Inspection on 17/08/06 for Oldway Heights

This inspection was carried out on 17th August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oldway Heights 16/11/09

Oldway Heights 07/01/08

Oldway Heights 19/10/05

Oldway Heights 20/04/05

Oldway Heights 20/10/04

Oldway Heights 20/04/04

Oldway Heights 15/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOME ADULTS 18-65 Oldway Heights 40 Headland Park Road Paignton Devon TQ3 2EL Lead Inspector Fiona Cartlidge Unannounced Inspection 17th August 2006 11:15 Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 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 Oldway Heights DS0000018405.V301605.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 Adults 18-65. 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. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oldway Heights Address 40 Headland Park Road Paignton Devon TQ3 2EL 01803 527088 01803 664738 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) Mr Barry Michael Privett Mrs Jacqueline Ann Privett Mr Barry Michael Privett Care Home 31 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (31), Old age, not falling within any of places other category (31), Physical disability (31) Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. PD Maximum registered 31 service users (both) MD Maximum registered 31 service users (both) OP Maximum registered 31 service users (both) Date of last inspection 18th October 2005 Brief Description of the Service: Oldway Heights is a large detached two storey building situated in Paignton, Devon, close to local facilities (a short walk away). The home predominantly provides care to younger adults who have physical disabilities and/or mental disorder. The home has also retained its registration to care for the elderly, to allow the elderly clients already at the home to remain there. A maximum of 31 service users of either gender can be resident in the home. The emphasis of the home is to ensure that service users with a disability are able to have a good quality of life and to this end the home has provided a number of aids and adaptations to both support service users care needs and allow them to retain as much independence as possible. Most of the home is serviced by a passenger lift with the exception of 4 bedrooms, which are accessed by a number of stairs all other areas of the home are easily accessible for wheelchair users. The home also offers a day care service. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and 45 minutes and was unannounced. A partial tour of the home took place when some bedrooms and all communal living rooms were viewed. Personal records of care held in the home on behalf of 3 clients and personnel records of 3 members of staff were inspected. The inspector spoke with 12 residents, 2 staff members as well as the recently employed care manager and Registered Provider/manager. Written feedback was received from 4 clients and 7 staff. The homes senior staff had also submitted answers to a pre-inspection questionnaire supplied to them by the Commission. What the service does well: The home has a safe admission procedure, which helps to ensure that residents will make the best of the care and services available at Oldway Heights. One resident told the inspector that they had had the opportunity of an overnight stay before making a decision about their admission, two residents confirmed they had known the home before the time of their permanent admission through the day care and respite services they had already sampled, both said they would not want to have gone anywhere else. Residents know their assessed needs and personal goals are reflected in their individual plan and are encouraged to make decisions about their lives with assistance as needed. Residents are supported to take risks within realistic goals of their care support plan. The home offers a broad range of activities to meet the needs of those living in the home individually and on a group basis. People can make choices about all aspects of their lives and are supported to do so. The food in the home is of good quality with plenty of choice. Residents receive support in the way they prefer; their physical and emotional needs are met and their views are listened to and they feel safe in the home. The staff have the skills and experience to meet the needs of those people resident in the home; records and discussion with staff members confirmed that the management are committed to staff training and recruitment practises are safe. Staffing levels are appropriate to meet the needs of those currently living in this home. The residents were complimentary about the staff team confirming their needs were met 24 hours a day. Comments received from clients included: ‘I am really impressed with the care and support that I am given here at Oldway’, ‘the carers have been there for me on a number of occasions when I needed them’, ‘the staff are really wicked’ (modern slang for brilliant!). The health, Safety and welfare of service users is protected through the homes policies, procedures and practises and the environment is safe, comfortable and homely. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a safe admission procedure, which helps to ensure that residents will make the best of the care and services available at Oldway Heights. EVIDENCE: The inspector looked at records held on behalf of 3 residents and spoke to one of those whose records were seen at some length about how they had chosen to live at this home. The records contained copies of transfer letters from the residents previous care settings and robust assessments performed by staff from the home. One resident told the inspector that they had had the opportunity of an overnight stay before making a decision about their admission, Two residents confirmed they had known the home before the time of their permanent admission through the day care and respite services they had already sampled, both said they would not want to have gone anywhere else. The inspector found that the records seen during the site visit included a contract and individual care support plan based on the care management assessment and care plan and the homes own needs assessment, there was documentary evidence that the residents had agreed the plans for their individual care. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 9 Written feedback received from 4 clients indicated that 3 of them, had received enough information about the home before they moved in to be able to make a decision about it being the right place for the. The inspector read the homes brochure/guide and Statement of Purpose, which had been appropriately reviewed and updated following personnel changes. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their assessed needs and personal goals are reflected in their individual plan. Residents are encouraged to make decisions about their lives with assistance as needed. Residents are supported to take risks within realistic goals of their care support plan. EVIDENCE: The inspector looked at records held on behalf of 3 residents these included an individual care support plan based on the care management assessment and care plan and the homes own needs assessment, there was documentary evidence that the residents had agreed the plans for their individual care and this was confirmed when residents were asked about their plans at the time of the site visit. The plans had been formulated based on information that came from assessment of risks that may be encountered when: going out in the Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 11 community, Mobilising, eating and drinking, being lifted or transferred, attending to personal hygiene, medical needs including medication, nutritional needs, psychological needs, falls assessment and risk of fractures assessment. The care plans provided information about how best needs could be met during the day and at night. The care plans were supportive and enabling, encouraging good practise but not requiring it, there was evidence that the care being planned was risk assessed and that risks had been discussed with the individuals but where the individuals had made an informed choice not to follow advice given, this had been documented and respected. All of those spoken to during the visit and 3 of the 4 residents who provided written feedback indicated that they make decisions about what they do each day. One resident commented that on some days there was high demand on the transport that the home provides, the resident went on to say that they have developed a plan for raising money for another mini-bus. Through discussion with clients and management it is apparent that clients needs are met. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a broad range of activities to meet the needs of those living in the home individually and on a group basis. People can make choices about all aspects of their lives and are supported to do so. The food in the home is of good quality with plenty of choice. EVIDENCE: Conversation with residents confirmed that people are able to join in with a range of activities, 2 told the inspector that they had enjoyed a recent trip to a pub for a social drink, another said how much they enjoyed the swimming classes but did say it was frustrating if the transport broke down when residents were expecting an outing. Residents and staff spoke of the recent summer fete held in the garden to which the local community were invited and a number attended. Residents were seen enjoying past times in their own rooms, one resident has recently finished a book which is to be published about their experience of having a stroke, another was seen painting with Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 13 water colours, one football fan was enjoying an international match on their TV. Others were seen listening to music, reading or socialising in the lounge. On the day of the visit the manager explained that the 2 staff responsible for arranging and providing activities were both on leave so there were limited organised activities for 2 days, the duty rotas bore this information out. One resident was collected by a relative and said they would be back about 11pm after they had been to see a ‘super truck’ show. Residents are enabled and encouraged to join and attend clubs and groups such as Stroke club and SCOPE other activities in the community include trips out, bowling, cinema and theatre. One room has been developed for relaxation therapy and contains a large ball pool. Residents are able to choose where, how and with whom they spend their time. Locks are in place on the doors to personal accommodation for those who have chosen to have them and ‘do not disturb’ notices were seen to be available. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive support in the way they prefer; their physical and emotional needs are met. EVIDENCE: The residents spoken to by the inspector confirmed that the staff provide personal care in a sensitive manner maximising their privacy, dignity and independence. The inspector noted that where personal care was being provided this was done so behind closed doors. Each resident has a key worker. Residents looked well cared for and told the inspector they chose what they wear and how they look. Records confirmed that professionals including physiotherapists visit the home to provide individual advice and support on issues such as positioning or modification of equipment. The documents held on behalf of the residents included a record of professional visits those seen included visits from GP’s, district nurses, physiotherapists, speech therapists and chiropodists there was also documentary evidence that residents are enabled to attend appointments in the hospital and community settings. There was evidence that healthcare is monitored through at least monthly assessment of blood pressure, pulse and weight and records showed this was more frequent if needed. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 15 The inspector examined the systems for ordering, storing recording administering and returning medication. Records are kept of all medication entering and leaving the home, there were a few gaps in the administration records and where medication had been prescribed as 1-2 tablets the staff had not indicated how many had actually been administered. There was no controlled medication in the home at the time of the inspection but records in the controlled drug register suggested there was on discussion it was agreed that the medication had been returned to the resident at the time of their discharge but this had not been appropriately recorded. Recorded risk assessments confirmed that residents are able to maintain their own medication if requested in line with the homes policies and procedures all care staff have attended basic training on medication management provided by Boots the chemist and those responsible for administering medication have completed a safe handling of medication course as part of obtaining their level 3 National Vocational Qualification (NVQ) in Care. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents views are listened to and they feel safe in the home. EVIDENCE: Residents told the inspector they feel safe living at Oldway Heights and would feel happy discussing any concerns or issues with staff in the home. The complaints procedure is clear and was found displayed on the notice board in the entrance hall in the guide and Statement of Purpose. Of the 4 residents who returned surveys to The Commission All indicated they know who to speak to if they are not happy and know how to make a complaint. A ‘suggestions’ box has been introduced and one resident commented that they have the opportunity of meeting with the manager at least twice a week but said they felt they could tell any of the staff or their key worker at any time if they had a concern. Training records indicated that the staff have had training on the protection of vulnerable adults including recognition of and reporting of allegations or signs of abuse or negligence. The home has a Whistle blowing policy and this was seen to be made available to staff at induction with a copy maintained in their personnel file. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe, comfortable and homely. EVIDENCE: The inspector performed a partial tour of the home, not every bedroom was seen, but those that were looked homely and there was evidence that residents have been able to bring personal belongings with them in to the home. The bedrooms were fitted out to meet individual needs with some rooms having adjustable beds, pressure relieving and moving and handling equipment and adaptations to promote independence. Those residents spoken to about their private environment told the inspector they like the décor in their own rooms. The furniture, furnishings and equipment in communal rooms appeared to be in good order. Where service users want a key to their room they are provided with one, one resident said they were disappointed that they could only lock their door from the outside which was useful for security purposes if they were leaving the building but that they had no privacy because they could not lock their door Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 18 when they were inside their room, the inspector examined this persons personal records and although a number of risk assessments had been documented none related to this matter. The inspector noted that a room used as a sluice and store for cleaning materials had also been fitted with a lock for staff use only. A passenger lift provides access to less mobile residents between 2 floors; one floor which has recently been converted for use as 4 single bedrooms (3 with en suite facility) are accessed by a number of stairs and so these are only suitable for use by physically mobile residents. At the time of the last inspection the passenger lift was reported to have been breaking down and getting stuck, when asked staff said this had improved over recent months and service records evidenced that the lift is serviced every 12 weeks. The environment was found to be clean and odour free and wash hand facilities and disposable gloves with notices displayed ‘for use when handling or coming into contact with body fluids were seen through out the home. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The records and discussion with staff members confirmed that the management are committed to staff training. Recruitment practises are safe. The staffing levels are appropriate to meet the needs of those living in this home. EVIDENCE: The inspector looked at four Personnel files, the records showed a commitment to safe recruitment practises, files contained detailed application forms, 2 written references, Criminal Record Bureaux checks, induction records, supervision and training and development records, main terms and conditions of employment, interview notes and whistle blowing policies. Records of training provided evidence that mandatory training includes protection of vulnerable adults, care of the skin, falls, communication, malnutrition awareness, first aid manual handling, fire safety, diabetes, Parkinson’s, challenging behaviours, infection control, food hygiene, medicines management, mental health and equal opportunities. Staff spoken to on the day of the site visit confirmed they received sufficient training to enable them to meet the needs of those living in the home. All seven staff that completed and returned surveys to the Commission confirmed that the home provides enough support for them to do their job Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 20 well. 6 of the 7 indicated that they are aware of child and adult protection procedures. Information provided in the pre-inspection questionnaire suggests that 8 care staff (25 ) have obtained a National Vocational Qualification (NVQ) in care at level 2 or above. The residents were complimentary about the staff team confirming their needs were met 24 hours a day. Comments received from clients included: ‘I am really impressed with the care and support that I am given here at Oldway’, ‘the carers have been there for me on a number of occasions when I needed them’, ‘the staff are really wicked’ (modern slang for brilliant!). Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run, but the current registered manager does not have the recommended qualifications to manage this service. Residents views underpin self- monitoring, review and development in this home. The health, Safety and welfare of service users is protected. EVIDENCE: The registered provider is also currently the registered manager of the home, the Commission expects the registered manager to have obtained a National Vocational Qualification at level 4 (or equivalent) in Care and Management and the current manager does not have either qualification. The registered manager is supported by a care manager who has been in post for Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 22 approximately 3 months records and discussion shows this person does have the qualifications indicated above. There are clear lines of accountability and the management team has specific responsibilities which staff and residents are aware of. The homes quality assurance processes are based on continual evaluation, careful staff selection and training, an open policy on feedback and complaints, regular meetings between management and residents and staff, quality surveys at least annually and other surveys when indicated -the inspector read the feedback from residents to a recent menu survey and noted suggestions, the care manager told the inspector that this information would be used to inform future menu planning and when collated will be put on the agenda of the next residents meeting. The inspector examined the minutes of recently held meetings between the staff and management teams but no resident meetings had been held in the 3 - month period leading up to this inspection. A suggestions box has been introduced and was seen visible in the main ground floor hallway out side the lounge and dining rooms. All of the records seen during the inspection were up to date and in good order and residents are aware that they can have access to their personal records and that records held on behalf of them are confidential and secure. The inspector looked at the records of money held within the home on behalf of residents all income and expenditure had been recorded and the balances of 2 residents were randomly checked and found to be correct the money and records are securely held; it was advised that all transactions be witnessed and signed by 2 signatories and that the records and balances be regularly audited by the Registered person. The fire precautions logbook indicates that the fire alarm is tested weekly and emergency lights monthly. Records and discussion confirmed that the staff have regular training in fire safety and regular drills are performed. Information about maintenance and associated records provided to the commission by the provider indicates that gas and central heating systems are checked and serviced by suitably qualified contractors. Oldway Heights DS0000018405.V301605.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 Adults 18-65 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 24 yes Are there any outstanding requirements from the last inspection? 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 YA37 Regulation 9 Requirement The Registered Manager must have a National Vocational qualification in both management and care extended from - the end of 2005 Timescale for action 31/12/06 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 YA20 Good Practice Recommendations To ensure accurate review of medication efficacy, administration records should describe accurately the medication that has or has not been administered and its actual quantity. Controlled medication stock should be accurately recorded in the register. Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oldway Heights DS0000018405.V301605.R01.S.doc Version 5.2 Page 26 - 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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