Care Home: Oaklands Court Nursing Home

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well Potential new residents benefit from a through pre- admission assessment that allows for only those who needs can be met, being admitted to the home.The health needs of residents are well met with evidence of good multi disciplinary working taking place. Staff provide personal support to residents in such a way that promotes and protects resident`s privacy and dignity. Resident`s benefit from a well planned activities calendar that is both stimulating and meaningful and arranged according to their choice. Residents experience mealtimes that are unhurried, whilst all meals are home cooked with an alternative option being available for each mealtime. Resident`s can be assured that there is an efficient complaints procedure in place and that the homes processes and staff training should protect residents in the event of an allegation of abuse. The location and layout of the home are suitable for its stated purpose. All areas of the home are accessible to residents. Resident`s experience the benefits of a staff team that have the necessary skills and experience to the meet their needs. Staff training is on going and is appropriate to the level of needs of current resident`s. The management and administration of the home is good, with evidence of consideration being given to resident`s and/or relatives opinion at all times. What has improved since the last inspection? There were no Statutory Requirements or recommendations for good practice made at the previous inspection of November 2006. What the care home could do better: There were no Statutory Requirements made at this inspection. Recommendations for good practice were made in that: Consideration should be given to ensuring that the care plan review process is revised in order to determine a clearer means of recording care plan reviews and the inclusion of service user/relative/advocate. Consideration should be given to the use of abbreviations in daily care records, in order to reduce the risk of inappropriate treatment of resident`s, should staff not have an understanding of the abbreviation used. Consideration must be given to ensuring that all daily care record entries are to be dated, timed, signed and designation of staff entered in accordance with Nursing and Midwifery Council (NMC) guidance.Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 7To safeguard the personal processions of resident`s individual property, records should be maintained in the manner in which the recording tool requires i.e. agreed by the resident to indicate that they will take responsibility for each item and by staff, in order to evidence that they have correctly catalogued each item. To prevent the risk of abuse associated with the systems in place for recording resident`s `Personal Allowance` accounts, the use of white correction fluid on such accounts must cease. CARE HOMES FOR OLDER PEOPLE Oaklands Court Nursing Home Vines Cross Road Horam East Sussex TN21 0HD Lead Inspector Rebecca Shewan Unannounced Inspection 09:45 6 March 2008 th 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 Oaklands Court Nursing Home DS0000065197.V359384.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. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Court Nursing Home Address Vines Cross Road Horam East Sussex TN21 0HD 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) 01435 813030 01435 813050 maureen@oaklandscourt.co.uk Chanctonbury Healthcare Limited Maureen Taylor Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is fortyfour (44). Service users will be sixty-five (65) years or over on admission. Service users may have a physical disability. Date of last inspection 16th November 2006 Brief Description of the Service: Oaklands Court is registered to provide nursing care for up to 44 older people over 65 years of age. The home is purpose built with 42 single rooms and one double room, which may be used by a couple or people choosing to share. Located near the centre of Horam, it is within walking distance of local amenities and bus services. There are parking areas within the grounds, which are landscaped and attractive, accessible to wheelchair users, and used by residents when weather permits. There is a large lounge on the ground floor that is used for activities and a smaller communal room on the first floor. Two shaft lifts enable residents to access all parts of the home. The home has grab rails, moving and handling equipment, nursing beds and other specialist equipment in place. The fee charged £851 per week. Additional charges are made for hairdressing, toiletries, chiropody, Private Physiotherapy and newspapers/magazines. Potential new service users can obtain information relating to the home via the internet on the Chanctonbury Website, CSCI Inspection Reports, Care Managers, Placing Authorities, by word of mouth, by contacting the home direct and by obtaining the homes vacancy list via the Registered Care Home Association website. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place during the morning and afternoon of the 6th March 2008. Incident reports and previous inspection reports, held by the Commission for Social Care Inspection, were read before the inspection. The inspection of the home took six and a half hours. Records such as care plans, staff files and medication records were also viewed. Forty one service users (known as residents) were accommodated at the home at the time of the inspection. A tour of the whole home was undertaken and the Registered Manager, Clinical Nurse Manager, one staff, three residents and three relatives were spoken with. The CSCI also conducted Service User, Relatives and staff surveys. Of which eight surveys from service users, seven relative/advocate surveys and nine staff surveys were returned. Comments received included: ‘Lovely atmosphere, friendly, clean, warm and good food.’ ‘They try their best to balance medical needs and physical abilities whilst providing activities and social interaction.’ ‘To me, as a visitor, the feel of the home is always welcoming and has the feel of a large family rather then a medical institution.’ ‘Residents could do with more 1:1 attention’ ‘ The home provides a clean, happy and efficient environment for service users considering all factors when treating illness. The staff are trained to a high standard, meeting the ever changing needs of each individual.’ What the service does well: Potential new residents benefit from a through pre- admission assessment that allows for only those who needs can be met, being admitted to the home. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 6 The health needs of residents are well met with evidence of good multi disciplinary working taking place. Staff provide personal support to residents in such a way that promotes and protects resident’s privacy and dignity. Resident’s benefit from a well planned activities calendar that is both stimulating and meaningful and arranged according to their choice. Residents experience mealtimes that are unhurried, whilst all meals are home cooked with an alternative option being available for each mealtime. Residents can be assured that there is an efficient complaints procedure in place and that the homes processes and staff training should protect residents in the event of an allegation of abuse. The location and layout of the home are suitable for its stated purpose. All areas of the home are accessible to residents. Residents experience the benefits of a staff team that have the necessary skills and experience to the meet their needs. Staff training is on going and is appropriate to the level of needs of current residents. The management and administration of the home is good, with evidence of consideration being given to resident’s and/or relatives opinion at all times. What has improved since the last inspection? What they could do better: There were no Statutory Requirements made at this inspection. Recommendations for good practice were made in that: Consideration should be given to ensuring that the care plan review process is revised in order to determine a clearer means of recording care plan reviews and the inclusion of service user/relative/advocate. Consideration should be given to the use of abbreviations in daily care records, in order to reduce the risk of inappropriate treatment of residents, should staff not have an understanding of the abbreviation used. Consideration must be given to ensuring that all daily care record entries are to be dated, timed, signed and designation of staff entered in accordance with Nursing and Midwifery Council (NMC) guidance. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 7 To safeguard the personal processions of residents individual property, records should be maintained in the manner in which the recording tool requires i.e. agreed by the resident to indicate that they will take responsibility for each item and by staff, in order to evidence that they have correctly catalogued each item. To prevent the risk of abuse associated with the systems in place for recording residents ‘Personal Allowance’ accounts, the use of white correction fluid on such accounts must cease. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 8 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. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 9 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 Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 10 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): 3&6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has processes in place for assessing potential new resident’s with services being offered to only those resident’s whose needs can be met. EVIDENCE: The home’s Registered Manager and/or Clinical Nurse Manager carry out preadmission assessments. The home obtains a copy of a care management assessment from a placing authority where this exists. Any issues, which are highlighted within this assessment, are addressed by the home and documented records are maintained of all correspondence with the placing authority. Records inspected showed that pre- admission assessments are carried out on all new and potential residents. Residents and their relatives/advocates confirmed that they had been involved in the assessment process and had felt included in their admission to the home. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 11 Intermediate care is not offered by this home. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are offered a good provision of health care and personal support by the home. All care is administered in way that protects residents privacy and dignity. Medication procedures ensure that all necessary precautions are taken to ensure errors do not occur and that medications are stored and administered safely. EVIDENCE: Care plans were sampled and it was evidenced that they were comprehensive, detailed in content and covered all aspects of resident’s needs and are written to allow the assessor to gain a good overview of individuals medical, social and personal care needs. It was noted that the system utilised for care planning, requires the staff member and resident/advocate to sign the care plan format to state that the care plan has been discussed and agreed. The majority of care plans sampled had not been signed, though a secondary form has been devised by the home. This form is known as a ‘three month review’ Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 13 form, which details meetings between residents/advocates and staff. Recordings onto these forms was not specific in content, entries such as ‘Resident X is well’ and ‘No changes to care plan’ were noted. This does not give the person signing their agreement, a complete picture of the care that they/their relative receives and does not evidence the full nature of the discussion held. It was evidenced from the daily records viewed that many nursing abbreviations were used, with no explanation given as to what they are i.e. PAC, i/c, S/B, P-n and V/B. When the Registered Manager was asked about this some could be clarified but there were some that could not be determined. The form utilised for daily recordings requests a time for all entries but those written at night are untimed and undated. It was also noted that all entries made are dated once for that day and the letter ‘N’ is used for night recordings. Therefore recommendations for good practice has been made. From the records sampled and from discussions with staff, it was evidenced that the health needs of residents are well met with evidence of good multi disciplinary working taking place, on a required basis. Residents are registered with a GP of their own choice from one of the four local surgeries. Resident’s are encouraged to attend the GP surgery were able and home visits are conducted when necessary. Referrals to the Occupational Therapist, Physiotherapist, Dietician, Dentist, Domiciliary Optician, Speech and Language Therapist and Audiologist can be made directly by the nursing team, via the GP or the hospital. The home has access to pressure relieving equipment when required. A Chiropodist attends the home six weekly and ad hoc if requested. The home has recently developed a system for directly accessing the continence team. There are well established links between the home and the McMillan nurses and St Wilfreds Hospice. The resources of which can be utilised for assistance with end of life care and staff training. The home has good procedures in place for the monitoring and recording of all drugs (including oxygen therapy) administered, disposed of and those entering and leaving the home. The stores for medication were viewed and these were found to be maintained in a clean and orderly manner. Medication administration records were viewed and these were found to be maintained appropriately and in accordance with the NMC Standards for medication and management. Staff training in medication is conducted as part of the Induction process. Staff were observed providing personal support to service users in such a way that promoted and protected residents privacy and dignity. Residents spoken with said that care staff were ‘kind and patient at all times’. Oaklands Court Nursing Home DS0000065197.V359384.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): 12, 13, 14 & 15 People who use the service experience Excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home provides a wide range of social, cultural and recreational facilities, including specialist diets to residents, with resident’s choice and wishes being respected. EVIDENCE: The home has an Activities Co-ordinator who arranges activities and is National Vocational Qualified (NVQ) trained in activities. Residents said that they enjoyed many of the home’s activities and that the home staff were flexible in allowing residents to choose the level of activities attended. A published list of activities is made available to residents, with residents being informed of special events being held in the home. Activities consist of Music and Movement, Mental Stimulation (quizzes, bingo, crosswords), seasonal displays/celebrations, manicures, shop trolley, 1:1 sessions, art group, instrument players, arts and crafts, films (DVD afternoon in main lounge), residents birthdays, charity events and knitting blankets for Africa. Residents are assisted to attend individual and outdoor activities and are encouraged to Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 15 do so independently, where able. Residents are also encouraged to attend the local day centres. Resident’s religious wishes are observed and arrangements are in place for residents to receive Holy Communion if they wish. Discussions with the Registered Manager highlighted that although the current residents fell into a specific age group and had similar religious beliefs, the home would welcome any potential new resident who has special cultural/religious/spiritual beliefs and would make provision to accommodate their needs. The home believes in promoting an equal and diverse culture among staff and residents. Contact with family and friends is positively encouraged with visitors being able to attend the home at any time and in accordance with the resident’s wishes. Residents are treated with respect and there is a good rapport between staff of the home and residents. Residents reported that the home assists them to maintain their independence with their daily living and daily routines. The home’s menus are devised on a four week rolling programme. All meals are home cooked with an alternative option available for each mealtime. Mealtimes can be varied upon request and residents guests are also welcome to have meals at the home. Medical, therapeutic or religious diets are provided as needed. Drinks and snacks are available at all times. The meal served during the inspection was ample in quantity and attractively presented. Mealtimes were observed to be unhurried. Residents spoken with and survey responses reported that ‘the food is very good here’. Oaklands Court Nursing Home DS0000065197.V359384.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): 16 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a robust and efficient complaints procedure, whilst the homes procedures, processes and staff training should protect resident’s in the event of an allegation of abuse. EVIDENCE: The home has an established complaints procedure in place. Residents were asked whether they knew about the homes complaint procedure and all responded that knew who to complain to. The home has received four complaints within the past twelve months, all of which have been recorded as addressed within the response time specified by the home’s policies and procedures. Each of the complaints have now been resolved and appropriate action was taken by the Registered Manager to address the concerns raised. Criminal Record Bureau (CRB) checks have been carried out on all existing staff. Both CRB and Protection of Vulnerable Adult (POVA) checks are carried out on all new staff. Verification of nursing staff’s registration to practice is obtained from the Nursing and Midwifery Council (NMC) prior to nursing staff commencing employment. Staff have attended training in the Protection of Vulnerable adults within the last twelve months. This was evident from the staff files that were viewed. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides accommodation for residents that is safe, hygienic and odour free, whilst infection control procedures are adhered to at all times. EVIDENCE: The location and layout of the home are suitable for its stated purpose. The home is well maintained and all areas of the home, including the garden, are accessible to residents. The home has an ongoing plan of refurbishment in place. Residents spoken with said that they liked their bedrooms and that the communal areas of the home were comfortable. The home has an infection control policy in place and staff are trained in infection control procedures, this was confirmed by staff training records. Staff were observed adhering to infection control procedures. The home was clean Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 18 and odour free throughout. There is a daily cleaning schedule in place. It was evidenced that both clinical and hazardous waste contracts are in place. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a staff team that have the necessary skills and experience to the meet the needs of current residents. EVIDENCE: A competent staff team, sufficient in number, meets the resident’s needs. There is a staff rota in place, which details staff designations and hours of working. The home has a permanent staff team of ten Registered Nurse’s (RN’s), nineteen care staff and nineteen ancillary staff. Three carers are trained in National Vocational Qualification (NVQ) level 2 in care, whilst six are currently in training. This was confirmed by the Clinical Nurse Manager. Staff recruitment files were viewed and it was evidenced that these files contain all items required under the Care Homes Regulations 2001. Some of the current staff team are from abroad. All necessary visa and Home Office related documents were found to have been obtained and kept on file for these employees. The home has an Equal Opportunities policy in place and is an equal opportunities employer. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 20 Staff induction training is conducted in line with Care Skills Sector guidance, where appropriate. Mandatory training consists of Fire Safety, Infection Control, Health & Safety, Protection of Vulnerable Adults and Medication (RN’s only). Additional training is also provided in Dementia Care, Nutrition, Diabetes, Care of the Dying, Bereavement, Palliative Care and other subjects, as residents needs necessitate. Registered Nurses spoken with at the time of the inspection said that they felt the training provided was good and provided them with the opportunity to achieve their Post Registration Education and Practice (PREP) requirements, as governed by the NMC. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents experience the benefits of a home that is well managed and administrated. Consideration is given to resident’s choice and opinion in all aspects of provisions provided. The health, safety and welfare of residents and staff are protected at all times. EVIDENCE: The Registered Manager and Clinical Nurse Manager of the home both have many years relevant experience in caring for older people and both have relevant qualifications in care. Residents and staff spoken with said that the Manager was friendly, approachable and always takes service user’s concerns or comments about the home seriously. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 22 There is a comprehensive Quality Assurance Policy and procedure in place that involves an annual development plan and continual self-monitoring of the home by the Registered Manager. Quality Assurance processes consist of monthly service user, relative and staff questionnaires being conducted, ‘Opposite Manager’ audits (whereby the Registered Manager from another home operated by Chanctonbury, audits a home run by a colleague), meal surveys, monthly management meetings, staff meetings and monthly residents meetings. Actions are taken to address any issues raised during the monitoring process. Results of service user audits are published and made available to all on the residents notice boards. The home does not take any responsibility for any of the resident’s finances and most residents have family, friends or representatives who protect their financial affairs. ‘Personal Allowance’ accounts are held for some residents. These accounts were audited and found to be correct and it was evidenced that appropriate procedures are in place for all monies entered and debited. From the accounts viewed it was noted that some accounts had errors corrected with the use of white correction fluid. There is a residents property register in place, which details each item of personal procession bought into the home by individual residents. Such forms require the signature of the resident to indicate that they agree to take responsibility for each item. The form also requires signing by the staff member, in order to evidence that they have correctly catalogued each item and informed the resident of their rights and responsibilities. From care plans sampled it was evidenced that not all of these documents are maintained in this manner and are unsigned by the admitting staff and/or resident. Therefore recommendations for good practice have been made. The home’s maintenance files were viewed and it was evident that fire drills, fire alarm testing and fire equipment checks, health & safety checks and water checks had been carried out. There were no health & safety issues noted at the time of this inspection. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 23 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 4 13 4 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 4 X 3 X X 3 Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard OP7 OP7 OP7 Good Practice Recommendations That the care plan review process is revised in order to determine a clearer means of recording care plan reviews and the inclusion of service user/relative/advocate. That the use of abbreviations in daily care records is reviewed in order to reduce the risk of inappropriate treatment of residents. That all daily care record entries are dated, timed, signed and the designation of staff entered in accordance with Nursing and Midwifery Council (NMC) guidance. That the records used for recording the personal processions of residents individual property, be maintained in the manner in which the recording tool requires i.e. agreed by the resident to indicate that they will take responsibility for each item and by staff, in order to evidence that they have correctly catalogued each item. 4. OP35 Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 25 5. OP35 That the use of white correction fluid in residents ‘Personal Allowance’ accounts must cease. Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oaklands Court Nursing Home DS0000065197.V359384.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!