Inspection on 21/07/08 for The Uplands at Oxon

This inspection was carried out on 21st July 2008.

CSCI found this care home to be providing an Excellent 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

The Uplands at Oxon 16/10/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE The Uplands at Oxon Clayton Way Bicton Heath Shrewsbury Shropshire SY3 8HS Lead Inspector Karen Powell Unannounced Inspection 21st July 2008 11:10 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 Uplands at Oxon DS0000070260.V368502.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 Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Uplands at Oxon Address Clayton Way Bicton Heath Shrewsbury Shropshire SY3 8HS 01743 282040 01743 282041 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) www.marchescare.co.uk Marches Care Limited Ms Denise Marshall Care Home 81 Category(ies) of Dementia (81), Old age, not falling within any registration, with number other category (81), Physical disability (81) of places The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide nursing care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Dementia (DE) 81 Physical Disability (PD) 81 Older People (OP) 81 The maximum number of service users accommodated is 81. 2. Date of last inspection 16th October 2007 Brief Description of the Service: The Uplands at Oxon is owned and operated by Marches Care Ltd, a family company. This home is the result of five years of planning to move the existing home from Dorrington to a new Shrewsbury based site. The result is a light, airy, modern, care home with four separate units of 20 single en-suite rooms. One of the units is specially designed with the needs of service users suffering from dementia. There are specially landscaped courtyard gardens for service users to enjoy including wheelchair height borders. The service offers palliative care to the Gold Standard Framework for palliative care. The service also has a life long learning facility with internet access for service users to use. Information in provided within a brochure pack, which contains full details of the fee structure and possible funding arrangements. Fees are £720.00£770.00 The service also has a website where fees are publicised. People who use the agency and their representatives are able to gain information about this service from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on our website at www.csci.org.uk The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means that people who use this service experience excellent quality outcomes. The inspection was unannounced and took place on 21st July 2008 by one inspector over five hours. A range of evidence was used to make judgments about this service to include discussions with people who use the service, unit manager Linda Riley in the absence of the registered manager, staff on duty, relatives, a tour of the home, and observation of care experienced by people using the service. We also looked at a number of records to include care records held on behalf of six people (this is known as case tracking), complaints and protection, staff training, recruitment and health and safety records. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the manager for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. Some of the manager’s comments have been included within this inspection report. The purpose of the inspection was to assess all ‘Key’ National Minimum Standards for older people and any additional Standards considered necessary. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. What the service does well: People are assessed to ensure the home are able to meet their needs prior to admission. People and their family/advocate are encouraged to view the home and talk to people at the home. This gives them the opportunity to consider if they feel the home is suitable to meet the needs of their relative/friend. The service has a comprehensive care planning and review system in place. The health care needs of people are met in a sensitive and professional manner. The service is particularly skilled at providing care and support to people with very complex healthcare needs. The service has maintained good links with the hospice and offers sensitive and professional end of life care. The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 6 People who use the service are respected and treated with dignity and their privacy is maintained. People are able to have flexible daily routines, social activities are tailored to meet individual needs. The home has comprehensive policies and procedures in place that protect people from abuse and promote the legal rights of people using the service. There is a clear and accessible complaints procedure in place. People are encouraged to raise their concerns, complaints and compliments. The environment is purpose built, well maintained, clean and tidy. The staff group are trained and supervised on a regular basis. The health safety and welfare of people living at The Uplands at Oxon is promoted by regular safety checks and maintenance of equipment. A quality assurance process is in place that takes into account the views of people who use the service and that of their relatives/representatives. What has improved since the last inspection? The service has received accreditation in the gold standards framework beacon status. This means the service is recognised as being in the top five performing care homes in delivering excellent end of life care. Activity co-ordinator posts have been developed to provide more personalised activities. The dementia care unit continues to be developed. Activities are wide ranging and tailored to meet individual needs. A friends of Uplands group is being established and includes visitors, relatives of people living at the home, past relatives, activity co-ordinators and staff. The quality assurance system is working well. Each month a relevant topic relating to the care home is focused upon, results considered and further developments within the service made. The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Uplands at Oxon DS0000070260.V368502.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 Uplands at Oxon DS0000070260.V368502.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&6 Quality in this outcome area is excellent. Before people move into the home they have their needs assessed to ensure that the home will be able to meet their needs. Prospective service users/representatives are invited to visit the home so that they can view the facilities and its suitability to their needs. This is to ensure a smooth transition into the home takes place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was stated in the AQAA when we asked the service what they do well in relation to this outcome group that “We offer people the opportunity to view the home and to try us out. Although for residents requiring nursing care or dementia care that can be difficult. ” We spoke to one person we ‘case tracked’ who had recently moved into the home and was happy to share their experience with us. They told us that a unit manager had visited them in their The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 10 own home to discuss with them and their family what their needs were and how the home could meet them. The individual told us that they were unable to get to the home to view it before they moved in however an invitation was given to their next of kin to view the home on their behalf. This was taken up by the individual who told us that their relative was encouraged not to make an appointment but to call at the home at a time convenient to them. The person said that they felt this was a good idea because they would be seeing the home “ as it was” and that the home were being very open by encouraging people to visit to view the home at a time when relatives wanted to see it. We looked at the records for this individual and saw that a pre-admission assessment had been undertaken. Records were seen to be personalised and addressed all activity of daily living skills, physical and mental health, social care and spiritual needs. The home provides intermediate care beds for Shropshire County primary care trust. We looked at the records of one individual in receipt of intermediate care. These were comprehensive and contained an overview assessment from a social worker involved with the persons placement. We talked to people using the intermediate care service, they were complementary about the support given to them by the staff, and were clear about the aims and objectives of their placement. One person told us they were being enabled to regain their confidence in order to return home at the end of their stay. The Uplands at Oxon DS0000070260.V368502.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): 7,8,9 & 10 Quality in this outcome area is excellent. People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. Medication is managed effectively and in accordance with good practice. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has a plan of care in place, these are kept in the individuals room. Care plans were seen to be reviewed frequently as and when required. People we ‘case tracked and spoke to were aware that they are available for them to look at and where people were able to tell us they said that they had been The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 12 included in discussions about how their care will be provided. We examined the care plans and admission records of six people who live at the home. Care plans are clearly recorded and document peoples personal and health care needs and how they will be delivered. Records of specialist health care visits were seen. These included general practitioners and physiotherapists. People who we case tracked and were able to speak to us told us that if they wish to see their doctor the home arranges this for them without hesitation. One person told us they needed to see a dentist and this had been arranged for them. It was clear in the records that we looked at that where an individual requires a specific piece of equipment these were in place. We were able to see these in respect of the people we ‘case tracked’. People whose records we examined also told us for example the way that they are safely transferred during their day and night using these specific pieces of equipment. The service has recently achieved the award of National Accreditation by the NHS Gold Standards Framework for Palliative Care, one of just forty seven nursing homes nationally. The home is skilled in palliative care and has taken part in a training and information video for the gold standard framework in palliative care team. Letters of thanks from people who have had their loved one cared for in the end stages of their life were seen during the home tour. These comments included “ thank you for all the care and consideration shown to our relative during her stay.” Medication administration, recording, storage and disposal were discussed with a unit manager during our visit. These were found to be in accordance with good practice requirements. We looked at the records for one person we ‘case tracked’ and found these to be completed well. All people living at home have single rooms with en-suite showers this means that their care can be carried out in private. Observations during the day confirmed that people’s privacy and dignity is maintained. We observed care staff respectfully interacting with individuals. We saw care staff knocking on peoples doors before entering. We spoke to as many people who were able to participate in discussion who we had ‘case tracked’ who told us that staff always respect their privacy and dignity when carrying out personal care tasks and during every day life at the home. The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is excellent. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home recognises the right of individuals to live an ordinary and meaningful life appropriate to their abilities. For those people we ‘case tracked’ we saw recorded in their files their hobbies, interests likes and dislikes. It was clear through discussion with these individuals that they are encouraged to follow their interests as well as being offered the opportunity to join in group The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 14 activities. One person whose records we looked at told us that they like to take themselves down into the garden and use their binoculars to look over Stretton Hills. They see their family when they wish. Another person whose records we looked at documented their local trips out told us about these events and how much they enjoyed being able to go out where they wanted to go and a time they chose to. Activity co-ordinator posts have been introduced and on the day of our visit the activities co-ordinator had arranged a game of bingo, people taking part told us they enjoyed the activity. They also told us there are a variety of activities arranged and that ‘there is no pressure to join in these activities if you dont want to’. Activities and forthcoming events were seen to be publicised throughout the home. These included church services. People who use the service told us that the local library delivers books and tapes and the home has a quiet room where the church service is held. Newspapers are delivered daily to the home which we saw people reading throughout our visit. A recent cello and violin performance from Astaria Duo took place on 9th June and was greatly enjoyed by people living at the home and staff. The home provides two hair and beauty salons. People can also enjoy holistic therapies such as reflexology, Indian head massage leg and hand massages. The home has a cinema and a lifelong learning room for people who use the service to watch films in with surround sound. They can also use personal computers with broadband Internet access. One person living at the home uses a web cam and e-mail facilities to keep in touch with his family. The PCs have extra large keyboards to make them easier to use. The home produces a newsletter and a recent summer publication refers to the ‘first birthday’ celebrations that took place on 11th June when a champagne buffet lunch was enjoyed by all. All bedrooms at the home have digital televisions with free view channels. One person we ‘case tracked’ told us that they like to watch their own DVDs in their bedroom using this facility. All people who contributed to the discussion with us, including family and staff told us that the food was of an excellent standard. We saw the lunchtime meal which looked well presented and appetising. We talked to the chef who explained how people’s likes and dislikes were ascertained, and menu planning. Menus were seen are on an eight week rolling programme. These were varied and offered choice and a balanced diet. Specialist diets are catered for and were recorded in individual care plans. All people using the service have a nutritional assessment, which is discussed with the chef. People who we ‘case tracked’ who could contribute to discussion with us told us that they can choose where they wish to eat. The home offers lunch in their The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 15 own rooms or in one of the day rooms. We saw people who were unable to feed themselves independently being assisted in a sensitive and professional manner by care staff. The Uplands at Oxon DS0000070260.V368502.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): 16 & 18 Quality in this outcome area is excellent. People who use the service are able to express their concerns and have access to a robust, and effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home welcome concerns, complaints and compliments. The service has a complaints procedure. The complaints procedure is available within the home and is also available in the service user guide given to all people moving into the home or families/advocates acting on their behalf. The complaints procedure is also publicised on the homes web site, it can also be produced in large print. People spoken to were aware of the complaints procedure and who they should speak to if they had any concerns regarding their care. There is information throughout the home regarding the advocacy service operated by Age Concern or Care Aware. There has been one complaint made to the home since the last inspection and is currently being dealt with through the safeguarding of adults process. The registered manager is clear when an incident needs to be referred to the local authority and is part of the local safeguarding procedures. One referral has been made through this process in addition to the above mentioned. It did not The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 17 involve any member of staff employed at the home. There have been no complaints made to the commission for social care inspection since the last inspection on 16th of October 2007. All staff undertake adult protection training which was confirmed through discussion with individual staff members. Policies relating to procedure is to protect people using the service are in place and are made available in the staff handbook seen at the inspection visit. The Uplands at Oxon DS0000070260.V368502.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): 19 & 26 Quality in this outcome area is excellent. People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a purpose built care home with four separate units of twenty single en-suite rooms. One of the units is designed to meet the needs of people suffering from dementia. Bedrooms have large windows or patio doors which lead onto the garden. One person we ‘case tracked’ was very pleased to show us how they had been enabled to make their patio personal to them with hanging baskets and a small patio table and chairs. People can easily locate bedrooms as they are numbered and for those with visual impairment have the addition of Braille. The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 19 A number of assisted bathrooms with specialist bathing equipment are available throughout the home. There are a variety of communal areas for people to choose to enjoy. There is a light and airy gallery area furnished tastefully which overlooks the front aspect of the home and is a quiet pleasant area for people to relax in. There is a dedicated dining room, which provides informal surroundings for people living at the home and their visitors to use. There are five other day rooms, one with French windows to the landscaped courtyard with wheelchair accessible gardens. There is a theatre room with a large viewing screen and surround sound for watching movies, which is located upstairs. The room also accommodates the lifelong learning area, which is fitted with broadband Internet access and large keyboard PCs. Access to upstairs can be gained via stairs or one of two passenger lifts. Two further specialist day rooms are located in the dementia care unit one with direct access to a dedicated safe courtyard garden. Signage in the dementia care unit has been well researched and implemented appropriately. There are two hair and beauty therapy rooms one on each floor and an overnight guest accommodation with en-suite bathroom facilities. All laundry is done on the premises in a designated laundry building with infection control policies and procedures in place. Housekeeping staff undertake the laundry service and have been trained in the topic of infection control which was confirmed with the unit manager and staff during the inspection. Protective clothing was seen to be in use by staff and made available throughout the home. Sluice rooms are located on each unit with upto-date equipment to ensure infection is minimised. Peoples clothing looked well cared for and clean. The Uplands at Oxon DS0000070260.V368502.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): 27, 28, 29 & 30 Quality in this outcome area is excellent. People living at the home have safe and appropriate support as there are enough competent staff on duty at all times. People have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. People living at the home have their needs met and they are cared for by staff who get the relevant training and support from their managers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was not fully occupied at the time of the inspection. The unit manager stated that there are further plans to recruit more trained night nurses, care assistants, housekeeping and administration staff. Staffing rotas are in place and showed an adequate number of staff and skill mix are on duty each shift. It was considered on the day of the inspection that the home was adequately covered in terms of the level of clinical and personal care input required. The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 21 The home has a robust recruitment procedure in place. The file of two of the newest recruits to be employed at the home was examined. All checks required by regulation were in place. Induction training is provided to all new staff in line with the skills for care induction standards. We saw evidence of completed induction training and staff confirmed they had completed training when we spoke to them. Training leading to National vocational awards (NVQ) is provided and the minimum ratio of 50 trained staff being at level 2 has been exceeded. It was confirmed by the registered manager that three senior qualified staff hold the registered managers award and NVQ 4 in care. There is a training manager in post. Records show that health and safety, manual handling, infection control, basic care techniques nutrition and skincare are included in staff training. Staff spoken to said that research in best practice for dementia care is continually updated through nursing journals and Internet research. Through discussion with staff it was clear that they are knowledgeable about the client group they care for and support. People who were ‘case tracked’ and one relative spoken to said that they were ‘cared for by kind and caring staff who are thoughtful and do a good job.’ The Uplands at Oxon DS0000070260.V368502.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): 31,33,35 & 38 Quality in this outcome area is excellent. People have confidence in the care home because it is led and managed appropriately. The environment is safe for people and staff because appropriate health and safety practices are carried out. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear management structure in place at the home. The director, Mandy Thorn, is very involved on a day-to-day basis. People spoken to during the inspection knew who she was and tell us she is very approachable. The The Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 23 registered manager, Denise Marshall, is supernumerary and provides support to the unit managers and lead nurses. Dedicated administration staff deal with telephone calls and meeting and greeting visitors to the home. Personnel and finance managers are in post to support the registered manager. There is a quality assurance system is in place. It takes a relevant topic relating to the care home each month and people living at the home are given the opportunity to give their views. Last month the topic of religious observance and visiting faiths was carried out. As a result of this survey the home have increased the number of services, have a separate day of the month for bedside services and have contacted Methodist and Catholic services to become involved with the service. The topic before religious observance focused on food. As a result of that survey the menu has been revised. The home employs a full-time health and safety maintenance person who provides full and clearly written records of all safety checks and maintenance. These were routinely sampled and found to be kept in line with regulation requirements. The Uplands at Oxon DS0000070260.V368502.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 x x 4 x x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 4 x x x x x x 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 4 x x 4 The Uplands at Oxon DS0000070260.V368502.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. Standard Regulation Requirement Timescale for action 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 Uplands at Oxon DS0000070260.V368502.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Uplands at Oxon DS0000070260.V368502.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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