Inspection on 30/10/08 for Oxford House Nursing Home

This inspection was carried out on 30th October 2008.

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

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

Oxford House Nursing Home 21/05/09

Oxford House Nursing Home 02/06/08

Oxford House Nursing Home 21/02/07

Oxford House Nursing Home 01/02/06

Oxford House Nursing Home 31/08/05

Oxford House Nursing Home 24/01/05

Oxford House Nursing Home 04/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 09/02/2009.

CARE HOMES FOR OLDER PEOPLE Oxford House Nursing Home 204 Stoke Road Slough Berkshire SL2 5AY Lead Inspector Julie Willis Unannounced Inspection 30th October 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oxford House Nursing Home DS0000011008.V373163.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. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oxford House Nursing Home Address 204 Stoke Road Slough Berkshire SL2 5AY 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) 01753 536842 01753 539262 info@oxfordhousenursinghome.co.uk Mr Edward Millar Johnston Mrs Abina Teresa Johnston Angela Cole Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2008 Brief Description of the Service: Oxford House Nursing Home was opened in 1980 and is owned by independent proprietors Mr and Mrs Johnston. It has the facilities for 34 service users (OP) who require Nursing and Care needs and is situated in a quiet residential close on the northern outskirts of Slough. The home offers views over adjoining school playing fields and residential properties. The establishment was originally an Edwardian family home and has many original features and décor. The fees for this service range from £513 to £618.63 per week. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 9:45 am and was in the service for five and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection including detailed reports from the monitoring visits carried out by the Local Authority and information contained within the minutes of safeguarding meetings. The inspector toured the building, examined records and met all of the residents and two relatives that were visiting at the time of the inspection. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service has a good awareness and understanding of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age, gender, sexuality, disability and belief. The inspector gave feedback about her findings to the homes Manager at the end of inspection. The Commission has received no information concerning complaints since the last inspection. This is a one star adequate service. What the service does well: Oxford House is a clean, spacious and comfortable home, which is attractively decorated and furnished throughout to provide residents with a homely place to live. The gardens are attractively landscaped and have pleasant seating areas for residents to enjoy during clement weather. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 6 The home has a committed and stable staff team and many of the workers have remained at the home for a long time. There are good ratios of staff to residents and staff are generally thought of as “responsive, kind, caring and well trained”. Staff know the needs of the residents well and provide quality care and support. The food is good and the Chef can cater for special diets. Residents say that the food provided is “plentiful, tasty and well cooked”. This is a family run home where management react quickly to the views, concerns and comments of the residents and their relatives. Formal complaints are rare, as residents feel able to approach the management openly on daily basis. The activity programme is varied and interesting and includes exercises to music, quizzes, board games, a film club, sing-a-longs and outside entertainments. What has improved since the last inspection? What they could do better: It is essential that medication be given as prescribed by a doctor. All bottles and packets with a short shelf life when opened should be dated when opened and discarded appropriately after 28 days or as stated on the box or packet. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oxford House Nursing Home DS0000011008.V373163.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 Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 & 3 Quality in this outcome area is good. Prospective residents are fully assessed prior to their admission to ensure their needs will be met effectively by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides a Statement of Purpose and Service User Guide that are specific to the home. They clearly set out the aims, objectives and philosophy of the home. The information is clearly written in plain English and both documents provide sufficient information to enable prospective residents to know what is on offer and to choose a home that will be able to effectively meet their needs. They give details of what a resident can expect of the service and they give a clear account of the specialist services provided. Both documents were reviewed and updated in September 2008. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 10 Since the previous inspection there have been improvements made to the admission process. It is clear from examination of pre-admission documentation and discussion with staff and residents that people are only admitted to the home if the service is confident staff have the skills, knowledge and ability to meet their assessed needs. All prospective residents are fully assessed by qualified nursing staff prior to their admission. The assessment usually takes place in hospital where the homes staff are provided with access to medical notes and nursing care plans which provide further information about the particular needs of the individual. The documentation for five residents was examined during inspection and these residents were case tracked from pre-admission to date. From discussion with staff, management and residents it is evident that significant planning is undertaken at the pre-admission stage to ensure that the residents transition to the home goes smoothly. This includes ensuring that the home has in place any specialist equipment needed by the individual during their stay. Examination of the records evidenced that information about the resident’s health and personal care needs were sought prior to admission. Clinical tools were being used to assess the resident’s nutritional needs, communication needs and level of mobility. Manual handling risk assessments and ‘safe systems of work’ had been devised to reduce the likelihood of injury to residents and to staff. Clinical tools were being used routinely to assess the resident’s risk of falls, continence needs and mental state. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Deficiencies in the system for the storage and administration of medicines continue to put people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of five peoples care plans evidenced significant improvements in the way that care is being delivered at the home. All residents have a newly formulated care plan that is wholly person-centred which has been developed with the involvement of the resident, their family and staff involved in their care. Records indicate that the staff team are adhering robustly to the guidelines in care plans, which are detailed, holistic and consider all aspects of a person’s lifestyle including their health and social care needs. There was evidence that care plans are regularly reviewed and updated and any changes to the plan are discussed and agreed with the resident and their family. All risks to residents are fully assessed using a range of clinical tools and effective guidelines and equipment are in place to reduce the likelihood of occurrence. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 12 All care given is effectively documented in the daily records and examination of the content fully validated the care plans. Observation of practice demonstrated that care was being provided in a manner, which maintained the residents right to dignity, privacy, independence and choice. The home has a diverse multi-cultural staff group. Where there are cultural issues identified within the care plans of individual residents these are discussed within team and handover meetings. One Asian residents care plan has been translated into Hindi to enable the resident to read and understand it. There are plans to reproduce other documents such as the Service User Guide in other formats and languages to aid understanding. Additionally arrangements have been made for members of the local Hindu Temple to visit one of the residents and a member of staff has been identified to support the resident to attend the local Temple on a regular basis. A large proportion of the staff have received training in equality and diversity through the homes induction process and through NVQ training. It is clear that they are able to translate this learning into practice in order to benefit the residents of the home and this was observed throughout this inspection. Since the last inspection a consultant from the Primary Care Trust has clinically assessed all residents and recommendations made in their report have been fully implemented by the home. Tissue viability specialists have also seen people with pressure ulcers and their recommendations have been followed. Residents confirmed that they are provided with access to health and social care professionals for advice and support as necessary. They regularly see the GP and are referred to hospital when necessary for further advice, support and treatment. Routine screening and preventative treatments are provided to all residents of the home. A Commission pharmacist inspector undertook a detailed assessment of the handling of medicines on 28th July 2008. This showed that at that time people did not always get their medicines as prescribed and that this could have put people’s health and welfare at unnecessary risk. Controlled Drugs were not being stored in a Controlled Drugs cupboard that met the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973. As a result 2 requirements were made to rectify these failings. A Commission pharmacist assessed the handling of medicines as part of this key inspection. They looked at medicine records, storage and policies and procedures. Discussion took place throughout the visit with the nurse on duty and the manager. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 13 There was evidence from the records and medicine supplies that on the whole people get their medicines as prescribed by their doctor. Adequate supplies of medicines were available in the home and of those people whose records were checked, no one had run out of medicines in the last 2 months. One person had not been given their medicines at lunchtime as they had gone out for lunch. No arrangements had been made for these medicines to be given before they went out, on their return to the home or for them to be given to the resident to take with them. When medication supplies were examined we saw that medicines with a short shelf life once they were opened, such as eye drops and insulin, were not being dated when they were opened. This means that we could not be sure that these medicines are still fit for use. One medicine in the drug trolley was past its manufacturer’s expiry date and was thus not fit for use. Clear records were kept of medicines given to people, including when any nutritional supplements were given. If medicines were not given the reason why was recorded. All medicines were stored securely for the protection of the people who use the service. In addition all Controlled Drugs were now being stored in a cupboard that complied with the law. Additionally, records were kept of the usage of Controlled Drugs so as to readily detect any losses, should they occur. Stock checks of Controlled Drugs are made on a regular basis by the staff. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15 Quality in this outcome area is good. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was clear that resident’s capacity to join in with activities varies according to their particular needs, however support and one-to-one assistance is offered on a routine basis. Residents that are bedfast are offered one-to-one manicures, hand massage and can be chatted or read to. Efforts are made to engage with all of the residents on a daily basis. Residents may have visitors at any time and relatives confirm that they are always made welcome and are offered appropriate hospitality during their Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 15 visits. The routines at the home are flexible and are designed to offer residents choice and autonomy. Residents can rise and retire at a time of their choosing. They can choose whether to be alone or in company and may access the whole of the home and gardens. Policies, procedures and practice guidance at the home focus on residents being empowered to take control over their own lives. Residents regard the food they are given as one of the most important factors in determining their quality of life. Comments made to the inspector included “Yes the food is very nice, I’ve no complaints”. Another resident said, “There is always too much for me, I’ve no real appetite, but what I have I enjoy” and “The food is good here”. There is a choice of two main meals at lunchtime. On the day of inspection there was a choice of chicken pasta or sausages in Yorkshire pudding with fresh seasonal vegetables followed by jelly & custard or rice pudding. A range of other options are available daily including omelettes, baked potato with fillings or soup & sandwiches. Meals were either served in the conservatory where tables were attractively set with vases of flowers, cutlery and linens or alternatively they were served from cantilever tables in the lounge. A range of appropriate condiments was available in each area. New crockery and cutlery have been purchased since the last inspection, including a range of adapted cutlery, non-slip mats and plate-guards. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by well-trained and competent staff that can demonstrate knowledge of the homes safeguarding adults and whistle-blowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Standard and Regulation. Residents and relatives are provided with information on how to make a complaint to the home and the formal stages in procedures. Examination of the complaint records indicated that there have been 2 complaints made to the home since the last inspection. The details of the complaints were well documented and indicated that an investigation had taken place and an outcome had been provided to the complainant. There has been no information about complaints reported to the CSCI about the home since the last inspection. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 17 There was evidence in staff files and from discussion with staff, that they receive training in ‘Safeguarding Adults’ as part of their formal induction to the home which is later consolidated when undertaking NVQ training in which it forms a core module. Observation of care practice concluded that staff were patient and understanding when dealing with residents and appeared mindful of the need to respect their privacy at all times. Staff spoken to by the inspector were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. The residents confirmed that they felt safe and well cared for by “kind and caring staff”. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19 & 26 Quality in this outcome area good. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents of Oxford House were complimentary about the quality of décor and furnishings in the home. They said that the home was always clean, comfortable and hygienic. They said that they had noticed that the whole house is vacuumed, polished and dusted on a daily basis and is safe and well maintained. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 19 Communal areas are attractively furnished and are decorated in a homely manor. Large conservatory windows overlook the gardens and residents say that they particularly like to spend time in this area, which is used for activities and as a dining room. All bedrooms are personalised to the resident’s particular taste. Residents confirmed that they were able to bring with them small items of furniture and pictures and ornaments to personalise their own rooms. There is a choice of bathing and showering facilities both assisted and unassisted and there are sufficient toilets placed strategically around the home to meet the needs of residents. All bathrooms, toilets and sluices have a supply of liquid soap and hand towels to maintain satisfactory infection control standards. The home has a range of aids and equipment available to maintain residents independence and to promote safe care. Profiling beds are available for residents that need them and specialist mattresses are used to promote tissue viability. Residents said, “The home is beautifully kept”. One resident said that they “Thought there could be nowhere better” and “That the home is kept very clean and tidy”. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29, 30 Quality in this outcome area is good. There were sufficient staff on duty at the time of inspection to meet the needs of users effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of three staff files evidenced that the selection and recruitment procedures at this home have improved since the last inspection. All necessary checks are carried out to ensure the safety and protection of residents. Records were well kept and met the required standard. All prospective staff are interviewed by members of the management team to decide on their suitability to work at the home. Successful candidates are provided with job offer letters and contracts of employment. Nurse’s qualifications are fully checked to ensure that they are competent and qualified to carry out the tasks associated with their job role. All newly employed staff are CRB (Criminal Records Bureau) checked before they start work at the home. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 21 There was evidence that nursing and care staff have been properly inducted by management and have received training in core skills such as fire safety, first aid, manual handling, food hygiene, health & safety and infection control. All staff have received training in safeguarding adults as part of their formal induction and as a core module in NVQ training. The staff team are well motivated and care staff have either achieved or are working towards a National Vocational Qualification at level 2. There is a need however, to ensure that all staff including nurses, carers and ancillary staff are provided with regular refresher training in core skills to keep their knowledge up-to-date. The inspector spoke to staff on duty, observed care practice and observed the staff handover. Staff in general felt supported by management and said that they have the opportunity to express their views in regular team meetings, staff handovers and in formal supervision sessions. It was clear that those staff spoken with had a clear understanding of how their individual role benefits the work of the team and a thorough knowledge of the key values that underpin their work with residents. Residents were highly complimentary about the staff and management. They said that staff were “friendly and kind” and “the staff are so kind here, I’ve no complaints they look after me well”. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 38 Quality in this outcome area is good. The resident’s benefit from living in a well managed home, where there is evidence that there health, welfare and safety is of primary importance. The registered person is qualified and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This is a home that residents say, “has a pleasant family atmosphere”. The Proprietors visit the home regularly and carry out a regular audit of services. A Regulation 26 report is written each month, which elicits the views of residents Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 23 and other visitors to the home and measures the homes achievements and outcomes since the previous visit. Management meetings are held weekly and have been used to closely monitor the homes progress towards the goals identified in its current action plan. Residents and their relatives are highly complimentary about the qualities of the staff and management. They confirm that the home operates an ‘open door’ policy and that there is always someone available to deal with their enquiries. They say that management are “courteous”, “kind” and “approachable”. Residents confirm that they are regularly consulted on issues that affect them and feel that their views are always taken into account. From examination of the minutes of residents meetings on the 24/09/08 & 30/05/08 it is clear that when requests are made or concerns expressed in the meetings the issues raised are followed up promptly by management. The Proprietor keeps a log of all compliments and thank-you letters and uses the contents as the basis of the homes quality assurance system. Customer satisfaction surveys have been carried in June 2008 and another survey will be taken in November 2008 to monitor progress and levels of customer satisfaction. Examination of health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. All risks to residents are reviewed at frequent intervals, fully risk assessed and guidelines are put in place to reduce risk of occurrence. Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 24 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 3 8 3 9 2 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13(2) Requirement People should be given their medication as prescribed by a doctor. Medication with a short shelf-life should be discarded after 28 days or as indicated on the bottle or packet Timescale for action 30/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oxford House Nursing Home DS0000011008.V373163.R01.S.doc Version 5.2 Page 27 - 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. 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