Inspection on 23/10/07 for Oasis House

This inspection was carried out on 23rd October 2007.

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

The inspector 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

Oasis House 17/09/08

Oasis House 15/04/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oasis House 19, Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ Lead Inspector June Davies Key Unannounced Inspection 10:00 23rd October 2007 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.V348158.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.V348158.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 Limited 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.V348158.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 7th July 2006 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 is £380 and £400 per week. Information about the home is gained by contacting the proprietors. All service users have access to a booklet about the home and inspection reports can be read by service users who will be shown the report by the proprietors if it is requested. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of 5 hours on the 23rd October 2007. The information gained for this inspection was via the Annual Quality Assurance Assessment, Service User Surveys, discussion with staff, and all residents on the day of the visit. The inspector also viewed some documentation relating to the standards inspected and carried out a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: Residents care plans must be reviewed monthly and even when no changes occur the date of these reviews must be recorded. Where changes are made to care plans when reviews take place then this should be recorded and signed by the resident and or their relative/representative. A daily record must be kept for each resident in the home, to ensure that their assessed needs are being met, to provide information when review of care plans take place, and to give staff on each shift clear information on each Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 6 resident. Residents should be weighed on a regular basis and any concerns about weight loss or gain should be reported directly to the resident’s general practitioner. The procedure for the receipt, recording, storage, handling, administration and disposal of medicines must conform with the Royal Pharmaceutical Guidelines relating to ‘The administration and control of medicines in Care Homes.’ The registered proprietor/manager must ensure staff have the appropriate training for administering medication. Information relating to residents should be kept separately for each resident and should not be kept collectively in books. Suitably qualified and trained staff must be on duty at all times, and at least 50 of the staff must have an NVQ level 2 in Care. All staff must completed their mandatory training within six months of their employment in the home and undertake a Skills for Care Induction programme. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 6 Quality in this outcome area is good. The homes statement of purpose and service user guide are good and provide prospective residents with the information they need to make a decision about moving into the home. Residents move into the home knowing that their needs can be met and that their independence will be maximised and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Statement of Purpose and Service User Guide are up to date and clearly state the services that the home can offer. Residents’ pre-admission assessments were in informative and gave clear indications as the care they required. There was evidence that the Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 9 proprietor/manager also gains pre-admission assessments from care managers where residents are placed into the home by a local authority. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is poor. While care plans reflect the assessed needs of the residents, these need to be regularly reviewed to ensure that the home is meeting the needs of the residents. There is no clear or consistent day-to-day care planning in placed to adequately provide staff with the information they need to satisfactorily meet the resident’s needs. The systems for medication administration are poor and potentially place the residents at risk. The staff in the home respects the residents’ rights to privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 11 Care plans were informative and provided information in relation to their personal profile, medical history, medication and social needs. Risk assessments were in place for mobility, mental health, physical health and behaviour. One care plan had not been fully completed. There was no evidence that daily reports are kept for each individual resident, a member of staff on duty confirmed this. While care plans did contain a page for professional visits these had not been kept up to date, and there was no up to date information relating to visits from the residents’ doctors, district nurses, chiropodists, dentists, or opticians. The bathing book gave clear indications as to the personal care tasks carried out for each resident, but these were kept collectively and will be referred to later in this report. All five residents living in the home were able to confirm that they are able to see their doctor, or other health care professional as and when required. One resident said, “They are very good here, if I am not well they call for my Doctor. Another resident said, “The district nurse visited me this morning to change my dressing.” Should a resident need assistance with continence care the district nurse assesses, advises and ensures that the correct aids are provided. Three residents said that they have physical exercise each day. One said, “I go out for a walk each morning, weather permitting. While one resident said, “I make sure I walk around the home to get some exercise.” While another resident was not specific as to what exercise she did, she said, “ I like to keep myself mobile.” There was no evidence in care plans that residents are weighed on a regular basis to monitor their nutritional intake. The home uses a blister pack system for the administration of medication. There was no evidence to show that staff had received formal medication training. The member of staff on duty said that she had been shown how to do medication by the registered provider/manager. It was noted that on receipt of medication from the pharmacy that this is not checked onto the MAR sheet correctly, with the date it was received, the quantity of medication or the signature of the person checking the medication in. Medication prescribed for three residents was not entered onto the MAR sheet. The inspector found loose cards of tablets in the medication cupboard, with no name on as to whom they had been prescribed for. None of the liquid medication had been dated on the bottle on the day of opening and this was also true of eye drops. Eye drops had been prescribed on 17th September 2007 and were still being used, although they had a 28 days opening life. MAR sheets had been appropriately initialled for medication that had been entered onto the MAR sheet. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 12 There was no record of any medication returned to the pharmacy. The member of staff on duty said we just put them into this box and the pharmacist picks them up. The home does not use controlled drugs at the present time. There was no evidence that there were up to date policies and procedures for the administration of medication, PRN medication, or the use of over the counter remedies. One resident is self-medicating and there was a risk assessment relating to this in the resident’s care plan. From observation on the day of this key inspection the member of staff on duty showed respect for the privacy and dignity of the residents’ in the home. All health care professionals visit the residents’ in their own bedrooms. Residents confirmed that they are encouraged to maintain personal contact with family and friends. One resident said, “If there is anything I want I just telephone my niece.” Another resident said, “My friend comes to visit me, she looks after my dog.” All residents were seen to be well dressed, reflecting their own personalities. The home does not have any shared bedrooms. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good. Activities and links with the community are good and help to enrich the residents’ social lives. The meals in this home are good offering both choice and variety and catering for special diets. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that they do have choices in relation to when they go to bed and get up in the morning. One resident said, “I get up when I want to, there is no set time for getting up in the morning or going to bed at night.” From observation, discussion with a member of staff and discussion with residents, there is a wide range of activities on offer that residents can participate in if they wish to. These activities are jigsaws, nostalgic quiz, a games compendium, card games, Oxford word game and cards. Every Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 14 fortnight a musical therapist visits the home to give “Music for Health therapy”, and every month there is art therapy. From time to time the registered provider/manager takes some of the residents out for a car trip or to buy ice cream. Some residents have been on longer outings. Residents said, “I have can join in activities as and when I wish to.” “I like to join in activities.” “There is always plenty of things for us to do.” One resident said, “I am hoping to go to Lourdes next year, in March or April. I am really looking forward to that.” All the residents’ interests are recorded in their care plans. Residents are able to maintain links with their families and friends as and when they wish to. Resident said, “I have a friend who visits me.” “My niece visits me regularly.” “We go out for a care ride sometimes when the weather is nice.” Where residents are no longer able to manage their own financial affairs, a relative or representative does this for them. There was evidence within one care plan that an advocacy service is available to the resident. There was also information in the policies and procedures file as to which agencies would provide advocacy services. Service users are given access to their own care plans if they request this. It was noted however that personal hygiene care records are kept collectively in a bath book, and this does not comply with the Data Protection Act 1998. The menus in the home are varied and offer an appealing, wholesome and nutritious diet to the residents. Residents’ comments were, “The food here is very nice.” “We are given choices. We can choose exactly what we want.” “If there is something on the menu we do not like, we are always offered something else.” “I like the food here, it would be nice to have a home made steak and kidney pudding, once in a while.” “I have no complaints about the food, it suits me fine.” Residents are given a choice of cooked breakfast, cereals or toast at breakfast; they then have a light lunch of their choice and a cooked evening meal. Snacks and drinks are offered between mealtimes. Some of the residents suffer with diabetes and a low sugar diet is offered to them, residents and the member of staff on duty confirmed this. No other specialised diets are catered for in the home at the present time. None of the residents require a liquefied diet. Residents are able to choose where they eat. Some prefer to eat in their bedrooms while others sit together in the lounge/dining room. All residents are able to take their time when eating and the atmosphere is not rushed. A record of all food eaten by all residents’ is kept in the home. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 15 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): Standards 16 and 18 Quality in this outcome area is adequate. Residents know their complaints will be listened to and acted upon. Arrangements for protecting the residents are not satisfactory placing them at risk of possible abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear and up to date complaints policy and procedure and from resident surveys four of the residents in the home said that they would know how to make a complaint. On the day of the inspection all the residents said that they would know how to complain if they were not happy. The member of staff on duty said “I am aware of the complaints policy and procedure. The home had not received any complaints since the last inspection as far as I am aware.” Residents said, “There is no need for me to complain we are very well looked after.” “I am very happy here, there is nothing to complain about.” Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 16 The home as a copy of the East Sussex Brighton and Hove, Multi-Agency Procedures for the protection of vulnerable adults. The home also has its own policy and procedure for the protection of vulnerable adults. There have been no adult protection issues since the last inspection. The member of staff on duty on the day of this inspection had not received protection of vulnerable adults training, although she had been in post for six months. Staff training will be covered further on in this report. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 17 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): Standards 19 and 26 Quality in this outcome area is good. The standard of décor within this home is good providing the residents with a pleasant and pleasing environment to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is suitable for its stated purpose, and provides a comfortable and homely atmosphere for the resident who reside there. There was evidence that the home is maintained to a high standard with all decorations and furnishings being in good conditions. All communal areas are homely and furnished in a domestic style hallway carpets have recently been replaced. There is a small patio garden to the rear of the building with a large garden table and chairs where the residents can sit. The home has had a recent Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 18 inspection from the fire safety officer and the environmental health inspector. The member of staff on duty said that some improvements were due to be made to the home. Bedrooms were furnished and decorated to the residents preference and also had evidence of residents personal belonging in them. The two bathrooms were domestic in character, and provide residents with a choice of bath or shower. All toilets were clean and provided with aids to assist the residents. All radiators in the home were covered. All residents have easy access to a call bell system by means of a neck pendant. The home is clean and free from offensive odours. The member of staff on duty confirmed that in one bedroom the carpet is regularly shampooed. The laundry facilities are situated in a building at the back of the home. The laundry is provided with two washing machines and a tumble dryer, and the floor is impermeable to water. There are policies and procedures in place to prevent the risk of cross infection. The home has a specially manufactured clinical waste bin. The member of staff on duty confirmed that staff are provided with plastic aprons and disposable gloves to use when dealing with personal hygiene tasks and clearing up spillages. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is poor. Staffing levels in the home are not always satisfactory and could place the residents at risk. Staff qualifications need to be improved upon to ensure staff have the basic skills and knowledge to meet the assessed needs of the residents. Staff have not undertaken all mandatory training and this could place residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the key inspection the registered proprietor/manager was on holiday and not expected back till the 31st October 2007. The inspector does have some concerns in that the member of staff (only employed for six months) on duty had sole responsibility for the home from 8:00 to 14:00 hours with a newly recruited member of staff coming on duty 14:00 hours to 20:00 hours (this member of staff had only been in post for two weeks) again this member of staff would be on duty on her own. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 20 A carer confirmed that staff did have someone to contact (a relative of the registered proprietor/manager) should there be an emergency in the home, and all staff would know to call a doctor or ambulance if a resident became ill. Members of staff said, “They did feel that there was a big responsibility on their shoulders.” No ancillary staff are employed in the home. The morning carer helps residents’ to get up, attends to personal hygiene (most residents shower). Cooks breakfast, does the laundry, cleans the home and prepares a light lunch. Afternoon carer, joins in activities with the residents, cooks an evening meal, helps residents to get ready for bed. There is one waking night carer on duty. Only one member of staff has an NVQ qualification, and this does not meet with the NMS requirement that at least 50 of staff must have an NVQ qualification. As mentioned previously with the registered provider/manager being on holiday it was difficult to ascertain what training had been provided, but from staff discussion it appears that not all staff have received mandatory training in First Aid, Food Hygiene, Moving and Handling, Infection Control, Medication or Protection of Vulnerable Adults. Members of staff stated that they had not received all this training. One carer said that Fire Safety training had been arranged for the last week in October 2007. Carers confirmed that they had completed an introductory induction into the home where they were introduced to the residents and shown everything that they need to know about; for example the fire panel and fire fighting equipment and policies and procedures etc. One carer said that she had not done a Skills for Care Induction. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is good. The registered proprietor/manager provides a small family type home, which is comfortable and safe for the residents. Quality assurance systems within the home need to be further developed, to ensure that residents are provided with a high standard of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Carers said that they have a good working relationship with the registered proprietor/manager. The he was fair and knowledgeable in regard to the care Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 22 that the residents living in the home needed. From information gained via the Annual Quality Assurance Assessment, the registered proprietor/manager has a Management Post Graduate Certificate and is currently undertaking NVQ level 4 and RMA training. Evidence was available from within the home and from the Annual Quality Assurance Assessment that residents in the home complete surveys relating to the care they receive. There is also some evidence that the registered proprietor/manager is making progress towards monitoring all systems used in the home. There is no evidence that external stake holders – Doctors, nurses, hairdresser, visiting therapists, optician, chiropodist views are sought as to how they see the quality of care that is delivered in the ho Therefore the quality assurance system in the home needs to be developed further to ensure that residents are provided with the highest standard of care. Residents have their own personal allowances and spend this as they wish, on outings and pub lunches and essential items. One resident said, “My relative gives me money, and I let them know when I need more.” The home does not involve itself in the management of service users finances. Staff training, relating to health and safety issues have been reported on earlier under standard 30. Evidence was available in the Fire Safety file that fire points in the home are checked on a weekly basis. All other checks are carried out routinely. Windows are fitted with window opening restrictors. All policies and procedures relating to health and safety were in place. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15(2)(b) (c) Timescale for action The registered provider/manager 21/12/07 must ensure that care staff in the home review residents’ care plans at least once a month and updated to reflect changing needs and current objectives for health and personal care. The registered persona must ensure that a daily record, monthly weight chart and up to date professional health care visit records are kept within the residents’ care plans. 21/12/07 Requirement 2. OP8 12(1)(a) (b) 17(1)(a) (b)(k) 3. OP9 13(2)(4) 17(1)(a) Sched. 3 (3)(i) 12(2)(3) (4) 21/12/07 1. The registered proprietor/manager must ensure that there are up to date policies and procedures for the receipt, recording, storage, handling, administration and disposal of medicines in line with “The Administration and Control of Medicines in Care Homes”, published by the Royal Pharmaceutical Society and that these DS0000014218.V348158.R01.S.doc Version 5.2 Page 25 Oasis House policies and procedures are followed in practice. 2. The registered proprietor/manager must ensure that all staff receive appropriate training for the administration of medication. 4. OP14 15(1)(2) (a) The registered proprietor/manager must ensure that all information relating to a resident must be kept individually and not collectively to avoid contravening the Data Protection Act 1998 The registered provider/manager must ensure that there are suitably qualified staff on duty at all times to meet with the assessed needs of the residents in the home. The registered proprietor/manager must ensure that at least 50 of care staff are trained to NVQ level 2 in care. The registered proprietor/manager must ensure that all staff completed a programme of mandatory training within the first six months of their employment together with Skills for Care induction. 21/12/07 5. OP27 18(1)(a) 21/12/07 6. OP28 18(1)(c) 04/02/08 7. OP30 12(1)(a) (b) 18 (1)(a)(c) 04/02/08 Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 26 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 OP33 Good Practice Recommendations The quality assurance system in the home is developed further to ensure that all systems in the home are monitored and the views of the home are sought from external stakeholders. Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local 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. Extracts may not be used or reproduced without the express permission of CSCI Oasis House DS0000014218.V348158.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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