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Inspection on 20/12/05 for New Oaks

Also see our care home review for New Oaks for more information

This inspection was carried out on 20th December 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff group provide service users` with the appropriate care to meet their needs. Service users` make choices in their lives, with assistance if needed. The care plans clearly show how needs are to be met and what assistance is to be given. The home was clean, warm, decorated and furnished to a good standard giving a comfortable and safe place to live, for service users`.

What has improved since the last inspection?

The food eaten by service users` is now recorded in enough detail to show that choice and a well balanced diet is being offered. Staff members are now using dates and surnames on all reports, this practice shows who is responsible for what has been written.

What the care home could do better:

Have all the information and documentation required by Schedule 2 of the Care Home Regulations 2001 at all times.

CARE HOME ADULTS 18-65 New Oaks 277 Lordswood Road Harborne Birmingham West Midlands B17 8QL Lead Inspector Brian Reamsbottom Unannounced Inspection 20th December 2005 10:50 New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 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 New Oaks DS0000016805.V271868.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 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. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service New Oaks Address 277 Lordswood Road Harborne Birmingham West Midlands B17 8QL 0121 250 2502 0121 250 2503 michelle@newoaks277.fsn.co.uk 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) New Outlook Housing Ms Michelle Louise Dennehy Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 8/06/05 Brief Description of the Service: New Oaks is a large detached property, for younger adults with a visual impairment and associated learning disability. The home is located on Lordswood Road in Harborne, South Birmingham. The home is a converted traditional property. There are six bedrooms, one with en suite. There are two bedrooms on the ground floor and four are on the first floor. There are two bathrooms, one on each level, one has bathing facilities and one has a shower facility. There is no lift so there would be limitations in the home for people with mobility problems. There is a large lounge with combined dining area and a kitchen and laundry; a lean-to provides extra storage facilities. Staff facilities include an office, shower room and toilet. To the front of the home there is a tarmac drive with on and off entrances and some parking spaces. To the rear of the home there is a large pleasant garden with large patio area, grass and well stocked borders. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The is report must be read in conjunction with the inspection report of 8.06.05 The home was inspected unannounced from 10.50 to 13.30. The documentation inspected included the following: Care plans, risk assessments, fire records, medication records, health and safety records, accident book, daily records, complaints and adult protection records, staff personal files and staff training records. Three service users and three members of staff were spoken with. One of the service users’ said, “That he is looking forward to Christmas.” Communication with service users’ at this visit was limited due to their complex needs. The home was appropriately decorated for the festive season. What the service does well: What has improved since the last inspection? The food eaten by service users’ is now recorded in enough detail to show that choice and a well balanced diet is being offered. Staff members are now using dates and surnames on all reports, this practice shows who is responsible for what has been written. New Oaks DS0000016805.V271868.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. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 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 New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 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): x Information is available to enable prospective users make an informed choice as to whether they want to live at the home. EVIDENCE: Standards 1 and 2 were met at the inspection of 8.06.05 Standards 3 4 and 5 were not inspected at this visit. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Care planning and risk assessment practices meet the needs of the service users living in the home. EVIDENCE: Standards 6 7 8 and 9 were met at the inspection of 8.06.05 Three service users’ care plans were inspected. The plans had been reviewed and updated since the last inspection, they clearly state how the needs and wishes of service users’ are to be met. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 10 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): 15 and 17 Service users have access to a range of opportunities to afford them a meaningful lifestyle. A nutritious and varied menu is provided to meet individual dietary requirements. EVIDENCE: Standards 12 13 and 14 were met at the inspection of 8.06.05 Visitors are actively encouraged to visit service users’. Records were seen that service users’ maintain good contact with family and friends. Standard 17 has now been fully met. Records are kept of the food actually eaten by service users’. The records showed in detail that the food is varied, nutritious and wholesome. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 11 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): 20 The medication management is good ensuring service users receive medication as prescribed. EVIDENCE: Standards 18 19 and 20 were met at the inspection of 8.06.05 Health Action Plans need developing for all service users’ to ensure that they live a healthy life style. It was noted that medication is administered as prescribed and recorded in the Medication Administration Record (MAR) sheets. Records of the disposal of medication is signed for by the pharmacist and removed from the home. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 12 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): x The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: Standards 22 and 23 were met at the inspection of 8.06.05 The deputy manager told the inspector that there have been no complaints since the last inspection. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 13 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): 27 The home was clean, warm and fit for its purpose and provides service users with a safe, homely and comfortable environment. EVIDENCE: Standards 24 25 and 30 were met at the inspection of 8.06.05 There are sufficient toilets and bathrooms to meet the needs of service users’. The doors have been fitted with locks to provide privacy for service users’, however, staff use an override device in an emergency. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 14 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 and 34 The homes recruitment procedure is robust and ensures that service users are protected from harm. Staff have received training to meet the needs of service users. EVIDENCE: Standards 34 and 35 were met at the inspection of 8.06.05 Standard 32 has now been met. A new member of staff commenced employment 15.12. 05. Her personal file was inspected it did not have all the information and documentation required by Schedule 2 of the Regulations. However, the main file is being compiled at the organisation’s headquarters, this file will then be sent to the home. Induction training is taking place for the new member of staff to ensure that they have the skills and competencies to meet individual needs. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 15 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): 37 EVIDENCE: Standard 42 was met at the inspection of 8.06.05 Standards 39 and 41 have now been met. The manager must be qualified to level 4 in management and care by 2005. This requirement is outstanding from previous inspections. New Oaks DS0000016805.V271868.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 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 New Oaks Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000016805.V271868.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. 1 2 YA37 Refer to Standard Good Practice Recommendations Health Action Plans should be produced for each service user. The Manager should have the NVQ Managers Award. New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 New Oaks DS0000016805.V271868.R01.S.doc Version 5.0 Page 19 - 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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