Random inspection report
Care homes for adults (18-65 years)
Name: Address: Oxenden House Oxenden Square Herne Bay Kent CT6 8TN three star excellent 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: Anne Butts Date: 1 0 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Oxenden House Oxenden Square Herne Bay Kent CT6 8TN 01227371228 Telephone number: Fax number: Email address: Provider web address: oxendenhouse@hotmail.com Name of registered provider(s): Name of registered manager (if applicable) Mr Philip Brett Harden,Mrs Joyce Shields Martin Harden Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users to be accommodated is 5 Thje registered person may provide the following category 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 category: Learning disability : (LD) Date of last inspection Brief description of the care home Oxenden House (the service) is registered to provide accommodation and personal care for five adults (service users) between the ages of 18 years and 65 years who have a learning disability. The premises are a semi-detached house which has accommodation arranged on three floors. There is provision for all of the service users
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home to have their own bedroom. Each of the bedrooms has a private wash hand basin and one of them also has a private toilet. The Registered Providers and two members of their family live on the premises. The property is located in a quiet residential area. Herne Bays town centre is about one half mile away. People who are interested in finding out about the service can read the Service Users Guide and the more detailed Statement of Purpose. These are available from the Registered Providers. Between them, they give a lot of information about the facilities and assistance, which are provided in the service. People can also use the Registered Providers website, which can be found on www.oxendenhouse.co.uk The weekly fee for residence in the service ranges from £330.00 to £850.00 depending on the individuals needs. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
At the last key inspection the quality rating for this service was 3 star. This means that the people who use the service experience excellent quality outcomes. We arrived on an unannounced basis just after nine oclock on a Thursday morning. At the time of our visit all the people who live in the home had just left to visit day centres or go to work experience. We spent time speaking to the registered providers and looking at the outcomes for people living in the home. We looked at a selection of key records and documents this included things like individual written plans of support and staff records. We returned for a second visit on the following Monday to speak to the people living in the home so we could listen to their views. Before we visited the home we had requested an Annual Quality Assurance Assessment (AQAA). This was returned to us within timescales and gave us detailed information about the service. We have taken the information in this document into account as part of this inspection process. We had also asked people living in the home and staff to complete surveys. We wanted them to tell us what they think of the service provided. We received four surveys back, one from a member of staff and three from the people living in the home. People living in the home were assisted to complete the surveys by their relatives. The surveys told us that people were consulted in the home and that they were supported to make decisions about what they do. All surveys indicated that people were happy living in the home and one person said Absolutely brilliant place to live, good friends and good food. What the care home does well:
This is a small family run care home which places an emphasis on providing unobtrusive care and support to the people living in the home. The providers are committed to maintaining a family environment which promotes a relaxed and comfortable setting for people. Prior to a new person moving into the home they have the opportunity to visit and meet current residents and spend time talking to people. Each new person undergoes an assessment of need and the home ensures that this process is supported by the care manager and family members, where possible. Once people move into the service they are supported to access local healthcare support such as dentist, opticians and a G.P. for example. Any specialist needs are identified and people are supported in this area on an ongoing basis. Each person had an individual care plan and these go some way to identifying what the individual need is for the person. The registered providers were clear about the needs of each individual person and what individual capabilities were and what areas people needed support in. We spoke to people using the service. They told us about their experiences of living in the home. All residents told us that they liked living in the home and felt safe. We asked what people would do if they had any problems and people said that they were happy to speak to the providers. People told us that they attend day
Care Homes for Adults (18-65 years) Page 4 of 10 centres and one person also told us that they attend work experience and this enables them to do a job that they enjoy doing. We observed people acting in a relaxed manner and laughing and joking with each other. People carry out small domestic duties and are supported to do this by the registered providers. People living in the service attend day centres on a regular basis and the majority of people go home at least every other weekend. This means that people are supported to maintain contact with their friends and families. One resident is supported on a one to one basis for one day a week, where the time is used to access local community resources. People who live at the home are able to make their needs known at regular house meetings. Currently all residents were planning their annual holiday. The people living in the home told us that they could choose where they wanted to go and everyone said that they were looking forward to the holiday. The annual quality assurance assessment tells us that they provide sufficient qualified staff to support people with their needs. The home is primarily staffed by the registered providers and they are supported by a small staff group. There is a low turnover of staff and the registered provider ensures that they obtain a complete employment history and that staff undergo a Criminal Records Bureau (CRB) check prior to starting work with the residents. New members of staff are supported with induction training. The registered providers have undertaken training in areas such as the Mental Capacity Act, Deprivation of Liberty, medication and health and safety. They have also completed a National Vocational Qualification (NVQ) 4. The Annual Quality Assurance Assessment tells us that all necessary checks are carried out on a regular basis and that there are regular health and safety audits in place. What they could do better:
There was a lack of clear person centred planning on how to support the individual person with their needs. The care plans were clear about the need but did not always fully identify how to meet the need. We spoke to the registered providers about the individual needs for the people living in the home and they were able to demonstrate a clear understanding of each person and also the individual goals either long or short term that people aspired to. Records did not support how these were always achieved or to what progress people had made. It is recommended that the registered providers review how they record the identified ongoing and changing needs of the people living in the home. Only two people receiving the service need assistance with medication and they are supported by the registered provider in this area. We saw that the registered provider is not retaining the medication administration record (MAR) sheets once they have been completed for a period. Records for MAR sheets must be maintained for a certain length of time and we are requiring that the registered provider ensures that this happens. The registered provider told us that they do not maintain actual rotas for the staffing of
Care Homes for Adults (18-65 years) Page 5 of 10 the home as they are primarily on duty. The regulations are clear that records of hours worked need to be maintained and we are making a requirement to this effect. The current application form is quite brief and although the registered provider ensures that they obtain a full employment history, the recruitment checks would benefit from being expanded to include additional declarations required by regulation including the rehabilitation of offenders and a medical declaration. The registered providers have not completed a course in safeguarding vulnerable adults and although they stated that this was referred to in the NVQ course, they need to ensure that they and any staff employed at the home have appropriate training in this area so that they can be confident the people using the service will be fully protected. 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 Adults (18-65 years) Page 6 of 10 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 Adults (18-65 years) Page 7 of 10 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 1 20 13 The registered person shall 30/06/2010 make arrangements for the recording of medicines in the care home. In that MAR sheets are retained. This is so that there are robust records of medicines administered. 2 33 17 The registered person shall 30/06/2010 maintain in the care home the records specified in Schedule 4 of the Care Homes Regulations 2001. In that there are records of the persons working in the home and whether these were actually worked. This is so that there is evidence of the support to residents. 3 35 18 Person working in the care 31/07/2010 home must receive training in the work they to perform. In that the registered provider and staff are trained in safeguarding vulnerable adults.
Page 8 of 10 Care Homes for Adults (18-65 years) 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 This is so people can be confident that they health, safety, welfare and human rights will be protected. 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 Adults (18-65 years) Page 9 of 10 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 Adults (18-65 years) 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 Adults (18-65 years) Page 10 of 10 - 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!
