Inspection on 26/03/07 for Oakwell

This inspection was carried out on 26th March 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

Oakwell 30/01/06

Oakwell 06/07/05

Oakwell 07/10/04

Oakwell 22/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakwell Oakwell Lyddicleave Bickington Barnstaple Devon EX31 2JZ Lead Inspector Adele Adams Unannounced Inspection 26th March 2007 13:30 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 Oakwell DS0000039186.V316135.R02.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. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwell Address Oakwell Lyddicleave Bickington Barnstaple Devon EX31 2JZ 01271 327252 01271 329332 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) http/www.devon.gov.uk/adoption.htm Devon County Council Rachel Holmes Care Home 20 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may admit up to 10 service users on the intermediate care unit over the age of 50 years The maximum number of placements including that of the service users under 65, will remain at 20, of whom 10 may be in the intermediate care unit 30th January 2006 Date of last inspection Brief Description of the Service: Oakwell is situated in the quiet village of Bickington on the outskirts of Barnstaple and was originally constructed in 1974 as a home for older people, it is owned by the Local Authority. In 1994, there was a total refurbishment of the premises; it reopened as the North Devon Community Care Support Centre. The centre houses a residential unit providing accommodation and personal care for up to 20 older people with physical and/or mental health needs; of this 20 up to 10 clients aged fifty years and over may be admitted for short term intermediate care, which also includes admission of people under a rapid response service. A respite service and rapid response service is also provided at Oakwell. The centre also houses a home care service and a day centre. Fees are £570.50 per week; additional charges are made for some things such as hairdressing, chiropody, toiletries, magazines and newspapers and transport booked by clients. A copy of previous inspection report is available in the entrance of the home and on notice boards throughout the home. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has introduced “Key Standards “ to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. This inspection was unannounced and began at 13:30 a.m. and ended at 18:40. There were 13 clients in residence in the home during the inspection. During this inspection the inspector saw several areas of the home, which included the dining room, two lounges, the laundry and kitchen. The inspector sat and spoke with 1 client and observed staff and clients during the inspection. In addition, the inspector read clients care records, staff records, maintenance and health and safety records, policies and procedures for the service and spoke with the manager and with care staff. There were visitors to the home during the inspection. However the inspector was unable to talk with them on this occasion. A multi disciplinary team meeting and staff interviews were also taking place when the inspection was in progress. Information about Oakwell, the service it provides, it’s clients and staff was also received before the inspection from a pre inspection questionnaire that had been completed by the manager. All of this information has been used as part of the inspection process. What the service does well: This inspection found that the clients at Oakwell are cared for in a pleasant, caring environment, the atmosphere at the home is relaxed and professional. Oakwell provides care for people with very different needs; it provides Respite Care and Intermediate Care. Clients benefit from receiving care from a team of care staff; this helps to ensure continuity and gives clients confidence in the care they receive and the staff that care for them. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 6 Oakwell has a respite facility; this particularly provides an important service for carers in particular. The service enables carers to benefit from a break from their caring role, knowing that their family member will be well cared for in a safe and caring environment. A proactive carers group meets regularly at Oakwell and is supported by staff that assist with organising a programme that has been requested, for example speakers are invited, such as Occupational Therapists, representatives from the benefits agency and legal advice has been provided by a solicitor. The Intermediate Care Unit clients benefit from having a dedicated team of care staff as well as receiving the support and direction of therapists, nurses and a doctor on a regular basis, this helps to make sure that there is continuity in approach to health and social care and gives clients confidence in the service. The Intermediate Care Service supports clients to be in a position to be able return to living in their own homes. The service is valued by it’s clients and their families one client said ‘I am so pleased to be here, I have a wonderful room and caring staff that are working hard with me so I can get home again’. Oakwell is spacious, bedrooms are airy and all have full ensuite facilities. Clients are encouraged to bring in personal items to individualise rooms. Clients have lounges and dining rooms they use. There are grounds outside the home and clients do access these. Food is prepared on site and is enjoyed by clients. The decoration is tasteful and the communal areas and atmosphere is homely. What has improved since the last inspection? Since the last inspection the following improvements have been made at Oakwell: Client care plans have been improved and are now reviewed regularly on a monthly basis and are individualised to each client, this now clearly demonstrates in writing the individualised care that is given at Oakwell. A monthly activity programme has been introduced and is overseen by a senior carer; this helps to make sure that activities are not overlooked and that a record of what clients have achieved is kept. The menu has been reviewed since the meals on wheels service that was run from Oakwell has finished – this has resulted in the introduction of meals such as freshly made soups and cauliflower cheese. Improvements to the environment at Oakwell include; painting of the kitchen, two care beds have been supplied by Devon County Council, portable televisions have been purchased for each bedroom and one large television has Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 7 been purchased for the lounge on floor one of the home. All of which add to the pleasant environment enjoyed by clients. A Quality monitoring system is now in place, which is centrally managed, to the manager is made aware of the outcomes of this monitoring and if any issues for action arise, the registered manager is notified within 24 hours. This shows the commitment to improvement by the service. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakwell DS0000039186.V316135.R02.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 Oakwell DS0000039186.V316135.R02.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): Quality in this outcome area is good. The service’s performance was assessed against Key standards 3 and 6. The majority of clients admitted to Oakwell have a thorough assessment undertaken prior to moving there, which enables well informed decisions and choices to be made about whether or not the service will be able to meet the clients needs. However this could be improved upon for clients admitted to the Intermediate care beds as ‘rapid response’ clients. The Intermediate Care service at Oakwell does enable the majority of clients to return home by increasing their level of independence, however clients admitted to the service via the rapid response route do not always experience such positive outcomes. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 10 EVIDENCE: One resident told the inspector that they had been involved in making the decision to move to Oakwell when they had been in hospital and that they were happy and relieved to be there. The care records and care assessments of 3 clients were read. These show that before moving to Oakwell people have their needs fully assessed by social services or by a joint health and social services team, this information is provided, kept on record and used as a baseline when people first move in. The manager and a member of care staff confirmed that clients are usually only admitted to Oakwell following a very thorough assessment. The inspector asked specific questions about the rapid response service that has been introduced since the last inspection. This included questions about admission and assessment, for example, where are rapid response clients admitted from and who makes the assessment and referral for a rapid admission to Oakwell? The answers received, raised some concern that a person identified as needing a quick admission to Oakwell may not always be able to have had an appropriate assessment of need carried out or be fully involved and informed in the decision making process. Also giving cause for concern is that adequate information about the individual identified as needing admission may not be available, which could result in unwanted outcomes for the client such as admission to hospital, when the aim is to promote a client’s independence and recovery and prevent the need for a hospital admission. Oakwell DS0000039186.V316135.R02.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): Quality in this outcome area is good. The service’s performance was assessed against key standards 7, 8, 9 and 10 Each client is treated with respect and is supported to be as independent as they are able. Each resident has a record detailing their individual needs this helps to make sure that each client’s needs are met, communicated well and regularly reviewed. The handwritten recording of medication that is prescribed for a client and the recording of when medicines have been taken / given to a client need to be improved to reduce the risk of errors being made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records and care assessments of 3 clients were read. Each of these show that these records are individual to each client and provide evidence of clients health and social care needs and how these are met. For Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 12 example, the records read show the involvement of physiotherapists, occupational therapists and doctors. A multidisciplinary team meeting is held on a weekly basis – this was in progress on the day of inspection and takes place with the involvement of the clients on the intermediate care unit. The manager described how the development and improvement of clients records has been approached and a carer explained how care reviews are carried out on a monthly basis – evidence of this was seen in the records and other staff made reference to the monthly review of care records during conversation. A client told the inspector that the staff encourage independence and are ‘very good at doing this’ the client said that they ‘realise that this is good as they feel it would be quicker and easier for staff to do things for clients which would not help the clients’. A client told the inspector that the staff respect client’s privacy and dignity and that staff are ‘considerate, respectful and dignified’. Staff were observed as being courteous and professional with clients during the inspection. Staff spoken with confirmed that client’s privacy and dignity is important to them and that they do have access to policies providing guidance in these areas and that these are also covered in staff induction – these were seen by the inspector. A client told the inspector that clients are able to take and look after their own medicines if they are able to and told the inspector of the arrangements in place to support this – for example storage facilities – the inspector also saw the guidance that is in place to support this practice and spoke with a member of staff who confirmed what the client had said and what the guidance states. Oakwell has a medication policy supported by procedures and practice guidance, which staff understand. Client medication records were read, these are not always fully completed, for example prescriptions that are written by hand are not printed and gaps on the medication recording charts were found which made it uncertain whether medicine had or had not been given to clients. This was pointed out to the manager who wishes to address this promptly. In addition the inspector also saw where clients medicines are stored and read the inspection report that had been written by the visiting community pharmacist following their inspection. Improvement has been made to the recording of the medication fridge temperatures – a maximum and minimum thermometer is now in place and the fridge temperatures are recorded appropriately. Staff have access to training, which includes handling of medicines, staff confirmed this as did the homes training records. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 13 Oakwell DS0000039186.V316135.R02.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): Quality in this outcome area is excellent. The service’s performance was assessed against Key standards 12, 13, 14 and 15. Routines within the home are suited to clients’ needs; clients are able to maintain contact with family, friends and the local community and enjoy a nutritious and well balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A client using the intermediate care service at Oakwell confirmed that the service is committed to enabling people who use the service to develop their skills, which includes social, emotional, communication, and independent living skills. The client explained and described how they work together with staff to identify their goals, and work to achieve them. Talking with staff and reading of 3 client records also confirmed this and showed that this is also the case for clients who use the services at Oakwell for respite care or who are receiving long term care. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 15 A client confirmed that visitors are made welcome at Oakwell, during the inspection visitors to the home were observed and communication between staff and visitors were noted – visitors were seen to be confidant and comfortable to approach and discuss matters with staff who responded courteously and in a helpful and professional manner. A monthly activity programme is now in place which is overseen by a senior care assistant and recorded by care assistants – this was discussed with a senior care assistant who is keen to emphasise to carers and clients the importance of meaningful activities and if the planned activity is not suitable for a client that it is important and acceptable to offer an alternative. One client told the inspector that they had brought in painting to do and that they enjoyed their own company and liked the challenge of a crossword each day. A client told the inspector that the food at Oakwell is ‘excellent – better than some home cooked food.’ The inspector visited the kitchens, which were clean, well stocked and well organised. The inspector was given a copy of the home’s menu, which is varied and runs on a monthly basis. Choices of meals are available at each mealtime and special diets are catered for. Clients’ records x3 were read and dietary needs are recorded for example it was seen that one client requires a diabetic diet and another requires a low potassium diet – the records also note if and when assistance with eating is needed. The dining rooms are comfortable and pleasantly furnished. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The service’s performance was assessed against Key standards 16 and 18. There is an accessible complaints policy and procedure in place at Oakwell and clients are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector saw that the complaints procedure is displayed on notice boards throughout Oakwell. A client told the inspector that they would feel able to complain if they had to and had confidence in the staff. Part of the quality assurance process that is in place at Oakwell ensures that the manager is made aware within 24 hours if there are any concerns or complaints. The inspector was shown the ‘Compliments and Complaints’ file for Oakwell and read letters/ cards of compliments and thanks – no complaints have been received by the home or CSCI. The inspector read staff training records; these showed that staff at Oakwell receive adult protection training. A recently appointed member of staff told the inspector they had done an approved adult protection training course since staring at Oakwell. The inspector was told and saw that the home has a copy of the Devon County Councils adult protection guidance – the ‘Alerters Guide’ Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 17 which is available to staff and in addition to this a adult protection information/ training video – ‘No Secrets’ is also available. All staff have the required essential employment checks carried out before they are employed. The inspector saw evidence of this in staff records and this was confirmed when speaking with a member of staff. There have been no incidents reported to the home or CSCI. Oakwell DS0000039186.V316135.R02.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. The service’s performance was assessed against Key standards 19 and 26. The clients at Oakwell are provided with a pleasant spacious, clean and wellmaintained environment. This judgement has been made using available evidence including a visit to this service. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 19 EVIDENCE: The inspector spoke with a client, toured areas of the home, spoke with staff and the registered manager, read maintenance records and read the pre inspection questionnaire - all of which provided useful information about the home environment. A client told the inspector that the home is clean, bright and comfortable and that they have ‘a wonderful room with everything I need’. Oakwell is a purpose built home and provides an environment that is suitable to the specific needs of the people who use the service, for example access to the home is good and a there is a lift to other floors, the doorways and hallways are wide and this helps when equipment or mobility aids are being used. Clients’ rooms are of a good size with facilities such as en suite toilets and specialist medication storage facilities being provided. Oakwell, both the premises and equipment are routinely maintained by qualified contractors and this is organised centrally by Devon County Council – evidence of this was seen by the inspector and discussed with the manager. The inspector was advised that extension of the patio area is planned for this year. The inspector was informed that the home environment is regularly risk assessed by a competent assessor the last health and safety inspection was carried out on 30/01/07 – evidence of this was seen by the inspector and any risks are identified to the Registered Manager who ensures these are acted upon. Oakwell is bright and airy; all rooms have a good supply of natural light. The home was seen to be clean and tidy. The home has a large laundry room off which is an area for sluicing. Sinks had supplies of soap and paper towels and handwashing posters were posted on bathroom walls. The kitchen has recently been repainted and was found to be clean, tidy and well organised – food was appropriately stored. The inspector was advised that a new cooker is due to be installed in the kitchen. A cleaning rota is in place – the inspector saw this. Staff have all been given a copy of the Department of Health Infection Control book – a copy of which was seen by the inspector. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 20 Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. The service’s performance was assessed against Key standards 27, 28, 29 and 30. Clients at Oakwell are well cared for by capable staff that have been employed after undergoing thorough recruitment checks, however staff records were not accessible on the day of inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector was told by a client that there are always staff available to assist them with whatever is needed and that staff are always to hand and residents are never kept waiting. The client said they feel that they are well cared for and that staff know what they are doing and are ‘experienced’. The inspector observed that there was enough staff to support clients in a calm, timely manner. The pre inspection questionnaire provided information that staff vacancies have been filled. Several members of staff confirmed that there are enough staff to work with clients and that there are always 5 staff on duty. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 22 The inspector read staff training records that are held on site (these show when training has taken place and when training is due for each member of staff) and saw that essential training had been undertaken, a recently employed member of staff told the inspector that since being employed at Oakwell they had undergone training in; the protection of vulnerable adults, manual handling, Infection control and handling medicines training. The member of staff also described the application and recruitment process they had experienced and the period of induction they had received. This showed that the appropriate employment checks are carried out and 2 references are sought before someone is employed. All new staff have a POVA First (Protection of Vulnerable Adults) check before starting work and also have a CRB check (police check) carried out – evidence of this was seen. Staff are supplied with induction packs – the inspector saw these which contained excellent information including; the GSCC Code of Practice, Quality Council Information, Infection Control information, the confidentiality and gifts and legacies policy. Staff spoken with confirmed they receive regular supervision, the registered manager also confirmed this and the inspector saw evidence of supervision agreements and records being in place for staff. Oakwell DS0000039186.V316135.R02.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): Quality in this outcome area is good. The service’s performance was assessed against Key standards 31, 33, 35 and 38 Oakwell is managed well by an experienced manager who puts the needs of the clients’ first. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Through observation and discussion with the Registered Manager and staff it is clear that the manager of Oakwell who is registered with C.S.C.I is well established at Oakwell and has encouraged an open and positive environment. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 24 Staff were observed to be comfortable to freely approach the manager and ask for advice and support. Staff spoken with told the inspector that working at the home is a positive experience and that they feel very well supported. The pre inspection questionnaire informs records of personal allowances are kept and that clients receive their full personal allowance to spend as they wish. When savings are invested for clients that do not handle their own affairs, these are kept in a separate account. One client has their banking records held at county council head office receivers. Information was provided in the pre- inspection questionnaire in respect of health and safety checks, risk assessment and maintenance. During the inspection the inspector read records that show that the relevant fire risk assessment is in place and that fire checks and alarm testing take place regularly. Risk assessments are in place and regular health and safety inspections are carried out in the home by the home’s own in-house manual handling trainer and health and safety representative. The most recent in house inspection being in January 2007 – the inspector saw evidence of this and the registered Manager told the inspector of the outcome of this and how this had improved practice. During the inspection, the inspector also saw evidence that staff receive essential health and safety training, and read records that show that equipment is checked by approved contractors on a regular basis and that PAT testing takes place on electrical equipment. The inspector saw evidence to show that testing for Legionella and water servicing is up to date. Oakwell DS0000039186.V316135.R02.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 Oakwell DS0000039186.V316135.R02.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. 1 Standard OP9 Regulation 13(2) Timescale for action The registered person shall make 25/05/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This refers to: • The poor recording of medicines taken by or given to clients on the medicine administration record. The method of recording handwritten prescriptions. Requirement • 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 Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 27 1. OP3 A full and thorough assessment of a client’s health, social and psychological needs must have taken place before they are admitted to the home. This refers to rapid response service clients. Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Oakwell DS0000039186.V316135.R02.S.doc Version 5.2 Page 29 - 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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