Care Home: Oaklodge

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What the care home does well People`s care needs are properly assessed and they are given the opportunity to stay at the home before they move in permanently. This helps them make an informed decision about whether Oak Lodge is the right place for them to live. Staff believe it is important for people to make choices of their own. This helps them become more independent. A good choice of food and drinks are available when people want them. This ensures that people receive a varied and nutritious diet. People told us, `The food is very good`. The home works well with other health and social care professionals to provide the support and help that people need. A health professional told us they work well with them and do meet people`s health and personal care needs. There is a clear and user-friendly complaints procedure and complaints are taken seriously. Arrangements are in place to measure the quality of the service, which includes feedback from people. This ensures that the staff continues to deliver care in the best interests of people who use the service. What has improved since the last inspection? More staff have completed NVQ training, this means staff have better knowledge and understanding to support people. CARE HOME ADULTS 18-65 Oaklodge 11 Oak Villas Manningham Bradford West Yorkshire BD8 7BG Lead Inspector Caroline Long Key Unannounced Inspection 3rd September 2008 09:30 Oaklodge DS0000001314.V371486.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 Oaklodge DS0000001314.V371486.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. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklodge Address 11 Oak Villas Manningham Bradford West Yorkshire BD8 7BG 01274 546920 01274 546920 oaklodgecarehome@btopenworld.com 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) Michael Stephen Berry Anita Anne Berry Mr Anthony Cook Care Home 32 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Old age, not falling within any of places other category (0) Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP 2. Mental Disorder, excluding learning disability or dementia, Code MD The maximum number of service users who can be accommodated is: 32 21st September 2006 Date of last inspection Brief Description of the Service: Oak Lodge provides care and support for up to thirty men or women with mental health needs. People can also stay temporarily at Oak Lodge when their circumstances may mean they need some additional support. Oak Lodge is a large detached property located in the Manningham area of Bradford, close to public transport systems, shops and local community facilities. Bedrooms are on five floors, with communal rooms on the ground and lower ground floors, all accessible by passenger lift. The house stands in its own grounds, with good car parking facilities. Current information about services provided at Oak Lodge in the form of a statement of purpose, service user guide and the most recent inspection report published by the Commission for Social Care Inspection are available by contacting the home. Information provided by the manager on 16th September 2008 indicated that the current weekly fee for the home is from £320 to £440 per week. Additional costs include the provision of extra support by staff, toiletries, hairdressing, holidays, leisure activities and clothes. Oaklodge DS0000001314.V371486.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. 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. This is what we used to write this report: • • • • We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire (AQAA). We sent surveys to people living in the home and the staff and to health professionals. One inspector visited the home unannounced. This visit lasted over six hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. We spent time talking with people who live in the home and a relatives and a health professional who were visiting. We looked at four people’s care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. • • • What the service does well: People’s care needs are properly assessed and they are given the opportunity to stay at the home before they move in permanently. This helps them make an informed decision about whether Oak Lodge is the right place for them to live. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 6 Staff believe it is important for people to make choices of their own. This helps them become more independent. A good choice of food and drinks are available when people want them. This ensures that people receive a varied and nutritious diet. People told us, ‘The food is very good’. The home works well with other health and social care professionals to provide the support and help that people need. A health professional told us they work well with them and do meet people’s health and personal care needs. There is a clear and user-friendly complaints procedure and complaints are taken seriously. Arrangements are in place to measure the quality of the service, which includes feedback from people. This ensures that the staff continues to deliver care in the best interests of people who use the service. 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. Oaklodge DS0000001314.V371486.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 Oaklodge DS0000001314.V371486.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): Standard 2 and 4 People who use the service experience Good quality outcomes in this area. People will be assessed before admission to the home to make sure Oak Lodge is the right place for them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Information is made available to anyone interested in moving into the home. Usually the registered manager will visit them either at hospital or at home and complete an assessment to make sure the Oak Lodge will be able to provide a service that will meet the person’s needs. As part of this process they will also gather information from any other agencies involved. Where possible the person is then encouraged to visit the home, overnight or longer providing them with the opportunity to meet everyone and to get a feel for the home. There is then a settling in period where staff monitor whether the person is compatible with other people living in the home. Staff explained significant time and effort is made to make sure admissions to Oak Lodge are personal and well managed. They described how the rooms are redecorated before a new person moves in and how they liaise with the local psychiatric services who offer support. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 9 A health professional also confirmed this and that the home would make sure that they were able to support the person fully before they were offered a permanent home. Two peoples files who had recently moved into the home were looked at in detail both confirmed good practice. Both assessments were carried out before people moved into the home and both contained details of people’s daily life and health needs. Examples of the information included were people’s cultural, daily living, social interests, and nutrition needs. Detailed assessments from health professionals were also been obtained before the person moved in. This information would have helped the home to make an assessment of whether they had the staff skills and equipment necessary to look after people properly. The staff records showed and staff confirmed they had the necessary training to enable them to look after people properly. Staff told us they had received mental awareness training. The two files examined contained a contract, which had been signed and agreed. The home’s service user guide is on display in the hallway. The Manager explained that it had also been translated into Urdu and was recorded on cassette tape by an Urdu-speaking member of staff (this could also be produced onto CD if needed). Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 10 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): Standards 6, 7 and 9. People who use the service experience Good quality outcomes in this area. Staff help to promote peoples independence and make decisions about their lives, however this is not always fully reflected in people records. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People told us they were able to make choices about their lifestyles and staff were observed encouraging people to make choices about their daily life, for instance what activities or outings to participate in. Four peoples’ case records were looked at in order to check that a plan had been formulated which would help staff provide support to people according to their needs and wishes. The registered manager told us that the care plans were being all reviewed and updated, so when we looked at the records they were often difficult to follow. Overall the information in the care plans are person centred, considered peoples diversity, and contained peoples personal preferences and choices. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 11 They promoted independence and provided people with the care they needed in the way they wanted. Where risks were identified, care plans were in place, which provided staff with the actions they needed to take to minimise any risk whilst promoting independence. Also in some instances guidance was available to manage specific behaviours and peoples preferred communication style was included. However the information was not dated so it was not possible to be certain it was being reviewed regularly and where the staff were fully aware of and successfully managing significant risks these were not always recorded in the care plan. There was also no evidence these were being written with the individual or whether they had any involvement. Despite this staff were able to explain peoples needs and how they would successfully meet them, and this was reflected in the calm atmosphere. The staff have a ‘can do’ attitude and risks are managed positively to help people using the service lead the life they want. Three people told us they were supported and a health professional gave good examples of how people had moved into the home where they had been supported to become more independent and take risks that had enabled them to move into their own accommodation. The home has regular meetings where people living in the home can make their views known. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 12 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): Standards 12,13,15, 16 and 17. People who use the service experience good quality outcomes in this area. People are helped and supported by the staff to make choices about their lifestyle and develop their life skills. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The activities co-ordinator and the key worker supports people to identify what they want to do and how they want to do it and then supports them to achieve this. Three people told us about the activities they carry out, and how they made an informed choice of whether they wanted to take part or not. These followed their social and religious interests, and educational activities. The home has a full time activities co-ordinator and a mini bus, the coordinator explained he likes to make sure people can access social activities in the community as a way of improving their lifestyle and improving their community links. Trips were taken to various parks, to Cricket and Morecambe and to different museums. People were also encouraged to go to various Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 13 groups and day centres such as MIND, hearing voices and art groups. One person told us how they enjoyed the weekly trips out in the mini bus. The activities co-ordinator explained they do try to improve people’s life skills and were refurbishing a kitchen downstairs where people prepare their own food. During the day people were seen to go and return as they choose. Some people watched TV others talked in the smoker’s room or dining room. Alcohol is permitted in the home as a drink is seen a normal activity in a persons home, however staff said they would look at the levels of consumption and if this was affecting the person or others in the home it would be acted upon as a health or risk issue. People can choose when and where to eat their meals, the main meal is provided at teatime this is because many people are out of the home during the day. The Chef explained there is a varied menu, where fresh produce is mostly used and all dietary needs are catered for. The home only uses halal meat, this is to make sure it meets some people religious and cultural needs. However the registered manager needs to make sure everyone living in the home has no objection to this. There is a small kitchen, which joins the dining area where people can make themselves a hot drink. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19 and 20. People who use the service experience Good quality outcomes in this area. People are encouraged to play an active part in making sure their personal and health care needs are fully met. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: Looking at peoples plans of care showed they promoted both sensitivity and respect and gave descriptions of how the people preferred to be supported with personal care. There are both male and female support staff, this enables people in the home to have their physical personal care needs carried out by a gender they feel most comfortable with. The registered manager explained how the people in the home generally went to the local GP. The records clearly evidenced that people in the home were given choices and made decisions about their health care. Staff also told us how they made sure they monitored people’s weights. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 15 A health professional told us that the home is proactive in contacting them to seek help or advice and had a good relationship with their service. Medication is locked away and a monitored dosage system is used. Staff who give out medication have received training. Four samples of medication administration sheets were checked and found to be correct. The deputy manager is responsible for the medication and explained the monitoring system that is in place. She also confirmed that should a person be responsible for their own medication, it would be kept in a locked drawer in their bedroom and the necessary risk assessments would be carried out. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23. People who use the service experience Good quality outcomes in this area. People are able to express their views and are safeguarded from harm. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: People told us they feel able to make their views known if they have any concerns or complaints. Nine surveys returned all said they knew who to speak to if they were unhappy, and knew how to make a complaint. People were seen visiting the office to see the registered manager to make their views known. There are regular meetings in the home where people can make their views known; people are also encouraged to use the local advocacy service or their health professionals for support if they have any concerns. The complaints procedure is on display in the reception area. There has been four complaints since the last inspection, some from people who live in the home, all have been responded to and resolved by the registered manager. A copy of the local policy and procedure, “No Secrets”, is available for reference. A recent incident between two people was appropriately referred to the Adult Protection Unit, to ensure that individuals were safeguarded. Discussion with the registered manager showed he is fully aware of the actions to take to safeguard adults. Staff told us they have received training in the Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 17 local adult protection procedures from Bradford Social Services and all were aware of whom to alert if an incident occurred. The home follows a policy of non restraint and would contact the police if necessary, however to enable staff to continue to successfully deal with all physical and verbal aggression further training should be offered. People are given the choice to manage their own finances. The registered manager explained they have their own bank accounts and keep some cash in the home in the office in a locked cabinet. Also, either independently or with help they account for their spending by recording the purchases on a sheet and keeping receipts. The registered manager was seen during the day giving their money. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 18 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): Standards 24 and 30 People who use the service experience Adequate quality outcomes in this area. Further improvements need to be made to make sure people live in a clean and comfortable home. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: Oak Lodge is a large detached property that stands in its own grounds. There are communal lounges, dining area and smoking rooms on the ground and lower ground floors. The bedrooms are for single occupancy with communal shower and bathrooms; all are accessible by passenger lift. Many of the people living in the home smoke and the environment does suffer damage and extreme wear and tear. The registered manager explained they were aware of the fire risks and had ensured many of the floor coverings and mattresses were flame retardant. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 19 At the last inspection we asked the home to repair some of the plasterwork and replace some of the carpets. The registered manager confirmed these had been replaced, however we found there were areas of the home were in need of refurbishment and improvement. For instance: • • • • • The smoking room was very dirty and had old and broken furniture in it. A armchair had the stuffing was coming out and a chest of drawers was broken. A piece of carpet was torn by a bathroom and would have been a tripping hazard. Following a flooding accident some of the ceiling tiles were not present or stained and needed replacing. In some of the corridors plaster work needs to be carried out. One of the mattresses and headboards was stained and dirty. The staff told us they help people clean their rooms weekly, and a cleaner is employed for the communal areas. However we found that the home needed a thorough clean, examples of where the cleaning needed improving were shown to the registered manager, who explained he had already recognised that improvements needed to be made and was taking action to ensure this would happen. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 20 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): Standards 32, 34, 35 and 36. People who use the service experience Adequate quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to support people who use the service. However to make sure only suitable people are employed they need to improve their recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People told us staff do treat them well, and provide them with the support they need and that they were generally enough staff available to meet their needs unless people were off work due to unexpected illness. Staff also confirmed this, and that there was enough staff available to make sure people could access the activities they choose. We saw staff had the time to sit and talk to people, and the registered manager told us there is normally a manager and a senior care and three care staff on duty to support the thirty people. These are supplemented by a activities co-ordinator, cook, cleaner, laundry person and maintenance man. We looked at four staff records to make sure the home were employing suitable people for the job. We found that the management need to improve Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 21 the way in which they recruit staff. References had not always been obtained before a person-started work and the Criminal Record Bureau Checks for all were completed once they had started. Although the Care Standards Act does allow for staff to commence work subject to a PoVA First check and various other provisos regarding induction and supervision this is only in exceptional circumstances and should not be routine. Two references from appropriate sources must also be obtained before a person starts work. There is an induction programme in place that ensures new staff members are given the right information to be able to do their jobs well, a member of staff told us they had received the induction. Staff told us they received regular supervision and appraisals from their manager and do feel fully informed and supported by the management, however the manager explained supervision was generally informal., so no records are kept. Records of supervision should be kept as these help the registered manager and staff to track any improvements or decline in working practices. There is a training plan in place this helps to ensure that training is provided to staff throughout the year. The 2008/9 plan showed all the mandatory courses such as infection control and food hygiene were planned for. Staff also told us they have received training in the mental capacity act. The registered manager explained staff had not attended training on challenging behaviour however to protect everyone and update staff of new practices, staff should attend training on how to fully understand and deal with physical and verbal aggression appropriately. The annual quality assessment questionnaire states over half of the staff have their National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 22 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): Standards 37, 39 and 42 People who use the service experience Good quality outcomes in this area. People benefit from a home that is managed in their best interests, however to make sure this continues more attention needs to be paid to completing the necessary paper work. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager has worked for the provider since 2002, he has his National Vocational Qualification Level two and three in care and hopes to commence his management training this year. We saw he has good people skills and understands the importance of person centred care and effective outcomes for people who live at Oak Lodge. People were observed to be comfortable when approaching him to discuss the home. Staff told us they felt extremely well supported by the registered manager. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 23 We found clear evidence that equal opportunities are promoted in the home and evidence the home is managed in a way which people prefer. Although the annual quality assurance assessment (AQAA) was brief it did contained clear and relevant information that was supported by some evidence and the data section was completed. Quality assurance systems consisted of an annual survey for people in the home to complete, regular house meetings, care reviews, and reviews of the complaints and accidents records to identify any patterns etc. The provider also carries out regular spot checks. The questionnaires in December 2007 found ‘ in the home and the care in general are areas where improvements can be made, and ‘overall Oak Lodge is seen to be an average to good home.’ Oak Lodge also produces an annual business plan, which helps it to prioritize areas for improvement. The annual quality assessment questionnaire states the maintenance and service records are in order. The registered manager told us the fire safety procedures were in place, equipment was maintained and staff have received the appropriate training. Accidents are recorded and reviewed by the registered manager to identify and resolve any potential risks. Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 (2) (b) Requirement You must replace or repair any broken or dirty furniture. This is so people live in a clean and comfortable environment To protect people using the service and to ensure only suitable staff are employed at the home the registered person must ensure that all staff have: • Two satisfactory written references held on their personnel file before they commence work. And • A satisfactory CRB check in place before they commence working in the home. Where a POVA first check has been obtained there must be evidence that the staff member worked under supervision pending the receipt of the full CRB check. Timescale for action 01/01/09 2 YA34 19 01/10/08 Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations Service user plans should be regularly reviewed and developed with and agreed by the person it reflects. This helps to provide people with the support they need in the way they want. People who live in the home should be able to decide if they want to eat halal meat. Staff should attend training on how to fully understand and deal with physical and verbal aggression appropriately. This is to make sure they are consistently following good practice guidelines. Records of supervision and yearly appraisal should be kept these help the registered manager and staff to track any improvements or decline in working practices. To keep updated with current trends and to make sure the best service is provided the registered manager should commence his management training this year. 2 3 YA17 YA32 4 YA36 5 YA37 Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Oaklodge DS0000001314.V371486.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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