Inspection on 15/05/07 for Oakwood Care

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Oakwood Care 06/05/09

Oakwood Care 14/05/08

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oakwood Care 192 West End Road Bitterne Southampton Hampshire SO18 6PN Lead Inspector Val Sevier Key Unannounced Inspection 09:30 15th May 2007 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 Oakwood Care DS0000069021.V336135.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. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood Care Address 192 West End Road Bitterne Southampton Hampshire SO18 6PN 02380 466143 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) G & A Investments Projects Ltd Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (28), Old age, not falling within any other category (28) Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Dementia - over 65 years of age (28), Mental Disorder, excluding learning disability or dementia - over 65 years of age (28), Old age, not falling within any other category (28) Date of last inspection New service Brief Description of the Service: The service is situated in a quiet area off a main road. It has parking at the front and to the rear. The accommodation is on both the ground floor and first floor, which is accessed by stairs of a chair lift. The home has pretty gardens and seating outside as well as a lounge and dinning area. There are two double rooms that are separated by a curtain both rooms have two sinks. The other rooms are all single with ensuite facilities. The fees for the home are £480 per week. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: an unannounced visit to the home, which was carried out on the 15th May 2007, during which there was discussions with the manager, staff and residents. In addition 6 relatives had completed questionnaires prior to the visit. During the visit to the home a tour of the premises was carried out with where possible, permission of the residents at the home, this also included their rooms. In addition the inspector was able to speak with visitors on the day this included relatives, and nurses. Staff and care records were sampled and in addition to speaking with staff and residents, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: The home carries out an initial assessment of the care needs of the individual, which is then followed through after the person has moved to the home. The manager and staff were able to verbalise their understanding of the needs of the residents. There is a ‘homely’ feel to the home, with what appears to be a good rapport between the residents and the staff. This was seen during the visit with support for individuals with communication needs such as hearing loss. People who use the service are enabled to access the community facilities such as clubs and the church as well as the local shops. There is a clear complaints process and relatives have commented how open the staff are to discussions about the care of the people who use the service. The home is maintained well and clean and tidy. People who use the service are enables to take personal possessions to personalise their rooms. The manager and staff expressed a clear understanding of the needs of the people that live at the home and the home appears to be managed generally well with their interests at the centre of the care provided. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 6 Staff received regular supervision from the manager and training is generally up to date. The manager seeks the opinions of others in the management of the home and how it provides the service to the people that live at Oakwood. What has improved since the last inspection? 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. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable to this service) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory understanding of the residents needs using the assessment process. EVIDENCE: The inspector looked at three care plans and each individual had had an assessment prior to moving to the home. The assessments contain information about the needs of the individuals. It was observed that the information gained through the assessment had been used to complete the care plans. The exception to this was where individuals who need support with their mental well-being for example poor short term memory. The assessments are carried out before admission, the manager explained that the prospective person and or their representative are invite to the home to view and spend some time. If there is mutual agreement about the admission then the family or Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 9 representative are encouraged to personalise the room before admission as it is felt that this helps with what can be for some, a traumatic time. There is an initial trial period for all, when the needs of the individual are monitored to ensure that the placement is suitable. Relatives who have commented, explained what had happened in the decisionmaking process regarding the home and how they had been involved. Some residents spoken with although able to speak for themselves had been unable to visit the home due to physical frailty. The relatives commented that the admission process had worked, that they had been given adequate information to assist with the decision, making process. The relatives felt that the needs could be met at the home. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People who use the service receive personal support in the way they prefer and require and have their emotional health needs met; the lack of clear written care plans and risk assessments do not evidence the observed support that individuals receive. EVIDENCE: There were 24 people accommodated at the home on the day of the visit. The inspector viewed three care plans initially then a further two. The manager explained that approximately four months ago, she introduced a new system at the home involving a key worker and new records for recording care plans, assessments of needs such as nutrition and well being. This was to replace the system of recording, which the manager felt was not meeting the needs of the home. After some discussion with the staff the new system was purchased. On the day of the visit some four months after the new recording system has been introduced both systems were being used. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 11 The inspector selected three files to view, new admissions to the home and a resident who had been at the home for some time. It was noted that there was no evidence that the care plans and needs of the individuals had been reviewed since November or December 2006. For two individuals there were no assessments for moving and handling, risk, nutrition, and little information about how staff were to support the needs that had been clearly identified. One resident was noted to have sustained falls regularly recently, however there was no evidence of any assessment on how the risk of falls could be reduced. For another individual where they identified needs with eye care with action of ‘staff to give daily eye washed’, there was no evidence that this was being carried out. This was followed through with GP notes indicating that the individual had been prescribed eye drops in February because of an infection, again no evidence that the issue had been resolved. There were charts for staff to sign to indicate that they assisted with washing, bathing shaving and other aspects of personal care. The manager said that she used this to monitor that needs were met. It was highlighted to the manager that these monitoring tools were not being competed daily and daily records said ‘all care given’. The third care plan seen had more information regarding the individual and how needs could be supported by staff with the moving and handling assessment being dated and having detail on action needed by staff to support the individual, however there was also a lack of information regarding specific needs such as eczema on legs and dry skin and action needed by staff. There were also no risk assessments for this individual. The manager gave the inspector the new records for these three individuals. Again none of the new records had been completed with only partial; information in them, with one having no care plan and a risk assessment that had not been reviewed since 2005 although there was accident records to indicate the individual had sustained falls in January 2007. There was evidence that some health needs had been addressed with notes regarding GP visits, and visits to opticians or hearing clinics. However there was no record of district nurse visits and during the inspection visit a nurse and a phlebotomist called at the home, there was no record of what they were doing and why and if action and support needed by staff, recorded on the care plans seen. This was discussed with the manager at the time and the inspector gave the manager the opportunity to give examples of one of the recording systems that had been used fully. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 12 The inspector viewed two more care plans, one of the older system although not fully completed, contained more information regarding the individuals needs and support needed with the moving and handling assessment completed although not dated or reviewed. There was a partial risk assessment regarding the individual’s mental well being. It said that the district nurse called twice weekly to change dressing son legs and that Lithium levels were checked regularly. The manager showed the inspector the fifth care plan record. It was seen that again part of the new system had been completed with the tool ‘Assessment for good care planning’, having been completed in March 2007, and the care ‘Diary’ having been begun in February 2007 with no evidence of use after these dates. These issues were discussed with the manager at the time. The manager explained that she had decided to delegate the care plans to the staff with the new system four months ago, with the creation of the ’key worker system’. The manager stated that she had had meetings with the staff, worked with them on the new tools and completed one for them as a reference. Following the inspection she stated that she is going to review her action and has a meeting planned with staff on the 18th May 2007 to discuss the way forward. The inspector saw medication being correctly administered on the day and staff followed the homes medication policy and procedure. However it was noted that staff did not record what dosage they had given for Paracetamol and Co Dydramol, when there was an option of one or two tablets. The home uses a Medicine Administration Record Sheets (MARS) system, for recording the administration of medication. The records kept in conjunction with medication received and returned to the pharmacist were sampled and were found to be correct. Records of all staff trained to administer medication were found to be in order. It was noted that the manager checks the medication record sheets weekly and follows through with any errors or concerns. Relatives spoken with were involved in the care as much or as little as they wanted. They felt this was important, as the residents although involved, due to their personal issues are not always able to give information or informed consent. The consultation was also appreciated, as the relatives spoken with had been the carers for in some cases years, and they felt that this kept them involved in the care. Staff were heard to speak to residents by the name they wished and staff were observed to interact with residents with respect. However it was observed after lunch that a member of staff was shaving a resident in the hallway near the front door; when the member of staff noticed Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 13 the inspector they said that the individual preferred to be shaved down stairs. Whilst the inspector understands this preference it was felt that privacy and dignity was affected by carrying out the task in the hallway. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People who use the service seem to have choice in their daily lives with some indication that their individual interests are encouraged. However there is a lack of clear records of how this achieved. EVIDENCE: On the care plans seen there was a record of activities undertaken by the individual, which could be completed by staff. The inspector noted that for one individual the record was blank, for others there was a record of between 1 and nine activities in the months up to May this year. The manager was shown these records and said that she was aware that individuals had participated in more activities than was indicated. A notice in the hall way advertised the events for May with four sessions arranged from an outside provider for music and movement, reminiscence, arts and crafts and singing and music. There was also a notice regarding a church service in April, which was held at the home. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 15 On the afternoon of the inspection, some residents had returned to their rooms for a rest, some dozed in the lounge and some chatted or watched the television. It was noted when the inspector walked about the home and sampled some bedrooms some rooms had been personalised and one individual in particular seemed to have made themselves at home with books and photographs on the bed and on a small table. The hairdresser was in the home on the day of the inspection and the inspector was able to speak with her. She has been going to the how for some years and calls weekly, she spoke positively about the home and the service provided to individuals. The inspector was able to speak with the cook who has been at home since April 2007, she is currently planning a new menu which she feels will offer a greater choice to residents with there currently being one item on the menu each day and if this is not wanted an alternative is cooked. She wants to be able to offer a choice at each meal. Relatives spoken with on the day and comment cards received indicated that there had been an improvement in the meals served at the home over the last two months. Residents on the day told the inspector that they liked the meal that day. Oakwood Care DS0000069021.V336135.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have knowledge and understanding of Adult Protection issues which protects the people who use the service from abuse. Individuals can be confident that their views are known to staff and are fully taken into account. EVIDENCE: There have been no complaints or allegations of concern made since the last inspection to the CSCI. Relatives who returned comment cards and those spoken with at the time of the visit, were aware of how to complain and said they felt comfortable in speaking with the staff about any issues. The home had a copy of Hampshire’s Adult Protection procedure so that the manager and staff could refer to it when necessary. Staff spoken with were aware of their responsibility to report any incident of abuse and could name the home’s policy that required them to do so. Some staff have recently undertaken a training course in adult protection and more is planned in May 2007 so that all staff will have received training. Oakwood Care DS0000069021.V336135.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence including a visit to this service. April Cottage provides a comfortable and homely environment in most areas however the safety of residents and staff are placed at risk in some areas of the home. EVIDENCE: The manager said that maintenance and decoration of the home is carried out as necessary. The home’s gardens are accessible to residents and a gardener maintains them. All bedrooms are comfortably furnished and equipped to meet the needs of residents. Residents expressed satisfaction with their rooms and enjoyed having a number of their own possessions around them. The manager explained that the new owner is supportive in the upgrading of the home with new chairs for the dinning room and equipment having been purchased. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 18 The home has a maintenance person carries out the care of the building he went to purchase new blinds for the rooms on the day of the inspection. The bedroom doors are linked up to the fire alarm system that enables residents to have their doors open if they so wish, whilst ensuring doors would automatically close in the event of the fire alarm being activated. The current residents have chosen not to use door keys. A ‘stair climber’ gives access to the bedrooms on the first floor. The manager stated that she would lock any valuable items away for residents, but they are generally discouraged from bringing items of value into the home. The home employs a domestic and care staff do the laundry. The care staff return the residents clothing to their rooms once it has been attended to. The laundry room was noted to be a large cupboard that contains a washing machine a tumble dryer, and a small hanging space. The workspace for the staff was small with staff having to put laundry baskets on top of the machines in order to control infection and to shut the laundry door for resident’s safety. On the day of the inspection the inspector noted that the alarm on the tumble dryer was activated with a visual request to clean the filter. The home was seen to be clean and tidy, however there were some areas where malodour was noted. This was discussed with the manager and domestic, and it was felt that two areas were to do with drains. The inspector was told that new carpets and beds had already been purchased for some bedrooms where staff had noted a malodour that could not be removed. Oakwood Care DS0000069021.V336135.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home provides sufficient numbers of staff who are trained to meet resident’s needs. However the recruitment processes at the home are not robust and place people who use the service at risk. EVIDENCE: The staff rotas were seen and it was noted that there are four staff on duty throughout the day with two on at night. The manager is at the home daily Monday to Friday and available by phone outside of her working hours. In addition to the care staff there is a domestic, a cook, a maintenance person and gardener. Visitors commented on the day of the visit that they had seen an increase in staffing levels over the last few months and that they had to wait less time at the front door. Comments were also received about the positives relationship between the staff and residents especially with the male carers and ladies at the home. Of the 21 care staff working at the home 4 have completed an NVQ in care with a further 8 currently studying. Nine staff have competed basic first aid course and the manager is the homes fully qualified first aider. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 20 The home has a company that gives staff training and it was noted that for the month of May 2007 there was training in adult protection, manual handling, food hygiene and first aid arranged. Some staff were also noted to have had training in health and safety, medication and hazardous substances (COSHH). Of the 25 staff employed at the home 9 were seen to have completed fire training in the last six months, it was noted that there was no record that new staff had undertaken fire training since starting work at the home. The inspector sampled two staff files and was found that for one there were no references and for the other there was no evidence of a clear POVA or CRB. This was bought to the attention of the manager. For the one with no references the manager stated that she was not aware that she had to obtain references for a cook, as they did not have contact with the residents. When the manager looked into the POVA/CRB for the other member of staff, it was found that that the application for POVA/CRB had been returned as it was not completed fully. The manager was asked what action she was going to take and she gave the inspector a letter stating that the member of staff would be shadowed until the POVA was received. The inspector sampled files of other staff and found that all checks had been undertaken and copies were on the file. Oakwood Care DS0000069021.V336135.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 &38 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. There are areas of improvement in the management of the home needed to ensure that people who use the service are protected. However generally the home is well run with the interest of the people who use the service foremost. EVIDENCE: As part of the inspection and regulation process the commission has issued to homes a new Annual Quality Assurance Audit (AQAA) tool, in this new inspection year. The manager has been reminded that the completed document was overdue to be returned to the commission. The manager had begun to fill in the document on April 2007, however she was having some difficulty with it. The inspector spent some time offering guidance on the completion of the tool. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 22 The manager has experience in managing service and has completed the RMA and NVQ in management. As part of her philosophy on management she has begun to delegate to staff, having created 4 senior care positions at the home. Delegated responsibilities include, key worker – looking after care plans, personal monies – competing the cared and records and looking after staff files. These are three areas where there has been a lack of information or mistakes or they have not been robust enough. At the feedback from the inspection the manager stated that she would take all these responsibilities back for herself while she reviewed the staffing and management of work. The manager has purchased a quality audit system for the home and has begun to give surveys out to relatives and other visitors such as doctors and nurse, to the home. At present she monitors them as they come in individually, giving feedback to people when she sees them. The manager also speaks to visitors and relatives on an informal basis managing issues as they arise. The home looks after personal monies such as weekly allowances. These are kept in a small wall safe, in separate wallets with receipts and a card indicating spends and balances. Two of the senior carers currently have access to the safe. The inspector sampled some of the monies and found some to be incorrect; because of this the manager stated that she would manage these again. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 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 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Sch3 (1)(b) Requirement People who use the service would benefit from a more detailed care plan in case the staff who regularly care for them are absent, this includes risk assessment for daily activities, needs and environment. All checks must be carried out when recruiting staff to ensure that people who use the service are protected People who use the service must have their personal monies and finances protected through a robust and safe recording system. People who the service must be protected through all staff receiving training in fire safety. Timescale for action 15/07/07 2 OP29 19 Sch2 (7) 17(2) Sch4 (9)(a) 23(4) (d)(e) 30/05/07 3 OP35 30/06/07 4 OP38 15/07/07 Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP38 Good Practice Recommendations Staff should be aware of the care and maintenance of the laundry equipment for their safety and that of the people who use the service. Oakwood Care DS0000069021.V336135.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 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. 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