Inspection on 20/09/07 for Oakwood House

This inspection was carried out on 20th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakwood House 16/09/08

Oakwood House 05/09/06

Oakwood House 01/03/06

Oakwood House 14/11/05

Oakwood House 07/03/05

Oakwood House 19/10/04

Oakwood House 17/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Oakwood House 400a Huddersfield Road Stalybridge Tameside SK15 3ET Lead Inspector Ann Connolly Unannounced Inspection 08:00 20 September 2007 th 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 House DS0000005575.V342118.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 House DS0000005575.V342118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood House Address 400a Huddersfield Road Stalybridge Tameside SK15 3ET 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) 0161 303 2540 0161 303 2540 Mr Stephen Mycroft Ms Sheila Mannion Ms Sheila Mannion Care Home 18 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (14), Sensory Impairment over 65 years of age (1) Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 18 (OP); up to 14 (DE) (E); up to 14 (PD) (E) and up to 1 (SI) (E) 5th September 2006 Date of last inspection Brief Description of the Service: Oakwood House is an appropriately converted, large detached building, set back from a fairly busy main road. There are public transport links to the centre of Stalybridge. Oakwood House is owned by two people, one of whom is also the registered manager. It offers accommodation for up to 18 older people, on two floors, mainly in single bedrooms. There is a lounge and a large dining room on the ground and first floor.. Oakwood House charges fees of £356.25 for all service users, as at the date of this visit. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 20/09/07 at 08:00 a.m. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home and the residents living there. Prior to the inspection, questionnaires were sent out to the people who live in the home, asking them to comment on how the home is run and managed, and for their views about how the staff supported them. Some of these were retuned and the comments have been included in this report. Several residents living in the home were spoken to during the visit, and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service, about how they are meeting outcomes for people using their service. Information that was provided in the (AQAA) for this service, was detailed and comprehensive and enabled the manager to identify their strengths, and weaknesses, to help in developing the service. Since the last inspection visit, the Commission for Social Care Inspection has not received any complaints about this service. Over the last twelve months the home’s manager has received one complaint that was not upheld. What the service does well: Oakwood House has produced a service user guide and a brochure which contains useful information and provides existing and prospective residents with an overview of services available. This helps any prospective resident to check the suitability of the service for them and assists them in making an informed decision about future care needs. Residents in the home spoke highly of the way in which staff supported them. One resident said, “Staff are marvellous, they will do anything you ask them with a good heart and a good attitude”. Observations made during this visit saw how well staff communicated with residents. On one occasion when a member of staff went into a lounge, there was a genuine and positive exchange of verbal communication .The outcome for the resident involved was what appeared to be a genuine uplifting of mood. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 6 Other residents were clearly happy to see a friendly face and responded positively. Oakwood House maintains a clean, homely and friendly environment. Residents confirmed that they could have visitors whenever they wanted. Residents were complimentary about the hygiene standards in the building. One resident said, “ It’s always very clean here”. From observations and discussions with the residents, manager and staff, there is a focus on providing person centred care where residents are encouraged to say how they want to be supported. What has improved since the last inspection? What they could do better: The manager must make sure that the care needs of any prospective resident are fully assessed prior to moving into the home. This ensures that residents moving into the home can feel confident that the home will be able to meet their individual care needs. Care plans must be developed and be available to inform staff of residents needs and the most appropriate way in which to support the resident with these needs. Medication recording systems must be audited and clear accurate records must be maintained of all medication received into the home. Policies and procedures for the safe handling of medication must be adhered to so that the health and safety and well being of residents is protected. Time must be allocated for the manager to carry out administrative tasks in an effective manner. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 7 Whilst some of these issues did not present as having an immediate detrimental impact on residents, they did have a negative effect on the home’s ability to be accountable for health and safety. Consultations should take place with residents to find out their hobbies or preferred interests to ensure that their views are taken into account when developing the leisure activity programme. 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 House DS0000005575.V342118.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A service user guide and brochure containing information about the home is available to existing and prospective residents, enabling them to make an informed choice about their future care arrangements. Residents’ care needs are not always assessed before moving into the home. This means that staff are not provided with the necessary information to assess the suitability of the place for their care needs. EVIDENCE: A random selection of residents files were looked at and this included the file of a resident who was recently admitted into the home. Although this was a planned admission, the file of this resident contained only the basic information, and there was no assessment of care needs. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 10 The manager said that prior to arranging an admission any prospective resident is provided with written confirmation from the service that their needs can be met, however, this letter was not available at the time of inspection. Observations and discussions with residents and staff indicated that, in practice, residents’ needs were being appropriately met. The absence of effective records in connection with the initial assessments made it difficult for the home to demonstrate that they only accepted residents whose needs they were confident they could meet. An assessment of care needs must be completed on all prospective residents prior to arranging an admission date, so that the manager is confident that the services provided by the home can meet the individual’s needs, and that staff are provided with the necessary information to assist them in supporting residents safely and appropriately. The home had developed a service user guide and a brochure which provided information about the services available to residents living in the home. The brochure was informative and provided existing and prospective residents with useful information about the service. This was a useful document to help prospective residents make an informed choice about their future care arrangements. Oakwood House does not offer intermediate care. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans did not provide staff with information on how to meet individual care needs and potentially, this means that some resident’s care needs may be overlooked. Medication records showed that the home were inconsistent in following procedures for the safe handling of medication which may potentially result in errors being made. EVIDENCE: Four care plan files were examined. Three of the four files contained the multidisciplinary care plan assessment which was completed by the care manager from the funding authority. In three of the four files, there was a document in place called a ‘care plan’, however, the information included in the document only provided information on the assessment of care needs. There was no evidence of a care plan that identified individual care needs, with the Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 12 strategies and interventions for staff to use when supporting residents in the home. Through case tracking, one resident was identified as having difficulties in eating. There was nothing in the care plan to inform staff on how to manage this, or to provide them with information on what interventions were required to provide a suitable diet that ensured the resident received a well balanced diet. The lack of information, could potentially place residents at risk as important care needs could be overlooked. It is important that staff have the appropriate information on individual care needs, which details the action or interventions required to meet needs. During this visit, observations were made of staff and their involvement with residents. There was evidence of a good rapport, and staff were seen engaging in meaningful conversations with residents. Through observations and discussions with residents and staff, it was evident that they had a good knowledge and insight into individual needs. It is important that records reflect this knowledge so that residents can feel safe and confident that their individual care needs will not be overlooked. Through discussion with the manager, it was evident that she had identified some of the shortfalls in the care planning systems. The manager said that she recognised that insufficient time had been allocated to carry out managerial tasks. She stated that this was under review, and that there were plans to recruit a senior care worker which would provide an additional 2 to 3 days to allow managerial time to carry out administrative tasks and to review all the care plans. There was evidence that the manager was developing a person centred approach to the care plans. Some development work has been carried out with an external organisation which focused on person centred thinking with older people. The manager must be pro-active in ensuring that care plans are in place for all residents in the home. Weighed against the poor recordings of care needs, were the reported experiences of residents in the home: Residents said, “ The staff are very nice, all the carers look after you very well”. “ The staff help you to find your way about”. “ It’s lovely here, the staff are lovely”. “The staff are marvellous, they will do anything you ask them with a good heart and attitude”. Medication and associated records were examined during this visit. The medication file included sample signatures of all the staff who are responsible for the administration of medication in the home. The file contained photographs of each resident for identification purposes and to provide a Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 13 safeguard in ensuring the correct medication was administered to the right person. The photographs had lost their adhesiveness and had slipped from position making it impossible to correctly identify which name belonged to which picture, therefore, making the system ineffective. It was recommended that each photograph was secured to the individual resident’s record which would ensure a system that was reliable and accurate. Overall, medication was seen to be administered appropriately and signed immediately following the administration to each individual. Some medication records (MAR) had been handwritten, however, these had not been countersigned with a second signature. All handwritten entries should be checked and signed by two members of staff to ensure the accuracy in transcribing information. It was not possible to carry out an audit trail of medication in the home as the MAR sheets did not record the receipt or disposal of medication. All medication received into the home and disposed of by the home, must be accurately recorded. Examination of stock levels showed that two items of medication prescribed to one resident were not recorded on the MAR sheets. The medication was being administered, but not recorded as given. This was raised at the time of this visit and immediate action was taken by the manager to address the issue. The frequency of the dose of a medication to one resident had been altered on the MAR sheet. There was no supporting documentary evidence to indicate who had authorised this and why the action had been taken. It was strongly recommended that the manager obtains written confirmation from the General Practitioner when medication is altered. A medication policy was in place. The manager said that a full medication audit had been scheduled by an outside provider next month. There was documentary evidence confirming that all staff had received training in the safe handling of medication. Oakwood House DS0000005575.V342118.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to maintain contacts with their families and friends and to participate in daily activities. EVIDENCE: From discussions with residents, there were mixed feelings about activities offered in the home. Some residents said they preferred the quietness of their own room where they could watch television, read, or listen to music. Other residents said they would like more activities. One resident said, “There’s not much activity, I just sit in my chair all day. Sometimes things are going on”. Another resident said, “ I like to read in my room or listen to my tapes”. The service user guide stated that activities were available to residents. The information provided by the manager in the Annual Quality Assurance Assessment (AQAA), which was completed by the manager prior to inspection, stated that a designated person was responsible for the activity programme. There was evidence that some activities were available, for example a trip out, in house entertainment. It is important that the manager holds consultations Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 15 with residents to seek their views, and to ensure that activities offered reflect the information in the service user guide. All residents spoken to were complimentary about the meals served in the home. Residents said that if they did not like something an alternative was always available. The manager said that residents were regularly consulted about what they wanted to eat and the residents confirmed this was the case. One resident said, “ The meals are really alright, they do have a choice if we don’t like something”. Oakwood House DS0000005575.V342118.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place so that residents can feel confident that any concerns they have are taken seriously and ensure that their rights are protected. EVIDENCE: Since the last inspection there has been one complaint made directly to the home. Correct procedures had been followed, involving social services, and recordings made of the findings which concluded that the allegation was unsubstantiated. The Commission for Social Care Inspection have not received any recent complaints about this service. A record of all complaints, concerns and compliments is maintained by the home. The records provides details of the complaint or concern and the action taken to resolve any issues of concern. It was evident from reading the record that all complaints were taken seriously, no matter how small. All residents who were spoken to said they felt confident in raising any issue of concern. One resident said, “ I would tell the manager or staff if I had a concern,” A copy of the complaints procedure is included in the service user guide and brochure. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 17 Staff who were spoken to had a good understanding of adult abuse and safeguarding adults procedures. They were able to state clearly that all allegations of abuse must be reported to social services and the Commission for Social Care Inspection. Formal training is due to be scheduled as part of the ongoing training and development plan for staff. There was a detailed and comprehensive induction programme which included safeguarding adults protocols and covered issues surrounding abuse. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately maintained and provides residents with a clean and pleasant environment. EVIDENCE: During a tour of the building, the environment was found to be clean and tidy. It was evident that there was a rolling programme of decoration and refurbishment. A number of rooms had been newly carpeted and one resident said she was looking forward to getting new bedroom furniture. Some residents seemed very pleased with their surroundings, and had personalised their private bedroom space to create a warm homely environment. One resident said, “It’s always very clean here”. Oakwood House DS0000005575.V342118.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care needs are met by trained staff with a good skill mix, and residents can be confident that their safety and well being is protected by robust recruitment procedures. EVIDENCE: During this visit, there appeared to be sufficient staff on duty to meet the needs of the residents in the home. The manager was covering a care shift (This has been discussed further in standards 31 –38). Two additional care staff were on duty, a cook and a cleaner. Fourteen residents were living in the home at the time of this visit. A significant proportion of the staff have worked in the home for several years. This provides residents with continuity in the care and support received from care staff. Information in the AQAA showed that good progress was being made in ensuring that all staff were qualified to NVQ level 2. Most staff had completed or were currently working towards this qualification. The manager had developed a recording system so that staff training and development needs were regularly assessed and monitored. This ensures that residents in the home benefit from a well trained staff who have the appropriate skills. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 20 One recently recruited member of staff on night duty was spoken to before leaving her shift in the morning. She confirmed that she received a comprehensive induction where the manager made sure she covered all aspects of good care practice and health and safety issues. All staff spoken to confirmed that they were in receipt of regular supervision and there was documentary evidence available recording these sessions. In addition to the formal sessions, the staff team said that they could approach the manager to discuss issues at any time. Residents were positive about the staff team. Comments such as “The staff are lovely”. “Nothing is too much trouble for them” were a common theme running throughout this inspection. Two staff files were examined, and it was evident that improvements had been made in the recruitment practices. Both files contained all the necessary paperwork as required by regulation. An employment check list provided a working tool to ensure that all relevant checks and paperwork were obtained prior to a member of staff commencing their employment. Both files examined contained a Criminal Record Bureau Check, two written references, one of which was from the previous employer and a full employment history. Oakwood House DS0000005575.V342118.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, the home is managed in the best interests of residents, however, the present management structure and systems prevent the manager from undertaking managerial tasks in an effective manner. EVIDENCE: The registered manager has several years experience in a management role. The registered manager is also one of the two owners of the business. An overall assessment of the many areas of administration and documentation indicated a managerial failure to effectively prioritise this aspect of the running of a safe and accountable home. This was also the finding from the previous inspection report. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 22 The information provided in the AQAA document shows that the manager has identified the shortfall in several aspects of the running of the home which includes recording systems. The AQAA document states that over the next two months, time will be allocated to complete the administrative tasks in the home. There is a structured quality audit system involving the use of anonymous questionnaires. The findings from the last quality audit have been documented in the quality audit report. The consultations took place involving 13 residents, and the report concluded with recommendations made as a result of the findings, and an action plan on how these should be addressed. These reports demonstrate a commitment by the home to develop the service to ensure positive outcomes for residents. A selection of records relating to money held by the home on behalf of residents was looked at. These appeared to be appropriately maintained. Records were in place relating to the appropriate maintenance of equipment, fire alarm testing and fire detection equipment. Training records indicate that staff receive regular refreshing training in health and safety topics. Oakwood House DS0000005575.V342118.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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 X 3 X X X X 3 Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement An assessment of care needs must be completed on all prospective residents prior to arranging an admission date, so that the manager is confident that the services provided by the home can meet the individual’s needs, and that staff are provided with the necessary information to assist them in supporting residents safely and appropriately. (The previous timescale 16/09/07 not met and still applies) 2. OP7 15 The registered person must ensure that individual care plans are written and are regularly reviewed. Medication procedures must be monitored and all medication in the home must be audited to ensure that residents receive their medication safely. 16/11/07 Timescale for action 20/09/07 3. OP9 13 16/11/07 Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 25 4. OP38 12 The registered manager must ensure that allocated time is available to carry out managerial tasks, to ensure, as far as reasonably practical, the health and safety of residents and staff is maintained. 16/11/07 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. Refer to Standard OP38 Good Practice Recommendations The registered person should ensure that regular audits of administrative systems are undertaken. Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Oakwood House DS0000005575.V342118.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!