Care Home: Oak Lodge Nursing Home

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well The AQAA provided by the registered manager gave clear information regarding the care provided at the home. The home looked very clean, well maintained and homely. Residents said that they liked their rooms and enjoyed spending time in the communal areas. The residents said that the staff were `very helpful and cheerful` and `I can have a laugh with them`. Residents also commented that the `care was very good` and `I have absolutely no complaints`. Residents` health care needs are being met and a GP commented that the home `provides a good standard of professional nursing care` and `a happy, relaxed but caring environment`. AQAA information stated that `It is our policy to treat all residents and staff members as individuals` During the visit to the home this was confirmed with detailed information provided in care plans regarding the preferences of residents including how they wished to receive their personal care, their wish to participate in social and religious activities and their dietary wishes. Staff said that they worked `as a team to provide good care for the residents`.Staff said that they received very good support from the registered manager and were encouraged by her to attend training sessions to enhance their skills. Records seen confirmed that staff received the training they required to meet the residents` needs. The home monitors the quality of care provided and acts upon comments received as necessary, such as making changes to the menus to reflect the wishes of the residents. The registered manager runs the home in the best interests of the residents. What has improved since the last inspection? Improvements have continued to be made to the environment with an ongoing decorating and refurbishment programme. English speaking lessons requested by some staff during a staff meeting have been provided to improve communication with residents. AQAA information stated that `Joint managers meetings are being held with all the registered managers within the group and the newly appointed Operations Manager. These meetings are allowing us to have continuity across the group and to share ideas. What the care home could do better: AQAA information indicated that the registered manager is aware of areas that require improvement and is working to address these such as `reviewing the activities programme to encompass all the resident`s different needs and hobbies and enable them to pursue any life long learning that they wish`. There were no requirements made at this inspection. CARE HOMES FOR OLDER PEOPLE Oak Lodge Nursing Home Rectory Road Oakley Basingstoke Hampshire RG23 7EL Lead Inspector Marilyn Lewis Unannounced Inspection 27th March 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oak Lodge Nursing Home DS0000011655.V359614.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. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Lodge Nursing Home Address Rectory Road Oakley Basingstoke Hampshire RG23 7EL 01256 780222 01256 782377 enquiries@forestcare.co.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) Forest Care Ltd Mrs Sarah Maureen McColl Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability over 65 years of age of places (10) Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2006 Brief Description of the Service: Oak Lodge is a care home providing nursing care for forty one persons over sixty five years of age and those of that age who have physical disabilities. The home is one of three homes owned and operated by Forest Care Limited. Oak Lodge was opened in 1995 and the establishment forms part of a large Georgian Manor House with conference facilities. It stands in extensive grounds in Oakley, on the outskirts of Basingstoke, Hampshire. Residents are accommodated in thirty-five single rooms and three double rooms sited over three floors. Two passenger lifts and stairs allow access to all areas of the home, including a large lounge, small lounge for smokers and a conservatory. The registered manager said at the time of the visit to the home that current fees ranged from £750 to £800 per week depending on the level of need. Oak Lodge Nursing Home DS0000011655.V359614.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 2 Star. This means the people who use the service experience good quality outcomes. Information was provided by the registered manager in the home’s Annual Quality Assurance Assessment (AQAA), by people using the service, or with an interest in the service, in survey questionnaires and information obtained during an unannounced visit to the home, was taken into account when completing this report. The unannounced visit took place on the 27th of March. The inspector met with residents, staff, a visitor, the registered manager and the company’s operations manager. Care plans were sampled and records seen included those for staff recruitment and training, medication and maintenance. What the service does well: The AQAA provided by the registered manager gave clear information regarding the care provided at the home. The home looked very clean, well maintained and homely. Residents said that they liked their rooms and enjoyed spending time in the communal areas. The residents said that the staff were ‘very helpful and cheerful’ and ‘I can have a laugh with them’. Residents also commented that the ‘care was very good’ and ‘I have absolutely no complaints’. Residents’ health care needs are being met and a GP commented that the home ‘provides a good standard of professional nursing care’ and ‘a happy, relaxed but caring environment’. AQAA information stated that ‘It is our policy to treat all residents and staff members as individuals’ During the visit to the home this was confirmed with detailed information provided in care plans regarding the preferences of residents including how they wished to receive their personal care, their wish to participate in social and religious activities and their dietary wishes. Staff said that they worked ‘as a team to provide good care for the residents’. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 6 Staff said that they received very good support from the registered manager and were encouraged by her to attend training sessions to enhance their skills. Records seen confirmed that staff received the training they required to meet the residents’ needs. The home monitors the quality of care provided and acts upon comments received as necessary, such as making changes to the menus to reflect the wishes of the residents. The registered manager runs the home in the best interests of the residents. 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. Oak Lodge Nursing Home DS0000011655.V359614.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 Oak Lodge Nursing Home DS0000011655.V359614.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one is admitted without a care needs assessment to ensure the home can meet their care needs. Potential residents are provided with the information they require and are able to visit the home to assist them in making an informed choice. The home does not provide intermediate care. EVIDENCE: The home has recently updated the information it provides for potential residents and their families. The information including the home’s Statement of Purpose and Service User Guide are contained in a brochure, which provides a description and photographs of the home and information regarding the qualifications and experience of the registered manager, the accommodation and the admission process. The information also states that although the home Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 9 is registered to take residents over the age of 65 the majority of the residents are aged around eighty years. Residents said in their survey questionnaires that they had received the information they needed about the home to make an informed choice. Residents spoken with also said that they had visited the home prior to making a decision. Information in the AQAA stated that a pre admission assessment is undertaken for potential residents to ensure the home can meet their care needs. Records seen for five residents, two of whom had been admitted for respite care, confirmed that the assessments had been completed. The assessments seen included information regarding the resident’s personal hygiene, moving and handling, communication and nutritional needs and also risk assessments. Although the home provides respite care, it does not provide intermediate care and therefore standard 6 is not applicable. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning, they are treated with respect and their health care needs are being met. Staff adhere to the home’s clear procedures for dealing with medication, which protects the health and safety of the residents. EVIDENCE: AQAA information stated that ‘ We endeavour to enable our residents to remain as independent as possible. We encourage their input into the care planning enabling a person centred approach’. Residents spoken with confirmed that they were involved in their care planning and said that their care plans reflected their needs and wishes. Care plans for four residents were seen, and these were detailed and covered all aspects of care provision. Additional plans were in place for night care, where details such as how many pillows the resident preferred were Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 11 documented. The plans had been reviewed regularly and updated to reflect the changing needs of the residents. Risk assessments were contained in the care plans including those for moving and handling, risk of falls, nutritional needs, pressure area care and maintaining a safe environment. Residents said in their surveys that they were able to receive visits from their GP as they wished and records seen confirmed this. A GP commented in their survey that the home provides ‘a good standard of professional nursing care’. Visits from health professionals including GPs, district nurses, community psychiatric nurses, wound specialist, dietician and continence care nurse were recorded in the resident’s records. Local opticians, dentists and chiropodists visit as needed. The home has clear procedures in place for dealing with medication to ensure the risks to the health and safety of the residents were minimised. A trained nurse responsible for administering medication at the time of the visit was adhering to the procedures. Records seen had been completed appropriately and medication was stored safely. Records seen for controlled drugs matched the amount of medication held. Systems are in place for the recording of medication brought into the home and for the disposal of medicines. Up to date information on the medication in use at the home was available for staff. AQAA information stated that ‘our trained nurses who have regular ongoing training and updates in this area administer all our medication’. The trained nurse spoken with and records which were seen, confirmed that ongoing training and updating was taking place. Residents said that they were treated with respect at all times. During the visit staff were observed chatting to residents in a friendly but respectful manner and they knocked and waited before entering rooms. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose to participate in a variety of social activities and can receive visitors as they wish. Resident’s views are taken into account when developing the menus and meals are well presented. EVIDENCE: Residents spoken with said that there were ‘plenty’ of activities taking place at the home even though one of the activities co-ordinators had recently left. One of the residents said that she was very interested in helping other residents with activities and she usually spent time making cards with them when there were no planned activities taking place. The registered manager said that another co-ordinator had been recruited and they would be starting shortly. The registered manager stated in the AQAA that the three homes operated by the company were looking to pool resources for some activities to provide the residents with a more comprehensive activities schedule. Photographs were on display in the reception area of a recent Easter Bonnet event and information was available for a trip to the theatre in the coming months. A resident spoke Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 13 of enjoying the Bingo session held the previous day and another said they were looking forward to a musician due to visit the next day. One resident said that she enjoyed spending time alone in her room and staff respected her wishes. One staff member said in their survey that there were occasions when a large event was taking place in the adjoining conference centre, that residents could be disturbed into the early hours. The registered manager said that she spoke with residents if an event was taking place and she had not received any complaints about noise or disturbance. This was confirmed when talking with residents who said that they were not disturbed. The registered manager said that residents’ cultural and religious needs were documented in their care plans and this was confirmed with the care plans seen. During the morning of the visit two religious services took place, one for Anglicans and one for Roman Catholics. Residents were able to choose whether to attend. The registered manager stated in the AQAA that ‘It is the company’s policy to treat all residents and staff members as individuals irrespective of race, ender, disability, sexual orientation, age, religion and belief. Our staff force consists of a diverse ethnic team, who all work well together.’ Staff from overseas, whose first language was not English, are provided with lessons in speaking English. During the visit residents chatted easily with staff and those asked said that they did not have a problem understanding the staff members. Residents said that they were able to receive visitors as they wished and a visitor said that they were always made to feel welcome at the home. Survey information from residents indicated that they were satisfied with the food provided at the home although one resident commented on the frequent use of frozen vegetables and the lack of milk puddings. The registered manager said that these issues had already been addressed as they had been discussed during a recent resident’s meeting. The cook confirmed that far more fresh vegetables were being used and that changes had been made to the menus regarding puddings. On the day of the visit the meals served were well presented and all residents spoken with said that they had enjoyed the main meal of gammon in a wine sauce with mashed potato, courgettes and carrots followed by a choice of puddings. Alternative main meals were available for those who wished them. One resident said that ‘I am always able to have a different meal if I do not want the main choice’. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that their complaints will be taken seriously and acted upon quickly and they are protected by staff awareness of the need to protect vulnerable adults from abuse. EVIDENCE: Residents said that they knew the procedures to follow should they wish to make a complaint. Residents spoken with said that they did not have any complaints but if they did they would talk with the registered manager who they felt would deal with the issue. One resident said ‘I am always able to talk with the manager if I have any concerns’. Another resident said that they ‘had absolutely no complaints’. The registered manager stated in the AQAA that one complaint had been received in the last year and the homes complaints records confirmed this with one complaint documented that had been investigated and resolved quickly. AQAA information stated that ‘the staff team are confident with the home’s policy on abuse and whistle blowing and know where and to whom to report an incident’. This was confirmed when talking with staff who said that they had received training in the protection of vulnerable adults and were aware of the Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 15 procedures to follow should abuse be suspected. A training session on the protection of vulnerable adults was being held at the home on the afternoon of the visit. Staff said that the training was mandatory. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oak Lodge provides residents and visitors with a clean, safe and homely environment. EVIDENCE: The home looked very clean but homely. The registered manager said that since the last inspection, the rolling programme of refurbishment has included profiling beds, curtains for the top floor, new office furniture and new lockers for the staff room. Door guards had also been fitted to doors requiring them to comply with Fire Regulations. Residents said that they liked their rooms and one said that ‘I have all that I need’. The rooms looked homely and contained many personal items including photographs, ornaments and small items of furniture. Many of the rooms have Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 17 very pleasant views over the gardens and surrounding countryside and one resident said that she enjoyed sitting in her room looking out at the views. The home has a call alarm system fitted and call bells were seen in rooms where residents were spending time, and these were available and accessible to them. Stairs and two passenger lifts provide residents with access to all areas of the home. The home has a large lounge, smaller lounge, conservatory that contains the area used by the hairdresser, and tables for craft activities to take place plus seating, and a separate dining room. The kitchen is shared with catering staff from the conference centre. At the time of the visit the kitchen looked clean and in good order. The home employs separate staff for laundry and domestic duties. AQAA information stated that ‘these employees are aware of the importance of hazardous substances being used and stored in the correct way’. During a tour of the home hazardous substances such as cleaning fluids were seen to be stored safely. Staff said that they were provided with protective clothing including disposable gloves and aprons and they were seen to be wearing it as needed. AQAA information stated that ‘All our staff receive training in infection control and MRSA’. Records seen confirmed staff had received the training. A comment received in one of the surveys indicated there had been a problem with the heating. The registered manager said that the heating had failed on one occasion and portable heaters were placed around the home until the fault had been rectified. Risk assessments had been completed for the use of the portable heaters. The home has gardens to the rear and side of the property and an enclosed courtyard area. Seating is provided in all the areas and residents said that they enjoyed spending time outside when the weather was good. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff employed, meets residents’ needs and residents are protected by the home’s use of robust procedures for the recruitment of new staff. Staff receive the training they require to fully support the residents. EVIDENCE: The home employs the registered manager, deputy manager, eleven trained nurses and twenty-two carers. The registered manager said two new carers had been recruited and would be starting as soon as all the necessary checks had been completed. The home also employs an administrator and separate catering, laundry and domestic staff. Staff had commented in their surveys that the home was finding it difficult to retain carers. The registered manager confirmed that a number of carers who had been at the home for sometime had left in the last year and it had taken time to replace them. Nursing staff had remained stable. Residents and staff spoken with said that they felt there were enough staff on duty for each shift. Two trained nurses and six carers were on duty during the morning, with an additional carer on duty to assist with breakfast and early morning care tasks. Two trained nurses and six carers are on duty in the Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 19 afternoon, and one trained nurse and four carers at night. The registered manager said that staffing levels were flexible to reflect the changing needs of the residents. The registered manager works along side the carers for some shifts. Three of the twenty-two carers hold a National Vocational Qualification (NVQ) in care to level 2 or above, and eleven are in the process of obtaining the qualification. Records seen for two staff members recruited in the last six months indicated that the home was using robust procedures for recruitment. The records contained all the information required including two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed before the staff members started work at the home to ensure they were suitable to work with the residents. Staff spoken with said that they had good opportunities to attend training sessions. A trained nurse said that she was able to complete the training required to maintain her professional development and a carer said that there was training sessions were displayed and they were encouraged to attend by the registered manager. The registered manager said that she was a trainer for moving and handling and the deputy was trained to train staff in infection control and health and safety. This meant that staff were receiving consistent information and did not have to wait for a trainer to visit the home. Records seen indicated that staff received training in moving and handling, infection control, first aid, nutrition and health, medication, continence, bereavement and palliative care. Twelve staff members had also attended training in dementia care and a wound specialist nurse had visited to provide the nurses with training in the care of leg ulcers. New staff followed an induction course that was a pathway to NVQ and records seen for the two staff members confirmed training had taken place. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager runs the home well and in the best interests of the residents. EVIDENCE: The registered manager Mrs McColl, has more than fifteen years experience in care of the elderly. Mrs McColl is a trained nurse who has successfully completed the Registered Managers Award. Staff said that they received good support from the registered manager and residents said that Mrs McColl was always available to talk to them. The registered manager said that she was receiving support from her line manager, who visited on the day of the inspection and also from meetings with Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 21 the managers of the other homes operated by the company. It was evident during the visit that the registered manager has a very good rapport with staff, residents and visitors. Residents said that meetings were held for them to discuss life at the home with the registered manager. Records seen confirmed that meetings take place three monthly and cover a wide range of topics including the home’s environment, staffing levels, social activities and meals. Comments received during the meetings had been acted upon as necessary such as changes to the menus and the use of frozen vegetables. Residents and their relatives had also been asked to complete survey questionnaires in January 2008. Completed questionnaires seen indicated that the residents and their relatives were satisfied with the quality of care provided at the home. One relative had commented that the staff ‘do a brilliant job’. Staff also said that meetings were held on a regular basis or more frequently if a specific topic was to be discussed. Minutes from the meetings were displayed on the notice board in the staff room and the registered manger said that staff who had not been able to attend were also sent a copy of the minutes to ensure they were kept up to date. The registered manager said that she operated an ‘open door’ policy with residents and visitors able to talk with her whenever they wished. During the visit residents and visitors took advantage of the open door and chatted easily with the registered manager. The home holds small amounts of money for some residents. The money is kept in a safe place in individual containers. Records are kept for all transactions and records seen for two residents matched the amount of money held. Staff said that they received regular supervision, and records seen confirmed this. Most of the sessions were based on practical issues such as maintaining dignity while bathing a resident in bed. The registered manger said that she was aware of the need to provide one to one sessions where staff were able to discuss their personal development and performance and these were being arranged. The home looked well maintained and records seen indicated that maintenance checks and servicing took place regularly for systems such as the electricity, specialist equipment and fire safety equipment. Procedures were readily available for staff and health and safety information was displayed around the home. Staff said, and records confirmed, that staff received training in health and safety including moving and handling, infection control, first aid and fire safety. Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 23 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 Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oak Lodge Nursing Home DS0000011655.V359614.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!