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Inspection on 06/10/05 for Oakwood House Residential And Nursing Home

Also see our care home review for Oakwood House Residential And Nursing Home for more information

This inspection was carried out on 6th October 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This service manages the mental and physical health needs of the residents with sensitivity and care. Residents are offered choices about how they spend their time, where they spend their time and whom they would like to be with. Each resident has a `life story` record in their file to assist staff to work effectively with individuals by understanding their previous experience. The manager and staff have adapted the activities offered to meet the changing needs of the residents. The activity folder shows evidence of an imaginative selection of entertainments and outings that have been offered in the past and the manager talked of future events that have been planned.The menus offer a four-week rotation with two main choices of cooked meals at lunchtime and teatime. The choice of meals was balanced and varied. Alternatives such as salads, eggs, sausages and sandwiches are available on request. Special meals are prepared to celebrate days such as Halloween, Bonfire Night and Christmas Day. Birthday teas are prepared and relatives and visitors are welcomed. Residents` likes and dislikes for food are recorded by the kitchen staff and in their personal records.

What has improved since the last inspection?

Since the last inspection a number of new staff have been recruited to fill vacant posts. The care team have been under pressure and had to use a large number of agency staff to fill the shift roster. With the recruitment of the new staff the team can begin to look at new development and team working. The requirement under regulation 26 has been fulfilled and regular reports are made of the visits undertaken by an area manager.

What the care home could do better:

The three care plans seen included risk assessments for a variety of areas such as challenging behaviour, trying to leave the home unaccompanied and minimising the risk of falls. The documents identified the risk but in two care plans the interventions required were not recorded. Four personal staff files were seen and all contained evidence of individual identification documents, Criminal Record Bureau checks (CRB) and Protection of Vulnerable Adults checks (POVA 1st) but two files did not contain two references. Discussion with the manager indicated that the references have been taken up but not yet filed. There have recently been two investigations into care practices of two members of staff. Both investigations have been carried out correctly and openly and the outcomes have been actioned. Staff have `in-house` training on recognising and reporting abuse but to help the team understand their responsibilities external training for POVA could be accessed.

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 Jane Offord Unannounced Inspection 6th October 2005 09:20 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.V256609.R01.S.doc Version 5.0 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.V256609.R01.S.doc Version 5.0 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.rollins@anchor.org.uk 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) Anchor Trust 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.V256609.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2005 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 mental health needs. The house was purpose built in 1993 and is arranged in three units for 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 ensuite 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. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 9.30 and 16.30. The inspector was given access to personal records and care plans belonging to residents, personal files of staff members, the policy folders, the accident/incident records, the staff training records and saw samples of menus, staff rotas and the activities programme. Free access to visit all parts of the home was accorded and the inspector saw the three units, including some residents’ flats, the kitchens, the laundry and a variety of storage cupboards. A number of residents were spoken with during the day, as were several care staff, the chef manager and a student on placement. The manager was available throughout the day and provided documents and information to facilitate the inspection process. On the day of the inspection the home was clean, tidy and free from odours. There was an entertainment taking place in the main lounge by a group called ‘Yester Year’ that a number of residents were enjoying. The meal served at lunchtime looked appetising and staff were observed helping residents sensitively with their food if that was needed. Interactions between staff and residents were caring and appropriate. Visitors and other professionals were observed coming and going throughout the day. People were welcomed and assistance was offered. Arrangements for one resident to be admitted to hospital after a visit from the GP were efficiently carried out. What the service does well: This service manages the mental and physical health needs of the residents with sensitivity and care. Residents are offered choices about how they spend their time, where they spend their time and whom they would like to be with. Each resident has a ‘life story’ record in their file to assist staff to work effectively with individuals by understanding their previous experience. The manager and staff have adapted the activities offered to meet the changing needs of the residents. The activity folder shows evidence of an imaginative selection of entertainments and outings that have been offered in the past and the manager talked of future events that have been planned. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 6 The menus offer a four-week rotation with two main choices of cooked meals at lunchtime and teatime. The choice of meals was balanced and varied. Alternatives such as salads, eggs, sausages and sandwiches are available on request. Special meals are prepared to celebrate days such as Halloween, Bonfire Night and Christmas Day. Birthday teas are prepared and relatives and visitors are welcomed. Residents’ likes and dislikes for food are recorded by the kitchen staff and in their personal records. 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. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 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.V256609.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 People who use this service can expect to have their needs assessed and their relatives and friends given the opportunity to visit the home before moving in. EVIDENCE: The residents’ files seen had documented evidence of a comprehensive preadmission assessment undertaken by a team of professionals. The manager said that they do a pre-admission visit to a prospective resident too. The policy seen for admission included offering family members of prospective residents the opportunity to visit the home. There was evidence in one file of a fairly recently admitted resident of an Individual Lifestyle Agreement, Moving In, drawn up for the first six weeks prior to a review. In two files there were notes of review meetings that had taken place six weeks and then three months after admission. Those present included the resident, a family member, the manager, a social worker and a doctor. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 People who use this service can expect that their health needs will be met and that they will be treated with respect, they will be protected by the medication policy of the home and an individual care plan will be developed to identify how their needs will be met. They cannot be assured that risk assessments generated will detail interventions required to protect them. Residents and families can expect to be treated with care at the time of a resident’s death. EVIDENCE: The residents’ files seen had evidence that physical and mental health needs were identified and addressed. There was a list of professionals supporting each resident such as, social worker, community psychiatric nurse (CPN), GP and consultant psychiatrist. The files contained assessments for tissue viability and the appropriate specialised equipment needed, for example, a special mattress or chair cushion. There were also nutritional assessments and records of residents’ weight. One file had records of the treatment of a small wound and the progress made until it healed. Another recorded that a medical condition had Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 10 been identified by the doctor that required further investigations and the decision made by the resident to proceed with them. There was evidence in the files and in discussion with staff that mental health needs were met. Daily records recorded moods of residents and any challenging behaviour. Staff talked about some residents who preferred to remain in their flats as mixing with other people made them anxious. The manager explained how they had accompanied residents to be fitted with hearing aids and the importance of them to residents who have psychosis to help them participate in everyday communications. On the day of inspection one resident had an acute medical problem develop. The GP was called and wanted the resident admitted to hospital. The necessary transport arrangements were made and the family informed. The manager told the inspector which documents would be sent with the member of staff accompanying the resident. Photocopies were made of the individual care plan, medication sheets and written records of the mental and physical health needs of the resident. The mental health needs of the resident could cause unusual behaviour, which was recognised and managed at the home but, may be misunderstood in a hospital setting. The staff were concerned that the transition to hospital should be as smooth as possible for the resident. During the inspection a medication round was observed. Medication storage met the standards required and the procedures observed on the day were safe. Medication was administered with the consent of the resident and in a form acceptable to them. The Medication Administration Record sheets (MAR sheets) were correctly completed with the appropriate codes used when necessary. A check was done on controlled drugs (CDs) in two units and the records and stock quantities tallied. There was evidence that staff seek advice about drugs they are unfamiliar with and the ways new drugs may be safely administered. One piece of correspondence with the pharmacy had requested specific advice about crushing certain tablets to help the resident swallow them more easily. Where possible, sometimes with the help of family members, residents’ files record their final wishes. Evidence of this was seen in files inspected. The manager talked of one resident who is aware they are dying but in pain. The staff are working closely with the GP to find the correct medication to control the pain and improve the quality of their life. The staff training records showed that a number of staff have attended training to help manage the final days of a life and help in the bereavement process. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 People who use this service can expect to receive a well balanced diet, have choice about the way they spend their time and maintain contact with their family and friends. EVIDENCE: Residents’ files that were seen recorded people who supported them. The next of kin was identified, with the relationship to the resident, and any other contacts that the resident maintained outside the home. One file had contact details of the priest and several church members the resident was friendly with. Individual’s activities were recorded in their records. One file had recorded that the resident had ‘enjoyed a walk in the park’, ‘went to the market and bought some fruitcake and flowers’. Another file recorded that the resident went ‘to Aldeburgh for the day with the family’, ‘joined in the quiz in the lounge’. The manager explained that as the residents’ needs are becoming greater they are less able to access activities outside the home. An activities organiser has been appointed for six hours a week and more events and entertainment are Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 12 booked in the home. The record of events includes Clothes Shows, Massage, A Tea Party, ‘The Hat Experience’, ‘Yester Year’ and Hymn and Prayer sessions. Staff were observed offering residents the choice of seats in the lounges or to return to their own flat after a meal. Residents who smoked were able to choose whether they would sit in the garden or the smoking room for their cigarette. One resident who was not feeling so well had chosen to spend the day in bed and meals were taken in to them. The meals looked appetising and there were two choices of main meal and dessert. When one resident was asked if they had enjoyed the pudding they said, ‘it was lovely, look my plate is clean’. A resident was overheard asking what had to be done to ‘get a poached egg for breakfast’ and the chef replied ‘you only have to ask’. The resident said they would ask the next morning. Daily records showed that family and friends’ visits were noted. There was evidence that families who lived at a distance or abroad were kept informed of their relative’s well being. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People who use this service can expect that any complaint will be investigated and acted upon and that residents will be protected from abuse by the training and policies in place. EVIDENCE: The complaint log was seen and the last complaint received was investigated and responded to in accordance with the complaint policy of the home. The last complaint was in 2004 and neither the home nor CSCI have received one since. There have been two separate POVA referrals this year about two members of the care staff and their practice. Both referrals followed the accepted guidelines and were investigated correctly. Neither member of staff works at the home any longer. Staff spoken with were able to identify potentially abusive situations and knew what steps to take to report them. Following the two POVA episodes some follow-up training had been implemented by the senior team to help support the staff and increase their understanding of their responsibilities. The training included workshops and scenarios to enable discussion to take place, as there had been some reluctance on the part of some staff to ‘whistle blow’. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 26 People who use this service can expect to live in a pleasant, clean environment that is well maintained, with their own possessions around them and the use of specialised equipment to help maintain their independence. EVIDENCE: This purpose built home is light and airy with a spacious feel to the corridors and rooms. Although it is in a fairly new development it has been sympathetically placed and the gardens form a screen from the neighbours. The décor throughout the home is fresh and bright with suitable furnishings and pictures. Individual flats have coordinating colour schemes and soft furnishings. There was evidence of a variety of personal belongings in the flats from photographs and soft toys to a collection of glassware. Residents’ flats are a good size and there is space for specialist equipment, such as hoists and wheelchairs, to be used without restriction. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 15 The ensuite facilities offer a washbasin, toilet and shower but there are communal bathrooms with adaptations to allow residents with limited mobility to enjoy a bath if that is their preference. There is a call system throughout the home and residents were observed with the call bell within easy reach or on their lap. Spare call bells were noted in a store cupboard to replace any faulty ones rapidly. There are grab rails and banisters around the home to aid mobility. There is a passenger lift between the ground and first floor. The upper floor windows are protected with safety latches restricting the opening range and upstairs patio doors have full height rails to prevent falls while allowing fresh air to circulate. There were hand-washing facilities in kitchens, bathrooms, toilets and the laundry that were supplied with liquid soap and paper towels. The Infection Control policy was comprehensive and had information about transmittable infections such as MRSA. The laundry was clean and tidy on the day of inspection. The machines have a sluicing programme for foul laundry. There were clear instructions about the correct temperatures required for different fabrics. There was a cleaning policy available that detailed routines for maintaining cleanliness in the communal areas of the home as well as the individual flats and bathrooms. There was also provision for managing larger cleaning programmes dealing with carpets, curtains, furnishings and internal window cleaning. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30 People who use this service can expect to have their needs met by a staff team that has been carefully recruited and is trained and competent to do it’s job. EVIDENCE: Staff rotas seen showed that the usual complement of staff on duty is two trained and six carers for both an early shift and a late shift, and one trained and three carers on night duty. There is a part time administrator, a team in the kitchen and ancillary staff for domestic care. There is also a handyman to undertake small repairs and maintenance jobs and a gardener to do the grass cutting and planting. Staff spoken with felt that there was adequate staff to meet the needs of the residents, although they all expressed relief that the care team had filled the existing vacancies as it was felt that the last six months using agency staff had put a strain on the team. Four staff files were seen and there was evidence of recruitment policies being followed. CRB checks and POVA 1st checks were present in all the files. Two files did not contain two references but a discussion with the manager explained that they had been taken up but not filed yet. The manager will fax the references to CSCI for confirmation. The files also contained documentary evidence of each staff member undergoing an induction training day and programme. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 17 The staff training file showed evidence of regular updating for staff in mandatory training subjects such as, back care, fire awareness, Health and Safety, First Aid and Control of Substances Hazardous to Health (COSHH). Other areas covered were managing challenging behaviour, Dining with Dignity, understanding Dementia, bereavement, managing continence and wound care. The Medication Administration policy was seen and showed clear guidance on issues relating to covert medication administration and nurse prescribing. There was a list of signatures of trained staff responsible for administering medication. On the list of Personal Identification Numbers (PIN) four were not in date. This was discussed with the manager and evidence was provided that the numbers were not expired and the list has been updated to reflect that. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 36, 38 People who use this service can expect that their health and safety will be protected and that the home has a manager who demonstrates leadership and supervises their staff regularly however they cannot be assured that a risk assessment will be in place for all activities that occur in the home. EVIDENCE: There was evidence in the residents’ care plans of assessments taking place for safe moving and handling of them. One file seen had details of the use of the hoist, with diagrams and the correct sling to be used for that resident. A number of areas for storing hazardous substances and equipment were seen and were all tidy and securely locked. There were notices on display in appropriate areas with details of correct usage of chemicals and warning of the danger of mis-use. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 19 The Accident/Incident log was seen and recorded day-to-day occurrences. The forms were correctly completed with details of witnesses and outcomes. No record of any major injury was seen and there appeared to be no trends in the pattern of incidents. Staff records show Induction training which includes Health and Safety and records include regular updates. Kitchen staff spoken with have done training in Food Hygiene, Health and Safety, Fire awareness and back care. The temperatures of refrigerators and freezers are recorded and within safe limits for food storage. Food seen in the refrigerators was correctly labelled. The manager was clear that the home is run for the residents and holds staff meetings three or four times a year to ensure that staff members understand the ethos of the home. Issues about staff responsibility and the vulnerability of the residents are highlighted in workshops and discussion groups. In one case the manager had found that a resident’s clothing had been incorrectly stored in another resident’s flat. The residents involved were of opposite sex and the incident was used, humorously, to highlight a lack of attention on the part of the carers, which was unacceptable. Residents have the freedom of the home and can generally move around in safety. In discussion with some staff it was implied that residents occasionally visited the main kitchens. This has implications under the Management of Health and Safety at Work Regulations 1999 and requires a risk assessment to be generated. Staff spoken with said they had regular supervision every two or three months. The manager is approachable and they felt able to raise concerns with them or the senior team members. Staff files showed evidence of supervision dates. A student on placement said that they had been well supported during the placement and had learnt a great deal. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 20 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 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 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X X 3 X 2 Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 21 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 38 Regulation 13 (4) (b) Requirement Risk assessments must be generated for any activity that a resident undertakes that could compromise their Health and Safety. Timescale for action 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard 7 18 Good Practice Recommendations Risk assessments generated for the protection of residents should detail interventions required to minimise identified risks. To help staff members understand their Duty of Care to residents external Protection of Vulnerable Adults training should be undertaken by senior staff members to cascade to the rest of the team. Oakwood House Residential And Nursing Home DS0000024464.V256609.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 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.V256609.R01.S.doc Version 5.0 Page 23 - 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!