Care Home: Oakwood Bungalows Nursing Home

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What the care home does well The home continues to provide good facilities for services users, in particular service users bedrooms. What has improved since the last inspection? The majority of the requirements from the previous key inspection have been complied with by the time of this inspection. The Registered Manager is now back working full time at the home and this has benefited both the service users and the staff group.There has been a reduction in the number of serious incidents that resulted in a notification to the Commission for Social Care Inspection. This has created a cohesive staff group which is working constructively with service-users. The home has a good percentage of qualified and appropriately trained staff. The home has increased its registration from ten to eleven. There have been no other major service changes. What the care home could do better: CARE HOME ADULTS 18-65 Oakwood Bungalows Nursing Home Devon Court Devon Drive Hollingwood Chesterfield Derbyshire S43 1DX Lead Inspector Nancy Bradley Key Unannounced Inspection 1 & 26th November 2007 09:30 st Oakwood Bungalows Nursing Home DS0000002068.V351982.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 Oakwood Bungalows Nursing Home DS0000002068.V351982.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. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood Bungalows Nursing Home Address 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) Devon Court Devon Drive Hollingwood Chesterfield Derbyshire S43 1DX 01246 476222 Elmcare Limited Charlotte Janet Bowen Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability, not falling within any other category Date of last inspection 14th December 2006 Brief Description of the Service: Oakwood Bungalow provides nursing and personal care and support for up to 10 younger adults with learning disabilities. It is situated on a main bus route, to the north east of Chesterfield within a residential area, close to local amenities. The home aims to provide a stable and consistent lifestyle for service users, which enables them to develop within an environment, which is supportive to their individually assessed needs. The homes philosophy of care is based on O’Briens Life Principles and Accomplishments, including the promotion of normalisation in terms of the daily life of each service user. Care delivery is planned, based on a recognised assessment model and within a framework of risk management. Service users bedrooms are all single occupancy, each having a wash hand basin. There are separate male and female toilets and bathing/shower facilities. There is a choice of lounge space and access to a small well-kept garden area. A dedicated laundry facility is provided, although those service users who are able can undertake their own laundry with assistance from staff. A team of Registered Nurses and care workers supports the Manager and management of the home. The current standard fees are £1068.38 per week. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over a total of seven hours. An inspector from Experts by Experience accompanied the inspector from the Commission for Social Care Inspection and was present for three hours of the inspection. During the site visit both inspectors made a tour of the home and spoke with several residents and staff. The inspection activity during this site visit was to assess the service against the key National Minimum Standards and these are identified through the report. There were ten service-users in the home on the day of the inspection; the home currently has no vacancies. Additionally, time was spent in preparation for the visit, looking at the service history, the previous inspection report and the Annual Quality Assurance Assessment questionnaire. Records were examined relating to the service users and the general running of the home. The Commission for Social Care Inspection sent out the ten “Have Your Say” questionnaires, and received seven completed questionnaires from serviceusers who confirmed they were happy at the home and were looked after by the staff. The Homes Statement of Purpose, Service user Guide and inspection report from the Commission for Social Care Inspection were displayed in the main entrance. What the service does well: What has improved since the last inspection? The majority of the requirements from the previous key inspection have been complied with by the time of this inspection. The Registered Manager is now back working full time at the home and this has benefited both the service users and the staff group. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 6 There has been a reduction in the number of serious incidents that resulted in a notification to the Commission for Social Care Inspection. This has created a cohesive staff group which is working constructively with service-users. The home has a good percentage of qualified and appropriately trained staff. The home has increased its registration from ten to eleven. There have been no other major service changes. 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. Oakwood Bungalows Nursing Home DS0000002068.V351982.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 Oakwood Bungalows Nursing Home DS0000002068.V351982.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users’ needs are fully assessed and met prior to admission. This ensures that all potential service users holistic needs are appropriately met. EVIDENCE: The majority of the service users who are admitted to the home have their needs assessed by social workers or through the care management system. The single assessment then forms part of the planned care service users receive. Also the home undertakes their own individual comprehensive needs assessments. This was in accordance with a recognised care model and provides a person centred record of their individual needs, including identified strengths and needs, long-term goals, and evaluation. As discussed with the Registered Manager this could be developed further to include service user’s life story. There was evidence on record to show that care management were reviewing the care needs assessment. However, the Registered Manager stated that some Authorities are not pro-active in reviewing and returning care needs review documentation. The Registered Manager agreed to look into this. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. Service users’ are supported to achieve an independent lifestyle and participation in all aspects of the life at the home is encouraged. EVIDENCE: During the visit care plans of two service users were examined. The staff member for each service user has compiled the care plans. Evidence was seen of care plans being reviewed on a regular basis. All service users case tracked had a comprehensive care plan, which was in accordance with their assessed needs and formulated within a risk assessment framework. All care plans were very detailed and comprehensive including services users’ individual lifestyle preferences and choices. Daily records are also maintained on each service user. Care plans had been signed by either the service user or their representatives. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 10 The inspector from Experts by Experience discussed with the care staff about making care plans more personal and in a more easily understood format. The Registered Manager confirmed that this has already started and the inspector from Experts by Experience viewed the new style format. This is in line with a more Personal Centred Planning approach and will run in tandem with the present clinical model. Care plans could be in different formats such as DVD, CD or pictures and include life stories, favourite things, and wishes for the future. The Registered Manager recognised that staff will need further training in this approach to care planning. Service users confirmed that they have access to an independent advocate who visits the home on a regular basis. However the inspector from Expert by Experience noted that there was little information about this service in the home. Service users’ files also contained a wide range of related risk assessments in such areas as behavioural/psychological issues, matters affecting physical health, tissue viability, nutrition, mobility, risks associated with health and safety and social activities. Activity timetables are now being included in service user care records. Staff will record when service users attend or do not, as one service user stated they were not enough activities for them in the daytime. Risk assessments were also monitored and updated as required. All service users have a named nurse and key-worker. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships. The home provides a well-balanced and varied menu. EVIDENCE: The care records of two service users provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. Service users have access to IT facilities however the access is limited; one service user stated they would like to have their own computer. There were a variety of activities on the day of the visit however services users who spoke with the inspector from Experts by Experience said that they would like more activities, as sometimes they get bored. Information on service users’ records indicated that contact with family and friends were appropriate. Any restrictions on contact are recorded in care Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 12 plans. Service users wishing to speak with family and friends by telephone have to use the home main telephone line. The inspector from Experts by Experience noted that there are little opportunities for service users who wish to have friends and family to stay. The relationships observed between care staff and service users appeared open and good-humoured. Service users are encouraged to participate in the running of the home, and several service users indicated they would like to take a more active role in daily household tasks and routines. The daily routines are flexible with the service users being able to make their own decisions about how they spend the day. Services users who spoke to the inspector from Experts by Experience did comment that they would like to do more cooking and see to their own laundry. From examination of the menus the home is providing a healthy well-balanced and nutritious diet. The service users made positive comments about the meals and the cook takes their preferences into account before compiling the weekly menus. The fridge temperatures were seen and were within a safe range. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: Records examined and discussions with staff, indicate that service users’ health and personal needs were being met. Service users have their own personal health action plan which records all their personal and heath care needs. Service users were generally healthy and records showed that staff promptly contacted the appropriate medical services if required. All service users attended services within the community including doctors opticians, podiatry, dentist, and audiologist. Records examined showed that specialist advice and relevant reviews were routinely obtained from Ash Green Community Hospital for people with learning disabilities. The home runs their own health promotion groups “ Well men and women clinics.” Service users spoke with the inspector from the Experts by Experience and said it was good to have their own money; they helped the staff with the cleaning and could make their own drinks. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 14 Service users were all dressed in clothes appropriate to their age and personal preference. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to be satisfactory. The home has a clear audit trail for all medication administered. Only qualified staff administer the medication. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust procedures in place to protect service users from harm. EVIDENCE: The home has a complaints procedure, which is included in the service users guide which all service users have a copy of. The complaints procedure is also displayed throughout the home. Oakwood have developed a format which is accessible to service users as several of the service users are not able to fully communicate their concerns. The procedure contains the new complaints address of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. The Registered Manager confirmed that the home had good links with the Derbyshire Advocacy Service, and they support the service users in making complaints should they wish to do so. The Advocacy Service also takes service user meetings within the home. Several service users have been attending a self-advocacy group and comments from them were positive, and they described it has “ expressing themselves”. However the group has now stopped running due to the lack of funding. Service users spoken with during the visit stated they would speak to staff or Registered Manager if they had any problems. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 16 Records seen indicated that no complaints had been received from service users or their representatives about their care since the last inspection. The Registered Provider signs the complaints book after each Regulation 26 Visit. The Commission for Social Care Inspection has not received any formal complaints about this service since the last inspection. The policy on adult protection has been updated and now references this as Safeguarding of Adults. The policy is comprehensive and covers all aspects of Safeguarding as outlined in the National Minimum Standards. The Registered Manager confirmed that all staff have received training on the safeguarding of adults, and training on handling violence and aggression. The home maintains a record of all incidents of aggression and as discussed with the Registered Manager these have diminished in recent months. There has been one new safeguarding issue since the last inspection and this was investigated under Derbyshire Safeguarding procedures. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were accommodated in a safe and well-maintained environment, which suits their needs and promotes their independence and privacy. EVIDENCE: The Inspectors carried out a full tour of the home, accompanied by the Registered Manager and service users. All communal areas were inspected together with staff facilities. Service users’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. Communal areas were generally bright airy and well lit. The Registered Manager stated that they had a rolling programme for refurbishment of the home and had identified areas which required attention. Several parts of the home had received on going “wear and tear “from service users. Service users bedrooms were personalised, well decorated and equipped, as were the bathrooms and toilets. There are separate toilets for female and Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 18 male service users. Service users spoken with were satisfied with their living environment. The kitchen and laundry areas were clean and suitably equipped. The home has satisfactory hygiene procedures in place. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment procedures in place to safeguard service users. EVIDENCE: The home has a good percentage of staff who hold a NVQ level 2 or above. The home has registered with the Skills for Care Council national data set. The home operates with twenty-eight full or part time staff, this includes qualified nurses where nursing care is required. Staffing levels at the home were examined and remain satisfactory and meet the needs of the service users. There are currently no staff vacancies. The home has a robust recruitment procedure in place, which ensures that their staff are suitable to work with vulnerable people. Several staff personnel records were examined which confirmed that thorough employment checks were carried out. All new staff are required to provide two references, a full employment history, have Criminal Records Bureau clearance and complete a three-month probationary period. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 20 The records contained all required information as detailed in Schedule 2 of the National Minimum Standard, Care Homes for Adults 2001. The staff personnel records were well presented and organised. The Annual Quality Assurance Assessment documentation confirmed that new recruitment procedures have been strengthened following the pervious key inspection. From discussions with staff and from examination of records it is clear that good training and development opportunities are provided. Details of staff training together with training planned were provided by way of the Annual Quality Assurance Assessment questionnaire. All staff have undertaken training on the Mental Capacity Act 2007 and the Registered Manager is seeking to register staff for training on Personal Centred Planning.. All new staff under go a twelve-week induction programme as set out by the Skills for Care Council. Records examined and discussions with the staff confirmed that the home has a formal structure for supervision of staff. Annual appraisals are undertaken. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users’ have a voice and their views are listened to. EVIDENCE: The Registered Manager is a registered Nurse in Learning Disabilities and has relevant knowledge and experience in caring for adults with a mental disability and or challenging behaviour. She has demonstrated her commitment to the role and has obtained a recognised managers award. She has a relevant job description. The home has a policy and procedures for assessing its quality of care. The Regulation 26 visits by the Registered Provider to the home include details of consultation with service users and staff. Questionnaires are given out to both staff and service users as part of the home’s quality assurance procedures. The Registered Manager reviews the home’s aims and objectives and compiles an annual report for the Registered Provider. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 22 Family, friends and stakeholders are consulted about the services provided and their views are taken into account. The Registered Manager also attends residents’ meetings as a way of listening to services users views and opinions. The home has a suggestion box and informal coffee mornings are held for service users, their families and involved professionals. The information on the home’s health and safety procedures and maintenance was provided by way of the Annual Quality Assurance Assessment questionnaire. This confirmed that all the relevant checks had been undertaken. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 3 X X 3 X Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard Regulation YA2 YA12 14 12 Requirement All service users’ care needs assessments must be reviewed on an annual basis. The home must offer more educational and social activities in line with the services users assessed needs. The home must consider ways in which services users can have more personal space to telephone family and friends. The home must provide training to staff on how to compile person centred care plans. Timescale for action 31/01/08 31/01/08 3. YA15 16 31/01/08 4. YA35 18 31/01/08 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. Refer to Standard YA6 YA12 Good Practice Recommendations The home should consider undertaking Life Story work with service users. The home should look at ways in which services users access computers and the internet. Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Oakwood Bungalows Nursing Home DS0000002068.V351982.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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