Care Home: Oakwood Home - Leonard Cheshire Disability

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What the care home does well Detailed assessments are undertaken with each resident before they are admitted to the home to ensure they meet the criteria for admission and so the resident can be assured that their needs can be met. A detailed individual support plan is developed in consultation with each resident, which clearly records the goals for that person and how they are to be achieved. A range of health care professionals works together, and with each resident to maximise their progress and independence. In the surveys people said they got on well with staff and they were treated well. One person said “The staff are nice and friendly” and another said “I get on with all staff so well”. We spoke with the relative of one person living at the Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 home and he said the care was “fantastic” and he was very happy with the progress his relative was making. Staff received training in a variety of topics. However, the target for staff achieving NVQ qualifications was not met and more staff should be encouraged to pursue this training. Although the manager was on extended leave, suitable arrangements had been made to ensure the continued smooth running of the home. What has improved since the last inspection? At the last inspection we made 11 recommendations. At this inspection we saw that 7 of the recommendations had been acted on. Better IT access had been provided for people living at the home and several people were using the computer, with the support of staff where necessary, to communicate with friends and family via networking sites. Systems for the management of medicines had improved, which had reduced the risk of errors. Staffing levels had been reviewed and the role of the therapy coordinators adapted to suit the needs of the service and the people living at the home better. The acting manager was in the process of changing the way in which people were helped to manage their money, although we still recommend that 2 signatures are used to validate all cash transactions. Since the last inspection 7 of the bedrooms had been refurbished. What the care home could do better: Each resident’s progress is discussed once a fortnight at a multi-disciplinary meeting (MDT). Detailed records are kept of the discussions and decisions made. Although it was reported that residents were made aware of these meetings and were asked their views or could attend, the records did not show this. Although people living at the home said there were staff that they could speak to informally if they were unhappy, they were less sure about how to make a formal complaint so the manager should discuss this with them again. Health and safety checks of the building and equipment, such as checks of the fire alarms and extinguishers, were not carried out consistently. A proper system should be established to make sure the checks are done to ensure the building is safe.Oakwood Home - Leonard Cheshire DisabilityDS0000008604.V378805.R01.S.doc Version 5.3 Key inspection report CARE HOME ADULTS 18-65 Oakwood Home - Leonard Cheshire Disability Radford Close Offerton Stockport Cheshire SK2 5DL Lead Inspector Mrs Fiona Bryan Key Unannounced Inspection 14th December 2009 11:30 Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Oakwood Home - Leonard Cheshire Disability Address Radford Close Offerton Stockport Cheshire SK2 5DL 0161-419 9139 0161 419 9312 corinne.waters@lcdisability.org www.LCDisability.org Leonard Cheshire Disability 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) Corine Jane Waters Care Home 13 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (13), Physical disability (13), of places Physical disability over 65 years of age (13) Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following categories of service only: PC to service users of the following gender: Either whose primary needs on on admission to the home are an Aquired Brain Injury and who require rehabilitation. The maximum number of service users who can be accommodated is: 13 27th August 2008 2. Date of last inspection Brief Description of the Service: Oakwood is part of the Leonard Cheshire group. Leonard Cheshire is a registered charity. Oakwood is a specialised facility, which caters for the rehabilitation needs of up to 13 adults, all of who have an acquired brain injury. Oakwood is one of a small number of specialist services in Britain, which offer the kind of structured environment to enable people, after acquiring a brain injury, to return home and live as full a life as possible. As a consequence of these limited resources, the service users at Oakwood are from all parts of the United Kingdom. The objectives of Oakwood are to sufficiently rehabilitate service users to enable their return back into the community. Complex packages of care, which are individually developed to enable each service user to regain skills and confidence through re-learning self-caring routines, socialisation and education. The cost of the service is individual to the needs of the service user and the amount of support they require. The current fees range from £1669 - £3383 per week. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection, which included a site visit, took place on Monday 14th December 2009. The staff at the home did not know that this visit was going to take place. All the key inspection standards were reviewed during the Annual Service Review which was carried out on 9th September 2009. Many of the key standards were met at the last inspection and we had no concerns about them so they were not looked at again in depth during this inspection. However, we sent surveys to the people living at the home and 5 people returned them. Because people had mainly been helped by staff to complete the surveys due to their difficulties with communication, we decided to carry out this inspection earlier than originally planned, so that we could check directly with people living at the home if they were satisfied with their care. At the site visit we only looked at the key standards where we required further clarification or had made recommendations at the last inspection. In preparation for the Annual Service Review we had asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we see the service. We felt we did not have enough information to decide if we could leave the inspection until next year, which is why we did it now. What the service does well: Detailed assessments are undertaken with each resident before they are admitted to the home to ensure they meet the criteria for admission and so the resident can be assured that their needs can be met. A detailed individual support plan is developed in consultation with each resident, which clearly records the goals for that person and how they are to be achieved. A range of health care professionals works together, and with each resident to maximise their progress and independence. In the surveys people said they got on well with staff and they were treated well. One person said “The staff are nice and friendly” and another said “I get on with all staff so well”. We spoke with the relative of one person living at the Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 6 home and he said the care was “fantastic” and he was very happy with the progress his relative was making. Staff received training in a variety of topics. However, the target for staff achieving NVQ qualifications was not met and more staff should be encouraged to pursue this training. Although the manager was on extended leave, suitable arrangements had been made to ensure the continued smooth running of the home. What has improved since the last inspection? What they could do better: Each resident’s progress is discussed once a fortnight at a multi-disciplinary meeting (MDT). Detailed records are kept of the discussions and decisions made. Although it was reported that residents were made aware of these meetings and were asked their views or could attend, the records did not show this. Although people living at the home said there were staff that they could speak to informally if they were unhappy, they were less sure about how to make a formal complaint so the manager should discuss this with them again. Health and safety checks of the building and equipment, such as checks of the fire alarms and extinguishers, were not carried out consistently. A proper system should be established to make sure the checks are done to ensure the building is safe. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 8 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 Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using 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 are only admitted to the home after a full assessment has been undertaken, thereby ensuring that people are only admitted if the manager is confident the staff have the skills and knowledge to meet those needs. EVIDENCE: We looked at the care records for 3 people. Detailed assessments had been carried out for all of them before they came to live at the home. The acting manager told us that before someone was admitted to the home their case was discussed at a multi-disciplinary meeting so a joint decision could be made as to whether their needs could be met at the home. If it was decided that they did further assessments were carried out in order that an individual plan of care and treatment programme could be created. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good individual support plans are in place but people living at the home were not always included enough to ensure that they were supported to make decisions and exercise choice. EVIDENCE: We looked at the care records for 3 people. Each person had a detailed Individual Support Plan (ISP) in place that was person centred and provided specific information about their preferences and routines. Each person was reviewed once a fortnight by the multi-disciplinary team (MDT) and accurate records were kept of these discussions and any decisions taken. Further in-depth reviews were held every 12 weeks. However, the manager had recognised in the AQAA that improvements could be made by involving people living at the home more in their support plans and of 5 people that returned surveys one said staff always listened and acted on what they Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 11 said, whilst 1 person said they usually did, 1 said they sometimes did and 2 said they never did. When we looked at peoples’ care files there was no evidence that people were asked to attend the MDT when their ISP was reviewed and there was no evidence that they were asked beforehand if they had any matters they wanted to raise. Staff need to consider more carefully how they can include people in the reviews of their care to take into account their opinions about how their care and treatment is progressing. Each person had a risk matrix covering all aspects of potential risks to them, such as nutrition, swallowing, skin condition, mobility, mental health, abuse (including their risk to others and the risk from other people living in the home to them). A very detailed action plan had been written in each case to minimise identified risks. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with activities and a variety of home cooked food, which they enjoy. EVIDENCE: Two therapy co-ordinators work at the home and they are responsible for organising individual daily programmes for each person. Some people living at the home were at the stage of improving their living skills in preparation for leaving Oakwood and either going home or moving to other semi-supported accommodation. Staff supported these people to do their own shopping, cooking, laundry and cleaning, etc. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 13 In the AQAA the manager told us that the core focus of the work undertaken with people living at the home was to develop and regain lost skills; social activities were organised as part of each person’s rehabilitation programme. Programmes were tailored to individual requirements and interests and since the last inspection a neuropsychologist had been employed who was working with individuals to help them understand the effects of brain injury and looking at anger management and managing memory etc. Since the last inspection IT access for people living at the home had been improved with the installation of a personal computer in one of the communal areas. Several people living at the home used the computer to play games and to communicate with friends and family through the network sites such as Facebook. There was evidence from the care files that staff were supporting people to use the internet. Staff said that meals were discussed with people living at the home and a weekly menu was devised. The mealtime arrangements were flexible and suited peoples’ needs and choices. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using 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. Peoples’ health and personal care was being met by staff who were aware of their individual needs. EVIDENCE: We looked at the care files for 3 people. ISP’s detailed each person’s personal care needs and their preferred method of support. Intervention programmes had been developed for more complex health care issues as well as personal care needs and records showed that residents received input from a range of healthcare professionals, including physiotherapists, occupational therapists, district nurses, dieticians, Speech and Language Therapist (SALT) and a neuropsychologist. Records demonstrated consultation processes, reviewing and monitoring of all aspects of health for the resident. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 15 People said staff were kind and treated them well. We spoke to one relative who said the care was “fantastic” and he was very happy with what was being done for his relative living at the home. We looked at how medicines were managed for a small number of people. Systems were in place to ensure medicines were stored and administered safely. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using 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. Peoples’ concerns and complaints are listened to and acted on. EVIDENCE: Although a complaints procedure was in place only 2 of the 5 people that returned surveys said they knew how to make a formal complaint whilst 3 said they did not. However 4 of the 5 said they knew someone they could speak to informally if they were unhappy about something. How people are informed and reminded about the complaints procedure should be reviewed to make sure people have access to this information. Since the last inspection the acting manager was in the process of changing the system that was in place to help people manage their money. Individual cash boxes had been bought and were about to be distributed to each person living at the home so they could keep their own money in their own room securely. People were mainly helped by their families but did want to have small amounts of cash at the home to use for sundry expenses and the cash boxes were to be used for this purpose. Records were kept of all transactions. As found at the last inspection 2 signatories were not always obtained to verify the withdrawal of money and this is recommended to protect people living at the home and also staff. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using 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 live in suitably adapted, clean, comfortable and pleasant surroundings. EVIDENCE: A partial tour of the home was undertaken. The home was clean and tidy and 60 of residents who returned surveys said the home was always or usually clean and fresh. It was reported that one cleaner worked four hours per day from Monday to Friday. Part of the daily programme for each resident was to keep their bedroom tidy and the night staff cleaned the communal areas at night, when residents were not using them. Since the last key inspection, seven bedrooms had been refurbished and it was reported that window blinds were being bought for these rooms and the flooring was going to be replaced in the lounge and hallways. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 18 There were five self-contained flats each provided a kitchen and living area and separate wet room. They had been designed to maximise independence for the people living in them. Since the last inspection there had been an environmental health inspection in January 2009. Some minor actions had been required, which the acting manager reported had been mainly addressed. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using 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. Staff are generally provided in sufficient numbers to meet peoples’ needs. EVIDENCE: It was reported that since the last inspection the role of the therapy coordinators had changed slightly and they now worked more closely with staff and people living at the home, delivering and supporting staff to deliver care in line with peoples’ treatment programmes. This meant that there were extra staff available to physically work with people and more flexibility could be provided for instance in supporting people who wanted to go out of the home but needed two members of staff to help them do this. Seven of the 19 support workers employed at the home had achieved NVQ level 2 or above, which constitutes 36 of staff. Another three staff were undertaking the training and we were told that the rest of the staff had been nominated to commence the training. Staff need to be encouraged and Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 20 supported to gain this qualification to meet the National Minimum Standard for NVQ training. We did not look at training records during this visit because we were satisfied at our last inspection that Leonard Cheshire as a company was committed to ensuring that staff received training appropriate to their jobs and that training in both in health and safety topics and in specific topics related to Acquired Brain Injury was ongoing. We looked at 2 staff personnel files. Both contained all the documents and information required to show that they had been employed via a robust recruitment system to ensure they were suitable to work in a care setting. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using 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. Oakwood is generally run in the best interests of people who live there and their welfare is promoted and protected. EVIDENCE: Since the last inspection the manager has taken a period of leave but an acting manager was being supported by senior staff from within Leonard Cheshire to run the home in the interim. Group residents’ meetings are not held, so as stated previously people should be given the opportunity to make comments and suggestions about the service during their regular reviews. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 22 Although we identified at the last inspection that regular checks of the building and equipment had not always been carried out, we found at this inspection that checks were still inconsistent. Leonard Cheshire does not employ a maintenance person to work specific hours at the home; we were told that someone was called in on an ad hoc basis to undertake any necessary maintenance work. Therefore the acting manager said staff were allocated to carry out health and safety checks but did not always do so. The system for these checks needs to be improved so any environmental risks are identified and addressed as quickly as possible and the risk to staff and people living at the home is minimised. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 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 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008604.V378805.R01.S.doc 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 2 X Version 5.3 Page 24 Oakwood Home - Leonard Cheshire Disability No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA7 Good Practice Recommendations The records of MDT reviews should show that the resident has been asked to give their view and/or asked to attend the meeting. When money is withdrawn from a residents account there should be two signatures to verify this. Consideration should be given to replacing or adding to the gym equipment provided. The manager should continue to support and encourage staff to undertake NVQ training so that the target of 50 of support workers holding this qualification can be met. The manager should make sure that that the matters arising from the environmental health inspection have been addressed. DS0000008604.V378805.R01.S.doc Version 5.3 Page 25 2. 3. 4. YA23 YA29 YA32 5. YA42 Oakwood Home - Leonard Cheshire Disability 6. YA42 The manager should ensure that regular checks in respect of fire safety and health and safety are made of the building and equipment. Oakwood Home - Leonard Cheshire Disability DS0000008604.V378805.R01.S.doc Version 5.3 Page 26 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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