Care Home: Oxford House

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What the care home does well The service continues to provide residents with opportunities to develop new skills and independent lifestyles, with in their own capabilities. People who live at Oxford House are respected and their needs are met through detailed assessment and care planning. Residents live in a spacious, comfortable and accommodation. Residents and their relatives all gave positive feedback through surveys sent out prior to the inspection. Residents are encouraged to pursue activities of interest within in the home and wider community. Records are in very good order and up to date. Residents undergo regular key work sessions, house meetings and reviews. There was evidence the residents have choices and preferences in all aspects of their lives. Staff were observed interacting with residents in a respectful way. Staff members on duty were able to demonstrate a sound understanding of the needs and preferences of the residents. An in-depth induction and staff training programme, enhances good practice in the home. What has improved since the last inspection? Evidence from the information received by the manager prior to the visit, detailed a high turnover of staff since the last inspection. This was mainly due to some of the challenging behaviours presented by one particular resident. Since the beginning of the year staff turnover has considerably improved and staff feedback that they felt well supported by management and equipped to fulfil their roles effectively. Specialist training and behaviour management techniques have also improved staff confidence and practice. What the care home could do better: Although the majority of records in the home were very well organised and in good order, it was noted one staff member did not have (the required) two reference checks on file. A requirement has been made to ensue that all staff undergo appropriate checks prior to employment. This practice promotes the well being and safety of residents within the home. There were some gaps on medication recording sheets. This was due to either refusal by residents to take medication or absence of residents due to home visits. It was recommended that the manager audit all medication charts on a regular basis to ensure staff adhere to medication training and procedures. CARE HOME ADULTS 18-65 Oxford House 7 Oxford Road Worthing West Sussex BN11 1XG Lead Inspector Beth Tye Unannounced Inspection 13th May 2008 09:30 Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 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 Oxford House DS0000065480.V363414.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 Adults 18-65. 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. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oxford House Address 7 Oxford Road Worthing West Sussex BN11 1XG 01903 201635 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) oxfordhouse@arundelcareservices.co.uk Arundel Care Services Ltd Ms Corinne Maer Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Oxford House DS0000065480.V363414.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. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 27th April 2006 Brief Description of the Service: Oxford House is a care home registered to provide personal care for up to five Service Users in the category Learning Disability. It is a detached property located within Worthing. It is within walking distance of the town centre, other local amenities and public transport. The property has been adapted for its current use. The accommodation is provided in five individual bedrooms which are located on the ground and first floors. Four of the bedrooms have full ensuite facilities, with the fifth having sole use of an adjacent wet room. The lounge and dining room are located on the ground floor. All rooms are decorated and furnished to a high standard. The home has its own private garden which is well maintained. The service is owned by Arundel Care Services. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection all relevant information and correspondence relating to the home was examined. This included a completed a detailed pre-inspection questionnaire by the manager, a staff list, rotas and training schedules, menus and health and safety information relating to the home. Eleven feedback forms were received by the inspector, which included comments from current residents, their relatives and staff. During the course of the inspection time was spent with the senior on shift, as the manager was on annual leave. The inspector toured the home and spoke with some residents and staff in order to gain a sense of how the home is being run and how they experienced living and working at Oxford House. Three care plans and staff personnel files were examined alongside the homes records including, staff training, complaints, fire, incident and accident reports and all records relating to health and safety. Staff members were spoken with informally. One staff member confirmed that they are offered a wide range of training opportunities and undergo induction training. Those who were asked gave a good account of action they would take should they suspect abuse of a resident. The interaction between staff and residents was relaxed and positive. This is the first inspection of 2008/2009. This is called a key inspection and will determine the frequency of visits/inspections hereafter What the service does well: The service continues to provide residents with opportunities to develop new skills and independent lifestyles, with in their own capabilities. People who live at Oxford House are respected and their needs are met through detailed assessment and care planning. Residents live in a spacious, comfortable and accommodation. Residents and their relatives all gave positive feedback through surveys sent out prior to the inspection. Residents are encouraged to pursue activities of interest within in the home and wider community. Records are in very good order and up to date. Residents undergo regular key work sessions, house meetings and reviews. There was evidence the residents have choices and preferences in all aspects of their lives. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 6 Staff were observed interacting with residents in a respectful way. Staff members on duty were able to demonstrate a sound understanding of the needs and preferences of the residents. An in-depth induction and staff training programme, enhances good practice in the home. What has improved since the last inspection? 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 be made available in other formats on request. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home and the prospective resident have access to all relevant information to assess whether the service can appropriately meet the needs of prospective residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective residents are provided with all information needed to make an informed decision about the home. The home has an up to date Statement of Purpose and Service Users Guide. When the home receives a referral for a prospective service user, information about the home is sent out. The manager and a behaviour specialist visit the prospective service user and their relatives in their own home to discuss care required, gain information and answer any questions prior to admission. This process ensures the home can meet the resident’s needs appropriately once they arrive. Evidence of pre-assessment information was seen on Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 9 resident’s files and provided a basis for on going assessment and care planning. The service user, family and care manager are able to visit Oxford House and discuss whether the service is suitable to meet their needs and fit in with the other residents. Trial visits, tea visits and overnight stays are encouraged. This process contributes toward a smooth transition and a sense of ownership. Terms and conditions are provided and signed by each resident (where appropriate) and a copy is kept on file. This ensures residents have an understanding of their rights and exactly what the home has to offer them. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents have the opportunity to contribute and review the care planning process. Reviewed documentation and feedback from residents and their relatives confirmed that the home meets residents changing needs and personal goals, promoting independent living where possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined some of the residents care plans. Each plan is generated from pre admission assessments, which relate to all aspects of the individuals health, personal and social care needs. All plans seen were detailed and easy to follow which means care staff can transfer the information into daily practice. Changes to care plans are discussed with key workers and the manager in monthly staff supervision sessions, ensuring staff members are clear and accountable for the care they are providing. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 11 Care records examined included written monthly reports by key workers detailing any changes to care provision. Formal reviews are held on a regular basis. Other parties involved in residents care are invited to attend and contribute. This provides the opportunity for residents to be consulted on and participate in their care planning on a regular basis. Individual risk assessments were evidenced on resident’s files, providing staff with clear guidelines about residents agreed limitations and promoting independence where possible. Daily recording sheets for two residents were viewed. These detail any significant event, which needs to be handed over to other staff at shift change. In addition to care planning, this ensures consistency for residents in relation to their care needs on a day-to-day basis. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Weekly activity plans are held on individual care files. Each resident is encouraged to maintain interests and relationships outside the home. Visitors to the home are welcome. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with staff and feedback from residents confirmed individuals are encouraged, to participate in social activities, both within the home and in the community. Records of activities are recorded in the individuals care plan and daily records, these include daily activities such as art, swimming, college, bowling, horse riding and gardening as well as visits to the cinema and shopping. Staff confirmed they often support residents to visit local areas of interest and go on regular group outings. Detailed risk assessments for individual activities Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 13 were in good order and signed by residents to demonstrate their agreement in any limitations placed on them. Residents care files reflect individual cultural and sexual preferences. Guidelines have been included alongside this information to inform staff of action relating to individual needs and behaviours. Each of the documents had been signed by the resident and staff to demonstrate their involvement and understanding. The inspector noted the visitors book detailed visits of family and friends to the home. Policies and procedures are in place to support this. Staff are expected research the local area for clubs and events that would be of interest to individuals. Resdients meet weekly with workers and are offered a choice of what is entered on their activity plan for the forth coming week. Keyworkers work closely with their ‘key client’ to introduce appropriate jobs, education, training and leisure activities which are then discussed and agreed with their allocated care manager. Three of the current residents attend local colleges and participate in courses relating to photography, lifeskills and music When the menu is devised the resident group are involved in choosing meals for the week. It was noted that due to their choice of food, some residents were gaining weight. The staff were proactive in introducing a healthy eating plan and reduce snacking inbetween meals. The home has provided two exercise bikes and promoted regular exercise which has encouraged reisdents to keep fit. During the visit it was noted that the fridge was stocked with fresh produce, fruit and vegetables. Menus seen reflected a balanced meal is provided on a daily basis. Each resident has the choice to take an annual holiday of their choice. Last year 2 residents went to Spain with three staff members and two other resdients chose to go to the Isle of Wight. Care plans detailed information about residents continued contact with their families. Two residents have home visits on alternate weekends and speak with their parents daily on the telephone or internet. One resident who has no relatives has support from an advocate. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents receive health care and support in the way they prefer, all aspects of this is detailed in their care plans. Medication is stored and labelled correctly. Medication sheets were up to date and signed by staff although some gaps were evident. It was recommended the manager audit records regularly to ensure medication procedures are being complied with. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the residents are offered support with their on going health care needs. For each person, this is clearly identified as part of care planning and carried out in accordance to the individual wishes. Daily routines are flexible according to the residents needs and preference. Service users have links with a range of health professionals these include GP, dentist, chiropodist and optical services . Each service user has an agreed key worker at the home who supports them day to day. Where appropriate the staff have developed links and extended specialist support from outside agencies such as a psychiatrist, speech therapist and Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 15 occupational therapist. Any referrals to specialist services are made through the GP. Staff records showed that the home provides specialist training (in addition to mandatory training) to meet resident needs appropriately. These courses include epilepsy, dealing with death, challenging behaviour, understanding aspergers and autism. Residents files demonstrate service users have detailed health action plans as part of their on going care pans. Each resident is offered a choice where possible and independent living skills are promoted within the home. Service users health is monitored regularly as part of the care planning process, this includes medication and annual health reviews reviews. Medication was seen to be suitably stored in a locked cabinet in the staff office. All staff who administer medication have completed appropriate training. Some medication administration records seen during the visit showed some gaps . It was recommended that the manager audit medication records on a more regular basis to ensure staff are complying with medication policies and procedures. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home ensures that both residents and staff are protected through policies and procedures, induction and relevant staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is include in the Statement of Purpose and Service User Guide and on view on the notice board in the hallway and given to individuals. The record of complaints was viewed and observed to be up to date and in good order. Since the last inspection there has been four recorded complaints, which have been dealt with appropriately within agreed timescales. A copy of the new West Sussex Adult Protection procedures is held in the home and available to staff and service users. Information provided by the manager prior to the visit to the home confirmed that the organisation has an adult protection procedure and policy in place. Staff have all been fully inducted at the start of employment and received adult protection training so they are aware of their responsibilities should they suspect an abusive situation. Staff personnel files demonstrated that all staff had CRB checks prior to employment to ensure residents were safeguarded from risk. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The premises are of a good standard, offering a safe and clean living space, suitable to the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit a full tour of the home was undertaken. The home provides a safe, comfortable, bright and welcoming environment for residents and visitors. It is decorated to a high standard with high quality furnishings and fittings. A fire alarm and emergency lighting system is in place. Records showed these are checked and serviced on a regular basis to ensure the safety of staff and residents. All areas within the home, which pose a risk to the occupants, are identified and ways for these to be eliminated or reduced have been implemented. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 18 All residents have large bedrooms. Residents have personalised their rooms and have been able to bring their own possessions with them. Bedrooms are personalised and the communal areas throughout the home are homely, clean and tidy. All service users have keys to their doors so that they can choose to lock their room when they are unoccupied. There is a well furnished lounge and a large through dining/ kitchen room. Beyond the kitchen there is a sunroom/ conservatory area which houses the washing machine/ dryer. There are policies and procedures in place regarding the control of infection and staff confirmed that they had all of the necessary equipment and protective clothing to use as required. Relatives confirmed that the home was always clean and tidy when they visited. Residents confirmed that they liked the home, their rooms and enjoyed living there. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The staff employed to work at the home receive training opportunities to meet the specific needs of the residents. The inspector concluded the resident’s benefit from a well supported and effective staff team. A requirement was made to ensure all staff have two references prior to employment at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an in house training programme in place, which provides the skills to meet service users needs. In addition staff are encourage to attend specialist training through the Care Training Consortium, which covers topics relevant to the needs of the resident group. Each member of staff undertakes a three-month induction, which covers all aspects of their role, responsibilities and information about the home. The inspector reviewed a detailed induction booklet and it was noted that each section had been signed by the worker, upon completion. This practice ensures staff are competent in their roles and expectations of their duties are clear. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 20 Three personnel files were examined during the visit and information on files confirmed that the majority of staff had undergone relevant checks. One file did not have two references (as required by the regulations) and a requirement was made to ensure the manager undertakes all appropriate checks prior to employment of staff. This promotes the safety and well being of residents in the home. Evidence from the information received by the manager prior to the visit, detailed a high turnover of staff since the last inspection. This was mainly due to some of the challenging behaviours presented by one particular resident. Some relatives had also raised their concerns about the inconsistency of staffing and the impact this may have on the residents. Since the beginning of the year staff turnover has considerably improved and staff feedback that they felt well supported by management and equipped to fulfil their roles effectively. Specialist training and behaviour management techniques have also improved staff confidence and practice. Records of meeting minutes and feedback from staff confirmed they attend regular staff meetings and involved in the decision making process within the home. All staff spoken to praised the management for their supportive and inclusive approach. The inspector concluded, following observation and discussion with the staff on duty that they were clear about their roles and responsibilities within the home. Those spoken to were committed to their work and to ensuring good standards for the residents were met. Records and staff feedback confirmed that staff are supervised by the management every eight weeks. This practice ensures staff have the opportunity to reflect on their work and professional development within the organisation. Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Good practice in the home was evident. This is supported by committed staff and management and efficient administrative systems, which promote the health, safety and welfare of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home has 30 years continuous experience within the care profession and 4 years management/supervisory experience within the last 5 years. She has an National Vocational Qualification Level 4 in health and social care and is currently studying for the Registered Managers Award. During the visit all safety records at the home including, fire records, staff records and training, maintenance records, individual and environmental risk assessments were examined. They are all up to date and in very good order Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 22 promoting the welfare and safety of the residents and staff. Policies and procedures were reviewed and updated on a regular basis. Information on new legislation and care practice is passed down to the staff team in staff meetings. Each residents has a record of their finances and own bank account. Any benefit/finance problems are dealt efficiently, the keyworker may be involved or the finance director is available to assist the service user if an issue is complex. The resident and their relatives (where appropriate) are involved in all aspects of financial transactions. The home publishes a comprehensive annual quality assurance audit based on information compiled from questionnaires completed by residents, relatives and involved parties. Discussions and observations confirmed staff are given clear direction in their roles and good working practices are promoted through staff support, meetings and on going training. One staff member stated she felt the management were ‘very supportive and easy to approach’. Records demonstrated staff received monthly supervision and interviews with staff confirmed this. Overall the care provision at the home is of a very good standard and the conduct and management serves the best interests of the residents and staff. Oxford House DS0000065480.V363414.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 3 Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard Regulation 19 Requirement Two written references are obtained for employees before making an appointment Timescale for action 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oats 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 Oxford House DS0000065480.V363414.R01.S.doc Version 5.2 Page 26 - 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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