Inspection on 22/06/05 for Five Oaks

This inspection was carried out on 22nd June 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 19/12/05

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 Margaret Drury Unannounced 22 June 2005 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 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 F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 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 Care Home 3 Category(ies) of OP - Old Age registration, with number of places Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 December 2004 Brief Description of the Service: Five Oaks is a care home providing social care and accomodation 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. Accomodation for residents is all at ground floor level and all 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 which 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 F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one afternoon. During the inspection time was spent talking with the manager and the residents who were relaxing after lunch. Records were inspected and all parts of the house and gardens were looked at. What the service does well: What has improved since the last inspection? What they could do better: The care and support given to the residents continues to be of a very high standard and the manager is always looking for ways to improve the care. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 6 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 F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 standard(s) 1, 3 &4 Information provided to prospective residents and their families is sufficient to enable choices to be made about where to live. Residents benefit from individual care and support and close contact with family members means they know the home is able to meet the assessed needs. EVIDENCE: The home provides a comprehensive brochure outlining the facilities on offer in the home. Although Five Oaks is only small there is a full assessment process prior to admission with a copy of the assessment held on file. Close contact with family members and visits to the home gives an assurance that all the assessed needs can be met. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, & 10 The service users benefit from a care planning system that is reviewed on a regular basis. The medication is well managed and administered promoting good health. EVIDENCE: The care plans contain information relevant to residents needs and are updated on a regular basis. As the residents do not wish to be involved with the care planning process the manager conducts twice-yearly reviews with a family member. The arrangements for storing and administration of medicines were safe and well organised. Healthcare needs are met through G.P. visits and the services of the district nurse when required. Residents said that the manager looked after them so well it was like living at home. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 standard(s) 12, 13, &14 Residents benefit from daily consultation about how they want to spend their day. Family contact is encouraged and visitors are made welcome. EVIDENCE: The manager and other member of staff talk with the residents about their wishes and preferences and offer recreational activities. These are generally refused, as the residents prefer to sit in the lounge or their bedroom. They all said they can choose how to spend their day and whether or not to go out if they are asked. Family and friends visit the home on a regular basis and all are made welcome and offered refreshments. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 standard(s) 16 & 18 Residents benefit from a complaints procedure and a policy in respect of the protection of vulnerable adults. EVIDENCE: Residents are given the information about how to make a complaint but they all said they would prefer to speak to Gillian if they had a matter to discuss. There policy in respect of the protection of vulnerable adults ensures the safety of the residents. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 standard(s) 19, 20, 23, 24, 25 &26 Continual investment means there is a comfortable and safe environment for those living in and visiting the home. EVIDENCE: The standard of the décor and furnishings is extremely high. The communal areas are bright and airy and the well-maintained gardens provide extra sitting and recreational space. All the bedrooms are single, one having an en-suite toilet and washbasin and the others en-suite shower, toilet and washbasin. The home is extremely clean and hygienic. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 &30 Residents benefit from individual care provided by the manager and one other member of staff. EVIDENCE: The manager is well supported by the other member of staff and carers from a local agency who visit the home twice weekly to assist with bathing. Criminal Record Bureau checks have been completed for all working in the home, providing protection for the residents. The manager has introduced training courses for herself and the other member of staff, details of which are held on file. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, & 38 The residents benefit from living in a home operated by an experienced owner/manager who provides a safe and secure environment. Health and safety practices ensure the safety and welfare of the residents. EVIDENCE: The owner/manager has operated the home for a number of years and provides a safe and secure environment. Because of the size of the home, it is possible always to ensure the home is always run for the benefit of the residents. This is achieved by ensuring personal choice at all times. Residents said Gillian was like a member of their family. Health and safety training has been completed thus ensuring the health and safety of the residents. Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x x 3 Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 16 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 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. 1. Refer to Standard Good Practice Recommendations Five Oaks F58 F10 s22625 five oaks v232514 220605 ui stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Parkl 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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