Inspection on 30/01/07 for Oakside Care Home

This inspection was carried out on 30th January 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

Oakside Care Home 28/02/06

Oakside Care Home 12/10/05

Oakside Care Home 14/03/05

Oakside Care Home 03/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakside Main Street Northiam Rye East Sussex TN31 6BN Lead Inspector Caroline Johnson Key Unannounced Inspection 30th January 2007 09:00a 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 Oakside DS0000021395.V307701.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. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakside Address Main Street Northiam Rye East Sussex TN31 6BN 01797 252165 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) Peasmarsh Place (Country Care) Limited Mrs Barbara Anne Clark Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users must be older people aged sixty-five years or over on admission. The maximum number of service users/individuals to be accommodated is seventeen (17). 28th February 2006 Date of last inspection Brief Description of the Service: Oakside is a building of wooden construction situated in the village of Northiam overlooking the village green. Village shops and local amenities are a short distance from the home. Main bus routes run close by. Accommodation for service users is provided on three floors. The upper floors can be accessed via stair lifts. The home is registered to accommodate seventeen older people. The fees for the home as of September 2006 range from £420 to £527 per week. Additional charges are made for hairdressing, chiropody, newspapers and magazines. The home ensures that copies of the inspection report are made available upon request and there is always a copy available in the home to refer to. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process two site visits were carried out. The first visit was on the 30 January 2007 and this lasted from 09.00am until 3.15pm and the second visit was on 31 January 2007 and lasted from 09.30am until 1.00pm. During the visits there were opportunities to meet with three residents in private and two residents in the lounge area. In addition time was spent with the manager, deputy manager and with a member of care staff. A wide range of records were also examined including the care plans for three residents and record keeping held in relation to staffing, medication, health and safety and menus. A full tour of the building was not undertaken but all communal areas were seen along with five bedrooms. Prior to the inspection comment cards were sent to the home for distribution to the residents. Nine cards were returned. Overall the response was very positive with comments such as ‘nothing is too much trouble’, food is ‘fresh, well presented and nutritionally balanced’, ‘nice touches, homely, plants and flowers’. Another positive comment by a relative was ‘Mother is cared for very well at Oakside and is very happy, Staff are excellent and it is more like a hotel’. Some of the residents responded usually or sometimes for questions in relation to activities and whether they liked the food. In respect of activities some went on to qualify this by saying that they did not want any more activities. As part of the inspection process attempts were made to contact the relatives of three residents but contact was only made with one relative. Comments received included ‘staff are very pleasant and hospitable’ and ‘they keep in touch regularly’. They also stated that they are pleased that the staff take their relative out shopping, as this is something they always enjoyed. At the time of inspection there was building work being carried out which directly affected the office and staff room. As a result not all documentation was seen but it is acknowledged that this could not be helped and anything not seen on these occasions will be followed up at the next inspection. During the inspection the home responded very positively to all the recommendations made and the inspector is confident that all matters will be addressed. It was recognised that the home was in the process of introducing a new care planning system and it is anticipated that by the next inspection staff will have received further training in this area and the care plan system will have been fully embedded. What the service does well: Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 6 There are very good training opportunities available to staff and staff spoken with were very appreciative of this. There are several staff studying for an NVQ (National Vocational Qualification) and on completion the home will be well on the way to having 50 of the staff team trained. Staff described the manager as ‘very supportive and helpful’ and said ‘you can always go to her if you have a problem’. They also stated that the regular supervision is also very useful. The building is very well maintained and residents are encouraged to personalise their rooms. There are very good links with the district nursing service who visit regularly to provide advice and support. What has improved since the last inspection? What they could do better: As a result of this inspection six requirements and three good practice recommendations were made. One of the requirements made was carried over from the previous inspection and was partly met in that sometimes alternatives to the main meal are recorded but records need to be completed daily detailing all alternatives served. Since the last inspection the care planning system has been changed. Extensive work has been carried out to update the care plans. However further staff training is required as records are not clear in describing each resident’s individual needs and the action to be taken by staff to meet them. Equally risks identified are not explicit so it is not always clear what action has been taken by the home to reduce the risk of accidents/incidents occurring. Staff work hard to support the residents but more emphasis should be placed on recording the work they do in the daily records. The Responsible Individual or a representative on their behalf needs to visit the home on a Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 7 monthly basis and to provide a report about the running of the home to the providers. These reports should also be available for inspection. 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. Oakside DS0000021395.V307701.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 Oakside DS0000021395.V307701.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home generally obtains detailed information about prospective residents prior to making a decision about whether to provide accommodation. It is essential that this is consistent and that all areas of the assessment documentation are completed. The newly introduced `What you need to know about me’ form is very good, and with further amendments to clarify questions could be excellent and would be invaluable to staff. EVIDENCE: Two pre-admission assessments were examined during the inspection. In one of the files seen there was detailed information obtained prior to admitting the resident to the home. In the second file seen the information obtained was limited but there was other information obtained from a relative that had yet to be typed up. Following admission a ‘What you need to know about me’ form is completed. This includes information on each resident’s dietary needs, activities, preferred routines such as getting up and going to bed times. The Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 10 layout of the form is not so clear in some areas and it was apparent that some staff were confused as to which section to tick when completing the forms. In relation to one resident who is diabetic there was information about the need to monitor blood sugars and there was information about what is a normal blood sugar but there was no information about what action staff should take if the blood sugar reading was too high or too low. It was noted that documentation is not always signed or dated. The home does not cater for intermediate care. Oakside DS0000021395.V307701.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 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 (adequate) This judgement has been made using available evidence including a visit to this service. The format for care planning has changed and it is acknowledged that staff are still getting to grips with the new documentation. However, it is essential that care plans are revised and updated as residents’ needs change and that the advice included is clear so that progress or deterioration can be continually evaluated. More detailed daily records would also demonstrate the good work undertaken by staff to meet the needs of the residents. The improvements made to the management of medication are excellent and the home is to be commended for the progress made in this area. EVIDENCE: The format for care planning has changed since the last inspection. The requirement referred to in the previous inspection is no longer applicable. Three care plans were examined on this occasion. Risk assessments are carried out whenever perceived risks are identified. It was noted that identified risks are not always clear, for example there was a risk assessment in place in relation to the cat. The purpose of the risk assessment was to assess any risks associated with having a cat in the home. The main advice would have been Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 12 the risk of tripping over the cat and for staff to be vigilant when assisting residents with mobility. However, this advice was not included. In relation to another resident, within the care plan there was advice stating that the resident takes herself to the toilet independently at night. In the choice section it stated that she wished to get up during the night. It was not clear if staff were to get her up to use the toilet or if she got up independently. It also stated that this resident goes to bed between seven and eight. This resident had been experiencing problems sleeping and the gp had written advising that she should try to retire later in the evening. It was not clear if the gp’s advice had been discussed with the resident and what they had decided. In the care plans seen the goals identified were very broad and there was very limited reference in the daily notes to any progress made with the goals. As a result it was not possible to track what progress was being made. In relation to another resident who has complex needs, the home are using advice and support from the gp and the district nurses to manage their care needs. This resident is refusing some of the support that is required to maintain their health adequately. The home is in regular touch with the resident’s family and keeping them informed of their relative’s care. The care plan for this resident was not up to date, as it did not take account of the deterioration in recent weeks of their health. Staff spoke at length about the care and support provided to this resident. However, daily records do not show the choices given to and made by this resident and the extensive work undertaken by the staff team to meet this resident’s needs and to make them comfortable. Since the last inspection the home has moved to having a monitored dosage system in place for managing medications. The home’s medication policy has been updated and the manager advised that several amendments have been made to the policy to ensure that it reflects accurately the practice carried out in the home. Records showed that it is possible to do an audit trail of all medication received into the home. All of the staff have received training on medication and some staff are in the middle of carrying out a more extensive course on the subject. In addition to this training all new staff must now undergo an in-house competency based assessment for medication handling. Where a resident chooses to retain responsibility for their own medication, a risk assessment is carried out by the home and the resident and their gp sign a consent form. There is a homely remedies policy in place along with a list of the homely remedies used by the home for each resident. These lists have been signed by the home’s gp. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 13 The home obtains specialist advice and support when necessary to meet the needs of the residents. During the inspection district nurses visited the home to offer advice and guidance for one resident. On the second day of inspection there was training arranged for staff on diabetes. Residents spoken with during the inspection stated that they are looked after well and that they are treated with respect. Oakside DS0000021395.V307701.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 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 (good) This judgement has been made using available evidence including a visit to this service. The home listens to the wishes of the residents in relation to how they choose to spend their days and all of the residents spoken with stated that they did not want to participate in any more activities than they already do. Improvements have been made to the catering arrangements and this will be enhanced further with more detailed recording of the actual meals served and with ensuring that everyone is advised of the meal to be served in advance so that there is time to choose an alternative to the set meal. EVIDENCE: Activities provided in the home include keep fit on a monthly basis, a music session monthly and the Land Army Girls every two months. The manager advised that recently they had a vocalist in to provide entertainment and the residents now need to decide if they would like this to be a regular session. Residents also have the opportunity to attend a coffee morning run by the local Church and Age Concern also run a coffee morning locally. One of the residents chooses to visit a local pub regularly and staff support is provided to escort the resident to/from the pub. Outings are arranged occasionally. The most recent was a trip to Lakelands in Hawkhurst. Residents have confirmed that they would prefer to have outings on a more regular basis rather than Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 15 activities in-house. The manager advised that it is the home’s intention to increase the number of outings. Whenever activities are held at the Companies sister home, residents are invited to attend. It was also noted that some of the residents choose to attend the local CoE Church every week and two residents receive monthly visits from a Catholic Priest. The hairdresser was in the home on the first day of inspection and he advised that he visits the home weekly. Residents’ meetings have recently been introduced. Records for the meetings were not seen on this occasion. One of the residents expressed an interest in having a cat so the home took them to an animal refuge centre where they chose a cat. The resident advised that they are very pleased with the cat. Another resident spoken with stated that they love knitting and doing tapestries. Arrangements are made for residents to receive daily newspapers if they choose this. The manager confirmed that the cook had recently attended a course on nutrition. The cook has spent time with each of the residents discussing their individual wishes in relation to food and she stated that the menus would now be revised to take account of the wishes of the residents. A new cook has been employed to work weekends. Since the last inspection the home has provided a four weekly menu to all residents so that they are aware of the meal to be served each day. One of the residents spoken with is partially sighted and when asked if she was told what would be on the menu each day she responded ‘no’. Whilst speaking with this resident, a carer gave the resident her pudding but did not tell her what it was. There is a set meal at lunchtime and it was noted that some alternatives to the main meal are recorded. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be 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 (good) This judgement has been made using available evidence including a visit to this service. There are good procedures in place to ensure that anyone wishing to make a complaint can do so. EVIDENCE: Records showed that there had been no complaints made to the home. However there were a number of complimentary letters to the home thanking the staff team for the support provided to the residents. The Commission has not received any complaints about the home. The manager confirmed that all of the staff had attended a two-day training course on boundaries and abuse. Staff spoken with all confirmed that they found this training to be excellent. There have been no adult protection issues in the past year. Oakside DS0000021395.V307701.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): 19,20,26 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The continuing programme for upgrading the building ensures that residents have a comfortable and homely environment. The home takes the fire safety arrangements for the home very seriously and is good at ensuring the professional advice is obtained in relation to all aspects of fire safety. EVIDENCE: A full tour of the building was not carried out on this occasion. However, all communal areas were seen including the bathroom and laundry facilities. In addition five bedrooms were seen. All areas were decorated to a good standard. Bedrooms were homely and residents advised that they brought items of furniture with them when they moved into the home. Building work was underway at the time of inspection. The office was being divided so as to have a separate office for the manager and a staff room for Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 18 the care staff. Work was also being carried out in another section of the building but this was mainly external work and except for noise and no hot water in two bedrooms there was minimal disruption to residents. It was estimated that the external work would take no more than one week. Since the last inspection the stairs has been re-carpeted. In addition one of the double rooms has been redecorated and is now a single room. An ensuite shower has been fitted to this room. Two other bedrooms have also been redecorated. The lounge area has also been redecorated and a new suite of furniture was purchased. The kitchen has also been redecorated and a new cooker was fitted. All areas of the home seen were clean. Records showed that fire alarms have been tested regularly but not always weekly and emergency lights have been tested monthly. The last fire drill was in January 2007. The manager advised that there is a programme in place to gradually replace the detectors. Three new fire doors and five door guards have also been fitted. A fire officer visited the home in December to offer advice and guidance. The manager reported that he identified a few issues and informed staff that he would provide advice in writing. The home is awaiting written confirmation of this advice. One issue discussed was the need to keep fire doors closed at night. Some of the doors have self-closures fitted that are linked to the fire alarm system. It was noted that keeping the doors closed is causing some distress to two of the residents, one of which is continually getting up at night to open their door. This resident has mobility problems. The onus is on the provider to assess fire safety in the home. However, further advice may need to be obtained from the fire safety department and it may also be necessary to weigh up the risk of an accident occurring versus the risk of a fire occurring. The manager advised that whilst they already have a fire risk assessment in place that was completed in-house they are now arranging for an external professional to carry out a risk assessment. Oakside DS0000021395.V307701.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): 27,28,30 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. There are good training opportunities available to staff ensuring that the staff team are well trained and competent to meet the needs of the residents. New staff receive a good induction to the home. However, the home should ensure that the induction package is updated to include all area so the Common Induction standards. EVIDENCE: A staff member spoken with who also works nights in the home stated that the Nurselink used has given her greater confidence as she knows that if anything occurs on shift she can have backup within minutes. She also carries a phone in her pocket along with a list of all important phone numbers. Two staff have been appointed recently and are awaiting a start date subject of all satisfactory checks being obtained. The manager advised that a couple of the staff team have been off sick so they have had to use agency staff on a number of occasions. However, they tend to use the same staff so the faces are always familiar and there is always a percentage of regular staff on duty. The ability to use agency staff is new and it was reported that this now means that staffing levels always remain consistent. Staff recruitment files are now stored at the head office so were not seen during the inspection. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 20 The home has a detailed induction procedure for new staff that is linked to Skills for Care and staff must complete within six months of employment. The home was asked to refer to the updated Common Induction Standards that are required to be completed within twelve weeks of employment. Records showed that at least five care staff have completed NVQ level two or above. During the inspection another carer advised that she had just completed the course. In addition a number of staff are currently studying for the qualification. When these staff complete their course the home should be able to meet their target for having 50 of the staff team trained to NVQ level two or above. Records were seen for one member of staff and they showed that the worker received regular supervision. During the supervision sessions, issues were highlighted that needed addressing and the home put in place measures to ensure that the worker was given additional support. There was also a list of courses that the worker had attended which included, continence promotion and bowel care in the elderly, moving and handling, medication management, food hygiene, first aid, catheter care and management, health and safety and fire protection. Training in falls prevention is to be held in February 2007. It was reported that each staff member now has a personal development plan and staff spoken with stated that they welcome the increased training opportunities made available to them. The manager confirmed that CRB checks have been obtained for all staff working in the home. Two CRB checks were seen on this occasion. Minutes of the staff meetings held show that staff are fully involved in all discussions and that following discussions the agreed outcome is clear. Oakside DS0000021395.V307701.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): 31,32,33,36,37, 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 run and staff have confidence and feel well supported by the manager of the home. The home listens to the views of the residents and wherever possible takes action to meet the wishes of the residents. There are good arrangements in place to ensure the health, safety and welfare of the residents and staff team. Monthly-unannounced visits need to be reinstated to show evidence that the providers are being kept up to date with the running of the home. EVIDENCE: The manager has completed NVQ level four and the Registered Manager’s Award. Staff spoken with during the inspection described the manager as ‘very supportive and helpful’ and said ‘you can always go to her if you have a problem’. They also confirmed that they receive regular supervision. The manager advised that they are now starting the annual staff appraisals. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 22 In relation to quality assurance the manager advised that satisfaction questionnaires were ready to be sent to the relatives of the residents for completion. The home will also carry out a satisfaction audit for residents. The manager advised that all responses would be collated and feedback provided to all relevant people. Every four weeks a medication audit is carried out and a health and safety audit is carried out weekly. The home will look to introduce a care plan audit also. As part of the inspection process comment cards were sent to the home prior to the inspection for completion by residents. Nine comment cards were returned. Two of the cards had been completed by relatives of the residents on their behalf. Overall the response was very positive with comments such as ‘nothing is too much trouble’, food is ‘fresh, well presented and nutritionally balanced’, ‘nice touches, homely, plants and flowers’. Another positive comment by a relative was ‘Mother is cared for very well at Oakside and is very happy, Staff are excellent and it is more like a hotel’. Two of the comment cards received referred to residents not receiving a contract. By the second site visit the manager confirmed that she had checked each of the residents’ files and there was a signed contract in each file. She agreed to discuss this issue with all residents. Some of the residents responded usually or sometimes for questions in relation to activities and whether they liked the food. In respect of activities some went on to qualify this by saying that they did not want any more activities. One resident advised that there was a problem with having windows cleaned. This was discussed with the manager who confirmed that whilst the building works were underway windows had not been cleaned and following this work they had difficulty getting a window cleaner but they have now found a cleaner and the windows will be cleaned on a regular basis. Following the inspection attempts were made to contact the relatives of three of the residents. Contact was made with one relative whose feedback was very positive with comments such as ‘staff are very pleasant and hospitable’ and ‘they keep in touch regularly’. They also stated that they are pleased that the staff take their relative out shopping, as this is something they always enjoyed. The policies and procedures manual has been reviewed and updated and is now specific to Oakside. In relation to health and safety it was noted that almost all of the portable appliances had been tested within the past year. Hot water temperatures were tested during the inspection at two outlets and the temperatures were within agreed safety limits. A number of staff are to receive training in health and safety in February 2007. The manager confirmed that an electrical wiring certificate would be issued when all the building works are completed. Records showed that the lift is serviced annually. A Legionella assessment has been carried out. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 23 The Responsible Individual or a representative on their behalf carries out a monthly-unannounced visit to the home and then provides a copy of their report to the provider. It was noted that reports have not been completed in recent months. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 2 3 Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP3 Regulation 14(1a,c) Requirement All information obtained, as part of the pre-admission assessment must be recorded so that it is clear how the home reached a decision about being able to meet the needs of prospective residents. All documentation must be dated and signed. Goals/needs in care plans must be specific so that staff are clear about the action to be taken to ensure that they are met. Staff must receive training in report writing. All perceived risks must be explicit and must include details of the action taken by the home and required by staff to reduce the risk of an accident/incident occurring. Records must be kept of the actual meal served to all residents. [This was a requirement of the previous inspection and it was partially met. Timescale was 30/4/06) The Responsible Individual or a representative on their behalf DS0000021395.V307701.R01.S.doc Timescale for action 30/04/07 2. OP7 15(1,2) 30/05/07 3. 4. OP7 OP7 18(1a) 13(4a,c) 15/04/07 30/04/07 5. OP15 17(2) Sch 4 para. 13 31/03/07 6. OP37 26 31/03/07 Oakside Version 5.2 Page 26 must carry out monthly, unannounced visits to the home and to provide a copy of their findings to the manager. Copies of reports must be available for inspection. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP3 OP7 OP30 Good Practice Recommendations The format for the ‘what you need to know about me’ should be clarified so that questions are clear and answers can be recorded accurately. Daily records should be used to document fully the action taken by staff to support residents. The home’s induction package should be linked to Skills for Care and new staff should complete the package within twelve weeks of employment. Oakside DS0000021395.V307701.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Oakside DS0000021395.V307701.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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