more activities attended by serivce users in community, and said that staff are arranging a fete to raise the profile of Oakridge House in the community. Staff have contacted the local church and can arrange visits for individuals but at present there is no regular service for Christians in home. The home has appointed a new activities organiser, everyone has been asked individually what activities they like and this information has been recorded so that programmes can be devised to meet needs. During the visit a bingo session was held in one of lounges. It was well attended and people said that they had enjoyed it. People in every area of the home were asked if they wanted to take part . The organiser said that sessions would be held in different lounges to give people a chance to be in different areas. The activity co ordinator also spoke enthiusiastically about 1-1 activity sessions for those that do not like group activites. Through discussion it was evident that this process has recently started and so the effect had not yet had time to impact upon many service users. Staff, demonstrated a great enthusiasm and comittment to ensuring that activities offered are increasingly flexible and varied. Regarding visiting and maintaining contact with family members, feedback was generally positive, representative comments are: we can visit 24 hours a day and are always made welcome” On the couple of occasions x has been unwell I have been informed straight away. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 16 Relatives spoken with on the day of the visit confirmed that they were both made welcome and kept informed about important events. The manager said that most people are supported by family members but said she would liaise with care managers if there was a need for advocates to act in peoples interests. Evidence regarding the food and how it is served was mixed; People said the following: maybe the food could be improved food and supervision could be better, x is registered blind. Food is just put in front of her. Sometimes it is cut up sometimes she is helped to be fed. It is not consistent “food is ok and we get two choices”. All people who lived at the home who commented said that they either always or usually liked the food. One relative said x” has specially liquidised food-but this is always hot and separated into different portions for meat, vegetables etc and so looks attractive”. During the visit one person was observed to have an egg on toast instead of either of the two choices on offer that day. This was freshly prepared in the unit. Staff were seen to give people plenty of time to eat and to help them where necessary. For people that were confused staff explained in easy steps what was going to happen, i.e.,” I’m going to cut up this meat” and this helped to reassure the people that they were helping. People were not, however, offered a choice of drinks, everyone was given lemon squash. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is an effective complaints procedure in place and staff understand how to protect service users from abuse. EVIDENCE: All people who filled in the service user survey and who answered this question said that they know how to make a complaint. More than 2/3 of relatives agreed that they also know how to do this. When asked “has the care service responded appropriately if you or the person using the service has raised concerns” 10/15 said always, 4/15 said usually 1/15 said sometimes. The homes complaints log was seen. Two complaints made had been responded to appropriately, one made by a group of residents regarding staffing levels resulted in an increase of staff both upstairs and downstairs Training records show that all staff are trained in adult protection and through discussion with the manager it was evident that staff understood their responsibilities in this area. Two staff spoken with said that they have regular updates in adult protection issues. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oakridge is clean, well maintained and comfortable. EVIDENCE: Nearly all comments made about the environment were positive and representative samples are: my wife is in comfortable surroundings a friendly and clean place” the care home is always clean” This was found to be the case on the day of inspection. People who live on the ground floor at Oakridge have decided to change one communal room into a lounge and another into a dining room (instead of having two lounge /diners). This is currently being trialed to see how people like it. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 19 Staff were seen to be observing good hygiene procedures. ie washing their hands before serving food and using disposable gloves and aprons. Laundry facilities are sited in the sister residential home, which is linked to the nursing home. The laundry facilities have been found to be appropriate at other inspections. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are skilled and well trained and have been recruited via a thorough and robust selection process. Staffing levels have increased recently, however, this is not likely to have a positive impact upon the service until there are more permanent staff employed. EVIDENCE: At the random inspection in October 2006 records of staff training in health and safety and in staff recruitment were found to have improved, therefore meeting requirements made at the key inspection of May 2006. A further requirement was made in October 2006 that staffing levels need to be reviewed to ensure that there are always sufficient staff on duty to meet need. People had strong views about the number and skill mix of the staff team. There were some concerns about staffing levels but positive feedback was received about the skills of the staff team. Asked Are staff available when you need them? 8/10 answered “always” or “usually” One visitor commented I visit my mother at the weekend and not always easy to find someone who will take her spending money Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 21 Another said the day staff are better than the evening staff but it is often difficult to find help when needed. I must stress that the home does seem to be understaffed but the staff are very helpful One person living at the home said more staff are needed, it is sometimes difficult when we all want to go to the toilet . Staff are lovely, some of them are quite lovable Asked “do the care staff have the right skills and experience to look after people properly” 12/15 relatives said “always” or “usually” some comments received are as follows: staff are friendly and hard working however, they are obviously understaffed we have had situations where mum has felt unsafe Oakridge staff have the right skills however I feel agency staff are not always aware of residents needs”. “More staff are needed, not agency staff, permanent staff are needed so that residents get used to them. Language barrier is an issue particularly if resident is hard of hearing which most are Care from nursing staff has been exceptional the staff are excellent. They are helpful and friendly and this gives the whole place a comforting environment The pre inspection questionnaire states that there are at least 12 staff on duty each morning and at least 10 staff on duty in the afternoon. Nights are staffed by six people. There are at least two qualified nurses on duty, which are included in these numbers, at all times. It is also stated that in a recent period of eight weeks 468 shifts have been covered by agency staff. As stated earlier, there are currently 39 people living at Oakridge House. The pre inspection questionnaire states that they all need 2 staff to undertake their care. Living accommodation is divided into 4 units, two on each floor, although communal areas have merged downstairs in response to a request from the people that live there. The arrangements for small group living obviously have an effect upon the staffing levels needed. Time was spent in one of the lounges and in one of the dining areas during the visit. There were a number of occasions when no staff were present as they were attending to others needs. This did not happen for long periods of time although was still a cause of some concern to one person with dementia who needed more constant reassurance . The staffing situation was discussed with the manager. She said that there are some agency workers who have worked regulaly at Oakridge and who know the service users well. This was found to be the case during the visit. She said that staffing hours had increased by one extra shift upstairs and downstairs, in Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 22 response to peoples concerns although this increase is generally covered by an agency worker. She said that she is trying to fill six care vacancies at present. Records show that 25 of care staff have completed an NVQ level 2 or above in care. This is an improvement from previous inspections but still falls short of the 50 ratio stipulated in the National Minimum Standards. Staff records relating to recruitment were checked during the random inspection of October 2006 and were found to contain all the necessary information to ensure the protection of service users. Two more records were checked during the visit to ensure that the process remains robust. These were also found to be in order. Records also showed that staff are given copies of the General Social Care Council code of conduct. Records and discussion with the manager and some staff provided evidence that new staff have a thorough induction training programme and that all are all trained in key health and safety areas. As well as the core training some staff have attended more specialised training, for example in managing challenging behaviour and gastromy care. The manager said that training opportunities have improved because a trainer has been allocated one day every month to come to Oakridge who will provide training on any area of identified need and refresh staff as necessary in key health and safety areas. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 23 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 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and the quality of the service is effectively monitored to ensure that people’s health safety and wellbeing are protected and promoted. EVIDENCE: Since the last key inspeciton the manager Mrs Kuttner, has sucessfully completed the registration process. There are clear lines of accountability within the home. The manger undertakes regular training to update her skills and to maintain her registration as a nurse. She is currently studying for her NVQ level 4 in management. People were complimentary about the manager Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 24 and her team of senior nurses and staff stated that they are approachable and supportive. Quality is monitored in the home in the following ways: People who live at the home meet to discuss the service provided. As discussed earlier, changes have been made to communal areas as a result of one of these meetings. Visits by a senior manager take place every month and a written report is produced about the conduct of the care home. The most recent one was seen and this monitored the recording of medication, the quality of the food and leisure opportunities. The manager said that there are also internal audits for example, weekly monitoring of pressure sore occurence, and dependendy levels are checked every month by completing barthel scores for all. Staff confirmed that staff meetings held and said that the management team listen to their views The manager does not act as appointee for any service users’ financial affairs. The manager said that family members mostly deal with Service users’ personal allowances although there are secure facilities and satisfactory procedures to ensure that small amounts of money can be safely stored and managed at the home. As discussed in previous sections, staff are provided with appropriate health and safety training to ensure safe working practices. Records show that electrical, gas and fire safety equipment have been recently checked and serviced. One senior member of staff is responsible for fire safety and spoke about plans to train staff with more in depth fire safety training than the current videos that they use. Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 25 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 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 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 X X 3 Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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.V338176.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oakridge House Nursing Home DS0000062987.V338176.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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