Care Home: Oakendale House

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What the care home does well The home is small and not purpose built and provides a homely environment for the people cared for. Staff have sufficient time to chat and spend quality time with the people in their care. All the people living in the home look well cared for and are encouraged to continue with hobbies and interests. One person in the home spends time painting and makes dolls houses. Staff were observed to care for the people in the home in a way that ensured their privacy and dignity. The routines within the home are flexible and according to individual needs and wishes. An activities programme is in place that includes something on every day of the week and includes, Tai Chi; Aerobic exercise; Hair & Beauty; Dominoes Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 and Bingo. Visiting entertainment has been provided with a group who call themselves Land Girls who sing war time songs that are very much appreciated by the people cared for in the home. Training is excellent with the majority of staff obtaining a National Vocational Qualification (NVQ); training is ongoing. There are currently 18 staff and 15 have an NVQ in Care at level 2 or above; a further two staff are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification required for staff working in social care. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. Comments from a person cared for in the home and a relative included: ‘Staff are always very helpful’ ‘Always have residents looking good, clean etc. and staff are always very pleasant and helpful.’ Staff comments included: ‘With being a small home, we can offer more personal care and get to know the residents on a one to one basis.’ ‘The home is very friendly and homely and there is a lot of time to chat with the residents.’ What has improved since the last inspection? There has been no registered manager at the home for some time and a manager has now been employed who is in the process of being registered with the Care Quality Commission. This will ensure that the home is managed effectively and staff are supported in their role. The home is well maintained and refurbishment is ongoing. Four of the bedrooms have been decorated and fitted with new carpets. The dining room and kitchen have been decorated and a new fridge purchased; a health and safety sign has been installed in the kitchen. The dining room and some of the bedrooms have new double glazed windows. A new cleaning machine has been purchased and the stair lift has been replaced. The basement is to be re-furbished with a room for training purposes and the registered provider is to install a broadband connection. This will be helpful for the manager and staff to access the internet for up to date information on Social Care and record their training progress. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 A hoist is now available and a blue strap has been purchased to assist in the manual handling procedures. This has helped staff to ensure the safety of any person who is unable to stand by themselves. What the care home could do better: A signature should be obtained where possible to show that the person concerned has been involved in the process and at each review when there has been a change to the care plan. Risk assessments had been recorded as part of the care planning process but should be expanded to show far more detail about how any potential risk would be managed. The care plans should include additional information including a step by step process where necessary for any ‘moving and handling’ issues. The details should indicate whether one or two staff are necessary for personal care and whether there is a need for any specialised equipment such as a hoist. Staff must be provided with clear written instructions when a person requires assistance with personal care and their weight bearing ability is poor or non existent. All staff should be observed carrying out personal care to ensure they are following instructions and to determine whether they require manual handing or hoist training. The record of weight of some of the people cared for was not up to date because they were unable to stand to be weighed. ‘Sit down’ weigh scales should be purchased so that an accurate record of weight can be maintained. Although staff have been provided with information on the protection of vulnerable adults, there is a need for all staff to receive up to date certificated training. All staff should attend the latest Protection of Vulnerable Adults and Safeguarding training that includes the reporting procedures as agreed with Lancashire County Council. There is a need for all staff to have completed manual handling and hoist training to ensure the health and safety of the persons cared for and staff. Key inspection report CARE HOMES FOR OLDER PEOPLE Oakendale House 17 Rose Terrace Ashton Preston Lancashire PR2 1EB Lead Inspector Ms Susan Dale Key Unannounced Inspection 17th November 2009 01:30 DS0000066053.V378321.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakendale House Address 17 Rose Terrace Ashton Preston Lancashire PR2 1EB 01772 720937 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) pollycarino@yahoo.com Mrs Maninder Kaur Singh Mr Raja Singh Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection 16th October 2007 Brief Description of the Service: Oakendale House is situated in the residential area of Ashton, Preston and is located close to local amenities and a bus route providing easy access to the centre of Preston. The home is registered to provide personal care to fifteen older persons of both sexes. The home is not purpose built and provides accommodation over 3 floors; access to all parts of the home and garden is provided by a lift and ramps. The home does not provide nursing care and care provided is generally for people who are fairly independent however, in the event of any person becoming ill and requiring additional help every effort would be made to accommodate them. The aim of the home is for persons cared for to have specialist individual care whilst still maintaining their dignity and an optimum degree of independence and activity. Information about the home and the services provided is recorded within a Statement of Purpose and a Service User’s Guide which is made available to any interested person. The current fees are £365:00 per week. Oakendale House DS0000066053.V378321.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. As part of this key inspection process an unannounced site visit was undertaken to Oakendale. The registered provider, manager, staff and people cared for within the home were spoken with. Prior to the inspection, the registered provider of the home completed an Annual Quality Assurance Statement (AQAA) that is a self assessment providing information about how well outcomes are being met for people using the service as well as some numerical information. Various documents were examined including care plans and staff documents. Surveys were delivered prior to the site visit to staff and the people cared for within the home. One survey was returned from a person being supported, one had been completed by a relative and two from staff. The last key inspection took place on the 16th October 2007. An Annual Service Review took place on the 18th November 2008 at which the conclusion reached was that the outcomes for the people being provided with the service was still good. A Random Inspection took place on the 20th April 2009 following an anonymous concern about the staffing levels at night and manual handing issues. Following the inspection a meeting was arranged with the registered provider and recommendations for action were made. Following the meeting, the registered provider provided evidence that satisfactory action had been taken to address the concerns. What the service does well: The home is small and not purpose built and provides a homely environment for the people cared for. Staff have sufficient time to chat and spend quality time with the people in their care. All the people living in the home look well cared for and are encouraged to continue with hobbies and interests. One person in the home spends time painting and makes dolls houses. Staff were observed to care for the people in the home in a way that ensured their privacy and dignity. The routines within the home are flexible and according to individual needs and wishes. An activities programme is in place that includes something on every day of the week and includes, Tai Chi; Aerobic exercise; Hair & Beauty; Dominoes Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 Page 6 and Bingo. Visiting entertainment has been provided with a group who call themselves Land Girls who sing war time songs that are very much appreciated by the people cared for in the home. Training is excellent with the majority of staff obtaining a National Vocational Qualification (NVQ); training is ongoing. There are currently 18 staff and 15 have an NVQ in Care at level 2 or above; a further two staff are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification required for staff working in social care. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. Comments from a person cared for in the home and a relative included: ‘Staff are always very helpful’ ‘Always have residents looking good, clean etc. and staff are always very pleasant and helpful.’ Staff comments included: ‘With being a small home, we can offer more personal care and get to know the residents on a one to one basis.’ ‘The home is very friendly and homely and there is a lot of time to chat with the residents.’ What has improved since the last inspection? There has been no registered manager at the home for some time and a manager has now been employed who is in the process of being registered with the Care Quality Commission. This will ensure that the home is managed effectively and staff are supported in their role. The home is well maintained and refurbishment is ongoing. Four of the bedrooms have been decorated and fitted with new carpets. The dining room and kitchen have been decorated and a new fridge purchased; a health and safety sign has been installed in the kitchen. The dining room and some of the bedrooms have new double glazed windows. A new cleaning machine has been purchased and the stair lift has been replaced. The basement is to be re-furbished with a room for training purposes and the registered provider is to install a broadband connection. This will be helpful for the manager and staff to access the internet for up to date information on Social Care and record their training progress. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.2 Page 7 A hoist is now available and a blue strap has been purchased to assist in the manual handling procedures. This has helped staff to ensure the safety of any person who is unable to stand by themselves. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Oakendale House DS0000066053.V378321.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 Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A full assessment is undertaken prior to commencement at the home and the individual concerned can be certain that the services provided by the home are suitable. EVIDENCE: The records seen showed that a comprehensive assessment is undertaken that covers all areas including physical requirements and takes into account individual wishes and choices. Family are involved in the assessment process where appropriate and as much background information is gained as possible. A member of the management team visits any prospective new person at their home or hospital to assess and confirm whether the services provided by the home meet their requirements. The home is not purpose built and generally the home provides accommodation for people who are reasonably mobile. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 10 The assessment takes into account any cultural diversity/religious requirements with regard to daily living as well as individual wishes when the person cared for is nearing the end of their life. An equality and diversity policy is operating within the home which ensures that staff as well as the people cared for are treated equally regardless of their age, gender, disability, culture or religion. The registered provider and manager were informed about the need to obtain information and comply where necessary with the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (DoLS). The principles of the Act are to ensure protection for any person who lacks capacity and is unable to make decisions for themselves. Any decision made on behalf of a person who lacks capacity must be made in their best interests. The home does not provide Intermediate Care. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A care plan is devised that meets individual physical, emotional and health requirements. Appropriate medication policies and procedures and storage are in place. EVIDENCE: Several care plans were seen that clearly set out individual daily requirements and include a summary of care. A key worker system is in operation which means that a member of staff has been identified to ensure that individual requirements are being met for every aspect of care. The care plans had been reviewed once a month and were up to date. On the care plans seen, there was no signature from the individual concerned or their representative. A signature should be obtained where possible to show that the person concerned has been involved in the process and at each review when there has been a change to the care plan. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 12 The care plans identified any potential risks such as a risk of falling but did not provide enough detail on how any risk area was to be managed. The care plans should include additional information including a step by step process where necessary for any ‘moving and handling’ issues. The details should show whether one or two staff are necessary for personal care and whether there was a need for any specialised equipment such as a hoist. Staff must be provided with clear written instructions when a person requires assistance with personal care and their weight bearing ability is poor or non existent. All staff should be observed carrying out personal care to ensure they are following instructions and to determine whether they require manual handing or hoist training. A record of weight had been recorded but they were not up to date in all cases and this is because the individual concerned did not have the ability to stand on the scales. A recommendation was made that ‘sit down’ weigh scales should be purchased so that the people cared for in the home can be weighed accurately. Two records were seen that are used between staff to communicate and highlight any issues and concerns that had occurred during the day and over night. There was evidence of communication with General Practitioners and other professionals such as Chiropodists and the Diabetic Nurse. This ensures a good relationship is maintained with other health professionals and any health issues are recognised and acted upon. The medication policies and procedures and storage were examined and found to be suitable. The manager carries out an audit of the Medication Administration Record (MAR) once a week to ensure the details have been entered correctly. All staff have been provided with certificated medication training. It was observed that staff treated the person cared for in the home with respect and dignity and are encouraged to be as independent as possible. Choice is provided at all times with regard to routines within the home and food. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The daily life and activities taking place within the home are relaxed and take into account individual capabilities and wishes. EVIDENCE: A flexible approach is taken with regard to daily living and activities. Meals can be taken at different times and in their own room if they prefer. Hobbies and interests are recorded at the initial assessment. Trips out have been arranged in the past but generally the people supported have a lack of interest in going out on a trip and so they are currently discontinued. An activities programme is in place that includes something on every day of the week and includes, Tai Chi; Aerobic exercise; Hair & Beauty; Dominoes and Bingo. Visiting entertainment has been provided with a group who call themselves Land Girls who sing war time songs that are very much appreciated by the people cared for in the home. A Halloween Party has taken Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 14 place and there are plans for Christmas time. Aerobic exercise was taking place at the time of the site visit. One of the people cared for has an interest in Art and makes dolls houses; he has been encouraged to continue with his interests and prefers to paint and make the dolls houses in a shed located in the garden. Comments from a person cared for in the home and a relative included: ‘Staff are always very helpful’ ‘Always have residents looking good, clean etc. and staff are always very pleasant and helpful.’ A varied menu is planned and the cooking is provided by three staff employed at the home. Choice of food is available and people are assisted with eating where necessary. Diabetic meals are provided. A record of food intake is maintained. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures and training of staff ensure that the persons cared for in the home are protected from harm and there is a procedure for dealing with any concerns. EVIDENCE: The home has a complaints procedure which contains all necessary information. There have been two concerns raised with the Care Quality Commission since the last key inspection and these have been investigated and discussed with the registered provider and an action plan has been put in place. Staff spoken with had some knowledge of vulnerable adults protection procedures and some of the staff had received additional training as part of their National Vocational Qualification (NVQ) training. NVQ is a nationally recognised qualification expected of staff working in the Social Care services. A recommendation was made that all staff should attend the latest Protection of Vulnerable Adults and Safeguarding training that includes the reporting procedures agreed with Lancashire County Council. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable safe environment that meets the needs of the persons cared for in the home. EVIDENCE: The accommodation is not purpose built and any environmental risk is considered at the initial assessment. The pleasant garden is accessible via a ramp and there is a shed for use by the people cared for. The building complies with requirements of the local fire service and environmental health department to ensure the safety of the staff and people living at the home. The home employs domestic help and all part of the home clean and tidy. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 17 The home is well maintained and refurbishment is ongoing to ensure the home is a pleasant place to live. Four of the bedrooms have been decorated since the last inspection and fitted with new carpets. The dining room and kitchen have been decorated and a new fridge has been purchased. A new health and safety sign has been installed in the kitchen. The dining room and some of the bedrooms have new double glazed windows. A new cleaning machine has been purchased and the stair lift has been replaced. As previously mentioned the need for ‘sit down’ weigh scales to be purchased was discussed with the registered provider. A hoist is now available and a blue strap has been purchased to assist in the manual handling procedures. This ensures that staff are able to assist with personal care safely when a person is unable to stand by themselves. One of the persons cared for in the home has been moved to a more suitable room because of manual handling difficulties; the family have been consulted and informed before action was taken. The basement is to be re-furbished with a room for training purposes and the registered provider is to install a broadband connection. This will be helpful for the manager and staff to access the internet for up to date information on Social Care and record their training progress. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The persons living in the home are cared for by experienced and well trained staff. All staff should be provided with manual handling and hoist training. EVIDENCE: There are currently ten persons cared for in the home and the staffing levels are adequate for their requirements. There is still an issue about the number of staff on duty over night which is one staff member plus a ‘sleeper in’ for emergencies. Staff have been concerned about providing personal care at night for a person who is not able to bear their weight. Procedures have been put in place to resolve any problems but they need to be strengthened. There are three people employed as ‘sleepers’ and only one has received training in manual handling. Although they are only woken in the event of an emergency, there have been occasions when the ‘sleeper’ has had to provide assistance. There is a need for all staff to have completed manual handling and hoist training to ensure the health and safety of the persons cared for and staff. There have been concerns since the last inspection about satisfactory pre employment checks being carried out for new staff. Evidence has since been Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 19 provided that security checks are undertaken for all staff including the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) register. The number of trained staff is excellent with 15 of the 18 staff obtaining an NVQ at level 2 or above in Care, a further two staff are in the process of obtaining the qualification. Other staff training is undertaken in manual handling, Food Hygiene, Fire Safety, Medication and Protection of Vulnerable Adults from Abuse and First Aid. Staff spoken with feel well supported and the following comments were received: ‘With being a small home, we can offer more personal care and get to know the residents on a one to one basis.’ ‘The home is very friendly and homely and there is a lot of time to chat with the residents.’ Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed effectively for the benefit of the persons cared for and the staff. EVIDENCE: There have been a few problems with regard to the management of the home since the last inspection in that the manager employed left the home at short notice and this caused problems for the registered owners. The management of the home has since improved and a new manager has been employed who is currently being registered with the Care Quality Commission. The manager has experience in Social Care and is in the process of obtaining NVQ 3 in Care. The manager is aware of the need to obtain a Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 21 suitable management qualification to ensure effective management of the home. Staff meetings and one to one supervisions take place on a regular basis as well as annual appraisals. This provides an opportunity for staff to discuss any issues relating to their role and for the people supported. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. A record is kept of any financial transactions taking place on behalf of the people cared for. A number of the people living in the home manage their own financial affairs. This ensures that the financial interests of the people supported are safeguarded. Any accidents or incidents are recorded and routine notifications such as any deaths are sent to the Care Quality Commission. Surveys are provided to relatives every six months to ensure that the standards and services within the home are acceptable. Meetings take place on a regular basis with the persons cared for either together or on an individual basis to ensure they are satisfied and happy with the care provided. Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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 X X 3 X X 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 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. 1. Standard OP7 Regulation 13 Requirement The risk assessment process and recording must be expanded for any potential risk and detail any need for additional staff or equipment connected with the care requirements. To ensure the health and safety of the people cared for within the home and staff. 2. OP28 18 Staff employed as a ‘sleeper in’ must be trained in manual handling including hoists to ensure their own health and safety and that of the people cared for in the home. 12/01/10 Timescale for action 12/01/10 Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 24 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 OP3 Good Practice Recommendations Information should be obtained about the implications on assessment with regard to the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (DoLS). To ensure protection for any person who lacks capacity and is unable to make decisions for themselves. A signature from the person being cared for or their representative should be obtained on the care plan to show they have been involved in the process. Staff should be observed providing personal care to ensure that they are providing assistance as safely as possible and using any equipment correctly. Clear step by step instructions should be recorded on the care plan where manual handling and specialised equipment is in use. All staff should ensure they follow the instructions to ensure health and safety. ‘Sit down’ weigh scales should be purchased to ensure an accurate record of weight is regularly maintained. All staff should be provided with the latest training on the Protection of Vulnerable Adults from Abuse 2. 3. 4. OP7 OP7 OP7 5. 6. OP8 OP18 Oakendale House DS0000066053.V378321.R01.S.doc Version 5.3 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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