Inspection on 29/06/07 for 31 Oak Road

This inspection was carried out on 29th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

31 Oak Road 14/02/06

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 Val Daly Unannounced Inspection 29th June 2007 09:30 31 Oak Road DS0000036219.V344730.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 31 Oak Road DS0000036219.V344730.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. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 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 Sillitoe Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 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 and service user 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. Fees charged are dependent on the person’s individual circumstances and range from no charge to £536.00 per week. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by an inspector over one day. As a key inspection, all of the key standards were examined. At the time of the inspection the manager was on leave, and the information and the member of staff on duty provided documentation required. Residents were attending day services. As a key inspection, all of the key standards were examined. A tour of the home took place, resident’s records were examined, records including accidents, complaints and menus were looked at and two members of staff, and the service manager were engaged in discussion about life at Oak Road. The Commission for Social Care Inspection sent a number of questionnaires to the home for residents. At the time of the report being written two questionnaires were returned from residents. Comments from residents include: • All the staff are very nice, they treat me well. • My key worker is good at sorting out any problems. • Staff always listen to what I say to them and help me with my health appointments. • I love everything and everyone at Oak Rd. • I make all my own decisions each day, I tend to do what I like. • If I had a complaint I would see my key worker and he would help me fill out a form. What the service does well: Resident’s care plans are reviewed monthly and show good communication between staff with the resident, their key worker in the home and key worker from the day centre being involved. Residents are involved with their plans of care and sign to show agreement. Short and long-term development plans are in place, primarily these are to make a difference to resident’s lives, to learn, do or achieve. The ongoing plans are within the care planning documentation and are reviewed and evaluated with the residents to ensure effectiveness. Residents have Health Action plans, which are completed by the resident, their family and key worker. Some of the resident’s had pasted pictures within their plans relating to the needs they had. Health needs are identified and action is taken to remedy or assist with any problems. Residents attend day centres during the week, where they have an active timetable tailored to their needs. They each have a ‘home day’, which may be spent sorting finances, personal clothes washing, shopping. In the evenings 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 6 and weekends a variety of activities are available. From reading the residents’ documentation activities such as: bowling, swimming, walking, socialising, going to the local pubs/restaurants, line dancing, karaoke, shopping and trips out were clearly enjoyed. Some of the residents use part of their money to pay for a member of staff from Adult Placement Services to take them out on a one to one basis, walking, swimming, shopping or for a particular interest they may have. The menus showed a good variety of food, each resident chooses the main meal one day a week. On a Saturday evening the residents enjoy a take away meal. 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. The summary of this inspection report can be made available in other formats on request. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 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.V344730.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service have their needs assessed prior to admission. EVIDENCE: Two sets of documentation were examined and they showed that a full assessment had been carried out prior to the person moving into the home. Prospective residents also visit the home, for meals and over night stays over a period of time before they choose to move into the home. The assessment looks at areas such as: preferred recreational activities, personal care, nutrition, dress management, mobility, continence, night time, sensory loss, emotional status, medication and health, independence/leisure, culture/religion and finance. Assessments are reviewed annually. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives. EVIDENCE: Two sets of documentation were examined; they each contained a personal profile of the resident, a pen picture and a care plan. The information was comprehensive, however there was old information within the plans making it difficult to determine the current information. The care plans are reviewed monthly and showed good communication between staff with the resident, their key worker in the home and key worker from the day centre being involved. Residents are involved with their plans of care and sign to show agreement. Within the documentation examined, risk assessments were in place for: bathing, cooking, finances, emotional exploitation, medication and crossing roads. There was evidence to show that the risk assessments were being reviewed, however the gaps between review dates were not consistent. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 10 Each resident also has an essential lifestyle plan with the resident, his or her family, key worker and manager of the day centre being involved. The plan covered areas such as: family/people important, things important, food and drink, things to do, likes/dislikes, healthy and safe, communication, routines, holidays and hopes and dreams. Short and long-term development plans are in place, primarily these are to make a difference to resident’s lives, to learn, do or achieve. The ongoing plans are within the care planning documentation and are reviewed and evaluated with the residents to ensure effectiveness. Short-term developments could be a resident making a purchase on their own, collecting a pension from the Post Office, making their own lunch, generally doing more for themselves. Long-term developments are something that resident’s really would like to do and involve more planning with more stages. An example is voluntary work in a shop in the local hospital and all the processes needed to enable this to happen. To ensure the plans succeed teamwork is needed between the resident and all the people who have involvement. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the services are able to make choices about their lifestyle, and supported to develop their life skills. EVIDENCE: Residents attend day centres during the week, where they have an active timetable tailored to their needs. They each have a ‘home day’, which may be spent sorting finances, personal clothes washing, shopping. In the evenings and weekends a variety of activities are available. From reading the residents’ documentation activities such as: bowling, swimming, walking, socialising, going to the local pubs/restaurants, line dancing, karaoke, shopping and trips out were clearly enjoyed. Some of the residents use part of their money to pay for a member of staff from Adult Placement Services to take them out on a one to one basis, walking, swimming, shopping or for a particular interest they may have. Residents also have an annual holiday if they wish, a favourite place being Scarborough. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 12 Information in resident’s documentation showed that family and friends visit and residents might also spend time out of the home with them. The menus showed a good variety of food, each resident chooses the main meal one day a week. On a Saturday evening the residents enjoy a take away meal. Healthy eating is promoted and is often part of the resident’s health plan. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Medication systems did not protect the people who use the service. EVIDENCE: There was information in the resident’s care plans to show that the personal support needed was given. All residents living in the home have their own General Practitioner. Residents also have Health Action plans, which are completed by the resident, their family and key worker. Some of the resident’s had pasted pictures within their plans relating to the needs they had. Health needs are identified and action is taken to remedy or assist with any problems. The issues highlighted ranged from straightforward needs such as encouraging to clean teeth or they could be more complex such as skin conditions. The plans are reviewed annually. Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. However on examination of the medication administration records a written statement was in place from a member of 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 14 staff stating that paracetamol had been given to a resident. There was no evidence to show that this medication had been prescribed for the resident or agreed by the Dr. In the medication cupboard there were ‘homely remedies’, with resident’s names written on by staff. There was not a policy available for ‘homely remedies. There were some gaps in the medication administration records without an explanation. An immediate requirement was given to the service manager in relation to the safety of the medication systems. Two members of staff interviewed said they have received training for the safe handling of medication and certificates were in place in the training file. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: The home has a complaints procedure and policy in place. There had been one complaints made to the home since the previous inspection. The complaint was investigated and an action plan and risk assessment put in place. The staff team know the residents well and any worries or concerns are discussed and dealt with straight away. The home has an adult protection policy and procedure in place, staffs training files examined showed that training in ‘No Secrets’, the protection of vulnerable adults had been completed. Two members of staff interviewed confirmed they had received the training and knew the procedure to follow in the case of suspected abuse. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 16 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. 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. The physical design and lay out of the home enables people who use the service to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: A tour of the home was carried out. Resident’s bedrooms contained their personal possessions, including electrical items, pictures, ornaments and photographs. The rooms were well decorated, comfortable and individual. The lounge, dining area and kitchen were well maintained and very homely. The home was clean and odour free. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffs in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The home has recruitment policies and procedures in place. Two staff files were examined and the required checks were in place. On commencement of employment each member of staff has a corporate induction followed by a skills for care induction programme, which they work through with a mentor. This process can take up to six months. Staff training files were examined which showed training had been carried out in Adult Protection, Health and Safety, Food Hygiene, Mental Health Awareness and Confusion and Dementia. At the time of the inspection seven out of the eight care staff had achieved NVQ level 3 or above. Two members of staff interviewed had worked at the home for many years; they enjoyed working in a small team, knowing the residents well, being supported by management. The home has a formal supervision system in place with staff receiving supervision every eight weeks. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and has effective quality assurance systems. Fire safety training is required to protect the people who use the service. EVIDENCE: The home has an annual service plan in place and a quality assurance system. Regular audits are undertaken, of the service provided. These include monthly audits of complaints, accidents, maintenance and decoration and regulation 26 visits from the service manager. Staff and resident meetings are held regularly and minutes are kept. Questionnaires are given out to residents annually to determine how well the service is being delivered for them. Staff support the residents with the questionnaires, which cover areas such as: suitability of placement, development for self skills, lifestyle, respect and dignity, choices, friends and family, support/advocacy, new experiences and opportunities, links with other agencies, care plans, key worker. From the responses an action plan 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 19 is formulated to address any suggestions or concerns. The home has health and safety policies and procedures in place. Training files showed that staff has received training in health and safety. However during examination of the training files there was no evidence to show that staff had received training in fire safety. An immediate requirement was given to the service manager regarding the training, which is required to protect the health, safety and welfare of the residents and staff. Staff supports the residents as to their individual needs and wishes, which ensures that their personal, physical and emotional health needs are met. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 20 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 4 23 4 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 4 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 2 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 3 X X 1 X 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 21 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 YA20 Regulation 13 (2) Requirement All medication given to residents must be either prescribed or agreed by their Doctor. There must not be gaps in the medication administration records without explanation. This is required to safeguard the people who use the service. All staff must receive training in fire safety to protect the health, safety and welfare of the residents Timescale for action 10/08/07 2. YA42 23 (4) (d) 10/08/07 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 YA9 Good Practice Recommendations Risk assessments should be reviewed regularly. 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 31 Oak Road DS0000036219.V344730.R01.S.doc Version 5.2 Page 23 - 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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