Inspection on 17/10/06 for The Oaks Care Home

This inspection was carried out on 17th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Oaks Care Home 28/02/06

The Oaks Care Home 15/09/05

The Oaks Care Home 15/03/05

The Oaks Care Home 15/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Oaks Care Home Campbell Street St Anns Nottingham NG3 1GZ Lead Inspector Rob Cooper Key Unannounced Inspection 17th October 2006 10:00 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 Oaks Care Home DS0000061784.V308978.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 Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Care Home Address Campbell Street St Anns Nottingham NG3 1GZ 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) 0115 950 3134 Nottingham City Council Ms Vicky Barrett Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: The Oaks is a Registered care home, which provides personal care and accommodation for thirty-three older people. The home is owned and managed by Nottingham City Social Services and is located in the St Anns area of Nottingham approximately one mile from the city centre. There are shops, public houses a post office and other services within a few hundred yards of the home. The Oaks is situated on two floors with a shaft lift to allow residents to reach the upper floor, if they are unable to manage the stairs. All of the bedrooms are single bedrooms with ensuite facilities. Within the Oaks there are eight beds which are specifically for intermediate care - this is short term care (usually no more than six weeks) for people who may have come out of hospital, and need additional help to regain their independence, or help in self help skills, before returning to live in their own homes. There are also four assessment beds, where individuals can be assessed as to whether they require residential care, domiciliary support, or can return home, again these assessment beds are short-term. The home has a well-maintained garden area at the rear of the building, which is accessible to all service users. An application to vary the registration has been made, so that the Oaks would be able to take people who have dementia. This application is currently being processed by the Commission for Social Care Inspection. Fees: The fees are assessed on an individual basis, and differ according to circumstances. The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection – so that no one at The Oaks knew that the inspection was going to take place. The inspection took approximately three hours through the middle of the day with one Inspector present. The method used to carry out the inspection was to send out a questionnaire, which asked questions about the service, to gather statistics, such as how many residents there are, the numbers of staff etc. This was followed with a visit to the Oaks, where a method called case tracking was used; this involved identifying three residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of the Oaks, looking at the activities on offer, and talking to residents, relatives and staff. As a result three service users were spoken with about the service they are receiving, one relative, and three members of staff were spoken with to get their views on how resident’s needs are being met. Vicky Barrett the Registered Manager was not present during the inspection of the Oaks, as she was having a day off. Therefore one of the senior team leaders helped with the inspection, and provided the information that was requested. This was a good inspection, and there were many examples of good practice seen, and examples of good experiences for residents identified. What the service does well: The Oaks is a well-run City Council home for older people. They have a particularly good range of assessments for their residents, and these provide the basis on which the resident’s needs are identified. The Intermediate Care service, which operates within the Oaks was widely praised by the residents who use the service, and the staff were found to be very helpful at getting people ‘back on their feet’. An inspection of health care records showed that resident’s with specific health care needs were being very well supported and helped with their health problems. Every resident who was asked said that they thought the staff treated them with respect, with comments such as: “The staff are wonderful, very helpful, and always so kind” and “They treat me really well, I can’t fault them at all” being made. There are some excellent activities arranged within the home, and a particularly good reminiscence area with lots of photographs, books and objects from the past. Staff training records show that staff are well trained to do their jobs, while discussions with staff members during the inspection showed them to be knowledgeable about their jobs. All of the bedrooms have en-suite facilities, with toilets and showers, and the bedrooms are well furnished, and tastefully decorated. Several residents commented on how comfortable the bedrooms are. The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13&6 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Prospective residents at the Oaks have the information they would need to make an informed choice about where to live. No resident moves into the Oaks without having had their needs assessed, and been assured that these will be met. Residents assessed and referred solely for intermediate care are helped to maximise their independence and return home. EVIDENCE: The Oaks’ welcome pack, which contains basic information, was seen; this included the Statement of Purpose and Service User Guide. The welcome pack, which is given to all new and potential residents, contains all of the information required by Care Homes Regulations, and is in a user-friendly format. Since the last inspection this information has been updated, which was set as a recommendation. As part of the case tracking process three resident’s files were seen. Each file contained an assessment of the resident’s needs, either in the form of an Extended Community Care Assessment or a The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 9 Shared Nottinghamshire Assessment Process (A SNAP), which is an assessment tool for older people used in Nottinghamshire. Within the files there was also evidence of in-house assessments, and further assessment by health care professionals. The Oaks have eight bed specifically identified as being for intermediate care – please see the brief description of the service on page 5 for a description of what intermediate care is. The intermediate care beds are dual funded (in that the Health Authority as well as Social Services) are involved, and provide Physiotherapy and Occupational Therapy to the residents among other services. Two residents staying at the Oaks for Intermediate Care were spoken with. Both said that the staff were excellent, and that they were “being helped to get better.” A visual inspection showed that the Intermediate care area is well maintained, and resourced, and working patterns for staff are designed to promote independence and help residents to recover their skills. Both residents also said that they thought their bedrooms were very comfortable, with one saying: “It’s just like staying at a hotel.” Another resident said: “The staff are very good, they are helping me get back on my feet, I can’t praise them enough.” The Oaks Care Home DS0000061784.V308978.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Resident’s health, personal and social needs are set out in an individual plan of care at the Oaks. Resident’s health care needs are fully met at the Oaks. Residents at the Oaks are protected by the policies and procedures in place for dealing with medicines. Residents at the Oaks feel they are treated with respect and their right to privacy is respected. EVIDENCE: Each of the three resident’s files that were seen contained an individual plan of care setting out the residents care needs in a clear and logical order. The three files also had a new review process for reviewing resident’s care plans and overall progress. This process showed input from the resident and/ or their relative or representative. At the last two inspections a requirement was made regarding reviewing of resident’s care plans, and this requirement is now met by the new review process. As part of the case tracking a process a resident with a specific health need was identified, and their health need was tracked through the recording and management of that need. The evidence The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 11 showed that residents at the Oaks are having their health care needs fully met. Currently no resident at the Oaks self-medicates in the main residential part of the Oaks, although it is common for residents staying within the Intermediate care beds to self-medicate. Boots (the chemists) provide the Oaks with their medication, which is dispensed in blister packs – which are a monitored dosage system, that is each person’s tablets are sealed onto a card, with time and day positions. The recording of medication was seen, and found to be without any errors or omissions. Medication is stored securely within the Oaks, and the policies and procedures for dealing with medication were seen and found to be thorough and protect residents from harm. Three residents were asked about living at the Oaks, and specifically about how they are treated by the staff. Each resident said that they were very happy, and said that they thought the staff treated them very well. One resident said: “The staff are wonderful, very helpful, and always so kind.” While another one said: “They treat me really well, I can’t fault them at all.” During the inspection a number of staff were seen speaking with residents. Or helping them in some task, in every incident the staff were seen to be respectful, polite and friendly, and there was a very relaxed and comfortable atmosphere among the residents. The Oaks Care Home DS0000061784.V308978.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Residents find that the lifestyle experienced at the Oaks matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents at the Oaks maintain contact with family/ friends and representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times that are convenient to them. EVIDENCE: The Oaks is very well equipped with a range of leisure and recreational activities. There is a reminiscence area, with photographs, books and objects from the 1940’s 1950’s and 1960’s designed to jog memories and provide familiar things for the residents to look at and enjoy. One resident was asked about this area in particular, and they said how nice it was to have some of the ‘old things’ about the place. There was an activities programme on display in the Oaks, which showed a full and varied range of activities for residents. During the inspection some residents were playing tabletop games, and staff were organising an activity in the lounge. All three residents who were asked, The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 13 said there was plenty to do, and said that they felt happy with the activities provided. The minutes of the resident’s meetings showed that activities was an item discussed on the agenda, with the opportunity for resident’s to make suggestions on new activities and comment on those that had taken place. One relative was spoken with during the inspection, the relative calls in regularly several times a week, and said that the staff always made them feel most welcome. They said that they were very happy with the care that their relative was receiving, and that they thought the staff were very kind. During the inspection there were a number of examples of residents being offered a choice, with staff doing the offering. The minutes of the resident’s meetings also indicated that there was choice freely available. Three residents were asked about choice, and each one said that they felt that the staff tended to ask them in most circumstances. Two residents told me that there was always a choice for meals; with one resident stressing that “it’s a good choice too.” Which I took to mean that the choice was a real choice rather than being just for show. Both residents also said that they were asked about joining in activities, and that they didn’t feel at all pressured. On the day of the inspection the mid day meal was a choice of lamb cutlets or beef casserole, although there was also a vegetarian option available if required. The meal was seen both during the preparation stage and at the point of arriving at the resident’s tables. The food looked (and smelt) very appetising and was well presented. Three residents were asked about the food and each one said that it was very nice: “Smashing”, “Lovely” and “Really good” being among the comments made. The relative who was visiting was also asked for their opinion on the food, and they said that it: “always seemed very nice, with plenty of it, and of a good quality too.” The Oaks Care Home DS0000061784.V308978.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon at the Oaks. Residents at the Oaks are protected from abuse. EVIDENCE: Since the last inspection in February 2006 the Oaks have received no formal complaints. The complaints procedure was on display at points around the building and each resident had a copy in their bedroom. Two residents were asked about complaints – both said that they knew who to complain to, and how to complain, but neither had felt the need. When asked if they were confident that any complaint would be taken seriously and acted upon, both residents said they thought they would. The relative, who was spoken with, said that they had a copy of the complaints procedure, and would know whom to complain to, although again they said they were quite happy, and had not found the need. Records relating to complaints that were made before the last inspection showed that these were dealt with in an open manner, in line with the policy, and were dealt with within the agreed time scale. A review of staff training records showed that the majority of staff (19) had received training in Safeguarding Adults, and there were updates for all staff booked on the 30th & 31st October. Discussions with two members of staff identified that they were aware of issues of abuse, and knew what action to take if they suspected that abuse was taking place. Two residents were asked if they felt safe living at the Oaks, at both were very positive in saying that they did. The Oaks Care Home DS0000061784.V308978.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 24 & 26 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Residents at the Oaks live in a well-maintained environment. Residents are potentially at risk as certain areas need to be risk assessed to confirm their safety, and access to the kitchen area makes it currently unsafe. Residents at the Oaks live in safe, comfortable bedrooms with their own possessions around them. The Oaks is clean, pleasant and hygienic. EVIDENCE: A partial tour of the Oaks showed it to be well maintained, bright, and well decorated, with good quality fixtures and fittings. Recently the Commission for Social Care Inspection visited the building to consider a variation to the Registration. As part of this a risk assessment was asked for regarding the balcony above the reception area, and the balcony over looking the car park. At the time of the inspection neither of these risk assessments were in place, and while they will not guarantee resident’s safety, they will raise staff The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 16 awareness, and therefore reduce the potential for accidents. The manager should ensure that these risk assessments are completed as soon as possible, and forward copies to the Commission for Social Care Inspection, as already requested. In addition the door which connects the dining room to the kitchen is not lockable, which allows residents unrestricted access to the kitchen. In the light of the application to vary the registration, and take people with dementia, this is potentially unsafe, as residents currently have access to knives and hot surfaces. This risk increases considerably when the kitchen is not staffed. Apart from this issue the building was found to be suitable for it’s stated purpose, and residents who were asked said that they liked it very much. A number of resident’s bedrooms were seen during the inspection, these were found to be comfortable, with good quality furniture and well decorated. All of the bedrooms have en-suite facilities with a toilet, shower and washbasin. At the last inspection a requirement was made that every bedroom should have lockable storage facilities for the use of the residents. This has now been provided. Two residents were asked about their bedrooms, and both said that they were very happy, and that the bedrooms were very comfortable. During a tour of the building it was found to be clean and tidy, and there were no unpleasant smells noted anywhere. A member of the domestic team who are responsible for the cleanliness of the building was spoken with, and cleaning schedules discussed. There was a good supply of quality cleaning materials available, and a cleaning plan in place. Discussions with the staff member showed that only was there planned cleaning taking place, but that the cleaners could also respond to need – cleaning up spillages or hoovering where necessary. The visiting relative was asked about the cleanliness of the building, and they said they always found it clean, and had no problems or issues with regard to the cleanliness of the Oaks. The Oaks Care Home DS0000061784.V308978.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. The numbers and skill mix of staff at the Oaks meets the residents’ needs. Residents at the Oaks are in safe hands at all times. Residents are supported and protected by the Oak’s recruitment policy and practices. Staff at the Oaks are trained and competent to do their job. EVIDENCE: The staffing rota for the Oaks was seen, and this showed that there were sufficient numbers of staff to meet the resident’s needs. During the inspection there were plenty of staff on duty, and they were filling a variety of roles – carers, cooks and cleaners among them. Two residents were asked about staffing numbers on duty, and both said that they thought there were enough staff, and that they never had a problem if they needed a staff member. There is an ongoing training programme for National Vocational Qualification (NVQ) at the Oaks. NVQ is seen as the basic staff qualification within care, with levels II and III aimed at care staff. Currently eight if the staff are trained to level II, with a further five training towards qualification. Four staff have their level III qualification, while a further staff member is currently studying for the level III qualification. Care Homes regulations suggest that 50 of the staff team should have an NVQ qualification, as this would demonstrate good and safe practice. The Oaks are well on the way to passing this figure. Staff recruitment records are held centrally at the City Council personnel The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 18 department, and these will be inspected at a later date. Discussions with two staff members about their recruitment, together with evidence seen in staff files suggests that the Oaks employs safe recruitment practices, which are in place to protect the residents. Staff training records were seen, and these showed that there is a training plan in place at the Oaks to ensure that all staff members are trained and competent to do their jobs. Two members of staff were asked about their training, and both said that there was very good training for staff at the Oaks. Two staff files were seen, and both of these contained certificates for completed course, and evidence of individual staff development. The Oaks Care Home DS0000061784.V308978.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with residents. Residents at the Oaks 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 her responsibilities fully. The Oaks is run in the best interests of its residents. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff at the Oaks are promoted and protected. EVIDENCE: The registered manager of the Oaks is Vicky Barrett. A review of Vicky’s records demonstrated that she is fit to be in charge, and suitably qualified and experienced. The Oaks have regular monthly resident’s meetings, and the minutes of several meetings were seen. These demonstrated that residents are having a say in the running of the Oaks, and they are able to formally The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 20 express their opinions, and make their views known. There is a quality Assurance system in place at the Oaks – in the form of a questionnaire for residents, both an internal resident questionnaire from the Oaks, and a City Council resident survey too. Two residents were asked about the questionnaires, and both said that they had filled in a form. One resident also said that if they were unhappy, or wanted to make a suggestion, they could talk to the manager, or bring it up at ‘the meeting’. The City Council operates a small cash needs system in their residential services, and the Oaks use this system to manage its resident’s cash finances. The records were seen, and several examples checked during the inspection, in each example the records, and cash totals balanced, and there were receipts to support the expenditure. Discussions with staff showed that this was a safe system. Two residents were asked about their cash needs, and both said that they could get their money whenever they wanted it – although both said they preferred the staff to look after their money, as it was safer. A range of health & safety records were seen including fire, the Asbestos log, Water testing records for Legionella, and the Control of Substances Hazardous to Health (COSHH) these were all found to be correct, and complete, and discussions with staff members and a review of the records showed that staff at the Oaks are receiving Health & Safety training as part of their jobs. The Oaks Care Home DS0000061784.V308978.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 3 X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 2 X X X X 4 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Oaks Care Home DS0000061784.V308978.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 OP19 Regulation Requirement Timescale for action 30/11/06 2 OP19 Regulation The Registered person must 13 (4) complete the risk assessments of the two balcony areas within the Oaks and forward copies of them to the Commission for Social Inspection without delay. Regulation The Registered person must 30/11/06 13 (4) ensure that door from the dining room into the kitchen is lockable. Currently residents have free access into the kitchen. This is of particular importance in the light of the application to vary the Registration to take people who have dementia. This issue was raised previously by another inspector considering the application to vary the Registration. 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 The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 The Oaks Care Home DS0000061784.V308978.R01.S.doc Version 5.2 Page 24 - 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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