Inspection on 14/02/07 for The Headington Care Home

This inspection was carried out on 14th February 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Headington Care Home 31/01/08

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOMES FOR OLDER PEOPLE The Headington Care Home Roosevelt Drive Headington Oxford OX3 7XR Lead Inspector Philippa MacMahon Unannounced Inspection 14th February 2007 09:20 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 The Headington Care Home DS0000068326.V330957.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. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Headington Care Home Address Roosevelt Drive Headington Oxford OX3 7XR 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) 01865 760075 01865 760093 Four Seasons (H2) Limited Sheena Aileen Cunnington Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (30) The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission persons should be aged 60 years and over The total number of persons that can be accommodated at any time must not exceed 30. Date of last inspection Brief Description of the Service: The home is situated within the grounds of the Churchill Hospital in Headington, Oxford. The building was purpose built less than ten years ago and all the private accommodation and communal areas are situated on the ground floor. Private accommodation is in single en-suite rooms, and is arranged around a central courtyard garden. There are two dining rooms, two sitting rooms, a conservatory, therapy room and a family room. Assisted bathrooms are also provided. The laundry and kitchen services are also situated on the premises. Landscaped parking is provided to the front. The fee range is £790 to £838 per week. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Baseline Inspection’. This means that it was the first inspection of the service by the Commission since the service was registered to operate. The inspector arrived at the service at at 09.20 hours and was in the service for 7.hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The inspector was offered a warm welcome to the home and all co-operation was given by the staff on duty. The registered manager was in the throws of dealing with a staffing crisis that had been going on for some time, and staff were still phoning in to report being off sick on the day of the inspection. The administrator post who also acts as the receptionist is vacant at the moment although a person has been recruited into the post and is awaiting the results of the various necessary checks. The registered manager was therefore involved in answering the door and the telephone, for most of the inspection. The inspector examined a sample of care plans and followed this through by meeting with the particular resident to see if the plan matched the person’s needs. The medication system was examined and the relevant documentation. The programme of social and recreational activities was examined and discussed with the registered manager, relatives, and the provider of the art class, and the entertainment. The inspector met with the Chef and observed lunch being served to the residents. The complaints procedure and systems for the protection of vulnerable adults from abuse were examined and discussed with the registered manager. A tour of the premises was undertaken. Staff rosters were examined and discussed with the registered manager, staff and relatives. Staff files were examined, and the training and development plan. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 6 Issues of quality assurance were discussed with the registered manager and copies of audits carried out were seen. Records required by regulation were examined, and the management of residents’ valuables and money. Residents’ relatives and visitors were spoken to during the inspection. The inspector would like to thank everyone for their cooperation during what is a difficult period in the life of the home. What the service does well: What has improved since the last inspection? What they could do better: All assessments should be signed and dated by the person carrying out the assessment. The process of carrying out risk assessments needs to be reviewed and staff understand the rationale for having them in place. Medicines no longer required must be disposed of in accordance with current legislation. Eye preparations should be dated on opening as they quickly loose their efficacy. The washbasin in the nursing office needs to be kept clean at all times. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 7 Every effort should be made to find out what the residents’ wishes are at the time of their death, and this should be documented. The décor and condition of the home need to be maintained until such time as the refurbishment programme is commenced which is following the planned new build of an extension. Consideration should be made to re-ordering the layout of the dining room, to enable less crowding and to providing colourful tablecloths and napkins to make it more homely. The bathrooms need to be made less clinical in appearance and to have the broken tiles, and flooring made good. Completed accident forms following an accident or incident involving a resident should be placed in the individual’s care plan. 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. The Headington Care Home DS0000068326.V330957.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 The Headington Care Home DS0000068326.V330957.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): 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Every resident has an assessment of his or her care needs prior to admission to the home. The home does not provide an intermediate care service. EVIDENCE: The inspector examined a sample of care plans and found in each case that a thorough assessment of the resident’s care needs had been made. The registered manager or her deputy carries out all pre-admission assessments. One of the assessments included a very good “family tree”, and a list of the family birthdays. Another assessment did not show the date this was carried out or the name of the individual completing the assessment. It is recommended that any record of an assessment should be dated and signed by the person completing it. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the care planning process is a good system but the Registered Nurses involved in completing it need to pay more attention to the completion of records and in particular risk assessments. The medication system is a good system with ongoing support and training from the supplier. Residents are treated with dignity and respect. EVIDENCE: The inspector examined a sample of care plans and in each case found them to have been based on the pre-admission assessment, and it was clear what the action should be in order to ensure the needs were met. Reviews had been regularly carried out. Risk assessments were incomplete, and had been filled in without understanding. In one instance a person in the assessment had been identified as being liable to aggressive behaviour, and yet the moving and handling risk assessment did not include this factor. Another care plan had a nutritional risk assessment that had identified that the person required The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 11 weighing monthly and yet this had not been completed in the last 6 weeks. Almost all of these risk assessments were not signed or dated on the day they were carried out. It is recommended that a review of the risk assessment processes in the home should be carried out including all the staff involved. There was good evidence of effective wound care being provided and documented. The medication system was examined and overall found to be in good order. The Registered Nurses on duty who were both from a nursing agency reinforced this, and said that they found it easy to follow through. The system used is a monitored dosage system and is supported by good pharmacy support and training. The inspector found a bottle of eye drops that had been opened and not dated on opening. This is not good practice as eye preparations generally have a very short life once they have been opened. It is a good practice recommendation that any eye preparation should be dated on opening. The controlled drugs were examined and the inspector observed medication that had belonged to a previous resident that had not been disposed of. One of these was checked against the controlled drugs register and a discrepancy was found in the number of tablets recorded and the number in the bottle. The Registered Nurses found the error in the filling in of the register and made an entry in the record of their findings. The registered manager was advised of this occurrence and that the medication should have been disposed of in the correct manner once it was no longer required. It is a requirement that medication that is no longer required must be disposed of in accordance with current legislation. The washbasin in the nursing room where medication is stored and the medication pots are washed was very dirty and stained. It is recommended that the washbasin in the nurses’ office should be kept clean and hygienic at all times. The inspector observed staff assisting residents as they went about their daily activities and noted that they always treated the residents appropriately. The staff clearly understood the issues of privacy and dignity by always addressing the residents by their preferred term of address and knocking on doors before entering. There was little evidence found of information about the resident’s wishes and arrangements at the time of their death. It is recommended that every effort should be made to ascertain the resident’s wishes and arrangements. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is experiencing staffing difficulties at the present time but there is still a provision for the residents to have the opportunity to take part in social and recreational activities. The residents receive a wholesome and nutritious diet. From the evidence seen by the inspector and comments received, the inspector considers that this home would be able to provide a service to meet the needs of individuals of various religions, race, or culture. EVIDENCE: At the time of the inspection the activities coordinator was off work ill, and therefore there was not the usual amount of activities being provided. However there was an art class in progress during the inspection, and music therapy sessions provided by a qualified music therapist are still ongoing as planned. A further entertainment was provided in the afternoon of a singer and pianist who performed songs from the musicals. This was much enjoyed by the residents who attended and there was positive interaction between the performers and the residents. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 13 All visitors to the home are made to feel very welcome, and the relatives have formed a support group and hold regular meetings at the home. Residents’ spiritual and religious needs are provided for and visiting clergy from the local Baptist, Church of England, and Roman Catholic attend the home on a regular basis. Relatives spoken to are concerned about the staffing difficulties, but felt that the care provision is good and that the meals and mealtimes were overall of a good standard. The inspector observed lunch being served in the dining room. The general ambience in the dining room is rather drab and the tables are not attractively laid out. The registered manager told the inspector that they are about to purchase tablecloths and napkins, and pictures for the walls to try to create a more homely atmosphere. Many of the residents were requiring assistance with their meal and the inspector observed that some relatives were visiting at lunchtime in order to lessen the load for the staff, as well as wishing to be able to be involved in the care provision. The dining room was very crowded as a result of all the assistance required. It is recommended that consideration should be made about the layout of the dining room in order to accommodate the number of people who required to be seated at mealtimes. Discussion with the chef, and examination of the menus showed that the residents are offered a wholesome and nutritious diet. Residents’ individual likes and dislikes are noted and they are able to cater for different cultural, medical and dietary needs. Many of the residents choose to enjoy a full cooked breakfast each day, including porridge. The main meal of the day is at lunchtime and the inspector observed staff assisting the residents in an appropriate manner. The meal served looked appetising and appealing. Fresh vegetables and fruit are readily available. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has an accessible complaints procedure in place. All staff are aware of issues around the protection of vulnerable adults. EVIDENCE: The home has a complaints system and copies of this are contained within the Service Users Guide in every resident’s room. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. There has been a recent incident of possible abuse that occurred in the home and this is being investigated thoroughly at the present time by the senior management team. All necessary procedures have been followed to ensure the protection of the residents. Further training for all staff in the protection of vulnerable adults has been provided. Relatives spoken to do feel very concerned about the staffing issues and are anxious for the resident’s safety at this time. The registered manager and the senior management team are aware of this and are taking steps to improve the staffing levels. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All areas of the home are in need of redecoration and refurbishment and this is being held back by delay in commencing the new extension. The cleanliness of the home is of a good standard. EVIDENCE: The inspector toured the building and overall found all areas to be clean and hygienic. There are plans for a new extension to be built and work on this is about to commence. The registered manager explained to the inspector that following this a planned refurbishment programme would commence. This plan has been in the offing for some time and a lot of the areas of the home are in need of redecorating and made to be more domestic in appearance than the rather clinical feel at the moment. Some redecoration has commenced in the corridors, and the dining room. The bathrooms are in need of The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 16 refurbishment and this was raised at the last inspection, and the situation remains the same. Again this work is programmed for after the new build is finished. It is recommended that the bathrooms should be made to appear more domestic in appearance and that broken or missing tiles should be made good until such time as the refurbishment takes place. A random sampling of the temperature of the hot water outlets was taken and these were found to be within acceptable levels, and are regularly checked by the maintenance person. At the time of this inspection a new dishwasher system was being installed in the kitchen. The laundry was found to be in good order, clean and hygienic. The grounds are in need of some attention before the growing season really gets under way. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a staffing crisis at the moment that is being addressed by the use of agency staff. The percentage of care assistants with a national vocational qualification in care is very low. There is a training and development programme in place but held in abeyance until staffing levels have improved. EVIDENCE: The staff roster was examined and showed that sufficient numbers and skill mix of staff are on duty on each shift. However there is a high usage of agency staff at the present time due to vacancies, illness, and special leave. This is seen by the registered manager as not good practice but was left with no alternative so that the residents’ care was not compromised. Efforts have been made to ensure that there is some continuity of agency staff and at the time of the inspection the 2 Registered Nurses on duty had been working regularly in the home for the last 2 weeks. Relatives spoken to are distressed at the shortage of regular staff on duty and the high use of agency staff. The number of care assistants with the national vocational qualification level 2 in care is very small, and the registered manager is mindful of this and endeavouring to register more staff on the training programme. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 18 The inspector examined a sample of staff files and found that the recruitment processes in place had all the necessary checks to ensure the protection of the residents. The registered manager is committed to the training and development of staff and there is a programme in place but due to the present crisis in the home there has been a need to prioritize the workload and focus on the care provision for the residents. The company have introduced an induction programme for all staff that was shown to the inspector and meets the Skills for Care Councils recommendations. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager is crisis managing at the moment due to staffing issues. Senior management are now aware and are addressing the situation. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The registered manager is an experienced nurse manager in the care home sector, and is nearing completion of the national vocational qualification registered manager award. At the time of this inspection the registered manager was endeavouring to manage a crisis in staffing, the home, and ensure the day to day running and care provision were not compromised. The The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 20 administrator’s post is also vacant at this time and this has added further pressure to the running of the home. Some administrative help has been provided in the week but on the day of the inspection there was a significant period of time that the manager was acting as the receptionist and answering telephone calls. The company are aware of the difficulties at the home and beginning to address the issues. The inspector examined copies of the Regulation 26 reports of the responsible individual’s visits that are required to take place on a monthly basis. It was noticeable that there was a gap of about 6 months from June 2006 to December 2006 when no such visit was made. The inspector had a telephone conversation with the registered manager’s line manager who explained that there was a gap until she was appointed to the post in October 2006. Since December there have been monthly visits and additional monitoring visits from senior management. The company have a quality assurance system in place that addresses all the necessary systems of management in the home and requires monthly audits taking place and reports being forwarded to the head office. This also includes the monthly visit from the responsible individual for the company. The registered manager has an open door policy and relatives spoken to said that she was always available when she was in the home, and was helpful, and very considerate and caring. The home does not manage the resident’s financial interest, this is generally handled by family or representatives. Any incidental expenditure is accounted for individually and all transactions are recorded and receipts kept. This system was examined by the inspector and found to be in good order and has a clear audit trail. The staff receive mandatory training in moving and handling, fire safety, and food hygiene. A number of staff are also trained in first aid. The servicing and maintenance of the boilers, central heating system, electrical systems and electrical equipment are up to date. The kitchen and laundry were found to be in good order and cleaned to a good standard. All accidents, injuries and incidents are recorded. The inspector noted that the residents’ accident forms had not been placed in their individual care plans. It is recommended that following an accident or injury to a resident the completed accident form should be placed in the resident’s individual care plan documentation. Policies and procedures are in place and regularly reviewed. The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 2 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 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 3 3 The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 22 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 It is a requirement that medication that is no longer required must be disposed of in accordance with current legislation. Timescale for action 05/03/07 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 Refer to Standard OP3 OP7 Good Practice Recommendations It is recommended that any record of an assessment should be dated and signed by the person completing it. It is recommended that a review of the risk assessment processes in the home should be carried out including all the staff involved. It is a good practice recommendation that any eye preparation should be dated on opening. It is recommended that the washbasin in the nurses office DS0000068326.V330957.R01.S.doc Version 5.2 Page 23 3 4 OP9 OP26 The Headington Care Home should be kept clean and hygienic at all times. 5 OP11 It is recommended that every effort should be made to ascertain the resident’s wishes regarding the arrangements at the time of their death. It is recommended that consideration should be made about the layout of the dining room in order to accommodate the number of people who required to be seated at mealtimes. It is recommended that the bathrooms should be made to appear more domestic in appearance and that broken or missing tiles should be made good until such time as the refurbishment takes place. It is recommended that following an accident or injury to a resident the completed accident form should be placed in the resident’s individual care plan documentation. 6 OP15 7 OP19 8 OP38 The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 The Headington Care Home DS0000068326.V330957.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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