Inspection on 14/02/06 for 31 Oak Road

This inspection was carried out on 14th February 2006.

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

31 Oak Road 29/06/07

31 Oak Road 23/08/05

31 Oak Road 04/10/04

31 Oak Road 06/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 31 Oak Road Eaglescliffe Stockton-on-Tees TS16 0AT Lead Inspector Julia Connor Unannounced Inspection 14th February 2006 13:30 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 31 Oak Road Address Eaglescliffe Stockton-on-Tees TS16 0AT 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) 01642 528611 Stockton-on-Tees Borough Council Mrs Elizabeth Johnson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Oak Road is a six-bedded care home providing long term care for younger adults with a learning disability. It is situated in a small council housing estate and blends well with surrounding properties. Resident accommodation comprises on the first floor of one double bedroom and four single bedrooms. The ground floor accommodation includes a lounge/dining room, a separate lounge and a domestic style kitchen. There is a small garden to the front and a larger one to the rear of the property, which is laid to lawn. The home is close to local amenities and has easy access to the public transport system. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over two visits. On the first visit the inspection commenced at 1.30 p.m. and concluded at 3.30 p.m. One the second visit the inspection commenced at 10.55 a.m. and concluded at 1.30 p.m. Three Residents’ and two members of staff were spoken to during the inspection. There were no visitors’ to the home at the time of the inspection. What the service does well: What has improved since the last inspection? The home has a Statement of Purpose and Service User Guide in place that contains the required information. Care documentation and risk assessments have been developed and are reviewed appropriately. An Adult Protection Policy and Procedure is in place, which complies with the No Secrets Protection of Vulnerable Adults guidance. Window restrictors are in place on the first floor bedroom windows’. An effective quality assurance and monitoring system is in place. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 6 All staff receives regular formal recorded supervision six times per year. The lounge has been redecorated and the back fence has been repaired and re-stained. 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. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 the following standard(s): 1 and 2 Prospective Residents have the information they need to make an informed choice about where to live. Residents’ needs are assessed prior to their admission to the home. EVIDENCE: The home has a statement of purpose and a Service User Guide, which can be accessed by anyone who wishes to know what facilities and services the home offers. Two Residents’ files were audited and showed that, prior to admission, the Residents’ had received a comprehensive and detailed assessment. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 the following standard(s): 6 and 9 Residents’ know that their changing needs and personal goals are reflected in their individual plan and they are supported to take risks as part of an independent lifestyle. EVIDENCE: Two Resident care files were audited and both contained care plans and risk assessments that had been reviewed appropriately. The Residents’ and staff are currently completing learning disability service plans. The Inspector evidenced a plan, which the Resident had completed by cutting out pictures to show what areas the plan covered. This Resident had written what her illness meant to her and how the staff could support her. Another Resident was observed to be personalising her plan by adding glitter and pictures to the front cover; this Resident informed the Inspector that she liked to colour and paint. Care plans and risk assessments had been signed by the Resident or their next of kin as well as their key worker. Daily statements contained an account of how the Resident had spent his/her day. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 and 17 Residents’ have opportunities for personal development and are part of the local community. Residents’ are able to have personal relationships and their rights are respected. Residents’ eat a healthy diet, which they enjoy preparing. EVIDENCE: The Residents’ documentation, followed by discussion with the Residents’ confirmed that they had opportunities for personal development. The Inspector was informed that the Residents’ attend day centres and have a ‘home base’ day, which they use to do their shopping or attend appointments. On the first day of the inspection a Resident told the Inspector that she had an opticians appointment and then intended to go shopping for a CD or DVD. This Resident also informed the Inspector that she liked to visit the airport (with a member of staff) for a cup of with coffee. Residents’ engage in personal relationships if they so choose. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 11 On the day of the inspection the kitchen was clean and tidy. The Residents’ are encouraged to shop for their own meals and then prepare the food with the support/supervision of the staff. The Inspector was informed that the Residents’ have a ‘take out’ on a Saturday evening instead of cooking. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 12 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 Residents’ receive personal support in the way they prefer. EVIDENCE: The Residents’ who spoke to the Inspector were happy with the personal support they received from the staff. On the first day of the inspection a Resident was attending an opticians appoint and then going shopping. On the second day of the inspection another Resident was going shopping. A male Resident enjoys doing ‘odd jobs’ and is currently renovating furniture and doors. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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): 23 Staff is aware of the action to take should an allegation of abuse be made. EVIDENCE: There is a policy and procedure for dealing with allegations of abuse. A policy for physical intervention is now in place. The home has a copy of the Teeswide Guidance for the protection of Vulnerable Adults. Staff is aware of the action to take should they witness or be informed of any form of abuse. Staff has received training in the protection of vulnerable adults. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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): 24 and 30 Residents’ live in a homely, comfortable and safe environment, which is clean and hygienic. EVIDENCE: On the day of the inspection the environment was homely and comfortable. The bedroom windows have restrictors in place. The lounge has recently been decorated and is attractive and comfortable and the Residents’ were involved in choosing the colour scheme and accessories. Residents’ bedrooms are personalised to the individual Residents’ wishes. On both days of the inspection the home was clean and tidy. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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): 34, 35 and 36 The Residents’ are protected by the home’s recruitment practices and staff receives training to ensure the needs of the Residents are met. Staff receives regular formal supervision. EVIDENCE: Three personnel files where audited and all contain the required information as stipulated in Schedule 2 of the Care Home Regulations 2001. An audit of three training files showed that the following training has taken place: • Manual Handling. • Care of Medicines. • Food Hygiene. • Fire safety. • No Secrets – Protection of Vulnerable Adults. There was evidence in the personnel files to show that staff now receives regular formal supervision. Staff who spoke to the Inspector confirmed that they received regular formal supervision. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 The Residents’ and staff benefit from a well run home and Residents’ are confident that their views are listened to and acted upon. The health, safety and welfare of the Residents’ and staff are promoted and protected. EVIDENCE: The staff spoke well of the Manager. The interaction between the Residents’ and Manager was observed to be caring and supportive. There is a quality assurance and monitoring system in place which includes Residents’ meetings, which are held weekly. Regualtion 26 visits are forewarded to the Commission for Social Care Inspection. The Manager had recorded in the pre-inspection questionnaire that equipment was maintained as required for example the emergency lighting had been serviced in October 2005 and the fire equipment was checked in November 2005. Health and safety policies and procedures are in place. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 17 Staff have received training in health and safety, for example fire safety and food hygiene. 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 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 3 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X 3 X X 3 X 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 31 Oak Road DS0000036219.V282474.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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. 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