Inspection on 28/03/06 for Lower Oldfield Park

This inspection was carried out on 28th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lower Oldfield Park 11/04/07

Lower Oldfield Park 24/10/06

Lower Oldfield Park 20/11/05

Lower Oldfield Park 30/03/05

Lower Oldfield Park 09/12/04

Lower Oldfield Park 23/03/04

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

CARE HOME ADULTS 18-65 Lower Oldfield Park 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP Lead Inspector Melanie Edwards Announced Inspection 28th March 2006 09:45 Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lower Oldfield Park Address 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP 01225 448396 01225 448396 82lop@btconnect.com 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) Bath Mind Mr Norman Fair Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6) Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 persons with mental disorder aged 20 years and over 20th November 2005 Date of last inspection Brief Description of the Service: 82 Lower Oldfield Park is owned by Bristol Churches Housing Association and operated by Bath Mind. Bath Mind is an independent voluntary organisation, which is affiliated to National Mind. Bath Mind operates a number of projects in the Bath area, of which 82 Lower Oldfield Park is one, for people experiencing mental ill health and their carers. 82 Lower Oldfield Park is a care home, providing care and support for up to six people with long-term mental health needs. The manager, a senior care officer and a team of care officers support the residents 24 hours a day. The Home is a three-storey building conveniently placed close to a bus route into the centre of Bath, and is close to local amenities such as the shops on Moorland Road, Bath. There are six bedrooms, two communal lounges, a kitchen/diner, four bathrooms and five toilets on all three levels. There is also a sleep-in bedroom for staff members on the lower ground floor. Bath Mind’s aim is to provide encouragement, support and assistance to residents to increase and improve their quality of life, freedom and independence to move on to supported housing when appropriate. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over one day. Five residents were consulted to find out their views of the Home, and what their experience of daily life is like. Part of the inspection was carried out through discussion with residents, and by observing staff carrying out their duties. The acting manager and two care assistants were also consulted about their roles and responsibilities, training needs, and how they assist residents. A selection of records relating to the day-to-day running and management of the Home were inspected. Two resident’s care records and care plans were also reviewed. The Commission for Social Care Inspection pre inspection questionnaire completed by the Home before the inspection was also used as part of the evidence for this inspection. The majority of the environment was viewed. What the service does well: What has improved since the last inspection? Residents now benefit from care plans that demonstrate how staff support residents with their needs. Risk assessments and care plans are now regularly reviewed and updated to demonstrate needs are monitored. The health and safety of residents is now better protected by up to date checks of the kitchen fridge temperature to help ensure it operates within food safety guidance levels. There is now liquid soap available at the sinks in bathrooms and toilets. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 6 The privacy of residents, staff, and visitors is now being better maintained because the lock on the top floor bathroom door has been repaired so the room can be secured when in use. 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. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 Residents are provided with relevant information to make an informed choice about the Home and residents’ assessed needs are being met. EVIDENCE: Copies of the statement of purpose and service users guide were both reviewed to see what information is available for residents about the Home. The service users guide was reasonably informative, and explained the care and service offered to help residents find out about the Home. The statement of purpose contains the necessary information about the Home and the service. This means that the documents accurately inform the reader about the care and service they can expect to be provided while staying at the Home. To find out how residents needs are assessed two residents assessment records were reviewed. There is now a detailed assessment carried out of the resident’s physical, social and psychological needs. The assessment information had been regularly reviewed and updated which helps show staff closely monitors residents’ changing needs. Residents need assessments and care plans are written from `person centred’ viewpoint that should further ensure residents’ views and wishes as central when care needs are assessed. Residents are well involved in the assessment process if they so wish, and had signed care documentation in agreement with care to be provided. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 9 All the residents consulted were positive in their views of the staff and the care provided. Examples of comments made by residents included, ` we are all treated with the same respect,’ `the staff are fine ’, and, `the staff help me’. These comments reflected the views of all residents. Residents were being supported with their needs by understanding and sensitive staff. There was a warm and gentle humour when residents and staff were together, observed throughout the inspection. Residents looked relaxed and comfortable in the company of the staff. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Residents needs are met and individual care plans now reflect how needs are assessed, monitored, and reviewed. Residents are well supported to take risk in their daily lives. EVIDENCE: Two resident’s care plans were inspected in detail. At the last inspection care plans had been requested but were not available. However since then the Home has worked hard to put in place informative care plans for residents that reflect their range of needs. The care plans now contain a range of information and demonstrated how to support residents sensitively with their care needs. Care plans include detailed information about the psychological needs of residents and how to help and support the residents if they were feeling distressed or agitated. The care plans had been regularly reviewed and updated demonstrating staff monitor residents changing needs. There were detailed written risk assessments in place for residents that helped to demonstrate residents are supported to take risks in their daily lives by Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 11 staff. Risk assessments also demonstrated residents are encouraged to live an independent and fulfilling life and take part in activities away from the Home. Residents also confirmed staff support them to attend a range of social and therapeutic activities away from the Home. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, 17 Residents are provided with a healthy diet and to live a fulfilling life in the Home and the community. EVIDENCE: As was applicable at the last inspection, residents explained that they are encouraged and supported by staff to go on trips to areas of interest on a regular basis and residents clearly gain much satisfaction and enjoyment from these opportunities. One resident was observed going out into the community during the inspection. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 13 There was also supporting information written in residents care records that demonstrated residents regularly go to different community activities, including the shops, local pubs or different day care support groups. Residents explained that each day they take it in turns to cook the evening meal at least one day a week, with the support of staff. They also said that this included the purchasing of food produce from the shops. Residents explained that this task was a therapeutic duty, to encourage their independence. The menu record was inspected to see if residents are being offered a varied and well balanced diet. Residents are offered choices of healthy well-balanced dishes and the menu choices were nutritionally well balanced, and varied. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Residents are supported to meet their needs in the way preferred by them, and the systems for handling, administration, storage and disposal of resident’s medication are safe. EVIDENCE: The procedures for administration, storage and disposal of medication were reviewed, to monitor if there were safe systems in place. The medication administration charts of three residents were inspected. There was a photograph of the resident maintained with each record, to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and contained the signature of the dispensing member of staff, demonstrating resident’s medication is administered safely, the reasons for any omissions had also been written on the charts. Staff talked to residents in a good humoured and friendly manner, and residents have built up warm and trusting relationships with staff. Residents all spoke very positively about how staff help them with their needs. It is clear residents feel well supported at the Home. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 15 Care plans now record in detail the preferred ways that residents wished to be helped to meet their individual needs. Care plans also included detailed information that demonstrates residents are also well supported to meet their physical needs. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Resident’s views are listened to and acted upon in the Home, and residents are well protected from harm or abuse. EVIDENCE: A copy of the complaints procedure is made available to all residents.The procedure includes the contact details for `MIND’ the registered charity who run the home and the Commission for Social Care Inspection, if someone wishes to make a complaint. The complaints record book was viewed to find out how complaints are responded to. There had been no new complaints recorded since before the last inspection, the record did include the details of how the complaints were to be dealt with. All the residents who were consulted said they felt very able to speak to any of the staff if they had any concerns or complaints. There are also regular residents meetings held in the Home. This is an opportunity for residents to express any concerns or complaints they may have. As was written in the last inspection report this should help create a culture where residents feel comfortable to complain. There are policies and procedures in place relating to the issue of protection of vulnerable adults from abuse. All staff attend training on the issue of Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 17 `protection of vulnerable adults from abuse’. This should help ensure that residents are safeguarded from the risk of harm or abuse. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 30 Residents live in a homely and satisfactory environment that meets their needs. EVIDENCE: Lower Oldfield Park is a converted older style residential property, in a residential area close to local shops and amenities, and a bus route into the centre of Bath City. This makes the Home accessible to community-based facilities. However the Home is not currently suitable for someone who cannot manage to walk up stairs, as there is no lift. The style of decoration throughout was homely and domestic. The Home was clean and tidy, and residents looked relaxed comfortable and settled in their surroundings. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 19 There are three communal living areas in the Home, including non-smoking lounge on the first floor, as well as an open plan dining room and kitchen. All bedrooms are for single occupancy and the rooms had been decorated to reflect individual’s different tastes. Rooms also contained personal items belonging to residents. The Home looked satisfactorily maintained. Since the last inspection the lock on the top floor bathroom door has been repaired and can be secured when in use. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 36 Residents are supported to meet their care needs by competent staff that are well supervised in their work and practice. EVIDENCE: Staff and residents benefit from a system of regular structured supervision. Staff spoke positively about the supervision sessions that they are regularly provided with. The acting manager is supervising all staff on a regular basis. A sample of recent supervision records was seen, and demonstrated staff are well supported and encouraged to develop in their work and in their practise. Staff are provided with regular training on a range of issues, that relate to the mental health needs of residents. To review how many staff there are on duty for each shift the duty record for the previous four-weeks was inspected. There is a minimum of two staff recorded as being on duty in the morning, with two care staff in the afternoon. At night there is one member of staff on duty working a sleeping in duty. The manager works ‘nine to five’ management hours, and some shifts each week. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 41, 42 Residents’ health and safety is protected in most respects. The Home’s record keeping and policies and procedures help to safe guard residents. Residents’ views are actively taken into account in the day-to-day running of the Home. EVIDENCE: The environment looked satisfactorily maintained throughout. There are health and safety procedures in place for staff and residents to follow to promote health and safety in the Home. All staff attend regular health and safety training provided by MIND to better help them protect residents. Since the last inspection residents health and safety is now better protected, as there are up to date checks of the kitchen fridge being maintained ensuring it operates within food safety guidance levels. There is also liquid soap available at the sinks in bathrooms and toilets for residents and staff to use. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 22 The fire logbook record showed that the range of required fire safety checks were being carried out. However there were two gaps of time in December 2005 and February 2006 when the tests had not been carried out for over two weeks. Residents’ records are kept in the office and this room is kept locked when not in use ensuring residents confidential information is held securely. Generally all the records reviewed were found to be well maintained and in order. Other records have been referenced elsewhere in this report, demonstrating well organised management in the Home. Residents are consulted on a regular basis by the Home. A sample of recent surveys that residents had been asked to complete were inspected. These demonstrated that residents views were sought about the day to day running of the Home .The acting manager said that the survey results would be discussed in detail by the team to make any improvements in the service if needed. Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 24 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 YA42 Regulation 23.2c(v) Requirement The fire alarms must be tested on a more regular basis. Timescale for action 29/03/06 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 Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Lower Oldfield Park DS0000008168.V282039.R01.S.doc Version 5.1 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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