Random inspection report
Care homes for older people
Name: Address: Oakleigh Retirement Home Oakleigh Road Clayton Bradford BD14 6NP one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Stephen Marsh Date: 1 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Oakleigh Retirement Home Oakleigh Road Clayton Bradford BD14 6NP 01274880330 01274817825 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Bel Air Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 31 Number of places (if applicable): Under 65 Over 65 0 31 4 0 dementia old age, not falling within any other category physical disability physical disability Conditions of registration: Date of last inspection Brief description of the care home 5 0 0 1 Oakleigh is registered to provide personal care for up to 31 people, a small number of whom may be diagnosed with a physical disability or dementia. The home is situated in the Clayton area of Bradford, approximately 3 miles from the city centre. There are good community facilities in Clayton village including banks, shops, a post office, hairdressers and pubs.
Care Homes for Older People Page 2 of 8 What we found:
We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. One inspector made an unannounced visit to the home. During the visit we talked to people living at the home about their experiences of living at and visiting Oakleigh Retirement Home, we also spoke to staff and management. In the self-assessment form the manager told us that people are encouraged to visit the home before admission so that they are able to meet the other people living there and make use of the facilities available. A new care planning system has recently been introduced at the home which covers all aspects of peoples health, personal and social care needs. The care and support plans we looked generally provide staff with clear guidance on how to meet peoples needs. However, in some instances they did not contain sufficient detail and not all plans had been updated and therefore could not be used by staff as working documents. This was discussed with the provider and manager during the visit. Since the visit we have since received written confirmation that the new care planning system has now been fully implemented and all information relating to peoples personal, health and social care needs is now accurate and up to date. All people living at the home are registered with a general practitioner and are supported in having access to the full range of NHS services. The input of other health care professionals is clearly recorded in the documentation available. This shows that staff are seeking advice if they have concerns about peoples health. We reviewed the medication system in place and found that medicines are managed safely. Policies and procedures are in place relating to the receipt, safe storage, administration and disposal of medication, therefore people can be confident there
Care Homes for Older People Page 3 of 8 medication is being given as prescribed. During the visit we observed the lunchtime meal being served in the dining room. People were given the time they required to eat their meal in comfort without being hurried and if they required prompting or assistance to eat their food this was done in a discreet and sensitive manner. We spoke to the cook and it was apparent that she had a good understanding of peoples dietary needs and provided people with a varied and balanced diet, taking into account their likes and dislikes. Information about the complaints procedure is available within the home. People told us that they know how to make a complaint if they need to and know who to speak to if they are unhappy with the standard of the service provided. Information provided by the home shows that two complaints have been received in the last twelve months both of which have been dealt with appropriately and within the agreed timescales. Policies and procedures are in place to protect people from any form of abuse and staff told us they have received training on the protection of vulnerable adults and are aware of how to report any concerns about peoples well being. Information provided in the selfassessment form shows that the home has made two safeguarding referrals to the Bradford Social Services Safeguarding Team in the last twelve months. The home has a thorough staff recruitment and selection procedure, which includes obtaining at least two written references and a Criminal Record Bureau (CRB) before new staff start work unsupervised. This should make sure only people suitable to work in the caring profession are employed. However, we found that in some instances the recruitment process had not been as thorough as it should have been and not all relevant checks had been completed before staff had started work. This was discussed with the provider and manager during the visit and we have since received written confirmation that systems have now been put in place to address this matter. The manager confirmed that all new staff receive induction training using the Skills for Care Common Induction Standards. These are nationally agreed induction standards designed to help new staff get the skills and knowledge they need to care for people. Following induction training there is an expectation that care staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Since the visit the manager has introduced a training matrix, which will enable her to more easily identify gaps in training needs and assist in implementing a training plan for the coming year. Feedback from staff show that they feel generally well supported by the manager. Comments included the manager is approachable and genuinely cares about the people living at Oakleigh and we have a good manager but she needs time to sort things out. Staff told us that they enjoyed working at Oakleigh and were very clear about their roles and responsibilities. We spoke to a number of staff that had worked at the home for several years, which helps to provide people with continuity of care. However, we did have some concerns about the relationship between the registered provider and manager as there appears to be no clear lines of communication or accountability, which means that the home may not always be run effectively and in the best interest of people living there. This matter must be resolved quickly so that the home can move forward and continue to improve outcomes for the people living there.
Care Homes for Older People Page 4 of 8 What the care home does well: 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 set out on page 2. Care Homes for Older People Page 5 of 8 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, 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 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Older People Page 8 of 8 - 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!
