Care Home: Oasis House

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What the care home does well The service provides personal care for up to five older people in a friendly and relaxed atmosphere. The home is family run with the manager and his wife (the deputy manager) living on site and participating in the care of the residents. One other member of staff is employed. There are four residents currently living in the home. All the residents were involved in this inspection and gave their views on their life in the home. They described it as “A nice friendly home”. “We are well looked after and they consult us about what we want to do”. “The manager came and visited me before I came in and told me all about the home, he Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 brought some brochures”. “I would feel happy about telling the manager if there was something going on which I didn’t like”. “We go out every Friday and sometimes go to nice restaurants. Prospective residents are assessed prior to admission to ensure that the home can meet their needs. Preadmission documentation was sufficiently comprehensive to inform staff and to commence the care planning process, with each resident having a care plan which sets out their social, personal and health care needs and shows what the home needs to do to meet these needs. Prescribed medication is administered to the individual residents by the home, although residents do have the choice of keeping and administering their own medication, medication recording and storage done in a manner which ensures resident’s safety. Social care plans showed resident’s past and current interests and wishes and the manager holds meetings with residents to find out what they would like to do in the way of leisure activities and outings. Residents have full choice in their daily lives including the time they get up and go to bed. The current member of care staff employed has been working at the home for four years and knows the likes and dislikes of the residents. A varied and nutritious menu is provided which allows choices at each meal, residents said they always see the day’s menu or are told about it by the manager or staff and if they do not wish to have one of the three choices at the main meal, the staff will do them something different. Residents were aware of the complaints procedure and felt comfortable in raising any concerns they may have, all said that they would talk to the manager rather than making a formal complaint. The home is clean and comfortable and provides a pleasant environment for the residents living there. What has improved since the last inspection? There have been improvements across all areas since the last inspection. Prospective residents now receive written notification following their preadmission assessments about whether the home can meet their needs and accept them into the home. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Care plans have greatly improved and show a full and comprehensive assessment of the needs of the residents and the care to be put in place to meet these needs. Medications are now regularly audited and methods are in place to ensure that medications are in date and correctly stored and administered. Residents now have a full programme of leisure activities and this is fully discussed with them, their preferences for both activities in the home and outings being followed. They have full choice around their times of getting up and going to bed and any other activities of daily living. Written menus are being adhered to, and residents have a full choice at all meals. The staff have now received ongoing training including attaining National Vocational Qualification level 2 and the deputy manager is an infection control “champion”, which means that she has attended the relevant training and now liaises with the Health Protection Agency to ensure that the home is following the most up do date policies on minimising the spread of infection. Risk assessments are in place relating to all areas of the home, and the manager informs the Commission about any events adversely affecting residents. What the care home could do better: The manager must ensure that all people working with the residents have up to date moving and handling training and that this is updated on a monthly basis. Whilst the member of care staff is receiving regular formal supervision, this does not apply to the manager and the deputy manager. The manager must make arrangements for himself and the deputy manager to receive formal supervision at the intervals directed by the National Minimum Standards. Key inspection report CARE HOMES FOR OLDER PEOPLE Oasis House 19 Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ Lead Inspector Elizabeth Dudley Key Unannounced Inspection 24th June 2009 11:30 DS0000014218.V375450.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. Oasis House DS0000014218.V375450.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 Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oasis House Address 19 Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ 01273 279683 01273 299083 oasishome@ntlworld.com 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) Sunrise Apartments Ltd Mr John Mark Ghazal Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 5. Date of last inspection 17th September 2008 Brief Description of the Service: Oasis House is a small, family run care home that provides personal care and accommodation for up to five older people. The home is a detached residence, situated in Saltdean, East Sussex. It is opposite a park that has a bowling green, pitch and putt and tennis courts. Oasis House is a short distance from the local community centre, library and shops, with a bus route to Brighton and other coastal towns nearby. Accommodation is provided in five single rooms on the ground floor. There are two communal bathrooms, one with a walk in shower. The joint proprietors are resident at the home and provide the bulk of the overall staffing. They also employ a small group of staff. There is a garden area at the front and rear of the property that is accessible to service users. The home has a communal lounge, with recliner style chairs for each resident, and a dining area. The cost of rooms ranges from £398-£429 per week. Charges for extra services such as hairdressing and chiropody are not included in the fees. Details of these can be obtained from the home. Oasis House DS0000014218.V375450.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 2 star This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on the 24th June 2009 from 11:30 am to 14.30 pm and was facilitated by Mr J Ghazal, registered manager and provider at the home. Methods used to collect information about the home included examination of documentation in the home, a tour of the home and conversations with the manager, four residents and one member of staff. This gave insight into the daily life of the home and the systems necessary for ensuring the smooth running of the home. Documentation examined included care plans, personnel files, staff training and supervision records, catering records and health and safety files. The Annual Quality Assurance Assessment ( AQAA), required by regulation, which gives an overview of what has been achieved in the home and issues to be addressed, was received by the Care Quality Commission prior to the inspection, but after the date that we required it. This accurately reflected the current status of the home. This was used as part of the inspection process. What the service does well: The service provides personal care for up to five older people in a friendly and relaxed atmosphere. The home is family run with the manager and his wife (the deputy manager) living on site and participating in the care of the residents. One other member of staff is employed. There are four residents currently living in the home. All the residents were involved in this inspection and gave their views on their life in the home. They described it as “A nice friendly home”. “We are well looked after and they consult us about what we want to do”. “The manager came and visited me before I came in and told me all about the home, he Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 6 brought some brochures”. “I would feel happy about telling the manager if there was something going on which I didn’t like”. “We go out every Friday and sometimes go to nice restaurants. Prospective residents are assessed prior to admission to ensure that the home can meet their needs. Preadmission documentation was sufficiently comprehensive to inform staff and to commence the care planning process, with each resident having a care plan which sets out their social, personal and health care needs and shows what the home needs to do to meet these needs. Prescribed medication is administered to the individual residents by the home, although residents do have the choice of keeping and administering their own medication, medication recording and storage done in a manner which ensures resident’s safety. Social care plans showed resident’s past and current interests and wishes and the manager holds meetings with residents to find out what they would like to do in the way of leisure activities and outings. Residents have full choice in their daily lives including the time they get up and go to bed. The current member of care staff employed has been working at the home for four years and knows the likes and dislikes of the residents. A varied and nutritious menu is provided which allows choices at each meal, residents said they always see the day’s menu or are told about it by the manager or staff and if they do not wish to have one of the three choices at the main meal, the staff will do them something different. Residents were aware of the complaints procedure and felt comfortable in raising any concerns they may have, all said that they would talk to the manager rather than making a formal complaint. The home is clean and comfortable and provides a pleasant environment for the residents living there. What has improved since the last inspection? There have been improvements across all areas since the last inspection. Prospective residents now receive written notification following their preadmission assessments about whether the home can meet their needs and accept them into the home. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 7 Care plans have greatly improved and show a full and comprehensive assessment of the needs of the residents and the care to be put in place to meet these needs. Medications are now regularly audited and methods are in place to ensure that medications are in date and correctly stored and administered. Residents now have a full programme of leisure activities and this is fully discussed with them, their preferences for both activities in the home and outings being followed. They have full choice around their times of getting up and going to bed and any other activities of daily living. Written menus are being adhered to, and residents have a full choice at all meals. The staff have now received ongoing training including attaining National Vocational Qualification level 2 and the deputy manager is an infection control “champion”, which means that she has attended the relevant training and now liaises with the Health Protection Agency to ensure that the home is following the most up do date policies on minimising the spread of infection. Risk assessments are in place relating to all areas of the home, and the manager informs the Commission about any events adversely affecting residents. What they could do better: If you want to know what action the person responsible for this care home is Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 8 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. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 9 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 Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 10 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): 1,2,3,4,5,6. 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. Prospective residents have a thorough preadmission assessment to ensure that the home can meet their needs, and they receive sufficient information about the home to enable them to make a decision over whether they wish to live there. EVIDENCE: The home produces a Statement of Purpose and Service User Guide; all residents have a copy of the Service User Guide. Amendments regarding the name of the current commission were required to both these documents and this was discussed with the manager. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 11 The manager assesses all residents to ensure the home can meet their needs, prior to admitting them to the home. Following assessment sends written confirmation of the assessment results to the prospective resident. Residents are encouraged to visit the home prior to making the decision over whether they wish to live there. Two recently admitted residents said “The manger came to see me about the home and brought me the information on the home”. “The manager came and asked me about myself and told me about the home”. Two examples of the preadmission assessment document were seen and these gave sufficient information to inform staff and commence the care planning process. All Residents receive a contract and terms and conditions, these set out the fees that are due and other information pertaining to the home. The home admits residents for permanent and respite care but not for intermediate care. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 12 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): 7,8,9,10,11 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 standard of care planning clearly reflected the care required by each individual resident and the manner in which their needs were to be addressed. Residents said that care was given in a manner which respected their privacy and dignity. The standard of medication administration safeguards the residents. EVIDENCE: Each resident had a plan of care in place which fully identified their social, personal and health care needs and the ways in which these would be met. Clear instructions were in place for staff and there was evidence of involvement of other health care professionals such as General Practitioners or District Nurses. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 13 Care plans included nutritional, mobility and continence care plans, and residents spoken with were aware of what was included in their care plan, and had signed the care plans as evidence of their involvement. All parts of the care plans had been reviewed on a monthly basis. Residents said ‘They look after us very well, Always get my medication on time and they get the doctor if I need him. I have seen my care plan and signed it. I had to ring the bell once during the night and they were very quick in coming to me’. “They are very good here, they always make sure you are dressed nicely and they help us in private, they always knock my door before they come in”. Residents appeared well groomed and well cared for. There are currently no residents in the home that take responsibility for their own medications. Records of administration, receipt and disposal of medications were satisfactory and had been signed by the relevant member of staff. All items of medication were correctly stored and there was evidence of them having been audited by the supplying pharmacist. All members of staff have received medication training. No residents in the home are prescribed controlled drugs at the present time. Medication policies have been recently reviewed. Residents have advance care plans in place which detail their wishes for resuscitation and their preferred place of care. These have been signed by the attending General Practitioner. Residents can remain at the home at the end of their lives and their care is provided by MacMillan or community nurses. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 14 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 types of activities offered by the home meet resident’s needs, and residents are able to continue with past interests. The menu provides a nutritious diet which is varied according to the tastes and needs of the residents. EVIDENCE: The home has a leisure activities programme which shows a variety of activities that are available during the week. The programme is varied on daily basis according to resident’s preferences on that particular day, and resident’s participation is included in the care plans. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 15 Activities available include, computer and board games, quizzes, films and discussions. Outings to places of resident’s choice take place on a Friday, and these include meals at local pubs and restaurants. The manager enables people to continue with past interests if they wish to do so. Residents have the use of both the front and rear gardens. One of the residents enjoys watching birds and bird feeders and a bird bath have been put in the garden. Another resident goes out to the local pub and out for walks as he wishes. A resident with a severe sight disability goes out with a society sponsored by the RNIB and the manager has been helping her make arrangements for a holiday to Lourdes in August. . The home encourages residents to maintain contact with families and friends and residents can have visitors whenever they wish. Ministers of religion visit the home and a weekly service is held, residents have the choice over whether to participate. Residents stated that they are fully consulted over all aspects of life in the home and can make choices around their activities of daily living “We have small meetings where he asks us what we want to do for activities and on our outings and we talk about other things going on here”. The home provides a nutritious and balanced menu. The main meal is held at night and residents spoken with said that they see the menu and know what is available, there are three choices each evening but residents can have an alternative to this. Meals are served in a lounge /dining room. Residents said that they can have a choice at breakfast and could have a cooked breakfast. Comments received about the food included: “Food is well cooked and you always get plenty, and can get drinks throughout the day”. “The food is very nice, can’t complain at all”. “We have a menu and you can choose what you want to have, it’s always nice and they give you plenty to eat.” There was evidence of fresh fruit available for residents and special diets can be catered for. One resident, who requires a high calorie diet, has full fat milk, cream and butter added to their food. All residents are weighed on a regular basis and diet adjusted as required. The care assistant and the deputy manager have the food hygiene certificate Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Residents are confident that any concerns they may have will be addressed in an open and transparent manner. Staff and management are aware of their responsibilities and roles in safeguarding those in their care. EVIDENCE: The home has a complaints policy which is displayed and also available in the service user guide. Residents said that they were aware of how to make a formal complaint but would generally talk to the manager, they were confident that he would address issues to their satisfaction. There were seven minor concerns raised during the past twelve months. Records showed that these had been dealt with by the manager in a manner which satisfied the complainant. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 17 All staff including the manager have had recent adult safeguarding training with the local authority and were aware of the reporting protocols and procedures. There have been no adult safeguarding issues in the past twelve months. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. 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 provides a pleasant, clean and well maintained environment. Management and staff are aware of the measures to be taken to minimise the risk of spread of infection and infection control practices are robust. EVIDENCE: The home is pleasant, clean, and well maintained. Communal space consists of a lounge/ dining room, and accessible gardens to the front and rear. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 19 Resident’s accommodation is in single rooms, although one room is sufficiently large enough to accommodate a couple. Residents can personalise their rooms with their own possessions and all rooms have a lockable drawer or cupboard. All rooms are provided with call bells and residents said that these were answered promptly. Not all rooms are fitted with radiator guards and the manager gave assurances that risk assessments are in place and that these are reviewed on admission of new residents to the home. Hot water temperatures to resident outlets are monitored regularly and these were within recommended parameters. There is sufficient equipment in the home to enable residents to maximise their independence. Bathrooms are clean and did not contain any cleaning materials or personal toiletries. The deputy manager has undertaken a course in infection control and is now the infection control ‘champion’ in the home, this entails attending study sessions and monitoring the practices within the home including the relevant policies and procedures. The infection control ‘champion’ also liaises regularly with the Health Protection Agency to ensure that all practices within the home are up to date. There were adequate supplies of aprons and gloves available and hand gel at the exit to each of the resident’s rooms. Paper towels and liquid soap dispensers are provided in all rooms. A risk assessment is in place for the swimming pool in the rear garden and there are relevant risk assessments for other areas in the home. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29. 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. There are sufficient staff with suitable training to meet the needs of the residents currently in the home. EVIDENCE: The home currently employs one care assistant, and is staffed by this care assistant, and the manager and his wife, who is the deputy manager. The care assistant said that this is sufficient to meet the needs of the residents. There are no waking night staff, but the manager and his wife live on the premises and answer the call bells and help people to bed. Residents spoken with said their bells were answered promptly at night and that there needs were met both day and night in a timely manner. Concerns were raised with the manager regarding the staffing cover in the home when he is on holiday. He will be asked to confirm the current arrangements, in writing, to the Care Quality Commission. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 21 The home has commenced the ‘Common Induction course’ (skills for care) in the home and the member of care staff has completed this. The current member of care staff has the National Vocational Qualification level 2 in care, whilst the deputy manager have this qualification at level 3 and 4 respectively. All personnel have undertaken most of the mandatory training including fire and safeguarding of adults training, the care assistant also has appointed first aid person training. However moving and handling training has not been updated in the last year and the manager is required to address this for all personnel and for the training to be obtained from a recognised training facility. Personnel files contain the relevant documentation and checks as required by legislation. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,28 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. Management systems within the home generally ensure that the home is run in a manner which safeguards the residents and ensures that their expectations are met. Staff have not had regular moving and handling training and this could put residents and staff at risk. EVIDENCE: Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 23 The manager has owned and managed the home for a number of years; he has the National vocational Certificate Level 4 in care and previously attained a management certificate at a local university. The manager has only a brief knowledge of the Mental Capacity Act and Deprivation of Liberty Safeguarding and this should be extended by attending relevant courses provided by the Local Authority. The home is run in a manner similar to a family home and residents benefit from the relaxed and informal atmosphere. Residents said that they were very happy in the home: “Everything is fine here, very good” and “They are all very nice here and I can talk to the manager at any time”. The AQAA (Annual Quality Assurance Assessment) required by regulation, (a document which informs us of improvements that have taken place in the home in the past twelve months and proposed changes for the future), was not received when we asked for it. Discussions were held with the manager regarding the necessity to respond the Care Quality Commission within the time scales requested. The document accurately reflected the current status of the home. Quality monitoring within the home takes place by resident surveys which are sent out on a six monthly basis. These inform any changes needed to services offered by the home. The manager should now expand this by sending out surveys to stakeholders such as health and social care professionals. The home does not act as appointee or keep any monies for residents. The care assistant has received regular formal supervision at intervals directed by the National Minimum Standards. The manager and the deputy manager do not currently have any form of supervision and the need to make arrangements for this was discussed with the manager. Records within the home, including policies and procedures were up to date and showed evidence of review. There was evidence that all equipment and utilities have been regularly serviced, apart from the ‘landlord’s gas certificate’ which is now due, and risk assessments were in place for areas within the home including the swimming pool. Staff have undertaken some mandatory training such as fire training, first aid and safeguarding training, however none of the staff have received up dated moving and handling training and this must take place. The commission has been informed of any events which affect residents (Regulation 37 notifications). Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 24 Resident’s rooms are protected from fire by the implementation of automatic closures which respond to the fire alarm system. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 x 3 2 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 3 3 x 3 2 3 2 Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP36 Regulation Reg 18(2) Requirement That all persons working at the care home, including management receive regular formal supervision That the registered person arranges for all persons working in the care home to receive moving and handling training and ensure that this is updated at the required intervals Timescale for action 03/08/09 2 OP38 Reg 13(5) 03/08/09 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 OP38 Good Practice Recommendations That risk assessments in place for radiators are reviewed as new service users are admitted. Oasis House DS0000014218.V375450.R01.S.doc Version 5.2 Page 27 Care Quality Commission Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. If you would like a summary in a different format or language please contact our helpline or go to our website. 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. 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