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Inspection on 28/07/09 for Oak Bank Residential Home

Also see our care home review for Oak Bank Residential Home for more information

This inspection was carried out on 28th July 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

Annual service review Name of Service: Oak Bank Residential Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: John Clarke Date of this annual service review: 2 7 0 7 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service Address of service: 31 South Road Weston Super Mare BS23 2HD 01934647670 Telephone number: Fax number: Email address: Provider web address:   oakbankresidential@tiscali.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Oak Bank Residential Home Limited Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is 6. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Oak Bank provides care for residents with learning disabilities and a range of complex needs. Oak Bank provides varying care packages with fees varying between #1400 and #1600 a week. The home is a very large Victorian detached house with a steep drive access. The Weston seafront and shopping centre are nearby. Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for since the last key inspection. This included, the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. The AQAA was well presented and gave detailed information.Other information we have collected may include how the service has managed any complaints or adult protection procedures.We have received a small number of surveys from individuals who live in the home these were completed by support workers on behalf of the individual. We also received responses from five members of staff. We take into account what the organisation has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? In the last report it was stated, The outcomes for the residents at Oak Bank remain good, as the management team has been able to provide leadership and direction to the staff. The interventions and approaches used by the staff in a consistent way are apparent in all aspects of residents lives. For all residents there has been a reduction in episodes of behaviours that challenge. The atmosphere at Oak Bank is informal, the interactions between the individuals that live there and staff were observed to be positive with subtle respectful interventions used when needed. The home told us in their AQAA that for one individual they have developed a communication chart/routine involving observations, workshop days and questionnaire for staff. As a result clear routines are followed with a better understanding of that individual The home aims to provide this for other individuals living in the home. One of the improvements identified by the home is that of the use of communication methods charts, training, reminiscence cards. We will look at this on our next inspection. The home plans to develop individualised Communication Passports for all individuals living in the home. In terms of lifestyle the home advised us that they have organised one to one trips out and have arranged a holiday for individuals They hope to develop a system that allows service users to have more input into planning their choice of activity.The home told us that no complaints have been made in the last 12 months and they hope to have a complaints DVD. Hopefully this will enable individuals whose communication skill are limited or need support to make their views known. We were not provided with any information about quality assurance questionnaires the home had undertaken (these could be sent to individuals representatives, health professionals and others who visit the home) and these would have helped us further in making a judgement about the service. Staff comments about the service included: The home is very good at giving the residents the best life possible and their needs are always met. The residents also have a variety of day trips and activities. service users are well cared with continuous relevant training for staff There were also comments about the management of the home and two of the five respondents said that sometimes Does your manager give you support and meet you to discuss how you are working? 3 said always and two Annual Service Review Page 3 of 5 also said that sometimes Are there enough staff to meet the individual needs of all the people who use the service? 3 said always. We also asked in our survey Do the ways you share information about the people you support or care for with other carers and the home manager work well? Two said sometimes Three said Always. We will ask the manager to respond to these comments when we send the draft of this report for comments. We will then decide whether we need to undertake a visit to the home to discuss this matter further or undertake an inspection before the scheduled date of 26/06/10. We have had a response to our draft and comments on the areas we requested further information about. We are satisfied with the response and the support given to staff however this will be an area we will look at further when we do our next inspection of this service. The home told us through their AQAA that four staff have NVQ Level two and the manager holds the A1 Award. What are we going to do as a result of this annual service review? We will await a response to the draft of this report before deciding whether we need to bring forward our inspection of this service. Having received a response we have now decided to do our inspection as planned in 2010 unless we receive information about the service which leads us to inspect the service which we can do at any time. Annual Service Review Page 4 of 5 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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