Inspection on 31/10/07 for Oakwood House Residential And Nursing Home

This inspection was carried out on 31st October 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 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 Residential And... 02/10/06

Oakwood House Residential And... 08/02/06

Oakwood House Residential And... 06/10/05

Oakwood House Residential And... 22/02/05

Oakwood House Residential And... 15/06/04

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

CARE HOMES FOR OLDER PEOPLE Oakwood House Residential And Nursing Home Stollery Close, Off Ropes Drive Grange Farm, Kesgrave Ipswich Suffolk IP5 7PQ Lead Inspector Jenny Elliott Key Unannounced Inspection 31st October 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oakwood House Residential And Nursing Home DS0000024464.V354004.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 Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood House Residential And Nursing Home Address Stollery Close, Off Ropes Drive Grange Farm, Kesgrave Ipswich Suffolk IP5 7PQ 01473 612300 01473 623933 helen.rollin@anchor.org.uk www.anchor.org.uk Anchor Trust 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) Ms Helen C Rollin Care Home 24 Category(ies) of Dementia (24), Mental disorder, excluding registration, with number learning disability or dementia (12), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (12) Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd October 2006 Brief Description of the Service: Oakwood House is a care home, owned by Anchor Trust, which provides accommodation and nursing care for twenty-four older people with dementia and or mental health needs. The house was purpose built in 1993 and is arranged in three units of eight residents each. The home is located on the outskirts of Ipswich in a newly developed area of the village of Kesgrave. It is within easy reach of local shops, churches and the GP surgery. The accommodation is over two floors, which are connected by a passenger lift, with two units on the ground floor and one on the first floor. All twenty-four bedrooms, referred to as flats, have en-suite toilet and shower facilities. Each unit has a lounge/dining area with a kitchenette for making hot drinks and snacks. There is a large communal lounge on the ground floor and some smaller quiet seating areas. There is access to an attractive secure garden with seating. The weekly fees are £829 Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over 6 hours on 31st October 2007. The home was not told in advance of the inspection. During the visit to the home we talked to people who live and work there, looked around the communal areas and some bedrooms, we also saw the mid-day meal being served and observed the administration of medication in one of the units. What the service does well: What has improved since the last inspection? What they could do better: The quality of assessments undertaken with people who wish to move into the home need to be improved so that an informed decision about the homes ability to meet their needs can be met. The care plans should contain more information about the particular likes and dislikes of individuals, this will help people to continue with their interests and ensure they are cared for in the way they prefer. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 6 The home should continue with it’s plans to incorporate more meaningful activity into the daily lives of people living at the home. 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 Residential And Nursing Home DS0000024464.V354004.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 House Residential And Nursing Home DS0000024464.V354004.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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People hoping to move into the home cannot rely on a full assessment of their needs being carried out. EVIDENCE: The records belonging to someone who had moved to the home recently, were looked at during the inspection. This person had moved from another care home. An assessment had been carried out during a visit to them at their previous care home. A relative of the person was also present at the assessment. The manager advised that the previous home had provided them with a lot of paperwork that was being worked through to inform the plan of care at this service. The assessment carried out before the person moved in Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 9 did not provide sufficient information about their care needs. There was no information about how the person preferred to be helped with e.g. eating, communicating or personal care. Included in the paperwork was a sheet headed ‘Falls risk assessment’ this notes that the person had 19 falls recorded (at their previous home) over a period of about a month. There was no information about how or why these had occurred or what action should be taken to reduce the risk of further falls. The service had not taken advantage of opportunities to record the needs of this person following discussions with relatives or previous carers. It was not possible to tell, from the information contained in the file, how the service could have reached the decision that they were able to care for this persons needs. The Commission was advised that this person had been referred to the home by someone with in depth knowledge of Oakwood, and this helped the service reach the conclusion they could provide adequate care for the individual concerned. The service also shared two further assessments that had been undertaken with people who moved into the home since the last inspection. In both of these cases the homes assessments were supported by detailed information from the local authority. This meant the home had good information to base their decisions on. The home does not provide an intermediate care service. Oakwood House Residential And Nursing Home DS0000024464.V354004.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect to have their basic needs met and their health care promoted. On most occasions carers will support people in a way that promotes their privacy and dignity. EVIDENCE: The manager told the commission that Anchor Housing (the owners of this home) had recently introduced new care plan documentation and that this being introduced into the home. The care plans reviewed during this inspection were completed on the new forms, the information contained in them and the accompanying daily notes, was variable. The files belonging to people living at the home held some good information that was not necessarily transferred into the current care plans. For example Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 11 to information provided about one person, when they originally moved into the home included ‘used to be a good pianist, likes visiting gardens, Yardley lavender perfume’. This is information that is important to the individual and would help to create a care plan that was unique to them. It would also help staff to see people as individuals. The social wellbeing section of the care plan, for the same person, provided better information. It told staff which side to stand when speaking to the person to aid their hearing and made reference to their like of classical music and church services. For another person there was a sheet headed ‘communication’ that included service user ‘uses thumbs up sign’. For another person the care plan included the statement ‘[service user] is a very private [person], please afford [them] plenty of privacy and dignity as [they] get very embarrassed’. This statement would serve to promote key principles of privacy and dignity, especially when receiving personal care, which can be very difficult for some people. The sensitive nature of this language was not repeated in the continence plan, which stated, ‘it is important that [service user] is checked and changed frequently.’ The daily records of another person stated ‘ … [they] had some difficult in understanding how to sit on the loo!’ the language used here, and particularly the exclamation mark does not provide evidence that the member of staff understood the confusion and anxiety the ageing process and dementia can have on a person. The home provides care for people with a wide range of needs. As well as people with differing mobility levels, people living at the home have a wide range of cognitive awareness, verbal communication skills and social histories. It was noted that there was also a range of religious beliefs held by people living in the home. The care plans did not reflect this range of needs. They did not, generally, provide information that would help staff to understand how to best support individuals. Some of the records seen provided clear evidence that health and wellbeing was addressed by the home. For example when, through regular monitoring of one person’s weight, it was noted that they had lost some weight more regular monitoring was introduced. Whilst observing the administration of medication on service user attempted to urinate in the corridor. Staff responded appropriately and sensitively to this person. The nurse administering medication locked the medication cabinet before going to assist the service user. This is important because it does not place other service users at risk. The administration records for three people were checked, there were no omissions or inconsistencies noted. The service had notified the Commission about an error of administration that occurred earlier in the month. The manager advised that this had occurred because one of the people administering medication had not checked the administration Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 12 record. The manager dealt with the situation appropriately, and has reviewed practices to reduce the risk of this occurring again. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. Not all of the people who live at the home have opportunities to take part in meaningful activities. People who live at the home can expect to receive good food served in a pleasant atmosphere. EVIDENCE: There were some good examples of how the service helped people to made choices about their daily living. People were observed having their breakfast at different times and the manager confirmed that people were allowed to get up in their own time and as they wished. The most mobile and articulate people were observed moving around the home as they wished and making use of central communal areas as well as the shared areas in their own sections of the home. There are four televisions in the home, one in each section and one in the main lounge. These were all on in the morning although people were not necessarily watching them. When I commented on this a member of staff turned the TV off and put on a CD, they did not attempt to seek the views of Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 14 other people in the room about turning the TV off or selection of music until it was suggested to them. One of the people who was watching the television told me they didn’t really like the programme but there was nothing else to do. Staff told me that this person usually spent their day in their room, so that coming out to watch TV was a positive move. It was positive to note that throughout the inspection staff passing by would ask the person how they were. It was also positive to note that all staff (ancillary, care and administration staff) engaged with people living in the home. Although these were passing comments, people did take the time to listen to the response. This same person had been out with care staff to watch stock car racing. They said this had been a ‘really good day’. The home employs an activities co-ordinator who organises activities twice a week. The manager advised that the home was trying to encourage staff to engage in meaningful activities on a one to one basis with people. This would be a very positive move. During the inspection one person was seen to get their own water (when taking medication), and another person helping out in the office these small activities help to promote wellbeing. The section of the home that caters for the most dependent people has the same number of staff as the other sections, although there are one or two ‘floating staff’ available depending upon the time of day. Staff in the unit were busy all day getting people ready, preparing for and serving meals. The people in this unit were largely asleep or dozing during the day. Some people opened their eyes when they heard voices. One person was sitting at the window with a cold cup of tea, when this was heated up for them they seemed very pleased as they smiled widely. It was not clear that staff would have the time to engage in meaningful occupation of any quality with the most dependent people. Another person who was a little confused about where they were and the time of their life, presented as being happy in the home. They told me about the cat that lived there and that they had had their hair done. This person seemed very at ease with the member of staff also in the room. This person did say that they would have liked a poached egg for breakfast. The member of staff said that they couldn’t find the poacher, but would look for it tomorrow. Food is an important part of life in a care home, every effort should be made to ensure people’s preferences and choices are met in this area. Some people had visitors on the day of the inspection, and it was evident from daily notes that for some people this was a regular experience. About forty minutes before lunchtime, in the section of the home accommodating the people with highest support needs, a member of staff was setting the table and putting lap cloths out ready for the meal. One service user asked if they should put the lap cloth on their lap. The member of staff said no it isn’t dinnertime yet. The home should review routines in this unit to Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 15 ensure they do not confuse people further, as this could increase anxiety, and to ensure the routines of the home do not override the needs of people living there. All three sections of the home were visited during the lunchtime meal. This was a very positive experience. Where possible people were encouraged to feed themselves, and food was presented in a manner that enabled them to do this (i.e. cut up / liquidised/ with spoon rather than knife and fork). Food elements were liquidised separately so that taste and colour differences were maintained. Each meal was served up in the unit. Where help was required, staff were heard telling people what they were giving them to eat, and on the whole staff sat next to the person they were helping, this is a more sensitive and dignified way of helping people. Oakwood House Residential And Nursing Home DS0000024464.V354004.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home, and their relatives, can expect any concerns or complaints to be taken seriously by the home. People living in the home are protected by the training offered to staff. EVIDENCE: The Commission had not received any complaints about the service since the last inspection. Following the last inspection the home was required to keep records of any complaints or concerns received. The draft of the Annual quality assurance assessment (an assessment homes are required to produce for CSCI), shown to me at the inspection included the following statement as an improvement in the way complaints are dealt with: ‘Documentation processes for complaints – all participants in home fully informed of the complaints outcomes as relating to them and lessons learnt.’ The ‘Complaints and Concerns’ record booked was looked at during the inspection. This provided information of the date a complaint or concern was Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 17 raised, the nature of the issue, who had taken details and who had been charged with investigating it and/or taking action to remedy the situation. It was not always clear from the record the outcome of any investigation or whether anyone had reported back to the person raising the concern. Staff records provided evidence that they had attended Safeguarding Adults training. Oakwood House Residential And Nursing Home DS0000024464.V354004.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home, benefit from the pleasant surroundings. EVIDENCE: The premises were clean throughout. There were no unpleasant odours. Hand washing liquid was sited at the entry to each section of the home. Dedicated ancillary staff (Laundry and Cleaning) help to ensure this high standard is maintained. Bedrooms were in good decorative order. Some of the decoration in the communal areas required attention. The manager advised that this was planned for in the budget, but no start date had been given yet. A number of cracks were noted in the plasterwork, one was being monitored. The manager advised that the organisation has a new surveyor and that she had contacted him about the decorating and repair work. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 19 Furnishings were in good state of repair throughout the home. Bedrooms were pleasantly furnished and service users were able to bring in belongings. Fire fighting and other equipment checked had been serviced in appropriate time frame. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect there to be sufficiently trained staff on duty to meet their needs. EVIDENCE: In addition to the manager the home is staffed by six carers (two in each section) and two senior staff in the morning, in the afternoon and at weekends this is reduced by one carer and one of the senior staff are section based to ensure that two staff are available. The home also employs dedicated cleaning, laundry and kitchen staff as well as a part time activities coordinator. There was no assessment available to demonstrate that this level of staff was the level required to meet the people living at the home. The manager advised that the senior staff provided additional resources to areas as required. Some of the observations made during the inspection suggested that additional staffing or different deployment may be required. Three service users told me about one particular service user. Two of these people said they were frightened of this person, and the third that they didn’t like it when they came into their bedroom. This person has challenging behaviour. The service users said they had found this person in their bedrooms and the other that this Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 21 person had put their hands around her neck. This behaviour suggests close monitoring may be required. As described earlier, staff in the most dependent section were busy throughout the day. People in this section are likely to need a significant amount of dedicated one to one time with staff for any interaction to have a meaningful input into the quality of their lives. They are least likely to be able to benefit from joining in daily routines such as walking around the home, spending time in the office, getting themselves drinks or helping with meals. The proposal for staff to be more involved in meaningful occupation with people is a positive one as long as there are sufficient resources to allow this. Records of training and induction were looked at for two members of staff. These showed that key areas of training, including back care, Fire safety, dementia, Protection of vulnerable adults and care planning had been undertaken. Recruitment records held by the home showed that suitable checks were carried out, including Criminal Record Bureau checks and references from previous employers, to safeguard the people who live there. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 22 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): 31,22,35,36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home benefit from an open and approachable management style and the knowledge that their health and safety is taken seriously. EVIDENCE: At the time of this inspection the registered manager was absent through ill health, and had been for some time. The deputy manager was in charge of the home, and also helping out two half days a week at a sister home, close to Oakwood House. The deputy manager advised that any of the hours she would normally have worked ‘on the floor’, were being covered by bank staff. The deputy manager said she felt very supported by Anchor and that there was always someone to talk to if she needed any assistance. She had not had Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 23 any formal supervision during the period she had been in charge of the home. Formal supervision would ensure that the home was being managed in a planned way during the absence of the registered manager. The home had introduced relatives meetings since the last inspection, and notes from one of these meetings were seen. The home plans to have these every 3 – 4 months. Views are also sought from service users and relatives in the form of an annual survey. This are positive steps that help to keep lines of communication open. It was also clear from the complaints and concerns records that people felt comfortable raising issues with staff and that action was taken when this happened. The draft AQAA seen at the inspection demonstrated that the home had a clear sense of areas that would benefit from improvement. The arrangements for dealing with service users finance remain as they were at the last inspection. That is that on the whole people living at the home, or their relatives manage their own finances. In limited circumstances the home will look after small amounts of money in a non-interest paying account. There are clear records relating to this. The records of staff supervision were variable. There was a tick list which provided an overall picture of ‘quick 10 minute chats’ for which no notes were made, and formal ‘sit down one to one sessions’ for which notes were available. Some staff had nothing recorded on this list since July 2007 (when the record started) some had one or two ten-minute chats, some a formal supervision or a mixture of both. The introduction of a structured approach with clear requirements in respect of the frequency of these meetings is positive, but it was not evident that these were in place. The supervision notes that were seen provided clear evidence that any concerns about care practice had been raised in a timely and appropriate manner. At a meeting with the registered manager, following production of the draft report, the Inspector was advised of Personal Development Discussions. The inspector was advised that these meetings are held with all care staff and form the basis for developing training needs analysis. The commission feels that the combination of ’10 minute chats’, formal one to one supervision, team meetings and Personal Development Discussions provide an appropriate level of supervision for staff. The home benefits from the organisational input of Anchor in terms of health and safety and maintenance procedures and practices. Records that were seen in respect of the servicing of equipment were up to date. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 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 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 2 X 3 Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 25 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 Timescale for action 30/11/07 2 OP10 12(4) 3 OP12 12(n) 4 OP27 18 The home must ensure they carry out full assessments on all prospective residents before they move into the home, so that they can make an informed decision about their ability to meet that persons care needs. The home must ensure that it 30/11/07 carries out tasks (including record keeping) in a way that promotes the dignity of the people that live there. The home must consider how it 31/01/08 can best provide meaningful interaction or occupation for all of the people who live there. The home must be able to 31/12/07 demonstrate that staffing levels can meet the assessed needs of service users. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 26 No. 1. Refer to Standard OP7 Good Practice Recommendations The home should develop the information in care plans to ensure they meet the individual needs of people living there. Oakwood House Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Residential And Nursing Home DS0000024464.V354004.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!