Inspection on 08/08/07 for Oakwood Nursing Home

This inspection was carried out on 8th August 2007.

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

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

Other inspections for this house

Oakwood Nursing Home 23/06/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Oakwood Nursing Home 8 The Drive Northampton Northamptonshire NN1 4SA Lead Inspector Thea Richards Key Unannounced Inspection 8th August 2007 09:00 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 Nursing Home DS0000069630.V340685.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 Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood Nursing Home Address 8 The Drive Northampton Northamptonshire NN1 4SA 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) 01604 713098 01604 792762 Sanpas Ltd Mrs Patricia Blackburn Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No persons falling within the category of OP can be admitted to Oakwood Nursing Home when there are 29 persons within this category already accommodated within the home. The maximum number of persons that can be accommodated within Oakwood Nursing Home is 29. New Service Date of last inspection Brief Description of the Service: Oakwood Nursing Home is a care home providing nursing, personal care and accommodation for 29 older people. The home has been owned by Sanpas since may 2007. Mrs Patricia Blackburn has been the manager for many years. The home is situated on the outskirts of Northampton in a residential area and is easily reached by private and public transport. There is parking available in the road outside the home. The accommodation is a converted two -storey house with the addition of an extension. There are two lounges on the ground floor. There is a mixture of single and shared bedrooms on both floors and some of them have en-suite facilities. The first floor can be accessed by stairs or by a passenger lift. There is a patio area with seating, which is accessible for the residents. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone, fax or email. The fees range from £422.22 to £515.00 pw. There are extra charges for hairdressing, chiropody, newspapers and personal items. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older persons, which ended with an unannounced visit to the service. Before the visit the inspector spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the registration of the home on the sixth May 2007. The visit took place on the eighth August 2007 and lasted seven and a half hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents and, where possible, their families were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the deputy manager, the owner, staff, residents, families and visitors. What the service does well: There are very good numbers of staff with a good skill mix on all shifts. The staff and the manager are well trained to meet the needs of the residents and show empathy and support to the residents when looking after them. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 6 The ‘end of life’ care is well managed and the staff are well trained to give this care. ‘The manager and the staff are very kind and will do anything for us’ What has improved since the last inspection? What they could do better: An application to allow them to admit a person under the age limit on the registration must be made. Consideration should be made to use the dining room to give the residents a change of scene and the opportunity to meet other people. The complaints policy should have the addresses updated and be produced in other formats. This would allow people to contact the right place and more people to understand the policy. The different needs for individual residents and how these will be met should be described in the care plans. The hot water temperatures should be tested regularly to make sure that they are at a level, which will avoid the residents being scalded. The fire alarm tests must be brought up to date to make sure that they are working properly to protect the residents in the event of a fire happening. Consideration should be given to updating the bathrooms and the provision of a ‘wet room’ to allow the residents to have the opportunity of a bath or a shower. Staff supervision should be put in place, to give the staff the opportunity of time with their ‘line’ manager to discuss work and training issues. Consideration should be given to alter the layout of the lounge and office area to provide a better space for the residents to sit in. Notifications for all deaths and incidents affecting the well being of the residents should be sent to the Commission for Social Care Inspection. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 7 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 Nursing Home DS0000069630.V340685.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 Nursing Home DS0000069630.V340685.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): 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To make sure that they will receive the right care, residents’ needs are well assessed prior to moving into the home by the completion of a pre-admission assessment and a visit to the home. EVIDENCE: The care records of the residents who were case tracked, confirmed that they had all had received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply. Providing a comprehensive Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they they can get the most suitable care. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 10 One of the residents families spoken with told the inspector that they had a visit from the home manager before their relative was admitted. They confirmed that they were given the opportunity to visit the home before they came in. This makes sure that that the staff in the home have the the right information before the resident is admitted so that the resident gets the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. Members of the staff spoken with said that they knew what the residents needs were before they moved in. There had been no variation applied for to the Commission for Social Care Inspection to admit residents younger than 65 to the home, however, younger people had been admitted. A variation must be applied for immediately. the owner said that she would do so . The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home. An up to date insurance certificate was displayed in the entrance hall. Oakwood Nursing Home DS0000069630.V340685.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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans, which the residents and their families are generally happy with. EVIDENCE: Two of the care plans which were ‘case tracked were found to contain good individual evidence of the care being given to the residents. The third one contained all of the basic care needs but did not reflect the particular needs for the resident. Where there were communication and swallowing difficulties for the residents there was evidence that the Speech and Language Team (SALT) had been involved in the care planning. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 12 and other health professionals when they needed to. There are records of the meals that the residents have eaten in a separate file,which makes sure that they are having an adequate diet. There are records of the residents being weighed regularly which makes sure that they are maintaining their weight. The care plans seen had been signed by the resident or their families which makes sure that the resident and/or their families are aware of the care to be given and that they agree with it. The daily record of care is up to date, which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. The inspector observed residents being treated with dignity and respect when staff spoke with them. The staff were observed sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Staff seen giving care did so in the right way, giving the residents privacy where needed. Staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were happy that all care needs were being met. One family was concerned that the specialist needs of their relative were not being met completely. This included being unable to have a shower and only having ‘bed baths’. This was discussed with the owner and the deputy manager who said that they would review the needs with everyone involved with the care. They also told the inspector that there were plans to put a ‘wet room’ in the home to make sure that everyone who was not able to get into a bath was able to use it. There are risk assessments in place to cover all the identified risks for the residents. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. The home is active in working with residents at the end of their life and the staff are trained in palliative care. Processes to help the residents and their families, such as the Gold Standard of Care and the Liverpool Care Pathway are being used. This makes sure that everybody involved in the care agrees with how it should happen, this includes the resident and their family, the doctors and the nursing staff. Medication records for the case tracked residents were in order. Medicines are only given by the registered nurses, who are regularly updated. This was seen Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 13 by the inspector and medicines were administered individually and the residents seen to be taking them. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The ‘controlled’ (dangerous) drugs storage and records were looked at and found to be in order. There is a policy in place for the residents who are able to look after their own medicines. However, there are no residents looking after their own medicines at the moment. Consideration could be given to using a different type of medicine administration, such as a ‘blister’ pack method, which could make it safer to administer and to monitor the medicines. Oakwood Nursing Home DS0000069630.V340685.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 have their social, spiritual and nutritional needs met. Their views are taken into consideration and acted on. EVIDENCE: There was evidence of some activites being provided for the residents and although there didn’t appear to be a very full programme of activity planned, the residents spoken with were happy with those that were arranged. On the day of the visit there was no formal activity taking place and the television was on all day in the lounge. A care was seen to be playing dominoes with one of the residents. The residents spoken with in the lounge said that it was always on, but they didn’t really watch it. There are plans to improve the activities in the home and to employ a dedicated activities organiser. This was identified on the Annual Quality Assurance Assessment (AQAA) and by the ownner when spoken with. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 15 If the residents don’t like the choice of meal the cook offers an alternative and was seen to be talking to all the residents to ask which meal they wanted that day. The inspector spent time with the residents at lunchtime and all the residents said that they were enjoying their meal and that if they always had a choice ls if they didn’t like the meal that day. The cook is has a good understanding of the dietary needs of the residents including diabetic diets. The residents use the lounge for their meals, remaining in their armchairs with tables in front of them. This could mean that they do not have a change of environment all day. Visitors are made welcome in the home and some regularly take their relatives out. This was confirmed by visitors and families spoken with who told the inspector that they were made very welcome at any time. The inspector saw the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager or the deputy sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. The manager holds regular residents meetings, which have minutes taken. These practices ensure that the residents keep contact with the community and their families and that views for improvements can be considered. There is a regular church service within the home which the residents enjoy and communion can be arranged for them if they wish it. The local Roman Catholic church arranges visits for those residents of that faith. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. A hairdresser visits once a fortnight and the residents told the inspector that they really enjoyed her coming. Oakwood Nursing Home DS0000069630.V340685.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. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there are no records of any complaints having been received since the home was registered on 4th May 2007. There were many letters and cards of praise and thanks for the care that the home gives. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families and visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The staff spoken with knew how to deal with a complaint which was given to them, but told the inspector that none of them had ever received a complaint. The Commission for Social Care Inspection has received no complaints or concerns about this service since their registration on 4th May 2007. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 17 The complaints procedure should be reviewed to make sure that it has the right addresses on it making sure that the residents and their families can contact the right people. Consideration could be made to produce the complaints policy in other formats, such as in large print, signs or other languages. The staff confirmed that they had had training in safeguarding adults and this was confirmed by the training records held in the home. The staff spoken with told the inspector how they would handle such an incident and that they would have no concerns about ‘whistleblowing’. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Oakwood Nursing Home DS0000069630.V340685.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, 20, 21, 23, 24, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a pleasant home, with outstanding issues, which need to be resolved. EVIDENCE: Oakwood nursing home is a converted house on the outskirts of Northampton. There is a lounge, which is arranged so that it forms a corridor to the office. There is a dining room that is rarely used, so that the residents do not have a choice of where they spend the day, other than in their bedrooms. The home is well maintained, clean and free from any unpleasant odours and it gives the residents a pleasant place to live in. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 19 The patio area is well kept, but the residents are rarely taken out there to enjoy it. The bathrooms are clean, tidy and free of any hazards, but are very small, which means that for the residents who need to use a hoist they may have to have ‘bed-baths’ instead. There are plans to review the bathroom space and to put a ‘wet room’ in. With their permission the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. There are no residents, other than married couples, sharing a room at present. Sharing a room would be discussed with the resident and their families before they moved in. The residents could be given privacy with the use of screens. There was evidence of equipment such as hoists having been provided to help in the care and comfort of the residents. There are no records in place to show that the hot water temperatures are being regularly tested. These should be recorded monthly for every individual tap, which the residents have access to, which will avoid them being scalded. This was discussed with the deputy manager and the registered provider who told the inspector that they would put these records in place. Weekly fire alarm test records were in place until the second of July 2007, but had not been completed since then. There are plans to refurbish the home, to put new floor coverings down and to install door closers on the fire doors. These areas were identified in the AQQA and when speaking with the owner. There are also plans to install a new call bell system in to make sure that the residents can contact a member of staff when they need to. This was identified both in the AQQA and by speaking with the owner. There were no further outstanding safety or maintenance issues seen on the tour of the premises. The registration certificate from the Commission for Social Care Inspection was displayed with a current certificate of insurance. The inspection reports are available in the office. Oakwood Nursing Home DS0000069630.V340685.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 good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are met and their safety protected by the recruitment policy and by the training that is in place. EVIDENCE: There was evidence of a good skill mix and number of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough staff on duty to look after them properly. Three staff files were looked at by the inspector and the required information was complete in two of the files. This included evidence of identification, completed application forms, two written references and Criminal Records Bureau checks. The third file did not contain any references, but these were found by the end of the visit and placed in the file. One file for a registered nurse did not contain a new Personal Identification Number but the nurse was contacted and confirmed that she had renewed her registration and that she would bring a copy in. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 21 There was evidence of extensive staff training including induction and the staff spoken with confirmed that they received regular training in moving and handling. They said that they had training in first aid, PEG feeding and palliative care. There is a record of training held by the manager with the certificates in the staff files. There are plans to increase the amount of infection control training to make sure that the residents are kept safe from the spread of infection. This information was obtained from the AQQA. Training in how to deal with the chemicals in the home is in place and the staff have data sheets explaining how to use chemicals safely. The number of staff holding a National Vocational Award at least at level 2 is above the required number. The Manager has completed the registered managers award through the National vocational award programme. The National Vocational Qualification is a qualification for care staff to make that they receive the right training in the needs of the resident group whom they are caring for. Oakwood Nursing Home DS0000069630.V340685.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, 33, 35, 36, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which is run in their best interests. There are areas of record keeping which need attention, to maintain the supervision of staff and communication with the Commission for Social Care Inspection. EVIDENCE: The deputy manager and the owner were available throughout the visit to the home. The manager has managed the home for some years, is a registered nurse and has completed the Registered managers award (RMA). Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 23 The staff receive training to make sure that they can care for the residents safely whilst protecting them from any abuse. This was confirmed by available records, the deputy manager and by staff spoken with. There had only been four notifications of incidents/deaths received by the Commission for Social Care Inspection (CSCI) since the new owners took over. They were unaware of the requirement to send CSCI notifications for incidents affecting the well being of the residents. The inspector had a discussion with the owner and the deputy manager about this requirement and the owner assured the inspector that she would start to send them in immediately. There was evidence of staff supervision taking place in practical areas, but no formal supervision was happening. This was confirmed by the deuty manager, the staff and the records held. The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs and should be recorded. There are regular meetings held with the staff to pass on and exchange information and minutes are kept. The manager holds regular meetings with the residents as well as one to one discussions both to pass information on and to listen to their views and opinions. There are plans to start a support group for the residents families. There are annual quality questionaires sent out to residents and their families to gain their views about the home. There is a suggestion box available in the home to allow the residents, their families and the staff to put suggestions into. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. Consideration could be made to change the layout of the office, lounge and dining room areas to give the residents an improved seating area. This would stop the lounge being a corridor and give the residents an improved quality of life. Residents finances are entirely handled by their families with the home holding no money for them. There are policies and procedures in place for the home, which are up to date and regularly reviewed. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 24 There were no records for the testing of hot water and the fire alarm tests were not up to date. Other maintenance records were found to be up to date. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 25 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 3 3 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 3 2 X 3 3 X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? New Service 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 OP1 4.1 (a)(c) 43 (1) Standard Regulation Requirement That the provider applies for a variation in conditions of registration, to allow a person under the age of 65 to be a resident in the home. To include age criteria in the Statement of Purpose to make prospective residents aware of the restrictions of age. Timescale for action 08/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP7 OP15 OP16 OP16 Good Practice Recommendations That all diverse care and social needs are identified in the care plans and put into practice to provide a good quality of life for the residents. That consideration is given to use the dining room, to provide the residents with the opportunity of a change of scene and company at points in the day. That the complaints policy is reviewed to provide the right addresses for residents and their families to contact. That there is provision made to produce the complaints DS0000069630.V340685.R01.S.doc Version 5.2 Page 27 Oakwood Nursing Home 5 6 7 8 9 OP19 OP21 OP33 OP36 OP38 policy in alternative formats, to allow the maximum amount of understanding for the residents and their families. That, hot water temperatures are tested and recorded to protect the residents from scalding. That bathing/showering facilities are reviewed and appropriate provision is made to improve the resident’s quality of care. That consideration is given to reviewing the lounge area to remove the effect of a ‘corridor’, which will give the residents a dedicated lounge. That a programme of formal supervision for the staff is put in place and recorded within the required frequency. That notifications are made to the Commission for Social Care Inspection for all deaths and incidents affecting the well being of the residents or staff. Oakwood Nursing Home DS0000069630.V340685.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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