Inspection on 06/06/06 for Omega Oak Barn

This inspection was carried out on 6th June 2006.

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

Omega Oak Barn 31/05/07

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Omega Oak Barn High Lane Beadlam York North Yorkshire YO62 7SY Lead Inspector David Blackburn Key Unannounced Inspection 09:00 6th & 7th June 2006 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 Omega Oak Barn DS0000066075.V295997.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. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Omega Oak Barn Address High Lane Beadlam York North Yorkshire YO62 7SY 01439 771254 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 Timothy John Bower Mrs Susan Katharine Bower ***Vacant*** Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection New service. Brief Description of the Service: Omega Oak Barn is an adapted building with a single storey purpose-built extension opened as a care home in 1986. It has gardens to all sides. The main entrance doors give level access. It is situated in the village of Beadlam. Public transport passes the end of the lane and gives access to the nearby towns of Helmsley and Pickering. The original building was on two levels but with all bedrooms, communal areas and services on the ground floor. The upper floor provides office and staff accommodation. A number of bedrooms have en-suite facilities. Sufficient communal facilities are available. Residents are admitted on the basis of their need for personal care by reason of age, fraility, loneliness or social isolation. Staff offer personal care, a catering service, an in-house laundry and a domestic and cleaning service. Nursing care is not provided. In the short term any nursing needs can be met by the district nursing service. Staff cover is maintained throughout any 24 hour period. There is a range of in-house recreational activities, external activities in the large gardens and access to facilities and amenities further afield through use of privately hired unmarked mini-buses. Each resident is registered with a general medical practitioner who addresses their primary health care needs and can access the more specialised health services as required. A Statement of Purpose and Service User Guide are available in the home. Copies are on display in the entrance hall. A copy of this report will be included when published. The fee level advised at the time of inspection was from £317 to £350 per week depending on assessed needs. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection upon which this report is based was the first to be carried out in the inspection year 2006 to 2007. This was also the first inspection following the purchase of the home and business by the present registered providers. The site visit was carried out over two days with a total time at the home of 13 hours. This was complemented by a number of hours preparation time off site. The focus of the inspection was on the key standards. A number of bedrooms, communal areas and services, for example the laundry facilities were inspected. An examination was made of some service users’ care records, the home’s policies and procedures and other documents, for example staff records. Discussions were held with a number of service users, relatives, visiting health care and other professionals, all in confidence. Care managers, general medical practitioners and some relatives had been contacted for their views prior to the site visit. The comments and observations made are included within the relevant sections of this report. Discussions were also undertaken with the registered providers, the acting manager and a number of staff including care staff and the cook. What the service does well: Service users were happy and well cared for. One service user said “I couldn’t be in a better place.” Another commented “I’m quite happy here. I have everything I need.” A relative said “Omega Oak Barn is in my mind an excellent home in the true sense of the word “home”. A social care professional stated “I have visited since the new owners took over and have been impressed by the changes already made.” The Statement of Purpose and Service User Guide gave service users and prospective service users details of the care, services and facilities provided in the home enabling an informed decision to be made about admission. The assessment procedures gave service users an assurance their general needs, choices and preferences would be understood and recorded prior to admission. A service user said “They understand what I need and when.” The care planning system was being reviewed and revised to ensure that staff were adequately provided with the information needed to satisfactorily meet service users’ needs. Service users’ health needs, including medication, were well met with good evidence seen of multi-disciplinary working. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 6 Personal support was offered in a manner that protected and maintained service users’ privacy and dignity. A visitor said “It was a relief to me to know that staff quickly referred my relative to the doctor and dentist when they were concerned about her health.” A service user said “The girls always treat me well. They are so patient and kind.” The opportunities for social activities and interaction inside and outside the home had improved increasing and enhancing the life experiences of service users. A visitor said “The activities have improved and my relative likes to join in.” A service user felt the regular exercise classes were of benefit. There was a regular stream of visitors to the home on both site visit days giving service users the opportunity for further social interaction. Visitors were always welcomed. A relative said “The staff always welcome us with a cup of tea, piece of cake and a friendly smile.” The meals in the home were good offering service users both choice and variety and catering for special dietary needs. Numerous comments were received from service users and visitors about the good standard of the catering service. Service users had access to a robust and effective complaints procedure in which they could have confidence, together with procedures designed to protect them from harm. None of the service users or relatives spoken with expressed any serious concerns. All were confident that any worries they might have would be addressed and resolved by the acting manager or registered providers. Service users were provided with a comfortable, safe and well-managed home in which to live. Visitors commented that the home was always clean and tidy and never had unpleasant smells. A resident said “It’s always nice and clean.” Service users were cared for by a competent and well-motivated staff team. Comments from service users and visitors paid a number of compliments to the acting manager and staff for the way in which care was given. A relative said “The home is very well run and has a happy and relaxed atmosphere.” What has improved since the last inspection? Information about the care, services and facilities provided and the complaints procedure had been widened to give service users and prospective services the information needed to make an informed choice about admission. A number of other issues were being examined to see what improvements if any could be made. These included assessment procedures, care planning, activities and the catering service. Improvements in these areas would further enhance the choices already enjoyed by service users. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 7 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. Omega Oak Barn DS0000066075.V295997.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 Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users had the information available to make an informed decision about admission to the home. EVIDENCE: The Statement of Purpose and Service User Guide had been updated. They were on display and freely available. Assessments were carried out and initial care plans drawn up prior to any admission. An assessment carried out by the acting manager was seen on the case files of those recently admitted. The acting manager undertook a visit to the prospective service user in their present location for example own home or hospital. Trial stays in the home could be arranged. Advice was given about the review and revision, where necessary, of the assessment form to more clearly show a prospective service user’s needs to ensure they could be fully understood by staff. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 10 A visitor confirmed the thoroughness of the assessment procedure and identification of need. She said “The needs of my relative had been given consideration in so much as she was soon given an en-suite room close to the lounge. She had difficulty in not only remembering where her room was but also the communal toilet. Since the move her confidence has been restored and she is much more settled.” A visiting health care professional said “I feel service users are better assessed and their needs better known before admission. There is more discrimination as to who can and cannot be cared for. I feel confident staff can then meet those needs.” Intermediate care was not offered in the home. Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users’ personal and health care needs were well met with good evidence of multi-disciplinary working taking place. EVIDENCE: A new care plan format was being introduced. This was presently in use for recently admitted service users. The acting manager said all service users’ care plans would be updated using the new format. New case files were being introduced that would ensure ease of use and better retrieval of information. Methods of daily recording of events and occurrences as they affected the individual service user were also under review. The acting manager was confident the introduction of new case files and care plans would better provide staff with the information needed to meet service users’ assessed needs. She also felt the new daily recording methods being considered would more accurately reflect the care and attention being given to service users on a dayby-day basis. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 12 Good attention was paid to service users’ health needs. Records of clinical visits by general medical practitioners and district nurses were recorded. The new revised care plans showed any particular health or personal care needs and the actions to be taken to meet those needs. Evidence was seen through the examination of some care plans and by observation on the two days of the site visit of the good liaison between staff in the home and visiting health care professionals. The two groups of staff enjoyed a good working relationship that could only benefit the service users. A visiting health care professional said “Staff are quick to alert us and the referrals are always relevant. They act quickly and appropriately on any advice we give.” None of the comment cards received from health care professionals raised any issues about the care offered to service users. A relative said “As they make arrangements for the optician and the chiropodist to visit I know she is well cared for.” Observation of one medication round showed the home’s agreed policies, procedures and practices in relation to medicines were being strictly followed and satisfied. One service user said “Staff are very helpful when it comes to my medication. I tend to forget but they don’t.” Service users, relatives and visiting professionals continued to express satisfaction about the quality of the care received. Service users made a number of complimentary comments including “I’m well looked after, I’ve no complaints” and “They look after me properly, I cannot grumble about anything.” Relatives expressed similar sentiments. “The staff are most caring. My relative’s quality of life has improved no end” and “ The care and attention paid to my relative is excellent.” Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users experienced the lifestyle they wanted or chose. EVIDENCE: The range of social and leisure time activities had been widened and improved. Outside activity organisers were employed for a number of weekly sessions generally offering activities on a communal basis, for example physical exercises. The staff supplemented these activities with a variety of other pastimes done on a communal or individual basis. Observation showed service users enjoying a number of these activities. Notices displayed, discussion with one of the activity organisers and service users confirmed activities took place on a regular basis communally and individually. Service users received unrestricted visitors. They were enabled to use local facilities and amenities and outdoor activities were regularly organised. Good use was made of the grounds to the home provided with chairs, tables and a sun house. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 14 Service users said they were free to use their rooms at anytime and to organise their day as they wished. One service user said “I get up and go to bed when I want and can chose whether to join the activities. Some I do, some I don’t.” A relative said “Mum has freedom and privacy as needed.” Although there was no published menu choice, alternatives were offered and were seen at the lunchtime meals on both site visit days. Observation and discussion with the cook showed that services users’ particular likes, dislikes and preferences were well known and were being acted upon. Care was taken to provide specialist diets, for example vegetarian and diabetic. Those care plans seen noted any particular ethnic, cultural or religious needs with regard to food. Following discussions with service users the main meal of the day had been moved back to lunchtime and a plated service replaced a staff service. Service users felt they got their meals quicker and hotter through the plated service. A dedicated cook had been appointed. Service users were very complimentary about the catering service provided in the home. “The food is very good, plentiful and nice. They know what I like and what I don’t like. I cannot grumble” and “They’re very good meals here. Visitors made similar comments “Excellent food” and “My relative was losing weight but that has now been reversed.” Omega Oak Barn DS0000066075.V295997.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users were protected from abuse and had confidence their concerns would be listened to and acted upon. EVIDENCE: An updated complaints procedure was included in the Statement of Purpose and Service Users’ Guide. A copy was on display in the entrance hall. The procedure gave the necessary information to ensure complaints would be dealt with appropriately. None had been received or recorded since the new providers had taken over. Advice was given about the recording of concerns and complaints and about the Commission for Social Care Inspection’s role in the investigation of complaints and allegations. Service users and relatives expressed the confidence they could raise issues with the registered providers, acting manager and her staff. Relatives said “ If I was concerned about anything I would mention it to staff.” Service users confirmed they had no concerns but all felt sure that if they had any worries they would be dealt with quickly and properly. A copy of the updated multi-agency agreement on the protection of vulnerable adults was available in the home together with other relevant documents. A member of staff undertaking a National Vocational Qualification in care said that protection of vulnerable adults was one of the mandatory units that had to be undertaken. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 16 Staff spoken with appeared confident in the actions to be taken in cases of alleged or suspected abuse. A recent incident in which staff had used the whistle blowing procedure had been competently and properly handled by the registered providers. Proper support had been offered to the whistle blower, the matter fully investigated and action taken. The home’s recruitment procedure had been improved to ensure the protection of service users through the obtaining of written references and enhanced disclosures from the Criminal Records Bureau. Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users lived in a pleasant, homely and safe environment. EVIDENCE: An initial tour of the premises together with visits to a number of bedrooms over the two days confirmed the home was clean, tidy and odour free. Communal areas were light, airy and furnished in a domestic style. Bedrooms were for single occupancy and gave good space for freedom of movement. All were personalised according to the wishes of the occupant. Some bedrooms had an en-suite facility. There were also sufficient communal toilets and bathrooms. The appropriate and necessary aids to ensure service users could make full use of facilities and equipment to assist with moving and lifting were provided as necessary. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 18 Service users were happy with their rooms and with the domestic services provided. Relatives made a number of positive comments about the premises. “The building is always warm and clean. It never smells.” and “It’s a very nice place, always clean and well looked after.” A visiting health care professional said “I feel there has been an improvement in the physical standards in the home.” The registered providers said they were seeking to appoint dedicated domestic staff and were presently advertising the posts. There was a small laundry together with an ironing room. Proper attention was given to infection control and the elimination of cross contamination. In discussion with staff it was evident good procedures were in place for the laundering, ironing and return of bedding, linen, towels and personal clothing. Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Staff morale was good resulting in an enthusiastic team that worked positively with service users to improve their quality of life. EVIDENCE: Service users’ needs were being met by the numbers and skill mix of the staff group. Male and female staff were employed, of different ages and backgrounds, but each said to bring particular knowledge and skills into the home. Some vacancies existed though these were appointments to be made as additions to the present staff group, for example domestic assistants. The rota showed staff deployed throughout the 24 hour period. Two waking night staff were now on duty. None of the present staff team had secured a National Vocational Qualification in care. Two staff were nearing completion of their work towards this award to level 2. One confirmed she had only a small number of units left to complete. Other staff were said to be keen to commence work for this award. The registered providers were aware of the need for at least 50 of their care staff to have achieved the award at any one time. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 20 The files of staff recently appointed were examined. Recruitment procedures were being reviewed and revised in line with current requirements. A new application form was in use. Advice was given about the format of any application form to ensure it fully showed a prospective employee’s past employment history. On the files seen two written references were available together with enhanced disclosures from the Criminal Records Bureau. The registered providers were aware of POVA/First procedures and had used them for one employee. All newly appointed staff undertook an in-house induction programme conducted by the acting manager. The registered providers were in the process of introducing a new induction-training programme based on standards set by the Skills for Care organisation. The relevant documentation and recent updates were seen. The registered providers and acting manager were carrying out an audit of staff training already undertaken and of outstanding needs. When completed, training would be offered to increase or supplement staff skills and knowledge. Some staff were undertaking a course in the “Safe Handling of Medicines”; all had updated their manual handling training; and were booked on fire safety and first aid refresher courses. Service users, relatives and visiting professionals expressed praise for the care received. Service users said “ Staff are very good. All of them” and “Staff are lovely, I couldn’t want for better.” Relatives commented “Staff are so pleasant and caring” and “The staff are fantastic. They’re excellent, so helpful. We always feel welcome.” Omega Oak Barn DS0000066075.V295997.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users lived in a well-managed home. EVIDENCE: There was no registered manager in place. The acting manager provided care and some management leadership. She worked closely with the registered providers who undertook all other aspects of management including day-today practical tasks associated with the running of a care home. Current regulations require a registered manager to be appointed. This matter is under discussion between the registered providers and the Commission for Social Care Inspection. Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 22 Comments from visiting professionals and relatives described the acting manager as “conscientious and caring” and “very helpful when I needed advice.” One relative said “The home was always nice but I feel that the new owners and manager have brought a fresh approach and the home has benefited accordingly.” A quality assurance policy was detailed in the information given on the home. A series of quality statements had been made together with the actions to be taken to achieve those standards. These were supported by statements on Residents’ Rights and the overall Aims and Objectives of the home. The registered providers had been talking with services users, relatives and visitors. A number of changes had been made in response to their comments, for example the timing of the main meal, the additional activities and the appointment of additional staff. Residents’ meetings were to start. The registered providers were proposing to send out a general questionnaire as the next step in obtaining views on the overall service offered in the home. Some money was held for service users. Arrangements have recently been put in place for money to be deposited by service users for safekeeping. The registered providers are aware of the need to regularly reconcile the record and actual money held to ensure accuracy at all times. Proper attention was being given to overall health and safety of service users, staff and the premises. No hazards were seen or brought to the inspector’s attention on either days of the site visit. Staff confirmed the appropriate equipment and protective clothing were provided. A number of safety certificates and reports related to the premises were examined and found to be relevant and in date. The registered providers had requested and received a fire safety report on the premises. This report listed a number of recommendations that the registered providers were addressing. Advice was given about the need to ensure all recommendations of the Fire Safety Officer were addressed and resolved to maintain the continued safety and welfare of all service users, staff and visitors. Omega Oak Barn DS0000066075.V295997.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Omega Oak Barn DS0000066075.V295997.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 OP31 Regulation 8(1) Requirement The home must have a registered manager. Timescale for action 01/09/06 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 2 3 4 5 Refer to Standard OP3 OP28 Good Practice Recommendations The pre-admission assessment form should continue to be reviewed and revised as necessary to clearly detail a prospective service user’s needs. The employment application form should continue to be reviewed and revised as necessary to clearly show a prospective employee’s past employment history. The registered providers should ensure at least 50 of the care staff have achieved a National Vocational Qualification in care to at least level 2. The record of money received on behalf of a service user for safekeeping should be regularly reconciled. The recommendations of the Fire Safety Officer should continue to be addressed and resolved. OP29 OP35 OP38 Omega Oak Barn DS0000066075.V295997.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Omega Oak Barn DS0000066075.V295997.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!