Inspection on 19/12/05 for Five Oaks

This inspection was carried out on 19th December 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

Five Oaks 09/01/07

Five Oaks 22/06/05

Five Oaks 14/12/04

Five Oaks 19/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Five Oaks Capplerigg Lane Bonningate, Crook Kendal Cumbria LA8 8JY Lead Inspector Mrs Margaret Drury Unannounced Inspection 19th December 2005 10:00 X10015.doc Version 1.40 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 Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 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 Older People. 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. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Five Oaks Address Capplerigg Lane Bonningate, Crook Kendal Cumbria LA8 8JY 01539 821214 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 Gillian Gibson Mr David Gibson Mrs Gillian Gibson Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: Five Oaks is a care home providing social care and accommodation for up to three older people. The home is owned and operated by Mrs Gillian Gibson. Five Oaks is situated on the outskirts of the small village of Crook, close to the town of Kendal. There are uninterrupted views over the open countryside of the Lake District. Accommodation for residents is all at ground floor level and the bedrooms have en-suite facilities. Communal space provides lounge and dining facilities and there is a conservatory overlooking the garden to the side of the house. There is a communal bathroom that has a hoist bath seat. The home is furnished and decorated to a very high standard and the large landscaped gardens provide seating areas for the residents. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, which took place over one morning. It was the second inspection of the year and the standards not assessed on this occasion were assessed and met on the previous visit that took place earlier in the year. During the inspection time was spent with the manager looking at care plans and other records to do with the running of the home and care of the residents. The inspector was able to speak with residents and all parts of the home were looked at. What the service does well: What has improved since the last inspection? The manager is constantly looking at ways to provide in house training for herself and the other member of staff. Training videos have been purchased and have proved useful. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 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. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Residents benefit from a detailed contract and resident guide that outlines their rights and the facilities offered at the home. Residents and their families benefit from discussions about the level of care provided, which ensures they know the assessed needs can be met. EVIDENCE: The home has a nicely presented statement of purpose that outlines the facilities on offer. All residents have a contract and terms and conditions, a copy of which is kept on file. All prospective residents and their families are invited and encouraged to visit the home prior to admission. This gives opportunity to look at the home and decide whether or not the assessed needs can be met. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 & 11 Residents benefit from a care plan system that ensures their needs can be met in such a way as to preserve their dignity and privacy at all times. EVIDENCE: The home has a good care planning system and the inspector was able to examine both of the care plans during the visit. They were found to be very informative, with details of the care needs, healthcare visits/appointments and a moving and handling assessment. Reviews were up to date with the family members being involved. The policy for handling the death of a resident is clear with residents’ wishes recorded on the care plans. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 & 15 Service users benefit from being able to express their wishes about how to spend their time and are given the choice about whether or not to join in any activities that may be organised. EVIDENCE: There are currently only two residents living at Five Oaks and the inspector was able to speak to both of them during the visit. They both agreed they like living at Five Oaks because the home was small and they could choose how to spend their day. Although the accommodation is on the ground floor with the communal areas they choose to spend most of the day in their rooms, which is exactly how they like it. The meals are varied and the manager is able to cook what the residents like and so the menus are prepared on a daily basis. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Residents’ legal rights are protected by family involvement and the opportunity to take part in the electoral process. EVIDENCE: Both residents currently living in Five Oaks have family members who are willing and able to look after their affairs on their behalf. This they do in consultation with the manager. The manager is aware of the advocacy service should this ever be required. Family members assisted the residents with the electoral system via the postal method. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21, 22 & 25 The standard of the environment both externally and internally in this home is excellent, providing residents with an attractive, warm and comfortable place in which to live. EVIDENCE: All the residents’ rooms have en-suite facilities and there is a communal bathroom with an electrically operated bath seat. There are also other aids round the house to assist any resident with a physical disability. The internal decoration is of a very high standard and the gardens provide safe sitting areas during the summer months. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 28 Residents benefit from a small staff team that is able to provide a high level of personal care and support. EVIDENCE: The registered manager and one other part-time carer, who has worked at Five Oaks for a number of years, provide personal care and support to those living in the home. The residents told the inspector that this was one of the pleasures of living there. They both said that they much preferred to live in a very small home because it was like “living as part of a family”. A carer from a local agency comes in one morning each week to help with bathing one of the residents. It is always the same carer so there is some continuity of care. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 35, 36 & 37 The manager has an excellent understanding of the residents’ support needs. This is evident from the positive relationship she has with those living in the home. EVIDENCE: The manager has a very clear understanding of the residents’ needs as they have lived in Five Oaks for a number of years. She ensures the best interests of the residents are served and provides exactly the level of care they want and need. She works with her husband and the accountant to ensure the viability of the home and makes certain all the records are kept up to date. She meets with the other member of staff on a regular basis and the inspector was able to examine a record of the supervision meetings. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 15 The home does not hold any monies on behalf of the residents as family members provide any personal cash required. Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x X X 3 3 X X 3 x STAFFING Standard No Score 27 3 28 3 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X x 3 3 3 3 X Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 17 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 Five Oaks DS0000022625.V267719.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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