Inspection on 17/09/08 for Oasis House

This inspection was carried out on 17th September 2008.

CSCI found this care home to be providing an Adequate service.

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

Oasis House 15/04/08

Oasis House 23/10/07

Oasis House 07/07/06

Oasis House 06/12/05

Oasis House 20/04/05

Oasis House 06/01/05

Oasis House 08/07/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Oasis House 19, Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ Lead Inspector Elizabeth Dudley Unannounced Inspection 17th September 2008 10:30 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 Oasis House DS0000014218.V371638.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. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oasis House Address 19, Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ 01273 279683 01273 299083 oasishome@ntlworld.com 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) Sunrise Apartments Ltd Mr John Mark Ghazal Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (5) of places Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users must not exceed 5 The service users will be aged 65 or over on admission That the home is registered to accommodate a named service user under the age of sixty- (60) years on admission with a sensory impairment. Only older people who have been assessed as requiring residential care are to be accommodated 23rd June 2008 Date of last inspection Brief Description of the Service: Oasis House is a small, family run care home that provides personal care and accommodation for up to five older people. The home is a detached residence, situated in Saltdean, East Sussex. It is opposite a park that has a bowling green, pitch and putt and tennis courts. Oasis House is a short distance from the local community centre, library and shops, with a bus route to Brighton and other coastal towns nearby. Accommodation is provided in five single rooms on the ground floor. There are two communal bathrooms, one with a walk in shower. The joint proprietors are resident at the home and provide the bulk of the overall staffing. They also employ a small group of staff. There is a garden area at the front and rear of the property that is accessible to service users. The home has a communal lounge, with recliner style chairs for each resident, and a dining area. The cost of rooms ranges from £380-£425 per week. Charges for extra services such as hairdressing and chiropody are not included in the fees. Details of these can be obtained from the home. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place on the 17th September 2008 over a period of three hours and was facilitated by Mr J Ghazal, owner and registered manager. The home has accommodation for five older people receiving personal care but at the time of the inspection there were three residents accommodated in the home. The manager and family live above the home. The methods used to inform this the judgements made in this inspection were examination of documents, which included health and safety documentation, personnel and training files, care plans, medication records and medication administration practice. Discussions with the manager and two residents took place and a tour of the home was undertaken. The provision of meals and menus was looked at and discussed in order to ensure that the nutritional needs of the residents were being met Two residents were spoken with and said that they were happy in the home. ‘It’s my home and I think of the manager and his family as my family, the food is better, they are trying new things now’. ‘I quite like it here’. What the service does well: The service provides personal care for older people within a family environment. The home employs few staff and therefore residents benefit from being looked after by people with whom they are familiar and know their preferences. The home is clean and comfortable and residents are cared for in single rooms, each resident is able to bring in various small items of personal possessions. The manager assesses prospective residents prior to their admission to the home and residents are admitted for a trial period before making a decision over whether they wish to live at the home. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There were some requirements from the last inspection that have not been complied with. These included revision of the statement of purpose and service user guide, providing staff with a General Social Care Code of Conduct handbook, notifying the CSCI of any events which affect residents and staff receiving training in the safeguarding of those in their care. Failure to meet with these may result in the CSCI taking further action. The provider will be required to provide an improvement plan. Two new requirements have been made, one relates to the reviewing of policies and procedures used in the home and the other, which was an immediate requirement related to residents doors being wedged open and not having any automatic closure for use in the event of fire. The manager was required to contact the fire authority and prior to implementing their advice to maintain a ‘closed door’ policy. Subsequent to the inspection information was received by the CSCI that the manager has complied with this requirement. Whilst care plans have improved there is still a substantial amount of work to be done before they reach a satisfactory standard. There was evidence of greater choice being offered at meal times but daily menus did not always relate to what was being offered that day and did not show what was available for meals other than the main meal. The manager has not made arrangements for suitable staff to be left in charge of the home when the family are absent and this should be put in place. The requirement relating to the employment of suitably qualified staff is therefore retained. Oasis House DS0000014218.V371638.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. Oasis House DS0000014218.V371638.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 Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. People who use the service experience adequate quality outcomes in this area. There is sufficient information available for prospective residents to enable them to make a decision over whether the home can meet their needs. Some parts of these documents do not correctly reflect the current situation in the home or the correct name and address of the regulating authority. The preadmission assessment seen gave sufficient information to inform the care planning process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 10 There is a Statement of Purpose and a Service User Guide in place. Some amendments are required to both these documents i.e. – correct name and address of CSCI, number of staff employed and number of residents to be accommodated. Some of the information in the Statement of Purpose was not of use to any person other than staff working at the home. Although there was a requirement made at the last inspection to review the Statement of Purpose this has not been completed and therefore another requirement has been made. The manager stated that each resident has a copy of the Service User Guide. Each resident receives a contract and terms and conditions on their admission to the home. These require some amendment to meet the National Minimum Standards, (fees need to be identified and trial period included). This was discussed with the manager. The preadmission assessment for a prospective resident was seen, this reflected the current needs of the individual and contained sufficient information to commence a care planning process. The manager says he assesses each person in order to ascertain whether the home can meet their needs and this is confirmed in writing to the individual. Evidence of this was seen in the home. The home will admit residents for respite care but not for intermediate care. Oasis House DS0000014218.V371638.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. People who use the service experience adequate quality outcomes in this area Care plans do not completely identify the personal and health care needs of the residents or give instructions to staff on how to meet these needs and any factors they should be aware of. The standard of medication administration generally safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were examined – three belonging to current residents and one belonging to a resident who had been transferred for nursing care. Care plans contained evidence of general assessment but actions required to support their needs were not in sufficient detail to ensure these needs were met. i.e. whilst one resident is assessed as diabetic and partially sighted there were no Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 12 instructions to staff in the care plan regarding any special support or meeting any extra needs caused by these conditions. Another resident with a catheter had no specific instructions to staff on how to change the catheter bag, what type of bag was being used, the type of problems that can present with a catheter, when to call the nurses and how to prevent infection. Neither were there sufficient instructions on how to deal with any mental or physical health problems that this resident may present. There was no continence care plan for a resident to show whether she was incontinent, or required support in any instances. The care plan of a resident recently admitted to hospital did not show the date of admission or details leading to this admission or the date of discharge from the home. Whilst there is considerable improvement in the care plans, with them showing evidence of regular review, being formed in consultation with the resident and showing evidence of them being weighed regularly, visits from health care professionals, the general information and instructions for delivery of care require expanding. They should show clear indication of all the personal care and health care needs of the residents, and whilst it is appreciated that it is a small home run mainly by the manager and family, show clear instructions as to how their care is to be managed. Care plans should show separate plans for each need and the ways of managing these and also include times of rising and retiring, pattern of sleep, night care and more information on social care and mobility care planning. Social Services have provided the home with various forms to facilitate the care planning process but only the nutritional plan assessment plan is currently in use. Individual daily records are in place and kept in separate folders, specific to the individual residents. Residents in the home appeared comfortable and well cared for and said ‘ they look after us fine’ and ‘ I don’t think there is much more they could do’. They confirmed that their privacy was maintained and that they were treated with respect and were generally happy in the home. Medication records showed that the administration of medication safeguards the residents. Medications were within their expiry dates. It is good practice to discard liquid medications are discarded within a month of opening . Homely remedies are given and a General Practitioner has provided permission for these to be given to residents. One box of Paracetemol appeared have been issued on prescription and appeared to have had the label torn off but the manager stated that this was not the case. Medications were stored appropriately and the manager gave assurances that the keys were kept with the person in charge. No residents currently self medicate and the member of care staff employed by the home has received medication training. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 13 Oasis House DS0000014218.V371638.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, 15 People who use the service experience adequate quality outcomes in this area. Some activities are offered but there is scope to provide a range of activities in the home and this has not been fully explored. Menus do not fully reflect the meals offered but residents receive a varied and nutritional diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides some activities for residents and the manager said these include weekly outings, cream teas and a computer for residents use. However, the home has been unable to access help for residents in using the computer. Until recently an art therapist visited the home but residents have said that they would prefer the money spent on this to be used on outings. One Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 15 resident is facilitated to join in outings and lunches for people with sight impairment. There is no formal activities programme in place and both residents spoken with said that they mainly watched television in their rooms. Residents are encouraged to maintain contact with their families and visitors are welcomed. Church services are held on a regular basis, these at present are Roman Catholic services but the manager said that they could arrange for other ministers of religion to visit the home if residents expressed a wish for this. The home provides a choice of meals and the main meal takes place in the evening. Although menus have been provided for residents these did not display the main choice of the day. i.e. the meal served on the day of the inspection was marinated liver which was not featured on the menu. Menus should reflect what is on offer that day, however lunchtime choices were not identified on the menu. Residents said that they generally enjoyed the food ‘ they are trying different things now which is quite nice’ and said that they had choice at all meals. The care assistant and deputy manager have the food hygiene course. The care assistant and deputy manager have the food hygiene course. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. People who use the service experience adequate quality outcomes in this area. Complaints have been addressed in a satisfactory manner. Residents are aware of how to make a complaint. Management have not yet received adult safeguarding training This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy provided by the home but this did not correctly reflect the addresses of various authorities to whom complaints can be made and the full complaints policy was not included in the Statement of Purpose. The home keeps record of complaints received, and has had three minor concerns in the past 12 months. The records showed that these had been dealt with in a satisfactory manner. One resident said that he had made a complaint and the manager had addressed this to his satisfaction. There have been no adult safeguarding issues in the home. A requirement was made at the last inspection for management and staff to attend adult safeguarding training with the local authority; the manager had arranged this Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 17 but could not attend due to cancellation of the course. A further requirement has been made. Oasis House DS0000014218.V371638.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): 19,20,21,22,24,25 People who use the service experience good quality outcomes in this area Residents live in a clean and comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is comfortable and clean and residents have access to a patio garden and a large lounge/ dining room. All residents are accommodated in single rooms on the ground floor and each room has a lockable drawer for resident’s use. There is a swimming pool in the garden, which is not for resident use, and this now has a risk assessments in place. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 19 Water temperatures to hot water outlets used by residents have been monitored regularly and records showed that these were within recommended parameters. Some radiators do not have radiator guards but risk assessments have been put in place relating to the individual residents and the risks that the radiators pose. The manager should be aware that risk assessments will need to be reevaluated when new residents come into the home. The cords to call bells have now been extended so that residents can call for assistance from either the bed or a chair. Bathrooms were clean and did not contain any items which may put residents at risk. Infection control practices have improved and alternative methods for washing commodes have been put in place. One member of staff has attended infection control training. Individual rooms now have paper towel rolls and soap dispensers in place for the use of visiting health care professionals and staff. Some alcohol gels are in place to aid hand sanitisation. Oasis House DS0000014218.V371638.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): 17,28,29,30. People who use the service experience good quality outcomes in this area The home is mainly family run and therefore only one member of staff is currently employed. The documentation required to ensure that residents are safeguarded was included in the personnel file of this member of staff. Management and staff are undertaking training to ensure that they have sufficient skills to meet the needs of the residents in the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that only one member of staff is currently employed, with the manager and his wife, who is the deputy manager, working continuously in the home. Call bells sound in the manager’s flat above the home and the manager and family cover nighttime duties. Concerns were expressed that there may not be a member of staff downstairs in the evenings and therefore residents would spend a lot of time alone, the manager said he or his wife came down at frequent intervals. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 21 The staff file of the member of staff employed was examined and this showed that all documentation as required by regulation to ensure safeguarding of the residents was in place. Staff have not yet received a copy of the General Social Care Code of Conduct handbook, this was a requirement made following the last inspection and has been repeated. The manager has recently completed the National Vocational Qualification level 4 in care and the deputy manager is in the process of completing the National Vocational Qualification level 3 in care. The member of care staff is undertaking National Vocational Qualification level 2 in care. New members of staff undertake a local induction course and the manager has now put the national induction course ‘ Skills for care’ in place. Other staff training including moving and handling and infection control training has been put in place. Fire training takes place within the home, taking the form of fire drills, which include residents. The manager should consider providing extra fire training yearly from a recognised trainer. Oasis House DS0000014218.V371638.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): 31,32,33,36,37,38. People who use the service experience adequate quality outcomes in this area Management systems in place do not fully ensure that the home is compliant with health, safety and fire legislation and not all previous requirements made at the last inspection have been met. Policies and procedures within the home have not been reviewed regularly, the implementation of this would ensure that the care and services offered to residents meet current standards and follow recognised practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 23 The manager has completed his National Vocational Qualification level 4 in care; he previously attained a certificate in management and should now give consideration to updating this. In previous inspections it was noted that inadequate arrangements had been put in place for covering the home whilst the manager and his family are away from the home, the manager has not yet put arrangements in place to ensure that this takes place and should be addressing this for the future. The home is run in a manner similar to a family home and residents benefit from the relaxed and informal atmosphere. One resident spoken with said ‘ It’s my home and I look on them as my family’. The Annual Quality Assurance Assessment which is required by legislation was not received by the CSCI until four months following the date it was due and an improvement plan asked for was two months late. The manager has not been proactive in completing all requirements from the last inspection, and some were not completed in a satisfactory manner. Therefore some requirements have been repeated. The manager must ensure that documentation asked for by the CSCI and requirements made must be completed by the dates that they are required. The home currently seeks resident’s views on the surveys provided by questionnaires, these should be collated and also include views of health and social care professionals. The CSCI may ask to see the results of this quality monitoring. The manager should also put an annual development plan for the home in place and ensure that this is reviewed. Some policies and procedures have not been reviewed since 2004 and all policies and procedures require urgent review to ensure that they reflect current practice in the home and are in line with current legislation and research. The member of staff currently employed has received supervision at intervals directed by the standards. Regulation 37 notices (information required by regulation regarding any adverse incidents affecting service users) have not been sent to the CSCI and the manager is reminded that any serious accidents must also be reported to the Health and Safety Executive by means of a ‘ Riddor’ form. This had not been done following a recent accident to a resident. All doors within the home had been propped open with either wooden wedges. This practice does not safeguard residents in the event of fire and an immediate requirement was made around this. The manager has since informed the CSCI that he has contacted the fire authority and is purchasing automatic door closures. A ‘closed door’ policy has been put in place until the door closures have been implemented. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 24 Staff should receive some formal fire training from a suitably qualified trainer to supplement the current fire drills taking place. Oasis House DS0000014218.V371638.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 1 2 3 2 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 2 2 X X 3 1 1 Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 26 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 OP1 Regulation Reg 4 (2) Reg 5(1) Requirement That the Statement of Purpose and Service User Guide are amended to include the correct address of the regulatory body and contain accurate and up to date information. This was a previous requirement with a compliance date of the 14/06/08. That the care plan reflects all the assessed needs of the service user in relation to personal, health and social care and contains sufficient information and instruction to enable these needs to be met. The registered person shall continue to ensure that adequate facilities and opportunities for leisure activities are provided to service users and that these are in line with service users interests and wishes. That all staff receive training in safeguarding adults. This was a previous requirement with a compliance date of 14/06/08 The registered provider/manager must ensure that there are DS0000014218.V371638.R01.S.doc Timescale for action 20/10/08 2 OP7 Reg 15 (1)(2) 01/11/08 3 OP12 Reg 12(2)(4)( b) Reg 16(m) (n) Reg 13(6) 01/01/09 4 OP18 14/12/08 5 OP27 Reg 18(1)(a) 20/12/08 Oasis House Version 5.2 Page 27 suitably qualified staff on duty at all times to meet with the assessed needs of the residents in the home. (This was a previous requirement compliance due date of the 21/12/07) 6 OP29 Reg 18(4) 7 OP33 Reg 24 (1)(2)(3)( 4) (5) 24(A) (1)(2)(3) 8 OP38 Reg 37 9 OP38 Reg 23(4)(a) All staff must be issued with copies of the General Social Care Code of Conduct on employment at the home. This was a previous requirement with a compliance date of the 14/06/08 The registered provider will maintain a system for evaluating the quality of the services provided at the care home and shall maintain an annual development plan. Policies and procedures relating to the quality of service offered by the home must be kept under review. The provider must notify the commission of any deaths, incidents, accidents or other events affecting the well being of service users. This was a previous requirement with a compliance date of the 14/06/08 That the provider will liaise with the fire authority regarding the current practice of wedging doors open and therefore putting service users at risk. Prior to implementing the instructions given by the fire authority, the home will put a ‘closed door’ policy in place. 20/10/08 10/11/08 01/10/08 17/09/08 Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations That there are policies put in place to address the cleansing potentially infected equipment such as commodes and that a policy is put in place regarding items which could impact on health and safety and infection control being left in communal areas. Oasis House DS0000014218.V371638.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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