Care Home: Oaklea Care

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What the care home does well There is a strong management structure in place and the views of people living and working at the home are actively sought to ensure the home is run in accordance with people`s wishes. Staff are enthusiastic and well motivated. Staff spoken with demonstrated an excellent knowledge of the people living at the home. Staff were very happy with the induction programme and ongoing training opportunities. This leads to a competent workforce. Everyone living at the home is encouraged to develop their independent living skills and set themselves goals for the future. Risk assessments are in place and these are used as an enabling tool to allow people to take part in activities in the safest way. Risk assessments and care plans are regularly reviewed with the people living at the home, to ensure that they continue to reflect peoples` preferences, needs and goals for the future. Many people attend college and work placements outside the home and all have access to leisure activities including holidays away.There are good links with healthcare professionals and everyone has a health care book, which enables them to take some control over their personal health and make informed decisions. What has improved since the last inspection? At the last inspection one requirement was made with regard to ensuring that all new staff had two written references before they began work. The home now has a robust recruitment procedure, which ensures that all checks are carried out before someone begins work. Communal areas in one house have been redecorated and an extension, including a new kitchen, has been added to another house. People said that they had been consulted on the new colour schemes. Additional staffing has been made available to enable people to access evening activities on a more ad-hoc basis. The Complaints procedure is now available in Total Communication signs and symbols to ensure that it is accessible to all. Medication practices have been reviewed and the home now uses a Monitored Dosage System for medication. CARE HOME ADULTS 18-65 Oaklea Care 5 Preston Grove Yeovil Somerset BA20 2BG Lead Inspector Jane Poole Unannounced Inspection 24th September 2008 10:15 Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 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 Oaklea Care DS0000016199.V372097.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 Adults 18-65. 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. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea Care Address 5 Preston Grove Yeovil Somerset BA20 2BG 01935 479721 01935 432027 jackson@oaklea.fsbusiness.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Janice Maureen Jackson MR ROBERT JACKSON Mrs Jacqueline Elizabeth Down Care Home 15 Category(ies) of Learning disability (15), Mental disorder, registration, with number excluding learning disability or dementia (15), of places Physical disability (15) Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May use 2 ground floor rooms at 5, and 1 ground floor room at 7 Preston Grove to accommodate persons aged 18 - 65 years with concurrent physical disabilities (PD) receiving personal care only May accommodate up to 15 persons aged 18 - 65 years with a concurrent mental disorder, excluding a learning disability or dementia (MD) May accommodate up to 15 persons aged 18 - 65 years with a learning disability and/or physical disability (LD) / (PD) 15th November 2006 Date of last inspection Brief Description of the Service: Oaklea Care is made up of four separate houses. The four homes are registered as one. The home is registered to provide personal care to up to 15 people who require care due to a learning disability, a mental health difficulty or a physical disability. The four homes are close to each other and are situated near to Yeovil Town and close to all the amenities. Each house has single bedrooms and a communal lounge / dining room, kitchen and bathrooms. Oaklea has an office; it therefore holds policies and procedures, staff recruitment files and so on and is seen as the main house. Fees at the home range from £372.00 to £1152.00 per week. Oaklea Care DS0000016199.V372097.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 3 star. This means the people who use this service experience excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over a one-day period. During the inspection the inspector was able to talk with people living and working at the home, observe care practices, view the houses and read records. Prior to the inspection 5 members of staff and 13 people living at the home completed questionnaires. Some comments from these have been included in this report. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: There is a strong management structure in place and the views of people living and working at the home are actively sought to ensure the home is run in accordance with people’s wishes. Staff are enthusiastic and well motivated. Staff spoken with demonstrated an excellent knowledge of the people living at the home. Staff were very happy with the induction programme and ongoing training opportunities. This leads to a competent workforce. Everyone living at the home is encouraged to develop their independent living skills and set themselves goals for the future. Risk assessments are in place and these are used as an enabling tool to allow people to take part in activities in the safest way. Risk assessments and care plans are regularly reviewed with the people living at the home, to ensure that they continue to reflect peoples’ preferences, needs and goals for the future. Many people attend college and work placements outside the home and all have access to leisure activities including holidays away. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 6 There are good links with healthcare professionals and everyone has a health care book, which enables them to take some control over their personal health and make informed decisions. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one moves into the home without having their needs assessed. People thinking of moving into the home are able to spend time at Oaklea Care to ensure that it meets their expectations. EVIDENCE: Everyone who completed a questionnaire said that they were asked if they wanted to move into the home and all said that they received enough information to assist them to make the decision to make it their home. One new person has moved into the home since the last inspection. The newest person had had their needs assessed and was able to visit the home on several occasions before deciding to move in on a permanent basis. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are fully involved in all decision making about their day-to-day lives and goals for the future. Care plans are person centred and regularly reviewed to ensure that they are reflective of changing needs and wishes. EVIDENCE: Everyone living at the home has a care plan which is personal to them. Three care plans were examined in detail. All were comprehensive giving clear details about the persons’ needs and all aspects of their care. Care plans seen gave evidence that people are very much involved in their creation and review. People set their own goals and the staff work with the person towards the goals. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 10 People spoken with during the inspection gave evidence that everyone is encouraged to make decisions about all aspects of their life, from what they eat, which activities they join in with and their goals for the future. Everyone who completed a questionnaire answered ALWAYS to the question ‘Do you make decisions about what you do each day?’ Care plans are reviewed annually with professionals from outside the home and on a two monthly basis within the home. This ensures that people are actively involved and that care plans continue to reflect the individuals’ preferences and wishes. Risk assessments are in place and these are an enabling tool allowing people to work towards independence in the safest way. One risk assessment seen, detailed how a person was assisted to go out independently by initially providing staff assistance and gradually reducing this support with each review of the assessment. Throughout the day it was observed that people were consulted on all aspects of their daily life. Meetings are also held in each house to ensure that people are involved in the running of the home and are able to make choices about any routines or changes. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have access to a wide range of leisure and social activities dependent on their interests and abilities. People are involved in menu planning, shopping and cooking to ensure that they are able to make choices about the food that they eat. EVIDENCE: There are no strict routines in the home and people said that they could choose what time they got up and when they went to bed. People who attend regular day activities, or work placements, said that this meant that some routines needed to be in place. Care plans seen contained weekly timetables of activities. People spoken with said that they chose what went on the timeOaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 12 table. One person wrote on their questionnaire “I enjoy filling in my weekly activity sheet with my key worker.” Everyone living at the home who completed a questionnaire said that they were able to choose what they did during the day, in the evenings and at weekends. People said that they had enjoyed holidays abroad with staff support, attended a local gym, watched football matches and went to church. During the inspection people chatted happily about the lifestyle that they enjoyed. People are encouraged to learn and develop independent living skills according to their ability. The houses that make up Oaklea Care have differing levels of staffing dependent on the needs of the individuals who live there. It was observed that people were involved in household chores including cooking and cleaning. The home assists people to keep in touch with family and friends. One person said that they sometimes went out with a family member and another said that they went to stay with relatives. Many people attend college courses, such as cookery and personal development, and work placements outside the home. One person is in paid employment. People spoken with gave evidence that they were fully involved in community life and used local facilities and amenities. One person said that they belonged to a local swimming club and another said that they liked to go to the cinema. The manager stated that since the last inspection they have provided additional staffing in the evenings to ensure people who require staff support, are able to access evening activities in the community on a more ad-hoc basis. Each house has its own menu that has been created by the people who live there with the assistance of staff. The residents of one house said that they had arranged their menu around healthy eating information. These people shop for all their groceries so are able to make choices at the shop as well as during menu planning. Another home uses the internet to order the bulk of groceries but people are then encouraged to shop for more day to day items to ensure that they are still able to be involved in making choices. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have access to healthcare professionals in line with their individual needs. People are encouraged to take responsibility for their well-being and medication where appropriate. EVIDENCE: People living at Oaklea Care require differing levels of support with personal care. Care plans outline the assistance required, this varies from full assistance to total independence. The home employs male and female staff, which gives people a choice of the gender of the person who assists them with intimate personal care. Some people who have mobility difficulties have ground floor rooms with full en-suite facilities whilst others share bathrooms and toilets. Everyone spoken to was happy with the arrangements in place and said that privacy was respected. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 14 People are able to choose their own clothes and hairstyles to reflect their personalities. One person wrote on their questionnaire “ I choose what I want to eat and what I wear each day.” Everyone living at the home has a healthcare book, which they have been able to complete with assistance from an outside professional. One of these books was seen. It set out not only the persons needs but the persons’ view of their healthcare needs and the actions they may take to improve physical health and fitness. These actions included more healthy eating and gym attendance. This gives people more control over their physical and mental health and assists them to make informed decisions. People are registered with GPs and other healthcare professionals according to their individual need. Everyone has an annual health check. Staff assist people to attend appointments, if appropriate, and the outcomes of any appointments are recorded in care plans. On the day of the inspection one person was assisted to visit a chiropodist and another had a dental appointment. People are weighed on a regular basis and any significant gains or losses are investigated as a way of monitoring overall health. Since the last inspection the home has changed to a Monitored Dosage System (MDS) for medication. There are adequate secure storage facilities for medication. Some people living at the home are able to self medicate. Appropriate risk assessments are in place for these people and they have secure storage in their rooms. Staff spoken with said that they had received training in the safe administration of medication and felt confident in this area. The home also carries out random supervisions of medication administration to ensure that staff remain competent. A sample of Medication Administration Records (MARs) were viewed. Medication is signed for when it comes to the home and when administered or refused, this gives a clear audit trail. There are policies and procedures in place in respect of the administration of prescribed medication and homely remedies. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has taken reasonable steps to minimise the risk of abuse to the people who live at the home. People feel able to raise any concerns. EVIDENCE: The home has policies and procures in respect of recognising and reporting abuse, making a complaint and whistle blowing. Staff spoken with were aware of the ability to take serious concerns outside the home but some were uncertain who the most appropriate agency to contact was. The home should ensure that the whistle blowing policy gives contact details for the Commission for Social Care Inspection. Everyone who completed a questionnaire said that they knew how to make a complaint. All staff answered YES to the question “Do you know what to do if a service user or advocate has concerns about the home?” People living and working at the home said that they felt that they could raise any concerns and these would be listened to and action taken to address them. Since the last inspection the complaints procedure has been made available in total communication symbol format to ensure that it is accessible to all. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 16 Staff receive training in the protection of vulnerable adults during their induction and use an e-learning programme for up to date refresher training. Details of independent advocates are available. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Oaklea Care provides comfortable accommodation but some personal rooms would benefit from refurbishment. EVIDENCE: Three of the four houses that make up Oaklea Care were viewed. All provide a comfortable domestic environment for people. The town centre and public transport links are easily accessible. All houses have access to outside space that people living there help to maintain. The managers’ office is located in the house named Oaklea and this is seen as the ‘main house’ All bedrooms are for single occupancy and each house has its own communal space. Since the last inspection the communal areas in one house have been Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 18 redecorated and people living there said that they had been able to choose colours. As previously stated people with reduced mobility have been allocated ground floor bedrooms to ensure that they are able to use their personal rooms at anytime without having to ask staff for assistance. One of the ground floor bedrooms can be accessed from two sides and at the time of the inspection was being accessed through the en-suite. Many people were happy to show their bedrooms. These were of varying styles and décor. All had been personalised to reflect individuals tastes and needs. It was noted that some bedroom carpets and furnishings were becoming worn and would benefit from replacement. Each house has its own laundry facilities where people are able to attend to their personal laundry according to their ability. Currently cloth towels are available in communal bathrooms and toilets which does not promote good infection control practices. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by a well-trained and enthusiastic staff team. Recruitment procedures minimise the risks of abuse to people living at the home. EVIDENCE: During the inspection a number of staff were spoken with. All were very enthusiastic about their jobs and all demonstrated an excellent knowledge of the people living at the home. The staffing levels in each house are dependent on the needs of the people who live there. One home is staffed throughout the day with a sleep in person overnight. There is no night cover in other homes but they have access to on call staffing. Staff spoken with felt that there were adequate numbers of staff on duty to meet the needs of the people living at the home. 5 staff completed Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 20 questionnaires prior to the inspection, to the question ‘Are there enough staff to meet the individual needs of service users?’ 3 answered ALWAYS and 2 said USUALLY. A great emphasis is placed on staff training to ensure that everyone working at the home has the skills required to support the people who live there. There is a good induction programme in place, which is in line with the ‘skills for care’ core standards. Staff spoken with, and those who completed questionnaires, said that there are excellent opportunities for ongoing training that is relevant to their role. Training records seen showed that staff complete training in all relevant health and safety issues and training relevant to the people living at the home. Training courses attended include Aspergers awareness, Learning Disability Qualification and the Mental Capacity Act. All staff have the opportunity to undertake a National Vocational Qualification (NVQ) in care. Two staff recruitment files were viewed. These gave evidence of a robust recruitment procedure, which included checks against the Protection Of Vulnerable Adults (POVA) register and obtaining two written references before the person began work. An enhanced Criminal Records Bureau (CRB) is undertaken. A new member of staff was spoken with during the inspection. They felt that they were well supported by the induction programme and more experienced staff. All staff spoken with said that there was excellent communication within the home and many staff who completed questionnaires also commented on this. One person wrote “Communication is excellent, there are regular staff briefs and full staff meetings.” For the past 5 years Oaklea has been an Investor in People organisation. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and peoples views and opinions are incorporated into the running of the home. There are excellent systems in place to monitor the quality of the service and enable people to make suggestions. EVIDENCE: The registered providers are actively involved in the running of the home. The registered manager of the service is Mrs Jacqueline Down, she has many years experience of working with people who have a learning disability and has achieved the Registered Managers Award (NVQ level 4.) Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 22 Senior staff are employed who support the manager and offer ongoing support and guidance to less experienced members of staff. The manager demonstrated that she keeps her practice up to date by extensive reading and attending training courses. On the day of the inspection the providers, manager and a senior member of staff were all available. People spoken with stated that the management is very visible in the home. During the inspection it was observed that everyone was extremely comfortable with the owners and the manager. One person wrote on their questionnaire “the manager is always available” and another said “there is a good senior management team.” Everyone spoken with stated that the management in the home was extremely approachable and open. People living and working at the home felt that they were encouraged to make suggestions about the running of the home and that their views were always listened to. There are various systems in place to monitor the quality of care. There are regular meetings for people living and working at the home, which allows people to make suggestions. During this inspection it was noted that people are asked their opinions on all aspects of their day-to-day lives. The manager reviews all policies and procedures to ensure that they continue to be up to date and appropriate to the home. There is evidence that staff are involved in the review of policies. To monitor the quality of care and the health and safety in the home there are regular audits. These cover all areas covered by the National Minimum Standards. Staff receive training in health and safety issues. People living and working at the home receive regular training in fire safety and moving and handling. There is a fire risk assessment, which is up dated every year. One person, living in one of the houses not staffed on a 24 hour basis, demonstrated that they were confident in what to do in the event of a fire. Documentation was seen that fire alarms, extinguishers, portable electrical appliances and the electrical installation are regularly tested. Oaklea Care DS0000016199.V372097.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 Adults 18-65 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 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 2 27 3 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 x LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 4 4 x 3 3 x Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? 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 YA23 YA26 YA30 Good Practice Recommendations The whistle blowing policy should contain the contact details for the Commission for Social care Inspection. It is recommended that the home develop a refurbishment plan to ensure that all areas are maintained to a high standard. To promote good infection control practices cloth towels in communal bathrooms and toilets should be replaced with a suitable alternative. Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Oaklea Care DS0000016199.V372097.R01.S.doc Version 5.2 Page 26 - 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. 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