Random inspection report
Care homes for older people
Name: Address: The Oaks 114 Western Road Mickleover Derby DE3 6GR 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: Rehana Rashid Date: 0 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: The Oaks 114 Western Road Mickleover Derby DE3 6GR 01332510447 01332519786 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Teresa Clare Boyce Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Hassan Khan,Ms Teresa Clare Boyce care home 28 Number of places (if applicable): Under 65 Over 65 28 dementia Conditions of registration: 0 The home accommodates both service users outside the current age category and current registration Older People (OP) for the duration of their stay. Date of last inspection Brief description of the care home The Oaks is a detached home, which has been adapted and extended to provide nursing care for up to 28 older people with dementia. The home is situated in the residential area of Mickleover. The home has 26 single bedrooms all with an en-suite facility and 1 double bedroom. The home is set within its own well kept, pleasant gardens, which are secure. There are registered nurses on duty 24 hours per day. The fees charged at the time of this inspection visit ranged from £497.00 per week.
Care Homes for Older People Page 2 of 9 1 5 0 2 2 0 1 0 What we found:
The purpose of this Random unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of Inspection activity and in preparation for the registration transfer under the Heath and Social Care Act 2008. The last key inspection was carried out 15 July 2009 when the current quality rating was made. A random unannounced inspection took place on 15 February 2010 to check compliance with the requirements made at the last key inspection and safeguarding information received from Derby City Council. The deputy manager was in charge of the service on the day of this visit. The deputy manager was available at this inspection to provide any information and documents requested. The registered manager/provider was at the service during the inspection visit and also provided information for the inspection. At this inspection visit we briefly case tracked one person who lives at the service. Case tracking is used to establish if the needs of the people living at the home are being appropriately assessed and their needs are being catered for. We also looked at the support plans and other documents relating to the persons care. Two members of staff were spoken with and their views and opinions of the care provided, the support and training given to them is included within this report. We also sent out surveys asking for views about the care and support people receive at the home. Surveys were sent out to members of staff working at The Oaks. We received six surveys back from people who use the service, these surveys were completed with the assistance of their relatives. We had four completed surveys back from staff. The comments from the surveys are also reflected in this inspection report. Discussions with the people living at the home were limited, as many people were unable to express their views of the service provided due to their mental health needs. Observations of the care and support provided were undertaken throughout the inspection visit. Six relatives and friends were spoken with at the inspection visit. The information provided in these discussions is included in this report. We were given a brief tour of the home. This enabled us to assess if the environment was maintained, suitable for its stated purpose and we checked a random sample of radiators to make sure they were in working order due to issues raised at the previous inspection. What the care home does well:
In the surveys we received everyone told us that there is someone that they can speak to informally at the home if they are not happy. Two people stated they did not know how to make a formal complaint and the other four people knew how to make a formal complaint. We looked at the services complaints procedure, which showed how complaints and concerns are dealt with. Since the last inspection the Care Quality Commission received three concerns about the service, at the time of this inspection
Care Homes for Older People Page 3 of 9 these had been resolved. Two members of staff we spoke with demonstrated to us that they had an basic understanding of their responsibilities if there was an allegation or suspicion of abuse. Staff training records for care staff showed that they had undertaken training in safeguarding adults. Since the last inspection there has been one safeguarding referral made to the local authority by the Care Quality Commission, at the time of this inspection the outcome of the referral was not known. Comments from relatives in the completed surveys about what the home does well included the home keeps me informed about my relatives care, I feel that the home has improved in the past few months and at this moment in time we are pleased with the care provided. Relatives at this inspection told us that the staff are friendly and welcoming. The environment was clean and generally well maintained. During the inspection we observed a member of staff carrying out domestic tasks. Since the last inspection two of the lounges have been refurbished. In three of the surveys we received from people who live at the service, they told us that the home is always fresh and clean. Whilst the other three people stated that the home was usually clean and fresh. Relatives we spoke with at the inspection told us that the home is clean. At the last inspection a safeguarding investigation took place due to concerns raised by a family around the the failures of the homes central heating system leaving a bedroom cold over a extended period. Initially when we arrived at the home which checked a few radiators in the corridor and two bedrooms located near the laundry room. These radiators were cold, the deputy manager told us that the heating system was on a timer. Two bedrooms we viewed had thermometers on the wall and records viewed showed that room temperatures are taken daily. During the inspection we checked the radiators again in this area the heating was on and radiators were warm. We looked at the gas safety inspection report which confirmed that the gas system was last serviced May 2010. we looked at the recruitment and training records for one member of staff, records we looked at showed that practices had improved since the last inspection. All preemployment checks had been completed which ensures staff employed at the service were safe to work with people at the service. In the four staff surveys we received, all staff stated that their employer carried out the necessary checks such as references before they commenced employment. They also told us that they have undertaken training which is relevant to their roles and helps them understand and meet the individual needs of the people at the service. Training records viewed for the care staff showed that they had undertaken training in moving and handling. Since the last inspection we have been receiving regulation 37 notifications from the home telling us about incidents at the home. What they could do better:
In the file of the person case tracked care plans had been reviewed, however since admission the persons falls risk assessment had not been reviewed. Information received by the Care Quality Commission from the home in the form of notifications and information on the accident records showed that this person has had further falls since
Care Homes for Older People Page 4 of 9 they moved into the home. Discussions took place with the registered manager/provider regarding these falls. Prior to this inspection visit notifications received by the home were reviewed. From February 2010 to may 2010 we received twelve notifications regarding falls. Since the last key inspection the registered manager/provider has been auditing falls on a weekly basis. There was no evidence available to confirm what the service were doing to manage the number of falls at the home. There was no information on the records to confirm what action the service was taking to minimize the risk of falls. We also found that some of the falls recorded should have been referred to the local authority as safeguarding alerts this had not happened. Two members of staff we spoke with did not realize that the lead investigating agency in safeguarding adults referrals and investigations was the local authority. A radiator near the laundry room was leaking and towels were placed below the leak. The deputy manager told us that the plumber had been contacted about this. The service did not have a training matrix in place which made it difficult to establish what training staff had completed without looking at the staff files. On two occasions a member of staff was observed entering peoples bedrooms without firstly knocking on their doors. Comments on one survey about what the home could do better included that the laundry system needs to improve, ensuring peoples clothes are not lost. 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 38 13 All care and nursing staff 31/05/2010 working at the home must achieve competence regarding their skills in safe moving and handling, and in compliance with the requirements of Derby City Councils recent audit. This is to ensure that all staff are following the correct moving and handling procedures. Care Homes for Older People Page 6 of 9 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 8 13 The registered person must 30/07/2010 ensure that risk assessments such as mobility, risk of falls should be reviewed on a regular basis and appropriate actions must be put in place for any identified risk. To ensure people using the service are supported in a safe way. 2 8 13 The registered person must 30/07/2010 ensure that following the falls audit, where trends emerge or areas of concerns are highlighted. Appropriate actions must be put in place for any identified risk. This will ensure the safety and well being of people at the service. Care Homes for Older People Page 7 of 9 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 16 The registered provider should keep a record of all complaints made by people living at the service, their representatives/relatives. The registered person should ensure that all staff employed at the home read the local authority guidance and policy on safeguarding adults which will ensure they are aware of the practice to follow. The registered person should ensure that there is training matrix in place. This will ensure that staff can be identified who may not have undertaken training in a certain area or if they require refresher training. 2 18 3 30 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
