Inspection on 19/02/07 for Oakhouse Residential Care Services

This inspection was carried out on 19th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakhouse Residential Care... 27/01/06

Oakhouse Residential Care... 13/10/05

Oakhouse Residential Care... 28/01/05

Oakhouse Residential Care... 06/07/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Oakhouse Residential Care Services 69 Station Road Finchley London N3 2SH Lead Inspector Margaret Flaws Key Unannounced Inspection 19/02/07 11:00 Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 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 Oakhouse Residential Care Services DS0000010466.V303573.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 Adults 18-65. 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. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakhouse Residential Care Services Address 69 Station Road Finchley London N3 2SH 020 8346 0666 020 8346 0666 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 Bernadette Oyindamola Thomas Mrs Bernadette Oyindamola Thomas Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 2 people of either gender who have a mental disorder, excluding learning disability or dementia (MD) or a learning disability (LD). 27th January 2006 Date of last inspection Brief Description of the Service: Oakhouse is a small private care home registered to provide care for two people with learning disabilities. The home is owned by Mrs Bernadette Thomas. The house is divided into two flats. The two service users have a large single bedroom each and share the communal lounge, kitchen and bathroom. There is a pleasant garden to the rear as well as a patio area with seating. Mrs Thomas lives in a flat on the first floor and has a small office within her flat for the purposes of running the home. Oakhouse is in an attractive residential area close to shops, services and a tube station. Fees for the home range from £582-£717. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. It was undertaken by Inspector Margaret Flaws, as part of the routine schedule of inspections for the home. The Registered Person and the two service users were spoken to. No relatives visited during the inspection. A tour of the buildings and grounds, inspection of service user files, general home records and policies and procedures formed the basis of the inspection. Four new requirements were made on this inspection. What the service does well: 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 contacting your local CSCI office. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Any prospective new service users could be confident that their needs will be fully assessed. EVIDENCE: Both service users have lived at the home for several years. There have been no new referrals. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know that their care is in good hands and is planned consistently with full consultation. Any risks to them are regularly re-assessed. EVIDENCE: Service users’ care plans and risk assessments are reviewed and updated regularly, and on an as and when basis. The daily notes for each service user were in good order and demonstrated sound input by the Registered Person in supporting the service users. The inspector spoke to the service users individually. They described how the Registered Person helped them on a daily basis and said that they were very happy living at the home. They said that they were free to make their own decisions in all aspects of their lives. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 ,14, 15, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities to take part in appropriate activities and pursue lifestyles of their choice. They participate in their local and identified communities, maintain family relationships as they choose and eat well. EVIDENCE: The service users described their daily lives to the inspector. Both have active friendships, participate in a range of social activities and attend church. One service user attends college, undertakes health promotion and is an active lobbyist for the needs of people with learning disabilities. The other service user attends day centre and does voluntary work. The service users and the Registered Person spend quality times together, for example, going out for meals and celebrating special occasions. They hold monthly meetings. The service users’ flat has a fully equipped kitchen. One service user cooks regularly. The Registered Person provides a varied and healthy diet, the daily Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 10 menus created together are interesting and they all share a Sunday roast lunch together. Both service users do their own small scale daily shopping and go with the Registered Person to do the main weekly shop. The Registered Person is working with the service users to review their diets. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate personal support according to preference, their health needs are met and their medication is safely managed. EVIDENCE: The Registered Person provides some degree of personal care to each service user and other support in the manner of prompting where needed. Both service users said that she treated them with respect and sensitivity. The Registered Person, who is also a Registered Nurse, knows the service users’ healthcare needs very well and can assess changes on a daily basis. Health checks and appointments are regularly organised. The service users’ care plans provide detail of how their physical and mental health needs are met. Community Mental Health teams, Learning Disabilities teams and a psychologist, provide ongoing support. There are continence issues that need addressing and a requirement is given that a continence nurse reviews these. One service user was admitted to hospital for an operation earlier this year but has recovered. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 12 Boots Chemist provides medication and pharmaceutical services to the home. Medication blister packs are made up and delivered monthly. The service users administer their own medication with prompting from the Registered Person. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear complaints procedure to support service users, alongside the home’s adult protection policies and procedures. EVIDENCE: The complaint book was examined. There have been no complaints since January 2005. The home has a sound adult protection policy. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a clean, safe and well maintained home. EVIDENCE: The inspector visited the main communal area of the service users’ flat and spoke to them privately. The communal and private spaces were attractive, clean and comfortable. The bedrooms were pleasantly furnished and highly personalised. One bedroom has patio doors opening onto a very pleasant garden. A smoke alarm in one service user’s bedroom was broken at the time of the inspection. This must be repaired and a requirement is given. The chair in this room is also worn and needs replacing. A cleaner cleans the flat weekly and the service users do day to day cleaning and tidying. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Service users are very well supported by the Registered Person, who is very competent for the role. Holiday back-up relief is provided by trained care workers. EVIDENCE: The Registered Person is the main carer and has a lifelong background in nursing and nurse training. She lives in the first floor flat and is available for the service users 24 hours a day. She is supported by a small group of holiday relief care workers when she goes on holiday, The relief care workers know the service users well and are able to meet their needs. Two are registered nurses. The Registered Person continues to update her statutory training. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by well qualified and committed Registered Person. The service users know that they are in safe hands, in a well managed home. Health and safety standards are good and appropriate. EVIDENCE: The Registered Person has successfully completed the Registered Manager’s Award. She is congratulated on her achievement. There is a sound policy and procedure for managing the service users’ looked after money, which is appropriately implemented. The home has a sound process for quality assurance. The health and safety certificates for the home were examined. Gas and Public Liability Insurance were in order but the home requires an Electrical Inspection and its portable appliances checked. A requirement is given. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 17 There have been no recorded accidents or incidents since the last inspection. The fire drill records were inspected – fire drills are held monthly and the fire alarm is tested weekly. The home has a fire evacuation plan and a fire risk assessment for the service user who smokes in the bedroom. Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 x 27 X 28 x 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 2 3 Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 19 No Are there any outstanding requirements from the last inspection? 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 2 3 4 Standard YA19 YA24 YA24 YA42 Regulation 35 23(2) 23(2) 23(2) Requirement Timescale for action 30/04/07 The Registered Person must ensure that a continence nurse is consulted. The Registered Person must 30/04/07 ensure that a worn chair is replaced. The Registered Person must 31/03/07 ensure that a broken smoke alarm is repaired. The Registered Person must 31/03/07 ensure that electrical testing is carried out and certificates obtained. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 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 Oakhouse Residential Care Services DS0000010466.V303573.R01.S.doc Version 5.2 Page 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. 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