Care Home: Oaklodge Nursing Home

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What the care home does well The home welcomes people who will use the service and their families or representatives, to visit the home and look at the facilities of the home. The manager seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need.Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home`s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. What has improved since the last inspection? There has been continued maintenance in the home with bedrooms being decorated with new furniture, carpets and curtains More training has been provided to staff and there are regular briefings. The manager has competed the NVQ assessors award. What the care home could do better: There are no issues raised within the report from this visit. CARE HOMES FOR OLDER PEOPLE Oaklodge Nursing Home 2 Silverdale Road Burgess Hill West Sussex RH15 0EF Lead Inspector Val Sevier Unannounced Inspection 09:40 11 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 Oaklodge Nursing Home DS0000024188.V359388.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. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklodge Nursing Home Address 2 Silverdale Road Burgess Hill West Sussex RH15 0EF 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) 01444 243788 Dr Dhananjay Dalmond Dr Dhananjay Dalmond Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2006 Brief Description of the Service: Oaklodge is a care home providing nursing care and registered to accommodate up to twenty-five individuals in the category OP (persons over 65 years). It is a detached property located in the town of Burgess Hill, close to shops and transport networks. The accommodation is arranged over three floors, which are all served by a passenger lift. Most of the private accommodation is for single occupancy although there are four shared bedrooms. There are two communal sitting rooms with patio doors leading to the garden and a dining room. The fees range from £549 to £695 per week. Oaklodge Nursing Home DS0000024188.V359388.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 2 star. This means the people that use this service experience good quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 11th March 2008, during which we were able to have discussions with staff, visitors and have interaction with the people who use the service. During the visit we looked around the inside and outside of the home, which included a sample of bedrooms and bathrooms. Staff and care records were sampled and in addition to speaking with staff and people who use the service, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: The home welcomes people who will use the service and their families or representatives, to visit the home and look at the facilities of the home. The manager seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 6 Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home’s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. 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 Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 7 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 Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 8 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): 1&3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering using the service are given appropriate information about the service to enable them to make an informed choice. People that use the service can feel assured that their needs will be assessed and that the home has an understanding of their needs using the assessment process. EVIDENCE: The statement of purpose and service users guide is in the form of a brochure and contains information about the home and its facilities. The guide also comments on the values of the home, on privacy, dignity, independence, civil rights, choice, fulfilment, and ethnic and cultural diversity and security. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 9 We received the AQAA for the home, which stated that: “Prospective residents and their representatives are invited to view the home. This gives them an opportunity to meet the staff and other residents. They are provided with: a copy of the statement of purpose, our service user guide and a copy of our latest inspection report. Any issues that they may have are discussed with them and the lifestyle of the home is explained. The manager request information about the prospective resident first and discuss it with the deputy manager to ensure that their needs can be met. Prospective residents then have a full assessment of their needs undertaken by the manager from which the initial care plan is drawn”. This was supported by evidence in the records at the home and with talking with relatives of individuals who had moved to the home in the last year. The assessment includes the following areas: personal hygiene and dressing; safe environment; eating and drinking and swallowing; working and leisure; sleeping and aids to ability. There is also a section called ”attitude towards moving to the care home”, which enables specific worries or anxieties to be noted and addressed. One individual was anxious about the move, as they had wanted to return home after their hospital stay. The home spoke with the individual and the family to try and allay these fears. The deputy manager also undertakes assessments if the manager is unavailable and works on the care plans with a senior nurse. It was also noted that there was information gathered from others who are involved in caring and supporting the individual, including the family and other health professionals. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 10 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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The records and systems within the home that ensure that the personal and healthcare needs of people who use the service are met safely and effectively. Staff working practice helped to ensure that the privacy and dignity of people who use the service is promoted. EVIDENCE: The manager stated in the AQAA returned to us that: “All residents have an individual care plan that take into account all their personal and social care needs. Residents and their relatives are fully involved in the care planning and when necessary, other health care professional are involved. On a daily basis, all aspects of health, personal and social care needs of the service user are being assessed, met and documented individually. Residents’ privacy and dignity is respected at all time”. We sampled three care plans of people who use the service that had moved to the home in the last year. The care plans sampled were being used in Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 11 conjunction with medication records and other health-monitoring tools that are used as part of the care planning for individuals. The care plans that have been developed for the residents were seen to be a working tool, with records of daily life and regular evaluations by the key worker. The documents seen and the plans were based on the assessments the home carried out in order to identify what help individuals needed. Assessments included a range of potential risks to residents for example: pressure sores; falls; moving and handling; and malnutrition. Where a pressure sore assessment indicated that an individual was at risk it was noted that the corresponding plan of care for the person concerned referred to the use a pressure relieving aid. The district nurses support the home in the care of any areas at risk or that have broken down. We were able to see that pressure area breakdown had been present when an individual moved to the home and there were a few incidents of areas having developed by people at the home for some time. It was also noted that the care and treatment in support of pressure areas that had broken down had been successful and support is sought from other health professionals. The plans examined set out clearly the actions and support staff needed to take and what specialist equipment was needed to provide the support and assistance each person required. For example where support with movement was identified instructions on numbers of staff needed, equipment and communication was seen. It was seen in the care plans that physical health needs are also addressed with information from health and other specialists; this information has been incorporated into the care plan at this home. It was also seen that individuals have access to opticians and dentists as needed. Notes regarding physical health indicated that other professionals had been involved as necessary for example a speech and language therapist. They had been involved with an individual who has had a stroke it was seen that this individual had a care plan from the therapist for staff at the home to follow for example a life book to hep the relationship and staff to ask closed questions, which only need a yes or no answer. It was also observed in the afternoon that staff encouraged the individual to identify numbers in bingo and to exercise their dexterity in putting counters on the numbers on the bingo card. The individual smiled a lot with their achievements. Records indicated that care plans were reviewed regularly and as needs changed and daily notes referred to the actions taken by staff to provide the needs set out in those plans. Care plans are agreed with the person using the service where possible and their relative or representative. The home had written policies and procedures concerned with the management and administration of medication. Medication was kept in locked Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 12 and secured medicine trolleys, cupboards and where required in a medical refrigerator. Controlled drugs were stored securely and appropriately. The home dispenses all medication from the original container and the only staff in the home that dispensed and were responsible for the management and administration of medication on a day-to-day basis were trained nursing staff. Staff were observed speaking and assisting the residents with dignity and respect. It had been seen on care plans that the preferred choice of name had been recorded and staff were heard to speak to residents by the name they wished. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. We have made this judgement using a range of evidence, including a visit to this service. People who use the service participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. Dietary needs are well catered for with a balance and varied selection of food available that meets individual dietary requirements and choices. EVIDENCE: There are three lounge areas in the home, one area also has the dinning tables in it. The armchairs in this area are arranged around the bay window enabling people to see outside. One area is away from the front of the house where people are able to sit quietly if they wish. It was observed that there were magazines and daily papers available for people to read, and individuals passed them to their neighbours as they finished them. The home has recently acquired two pet goldfish, which they have named and were bought into the lounge in the afternoon to bring luck in the bingo game. We were able to spend some time after lunch in the main lounges where we were able to observe and interact with the staff and people who use the service. Staff were observed to speak to people as individuals using their chosen name, and with respect to their age, there was much laughter and cajoling whilst encouraging individual abilities and strengths. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 14 The home offers an activities programme which includes games, crafts, exercises, videos, music and quizzes. There were records on activitys that individuals hd partyicptade in wheer it was noted tha there were one to one converstaions, aromatherpay, and games for those who also chose to remain in their rooms ot who needed to be cared for in bed. People living at the home and visitors spoken with on the day said that there were televisions in individual’s bedrooms as well as the main lounge and they were able to watch them as the wished. There are services held at the home and it was seen that Easter week there were arrangements for people to celebrate if they wished. The home operates an open visiting policy and maintains family ties, the home enables regular visits; on the day of the visit we were able to speak with six relatives at the home. They were positive about the home the care provided and the welcome they received in visiting the person living at the home. All individuals spoken with said they are encouraged to exercise control over their lives and it is their choice to participate in social activities if they wish. Visitors spoken with said that staff try to help individuals to maintain their rights and for them to be able to make informed choices around daily living. People we spoke with who were able to pass comment were complimentary about the food provided. The meals seen looked nice and were presented in a way that looked appealing. The menus and records of food provided indicated that the food was nutritious and there was a wide range of meals provided with a selection of choices every day. In addition special diets and individual preferences and needs were catered for e.g. soft and pureed meals and diabetics. Individuals could choose where to eat and some preferred to eat in their rooms. Food preferences, dislikes, food related allergies and nutritional and dietary requirements were recorded in individual care plans and the information was also readily available to catering staff. This supported the AQAA from the home which said: ”On admission, residents’ expectations, preferences and capabilities are recorded, assessed and taken into consideration when planning for their daily and social activities. This includes cultural interest and religious belief. The activities organiser together with the care staff, provide daily activities to include exercise, sing along, bingo, beauty session, poetry-reading art sessions amongst others. Spiritual needs of the residents are supported. Daily newspaper is available. Family links are maintained and visitors are welcome in the home at any reasonable time. We provide a 3 weekly menu that take into account residents’ Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 15 preferences. We also cater for special diets. Residents can eat their meals either in the dining room, the lounge or their bedroom”. Oaklodge Nursing Home DS0000024188.V359388.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. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected through the open complaints process and the staff’s knowledge and understanding of safeguarding and protection issues. EVIDENCE: The homes complaints procedure was seen to be available in the information given to people who use the service and in the foyer of the home. The manager was advised of the new contact details of the commission. There have been no complaints received by the home or the commission. The manager advised that the home promotes an open door approach to relatives and people who use the service, to help resolve complaints and issues effectively. Relatives spoken with said they felt able to approach the manager and staff with any concerns. People who use the service who were able to comment said that they felt able to make comments about things and that the staff listened and took action. The home uses West Sussex safeguarding adult policy and staff were seen to have training in adult protection as part of their induction as well as yearly updates. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 17 The evidence seen supported the AQAA, which said: “A clear complaint procedure is on display in the foyer. This is also found in the Statement of Purpose and our Service User Guide. We have West Sussex Authority procedures for safeguarding adults, which are followed. Staff are provided with training on Adult Protection as part of their induction and they have also attended outside training on POVA. We have a whistle blowing policy, which all staff are aware of and they are actively encouraged to report any concern they may have. Residents have been encouraged to register on the electoral list”. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 18 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. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a pleasant and homely environment to live in which also has had adaptations to meet individual needs. EVIDENCE: We looked around some of the home and were able to see communal areas such as the dining room, lounge, bedrooms and bathrooms. The garden is accessible with wheelchairs. All of the bedrooms seen were brightly decorated and people who live at the home are encouraged to furnish the room with personal belongings such as furniture and pictures, to make it feel like home. Consideration is given to the support of needs with the use of equipment. Several rooms have been redecorated had new carpets or curtains since the last inspection. One individual is very pleased with their new room and has urged staff to be extra careful in there. Another individual expressed how Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 19 happy they were with the new aerial for the television, which had improved their reception. Specialist beds are available at the home for those that are assessed as needing them. There is also specialist seating, a lift and adapted bathing facilities. It was noted that in accordance with best practice all communal WCs that were seen were provided with liquid soap dispensers (that were full and working), alcohol gel sanitizers and paper towels. Protective clothing was readily available and staff were observed using gloves and aprons appropriately. The home’s laundry was appropriately sited and equipped and effective procedures were in place for the management of soiled laundry items. The home manages the personal laundry with dedicated staff, whilst the bed linen and other large items are sent to a laundering service. There was no malodour in the home and it was seen to be clean and tidy. Comments from residents about the condition of the premises included: • “They are particular about keeping it clean, the windows ands so on, I think they also look after the building”. • “I can see what;’ going on outside and the staff pull the curtains when I am having personal care”. • “It is kept spotless and I like looking out of the window. The trees and plants change colours and I can see the birds”. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 20 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. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected by the recruitment procedure. EVIDENCE: The staffing structure provides a broad spread of experience and professionalism: manager, deputy manager, nurses, support workers, kitchen staff, laundry and housekeeping. Other health care professionals support the team from outside the home as needed. Staff spoken with on the day of inspection indicated that they were aware of the needs of the people who live at the home; they also seemed enthusiastic about working at the home. There was evidence that staff have received training in all mandatory areas such as food hygiene, manual handling, health and safety, safeguarding adults, infection control and, continuing healthcare framework. Staff receive at last three days training a year and are enabled to access courses either at the home or externally. New staff undertake two-day induction period when mandatory training is undertaken. This is followed by the induction pack, which is supervised by the individual staff members mentor. The time taken to complete this induction pack, which is based on ‘Skills for Life’, depends on the individual member of staff. Modules covered are: values, understanding the Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 21 organisation and the role of the worker, health and safety for example fire and incidents, communication for example call bells and methods of communication, abuse and neglect and developing as a worker. Records were examined of three staff that had been employed to work in the home since the last fieldwork visit to the home. Records indicated that statutorily required pre-employment checks, intended to ensure that people unsuitable to work with vulnerable adults were not employed, had been completed before the individuals concerned actually started working in the home. The manager explained that after interviewing, references are sent for and the CRB check is requested, a member of staff commences employment after the references are received and under supervision whilst waiting for the CRB check to be completed. The POVA First is included on this check and is returned before employment commences. The AQAA from the home stated that: “We have a dedicated team of staff to meet the needs of our residents. We have a stable staff group, which enables us to provide continuity. Recruitment policy and procedures are followed so as to ensure protection of service users. Regular supervision is given to all staff. Our Duty Rota shows a good mix of staff is present. Required checks are carried out on all new staff. All new staff are given induction training including POVA. Over 50 of our care staff have NVQ level 2 or above. Supervision records are kept”. Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 22 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. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a well run home; with systems and procedures in place which monitor and maintain the quality of the service provided and promotes the safety and welfare of everyone living and working in the home. EVIDENCE: The registered manager for the home is also the owner. He has a deputy manager to support him in the day-to-day running of the home. He stated that he involved the staff at the home in completing the AQAA, talking to them about it, asking them to write down their ides and including that in the final document. The AQAA said : “The manager and his deputy have attended Oaklodge Nursing Home DS0000024188.V359388.R01.S.doc Version 5.2 Page 23 various training sessions to update their skills and knowledge. The most recent ones being on leadership and management and Mental Capacity Act. We are currently awaiting the feedback of our quality assurance survey. As in previous years, these are audited and appropriate remedial action taken. We continuously monitor the service provided by talking with residents and relatives and dealing with their concerns promptly. We do not deal with residents’ finances. Staff are encouraged to read the home’s policy and procedures and to seek clarification if they are unsure of anything. The manager ensures that equipment are serviced and maintained at regular interval. We have carried out environmental risk assessment. Accidents, injuries and incidents are recorded and communicated to relevant authorities”. There is a clear Management structure with Policy & procedures reviewed annually. There were a range of written policies and procedures available for staff to refer to as guidance and to inform their practice. These included the following: • Admission, discharge and transfer of residents • Human Rights • Confidentiality and access to personal records • Abuse of the person • Drug administration • Self administration of medication • Infection control • Complaints procedure • Whistle-blowing • Sexuality • Health and safety at work The people who use the service and their relatives or representatives and the staff, are able to discus all aspects of the running of the home generally or on a personal level. This opportunity is offered in ‘resident’, relative and staff meetings and in questionnaires, which are sent out annually. It was noted that the home’s equipment, plant and systems were checked and serviced or implemented at appropriate intervals i.e. passenger lift and hoists; fire safety equipment portable electrical equipment; hot water system; etc. There were contracts in place for the disposal of clinical and household waste. Records were kept of accidents. There was a fire risk assessment for the premises; tests of equipment and regular risk assessments of the premises and working practices were undertaken regularly. Oaklodge Nursing Home DS0000024188.V359388.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 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 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 3 X 3 X X 3 Oaklodge Nursing Home DS0000024188.V359388.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. 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. Refer to Standard Good Practice Recommendations Oaklodge Nursing Home DS0000024188.V359388.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 Oaklodge Nursing Home DS0000024188.V359388.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. 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