Inspection on 26/07/05 for Iris Hayter House

This inspection was carried out on 26th July 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

Iris Hayter House 03/09/07

Iris Hayter House 17/01/07

Iris Hayter House 14/02/06

Iris Hayter House 28/02/05

Iris Hayter House 26/08/04

Iris Hayter House 17/02/04

Iris Hayter House 14/08/03

Iris Hayter House 15/08/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 IRIS HAYTER HOUSE 43 Sandford Road Littlemore OXFORD OX4 4XL Lead Inspector Julian Griffiths Unannounced 26 July 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 and 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. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service IRIS HAYTER HOUSE Address 43 Sandford Road, Littlemore, Oxford OX4 4XL 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) 01865 749560 Oxfordshire Group Homes Ltd Mrs Rachel Bronwyn Whitehall Care home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental disorder, excluding of places learning disability or dementia - over 65 years of age (13) IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 28 February 2005 Brief Description of the Service: Iris Hayter House opened in 1988 and is the only care home in Oxfordshire operated by Oxford Group Homes. It is able to accommodate 13 people with enduring mental health needs, some of whom are getting on in years. The accommodation is all on the ground floor. Day care and respite care are not provided and people move to the home on a permanent basis. The home has recently been extensively refurbished. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which means that the home had no prior notice of the inspector’s visit. The inspector was in the home from 9.20am until 1.20pm. During this time he met and talked with residents, staff and the manager, visited many parts of the premises, watched staff at work, looked at some written records and joined residents and staff for a meal. Residents and staff gave the inspector a warm welcome and were friendly, open and helpful throughout. Overall the inspector concluded that the home continues to provide residents with a high standard of support. All who talked with the inspector spoke highly of the accommodation, the staff and the food provided, and said that they were able to choose how to spend their time. Residents seemed to be confident and at ease, and to have good relationships with staff. Staff were seen to be respectful and attentive towards residents. Accommodation seen was of a good standard. What the service does well: Residents’ needs and wishes are set out in individual written plans. Residents are supported to take reasonable risks if they choose to. Staff support residents to be part of the local community to the extent they wish. Staff help residents to pursue leisure activities if they wish. The home welcomes visitors and where possible residents’ contact with their families is maintained. Residents’ rights are respected in their everyday lives. Residents are given choices about the food they are given and they enjoy their meals. Residents are looked after in the way they need and want. Residents live in a homely, comfortable, accessible and safe environment. Residents are happy with their bedrooms, the toilets and bathrooms and the communal areas of the home. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 6 The home is clean. Residents are happy with the numbers and quality of staff in the home. Staff receive lots of training to enable then to provide good quality support to residents. The manager is in the process of obtaining a recognised qualification in care home management. The home actively seeks residents’ views about how the home is run. 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. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No judgements were reached in respect of these outcomes as none of the standards in this section were inspected on this occasion. EVIDENCE: IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Residents’ needs and wishes are set out in individual written plans. Residents are supported to take reasonable risks if they choose to. EVIDENCE: The inspector saw an example of a resident’s plan, in which the person’s needs, and the action and resources needed to meet them, were clearly identified. The manager said that the plans were reviewed monthly and that following the last inspection the need for this had been emphasised to staff members. On the plan seen by the inspector the record showed that it was apparently being reviewed every two months. The manager is recommended to check residents’ plans to ensure that monthly review is taking place and IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 10 being recorded. The person’s Care Programme Approach care plan was included in the record. The resident’s record seen included a risk assessment, which identified the risks involved in his continuing with a chosen activity and the actions needed by staff to enable him to do this safely. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 15, 16 and 17. Staff support residents to be part of the local community to the extent they wish. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 12 Staff help residents to pursue leisure activities if they wish. The home welcomes visitors and where possible residents’ contact with their families is maintained. Residents’ rights are respected in their everyday lives. Residents are given choices about the food they are given and they enjoy their meals. EVIDENCE: Residents told the inspector that they had the option to go to The Railway Lane Club, which was a local social and activities club, up to three days a week if they wished. Residents said that they enjoyed going, and a good number chose to go on the day of the inspection. Transport was provided in one of the three mini-buses owned by Oxford Group Homes. The Club lasted from midmorning until mid-afternoon and lunch was provided. On one day a week residents could choose to go to a similar activity at Grove House. A resident said that it was good for meeting people. A resident told the inspector that she liked to go to a local shop and canteen and that at her request staff would take her or arrange a taxi to take her. She went out by taxi on the day of the inspection. The manager told the inspector that if residents requested a particular activity it could be arranged and that staffing resources were readily available to enable this. One resident had recently asked to go to the theatre with her keyworker and this had happened. The manager said that a resident had recently spent two weeks holiday at a chalet in Highcliff, which is owned by Oxford Group Homes. A resident told the inspector that he did not want to go away from the home on holiday. Some residents told the inspector that they preferred not to go out but liked to stay at home relaxing, listening to the radio or watching TV. One person said that whilst trips out were organised by the home he preferred not to go on them. One resident said that she specially enjoyed knitting. A resident told the inspector that there was no expectation that she did household chores, but that she enjoyed helping the staff. Some residents told the inspector that they received visits from relatives. One said that her relations took tea in the lounge when they visited. The manager said that about 50 of residents had regular contact with family, and that IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 13 some visited and stayed with relatives on a regular basis. There seemed to be some good relationships between residents. One resident introduced another to the inspector as her best friend. A resident told the inspector that what residents did was up to them, they chose when to get up, what to do, and could go anywhere they liked in the home. He said that residents’ privacy was respected by staff – “They don’t barge in, they knock on the door”. Residents said that they were given their mail unopened. The inspector saw on the day of the inspection that residents chose whether or not to go out and that two residents had chosen to stay in bed. The manager said that this was up to the individuals concerned and that staff would check to ensure they were all right and make sure they got their meals. The inspector saw that staff engaged in conversations with residents and that relationships between staff and residents seemed good. Residents seemed confident and at ease with staff. The inspector saw the home’s latest menu. It showed the availability of cereals, toast and boiled eggs for breakfast, a variety of substantial dishes for lunch that included roast meats, fresh vegetables and desserts and also a take-away on one day. The evening meal was lighter, for example sandwiches or hot dogs. A snack was available at suppertime, for example cakes, biscuits and filled rolls. The manager said that menus were prepared weekly in consultation with residents. A staff meeting record seen emphasised the importance of sticking to agreed menus since these reflected residents’ choices. Staff were seen to provide drinks and biscuits to residents between meals and residents said that they could have drinks and snacks whenever they wanted them. There was seen to be flexibility in mealtimes. When the inspector arrived some residents had finished their breakfast, some were still eating and others didn’t come to breakfast until later. Staff members saved some lunches for residents to eat later. A resident said that there were a number of dishes that he didn’t like and that if any of these was on the menu he was always offered an alternative – “They know what I like”. One resident told the inspector that the best things about the home were “the food and the people”. The kitchen was seen to be well stocked. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 14 The lunchtime meal on the day of the inspection was hot, tasty, attractively presented, generously portioned and residents told the inspector that they enjoyed it. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Residents are looked after in the way they need and want. EVIDENCE: Routines in the home were seen to be entirely flexible according to individual wishes, and residents confirmed this in respect of the times they got up, when they ate and how they spent their time. A resident told the inspector that staff provided his personal care in the way he wanted, and that it was done gently and carefully. Two residents were said by the manager to need special care to prevent or treat pressure sores. She confirmed that all such care was undertaken by and under the supervision of a community nurse who visited the residents IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 16 concerned frequently. One resident was seen to have a special pressurerelieving mattress. Some residents were seen to have their own walking frames to assist mobility. The home was seen to have a number of aids such as hoists to assist with residents’ personal care. A record showed, and the manager confirmed, that one of these had last been serviced in September 2003, although it was being periodically checked by staff. It is required that the manager consult with the local Environmental Health Department to establish recommended service intervals for hoists, and follow the advice given. Residents have a designated keyworker. A record of a residents’ and staff members’ meeting recorded that residents were happy with their keyworkers. A staff member and a resident told the inspector about the role of a keyworker. The resident said: “She helps me out with things, changes my sheets, gives me money”. The staff member added that she kept the resident’s drawers tidy, made sure she had plenty of clothes and went shopping for her if she couldn’t get out. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Residents know how to express their views about the home. EVIDENCE: The home has a satisfactory complaints procedure which was displayed on the wall in the dining room and also present in residents’ personal files. It included the name and address of the Commission for Social Care Inspection, but not its telephone number, which is a legal requirement. Oxford Group Homes must ensure that this information is included. Residents who were asked said that they had never had cause to make a complaint about the home, but a resident said that he knew what to do and who to go to if he did ever need to. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 28, 29 and 30 Residents live in a homely, comfortable, accessible and safe environment. Residents are happy with their bedrooms, the toilets and bathrooms and the communal areas of the home. The home is clean. EVIDENCE: IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 19 The home is purpose built and all on one level. Residents told the inspector that all parts of the home were accessible to them. For many residents it is too far to walk to local shops or other amenities, but residents and staff confirmed that transport (the home’s minibuses or taxis) was readily available on request. The home is nearing the end of a process of complete refurbishment, which residents said had made a big difference – “It’s amazing the difference a lick of paint makes” said one, with reference to her bedroom. Most radiators were seen to be covered with protective covers. The manager said that whether or not covers were put in place was decided through risk assessment. All residents spoken to told the inspector that they were happy with their bedrooms. The inspector was able to see several bedrooms and they were comfortably furnished, equipped with wash-basins and full of residents’ personal belongings which reflected their individuality. The home has two shared bedrooms, one of which was seen by the inspector. Screening was provided to enable each resident to have some privacy in her personal space, and a screen was available at the wash-basin. One resident who used the room said that she didn’t mind sharing. The manager said that this person had been offered a single room but declined it, preferring to share. She said that the other resident who used the room also expressed a preference for sharing rather than being on her own. The shared rooms do have inherent problems regarding privacy, for example the need for one resident to traverse another’s space in order to get to her own, or to get to the wash-basin. However it was clear that the two residents had made a positive choice to share. Residents told the inspector that they were happy with the toilets and bathrooms. The inspector saw that these facilities were available throughout the building and were lockable, and that there were accessible facilities for those residents with mobility problems or who needed a high degree of staff support. One toilet seat was badly cracked and must be replaced. The home has several different shared spaces for residents to use. There is a large comfortably furnished conservatory in which residents can smoke, a comfortable lounge and a well furnished dining room. The home also has a garden with seating, tables and parasols on a paved and sheltered patio area. In addition to residents’ own mobility aids that were in evidence, there were hand rails in most areas, grab rails, ramped doors, hoists, a level access walkin shower with a seat, low-level or adjustable basins and an aid-call system with call points throughout the home. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 20 All areas of the home seen by the inspector were clean and odour free. The laundry room was equipped with commercial standard washing and drying machines. A cupboard unit in the laundry was in poor condition. The manager said that the laundry was to be refurbished as part of the overall refurbishment of the home. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35. Residents are happy with the numbers and quality of staff in the home. Staff receive lots of training to enable then to provide good quality support to residents. EVIDENCE: The manager and staff members said that there were at least two staff members on duty during the day, and three for most of the day and that this was enough to provide residents with the support they needed and wanted. The manager said that additional staff could readily be deployed if needed, for example, to enable an activity to take place. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 22 Residents told the inspector that there were enough staff and always a staff member available if they needed one. They said they were happy with the way staff supported and cared for them. The manager said that only one agency staff member was used, and she had worked for a long time in the home and was well known to residents and staff. Two new staff had been recruited and were due to start work on the following day. Discussions with staff members and the manager indicated that staff were expected to undertake formal training in many aspects of their work. The housekeeper who was on duty at the time of inspection said that she had received training in adult protection, fire safety, health and safety, 1st aid, food hygiene and stress management. A senior staff member said she had received training in health and safety, moving and handling, 1st aid, fire safety, adult protection, food hygiene and challenging behaviour. The manager said that staff meetings were held at 2-monyhly intervals. Some records of these were seen but not all because the manager reported that some had been lost due to a computer fault. Those that were seen indicated positive discussion with, and management of, staff. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 39 The manager is in the process of obtaining a recognised qualification in care home management. The home actively seeks residents’ views about how the home is run. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 24 EVIDENCE: The manager said that she was working towards her Registered Manager’s Award and her National Vocational Qualification Level 4 in care, which she anticipated she would complete in October 2005. The home seeks residents’ views through house meetings, to which residents and staff are invited. A record of the last such meeting was seen on the notice board. It had been attended by 8 residents and 4 staff members. It showed that information was given to residents and their views sought on such matters as food, activities and their keyworkers. A resident told the inspector that he preferred not to attend these meetings. There are also periodic residents’ forums, held at a local venue and open to all who used the services of Oxford Group Homes. An invitation to the last such forum was seen on the notice board. The home also conducts surveys of residents’ views and sends the results to the Commission. While the inspector was in the home two trustees of Oxford Group Homes visited unannounced to carry out the required monthly visit and report on the conduct of the home. They were seen to talk with a resident. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 25 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x x Standard No 22 23 Score 2 x Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x x x 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING 3 x 3 2 3 3 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x 3 x 3 x 3 x 3 x x x x Version 1.40 Page 26 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 IRIS HAYTER HOUSE Score 2 x x x 37 38 39 40 41 42 43 H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc 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 18.8 Regulation Requirement Timescale for action 31/08/05 2. 22 3. 27 23(2)(c) & It is required that the manager 23(5) consult with the local Environmental Health Department to establish recommended service intervals for hoists, and follow the advice given. 22(7)(a) Oxford Group Homes must ensure that the telephone number of the Commission for Social Care Inspection is included in its complaints procedure. 23(2)(c) One toilet seat was badly cracked and must be replaced. 31/08/05 31/07/05 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 OP7 Good Practice Recommendations The manager is recommended to check residents’ plans to ensure that monthly review is taking place and being recorded. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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. IRIS HAYTER HOUSE H57-H08 S13093 Iris Hayter V241148 260705 Stage 4.doc Version 1.40 Page 28 - 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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