Inspection on 16/09/08 for Oak Close

This inspection was carried out on 16th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oak Close 18/09/06

Oak Close 14/03/06

Oak Close 19/05/05

Oak Close 13/12/04

Oak Close 01/10/04

Oak Close 23/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Oak Close 1 - 4 Oak Close Wath-Upon-Dearne Rotherham South Yorkshire S63 7BS     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Powell     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 21 Information about the care home Name of care home: Address: Oak Close 1 - 4 Oak Close Wath-Upon-Dearne Rotherham South Yorkshire S63 7BS 01709760686 01709877460 susan.case@rotherhampct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Anne Case Type of registration: Number of places registered: South Yorkshire Housing Association Limited care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: A condition of registration allows people over the age of 65 years who have a learning disability to reside at the home. A further condition should restrict the number of people with mobility difficulties to rooms in house one or on the ground floor in house two. Date of last inspection Brief description of the care home Oak Close is a care home for younger adults with learning disabilities. The home can accommodate 17 service users. There are four houses in total, two are detached and accommodate six service users in each and two linked semi-detached, with living space for five service users. One of the detached houses provides nursing care. Oak Close is situated on the outskirts of Wath a small town North of Rotherham; facilities nearby include shops, restaurants, leisure activities and a day centre. The fees at oak close range from #304.82 to #385.61 per week. Care Homes for Adults (18-65 years) Page 4 of 21 Over 65 0 17 Care Homes for Adults (18-65 years) Page 5 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may be deleted or carried forward into a report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced key inspection and took place on 16 September 2008, starting at 09:30 and finished at 15:30. The visit included talking with the manager, staff and people. We walked around the building to gain an overview of the facilities and we checked a number of records. Care Homes for Adults (18-65 years) Page 6 of 21 At the time of the visit we had also received an annual quality assurance assessment, this gave us information about the home and the service provided, it also gave us some numerical information. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. peoples individual aspirations and needs were assessed prior to moving into the home. Evidence: Assessments were seen in peoples plans of care, they were detailed and comprehensive. From the information in the assessments it could be determined if peoples needs could be met by the home. Social services assessments and reviews were also in the plans of care. this ensured the needs of people moving into the home could be met. Care Homes for Adults (18-65 years) Page 10 of 21 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plans identified peoples needs and how they should be met, however they were not always reviewed. Evidence: We looked at two peoples plans of care in detail, these identified peoples needs and how to meet them. They detailed restrictions due to peoples learning disabilities, peoples capabilities and capacity. This ensured peoples needs were met. Peoples needs changed regularly, the manager had asked staff to review plans of care monthly. We did not see evidence that this was being completed, which did not ensure peoples needs were always met. Risk assessments were well documented in the plans and people were able to take responsible risks as part of an independent lifestyle. This was evident from talking to staff and observing staff interacting with people on the day of the visit. Care Homes for Adults (18-65 years) Page 11 of 21 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate activities were provided, community links maintained and a healthy diet provided. Evidence: people who lived at oak close took part in age, peer and culturally appropriate activities. Peoples decisions and choices were respected and taken into consideration to ensure their needs were met. People also attended various day centres and staff supported them to participate in the local community. There was a vehicle available to use, to be able to take people out. People had gone out in the vehicle on the day of the visit. The manager told us it is used daily, We go to the coast, shops and various parks depending on peoples choices and abilities. Staff told us that peoples independence is promoted people were given choices, freedom of movement and their rights were respected. This was detailed in peoples Care Homes for Adults (18-65 years) Page 12 of 21 Evidence: plans of care to ensure their needs were met. All people were offered a varied, healthy and balanced diet. We observed one meal being prepared on the day of our visit, people were given a choice and they had actually changed the planned meal as people had requested a hot meal. Care Homes for Adults (18-65 years) Page 13 of 21 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. support was given in a way people preferred and health care needs were met. Evidence: Peoples health care needs were identified in their plan of care and documentation seen of how these were met. Health care professionals were contacted when required for advice and help this was seen documented in peoples plans of care to ensure their needs were met. Medication policies and procedures protected people, good records were seen of medication received, administered and disposal. Care Homes for Adults (18-65 years) Page 14 of 21 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were protected from abuse and there was a clear and accessible complaints procedure. Evidence: There was a clear and accessible complaints procedure, which was also available in an easy read format to ensure people understood it. The manager told us no complaints had been received since the last visit. There was a robust adult safeguarding procedure to follow staff were aware of procedures to follow. However they all required an update on safeguarding training, which would include the new local authority procedure. The manager was aware this was required and was organising dates for staff to attend. Care Homes for Adults (18-65 years) Page 15 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a homely, safe and comfortable environment, which met their needs. Evidence: We looked round the building, improvements had been made since the last visit, house one had been adapted to meet the changing needs of the people. A wet room had been provided which enabled easy access for people who used wheelchairs and a mechanical hoist had been provided for the bath. This ensured peoples needs were met. The standard of cleanliness and decor observed throughout the home was to a high standard. Care Homes for Adults (18-65 years) Page 16 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people were protected by the recruitment practices, staff were competent although training was not always carried out. Evidence: We looked at a selection of staff training files, it was not evident from the files that staff had received appropriate training to be able to meet peoples needs. The manager told us that staff had received training in some areas but some still required to be delivered. The manager also told us this would be discussed with her deputy and they would draw up a training program and ensure staff attend to ensure they were appropriately trained. National vocational Qualifications for care staff was very good with over 50 of staff having achieved this qualification. There was robust recruitment and selection procedures followed and files we looked at contained all the required information to protect people. Care Homes for Adults (18-65 years) Page 17 of 21 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in well run home with health and safety maintained. Evidence: The home was well run with a good staffing structure in place, which ensured peoples needs were met. There was good quality monitoring systems in place seeking views of the people, ensuring their views underpin development in the home. All maintenance records were seen and up to date, ensuring peoples health and safety was maintained. Care Homes for Adults (18-65 years) Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 19 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 peoples plans of care must be reviewed to meet their changing needs. care plans must be reviewed to meet peoples needs. 01/01/2009 2 35 18 staff must receive training appropriate to their roles to ensure peoples needs are met. training to meet peoples needs. 01/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 20 of 21 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 21 of 21 - 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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