Inspection on 14/12/06 for Oakwood Bungalows Nursing Home

This inspection was carried out on 14th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakwood Bungalows Nursing Home 29/11/05

Oakwood Bungalows Nursing Home 26/05/05

Oakwood Bungalows Nursing Home 22/11/04

Oakwood Bungalows Nursing Home 21/07/04

Similar services:

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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

CARE HOME ADULTS 18-65 Oakwood Bungalows Nursing Home Devon Court Devon Drive Hollingwood Chesterfield Derbyshire S43 1DX Lead Inspector Nancy Bradley Key Unannounced Inspection 14th December 2006 09:15 Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 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 Oakwood Bungalows Nursing Home DS0000002068.V320488.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 Adults 18-65. 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. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood Bungalows Nursing Home Address 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) Devon Court Devon Drive Hollingwood Chesterfield Derbyshire S43 1DX 01246 476222 Elmcare Limited Charlotte Janet Bowen Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability, not falling within any other category Date of last inspection 29th November 2005 Brief Description of the Service: Oakwood Bungalow provides nursing and personal care and support for up to 10 younger adults with learning disabilities. It is situated on a main bus route, to the north east of Chesterfield within a residential area, close to local amenities. The home aims to provide a stable and consistent lifestyle for service users, which enables them to develop within an environment, which is supportive to their individually assessed needs. The homes philosophy of care is based on O’Briens Life Principles and Accomplishments, including the promotion of normalisation in terms of the daily life of each service user. Care delivery is planned, based on a recognised assessment model and within a framework of risk management. Service users bedrooms are all single occupancy, each having a wash hand basin. There are separate male and female toilets and bathing/shower facilities. There is a choice of lounge space and access to a small well-kept garden area. A dedicated laundry facility is provided, although those service users who are able can undertake their own laundry with assistance from staff. A team of Registered Nurses and care workers supports the Manager and management of the home. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced key inspection and took place over seven hours. The Inspector spoke with the Registered Manager and members of staff on duty. During the site visit the Inspector made a tour of the home and joined service users for lunch and afternoon tea. Throughout the visit the Inspector observed how the staff were meeting service users’ on going needs. Records were examined relating to the service users and the running of the home. No family or relatives were present during this visit. The last key inspection was in November 2005 with a random inspection being undertaken in August 2006, following a Safeguarding of Adults investigation. Reference to the random inspection has been made in this report and the requirements made at that visit have been addressed. Since the random inspection there has been no change in the service users living at the home. From the ten questionnaires sent out eight completed ones were returned stating they were quite settled at the home, good activities were provided, they liked the staff and they were listened to. The fees range from £1100 per week, and are due to be reviewed in April 2007. What the service does well: What has improved since the last inspection? What they could do better: Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 6 Sufficient management hours are required to ensure the Registered Manager can meet the home’s stated purpose, objectives and the needs of the people who live and work there: • Further work is required to promote the rights and safety of the service users. • The arrangements for formal staff supervision. • To continue updating the home’s policy and procedures. • Development of informal reviewing of quality of care. • Further work is required on the recruitment of suitable and qualified staff. 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. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users’ needs are fully assessed and met prior to admission. This ensures that all potential service users holistic needs are appropriately met. EVIDENCE: The majority of the service users who are admitted to the home have their needs assessed by social workers or through the care management system. The single assessment then forms part of the planned care service users receive. Also the home undertakes their own individual comprehensive needs assessments. This was in accordance with a recognised care model and provides a person centred record of their individual needs, including identified strengths and needs, long-term goals, and evaluation. As discussed with the Registered Manager this could be developed further to include service user’s life story. There was evidence on record to show that care management were reviewing the care needs assessment. However, the care needs assessment carried out by the home for one service user had not been reviewed within the last twelve months. The Registered Manager agreed to look in to this as a matter of urgency. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. Service users’ are supported to achieve an independent lifestyle and participation in all aspects of the life at the home is encouraged EVIDENCE: During the visit care plans of four-service user were examined. The care plans have been compiled by the staff on each service user and evidence was seen of care plans being reviewed on a regular basis. All service users cased tracked had a comprehensive care plan, which was in accordance with their assessed need and formulated within a risk assessment framework. All care plans were very detailed and comprehensive including services users’ individual lifestyle preferences and choices; the interventions prescribed by outside healthcare professionals were appropriate. Daily records are also maintained on each service user. It was clear from documentation examined that service users knew about their care plans, they were personalised and had been signed by them, by family or Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 10 by the Advocacy Service. Service users have regular access to the Advocacy Service. The home is regularly reviewing service user care plans and as discussed with the Registered Manager care staff need to fully record review meetings. Detailed risk assessments were in place and these included actions to be taken by staff. Following examination of records, historical and miscellaneous information on service user’s records needs to be archived. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships. The home provides a well-balanced and nutritious diet to ensure that service users requirements are appropriately met. EVIDENCE: The care records of four service users provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. The majority of the service users are unable to work due to their level of disability, however some are able to attend the farm, which is adjacent to the home. The service users’ personal goals, choices and preferences were identified and properly recorded risk assessments were in place for each service user in relation to the activities they were engaged in. Information on service users’ records indicated that contact with family and friends were appropriate. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 12 Service users are encouraged to participate in the running of the home, and are allocated daily household tasks and routines personal duties. From examination of the menus the home is providing a healthy well-balanced and nutritious diet. The service users made positive comments about the meals and the cook takes their preferences into account before compiling the week’s menus. The fridge temperatures were seen and were within a safe range. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health needs of service users’ are appropriately documented ensuring that individuals receive regular health checks. Policy and procedures relating to the some aspects of the management of medicines leaves service users vulnerable. EVIDENCE: From records examined and from discussions with staff, service users’ health and personal needs were being met Service users ‘were generally healthy and records showed that staff promptly contacted the appropriated medical services. All service users’ attended services within the community including optician, podiatry, and dentist. The home operates and monitors service users medication. None of the service users are able to administer their own medication. All staff have received training on medication training procedures. The arrangements for receipt, storage, administration and disposal of medication were also examined. Currently the home is not recording stock received, and there is no clear audit trail on medication administered. This included prescribed and non-prescribed medication. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard service users’ welfare and ensure that their concerns are listened to and acted upon. However current policy and procedures need reviewing ensure service users rights are safeguarded and protected. EVIDENCE: The home has a complaints procedure, which is included in the service users guide which all service users have a copy of. The complaints procedure is also displayed throughout the home. Oakwood have developed a format which is accessible to service users as several of the service users are not able to fully communicate their concerns. The procedure contains the new complaints address of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so The Registered Manager confirmed that the home had good links with the Derbyshire Advocacy Service, and they support the service users in making complaints should they wish to do so. The Advocacy Service also takes service user meetings within the home At the random inspection, the complaints record could not be found and was subsequently found in a service users bedroom. As outlined later on in this report, the home needs to look at its security arrangements, especially where confidential information is concerned. From the examination of the Regulation Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 15 26 Visits and from the complaints record on new complaints received since the random inspection of August 2006. The Commission for Social Care Inspection has not received any new complaints about this service since August 2006. As discussed during the visit there needs to be an auditable trail for complaints. The current complaints record does not allow for this: • Pages could be removed, • The Registered Person is only signing not signing and dating the complaints record, • There is no date to show when the record commenced. • Details of the complaint, the investigation and outcomes are not recorded. The policy on adult protection has been updated and now references this as Safeguarding of Adults. The policy is comprehensive and cover all aspects of Safeguarding as outlined in the National Minimum Standards. An acknowledgement was given to the Registered Manager for her work on developing this policy. The Registered Manager confirmed that all staff have recvied training on the safeguarding of adults, and training on handling violence and aggression is scheduled for Jan 2007. There have been no new safeguarding issues since May 2006, when the home was subject to an investigation following an unexplained injury to a service user. During the inspection it became apparent that the home was deducting £2.00 each week from service users personal allowances for their own Christmas presents. The home did not have any authorisation of this from service users, family or the Advocacy Service to show their agreement and understanding of this practice. The Registered Manager agreed to stop this and inform her senior mangers as to the ramification of this should it continue. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were accommodated in a safe and well-maintained environment, which suits their needs and promotes their independence and privacy. EVIDENCE: A tour of the building was conducted with service users and the Registered Manager accompanying the inspector. All communal areas were inspected together with staff facilities. Service users bedrooms were inspected with their agreement. The home was clean, well ventilated and lit. New furniture and carpets have been replaced as required following the previous inspection. As discussed with the Registered Manager the home needs to have a planned programme for the renewal of fabric fittings and decoration of the premises. Service users bedrooms were personalised, well decorated and equipped, as were the bathrooms and toilets. There are separate toilets for female and male service users. It was noted during the tour of the home that most of the rooms only had one chair and one bedroom did not have a chair at all which the Registered Manager stated had been removed following an earlier incident. This had been Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 17 with the agreement of the service user, or the Advocate and had been recorded in the care plan. The kitchen and laundry areas were clean and suitably equipped. A large bunch of keys was handed to one service user to open the laundry room. The Registered Manager was later advised that whilst it was encouraging to see service users have significant freedom of movement within the home, to hand over a large bunch of keys, which may include keys to store rooms containing hazardous substances etc., was not advisable. The Registered Manager agreed that keys would be separated and stored in a key box in future. A filing drawer containing confidential information was found to be open with the key in the lock in the main office. The Registered Manager does not wish to keep the office locked so will look at ways to ensure the drawer is kept locked at all times in the future. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35, and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a recruitment policy in place, which ensures the safety and protection of the service users’. Importance is given to the staff training needs. The staff are supported in their day-to-day work however the development of a formal system of supervision will benefit staff development EVIDENCE: The home operates a key-worker system and from direct observation of the staff and from records examined, the staff were aware of the individual needs of the service users they care for. From records examined during the visit the home has less than 50 of the staff with a NVQ level 2. Following recent changes in staffing the home has eight staff with the NVQ level 2, with a further five working towards this qualification. This should then take them to 50 qualified staff. A further three staff are on the NVQ level 3. There are currently six qualified nurses, including the Registered Manager at the home. There is a revised recruitment and selection policy in place following the random inspection early this year which, highlighted inconsistencies in the policy and how this was applied. Several staff records were examined and generally these were well presented. The Registered Manager has greatly Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 19 improved the quality of the staff recruitment records. However, there are still gaps in some staff records. All staff have a current Criminal Records Bureau check however there was no audit trail on the information obtained from the Criminal Records Bureau. The Criminal Records Bureau number, date of request and reply, level of check and details of what the check was made against all need to be recorded on each staff record. All staff references were on record, however owing to previous discrepancies, some of these were not from the original referees quoted on the original application forms, although it was accepted that there is little more that can be done with those. All new applicants must have suitable references from referrer’s stated on the application form. The home now has minutes of staff recruitment interviews and qualifications on record. The details of one member of staffs training qualifications were not on record and the member of staff was due to commence training on behaviour management in January. The Registered Manager agreed to establish that the member of staff was qualified to undertake this role. The inspector examined staff training records and the training matrix. The records confirmed that the staff team have attended all the mandatory training as required by the regulations. All staff have a Personal Development Plan. The staff supervision policy is now in place. There was evidence in staff records to show that staff appraisals were being undertaken and staff had received some supervision. However, this did not meet the requirement of six times per year as one member of staff had not had supervision since March 2006. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards37, 39, 40 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users’ have a voice and their views are listened to. This ensures that service users are involved in care planning. EVIDENCE: The Registered Manager is a registered Nurse in Learning Disabilities and has the knowledge and experiences in caring for adults with a mental disability and challenging behaviour. She has demonstrated her commitment to the role and has obtained a recognised managers award. She has a relevant job description. The home has developed a system for auditing quality and monitoring all services provided by the home. The Registered Manager provided copies of the most resent audits undertaken by the home for the inspector. These confirmed that the necessary service aspects of the home had been audited. The Regulation 26 visits by the Registered Provider to the home were seen and these were satisfactory as they included details of consultation with service Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 21 users and staff. The home currently does not seek views from family, friends or stakeholders about the services it provides. A number of the home’s policies and procedures were examined in accordance with the case tracking of service users and also the staffing arrangements for the home. The majority of the polices and procedures have been reviewed, and were found to be satisfactory with the exception of the policy and procedural guidance for whistle blowing and staff confidentiality. The Registered Manager agreed to address this issue. The Registered Manager is looking in to how staff can be fully informed of changes in policy. This could be through staff and supervision meetings and getting staff to sign up to them afterwards. A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. Evidence of checks having been carried out was provided to the Commission for Social Care Inspection Systems were in place for the monitoring and maintaining the hot water temperatures. There were suitable systems in place for the reporting and recording of accidents. However from records examined staff were not always following agreed procedures for reporting and filing of accident forms. The Registered Manager agreed to take this up with the relevant staff. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 3 x 3 X Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 12 Requirement The home must maintain comprehensive records on all medication received and administered by them. This must include prescribed and non-prescribed medication. The home must maintain a comprehensive record of all complaints received. This must include details of any investigation, action taken and outcomes. The Registered Manager must provide to the Commission for Social Care Inspection a statement of complaints made during the preceding six months with actions taken. The home must make suitable arrangements for service users to acknowledge in writing the value of any monies withdrawn form their weekly personal allowances. The home must have sufficient number of suitability qualified and competent staff to meet the need’s of service users The home must comply with the homes policy and procedures on DS0000002068.V320488.R01.S.doc Timescale for action 31/01/07 2 YA22 22 31/01/07 3 YA22 22 30/06/07 4 YA23 16 31/01/07 5 YA32 18 28/02/07 6 YA34 19 Schedule 31/01/07 Oakwood Bungalows Nursing Home Version 5.2 Page 24 2 7 8 YA35 YA36 18 18 staff recruitment. The home must ensure that they have suitably qualified staff to undertake any in house training. All staff must have regular supervision in line with the National Minimum Standard 36.4 31/01/07 31/01/07 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 4 5 6 7 9 10 11 12 ‘ Refer to Standard YA35 YA36 YA2 YA6 YA22 YA22 YA26 YA26 YA34 YA39 YA40 Good Practice Recommendations The home should have a comprehensive staff handbook. This is a previous recommendation. The Registered Person should provide specialist counselling for its staff should this be required. This is a previous recommendation. The Registered Manager should ensure that all care needs assessments are reviewed regularly. The Registered Manager should reorganise all service users’ records The Registered Person should check, sign and date the complaints record at least three monthly. The home record on complaints should be kept secure. The Registered Person should make suitable provision to maintain the home’s general security. The Registered Person should have a planned programme for the renewal of fabric fittings and decoration of the premises. The Registered Person should record the essential details from staffs Criminal Records Bureau checks before they are destroyed. The Registered Person should seek the views of family friends and stakeholders as part of the quality of care review. The process of updating and reviewing of polices and procedures should continue. Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Oakwood Bungalows Nursing Home DS0000002068.V320488.R01.S.doc Version 5.2 Page 26 - 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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