Care Home: Oldfield Manor

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What the care home does well Before anyone moved into the home the manager visited them to assess what care they needed and to make sure that their needs could be properly met at Oldfield Manor. Staff said the manager was good at communicating information so that they understood the needs of the new person and knew what care to provide. The person who returned a survey indicated that they received the care and medical support they needed. Other people said that they were well looked after. Staff made sure that people using the service were referred to health care professionals when they were not well. People had choices in their daily routines. For example, they were able to get up and go to bed when they wanted. One person said, "I like to go to bed early and listen to tapes or to the radio." Staff said another person always liked to stay in bed until ten o`clock. People who were asked said they were happy with the meals. One person said, "The food`s very good, no problems there," and another said, "we get a proper dinner every day and a pudding." They said they could have something different if they did not like what was on the menu. There was an open visiting policy, which meant that people could see their friends and relatives at any time. Visitors said they felt welcome in the home. People living at the home, and their relatives, knew how to make a complaint if they were not happy about anything. Staff had received training to help them recognise and respond if they thought anyone living at the home was being mistreated. Most staff had received training in health and safety topics. The manager also nominated staff for other courses that would help them to understand the needs of people using the service. Most staff had a nationally recognised qualification in care, called an NVQ. What has improved since the last inspection? Most care plans were person centred which meant that they took into account people`s individual needs and preferences. Plans were kept under review and brought up to date when the person`s needs changed so that staff had accurate and up to date instructions. Anyone who had moving and handling needs was assessed by the manager, who was trained to do so. Handling plans were very detailed and gave staff a clear picture of what assistance the person needed and any equipment they should use. The way medicines were stored and recorded had improved since the last inspection. The manager was focussing on providing one to one activities for people to ensure that their individual social and recreational needs would be met. Parts of the home had been redecorated and there was some new furniture in some of the bedrooms. This helped to make the environment more homely and comfortable for the people living at the home. What the care home could do better: In order to evaluate whether interventions to help people increase their weight are effective, the manager should arrange for alternative ways to monitor the weight of people who are not able to stand on bathroom scales. In order to ensure that people`s individual social and recreational needs are met social care plans should include directions for staff as to how they can assist individuals to take part in their chosen leisure activities.In order to safeguard people using the service new staff must have thorough pre-employment checks. They must not start work until a new CRB disclosure or POVA first has been obtained. The manager should carry out risk assessments to ensure that it is safe for people to store caustic denture cleaner in their rooms. In order to meet her legal requirements the manager should ensure that she applies for registration with the Commission for Social Care Inspection. CARE HOMES FOR OLDER PEOPLE Oldfield Manor Oldfield Manor 14 Hawkshaw Avenue Darwen Lancs BB3 1QZ Lead Inspector Jane Craig Unannounced Inspection 18th September 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oldfield Manor Address Oldfield Manor 14 Hawkshaw Avenue Darwen Lancs BB3 1QZ 01254 705650 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) K.Kumar985@btinternet.com Oldfield Manor Limited Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 17 Date of last inspection 30th November 2003 Brief Description of the Service: Oldfield Manor is a converted two storey building set in its own grounds. There is car parking space at the front of the building. It is situated about 200 yards from the main Blackburn to Darwen main road, where there are a variety of shops and retail premises. This road is a bus route. The home is approximately one mile from Darwen town centre. Oldfield Manor is privately owned and is part of a small local group of three homes. Accommodation is provided on two floors. There are 15 single rooms and 1 double room. Some rooms have an en-suite facility (W.C. and wash hand basin). There is one lounge with a conservatory extension and a separate dining room. There are bathing and W.C. facilities on both floors of the home. A passenger lift connects the two floors. There is a sunken lawned garden at the front of the home, which is accessed by steps. Access into the grounds from the home is via a ramp. A brochure about the home is sent to anyone enquiring about a place. Other information, including the latest CSCI inspection report is available to read during an initial visit to the home. The fees at 18th September 2008 were £383.00 per week. There were additional charges for personal newspapers, toiletries and hairdressing. Oldfield Manor DS0000005832.V367148.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 stars. This means the people who use this service experience good quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted at Oldfield Manor on the 19th September 2008. At the time of the visit there were 9 people living at the home. The inspector spoke with a number of them and some of their comments are included in this report. Two people living at the home were case tracked. This meant that the inspector looked at their care plans and other records and talked to staff about their care needs. As part of the key inspection surveys were sent out to people living and working at Oldfield Manor. Only one was returned from a person living at the home. During the visit discussions were held with the acting manager, members of the staff team and two visitors. The inspector looked round the home and viewed a number of documents and records. This report also includes information from the Annual Quality Assurance Assessment (AQAA), which is a self-assessment that the manager has to fill in and send to the Commission every year. What the service does well: Before anyone moved into the home the manager visited them to assess what care they needed and to make sure that their needs could be properly met at Oldfield Manor. Staff said the manager was good at communicating information so that they understood the needs of the new person and knew what care to provide. The person who returned a survey indicated that they received the care and medical support they needed. Other people said that they were well looked after. Staff made sure that people using the service were referred to health care professionals when they were not well. People had choices in their daily routines. For example, they were able to get up and go to bed when they wanted. One person said, “I like to go to bed early and listen to tapes or to the radio.” Staff said another person always liked to stay in bed until ten o’clock. People who were asked said they were happy with the meals. One person said, “The food’s very good, no problems Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 6 there,” and another said, “we get a proper dinner every day and a pudding.” They said they could have something different if they did not like what was on the menu. There was an open visiting policy, which meant that people could see their friends and relatives at any time. Visitors said they felt welcome in the home. People living at the home, and their relatives, knew how to make a complaint if they were not happy about anything. Staff had received training to help them recognise and respond if they thought anyone living at the home was being mistreated. Most staff had received training in health and safety topics. The manager also nominated staff for other courses that would help them to understand the needs of people using the service. Most staff had a nationally recognised qualification in care, called an NVQ. What has improved since the last inspection? What they could do better: In order to evaluate whether interventions to help people increase their weight are effective, the manager should arrange for alternative ways to monitor the weight of people who are not able to stand on bathroom scales. In order to ensure that people’s individual social and recreational needs are met social care plans should include directions for staff as to how they can assist individuals to take part in their chosen leisure activities. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 7 In order to safeguard people using the service new staff must have thorough pre-employment checks. They must not start work until a new CRB disclosure or POVA first has been obtained. The manager should carry out risk assessments to ensure that it is safe for people to store caustic denture cleaner in their rooms. In order to meet her legal requirements the manager should ensure that she applies for registration with the Commission for Social Care Inspection. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oldfield Manor DS0000005832.V367148.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 Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who were thinking of moving into the home received sufficient information to help them to make a decision and staff received sufficient information to help them to understand the person’s needs. EVIDENCE: People thinking of moving into the home were given a copy of the service user’s guide. The guide contained up to date information about the home and the facilities people could expect. People were encouraged to visit and look round. One visitor said that staff were friendly and he liked the look of the home, which is why he had chosen it for his relative. People received contracts or terms and conditions of residence when they moved into the home. These were renewed every year. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 10 Anyone thinking of moving into the home had an assessment, which helped the manager to decide whether the service provided at Oldfield Manor could meet the person’s needs. The manager also made sure that any health or social services assessments were obtained before the person moved in. Staff said the manager was good at communicating information to make sure that they were aware of the new person’s needs. They also said that the manager listened to any concerns they had and wherever possible addressed them. For example, the manager was arranging extra training to make sure that staff could provide the right care to a new person who had a condition that staff were not familiar with. Standard 6 was not applicable. Intermediate care was not provided at Oldfield Manor. Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health and personal care needs were met in accordance with their wishes. EVIDENCE: Two sets of care records were inspected as part of the case tracking process and others were looked at for specific issues. The overall standard of care plans had improved since the last inspection. There were some good examples of person centred plans with detailed directions for staff. This helped to ensure that staff provided care that met people’s individual needs and preferences. Staff confirmed that care plans contained enough information to assist them. Plans were reviewed every month and updated as and when changes occurred, which ensured that staff had accurate and up to date instructions to follow. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 12 A member of staff said that one person’s plans had been completely re-written because of the progress they had made over the last few weeks. There was evidence that people using the service, or their relatives, had opportunities to discuss their care plans. Relatives confirmed that they were kept up to date with any changes. One relative said staff were “excellent at that.” Everyone had a set of health care risk assessments. There were strategies to manage potential risks. These often included referrals to health care professionals, for example, district nurses or the falls collaborative. Risk assessments and management strategies were discussed and agreed with the resident or their relatives. There had been significant improvements in moving and handling assessments and plans. These provided detailed information about people’s strengths and needs and any handling equipment they needed. Ongoing health care needs were monitored and advice was sought from other professionals when necessary. One person said that staff called out the doctor when anything was wrong. Advice from other professionals was incorporated into care plans to ensure that it became part of everyday care. People were generally weighed every month. Records showed that one person was being weighed more frequently to monitor possible weight loss. However, there was no equipment to weigh people who were not able to stand on bathroom scales. This meant that staff were not able to monitor the effectiveness of treatment for someone who had been prescribed nutritional supplements. Following discussions the manager said she would borrow suitable scales from another home. Medicines management had improved since the last inspection. There were policies and guidance and all staff who handled medication had received training. Medication was stored securely. The manager carried out regular audits of medication records to ensure that they were accurate. There were complete records of medication received and disposed of, which meant there was a clear audit trail. With the exception of one, medication administration record (MAR) charts were complete and up to date. The manager was aware that this improvement in recording had to be sustained in order to ensure that outcomes for people using the service remained good. A number of people were prescribed “when required” medicines. There were extra instructions to alert staff when they should be given to people who were not able to request it. This minimised the risk of people being under or over medicated. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 13 Handwritten entries on MAR charts accurately reflected instructions on the medicine labels. They were signed and usually witnessed, which helped to reduce the risk of transcribing errors. Controlled drugs were stored, administered and recorded according to the policy and good practice guidance. Staff received training in core values during their induction and NVQ courses. They described how they helped to maintain people’s privacy and dignity, for example, by assisting with personal care in private. One member of staff said that they tried to keep people as independent as possible in order to maintain their dignity. This was confirmed by a relative who said, “Staff are good at striking a balance between helping and maintaining independence.” A resident said staff always knocked on the door before going in her room. Another said that the way staff helped with personal care did not make him feel embarrassed. Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines and meals suited the majority of people living at the home. Improvements in activities meant that more people were being assisted to meet their social and recreational needs. EVIDENCE: People who were case tracked had social care plans. These included a list of current interests but there were no specific directions for staff as to how to help the person to pursue their individual interests. Although there were some traditional group activities on offer, such as bingo and outside entertainers, the manager said the focus was more on one to one activities. For example, there was a weekly visit from a physiotherapist who carried out individual exercises with anyone who wished. Staff said they spent time talking with people and also took them out for walks. A family member said that their relative was not able to join group activities but staff spent time talking to him. Another resident confirmed that staff took him out in his wheelchair. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 15 Care plans included information about the person’s preferred day and night routines. Staff said that most people living at the home could make choices about their daily routines, for example, when they wanted to eat and when they preferred to bathe. People spoken with confirmed that they were able to get up and go to bed whenever they wished and one person said, “I like to go to bed early and listen to tapes or to the radio.” There was an open visiting policy. Visitors said they felt welcome in the home and at the time of the inspection visitors were seen to be greeted in a friendly way. People had opportunities to go out with their families or with staff. Regular church services were held in the home for those who wished to attend. The annual quality assurance assessment (AQAA) indicated that the manager was working with staff from a local school to arrange for residents to receive regular visits from the pupils. There was a set meal at lunchtime but people could have an alternative on request. On the day of the visit the midday meal looked appetising. One person commented, “If there is anything I don’t like they’ll find me something else.” There were several choices at teatime. The records of meals showed that people were offered a well balanced diet with sufficient variety. People who were asked said they enjoyed the meals. One person said, “The food’s very good, no problems there,” and another said, “The meals suit me well enough.” Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service were protected by the complaints and safeguarding procedures followed by staff. EVIDENCE: The complaints procedure indicated that complaints were seen in a positive light and were always taken seriously. The summary on display in the home told people how they could expect their complaint to be dealt with. There were guidelines for staff on how to respond to complaints. Residents and relatives who were asked said they knew who to speak to if they had to make a complaint. The AQAA indicated there had been no complaints in the past year. Information submitted in the AQAA showed that all staff had received training in safeguarding adults. There was also a clear policy and staff had the Blackburn with Darwen safeguarding procedure to refer to. All the staff spoken with during the visit were aware of their responsibility to report any allegation to the manager. They were also aware of the whistle blowing policy and how to report bad practice outside the home if necessary. One member of staff said, “If I was stuck I would look at the policies, they are there to refer to if in doubt.” Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements to the environment meant that people using the service had a comfortable and homely place to live. EVIDENCE: The AQAA stated that there was an extensive and aggressive approach to refurbishment both inside the home and externally. From looking around the home it was evident that further improvements had been made in several areas. The dining room floor had been re-tiled and the room was to be repainted. People using the service had been consulted about the colour scheme. New chairs were on order for the lounge. A new ‘roll in’ shower had been installed. Several bedrooms had been re-carpeted and redecorated and some had new items of furniture. Few of the rooms had matching furniture Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 18 but the manager stated that this was because some items belonged to the people occupying the rooms. Those people who were asked said they were happy with their bedrooms. One said their room was, “nice enough, comfortable and warm enough.” Another person said they had plenty of room and they liked it very much. The home was generally well maintained. There were systems for reporting faults and repairs were carried out quickly. As previously required there were no staff belongings in the bathrooms or bedrooms. One bathroom had a box of toiletries that were not named. The manager stated that they belonged to individual residents and would be returned to their rooms. There were no hand towels in two of the bathrooms. The manager arranged for disposable towel holders to be fitted. At the time of the visit the home was clean and free from unpleasant odours. The person who returned the survey indicated it was always like this. Information included on the AQAA indicated that the manager had carried out an infection control audit of the home and there were no outstanding actions to be taken. Staff had access to written guidance about hygiene and infection control. Most had received or were booked onto infection control training. Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service were supported by a consistent and qualified staff team but recruitment practices were not thorough enough to provide safeguards. EVIDENCE: The duty roster showed who was on duty at any given time. The manager and staff said there were enough staff to meet the needs of the people currently using the service. A relative commented that there were always staff around whenever he visited. The manager said that one of the residents had been involved in interviewing applicants. The files of two new staff were looked at. Full pre-employment checks had been carried out for one person and gaps on their application form were explored during their interview. The second person had applied for a job in one of the other homes in the group over a year ago. The manager had sought new references but not a new CRB disclosure. New staff went through an initial induction programme organised by the local authority. The programme met the skills for care common induction standards Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 20 and took place over five days. The manager then took over the rest of the induction and assessed the person’s competency at the end of the programme. Staff said the opportunities for training were good and the manager would put them on any courses they identified. Records showed that most staff had received refresher training or were booked onto courses for the safe working practice topics. The manager had also arranged training in other topics such as stroke awareness, palliative care and dementia care. The AQAA showed that most of the care staff were qualified to NVQ level 2 or above. Staff said they received supervision approximately monthly. They agreed that they found this beneficial as the manager would help them to address any concerns they had. Oldfield Manor DS0000005832.V367148.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was run in the best interests of people living there and in a way that protected their health and safety. EVIDENCE: The acting manager held an NVQ 4 in care and management and had several years experience of managing a care service. Despite her working at the home for over a year the Commission had not received a completed application to register the manager. We were told that the application was being processed at the time of the visit. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 22 One member of staff described the manager as well organised and said she focussed on what was best for residents. Another said the manager had made improvements over the last twelve months. They said that residents didn’t used to be asked about anything but the manager got them more involved in things. The quality monitoring systems included seeking feedback from people using the service, their relatives and staff. Most views were positive and the manager had drawn up an action plan to address any issues that people felt could be improved. Residents’ meetings were held approximately six monthly. The main topic at the last meeting was suggestions for the environment. The manager had also set up audits of some of the procedures and systems. For example, medication had been audited every month up until June and showed that any areas of poor practice were identified and dealt with. The annual development plan focussed on improvements to the environment. There was a lack of specific information on the plan and on the AQAA about other areas of the service. This could indicate that there are no firm plans as to how the manager wishes the service to develop. The manager did not hold any money on behalf of people using the service. She said most people managed their own personal allowance and paid hairdressing bills themselves. Others were paid out of petty cash and their families were invoiced. There were no valuables being held for safekeeping at the time of the visit. Most staff had received or were waiting for fire safety training and the manager said there were regular practice drills. The fire procedure was on display in the home and staff spoken with were aware of what to do in the event of a fire. Fire safety systems and equipment were serviced and tested on a regular basis. Servicing and maintenance of other installations and equipment was up to date. As previously recommended cleaning materials were locked away. However, there was caustic denture cleaner in a number of unlocked bedrooms, which meant that a potentially harmful substance was accessible to anyone going who might enter the room. Oldfield Manor DS0000005832.V367148.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19 Requirement In order to safeguard people using the service new staff must not start work until they have a new POVA first or CRB disclosure. Timescale for action 31/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations In order to evaluate whether interventions to help people increase their weight are effective, the manager should arrange for alternative ways to monitor the weight of people who are not able to stand on bathroom scales. In order to protect the health and safety of people using the service the manager should ensure that all medication administration records remain complete and up to date. In order to ensure that people’s individual social and recreational needs are met social care plans should include DS0000005832.V367148.R01.S.doc Version 5.2 Page 25 2. OP9 3. OP12 Oldfield Manor directions for staff as to how they can assist individuals to take part in their chosen leisure activities. 4. OP38 The storage of caustic denture cleaner in bedrooms should be risk assessed to ensure that the open storage does not pose a risk to people living at the home. Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oldfield Manor DS0000005832.V367148.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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