Care Home: Lower Oldfield Park

What the care home does well The service meets its aims and objectives really well and this is to try and promote the independence of the residents who live there. This is to ultimately encourage some residents to move on to more independent living. Staff are well trained to do the work they do and to understand the mental health needs of the residents.The home is well run and Mr Cooper is a very open and supportive manager, whom the residents and staff relate to very well. What has improved since the last inspection? The quality assurance system in the home now includes a formal report of the outcome of questionnaires that have been completed by people who live in the home The quality monitoring has also been extended to others who have contact with the home in a professional or personal capacity. This now provides a broader view of the quality of the service. What the care home could do better: For the resident identified at the inspection, ensure there is a care plan that sets out how to support the residents to take medication that they only have occasionally. CARE HOME ADULTS 18-65 Lower Oldfield Park 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP Lead Inspector Melanie Edwards Key Unannounced Inspection 4th March 2009 09:45 Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 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 Lower Oldfield Park DS0000008168.V374431.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 Adults 18-65. 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. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lower Oldfield Park Address 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP 01225 448396 01225 448396 housing@bathmind.org.uk 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) Bath Mind Paul Cooper Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6) Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 persons with mental disorder aged 18 years and over 11th April 2007 Date of last inspection Brief Description of the Service: 82 Lower Oldfield Park is owned by Places For People and operated by Bath Mind. Bath Mind is an independent voluntary organisation, which is affiliated to National Mind. Bath Mind operates a number of projects in the Bath area, of which 82 Lower Oldfield Park is one, for people experiencing mental ill health problems and their carers. 82 Lower Oldfield Park is a care home, providing care and support for up to six people with long-term mental health needs. The manager two senior care officers and a team of care officers support the residents 24 hours a day. The Home is a four storey building conveniently placed close to a bus route into the centre of Bath and is close to local amenities, and the shops on Moorland Road. There are six bedrooms, two communal lounges, a kitchen/diner, four bathrooms and five toilets over the four levels. There is also a sleep-in bedroom for staff members on the first floor. Bath Mind’s aim is to provide encouragement, support and assistance to residents to increase and improve their quality of life, freedom and independence to move on to supported housing when appropriate. Based on information in the 2008 AQAA document, the fees charged to stay at the home are £ 699 a week. Lower Oldfield Park DS0000008168.V374431.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 two star. This means the people who use this service experience good quality outcomes. The rating has stayed the same since the last inspection. However we recognise that overall standards of care and outcomes for residents continue to improve. We met four of the five residents who are living at the home. We also spoke to a number of visitors. We spent time observing residents and staff together. We joined a small group of residents for lunch. We met the registered manager Mr Paul Cooper and three of the support workers We looked at a selection of records relating to the day-to-day running and management of the home. The records we saw included two care plans, two assessment records, medication records, staff duty records, supervision records, accident records, fire records, and menus. We saw the majority of the environment. The only areas that we did not see were a small number of bedrooms. The ‘AQAA’ (an annual quality assessment document that all homes are required to complete) has been used to help form the judgments in the report. We found that the home was operating within the required conditions of registration set down by us. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the home. What the service does well: The service meets its aims and objectives really well and this is to try and promote the independence of the residents who live there. This is to ultimately encourage some residents to move on to more independent living. Staff are well trained to do the work they do and to understand the mental health needs of the residents. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 6 The home is well run and Mr Cooper is a very open and supportive manager, whom the residents and staff relate to very well. 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 summary of this inspection report can be made available in other formats on request. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and are well met. People are able to get hold of the necessary information to help them to understand the service provided. EVIDENCE: The ‘AQAA’ document explains in really good detail how prospective residents’ needs are assessed and the aims and objectives of the home: ‘Each prospective resident before entering the home is reviewed on their social, physical and mental health needs with their needs and aspirations assessed. They are interviewed to make sure our service would meet their needs and to see if the person’s needs and aspirations could be met by our service. If proceedings move on, the individual is shown the home with their planned bedroom and given a guide around the house with an overview of how the house operates. The service user if satisfied will then be entered into a licence agreement with Bath Mind to take on a placement. The aim of the home is to develop and increase independent living in a safe and caring environment for 6 people with long term mental health problems, to eradicate long term institutionalisation and give increased choice and Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 9 support to allow people to live their lives more as they would want to. The staff group delivers good quality care and service users take part fully with their own lifestyles and choices with their views respected. Care planning to record service users lifestyle choices and development are carried out on a bi-annually basis or earlier if needed. Integration into community living and providing a social lifestyle is encouraged. The house runs and operates as close to conventional as possible and carries a relaxed and communal feel. House meetings to view individual opinions are regular as are group and individual outings including an annual holiday ’. To help us to find out more what sort of information there is available for residents about the home we looked at a copy of the service users guide and the statement of purpose. We saw that the service users guide explains the type of care, and service that is provided. There are copies of the services users guide and the statement of purpose available for people so they can have the information about life in the home. The statement of purpose and the service users guide contain information about the service. There is also information about the qualifications of the staff employed, and the accommodation. The philosophy of the home and how the service aim to meet residents needs is also included. The complaints procedure is in each service users guide so people know how to complain. We read one newly admitted residents assessment information to see how their needs had been assessed by the home .We noticed that the home assess residents needs based on the idea of ‘person centred planning’ meaning the views and wishes of residents are at the centre of all care planned. We saw detailed information about the person’s range of mental health needs. The assessment record had been regularly reviewed and updated. We also saw that the resident has been involved in the assessment process, and signed care plans and assessment records in agreement with care that is provided. The residents we met asked were positive in their views of the staff and the care they provide. Examples of comments made by residents included, ` everyone’s really happy here ’, `they are looking after us very well,’ and `they are looking after me very well. These comments help to show us residents feel satisfied with the care and service. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and care plans show how their needs are being met. Residents are being very well supported to make decisions and to take risks in their daily lives. EVIDENCE: In the ‘AQAA’ document it says the home do the following to ensure the views of people who use their service are incorporated into what they do: ‘ Work carried out by the home actively listens and promotes the choices and wellbeing of the individual by both the service user and their respective families and mental health teams. This is carried out through quality care planning, quality assurance monitoring, professional out sourcing, good communication and a friendly and supportive manner by well trained staff ’. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 11 These are really good ways that residents are supported to make decisions in their lives and supported to take risks as well. We read one residents care plan so that we could find out how residents are supported to meet their mental health needs. We found that the care plan contained a good level of information about the person’s range of needs and what should be done to help them meet those needs. We saw a good level of information in the care plans about the life history of the person and what matters to them, including important family and friends. The care plan had been reviewed and updated regularly. This demonstrates residents’ needs are monitored and kept under review. The resident concerned had signed the care plan to show that they had been involved in writing it. In our discussion with all of the staff we met it is clear that one of the main aims of the home is to actively promote residents’ rights and to encourage them to develop their independence in their daily lives. We were told a really good example of this, which is that that residents now assist in the selection of new staff. We saw some helpful information in the care plan that we read about the potential risks the person may face and any risks from particular activities that they do .The care plan showed what approaches staff should take and was helpful and informative. We saw residents go out with staff for a range of social and therapeutic activities. This is good evidence of how residents are well supported to take risks in their daily lives. Residents are encouraged to have regular house meetings and to set their own agenda and discuss what they feel matters. We saw good evidence that residents are actively involved in the choice of meals served in the home. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported to take part in a range of suitable activities. Residents are supported to be a part of the community and to have personal relationships. EVIDENCE: The residents who we met told us that they go to a variety of leisure and social facilities including the sports centre, local community based facilities such as shops and the pub. Residents and staff are involved in housekeeping tasks. We saw one resident and member of staff go to the supermarket to do the daily food shop. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 13 We also saw residents doing cooking with the help of staff. This is a really good way that residents are encouraged to build up their independence in daily living skills. We noticed staff knock on bedroom doors before being invited Residents can have their own key to their bedroom if they want to, to give them more privacy. The residents we met told us that ‘yes’ staff are respectful to them and polite. Throughout the home we saw photos of recent holidays and social events that residents had taken part in. We were told by staff and by residents that the home encourages contact with family and friends. Some residents see their relatives regularly. We looked at a copy of the current records of meals that residents have eaten over the last four weeks. We saw there were a variety of dishes recorded as available for each day. Residents chose what they like to eat on their allocated day to go shopping and then to prepare and cook a meal. We saw a varied choice of meal options available for the residents. Meal choices included a range of traditional, nutritional meals. The lunchtime meal of pizza and a selection of fresh salads looked healthy and appetising. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to meet their physical and emotional needs in the way preferred by them. Overall residents’ medication is handling, administered and disposed of safely. However a care plan should be in place if residents are given medication on an occasional basis, to help with mental health symptoms. EVIDENCE: We saw useful information written in residents care records about the preferred daily routine of the residents and particular likes and dislikes in their daily lives. This helps staff to be able to meet residents’ needs in the way that is preferred by them. To support residents with their health needs they can use local GP practices. There is also specialist support provided from other external professionals including the psychiatrists, dietician and if needed the community mental health nurses. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 15 We saw extra information in the residents daily records that showed us staff keep a ‘close eye’ on residents and observe their overall health. Staff will call the doctor, if they are concerned about the person. We inspected procedures for administration, storage and disposal of medication to see if residents’ medication is handled correctly. We looked at the medication administration charts of three residents. The stock of medication we saw was satisfactorily organised. The medication administration chart was legible, up to date, and contained the signature of the dispensing member of staff. This demonstrates medication is given to residents safely. The staff who administer medication do regular training to enable them to do this safely. We noticed that one resident has medication on a ‘give when required’ basis to help them to control certain mental health symptoms. We discussed this during the inspection with Mr Cooper. We advised that there should be a care plan in place setting out the reasons this medication is used and when it should be given to the person. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are very well supported to make complaints about the service. Residents are protected by systems in place to them from abuse. EVIDENCE: We checked the complaints records to see how complaints are dealt with by the home. There had been no complaints made since before the last inspection. In our discussions with staff they demonstrated an understanding of the importance of supporting residents to make their views known if they are unhappy about any aspect of life in the home. All of the residents who we met said they could talk to the staff if they need to. We saw a copy of the homes complaints procedure this has our contact information as well if people need to get in touch with us. However it had or old address on it, although Mr Cooper rectified this during the inspection. We saw the minutes of residents meetings. The meetings are a good way for residents to make known any complaints they may have. This is a way residents take control in their lives and can make complaints if they need to. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 17 We saw a copy of the home’s policy relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. The staff do training courses in understanding the principle of the protection of vulnerable adults from abuse. The staff we met had an understanding about the subject of abuse and how they protect residents in the home. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is adequately clean and is safe and satisfactorily maintained. The environment is suitable for residents’ needs and lifestyles. EVIDENCE: Lower Oldfield Park is in a residential area of the city of Bath. The home is a short distance from the main shopping area of the city. The home is near to bus stops, a train station, shops, coffee shops, pubs, and a church. This means residents can be part of the community if they so wish. The home is a four storey building and people have residents use all parts of the building. There is no lift so the home would not be suitable for someone with reduced mobility. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 19 We found the home looked adequately clean in all areas that we saw. The environment looked to be satisfactorily maintained. One resident kindly showed us their bedroom. The bedrooms looked adequately clean and adequately maintained. All bedrooms are for single use. We saw that rooms had been decorated in different colours and we were told residents had chosen their own colours for their rooms. Residents had their personal possessions in their rooms. We saw residents sitting at the dining room and in the lounge talking together. We noticed that residents looked really relaxed in their environment. We saw bathrooms ear to communal areas and bedrooms. We saw that the bathrooms and toilets were adequately clean and had towels and soap to help minimize risk from cross infection. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a sufficient number of competent, qualified staff. The staff are well supported and supervised in their work. EVIDENCE: We checked the number of staff on duty for four weeks of March of this year. We saw that there are two support staff on duty for a day shift. There is one member of staff who works a ‘sleeping in shift’ at night and is available for support if needed. Mr Cooper works additional to the two staff on duty each day and he does thirty seven and a half hours a week. He is also available on call outside of these times for support and advice if needed. Based on the evidence from the inspection the number of staff on duty at any time meet residents needs. We looked at staff employment files of three care staff. We saw two written professional references taken up for all new staff prior to offering work at the home. All staff must do a criminal records bureau check before starting Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 21 employment. These checks aim to make sure the home employees only suitable people to work with residents. We met two staff who told us they have now done national vocational qualification in care awards. Mr Cooper told us there is also a significant number of the team who have either completed national vocational qualifications or are working towards them. The staff we met told us that they are regularly supported and supervised in their work. We saw two staff recent supervision records , these showed us that staff discuss the needs of the residents and also discuss their own performance at work. The use of supervision is a good way for staff to maintain and improve their standard of work. Based on the discussions with the staff on duty it was evident that the staff feel well supported. This benefits residents if staff are supported to be able to provide the care and a have good understanding of residents and their needs. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38, 39,42.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well run home and there are really good ways for there views to be listened to and represented. Residents’ and staff health and safety is protected. EVIDENCE: Mr Paul Cooper has been the manager of the home for three years. He has several years of experience caring for people with a range of needs and mental health needs. He has been is registered with us as the manager of the home. This demonstrates he is fit and competent to be the manager. One resident said to us that Paul (Mr Cooper) was a ‘good bloke’; another resident said he was ‘approachable ’. This show us residents feel well supported by him. The staff also told us that Mr Cooper was approachable and they could go to him with any concerns at anytime. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 23 As already mentioned there are residents’ house meetings and residents can set the agenda. Residents are also involved in the recruitment of new staff in the home. These are really good examples of the open management style of Mr Cooper in the home. Mr Cooper has put in place his a really good system for monitoring the quality of the care and the service that residents are given. We saw the information that had been obtained from a recent in house as well as external (involving relatives, significant others and health care professionals) quality monitoring exercise. We saw that residents are well consulted about a varied range of matters to do with the service. We also saw that Mr Cooper has written an action plan to show how he will address the matters that had arisen from this consolation exercise. We found that the environment looked safe and satisfactorily maintained in the areas we saw. All of the staff do regular training food safety. This is a really good way for staff to help residents to prepare and cook food in a safe way. The staff do training in health and safety matters including first aid, infection control and fire safety. This should help protect residents if staff are knowledgeable and well trained in health and safety principles and practices. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. We saw records that showed staff check the temperatures of all high-risk cooked food before it is served to people to make sure it is hot enough and safe to eat. One of the residents we met told us that they had recently done food hygiene training. They told us the correct temperature that foods should be cooked too before serving. Lower Oldfield Park DS0000008168.V374431.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 Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 4 X X 3 X Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? 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. 1 Refer to Standard YA20 Good Practice Recommendations There should be a care plan in place setting out the reasons for the use of medication that is given ‘when required’. Lower Oldfield Park DS0000008168.V374431.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Lower Oldfield Park DS0000008168.V374431.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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