Inspection on 19/05/05 for Oak Close

This inspection was carried out on 19th May 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oak Close 16/09/08

Oak Close 18/09/06

Oak Close 14/03/06

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 09/07/2008.

CARE HOME ADULTS 18-65 OAK CLOSE 1 - 4 Oak Close Wath-Upon-Dearne Rotherham S63 7BS Lead Inspector Sarah Powell Unannounced 19 May 2005 at 12.30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oak Close Address 1 - 4 Oak Close Wath-Upon-Dearne Rotherham S63 7BS 01709 760686 01709 877460 sue:oakclose.go2000.co.uk South Yorkshire Housing 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) Mrs Susan Ann Case N CRH Care Home with Nursing 17 Category(ies) of Learning Disability 17 registration, with number of places OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A condition of registration allows people over the age of 65 years who have a learning disability to reside in the home. 2. A further condition should restrict the number of people with mobility difficulties to rooms in house one or on the ground floor of house two. Date of last inspection 13 December 2004 Brief Description of the Service: 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 semidetached, 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. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection in the year 2005/2006 and took place over one day the inspection commenced at 12.30 and finished at 17.45. The previous requirements were looked at with the Nurse in charge of the shift as the Manager was on a study day. 15 Service users, 9 staff and 3 visitors were spoken to. A tour of the building took place, observing staff and practices. What the service does well: 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. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 7 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 standard(s) 3 The home is able to meet the assessed needs of the service users, although the increasing needs of some service users are not always met due to lack of staff. EVIDENCE: In houses 2,3 and 4 the service users said they had all their needs meet and staff were very good. It was also evident from the plans of care that the needs had been met providing good quality care. However in house 1 the needs of the service users had increased and the staffing was not adequate the care plans were not up to date, not complete, no assessments and no detailed risk assessments. Staff stated that this was because they was insufficient time due to the needs of the service users. While the inspector was in the house three staff were with one service users in the bathroom for 30 minutes and one of the these was the officer in charge who would not normally be based in the house permanently, this left no staff in the lounge with the other service users, which puts them at risk. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 8 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 standard(s) 6 & 9 Every service users had a plan of care including risk assessment to promote an independent lifestyle. EVIDENCE: The plans of care looked at in houses 2, 3 and 4 were excellent they set out in detail the service users changing needs and personal goals with detailed risk assessments, allowing them to take some risks in order to be as independent as they are able. The plans in house 1 were incomplete, no assessments completed, no risk assessments and no activity plans, this needs to be addressed to prevent the service users being put at risk. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 9 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 standard(s) 13, 14 & 15 Service users access the facilities in the local community and attend various leisure activities of their choice. EVIDENCE: Service users access the local community many attend the local day centre, shops and leisure facilities. The service users spoken to all stated they had plenty of opportunity to go out locally and on many occasions would go out for full days to the coast or towns depending on what they chose. One service user choose not to leave the home and this was respected. It was evident that it was the service users choice. The Day centre Officer visits once a week and provides activities in the home for the service users who are either unable to attend the day centre or those who choose not to. This is well attended and enjoyed by the service users, this was ongoing at the time of the inspection appropriate activities were provided for the group and all service users were happy and laughing together enjoying the activity. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 10 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 standard(s) 18 & 21 Staff provide sensitive personal support to all service users. Staff are aware of how to deal with illness, ageing and death. EVIDENCE: Service users told the inspector that staff understood their needs and provided support sensitively respecting their privacy and dignity. The level of support required was well documented in most care plans to enable staff to meet the needs of service users. Staff were aware of how to deal with the ageing, illness and death of a service user, policies and procedures were also in place giving staff information. The wishes of the service user and their family were also documented in the plans of care enabling staff to ensure their wishes would be followed. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 11 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 standard(s) none of these standards were assessed at this inspection. EVIDENCE: OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 12 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 standard(s) 24, 27 & 30 The home was clean, homely and comfortable. Sufficient toilets and bathrooms were provided although one bathroom did not meet the needs of the service users. EVIDENCE: On the tour of the premises it was evident that one of the bathrooms in house 1 was very small and with three of the service users needing hoisting the only available bathroom was upstairs which was not the preferred choice of the service users, staff were trying to use the downstairs bathroom with some difficulty and consequently the bath panel and wall plaster were getting damaged. This needs to be reviewed to meet the changing needs of the service users. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 33 The home employs competent and qualified staff and the staff team is mostly effective. EVIDENCE: The staff team in houses 2, 3 & 4 provides sufficient number on duty at all times to meet the needs of the service users. The service users spoken to confirmed this and said the staff work well together. The staff in house 1 told the inspector that due to the increased needs of three of the service users it was becoming extremely difficult to meet the needs of the service users. This was more so on the evening shift which includes cooking and serving tea, bathing service users and putting some service user to bed, three of the service users require two staff to assist them therefore on many occasions this leaves the other service users without any staff as only two carers are on duty on the evening shift putting service users at potential risk. The service users told the inspector that the staff work very hard but there is not always enough on duty at peak times. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40 The homes policies and procedures safeguard the service users. EVIDENCE: The policies and procedures have all recently been reviewed and updated this is now an ongoing process as a working group has been set up to meet regularly to review the policies and procedures and provide any new ones if this is considered necessary in order for the policies and procedures to comply with current legislation and safeguard service users and staff. OAK CLOSE CS0000003118.V199787.R01.doc Version 1.30 Page 15 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 2 x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x x Standard No 31 32 33 34 35 36 Score x 2 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 OAK CLOSE Score 3 x x 3 Standard No 37 38 39 40 41 42 43 Score x x x 3 x x x CS0000003118.V199787.R01.doc Version 1.30 Page 16 yes 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. 2. 3. 4. Standard OP3 OP6 OP27 Op33 Regulation 12 15 23 18 Requirement Ensure the needs of the service users are met. Complete all care plans including risk assessments. The bathing and toilet needs of service users in house one must be met. (old timescale 31.3.05) Ensure there are enough staff on duty to meet the needs of the service users. Timescale for action 1.8.05 1.8.05 1.8.05 1.7.05 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 OP32 Good Practice Recommendations The home should have 50 care staff trained to NVQ level 2. 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