Inspection on 16/04/10 for Oak Ridge

This is the latest available inspection report for this service, carried out on 16th April 2010.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oak Ridge 16/02/06

Oak Ridge 07/06/05

Oak Ridge 08/02/05

Oak Ridge 13/04/04

Similar services:

Claremont House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Firstlings

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for older people Name: Address: Oak Ridge 26 Eastgate Street North Elmham Dereham Norfolk NR20 5HD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Marilyn Fellingham     Date: 1 6 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 21 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Oak Ridge 26 Eastgate Street North Elmham Dereham Norfolk NR20 5HD 01362668842 NOFAX# Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Paul Jordan,Mrs Joy Jordan Name of registered manager (if applicable) Mrs Joy Jordan Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Oakridge is a charming detached house circa 1930, with a large, well maintained secluded garden. It is situated in the middle of the historic village of North Elmham. The village is approximately five miles from Dereham, seven miles from Fakenham and sixteen miles from Norwich; which can be reached by a regular bus service. The Home is registered to offer care to three people in a small caring family. The Providers make every effort to ensure that the Home retains a homely atmosphere and the Service Users feel very much a part of a family. All rooms are individual and service users can negotiate to have some of their own furniture, there is a communal lounge with television. There are many local clubs including Friends and neighbours, Bowling Club, Horticulture Society and Extend. The Service Users are given many opportunities for Care Homes for Older People Page 4 of 21 Over 65 3 0 Brief description of the care home trips out. The conservatory has been enlarged, much to the delight of the residents. Weekly fees are £370. Care Homes for Older People Page 5 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection that took place over five hours. The key inspection for this service has been carried out using information from previous inspections, information from the residents and people who work in the home. The main method of inspection used was case tracking. This involved selecting individual care plans and information available about people who live in the home and tracking their experience as a result of the support provided. Care Homes for Older People Page 6 of 21 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are given sufficient information to make an informed decision about whether they want to live in the home. The home also ensures that the prospective residents needs can be met. Evidence: One new resident has been admitted to the home since our last Key Inspection. We looked at the records for the process of this activity, these were informative. The manager/provider told us that the resident had initially been admitted for a short stay whilst their relatives were on holiday. The resident then decided that they would like to stay at the home permanently, so one months trial was given to see if their overall needs could be met. During this period it was also established if the new resident and the other two residents got on well together as it is such a small intimate home. We spoke with the new resident and discussed the admission process with them, they told us that they were given plenty of information about the home and time to enable Care Homes for Older People Page 9 of 21 Evidence: them to make a decision whether they wanted to move into the home or not. The manager/provider told us that the relatives had visited the home and were made aware of what facilities that could be offered to their relative. The resident has been given a contract and statement of terms and conditions at the end of their trial period, we saw records for these. Care Homes for Older People Page 10 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The practice regarding the planning and delivery of care means that the residents can be sure that their health and personal care needs will be met. Evidence: We looked at the three residents records and tracked their care, these confirmed good practice and that health, social and personal care needs were being met. All three residents we spoke with confirmed this and all stated that they liked living in the home and one said I dont want for anything whilst another told us I hope I never have to leave here and another said the care is marvelous, oh yes very very good. One resident told us that the manager/provider was very good and was always keen to make sure they had everything that they needed and that the manager/provider had organised for them to have a better seat for their toilet to make it easier for them. All three care plans had overall aims that had been discussed with the residents and these were related to their assessed care needs. All the records had good informative entires of what the residents liked doing and how this fitted in with their daily lives. The three residents had risk assessments in place and one had a record of advice given after a fall and what the resident could do to prevent further falls. We also noted Care Homes for Older People Page 11 of 21 Evidence: that the risk assessments had been reviewed and updated when care had changed. One resident has physiotherapy and there were good records for this and a care plan for exercises. All three residents when asked felt that they were treated with respect and dignity and we noted this whilst we were in the home. One resident had a catheter in place and although the manager/provider and her deputy knew exactly what care was needed we recommended that they also put it in a care plan. We noted that the manager/provider does discuss with other agencies about care for the residents that is sometimes required for specific needs and we noted in one residents records that advice had been sought from the community nurse regarding skin care to ensure the resident was receiving appropriate care. There were informative notes in the residents records to indicate visits to the GP, opticians and when other professionals visit the home. We looked at the records for medicines and carried out a spot audit, all the records were clear and indicated exactly what medicines had been given given and the medicines that were in stock tallied with these records. We noted that the service kept good records of what medicines had been returned to the pharmacy and any that had been wasted. A risk assessment is in place for one resident who self medicates and is reviewed regularly to ensure compliance with the homes policy for residents who self medicate. Care Homes for Older People Page 12 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide range of activities offered by the service means that the residents have many opportunities to participate in stimulating and motivating activities. Meals are managed well. Evidence: We were able to discuss with all three residents, the manager/provider and her deputy about activities that take place in the home and trips out. All three residents indicated that they had been involved in a number of trips and other activities; we looked at photographic evidence of a number of social outings. One resident told us about a lovely birthday party they had been given and the cake that Joy the manager/provider had made them. Another resident told us that they had been taken out the day before and that they especially like drives out to the coast and bringing back fresh crabs for tea. A hairdresser visits once a week and one lady told us that they enjoy having their hair done: someone visits the home and does flower arranging with the ladies. It was evident from what the residents told us that all activities are arranged with the residents preferences in mind. The home has a couple of guinea pigs that one resident in particular likes and we saw a photo of the guinea pig on this persons lap. This resident told us that they also Care Homes for Older People Page 13 of 21 Evidence: enjoyed visits from the managers/providers grand daughter and liked reading to her. The residents are given opportunities to grow plants in the conservatory. We noted from the residents records that they are encouraged visitors and relatives visit when they wish. We noted that the day before our visit one resident had been out for the day with friends. On the day of our visit the residents were having shepherds pie for lunch with carrots and cauliflower and there was fruit flan for pudding. The residents told us that they enjoyed their food and one resident said there are always clean plates. There is a small dining room for the residents, however they can choose to eat their meals where they wish. One resident was having their meals in their room on the day of our visit because they were not feeling too well. The meals are varied, well balanced and wholesome and all individual preferences are accounted for; one resident said Joy (the manager/provider) always insistes tell me what you want. Care Homes for Older People Page 14 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel safe and listened to. The staff have the knowledge to recognise all aspects of abuse, this means that every effort is made to protect the residents. Evidence: A complaints procedure is in place and is made available to the residents and their relatives and other significant people. We spoke with all three residents who told us they knew how to air their concerns and who to go to. One resident said Joy (the manager/provider) is very approachable and you can tell her anything and she listens We looked at the records for complaints, the home has not received any and because it is a very small home concerns are, if any, dealt with on a daily basis. Both providers one of which is the manager also and her deputy have all received training in relation to safeguarding and all had an up date in April. Care Homes for Older People Page 15 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a very pleasant, well maintained, homely and safe environment. Evidence: We looked round the premises inside and outside; it was found to be very well maintained. The gardens are also well kept with many flowers and shrubs and a large expanse of lawn which is easy for the residents to walk on. There are seating arrangements outside for the residents to use if they so wish; there is also a lovely conservatory for them to sit in and enjoy the view outside. One room has been totally redecorated and new flooring laid, one resident told us that they had got new curtains All three residents were more than satisfied with their accommodation and one resident said I love my little room, they went on to tell us that they had some of their belongings in their room and their paintings had been hung. We noted all the rooms had evidence of personal belongings; all three rooms have their own ensuite facilities. The home overall looked very bright and was exceptionally clean and tidy with no offensive odours detected. Care Homes for Older People Page 16 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are extremely well supported by the husband and wife team and also the deputy manager, they are skilled and knowledgeable staff members. Evidence: The manager/provider ensures that her deputy and her husband who is also a named provider are always well trained in matters relating to the residents in the home. We saw documents relating to all training that has been undertaken, this included a refresher course for safe guarding, a refresher course for infection control, optical awareness course, first aid and food hygiene refresher courses have been arranged for later in the year. The manager/provider has attended a course for Deprivation of Liberty and Supervision. No new people have been recruited to the home since our last Key Inspection. Staffing is not an issue in the small home, when the manager/provider has a day off her deputy takes over and she has worked at the home for the last ten years. Care Homes for Older People Page 17 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an excellent management structure in place, which ensures, that, this service is being well run and in the best interests of the people who use the service. Evidence: We looked at the record for supervision of the deputy who confirmed that these sessions do take place and that she found them beneficial. A quality monitoring system is in place and the residents complete surveys about their care and the service that they receive: we looked at these and they were all very positive about the quality of the service they get.The three residents in the home felt that the provider/manager was excellent also her husband and that they continually strive to ensure that they, the residents receive the best care and that their welfare, health and safety are promoted and protected. We looked at health and safety related information these showed that there are servicing arrangements for all equipment. Fire safety records were in place and we saw records for this. Care Homes for Older People Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 19 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 It is recommended that specific care that is required for care of a catheter be entered on a plan of care. Care Homes for Older People Page 20 of 21 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!