Care Home: Oakwood Nursing Home

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What the care home does well Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 One person described Oakwood as “Like home from home – lovely.” The tissue viability nurse, who visits the home to advise on pressure area care, told us that the home was one of the “the best homes in Northampton” she said that they “always do everything I ask of them and let me know if there are any problems. They are good at getting sores healed.” A McMillan nurse who visits the home was very positive saying that the “care is very good.” She told us that the “staff attend training and are keen to learn.” One person commented that the “food is lovely – I could not find fault with it at all.” Another person noted in a recent satisfaction survey undertaken by the home, “my room is comfy, cosy and warm.” Staff were observed caring for people in a sensitive manner. What has improved since the last inspection? The service user guide has been made available in large print to make it easier for older people to read. The medication administration records provide a clear audit of medication received into the home and administered. Screens are used to ensure the privacy of individuals when moving and handling is conducted within communal areas. The complaints policy has been reviewed and contains all the relevant information people need if they wish to make a complaint. Cleaning products are stored securely. People can manage their own medication if they have been assessed as able to do so. The home has employed an activities coordinator who is in the process of compiling life histories for each of the people at the home. She is also compiling observation sheets for each person to show how they respond to the activities on offer. This will allow activities that reflect the interests of the individuals who live at the home to be offered. What the care home could do better: Oakwood Nursing HomeDS0000069630.V375999.R01.S.doc Version 5.2 Risk assessments for individuals did not consistently detail all the measures in place to reduce risk. For example a risk assessment for the use of bedrails did not detail all the checks that staff do to ensure that the bedrails are being used safely. The home’s safeguarding adults policy does not contain any reference to the Local Authority Safeguarding Adults Team or to the locally agreed multi agency policy and procedures. Measures need to be put in place to reduce any risks from hot radiators, such as the risk of someone being burnt if they falls against the radiator. All confidential records must be stored securely. Key inspection report CARE HOMES FOR OLDER PEOPLE Oakwood Nursing Home 8 The Drive Northampton NN1 4SA Lead Inspector Catherine Perrins Key Unannounced Inspection 19th June 2009 09:30 DS0000069630.V375999.R01.S.do c Version 5.2 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 homes for older people 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 Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 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 Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood Nursing Home Address 8 The Drive Northampton NN1 4SA 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) 01604 713098 01604 792762 oakwoodnursinghome@hotmail.co.uk Sanpas Ltd Mrs Patricia Blackburn Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No persons falling within the category of OP can be admitted to Oakwood Nursing Home when there are 29 persons within this category already accommodated within the home. The maximum number of persons that can be accommodated within Oakwood Nursing Home is 29. 23rd June 2008 Date of last inspection Brief Description of the Service: Oakwood Nursing Home is a care home providing nursing, personal care and accommodation for 29 older people. The home has been owned by Sanpas since may 2007. Mrs Patricia Blackburn has been the manager for many years. The home is situated on the outskirts of Northampton in a residential area and is easily reached by private and public transport. There is parking available in the road outside the home. The accommodation is a converted two-storey house with the addition of an extension. There are two lounges on the ground floor. There is a mixture of single and shared bedrooms on both floors and some of them have en-suite facilities. The first floor can be accessed by stairs or by a passenger lift. There is a patio area with seating. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone, fax or email. The fees range from £550 for a single room, £427 – £515 for a double room. There are extra charges for hairdressing, chiropody, newspapers and personal items. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star – good service. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection which means that we focussed on the key national standards. The key standards are those considered by the Commission to have the most impact on outcomes for residents. As part of the preparation for this inspection a period of four hours was spent reviewing the information that CQC has about this service. We looked at all the information that we have received, or asked for, since the last key inspection. This included: Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. The inspection visit lasted six hours during the morning and afternoon of a weekday. During the inspection three people were case tracked. This involves looking in detail at all aspects of their care and experiences at the Oakwood Nursing Home, including looking as their individual plans of care and other records, talking to them and talking to their care staff. Because people with dementia are not always able to tell us about their experiences we also used observations of people’s state of well being and how they interacted with staff members and others. A sample of staff files were also viewed as part of the inspection. The registered manager was present for the inspection. What the service does well: Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 6 One person described Oakwood as “Like home from home – lovely.” The tissue viability nurse, who visits the home to advise on pressure area care, told us that the home was one of the “the best homes in Northampton” she said that they “always do everything I ask of them and let me know if there are any problems. They are good at getting sores healed.” A McMillan nurse who visits the home was very positive saying that the “care is very good.” She told us that the “staff attend training and are keen to learn.” One person commented that the “food is lovely – I could not find fault with it at all.” Another person noted in a recent satisfaction survey undertaken by the home, “my room is comfy, cosy and warm.” Staff were observed caring for people in a sensitive manner. What has improved since the last inspection? What they could do better: Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 7 Risk assessments for individuals did not consistently detail all the measures in place to reduce risk. For example a risk assessment for the use of bedrails did not detail all the checks that staff do to ensure that the bedrails are being used safely. The home’s safeguarding adults policy does not contain any reference to the Local Authority Safeguarding Adults Team or to the locally agreed multi agency policy and procedures. Measures need to be put in place to reduce any risks from hot radiators, such as the risk of someone being burnt if they falls against the radiator. All confidential records must be stored securely. 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 Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 8 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 Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6, 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 given good information and their needs are fully assessed to make sure that the home is right for them. EVIDENCE: The home has a statement of purpose and service user guide which give people good information about the home and the services it offers. The service user guide is available in large print to make it easier for older people to read. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 10 Records show that peoples needs are assessed before they move to Oakwood to make sure that the home is right for them. The manager explained that people are able to visit the home before they move in to help them decide if it is the right move for them. If they are not able to visit, their relatives or friends can do so on their behalf. The relative of someone who had recently moved into the home told us that she was happy with how home managed the admission process. One person told us that her granddaughter had visited the home on her behalf and the registered manager had also visited her in hospital before she moved in. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 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 have their needs well met and their preferences respected. EVIDENCE: Each person who lives at the home has an individual plan of care. This contains their care plans and other information that staff need to care for people in the right way. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 12 Care plans seen cover areas such as personal hygiene, eating and drinking, mobility, health and continence. There is some detail about peoples preferences such their preferred name and the gender of staff they wish to help them with personal care. There is some evidence of people being helped to make choices such as what clothes they wanted to wear. Care plans consider people’s emotional well being for example one of the care plans seen advised that the person liked to have “regular chocolate to maximise contentment.” Records show that risks to people’s health and well being are assessed and measures put in place to reduce any unnecessary risks. This includes the risk of falling, risks arising from the use of bedrails and reclining chairs and any risks relating to nutrition. Assessments did not consistently detail all the measures in place to reduce risk. For example a risk assessment for the use of bedrails did not detail all the checks that staff do to ensure that the bedrails are being used safely. An assessment for someone using a reclining chair did not detail that they had given their consent to use it. This is important because reclining chairs can sometimes be difficult to get out of so can restrict people’s ability to move around the home freely. Records show that people are assessed to find out if they are at risk of developing pressure sores. Where it was identified that there was a risk measures were put in place to reduce the risk such as provision of specialist equipment and helping people to change position regularly. The tissue viability nurse, who visits the home to advise on pressure area care, told us that the home was one of the “the best homes in Northampton” she said that they “Always do everything I ask of them and let me know if there are any problems. They are good at getting sores healed.” A McMillan nurse who visits the home was also very positive saying that the “care is very good.” She told us that the “staff attend training and are keen to learn.” The administration of medication is generally well managed with all entries on the medication record being signed to show that people are receiving their medication as prescribed. A book is kept to ensure that all orders and receipts of medication can be clearly accounted for this ensures that all medication can be accurately checked to make sure that people have received the correct medication and dose. The manager explained that people are able to look after and administer there own medication if they wish to once the home has carried out an assessment to make sure that they are able to do this safely. Oakwood Nursing Home DS0000069630.V375999.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 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. The home is developing a varied programme of activities that take account of people’s interests and preferences. EVIDENCE: The home employs an activities coordinator. The manager informed us that the activities coordinator was in the process of compiling life histories for each of the people at the home which will include their hobbies and interests. Records show that the activity coordinator is also compiling observation sheets for each person to show how they respond to the various activities on offer. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 14 This will allow activities that reflect the interests of the individuals who live at the home to be offered. A calendar on the notice board in the lounge shows people the activities available each day. On the week of inspection people could chose bingo, music, a quiz and beanbag games. A hairdresser also visits the home fortnightly. Displays of people’s artwork could be seen in the lounge. One person told us that they have a newspaper delivered each day. Another commented that he had been out for walks with staff to the park and to the pub and would like to go out more. People told us that the food was good. One person commented that the “food is lovely – I could not find fault with it at all.” Lunch was observed during the inspection. Staff were seen assisting people in sensitive manner, talking to them and explaining what the food was. Menus were seen and looked varied with fresh fruit and vegetables available. The cook told us that she goes around each day to check what people want to eat. People are able to chose an alternative if they do not want what is on the menu. One person had requested salad for lunch on the day of inspection rather than the main choice on the menu. Oakwood Nursing Home DS0000069630.V375999.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 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 protected by the homes policy, procedures and practices. EVIDENCE: The home has a complaints procedure which outlines what people should do if they wish to raise a concern about the home and the response that they can expect. The complaints procedure is displayed in the hall way in large print to help people access it more easily. The manager said that the home has not received any complaints since the last inspection. The home has received numerous thank you cards, one stated “you have a wonderful matron in Pat – she leads a team who have been unfailingly pleasant, polite, patient and caring to both my mother and myself.” Staff spoken to had a good knowledge of how to keep people safe and knew how to raise any concerns that they may have. The manager explained that Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 16 staff receive training on how to safeguard adults as part of their induction when they first start working at the home. The safeguarding adults policy was seen. It did not contain any reference to the Local Authority Safeguarding Adults Team or to the locally agreed multi agency policy and procedures. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 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 enjoy a comfortable and homely living environment. EVIDENCE: Oakwood is a large, extended period house within walking distance of local shops and ‘the Racecourse’ park. People told us that they were happy with the accommodation. One person described it as “Like home from home – lovely.” Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 18 Communal areas consist of a lounge which is divided into two areas. An office has been created at one end of the lounge which restricts the size of the lounge area and means that anyone wanting to get to the office has to walk through the lounge. People spoken to indicated that this did not cause them any problem. The lounge areas have been made homely with pictures, flowers, plants and books. There is a large fish tank at one end of the lounge. The home also has a dining room but the manager explained that this is rarely used. On the day of inspection people either ate in the lounge or in their bedrooms. Bedrooms seen had been made personal with ornaments, pictures and other belongings. One person had put in a recent satisfaction survey undertaken by the home, “my room is comfy, cosy and warm.” Despite being in a period building with steps up to the front door of the main entrance, portable wheel chair ramps are available to ensure that wheelchair users are able to access the building and external courtyard area should they wish to do so. All other areas of the home are accessible to wheel chair users including a wet room for showering. The property was clean and generally well maintained throughout. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 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 are cared for by a conscientious and caring staff team. EVIDENCE: One person who lives at the home told us that the “staff are lovely, I get on with all of them.” The recruitment of staff is well managed with all of the necessary pre recruitment checks being carried out to ensure that staff are suitable to work with older people. Staff told us that they had an induction when they first started working at the home which included working alongside an experienced colleague. Records show that all new staff are given a ‘learner portfolio’ which is used to make sure that they had all of the information and knowledge that they need to do their job in the right way. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 20 Staff explained that they attend training courses such as food hygiene, safeguarding of adults, dementia care, infection control, fire safety and moving and handling. Staff were observed caring for people in a kind and sensitive manner, showing a good awareness of people’s needs. One person said in a survey conducted by the home, “I am well cared for, they are so nice and nothing is too much trouble.” Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 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. The home is managed in the best interests of the people who live there.. EVIDENCE: One staff member told us “Home run efficiently – I like how it is run” The current provider has owned the home since 2007. The registered manager, who is a qualified nurse, has worked at the home for many years. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 22 The home conducts satisfaction surveys for people who live at the home and for their relatives at least twice a year. Results from the latest surveys were seen and were generally very positive. The activities coordinator arranges monthly residents meetings for the people who live at the home to give people the opportunity to have a say in how the home is run. Records show that the necessary safety checks such as fire checks, checks on the water system and portable appliance testing have all been carried out recently. Hoists and lifting equipment has been serviced as per manufacturer’s recommendations. Radiator covers are in place in all of the bedrooms but not in communal areas. No risk assessments were available to show that the potential risks of not having radiator covers, such as the risk of people being burnt if they fall against a hot radiator. People’s individual plans of care are kept on a trolley in the manager’s office. Neither the trolley nor the office door is lockable. This was discussed with the manager who agreed to ensure that all confidential records will be moved into secure storage without delay in order to comply with the data protection legislation. Oakwood Nursing Home DS0000069630.V375999.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 x X x 2 2 Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 24 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. Standard OP7 Regulation 13 Requirement Risk assessments must detail all of the measures to be taken to ensure that people are safe and not subject to unnecessary risks. Measures need to be put in place to reduce any risks from hot radiators to ensure the health and safety of the people who live in the home. All records which contain confidential information must be stored securely in accordance with data protection legislation. Timescale for action 31/08/09 2. OP25 13 31/08/09 3 OP37 17 03/07/09 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 OP33 Good Practice Recommendations That consideration is given to reviewing the lounge and dining areas to remove the ‘corridor’ effect in the lounge and to maximise the potential of the dining room so that people can make better use of the communal areas. The home’s safeguarding adults policy should be reviewed DS0000069630.V375999.R01.S.doc Version 5.2 Page 25 2. OP18 Oakwood Nursing Home to contain reference to the Local Authority Safeguarding Adults Team and the locally agreed multi agency policy and procedures. Oakwood Nursing Home DS0000069630.V375999.R01.S.doc Version 5.2 Page 26 Care Quality Commission East Midlands Region Citygate Gallowgate Tyne and Wear NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastmidlands@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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