Care Home: Oakhurst Nursing Home

What the care home does well The home is well managed and run in the best interests of the people who live there. The overriding impression is that supporting people to maintain their individuality is central to the home`s ethos and approach. Everyone`s differences are understood and valued and the people who live at Oakhurst are helped and encouraged to understand and live with everyone else. One healthcare professional said the service meets people`s needs appropriately and commented `I believe it is one of the best nursing homes in Bradford.` Another healthcare professional said they `...have always found the staff to be helpful...` and commented on how much they value the home`s recognition of how important it is to exchange information. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. There is good and friendly interaction between the people who live at the home and the staff. There seemed to be enough staff on duty to make sure they have time to spend with people in conversation, as well as offering any support people need to take part in individual and group activities. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home All the staff said they enjoy working at Oakhurst and felt they were well supported by their manager. They said the training is good and helps them to do their job well. Fifty per cent of the support staff have achieved a National Vocational Qualification (NVQ) at level 2 or 3. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and everyone we spoke to said that the home is always kept fresh and clean. What has improved since the last inspection? Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting people`s right to independence and choice. These assessments are reviewed regularly, along with the rest of the plan. The second kitchen, that people who live at Oakhurst use to make themselves drinks and snacks, is now available for people to use again. People said they are supported to meet their own cultural and spiritual needs, and this was recorded in their care and support plans. After a long delay, the organisation has now fitted a new internal call system and wewere assured that this would be fully operational by the 11th May 2009, two weeks after our visit. An effective call system is essential when people and staff need to request assistance, especially if an emergency or a difficult situation arises. What the care home could do better: In order to keep an accurate record of the medicines that are supplied in their original packaging, a record of the quantities received should be made, along with a `brought forward` system for medicines that are carried forward from one MAR chart to the new chart. This will make sure that audit checks can be carried out accurately. It is not acceptable that people should eat their meals in a dining room which, at other times, is used for smoking. The home and the organisation need to create the planned new smoking area without further delay, in order to improve the dining area for everyone who lives and works at Oakhurst. Externally the grounds and the approach to the house look unkempt, the front door is in need of a coat of paint and some of the window frames also look to be in need of attention. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Oakhurst Nursing Home 2 Oak Mount Manningham Bradford West Yorkshire BD8 7BE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Cuddington     Date: 2 9 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Oakhurst Nursing Home 2 Oak Mount Manningham Bradford West Yorkshire BD8 7BE 01274544279 01274495999 oakhurstnh@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : European Care Lifestyles (B) Ltd care home 30 Number of places (if applicable): Under 65 Over 65 3 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 30 Oakhurst Care Home is registered to provide nursing care and support for up to 30 people who have enduring mental health problems. Qualified psychiatric nurses, and trained support staff provide twenty-four hour care. Oakhurst is situated in the Manningham area of Bradford, close to Lister Park. It is owned and managed by European Care Lifestyles (B) Limited and bus connections lead to Bradford, Bingley, Keighley, and Skipton. The property is a mid to late 19th century house and is located on a quiet road. The home has a passenger lift that extends from the basement to the top floor. The bedroom accommodation is on four levels in the home. This consists of twenty single rooms, thirteen of which have ensuite facilites, and five twin rooms. There are also five bathrooms one shower room and one visitors room. Communal space includes a large dining room, and two large lounges. A small kitchen for people to make their own drinks and snacks is also provided. Care Homes for Adults (18-65 years) Page 4 of 31 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are those agreed with the local authorities and health authorities, who are responsible for funding the persons placement. Care Homes for Adults (18-65 years) Page 6 of 31 The purpose of this inspection was to assess the quality of the care and support received by the people who live at Oakhurst. The visit to the home was carried out over one day by one inspector. The last key inspection was in May 2007. The methods used to gather information included conversations with the people living at the home and the staff, as well as looking at care plans and examining other records. Before the inspection visit we received surveys from staff and healthcare professionals and we also received the homes self-assessment questionnaire. These gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home, the healthcare professionals and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the care home does well: What has improved since the last inspection? Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and choice. These assessments are reviewed regularly, along with the rest of the plan. The second kitchen, that people who live at Oakhurst use to make themselves drinks and snacks, is now available for people to use again. People said they are supported to meet their own cultural and spiritual needs, and this was recorded in their care and support plans. After a long delay, the organisation has now fitted a new internal call system and we Care Homes for Adults (18-65 years) Page 8 of 31 were assured that this would be fully operational by the 11th May 2009, two weeks after our visit. An effective call system is essential when people and staff need to request assistance, especially if an emergency or a difficult situation arises. 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 set out 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. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Before people move in the staff carry out a thorough pre-admission assessment and there is an introduction procedure, to make sure the home would be able to meet the individuals needs. Evidence: When someone is considering living permanently at the home they are given information to help them make a decision, including a Service Users Guide. People are also invited to visit as often as they like and stay for an evening meal and have an overnight stay if they wish. This gives the person the opportunity to make an informed decision and helps the home decide if they are able to meet the persons needs. There is also a three months settling in period, to make sure that everyone is happy that the persons needs can be met at Oakhurst. This procedure, along with other professional assessments, helps the staff to start Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: developing a suitable plan of care and support. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples right to maintain their individuality is central to the ethos of the home. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning and agreeing the level of care and support they need and how this is to be provided. Evidence: Two individual care and support plans were looked at. They show that people are involved in developing and reviewing their plans. The plans reflect the individuals preferences and needs and clearly demonstrate the persons involvement in making all the decisions that affect them. Other people also contribute to the care plan review procedure, to make sure a full Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: picture of the individual is obtained. These people could include the persons relatives, the homes management, their social worker and someone from any other services he or she is involved with. The plans are up to date and reflect peoples individuality. They contain sufficient detail to guide staff and help them understand each person. Everyone is supported and encouraged to make their own choices about how they lead their lives. The support plans reflect this and show that people are supported to achieve their goals. Those people who commented confirmed that the service supports them to live the way they choose and agreed that the service meets their different needs. The plans are updated frequently, to make sure they always reflect peoples choices and wishes. The people we spoke with said they felt the staff at Oakhurst understand their needs and support them to live their own lives and maintain their individuality. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and choice. These assessments are reviewed regularly, along with the rest of the plan, and the plans are signed by the person concerned to confirm that they agree with them. All the evidence we saw clearly indicated that the homes staff support people to maintain their independence and improve the quality of their lives. This includes supporting people to return to live in the community, if they wish. Our observation, and conversations with the staff, confirmed that the staff know and understand the needs of each person who lives at Oakhurst. The staff do all they can to promote peoples right to autonomy and everyone is treated as an individual. From talking to the people who live at the home and the staff, and reading the notes, it was clear that everyones personal choices are respected and supported. People are supported to meet their own cultural and spiritual needs. One person said that his spiritual and cultural needs are being met and the staff understand him and support this. A Congregationalist church and a Jewish faith group visit the home and spend time with people. Special days in the religious calendar are celebrated. All the written information is securely stored and confidential information about people Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: is only shared with those who need to know. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where needed, people are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. Evidence: The care and support plans include information about each persons choice of recreational and leisure pursuits and their goals. The activities people follow depend upon what they want to do. Some people like to take advantage of educational opportunities, both at home and by attending classes, and other people go out to work. Some people belong to local clubs Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: and some like to go out on trips, either individually or in groups. Social events in the house are popular, such as having a take away and watching films. There are regular residents meetings and people are instrumantal in making decisions about the way their home is run. The manager and staff make sure peoples views are central to any decisions that are made and have devised ways to make sure that everyones views are heard. People said they are supported to lead their lives in the way they choose. The staff are aware of peoples preferences and the home is run in the best interests of the people who live there. The staff we spoke with had a good understanding of peoples needs and how each person likes to be supported. They understood the ethos of the home and the importance of respecting peoples right to self-determination and their right to be left in peace if they wish. It was clear that the staff understand how to support people to maintain their dignity and self respect, even during times when the persons wishes may not match this. Individual choices about spiritual and cultural matters are reflected in the plans and the staff all know and understand each persons needs and preferences. There is a second kitchen that people who live at Oakhurst use to make drinks and snacks. The home tries to involve people in their local community by using local shops, pubs and other facilities. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are protected by the homes medication systems. Medications are stored safely and appear to be administered accurately. Evidence: Peoples health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, and the family where appropriate, and their advice is followed. The plans contain detail about the individuals physical, psychological and emotional health. The plans, and conversations with staff, confirmed that peoples cultural and individual preferences are understood by everyone and are central to the care and support they are offered. One healthcare professional said he felt that the home offers people a high quality of care and support. He said he is very satisfied with the support received by the people Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: he visits and is happy to have his clients living at Oakhurst. One healthcare professional said that the homes staff are generally successful in supporting people whose health and well-being has proved challenging for other services. Each plan is individual and reflects the persons choices for all aspects of their life. The plans are well set out and the way people prefer their care and support to be provided is clearly detailed. This makes sure that staff know exactly how each person likes their support to be provided and understand the routines they like to follow. The people we spoke with said that the home and the staff meet peoples needs. Peoples healthcare needs are reviewed regularly and recorded in great detail. Wherever possible healthcare professionals visit people at Oakhurst, rather than in a formal medical setting. This helps to make sure peole are at their ease during their appointments. Healthcare professionals hold monthly mental health clinics at Oakhurst. These are to make sure that peoples health and well-being is promoted and to give people the opportunity to discuss any issues they may have in a familiar, comfortable setting. Risk assessments are in place, where a potential risk to an individual has been identified, and there is information about how such risks are to be managed. The staff that administer medication have received suitable training. This helps to make sure that medicines are administered safely and that staff understand this area of their work. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. In order to keep an accurate record of the medicines that are supplied in their original packaging, a record of the quantities received should be made, along with a brought forward system for medicines that are carried forward from one MAR chart to the new chart. This will make sure that audit checks can be carried out accurately and confirm that medicines had been administered accurately on each occasion. Observations during the inspection confirmed that the staff always respect peoples privacy and dignity. Care Homes for Adults (18-65 years) Page 19 of 31 Care Homes for Adults (18-65 years) Page 20 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 people who live at the home and their relatives said they are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people staying at the home are safe. Evidence: The staff training records showed that the majority of the staff have taken adult protection training. Some staff have also had training in how to manage challenging behaviour, but this was two years ago. It may be advisable for all the staff to take this training, to make sure their skills and knowledge levels are up to date. Conversations with the manager and staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. They are expected to have read and understood the policies and procedures concerning adult protection. One staff member said she understood about whistle blowing, handling complaints Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: and safeguarding and had taken training in these areas of her work. People we spoke with said they feel safe and know how to make a complaint or raise a concern if they need to. The evidence we saw confirmed that improvements are made as a result of complaints investigations. Care Homes for Adults (18-65 years) Page 22 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate 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 safe, clean and comfortable environment but is in need of some refurbishment to bring it up to the standard most people would want for their home. Evidence: The planned refurbishment has been completed in some parts of the house, but it has come to a halt in other areas. Some of the bedrooms are being re-decorated as part of an ongoing programme. Externally the grounds and the approach to the house look unkempt and the front door looks shabby and in need of a coat of paint. Some of the window frames are also in need of attention. At present people who smoke are able to do so indoors in the dining room, when meals are not being served. The home plans to create a designated smoking area and then refurbish the dining room. It is not acceptable that people should eat their meals in a room which, at other times, is used for smoking. The home and the organisation need to create the new smoking area without further delay, in order to improve the dining area for everyone who lives Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: and works at Oakhurst. After a two and a half years delay, the organisation has now fitted a new internal call system. We were assured that this would be fully operational by the 11th May 2009; two weeks after our visit. An effective call system is essential when people and staff need to request assistance, especially if an emergency or a difficult situation arises. The house is clean and fresh throughout. Protective gloves and aprons are available for staff to use when necessary, as part of the homes infection control measures. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by the recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Evidence: The staff rotas confirmed our observations that there are enough nursing and support staff on duty to meet the care and leisure needs of the people who live at the home, and additional staff are available when needed. There is a mix of male and female staff, to help make sure people can have a choice of who supports them. As well as an interview, all new staff complete an application form and provide two written references, as well as completing satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks before they start work. New support staff take the mandatory health and safety training and they all follow accredited induction training. One member of staff described the induction process and all the training that went with it. This prepares them for moving on to take a National Vocational Qualification (NVQ) course. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: From a total of eight support staff, four have achieved the NVQ qualification at either level two or three and two staff are currently taking the award. The cook has achieved the level 3 course in food hygiene. Other training is available to make sure staff skills and knowledge is kept up to date. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and run in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home effectively and in the best interests of the people who live there. To maintain confidentiality, peoples personal information is stored in an office that is locked when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. Regular audits are carried out to make sure the records and amounts are accurate. The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner and staff have basic Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: health and safety training. All these measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The kitchen has recently had an inspection by an environmental health officer who awarded the home four stars, out of a maximum of five, for hygiene and good kitchen practice. Fire drills are held, to make sure everyone knows what to do in an emergency, and the deputy manager has had training in this with the fire service. The home asks people, their relatives and professional visitors to complete quality assurance questionnaires, in order to find out what people think about the care and support the home offers. Regular residents meetings are held, in order to discuss what people would like to see happening in their home. Health and safety audits are carried out regularly. The home has just been reaccredited for the Investors in People (IIP) Award; this confirms its commitment to supporting the staff. The staff said they felt supported by the management team and enjoyed working at Oakhurst. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 In order to keep an accurate record of the medicines that are supplied in their original packaging, a record of the quantities received should be made, along with a brought forward system for medicines that are carried forward from one MAR chart to the new chart. This will make sure that audit checks can be carried out accurately. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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