Inspection on 30/08/05 for 27 Larchwood Close

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 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

27 Larchwood Close 10/07/07

27 Larchwood Close 05/10/06

27 Larchwood Close 24/01/06

27 Larchwood Close 05/01/05

27 Larchwood Close 10/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Oaktrees Warboys Road Oldhurst Cambridgeshire PE28 3AA Lead Inspector Jenny Cangy Unannounced 31 August 2005 @ 14:00 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 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 Stationary 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. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oak trees Address Warboys Road Old Hurst Cambridgeshire PE28 3AA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01487 822878 01487 822878 Caretech Community Services Limited Ann Footit Care Home 6 Category(ies) of Younger Adults with a learning disability LD 6 registration, with number of places Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31/01/05 Brief Description of the Service: Oak Trees is a large detached house situated at the end of a Cul De Sac in the attractive village of Old Hurst. The home is set back from the road in mature tree lined gardens.There is a secluded rear garden giving service user a private, safe outdoor space. Bedrooms are found on the ground and first floors and are all single. There is a large conservatory providing a lounge, a dining area and an additional lounge. All bedrooms are single occupancy and are decorated to reflect the occupants personalities. The village amenties are within walking distance but these are limited. All other amenities in local towns of St Ives, Huntingdon and March are accessed by the homes transport or local bus service. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A support worker who noted the inspector’s identity badge and asked her to sign the visitors’ book admitted the inspector. The inspection commenced at 14.00. The manager was on holiday and the deputy manager conducted the inspection. On arrival two service users were spoken to before commencing a review of the National Minimum Standards (NMS) with the deputy manager. It was noted that two service users were out with staff and four were at home. Two care plans and the medication records were examined. The staff recruitment and training policies were discussed and training records examined. A tour of the home was undertaken and two more service users were met and spoken to. All the staff on duty were spoken to in the course of the inspection. What the service does well: What has improved since the last inspection? New flooring has been laid in the conservatory, lounge and downstairs cloakroom/toilet. A programme of redecoration has commenced and all carpets not replaced have been cleaned. All hot water taps accessible to service users have thermal mixer valves fitted to ensure a safe water temperature. Some furniture has been replaced. Standard records have been updated. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 6 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. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 8 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 standard(s) 1,2&5 All service users have access to the statement of purpose and service user guide and are aware of the service they can expect. EVIDENCE: A statement of purpose, service user guide and copy of the contract of care are contained within each service users care folder. The inspector saw these. The statement of purpose and service user guide is also displayed on the service users’ notice board. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 9 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 standard(s) 6,8 &9 Service users are involved in all aspects of planning their care and support and are able to make choices. EVIDENCE: Care plans are very informative about service users likes and dislikes and preferences in all aspects of their lives. These are updated as required and reviewed informally every month. A formal review takes place every six months internal to the home. A review to which all interested parties are invited takes place annually. The service user is involved in all these. The home has regular service user meetings to ensure their views are known and acted on. All activities are risk assessed and the acceptable level of risk recorded in the care plan. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 10 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 standard(s) 11,12,13,14 &17 Staff strive to ensure the service users lead the life they choose and have fulfilling lives. EVIDENCE: Day services are provided within the house and participate in wide and varied activities from the basics of shopping and cleaning to full participation in the local community. This includes local education, swimming, going to the gym, use of sensory rooms and accessing the community for social activities such as cinema, pubs and restaurants. Service users are supported and enabled to be as independent as their disability will allow including using public transport independently. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 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 standard(s) 19,20&21 All service users have their health care needs met including having their wishes regards ageing death and dying known and recorded. EVIDENCE: Staff enable service users to regularly access all healthcare services such as doctors, dentists and opticians. Medication records are well maintained using a Monitored Dose System. One service user is an insulin dependent diabetic and staff enable him to administer his own injections. The individual care plans contain appropriate information about health care and medication and have a plan in place for illness, ageing and death. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 12 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 standard(s) 22&23 Some improvement is needed in recording and resolving complaints. Service users are protected from potential abuse. EVIDENCE: A complaints record book is in use. However this was found to be incomplete and no record of action and outcome recorded. The deputy manager assured the inspector the complaints had been dealt with to the satisfaction of the service user but this could not be evidenced. All staff either have had or are due to have training in the protection of vulnerable adults (POVA) and recognising abuse. The manager has sought advice from the local POVA team in the past. The service users are allocated monthly time to talk to enable them to discuss any worries. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 13 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 standard(s) 24,25,26,28&30 The environment of the home is suitable for the needs of the service users. EVIDENCE: The house provides a homely environment for the six people who live there. Redecorating is done as needed and recently some areas have had new flooring laid. All bedrooms are single occupancy, sufficiently spacious and reflect the personality of the occupant. The communal areas are well furnished and provide plenty of space. All areas of the home were found to be clean and free from offensive odours. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35&36 The staff team is appropriate to meet the needs of the service users. EVIDENCE: All staff have clear job descriptions and act as key workers to named service users. The manager and her deputy ensure that staff have formal supervision at least 6 tomes per year and formal record are kept. The home has a recruitment policy that ensures all staff have two written references and a POVA and Criminal Records Bureau enhance check prior to commencing employment. New staff have a formal induction programme. Staff training is freely available and appropriate to the needs of the service. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,39,42 &43 The home is well managed with the support of an area manager from the organisation. EVIDENCE: The manager is accessible and supportive to her staff and the service users. Service users views are sought in all areas in relation to the running of the home. Health and safety training is given and all areas of the home have risk assessments and monthly audits. Staff have training in fire safety, basic food hygiene and first aid and records show this to be up to date. There are monthly quality audits by the area manager and a six monthly quality audit by an independent auditor. Contracts are in place for regular servicing of fire safety equipment, electrical appliances and boilers. The manager has a budget to work to and budgetary advice is available. Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oaktrees Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 3 3 I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 17 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. Standard 22 Regulation 22(4) Shedule 4(11) Requirement The registered person must ensure that all complaints are fully investigated and that the complainant is notified in writing of the out come of the investigation within 28 days of the complaint. All complaint records must be kept up to date and completed in full. Timescale for action with immediate effect RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 18 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Oaktrees I03 I53 S15115 OAKTREES V242286 120805 STAGE 4.doc Version 1.40 Page 19 - 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!