Care Home: The Oaks

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What the care home does well What has improved since the last inspection? The care plans now contain a lot more information about how the residents are to be cared for. The way that medicines are handled is much safer. There has been a big improvement in the way that they are ordered, stored and given out. A lot more training has been provided for the staff, especially around dementia care. This is to make sure that the residents are cared for properly and safely. The environment continues to be improved, making it a lot nicer place for the residents to live in. The bedroom doors have been painted in different colours so that the residents can easily identify which bedroom is theirs. The toilets and bathrooms now have picture signs on the doors so that the residents can find them a lot more easily. The system for helping prevent the spread of infection is now much better. Hand washing equipment for staff and residents is now in place in the bedrooms as well as the bathrooms and toilets. CARE HOMES FOR OLDER PEOPLE The Oaks Oak Avenue Hindley Green Wigan Greater Manchester WN2 4LZ Lead Inspector Grace Tarney Unannounced Inspection 10th 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 The Oaks DS0000005755.V371447.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. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Address Oak Avenue Hindley Green Wigan Greater Manchester WN2 4LZ 01942 521485 01942 522141 hallkevin@f2s.com annegardnerrgn@hotmail.com Mr Kevin Hall 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) Mrs Denise Bostock Care Home 31 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (31), of places Physical disability (3), Physical disability over 65 years of age (8) The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 31 service users to include:up to 31 service users in the category of Older People (OP) up to 3 service users in the category of PD (Adults with Physical Disability) up to 8 service users in the category of PD(E) (Adults with Physical Disability over 65) up to 5 service users in the category of DE(E) (Adults with Dementia over 65) The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. The Homes Manager, Senior Carers and Carers must be adequately trained to meet the specific needs of the individual service users with Dementia. The Statement of Purpose must be reviewed and updated to reflect the change to the registration. 23rd April 2008 2. 3. 4. Date of last inspection Brief Description of the Service: The Oaks is a purpose built home located in a quiet residential area of Hindley, close to the main bus route and local shops. Car parking for visitors and staff is provided at the front of the home and there are safe garden areas at the back of the home. The home is registered to provide personal care services for up to 31 elderly residents. Some of the residents that they are registered to care for have dementia. Accommodation is provided on two floors. There is a large combined lounge and dining room on the ground floor with a conservatory for the use of residents who smoke. Bedrooms, bathrooms and toilets are situated on both floors. The fees for the home are £322.65 for residents funded by the Local Authority to £393.00 for residents who pay for their own care. Additional charges are made for private chiropody, hairdressing and individual newspapers. This information was received on the 10th September 2008 A copy of the most recent inspection report is kept in the entrance hall. The Oaks DS0000005755.V371447.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. This inspection visit to the home by 1 Inspector took place over 1 day and lasted 8 ½ hours. The staff did not know that we (the commission) were going to visit. Before the last inspection in April 2008 we asked the management of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We looked at this information during the last inspection and as this inspection was done within 6 months of the last one we referred to it again. During our time at the home we looked at care and medicine records to make sure that the staff knew how to look after the residents and that their health and care needs were being met. We also looked around most of the building to check if it was clean, warm and well decorated. We also looked at what the residents were having for their meals, to make sure that there was a choice of meals and that they were good and wholesome. We also checked how many staff were provided on each shift to make sure the residents needs were being met. We then looked to see if management recruited and trained the staff properly and safely. This is so the staff can do their jobs properly and the residents are protected from being cared for by unsuitable people. In order to get further information about the home we also spent time talking to 3 residents, 2 visitors, 2 care staff, the Manager and the Cook. What the service does well: Management make sure that they assess the needs of people before they are admitted to the home. This is to make sure that staff only care for those people whose needs they feel they can meet. Residents feel that they are well looked after by the staff and residents and relatives made the following comments: • They are great. • They look after me smashing. • The staff seem more professional now. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 6 The meals provided are varied and nutritious and the residents have a good choice of menu. In order to protect the residents from harm, management make sure that they check people out properly and safely before offering them a job. Management make sure that the staff are properly trained so that they have the knowledge and skills they need to protect and meet the needs of the residents. 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 The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Oaks DS0000005755.V371447.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 The Oaks DS0000005755.V371447.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody that a person is only admitted if the staff feel they can meet their needs. EVIDENCE: Before any person was admitted to the home we saw that a senior member of staff from the home undertook an assessment of their needs. An assessment looks at what help and support a person who may be admitted to the home needs to help them make the most of their daily life. We looked at 2 assessments that had been done by the Manager. He had visited these people whilst they were in hospital. They were detailed and showed very clearly what they were able to do for themselves and what they needed help with. Based on this information it was decided that the staff at the home could meet their needs. Standard 6 does not apply. The home does not provide Intermediate Care. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 10 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 &10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans show what care needs the residents have and care practices ensure that their needs are met in a safe, caring and dignified way. EVIDENCE: Individual resident care records, (called care plans) were in place for each resident. The care plans of 3 of the residents were looked at. 2 had enough information in them to show how the care needs of the residents were to be met however one of them was not as detailed as it should have been. The further assessment that is done on admission was only partly filled in and some important information that would help in showing how to care for the resident was missing. This resident had however, only been in the home for a very short time. We discussed this with the Manager and he told us that he would make sure that it was completed without delay. We also saw that several of the residents’ care notes were either not signed or dated by the person writing them. The Manager told us that these things would be discussed with the person concerned but would also be discussed The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 11 staff meetings. It is important to write the date of any care note entry so that staff have a clear record of a residents’ condition at any one time. The care plans that we looked at only identified some of the problems that the residents had. They did not show what the residents were able to do for themselves, thereby promoting their independence. The Manager agreed that they could contain more information about the positive things a resident could do. He told us that this is something that he plans to introduce in the near future. The care plans were checked regularly by the staff so that any change in the residents’ condition could be identified and action taken if necessary. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores, any risk of falling and also if they were at risk due to problems with their food and fluid intake. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. We saw that residents were weighed regularly and their weight was recorded in their care notes. We saw that staff wrote in the care plans when the residents had received visits from health care professionals, such as dentists, opticians, district nurses and chiropodists. One of the residents told us • It’s good. They are a good bunch of girls. One of the residents had quite a lot of care needs so we went to see her in her bedroom. She was actually sat in the lounge and looked very comfortable. We saw that in her bedroom all the correct type of equipment was in place to make sure she was looked after properly. We also went to see another resident who was admitted to the home just for a short break. She told us that she thought everything was great and she liked the fact that she could bring in her own computer and carry on doing what she did at home. We looked at the system for managing the medicines. A safe system was in place. Staff who have received medicine training are the only people allowed to have responsibility for managing the medicines. There is a locked medicine room and locked medicine trolleys that are secured to the wall when not in use. Medicines and Controlled drugs were stored securely and recorded accurately. The staff spoke to the residents in a quiet and respectful way, although there was plenty of friendly banter, especially at lunchtime. Staff told us that the importance of ensuring privacy, respect and dignity is part of their initial training. We saw that this was so when we looked at their training files. We saw staff knocking on bedroom and toilet doors and waiting where possible for an answer, before they went in. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 12 The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and encouraged by staff to make choices about what they do, so that they can find enjoyment and satisfaction in their daily life and with the activities available to them. The residents are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents that we spoke to told us that they can, more or less do as they please and that they are not made to do anything that they do not want to. One resident said: • Yes I can do what I want. I am off to bed for a lie down and have a read of my paper. The residents’ routines of daily living and what they liked to do were written down in their care plans. We were told that the previous activities organiser had left but we saw the new person who had just been offered the job. Until she is in post the care staff are continuing providing activities such as board games and at the residents’ request, bingo. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 14 The hairdresser visits every week and on alternate Fridays the residents have manicures if they want to. A list of “what is going on” is displayed in the entrance hall. The care plans showed what religion a person was and if they practiced their faith. . We were told that the present residents had either a Church of England or Roman Catholic religious faith but all faiths are welcome at the home. We were also told that the Priest or one of his Ministers brings Holy Communion every Sunday. We saw visitors coming and going throughout the day and they seemed to know the staff very well. Some sat with their relatives in the lounge but one went to her relatives’ bedroom for some privacy. We did not eat with the residents but saw what they were having for lunch. The meal served looked appetising, nutritious and there was plenty of it. The residents have the lighter meal at lunchtime and the main meal in the evening. We looked at the menus. The residents have a choice of meal at breakfast, lunch and tea. Fresh fruit was available in the dining room and hot and cold drinks were served throughout the day. We were told milky drinks and light snacks are also served at supper. Any special diets that are needed plus the residents’ likes and dislikes are looked at when a resident is first admitted to the home. A record of these is kept in the kitchen. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good knowledge and understanding of what abuse is and know what to do if it happens. This helps reduce the possible risk of harm to the residents. EVIDENCE: There is a notice displayed on the wall in the entrance hall that explains how any complaints will be handled. It is easy to understand and tells people that complaints will be looked into and a response given within 28 days. A record is kept of any complaint made and includes details of the investigation and any action that the management may have taken to put things right. No complaints have been made to us or to the management of the home since the last inspection of April 2008. We spoke to some of the staff and asked them to tell us what they would do if they felt that a resident had been mistreated in anyway. They were very aware of what to do and how to report it. They told us that they had been trained so that they could, as far as possible, protect the residents from harm. We saw evidence of this training in their training files. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 16 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 21 24 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in clean, suitably adapted and comfortable surroundings that are continually being improved. EVIDENCE: There is a large combined dining room and lounge on the ground floor. It is a very pleasant room, nicely decorated and comfortably furnished. Leading off from this room there is a large conservatory. This is for the residents who smoke. There is now a call bell in this room so that the residents can call for staff help if they need to. The conservatory has patio doors that lead into a small garden area. There is also another larger garden that can be reached from the lounge. The corridors throughout the home are wide and well lit although there are no grab rails in place on the walls to help any resident with a mobility problem. Bedrooms, bathrooms and toilets are situated on the ground and first floor and can be reached either by a lift or stairs. . The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 17 The toilets are easy to get to, as they are close by to bedrooms and the lounge/dining room. The toilets have a lock on the door to ensure privacy and have suitable aids on them so that the residents can use them safely. Signs and pictures are on the doors showing that they are toilets. This helps to make identification of the toilets are bit easier for the residents, especially for those who may have some confusion. Some of the bathrooms and toilets were in need of redecorating as the walls and paintwork were badly marked. We were told that there is an ongoing programme of redecoration within the home. We saw evidence of this when we looked at the bedrooms. We looked at most of the bedrooms. They were clean and warm, although some of the bedrooms were in need of redecorating. 1 bedroom had a badly cracked window that apart from looking unsightly was a safety risk. The owner of the home agreed to have this replaced as soon as he could. We have since been informed that this has been replaced. The bedroom doors had been painted in different colours to make it easy for the residents to recognise their room. They also have a number on the door and the name of the resident. Some have the residents photograph on and memory boxes on the outside. The memory boxes contain things such as photographs and mementoes that mean something special to the resident. More details about what the contents are about and what they mean is also displayed inside the bedroom. We were told that the boxes open up a lot of discussion and reminiscence between the staff, residents and their visitors. Each bedroom had a safety overriding door lock and also a lockable space to store anything that is of value or importance to the resident. All sinks, baths and showers have thermostatic control valves so that the water discharges at a safe temperature and therefore reduces the risk of accidental scalding. The concerns identified during the last inspection in relation to some of the unprotected radiators remain. Radiators were unguarded. This poses a risk of accidental burning to the residents. We saw this on the last inspection and the owner agreed to check the temperatures of the radiators at least every month to make sure that they did not become too hot. We saw that he has been doing this. He also agreed to look at whether individual residents were at risk of falling against them and if it was felt that they were, he would ensure the radiators were guarded. The risk assessments had been done. There have been no accidents in relation to the radiators. Despite the home undertaking monthly radiator temperature checks we still felt that there was a risk of accidental burning. Several of the residents have dementia and some are at risk of falling. The radiator temperatures were not high but in view of the fact that winter is approaching they may need to be adjusted to give off more heat. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 18 The owner agreed to start guarding the radiators in the bathrooms and we have since been informed that these have been dine. He also agreed to keep the situation under review with regard to the other radiators. He told us that if a risk were identified then a radiator would be guarded. The home was clean and there were no unpleasant smells. Disposable hand washing equipment was in place in bedrooms, bathrooms and toilets. Staff had also been supplied with antibacterial hand cleaning gel and disposable gloves and aprons were also provided for them to wear. Providing all this equipment helps to reduce the spread of infection and therefore helps to protect the residents health and wellbeing. The Oaks DS0000005755.V371447.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are cared for by staff that are properly trained and safely recruited. This helps to ensure that they are kept as safe as possible. EVIDENCE: A check of the duty rotas showed that for the number of residents in the home there was just enough staff on duty. We discussed this with the care staff. They felt that they could manage, but if the number of residents increased or they became more dependent then more staff would be needed, especially at busy times. We then discussed this with the owner who told us that if staff came to him and told him that they needed more staff at busy times to meet the needs of the residents, then he would provide it. The information that we looked at in the training files showed that 56 of the staff had obtained their NVQ (National Vocational Qualification) level 2 in care. The numbers of staff trained to NVQ 2 level has increased in the last 6 months. This is good progress. The recruitment files of 3 staff members were checked. All were in order and these staff had been properly and safely employed. This helps protect residents from being cared for by unsuitable people. The information received from the AQAA form showed that management provide a staff induction programme for all newly employed staff. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 20 We looked at some of the training files and saw evidence of this. Lots of training has been provided for the staff in the last 6 months. There has been a big improvement in the amount of training provided. They have had training in moving and handling, dementia care, basic food hygiene, fire safety, health and safety, medicine management and other subjects connected to their jobs. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. We saw that the training provided to individual staff is recorded in detail in their individual training file. Staff told us that they have had a lot more training and it has helped. The Oaks DS0000005755.V371447.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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has worked hard to improve the standards at the home so that the welfare of the residents is protected. The unguarded radiators within the home could put the residents at risk of harm. EVIDENCE: The Manager of the home has applied to be registered with us. He has a lot of experience in caring for the elderly and has actually been with this Company for 2 ½ years. He started working at the home in October 2007. He is presently studying for a management qualification. This should help him to improve his management skills and then further improve things for the residents and the staff. The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 22 Staff told us that things are so much better in the home. They feel that the manager works really hard and has high standards. They told us that they know where they stand with him and there is a nice atmosphere. Standards 33 & 35 were not looked at on this visit because we spent a lot of time looking at the staff training files. They were looked at on the last inspection in April 2008 and we found that everything was in order and no requirements were made. Information received from the AQAA form sent to us and from random checking of servicing records showed that the equipment within the home is properly maintained and regularly serviced. We looked in the fire logbook and saw that management regularly check and test the fire detection system, fire exits and emergency lights. The concerns identified during the last inspection in relation to the unprotected radiators remain and as we have stated earlier on in this report, the owner has agreed to start guarding the radiators in the bathrooms and agreed to keep the situation under review with regard to the other radiators. The Oaks DS0000005755.V371447.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 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 x x 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 2 The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 24 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 OP25 Regulation 13(4)(a) Requirement Any radiators that are too hot and pose a risk of harm to the residents, must be guarded or low surface temperature radiators fitted. Timescale for action 31/12/08 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 OP7 Good Practice Recommendations Consideration should be given to including in the care plans the things that the residents can do for themselves. This will help promote their independence and give a clearer picture of their capabilities. Staff should make sure that the care documents are always signed and dated. This is so that staff have a clear record of a residents’ condition at any one time. 2. OP7 The Oaks DS0000005755.V371447.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 The Oaks DS0000005755.V371447.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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