Care Home: Oakside Care Home

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What the care home does well It was clear from visiting the home that the staff always put residents first, and are committed to providing high standards of care. Residents are confident that they will be listened to, and that their views will be acted on. The home is fresh and clean in all areas, and well decorated within the style of the building. A resident said that there are "never any smells associated with homes for older people". Staff training is well managed, and more than 50% of care staff are trained to NVQ level 2 or higher. The health and safety of all people in the building are taken very seriously, with a specific emphasis on fire safety, as this is a wooden building. What has improved since the last inspection? What the care home could do better: One comment was received that there is little to do on long winter evenings, and some activities could be considered for later times in the day. It would be beneficial for the residents to have a passenger lift. The home has a seating area at the front, which overlooks the village green. Although this is very pleasant, it is a public area, and there is currently nowhere for residents to sit outside in private. Staff application forms only request employment details for the last five years. A full employment history (since leaving full time education) must be obtained. The manager said she would change this form straightaway. CARE HOMES FOR OLDER PEOPLE Oakside Care Home Main Street Northiam Rye East Sussex TN31 6NB Lead Inspector Mrs Susan Hall Unannounced Inspection 13th March 2008 09:20 13/03/08 09:20 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 Oakside Care Home DS0000021395.V359390.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. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakside Care Home Address Main Street Northiam Rye East Sussex TN31 6NB 01797 252165 01797 252165 barbara.clark@peasmarshplace.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) Peasmarsh Place (Country Care) Limited Mrs Barbara Anne Clark Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users must be older people aged sixty-five years or over on admission. The maximum number of service users/individuals to be accommodated is seventeen (17). Date of last inspection Brief Description of the Service: Oakside Care Home is situated in the pleasant village of Northiam, between Tenterden and Rye, and overlooking the village green. It is a Grade 2 listed building of wooden construction, and is very well presented. It is near to local shops and amenities, and there are main bus routes close by. The home is owned by Peasmarsh Place (Country Care) Ltd., who also own the care home Peasmarsh Place nearby. Accommodation is provided on three floors, and is usually in single bedrooms. Some bedrooms are large enough for two people to share if they wish to do so (e.g. married couples). The upper floors can be accessed via stair lifts. Many of the rooms have en-suite toilet facilities, and some also have en-suite showers. There are several communal areas including a large lounge, a dining room, and a small sitting area on the second floor. Fees currently range from £480.00 to £630.00 per week, and are assessed according to the individual needs of each resident. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Inspection, which includes assessing all information obtained about the home since the previous inspection, as well as a visit to the home. All of the key National Minimum Standards were inspected, and many other standards as well, so as to give a comprehensive overview of the home. Survey forms were sent out by CSCI to residents, relatives and health professionals, and 6 were received back. These all contained positive comments such as “Oakside is small and friendly, and has the feel of a little hotel rather than a home;” and “The care is excellent. The rapport with staff is very good.” The inspection visit lasted for five hours, and included talking with 10 residents, 1 relative, and 4 staff and the manager (who was present throughout the day); viewing all areas of the home; reading documentation; and observing interaction between staff and residents. Residents said that they receive “excellent care”, “the food is excellent”, and “the staff are always kind and caring”. What the service does well: What has improved since the last inspection? All requirements made by CSCI at the last inspection have been met. A new care planning system has been fully established and is working well. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 6 There have been a number of changes with the environment, namely: • • • • • All electrics and plumbing have been updated. Thermostats on all hot water outlets have been changed. The domestic tumble dryer has been replaced with a commercial one. Kitchen work surfaces have been replaced. New kitchen equipment has been provided. 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. Oakside Care Home DS0000021395.V359390.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 Oakside Care Home DS0000021395.V359390.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): 1-5 (standard 6 is not available in this home). Quality in this outcome area is good. The home provides detailed information to enable prospective residents to make an informed decision about moving into the home. Pre-admission assessments are suitably detailed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose is well produced, with all required information, and with small photographs throughout the document to give a clear overview of the home. A folder is kept in the entrance area, next to the visitors’ signing in book. This contains a copy of the statement of purpose; a service user’s guide; the last inspection report; complaints procedure; the national minimum standards; and the Care Homes Regulations. Another folder with the home’s policies and procedures is alongside, so that any residents or visitors can check any data Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 9 they want to, at any time. Each resident is provided with a small folder in their own room which contains the service users’ guide. This is clearly laid out in large print, and includes the home’s terms and conditions and the complaints procedure. These folders are also updated regularly with the current menu, and a list of the next month’s activities. The terms and conditions include details such as the facilities for residents; pets in the home (currently two cats); monthly residents’ meetings; a copy of the satisfaction survey; fire data; completing and reviewing of care plans with the resident; meals information; hairdresser and chiropody visits; and a question and answer page. The manager or deputy carry out pre-admission assessments, and two of these were viewed. They include comprehensive information about the prospective resident, covering all aspects of their physical health, and mental, emotional and cultural needs. Additional information is gained from hospital or care staff; district nurses, GPs, care managers or family as appropriate. Where possible, the prospective resident is invited to view the home, and to stay for several hours to assist them in making a decision. Residents are occasionally admitted as emergencies, and as much information is obtained as possible prior to their admission. The pre-admission assessments show that the available room is checked for its suitability, although some residents may move into an available room and change to a different room when one becomes available (e.g. move from a second floor room to a ground floor room). Each resident is provided with a contract, and several of these were viewed, and seen to be appropriately signed and dated. Oakside Care Home DS0000021395.V359390.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): 7-11 Quality in this outcome area is good. The staff meet the health and care needs of residents; ensuring that they are cared for in all aspects of their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new care planning system is now well established, and provides detailed information to enable staff to carry out effective care. Four care plans were viewed, including two for recently admitted residents. Care plans are drawn up with the resident and relatives or care manager, and signed care plan agreements were seen in each plan. Monthly care plan reviews are carried out by senior staff. Care plans are set out in individual folders with different sections to enable easy access of information. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 11 The home has devised a section called “What you need to know about me”, and which goes through each aspect of care in detail. E.g. personal and care needs; management of finances; medication; meals and diet; night care; normal waking times; preferences re activities/ hobbies; and spiritual/cultural needs. Questions include asking if residents wish to carry on with any domestic chores, such as making their own bed, or dusting their own items. One resident said they valued being able to still do some of these things themselves. Care plans also include a brief life history and details of family members/friends, so that staff can build up a comprehensive picture of the resident, and know how best to help them. Data includes items such as “likes to get herself ready for bed”; “wishes to have hourly checks at night”; “likes to go for a walk most days”; and “wishes to sometimes join in with group activities”. Care plan reviews are held with the resident and/or family every 3-6 months, to check for any changes. A relative commented: “All residents are treated with respect. The care is superb. There is a lovely feeling in the home at all times”. The care plans are backed up with a daily report system, which includes a log sheet for activities/social events; information from GP/health professional visits; falls chart (where applicable); and pressure area assessment chart. Body maps are used to record any injuries or bruising, and District Nurses visit to carry out any dressings; for blood sugar tests for diabetics; and for other advice if needed. Residents are able to continue with their own GP if they wish. The GP surgery is almost adjacent to the home, and residents will often go to the surgery for consultation about minor ailments. Risk assessments are in place for items such as self-medication; use of stairs, risk of falling, and tripping over the cats. Other assessments carried out include a mental health assessment; nutritional assessment; falls risk assessment and dependency assessment. A chiropodist visits the home on a regular basis, and residents are supported with going for dental or optician check-ups, and with hospital out-patient appointments. Good systems are in place for promoting pressure relief. Medication is stored in a locked cupboard, except for medication currently in use. This is kept in a locked cabinet in each resident’s own room. The storage cupboard was examined, and no out of date items were found, and no overstocking of medication. Eye drops, liquid medication and creams are dated on opening. Residents are provided with a small fridge in their own rooms for storing their own eye drops or liquid antibiotics, and a separate locked fridge is available in the kitchen if needed. The home has a Controlled Drugs (CD) cupboard and a well managed CD register. No CDs were in use at this visit. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 12 Staff are very mindful of residents’ privacy and dignity. Permission is obtained before entering bedrooms, and residents re treated with respect and affection. Residents said “nothing is too much trouble for them”; “we are looked after extremely well”; and “I could not possibly be happier anywhere else”. The manager tries to ensure that end of life care is given in accordance with residents’ wishes. For example, keeping them in the home if possible, if they do not wish to go to hospital, and enabling family/friends to visit at any time. Family members are also given staff support. Oakside Care Home DS0000021395.V359390.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): 12-15 Quality in this outcome area is good. Residents are enabled to carry out activities according to choice. Food is well managed in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident is provided with a list of forthcoming joint activities, and these provide a good variety such as dominoes, flower arranging, musical afternoons, reminiscence, games, and armchair exercises. There are currently many residents who like to spend time in their own rooms, and who are happy just reading, watching TV, doing crosswords etc. Residents are taken out shopping if they wish, and some like to visit Age Concern (where they can meet other people and stay for lunch); or the local church coffee morning in the church hall opposite to the home. Residents are enabled to visit the local C/E church if they wish. There are currently no visits from church leaders on a planned basis, but these can be arranged individually if requested. The manager is in contact with the local church staff to try to arrange visits/services in the home on a more regular basis. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 14 The company have another care home nearby, and residents can visit and join in with their activities. This includes an art group, and one resident particularly likes the opportunity to join in with this. One survey form stated that the evenings seem very long in the Winter, and maybe some more activities could be arranged sometimes for afternoons/evenings. These could be on a one to one basis, as many residents like to retire to bed early. Family and friends are always made welcome in the home, offered drinks, and invited to stay for meals with the residents. A relative commented “Visitors and family are always welcomed warmly, with an offer of tea/coffee etc. and at whatever time. Help with hospital visits is always available, which is very reassuring.” The manager ensures that residents are assisted with advocacy or contact with solicitors etc. Some residents have given relatives power of attorney, and the manager has been proactive in ensuring that relatives know the new legislation in the Mental Capacity Act, which is relevant to this. Residents are enabled to bring in their personal possessions and furniture items if they wish, and each resident has a property list in their care plan. The cook is informed of residents’ likes and dislikes regarding meals, and will provide alternative choices instead of the main meal, as requested. Afternoon tea and cakes includes homemade cakes, and there is always a choice for the evening meal menu. The kitchen was seen to be clean and well organised. Fridge and freezer temperatures, and food temperatures are recorded daily. Food in the fridge was seen to be covered and dated. There is a cleaning schedule in place. Residents are assisted with feeding as necessary, and are not rushed. They can take their meals in the dining room or bedrooms as preferred. Several residents made comments such as “the food is always excellent”, “there is always plenty of choice” and “it was an excellent meal today – as always (steak and kidney and dumplings)”. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. Any concerns are listened to and dealt with appropriately. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No concerns or complaints have been made directly to the Commission during the past year; and there have been no Safeguarding Adults referrals. The complaints procedure is included in the folder in the entrance area, and complaints forms are included. There have been no complaints to the home since the last inspection. The manager visits each resident, each day, and any concerns are quickly recognised and dealt with. Residents said that any thing they raise is listened to and addressed. There are good policies and procedures in place in regards to prevention of different forms of abuse. This training is commenced at induction, and there are ongoing updates. The Social Services protocols about prevention of abuse “No secrets”, is available in the home’s folder for anyone to read. All staff are trained in recognition and prevention of abuse. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 16 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): 19-22, and 24-26. Quality in this outcome area is good. The home is well presented and maintained, and there is an ongoing programme of improvement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in a Grade 2 listed building, and therefore there are many requirements to be kept in keeping with this. The building was seen to be well maintained, with good quality décor and furnishings. Some changes have been made during the past year, including new laminate flooring in the dining room. The kitchen has had new worktops and cupboard doors fitted, and the kitchen flooring (which is cracked) is due to be replaced within the next few weeks. Other work planned includes new flooring for the laundry room, and painting for the exterior of the windows. This is a specialist job, and scaffolding has to be erected. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 17 Shared facilities include a large, airy lounge on the ground floor, a small sitting area on the second floor, and a large dining room. This also has a small sitting area, and is fitted with a computer desk and laptop for residents’ use. Some are now taking an interest in learning how to e-mail their families and friends. There is no TV in the dining room – just a music system, so this provides another quiet area for residents. The home overlooks the village green and there is seating at the front of the property. This is a very pleasant outlook, but there is no privacy for residents. There is a small lawn and car parking at the rear, and there is a strong recommendation to provide a private seating area for residents at the rear of the premises. A walkway at the side is bordered with attractive flower beds/shrubs, but is too narrow for wheelchair users. The manager stated that plans are already in place to improve this pathway. The home has two bathrooms for shared use. One has an assisted seat, and can be used for showering, and the other has an integral hoist facility. It would be beneficial if at least one of these baths could be accessed from both sides, so that any residents who need additional support from staff can receive this. The manager said that she is currently raising this as a point for senior management consideration. Additional equipment is obtained as needed, for example, handrails, grab rails, raised toilet seats. The home has also purchased an electric wheelchair for anyone’s use, but only to be used with the support of a carer. This is so that residents with poor mobility can easily visit the local shops or doctor’s surgery, and staff do not have the problem of pushing a heavy wheelchair up hill. A mobility scooter has also been recently purchased for residents to be able to go out on their own. The manager stated that appropriate risk assessments will be put in place. The home has a stair lift between both sets of floors. Residents only use these unsupervised if assessed as being safe to do so. A passenger lift would be advantageous, and there is a recommendation to give this further consideration. The home has a hoist on each floor, so that anyone who falls can be lifted from the floor. Residents’ bedrooms were seen to be spotlessly clean, and decorated and furnished according to individual preference. Each room is redecorated between vacancies, and residents are invited to choose their own colours and furnishings. Radiators have been covered, and there are thermostats for all hot water outlets; many of these have been replaced in the last year. The laundry is adequate for the purpose, but will be improved with the fitting of a commercial sized washing machine, which is being purchased. Good systems are in place for the effective management of infection control. For example, the new washing machine will have a sluice facility included, which will be an advantage. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 18 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): 27-30 Quality in this outcome area is good. Staffing levels are appropriately maintained, and staff training is well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is staffed with 3 care assistants throughout the day (morning, afternoon and evening), and with 1 carer at night. In the daytime, there is also a cook and a cleaner on duty, and the manager on weekdays. A deputy manager and 2 senior carers assist the manager, and these take it in turns to cover on-call night duty. The night carer has a “nurselink” alarm (worn as a necklace) which is set up to alert whoever is on call at night. All the on call staff live locally, and can be at the home in a few minutes to assist the carer in an emergency. If there are any known difficulties (e g. a new resident who requires extra attention to help them settle), the manager will allocate an additional staff member for night duty. Times for day staff are staggered, with one starting at 7a.m., and one working till 9pm, to assist the night carer. Care staff carry out laundry duties and activities, as well as personal care. In the event of short staffing, the manager uses an agency, and requests the same agency staff, so that there is continuity of care for residents. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 19 Recruitment procedures are well managed. POVA First and Criminal Record Bureau (CRB) checks are taken before employment is commenced. All CRB checks were viewed. Staff files are retained at the company’s other home (Peasmarsh), but a newly recruited staff member’s file was still in the building and this was completely up to date, with all required checks. The home has a detailed induction course; and a partly completed course was viewed, and was seen to be very detailed. Over 50 care staff have completed NVQ level 2, and others are completing levels 2 or 3. One of the senior carers was enthusiastic about her current NVQ 3 training, and has been delegated to oversee training management for other care staff. The staff training matrix confirmed that mandatory training is kept up to date. All senior staff have completed training in regards to the Mental Capacity Act, as this is relevant knowledge for caring for some older people, and assessing their capacity to understand decisions. All staff are booked to carry out this training. There is an Assessor for moving and handling training at Peasmarsh, (the company’s other home), and the General Manager for both of the homes is trained as a trainer for many subjects. Fire training is carried out twice yearly by East Sussex fire service. This is a wooden building, and the company are very robust with fire training. Training records and risk assessments were also seen for health and safety and infection control. Video training is used as a back up. The home also takes in students for work experience from College. They are not allowed to carry out any personal care, but this enables them to start shadowing care staff for when they are old enough to apply for care positions. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 20 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; and 35-38 Quality in this outcome area is good. The manager provides a clear lead to staff, and the home is well run. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager has been working at Oakside for the last nine years, and is thoroughly acquainted with all aspects of its running and management. She is appropriately qualified with NVQ 4 and RMA training, and gives a very clear lead to staff. She is committed to seeing high standards of care throughout the home, and is very active in ensuring that residents are well cared for, and are confident that they will be listened to. She speaks to each resident every day that she is on duty, and works alongside other staff as much as possible. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 21 Residents’ meetings are carried out every month, and most residents attend these. It gives them plenty of opportunity to share as a group, and give feedback and any comments/ideas to the manager. Quality Assurance surveys are sent out to different residents each month, and sometimes to all residents. The last yearly survey was carried out in November 2007, and the results were analysed, and acted on. Staff meetings and senior staff meetings are held regularly – approximately every six weeks. Minutes are made available to other staff as appropriate. Monthly visits to the home are carried out by the General Manager, and several of these Regulation 26 visits were viewed. They include residents’ current views; checking of care plans; checking fire logs and drills; incidents; health and safety matters, and staffing information. Small amounts of residents’ personal monies are stored in a secure place. These are stored individually, and records were viewed. The records were seen to be well maintained, with clear details of all income and expenditure. Amounts are checked by another senior staff member from time to time, and are audited by the General Manager. All receipts are retained. Staff have one to one formal supervision on (usually) a monthly basis, as well as yearly appraisals. Staff supervision is delegated to senior staff, who are trained to carry this out. Records for all aspects of the running of the home were seen to be well maintained, and stored confidentially. The home is very fire conscious, in respect of this being a wooden building. Fire exits are clearly marked, and the fire officer visits the home quarterly. Smoke detectors and fire notices are checked twice yearly, and a fire risk assessment (in accordance with the Regulatory Fire Reform) was drawn up last year. Any residents who like to have their bedroom doors left open have their safety promoted by having their doors linked in directly to the fire system. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 3 3 X 3 3 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 4 3 X 3 4 3 3 Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP12 OP19 OP20 OP29 Good Practice Recommendations To review activities available in the afternoons and evenings, and discuss the availability of these with residents. To review the possibility of putting in a passenger lift. To provide residents with a private garden area for them to sit outside in good weather. To ensure that the application form is altered, so that it is clear that a full employment history (i.e. since leaving full time education) must be requested. Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 24 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 Oakside Care Home DS0000021395.V359390.R01.S.doc Version 5.2 Page 25 - 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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