Care Home: Osborn Manor

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What the care home does well What has improved since the last inspection? The home now has its own website: www.osbornmanor.co.uk Care plans have been developed and the home has implemented strategies for reducing the number of falls that residents experience. The home has arranged more activities and staff have attended courses on reminiscence therapy and seated exercises. Staff have attended training in protecting people from abuse, The Mental Capacity Act 2005, infection control, medication management and NVQ level 3. A staff member has attended a course entitled, `Encouragement of Healthy Eating.` A bathroom has been redecorated and the call point system replaced. Improvements have been made to the drive so that residents can walk on it. Reflective panels have been installed on the conservatory glass to reduce glare and excessive heat from sunlight. What the care home could do better: Improvements could be made to show that residents have received information about the home before, and after, moving in, such as the Service Users` Guide and the complaints procedure. Controlled medication needs to be stored according to the latest guidance from the Royal Pharmaceutical Society. Individual residents` needs regarding stimulation and activities could be further developed to improve the lives of some of the residents. There are no records to show newly appointed staff have received an induction. Staff training in first aid needs to be updated within one month of the inspection taking place. The home`s management is aware of this and has made arrangements for staff to receive further training. CARE HOMES FOR OLDER PEOPLE Osborn Manor 38 Osborn Road Fareham Hampshire PO16 7DS Lead Inspector Ian Craig Unannounced Inspection 27th August 2008 10:10 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 Osborn Manor DS0000011768.V369272.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. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Osborn Manor Address 38 Osborn Road Fareham Hampshire PO16 7DS 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) 01329 823216 osbornmanor@tiscali.co.uk Mr J Allen Mrs Jean-Anne Allen, Ms M Josephs, Mr D Smith Mrs Jean-Anne Allen Care Home 14 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (14), Old age, not falling within any other of places category (14) Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 All service users must be at least 55 years of age. Date of last inspection 17th August 2006 Brief Description of the Service: Osborn Manor is situated on the outskirts of Fareham town centre, opposite Fernham Hall. The home is on a main bus route, and is directly opposite a variety of shops, library and a local medical practice. The home is surrounded by gardens and grounds of nearly three quarters of an acre and is screened from the road. Accommodation is provided over three floors, within single and double rooms. Communal areas consist of a lounge, dining room and conservatory, all of which overlook the gardens. The home is registered up to 14 older persons with or without dementia. Two residents from the age of 55 years with a dementia can be accommodated. The current charges range from £423.28 to £514.75 per week. Osborn Manor DS0000011768.V369272.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. The inspection was unannounced and lasted for approximately 5 hours. Discussions took place with the senior carer on duty at the time of the visit. Two other staff were spoken to. The registered manager was not at the home at the time of the visit. A telephone discussion took place with the registered manager 5 days after the visit. Communal areas and several bedrooms were seen. Records, residents’ care plans, policies and procedures were also looked at as part of the inspection. Two residents were spoken to about living at the home. Staff were observed working with the residents. The Commission sent surveys to residents to ask for their views on the service. Eight of these were returned. The Commission requires that care services complete an Annual Quality Assurance Assessment. This was completed by the home and information contained in it has been used for this report. What the service does well: Residents spoke favourably of the service provided by the home. One person said, “It couldn’t be better.” The staff are said to be kind and helpful as well as responsive to changing care needs. Each person’s needs are assessed and care plans are recorded in a way that reflects the resident’s individual preferences of how he or she wishes to spend his or her time at the home. One person stated that he/she can go out when he/she wants and that he/she is able to choose how he/she spends his/time. Residents’ health and personal care needs are met. Activities are provided on a regular basis and include exercise classes, quizzes and occasional outings. 5 of the 8 surveys returned by residents confirmed Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 6 that activities are “always” provided, one person said they are “never” provided, and two people “usually” provided. Residents’ meetings take place when matters such as the menu and activities can be discussed. A care staff member states that residents help devise the menu. The building and gardens are well maintained. Residents’ rooms are comfortable and are personalised with furniture and other personal items. The home is clean. Communication and orientation for the residents is aided by the following: • A large clock in the dining room with the day and date • A notice board with the day’s menu in the dining room • Name labels on residents bedroom doors Staff have access to a variety of training courses. All of the staff are trained to National Vocational Qualification (NVQ) level 2 or above in care or are studying at this level. The home is affiliated to Hampshire County Council Partnership in Care Training (PaCT), which provides training for the home’s staff and management. Residents and staff state there are enough staff on duty. Newly appointed staff undergo a number of checks on their suitability to work with vulnerable adults including, references, criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. The home’s management seeks the views of those who use the service by the use of surveys. Measures are taken to promote the health and safety of the residents. What has improved since the last inspection? The home now has its own website: www.osbornmanor.co.uk Care plans have been developed and the home has implemented strategies for reducing the number of falls that residents experience. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 7 The home has arranged more activities and staff have attended courses on reminiscence therapy and seated exercises. Staff have attended training in protecting people from abuse, The Mental Capacity Act 2005, infection control, medication management and NVQ level 3. A staff member has attended a course entitled, ‘Encouragement of Healthy Eating.’ A bathroom has been redecorated and the call point system replaced. Improvements have been made to the drive so that residents can walk on it. Reflective panels have been installed on the conservatory glass to reduce glare and excessive heat from sunlight. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 8 be made available in other formats on request. Osborn Manor DS0000011768.V369272.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 Osborn Manor DS0000011768.V369272.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents are able to make an informed choice about moving into the home. The home ensures that it is able to meet the needs of those admitted. EVIDENCE: The home’s Statement of Purpose could not be located. The home has a Service Users’ Guide, which includes details of the current fees, the complaints procedure, the staff, the latest Commission inspection report, the menu and the facilities. It was not clear from discussions with the staff and residents, if Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 11 the Service Users’ Guide is provided to those considering a move into the home. Five of the eight people who returned a survey state they received enough information about the home before moving. Three state they did not receive enough information. The home should consider a method of ensuring and recording that each person receives a copy of the Service Users’ Guide. This was discussed with the manager. Residents confirmed that they were able to have a look around the home before moving in and that their next of kin did this on their behalf. Records show that the home carries out assessments of need of those referred for possible admission. The home completes its own assessment pro forma covering the following needs: • Medication • Sleep • Behaviour • Mood/mental state/cognition • Previous personality • Diet, likes and dislikes • Physical health • History of falls • Continence • Bowel pattern • Oral health • Foot care • Sight, hearing and communication • Personal care and physical well being • Social interests • Carer and family involvement Where relevant, the home also obtains copies of the referring local authority care manager’s assessment. Copies of contracts are held with resident’s records. These include the home’s own contract and with the local authority. Osborn Manor DS0000011768.V369272.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. 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. Residents’ health and personal care needs are met. Assessments and care plans are of a good standard and show that daily living preferences are catered for. The people who live at the home are treated with respect and their privacy is promoted. EVIDENCE: Six of the eight residents who completed a survey state that they “always” receive the care and support they need; two said they “usually” do. The Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 13 residents spoken to on the day of the visit stated that their care needs are met. Assessments of individual resident’s are comprehensive. Various documents are completed including, barthel assessments, score matrix assessments, moving and handling assessments and regular reviews. The Assessment for Daily Living includes each person’s preferences and wishes for waking, going to bed, how many pillows he or she wishes to have and what daily routine the person prefers. The pro forma is sub divided into the following: • Daily routines • Likes/dislikes food • Personal hygiene • Special services • Social needs and relationships • Activities in the community • General health Assessments are also completed and recorded for mental health needs including mood, behaviour and dementia. Initial assessments are reviewed 4 weeks after admission to the home. A pro forma entitled, ‘Family Tree’ is completed giving a brief account of the person’s family and social background. The care records show that health needs are addressed with appointments arranged with general practitioners, opticians and dentists. There is a record with each person’s records to show that a lock and key have been offered for the bedroom door and for a lockable space. The resident signs this. A resident confirmed that he/she was offered a key to his/her room and to a lockable drawer for security and privacy. Screening is provided in shared bedrooms. Staff were observed talking to residents in a polite and respectful manner. Residents commented that staff are kind and receptive whenever a resident asks for assistance. Medication procedures were looked at. Staff receive training in handling medication. This was confirmed from training records and discussions with staff. Administration records show that staff sign a record each time they give medication to a resident. The containers of medication show that medication is administered as prescribed. Pharmaceutical guidelines are followed when controlled medication is administered with two staff recording a signature plus a record of the remaining medication. It was noted that the storage of controlled medication needs to be changed so that it meets the current Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 14 guidelines of the Royal Pharmaceutical Society. A controlled drug cupboard needs to be fixed to a wall using specified bolts. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 15 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. Residents benefit from a range of activities and entertainment in the home, although there is some evidence that individuals may need more specific support to keep themselves occupied. Meals are varied and nutritious. EVIDENCE: Of the 8 surveys completed by residents, 5 state that there are “always” activities arranged by the home that the residents can take part in. Comments included reference to entertainment in the home by performers and musicians, exercise classes, quizzes and trips out to the theatre. One person said, “I enjoy the exercise classes and the weekly quiz.” One person said that activities are “never” provided and 2 other people state that activities are “sometimes” or Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 16 “usually” provided. A resident spoken to on the day of the visit confirmed that he/she joins in the activities such as exercise classes and quizzes, that he/she is able to go out independently, that he/she can choose how he/she spends his/her time, and goes to a day centre on a regular basis. Another resident said that he/she would like to go out more for exercise and that he/she often gets bored in the lounge. A notice board and discussions with staff confirm the following activities are provided on a regular basis: weekly quiz, exercise class every 2 weeks and entertainment for musicians, comedians and entertainers. Residents are given a feedback sheet to complete so that they can give their views on the shows. Occasional trips out are arranged to a local theatre, to pubs and gardens. Residents were observed taking part in an exercise class in the lounge. A number of residents have their own newspaper. Residents’ meetings take place and a record of the meeting is displayed on a notice board. These allow the home to communicate with residents and to get their views on any improvements that could be made. Staff described how residents are able to contribute to the menu planning at the meetings. One resident said that a choice is available whereas another person said, “There isn’t a choice as such, but you can ask for something different.” A notice board in the dining room shows the date and day’s menu for the midday and early evening meals. On the day of the visit the midday meal was chicken, chips, sweetcorn and peas. Dessert was jam sponge and custard. Staff helped residents at the meal time. Two residents spoken to stated that they like the food. 5 of the eight people who completed a survey state that they “always” like the food and the remaining 3 that they “usually” like the food. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 17 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. Not all of the residents are aware of the home’s complaints procedure. Steps are taken to help ensure that residents are protected from possible harm. EVIDENCE: The home’s complaints procedure is displayed on a notice board and is also in the Service Users’ Guide. Residents state that they know what to do if they are not happy. 3 of the 8 people who completed a survey state that they do not know how to make a complaint. This was raised with the manager who acknowledged that the home could develop a way of showing that residents received a copy of the procedure. The home has policies and procedures for dealing with any suspected abuse and for the protection of vulnerable adults. Training records confirm that staff also receive training in protecting people for possible abuse. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 18 Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 19 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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment is well maintained, clean and comfortable promoting the dignity and privacy of the people who live there. The grounds and gardens are of good standard and very well maintained. EVIDENCE: Improvements have been made to the drive so that residents can walk on it. Reflective panels have been installed on the conservatory glass to reduce glare and excessive heat from sunlight. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 20 The communal areas of the home were seen as well as a selection of bedrooms. There is a dining room with a large clock with the date and day displayed. Dining tables are set with table cloths and napkins. Residents were observed using the lounge and there is a conservatory, which overlooks the garden. There is also a veranda with chairs for residents to sit on. The garden has lawns, shrubs, trees and herbaceous plants. Many of the bedrooms overlook the garden. A new 32 inch flat screen digital television has been installed in the lounge. Six bedrooms are single and four double. Residents are able to personalise rooms and this was evident with furniture, televisions, pictures and ornaments belonging to residents in their rooms. Several people have their own telephone line and one person has his/her broadband connection for the telephone. Screens are provided for privacy in double rooms and several rooms have an en suite toilet with a wash basin. There is a stair lift to help residents access the first floor. Adaptations, such as ramps and rails, have been made to help those with mobility needs. Each person’s bedroom door has his or her name on it, which helps with orientation. The home was found to be clean. There was an absence of any unpleasant odours. Staff are trained in infection control. Each of the eight people who returned a survey stated that the home is “always” fresh and clean. One person said, “Everywhere is kept lovely. I have a lovely room, which overlooks the garden and car park.” Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. Staff are provided in sufficient numbers to meet residents’ needs. The staff team are well trained with the exception that records do not show that staff are receiving an induction when they start work. This has the potential to affect the care of the residents. The home’s staff recruitment procedures protect residents. EVIDENCE: The home aims to have at least 2 care staff on duty at any time, rising to 3 during busy periods such when food is prepared, which care staff will also complete. The staff rota shows that these staffing levels are being maintained. Care staff spoken to on the day of the visit expressed the view that the numbers of staff on duty are adequate to meets residents’ needs. Residents Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 22 also state that care staff meet their needs. One person said that the staff are always responsive. Night time staffing consists of one ‘waking’ and one ‘sleep in’ staff member. Staff training records include an induction procedure based on nationally recognised standards. This had not been completed for one person who started work at the home approximately 6 months before the inspection. For a second staff member who also recently started work, there was no record of an induction taking place. One of these staff has signed a letter acknowledging that he/she has read the home’s policies and procedures. An induction checklist had been recorded for someone who started work at the home some years ago. Training records were looked at for 4 staff. These show that in the last 12 months training has been provided in the following: moving and handling, infection control, food hygiene, health and safety, effective communication, role of the care worker, adult protection, dementia awareness, falls awareness, reminiscence, activities for older persons, first aid, fire safety, encouraging health eating and medication management. For one person there was a record to show how many hours of training he/she had attended in the last 12 months. The home’s deputy manager is affiliated to Hampshire County Council Partnership in Care Training (PaCT), which allows her to train staff in certain subjects as well as managing staff. 12 of the 14 care staff have attained the National Vocational Qualification (NVQ) level 2 in care and the remaining 2 staff are studying for the qualification. Six of the staff team also have NVQ level 3 in care and another person is studying for this award. The deputy manager is studying the Registered Manager’s Award. Staff confirmed that they are encouraged to attend training courses and that they receive regular supervision. Records of supervision are maintained and there are records to show that staff performance is monitored and that individuals have an assessment of their training needs. Staff meetings take place. Staff say they support one another and that there is a team spirit. Recruitment procedures were checked for 3 recently appointed staff. Records show that the home carries out checks, including obtaining at least 2 references, a criminal record bureau (CRB) check and a protection of vulnerable adults (POVA) and POVA first checks before the person starts work. New staff complete an application form and have an interview to assess their suitability to work in the home. A record of the interview is made using an assessment score. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 23 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, 36 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 is well managed and run in the best interests of the residents. Steps are taken to ensure the health and safety of the residents. EVIDENCE: Staff described the home’s management as supportive. The AQAA states that the manager has updated her knowledge, skills and competence whilst Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 24 managing the home for the last 20 years. In the past 12 months she has completed the following training: • Training and Facilitation Skills • Protecting from abuse • Mental capacity act 2005 • First aid • Infection control • Falls awareness • Managing poor performance • A one day seminar on mental health and residential and nursing care • Dementia awareness The home seeks the residents’ views about life in the home by the use of the following: • Surveys for activities and entertainment • Residents’ meetings • Formal reviews of care needs • The AQAA shows that the home reviews its own performance and looks to ways to improve the lives of the people who live at the home. The home handles small amounts of resident’s money, which it holds for safekeeping. Records are maintained of any amounts deposited or withdrawn plus a corresponding balance. Receipts are kept if staff purchase goods for residents. Staff are trained in moving and handling, infection control, food hygiene, health and safety and first aid. The manager is aware that staff need to have first aid training updates and has made arrangements for this to take place. Temperature controls are installed to prevent residents receiving burns from hot water outlets. Radiators are covered to prevent possible burns to residents. Window restrictors are fitted to help prevent possible falls from first floor windows. The home’s appliances and equipment is tested and serviced by suitably qualified persons. Osborn Manor DS0000011768.V369272.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 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Osborn Manor DS0000011768.V369272.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 OP9 Regulation 13 Requirement Controlled medication must be stored in accordance with the Royal Pharmaceutical Society guidelines as follows: • • • Timescale for action 27/11/08 Metal cupboard of specified gauge Specified double locking mechanism Fixed to a solid wall or a wall that has a steel plate mounted behind it fixed with either Rawl or Rag bolts. 27/10/08 2 OP30 18 Newly appointed staff must receive an induction which must be recorded. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 27 No. Refer to Standard Good Practice Recommendations Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Osborn Manor DS0000011768.V369272.R01.S.doc Version 5.2 Page 29 - 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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