Care Home: Oakdene

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What the care home does well Oakdene provides a homely environment for the people who live there, and they appeared contented and relaxed during the visit. One person described their home as "The best," another said Oakdene is a good place to live and people are treated well. Others said they had no complaints and staff are, "Very good". These comments were confirmed in the ten service user surveys, which were returned to us before the visit. People`s diversity and opinions are respected when they are introduced to Oakdene, and while they are living there. This is achieved through giving them information about their home, finding out about their beliefs, needs and preferences and offering them choices. There is a pleasant atmosphere in Oakdene and people who live there said they are asked about what they would like to do and what they like to eat. One person said, "I want for nothing here." What has improved since the last inspection? Recommendations from the last inspection have been addressed as follows : The staff rosters give a true account of people who are on duty. In this way, there is evidence that there is enough skilled staff on duty during the day and night, to support the people who live there. Staff have finished carrying out improvements to care plans to give people more say in the care they receive and the way it is given. Care plans are now easier to follow than previously, and those, which were read, gave a true account of the support needs of each individual. In this way staff will have the guidance they need to support people properly, and their needs will be met. All staff have received training from the Local Authority in Protection of Vulnerable Adults, since the last visit. In this way people who live in Oakdene will be protected from abuse through staff awareness of the indicators of abuse and the procedures they must follow in reporting suspected abuse. Training in patient handling has been arranged to ensure staff knowledge is updated and they have skills to move people safely, using the correct equipment and techniques. An upstairs bathroom has been converted to a shower room, which is suitable for people who are frail and need support when bathing. Residents may now choose whether to have a bath or shower, which promotes their diverse mobility needs and choices. Work has been carried out on the upper windows to restrict the openings and in this way people will be protected from accidents. What the care home could do better: There is a lot of evidence that people`s diversity is respected in Oakdene, in information gathering by staff and the manner in which support is given. However this is not as evident in the recordings in incident reports, particularly for those who are mentally frail. A recommendation is given that these reports be written in a way, which is concise and non-judgemental with special attention to the use of descriptive terms in future, which respect the person`s dignity and rights. Two recommendations are given, to ensure that medication records are accurate and that staff have clear guidance to follow when giving out "as required" medication. In cases where there is no pharmacy printout andmedication administration records are handwritten by staff, these should be signed by the writer and checked and signed by a colleague. In instances where people are prescribed "as required" medication, a care plan should be written in accordance with the doctor`s instructions, as to the circumstances under which the medication will be given to the person. Maintenance checks on the stair lift could not be found at the time of the visit, although the person in charge was sure these had been carried out. To ensure that equipment used to move people in Oakdene is safe, a recommendation is given that certified evidence of the work carried out on the stair lift, be provided to CSCI. CARE HOMES FOR OLDER PEOPLE Oakdene Oakdene 100 Tollemache Road Birkenhead Wirral CH41 0DL Lead Inspector Mrs Trish Thomas Unannounced Inspection 9th June 2008 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oakdene DS0000018919.V362707.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. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakdene Address Oakdene 100 Tollemache Road Birkenhead Wirral CH41 0DL 0151 653 7109 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) No email Mrs Irene Patricia Steele Mrs Irene Patricia Steele Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2007 Brief Description of the Service: Oakdene is a detached property, originally a vicarage, which was adapted to provide residential care and support for sixteen older people in 1981. The present owner took over the home in 1992. Oakdene is located in a residential area of Claughton, Birkenhead and is about half a mile from local shops and services. There is a bus stop outside the front gate. The home is approached via a gently sloping drive and the house and gardens are set on level ground. There is parking for three cars in the grounds and unrestricted parking on the main road. Accommodation is provided in ten single and three double bedrooms. There is a communal lounge, a conservatory, a separate dining room and a small smoking room for residents only. In Oakdene there is one bathroom with assisted bathing facilities, a large (recently refurbished) shower room and five toilets. The weekly charge for Oakdene £346.92p. The fee does not include hairdressing and chiropody. Oakdene DS0000018919.V362707.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 stars. This means that people receive good quality outcomes. The visit was un-announced and took place over a five-hour period. The methods we (the commission) used to assess Oakdene against National Minimum Standards are as follows. The views of people who live and work in Oakdene were listened to. We discussed the service Oakdene with them and the deputy manager, Mrs. Jackson, who also provided any further information we asked for. Records kept in the home about health & safety, staffing and care practice were read and the care plans of two people were looked at in detail. Reference was made to information sent to CSCI by residents and staff before the visit took place. Ten satisfaction surveys were returned to CSCI from people who live in Oakdene and ten from staff members. The comments they gave on the quality of service are included in the report. The manager completed the AQAA (Annual Quality Assurance Assessment) and returned it to us before the visit. This gives us information about how the service has improved in the last twelve months, plans for the future and any barriers to improvement. What the service does well: Oakdene provides a homely environment for the people who live there, and they appeared contented and relaxed during the visit. One person described their home as “The best,” another said Oakdene is a good place to live and people are treated well. Others said they had no complaints and staff are, “Very good”. These comments were confirmed in the ten service user surveys, which were returned to us before the visit. People’s diversity and opinions are respected when they are introduced to Oakdene, and while they are living there. This is achieved through giving them information about their home, finding out about their beliefs, needs and preferences and offering them choices. There is a pleasant atmosphere in Oakdene and people who live there said they are asked about what they would like to do and what they like to eat. One person said, “I want for nothing here.” Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There is a lot of evidence that people’s diversity is respected in Oakdene, in information gathering by staff and the manner in which support is given. However this is not as evident in the recordings in incident reports, particularly for those who are mentally frail. A recommendation is given that these reports be written in a way, which is concise and non-judgemental with special attention to the use of descriptive terms in future, which respect the person’s dignity and rights. Two recommendations are given, to ensure that medication records are accurate and that staff have clear guidance to follow when giving out “as required” medication. In cases where there is no pharmacy printout and Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 7 medication administration records are handwritten by staff, these should be signed by the writer and checked and signed by a colleague. In instances where people are prescribed “as required” medication, a care plan should be written in accordance with the doctor’s instructions, as to the circumstances under which the medication will be given to the person. Maintenance checks on the stair lift could not be found at the time of the visit, although the person in charge was sure these had been carried out. To ensure that equipment used to move people in Oakdene is safe, a recommendation is given that certified evidence of the work carried out on the stair lift, be provided to CSCI. 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. Oakdene DS0000018919.V362707.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 Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are given plenty of information about Oakdene and have had their needs assessed before making a decision about moving in. EVIDENCE: Standards 1 and 3. Oakdene has a brochure, which contains plenty of information about how the home is run, the facilities on offer. People told us they had been given a brochure before they move in to the home. In this way they have the information they need to make the decision as to whether or not Oakdene will make a suitable home for them. Care files give evidence that people are invited to visit Oakdene to meet those already living there and staff, before moving in. All admissions to this home are on a twenty-eight day trial basis and this means that people will have experience of living in Oakdene before making a decision to live there permanently. Ten surveys sent to us by people Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 10 living in Oakdene told us that they had plenty of information about the home before moving in and they all have contracts of residence. Care files informed us that people wishing to move in to Oakdene have had their needs assessed by relevant social services staff. This is to find out how much support they will need and which type of service will best suit their needs. Records of these pre-admission assessments were seen in people’s care files. On receiving a referral from social services, staff from Oakdene carry out a further assessment with the person, to make sure that the services and facilities in Oakdene can meet their needs. People’s individual care plans are set out to meet the findings of these assessments. Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are set out in a care plan, which states their preferences, and gives staff guidance about how the person will be supported in Oakdene. EVIDENCE: Standards 7,8,9 and 10. Two care plans were looked at and gave written guidance to staff as to how to support each individual. Care plans had been written in consultation with the person (or their families) and recorded the needs identified in assessments. These were set out in way, which was clear and easy to follow. The care plans had been regularly reviewed to make sure that any change in the person’s condition had been identified and their care plan changed accordingly. In this way each person retains as much independence as possible and receives the level of support needed. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 12 Mrs. Jackson was able to describe support for one person who had moved in recently and the person appeared to have control over the support he/she is willing to accept in Oakdene. The care records gave an accurate account of the person’s wishes and support needs. In ten staff surveys returned to us they told us that for guidance, they receive updated information about the needs of the people they support, in care plans and through staff handovers. Care plans give us evidence that the people who live in Oakdene are registered with local doctors and receive visits from district nurses and paramedical services such as chiropodists and opticians. There was clear evidence in one person’s care plan that instructions from medical professionals had been followed by staff without delay, to ensure that the person did not have to wait for medical treatment. Medical records follow a format, which ensures that for each individual, there is a clear account of medical referrals, the reason for the referral, the action taken in response (for example prescriptions supplied or hospital treatment), and the outcomes to the person. Written procedures and the training matrix inform us that there is a system in place for managing the medication prescribed for people who live in Oakdene and that staff who do this have received relevant training. This is to ensure that staff are given guidance to follow and have the skills to manage people’s medication safely and efficiently. We looked at the ways by which medication is accepted into the home, stored, given to people and audited. The system in place was found to be generally satisfactory, there are records of returns of unwanted medication to the pharmacy, and drugs were stored securely at the time of this visit. Two recommendations are given, to ensure that medication records are accurate and that staff have clear guidance to follow when giving out “as required” medication. In cases where there is no pharmacy printout and medication administration records are handwritten by staff, these should be signed by the writer and checked and signed by a colleague. In instances where people are prescribed “as required” medication, a care plan should be written in accordance with the doctor’s instructions as to the circumstances under which the medication will be given to the person. Records show us that staff have guidance to follow in providing a service which respects people’s privacy and dignity. People who live in Oakdene expressed no concerns about their treatment, one person said, “I am an honest person so you know it is true when I tell you this is a very good place to live. We are treated very well.” A resident wrote in a survey returned to us, “It is the best.” To ensure that each person’s dignity is respected in report writing a recommendation is given regarding the content of incident reports. These should be written in a way, which is concise and non-judgemental with special attention in future, to the use of descriptive terms, which respect the person’s Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 13 dignity and rights. A specific instance in relation to one care file, was discussed with Mrs. Jackson during the visit. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of Oakdene have the lifestyle they choose and their rights and diversity are respected. EVIDENCE: Standards 12,13,14 and 15. During the visit, some people were spending time in their bedrooms; others were in the lounge and conservatory. There is a well-maintained and secluded garden for their enjoyment during fine weather. There is an activities programme in Oakdene, which records a range of in-house events and outings for people’s enjoyment. One person said she had been out for a walk with staff though she prefers to stay in her bedroom most of the time. She said she is very comfortable, staff are respectful, and she has no complaints about her life in Oakdene. There was evidence in care files, that people are consulted about the ways in which their care will be given and their opinions and lifestyle preferences are recorded to inform staff. To support people’s cultural diversity, arrangements Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 15 are made for local clergy to visit them for prayer and communion if that is what they want. Care files inform us that people living in Oakdene regularly have visits from family and friends and go out with them. People enjoy going to the local shops, and there are records of outings to local places of interest and cafes. People who live in Oakdene are served home-cooked meals, and their likes and dislikes in this are recorded in their care plans. The AQAA informs us that residents are fully involved in compiling menus in Oakdene. In addition, alternatives to the main meal are offered and people are asked about what they would like to eat each day. We saw records of the meals served in the home and visited the food stores, which were well stocked with fresh, chilled and frozen foods and basic provisions. There is a pleasant dining room, with nicely laid tables and enough seating and place settings for each person who lives there. A resident said, “The food is very good, I enjoy my meals.” Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of Oakdene know their complaints will be listened to and acted upon and they are protected through staff training and the policies and procedures in place to guide them. EVIDENCE: Standards 16 and 18. Oakdene has a complaints procedure, which is given to people who live there and their families. In this way they are informed of their right to express concerns and how these will be investigated. A record of complaints is kept in Oakdene and the last on record was from 2006. A person who lives in the home told us, “I would just say if I was worried about anything. They are keen to please us all, and I have never had cause to complain.” To ensure that residents are protected from abuse, there are procedures in place for Protection of Vulnerable Adults and “Whistle-blowing.” There have been no safeguarding investigations about Oakdene since the last visit. Staff, who were spoken with during the visit, said they have received training in POVA and this is confirmed in the training records. In discussion, staff showed awareness of abuse indicators and safeguarding procedures. Through providing staff with skills, knowledge and training, people who live in Oakdene will be protected from harm or ill treatment. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 17 Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oakdene is well maintained and provides a clean and comfortable home for the people who live there. EVIDENCE: Standards 19 and 26. Oakdene is a converted dwelling house set in beautiful grounds, and is furnished and decorated in domestic style. People who live there told us they were comfortable and had personalised their bedrooms. A tour of the premises gave evidence of this as each bedroom is highly individualised, containing ornaments, photographs and personalised bedding. There are bedrooms and toilets on the lower and upper floors and upstairs rooms may be reached by chair lift for those who have poor mobility. Since the last visit, an upstairs bathroom has been converted to a shower room, Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 19 which is suitable for more frail people who have limited mobility. The work has been finished to a very high standard. Mrs. Jackson said that those who do not like a shower have their choice in this respected and are assisted to have a bath instead. Work has been done to make upper windows safe through fitting restrictors, whilst preserving the original sashes and frames. A programme of replacement of chairs and footstools in the lounges had started at the time of the visit. Communal spaces in Oakdene include two lounges, (one being a smokers’ lounge for residents only) a dining room and a conservatory with access to the garden. The building was hygienic in the areas, which were visited, and people said their home is always clean and tidy. The training schedule and procedures in Oakdene inform us that staff who do domestic work receive relevant health & safety training. For their guidance, there are procedures for infection control and for the control of substances hazardous to health. These were being followed at the time of the visit through staff wearing protective clothing (such as gloves and aprons), and by locking away cleaning materials and equipment when not in use. Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected through the recruitment procedure in place and staff have the skills and qualifications needed to support them. EVIDENCE: Standards 27,28,29,30. Staffing rosters which record who is on duty during each day and night are maintained in Oakdene. Accurate rosters give evidence that staff numbers and skills are suitable to supporting the people who live there. A recommendation from the last visit has been met as the rosters gave a true account of the staff on duty during the visit. In reading training records and through discussion with staff, we were informed that that they receive regular updates in mandatory training to ensure they have the skills needed to fulfil their roles. Over fifty percent of care staff have National Vocational Qualifications, and a further five staff members were in the process of gaining their NVQs. To ensure that staff are suitably vetted before being employed and that criminal records bureau checks are updated, we looked at a sample of staff files. These contained the information to confirm a rigorous recruitment and vetting procedure being followed through satisfactory references and Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 21 clearances being obtained before a person is employed. A staff survey informed us that before being employed, the manager requested references and a criminal records bureau check for this person. Oakdene DS0000018919.V362707.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oakdene is managed in a way, which promotes the wellbeing and safety of the people who live there. EVIDENCE: Standards 31,33,35 and 38. The manager is Mrs. Irene Steele, is an experienced manager, who is also the owner of Oakdene. Mrs. Steele had completed the Annual Quality Assurance Assessment and returned it to us before the inspection. This gave us information about how the service is run, improvements carried out since the last visit and plans for the future. Mrs. Steele was not on duty at the time of the visit and in her absence, the deputy manager, Mrs. Jackson, was able to provide the information, which we asked for. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 23 Mrs. Jackson confirmed that, to ensure that people’s opinions about the service are obtained regularly, quality questionnaires are distributed to people who live there and their families and the outcomes are monitored with remedial action taken if necessary. Completed questionnaires and the latest inspection report are placed near the front door, so that people can read them at their leisure. Mrs. Jackson confirmed that, for their protection, the home does not become involved in the personal finances of the people who live there. Those who cannot manage their own affairs and have no family, have access to local advocates for independent support if needed. People who live in Oakdene are informed in writing by management, of charges and fees. In this way, people will have knowledge about what the home provides for the fee and the extras they will need to pay for (such as hairdressing and chiropody). To ensure the building and equipment in use are suitable for people who live in Oakdene, a number of mandatory health & safety checks is carried out periodically by staff or relevant engineers. All the records were in order at the time of the visit, however maintenance checks on the stair lift could not be found although Mrs. Jackson was sure these had been carried out recently. To ensure there is evidence that equipment used to move people in Oakdene is safe, a recommendation is given that a copy of the certificate of the work carried out on the stair lift be provided to CSCI. The laundry was visited and was well organised and well equipped. Staff who were spoken with were following infection control procedures through avoiding contact between items for laundering and clean items in organising the laundry area. Three residents who commented said that they always receive their clean clothing without too much delay when it goes to the laundry and could not recall clothes going missing in the wash. All the bedrooms were visited and we noticed that bed linen and towels were freshly laundered. A record of accidents is maintained in Oakdene and the most recent were read and had been recorded clearly. We visited the bedroom of a resident who had two falls there, in the month of June 2008, when moving about without assistance from staff. No tripping hazards were in evidence in the room, and the call bell had been placed within reach of the person to summon help if needed. Not all staff have received updates in patient handling training and these have been scheduled to ensure staff are up to date with safe moving techniques. Oakdene DS0000018919.V362707.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 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 X 3 X 3 X X 3 Oakdene DS0000018919.V362707.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. 1. Refer to Standard OP9 Good Practice Recommendations To avoid error, in instances where the medication administration record is handwritten, the following action is recommended. The writer should sign the handwritten insertions and have a colleague check them as being correct and sign the record. In instances where “as required” medication is prescribed, it is recommended that a care plan be written as to the circumstances under which it will be given. In this way staff will have clear guidance as to when the drug is to be given and the person will be protected. To ensure residents’ dignity is respected in report writing, it is recommended that incident reports be written in a way, which is concise and non-judgemental with special attention to the use of descriptive terms. To give evidence that equipment used to move people in DS0000018919.V362707.R01.S.doc Version 5.2 Page 26 2. OP9 3. OP10 4. Oakdene OP38 Oakdene has been checked and is regularly maintained, it is recommended evidence of this work be provided to CSCI. Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Oakdene DS0000018919.V362707.R01.S.doc Version 5.2 Page 28 - 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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