Inspection on 27/06/05 for Oak House

This inspection was carried out on 27th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oak House 17/04/07

Oak House 29/11/05

Oak House 09/12/04

Oak House 01/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Oak House 103 Corringham Road Stanford Le Hope Essex SS17 0BA Lead Inspector Vicky Dutton Unannounced 27th June 2005 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 Older People. 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. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oak House Address 103 Corringham Road Stanford Le Hope Essex SS17 0BA 01375 673104 01375 673104 Currently unavailable Christian Care Homes 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 Lesley Venables Care Home 13 Category(ies) of Old Age OP (13) registration, with number Dementia DE(E) (10) of places Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 09/12/04 Brief Description of the Service: Oak House is owned and managed by Christian Care Homes. The home is registered to provide care and accommodation for thirteen older people, of whom, up to ten may have dementia. Day care is provided in a separate lounge area and is not part of the registered establishment. However, some service users do enjoy joining up with the day centre clients for activities or meals. The home has the use of two mini buses, trips out and holidays for residents are arranged throughout the year. Oak House offers seven single rooms and three shared rooms on two floors with passenger lift access. There is a large lounge/dining room and a pleasant garden. Christian Care Homes are currently in the process of developing a webbsite. The provider reports that this should be up and running within the next few weeks. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection at Oak House was unannounced and took place over five and a half hours. The registered manager for the home was available throughout the Inspection. Other staff also assisted. A tour of the premises was undertaken. Staff and care records were selected at random and inspected. Health and safety information was also randomly sampled. During the inspection residents, staff and one visitor were spoken with. What the service does well: Oak House provides a high level of care and support to residents who are known and treated as individuals. There is a welcoming atmosphere, and a homely environment is provided for residents. The homes entrance area provides a range of information for residents and visitors. Residents, staff and a visitor were very positive about life at Oak House. One resident said ‘I love it here, they make you feel so comfortable.’ A comment on a recent survey conducted by the home described Oak House as ‘A remarkable blend of organisation, care and warmth. This is fostered by thoughtful management, staff continuity and love of the residents.’ Residents at Oak House have the opportunity to take part in a range of different activities. Outings and holidays are organised for residents. Residents were positive about the food provided by the home. Visitors are always made welcome at the home. Staffing at the home is stable, and agency staff are not used. This provides residents with care that is provided consistently by staff that they know. Staff at the home are well trained to do their jobs. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 6 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 House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5. Prospective residents have their needs assessed before moving into the home, and are encouraged to visit and see the home for themselves. Staff at the home receive a comprehensive induction and ongoing training to help them to meet residents needs. EVIDENCE: The home has a Statement of Purpose and Service Users Guide in place. The registered manager said that placing authorities have a copy of the homes statement of purpose. Copies of the service users guide are given out to interested parties and prospective residents so that they can view details of the home at their leisure. Since the previous inspection the homes statement of terms has been reviewed. Details of the room to be occupied is still to be added. Two recently admitted residents did not yet have a statement of terms in place. These should be issued in a timely manner so that residents and families are aware of the details of the service offered. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 9 The registered manager or deputy manager always visit prospective residents to carry out an assessment and ensure that the home is able to meet their needs. Evidence of this was seen in sampled files. Most placements at the home are funded by a local authority. Evidence of their assessments and care plans was also seen. Some residents at the home had received other services from Christian Care Homes such as home care and day care before moving in. This gave a feeling of continuity of care. Staff receive a comprehensive induction which includes dementia care. Training for other staff is ongoing. Although all staff have received information and had discussion on dementia, established staff have yet to receive formal training. Many staff have completed NVQ training. During the inspection all staff demonstrated a good understanding of residents needs, and showed their ability to meet these needs. Two recently admitted residents spoken with both said that they had visited the home before moving in. The registered manager said that she always encouraged relatives/prospective residents to visit unannounced and to visit several homes if possible. This was confirmed by a visiting relative. Intermediate care is not provided at Oak House. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11. In general residents care and health needs are well identified and planed for at the home. Medication practices at the home are well managed and ensure that residents are kept safe. Residents are treated with respect and as individuals. The home seeks, as far as possible, to care for residents during their end days in accordance with their and their families’ wishes. EVIDENCE: All residents at Oak House have a care plan in place. Those sampled provided a good basis for care to be delivered, with clear instruction given to staff on how to meet residents assessed needs. Weekly reviews are carried out and recorded by key workers. One care plan did not reflect a residents current needs, due to a change in their condition. The initial list of identified needs did not cover all assessed conditions. A recently completed survey showed that residents and their relatives are aware of the care planning process and encouraged to participate. Records sampled showed that residents health care needs are identified and addressed. Residents spoken with felt that staff cared for them well. Records showed that residents regularly access professional services such as chiropody, Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 11 optician and dentist. The home is supported by district nursing services, and residents are assisted to attend hospital appointments as required. Oak house operate a monitored dosage system of medication. The system was viewed and found to be well maintained to ensure the safety of residents. Staff spoken with confirmed that they had received training in medication administration. To further enhance the safety of the system advice was given on two areas of best practice. These were the development of protocols for medication prescribed ‘as and when required (PRN), and the dating of boxes/bottles when commenced. Information in care plans and observations on the day of inspection showed that residents were always treated with respect and their privacy respected. Staff induction processes highlight these areas of care. Preferred terms of address are recorded and used by staff. Care records identified that residents/relatives views about care during end days is sought and recorded. In discussion with the registered manager it emerged that residents and families are strongly supported by the home during these times. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents are free to make choices and follow their own routines. Activities and occupation appropriate to their social and cultural needs are available to residents. Visitors are always welcome at the home. Food at the home is tailored to individual preferences and needs. EVIDENCE: Care records show that residents take part in a range of different activities both in the home and in the local community. One resident told the inspector that they were looking forward to attending the Salvation Army lunch club on the following day. Residents at the home are encouraged to maintain skills, if they wish, through participating in daily routines such as hanging out or folding up washing. Residents can also join in any activities which go on in the adjacent day care area. Residents at Oak House benefit from outings and, where possible, being taken away on holiday by the homes staff. The home provides regular opportunities for residents to participate in religious activities. During the day residents were seen to follow their own routines such as staying in bed, going for a nap, using the garden. In this they were supported by staff when necessary. Visitors are always made welcome at the home. The registered manager gave examples of how the home seeks to work closely with relatives to ensure the best level of knowledge of and support for the residents. A relative to the Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 13 home felt that the home was very good and that they were always made very welcome. In a recent survey carried out by the home respondents praised the home for the warmth of staff and the welcome they always receive when visiting. To assist families or residents, who may benefit from or need this service, information on advocacy services was available. One recently admitted resident had been assisted to decorate and furnish their room with personal possessions. The cook at Oak house is experienced and has undertaken relevant training, including courses relating to nutrition in old age. Records viewed showed that although a set four week menu plan is followed, individual residents needs and choices are very much at the forefront of food provision at Oak House. Residents spoken with said that the food at the home was good and that they were offered choice. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18. The home has an established complaints procedure ensuring that residents and their families feel free to, and know how to raise concerns. Staff awareness and procedures protect residents from abuse. EVIDENCE: The homes complaints procedure is on display in the homes entrance area. Residents spoken with said that they would feel confident in raising concerns or issues with any of the staff. The home has not received any complaints and currently has no defined system for recording complaints. Records viewed and staff spoken with confirmed that they had received training in adult protection. The registered manager is currently applying for staff at the home to attend further training being offered by a commissioning authority. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26. The overall standard of the furnishings, décor and fitments within the home was satisfactory, and provided residents with a pleasant, homely and safe place to live. EVIDENCE: Residents spoken with found the environment of the home pleasant. One said ‘It’s so comfortable here.’ The outdoor space at the home is safe and level. Residents enjoy using this area. A maintenance man is employed to undertake jobs around the home. He also undertakes health and safety checks, equipment servicing and decorating to ensure that the building is safe and well maintained for residents. The home has a large open plan lounge/dining area. The day care area is also available to residents when day care is not in operation, (although residents can join in the activities in this area during the day when they wish.) Furnishings and lighting were suitable for residents. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 16 Toilets and bathrooms, containing assisted baths, are accessible to service users and clearly marked. Hoists and suitable equipment was available to meet the needs of residents. Although not currently required or in use two hoists were noted to be situated in the homes lounge. The home has one single room that falls below 10 square meters and one shared room that is below 16 square meters. The home has three shared rooms. As a pre-existing home Oak House meets current requirements. Residents spoken with said that they liked their bedrooms. Most were personalised with some of the residents’ own belongings. One recently admitted resident enjoyed telling the inspector about how she had chosen the décor for her room and fitted it out with items from her home. Another resident said that their room had been decorated to their personal choice. Lockable storage is available to residents in their rooms. To ensure that residents are safe from scalding water temperatures were tested at random and were satisfactory. Records viewed showed that water temperatures are monitored by the maintenance man. To keep residents safe all radiators in the home are fitted with covers. During the inspection the home was clean and odour free. The homes laundry is situated off the main living area of the home. The area was tidy and kept locked when no staff were in attendance. The homes laundry floor would benefit from attention to ensure that it remains impervious and cleanable to support infection control practices. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. Staff records showed that the homes recruitment processes were sufficient to safeguard and protect residents. Staffing levels appeared adequate to meet the current needs of residents. Staff receive a comprehensive induction to enable them to meet residents needs. EVIDENCE: The registered manager said that the dependency level of residents currently accommodated at the home is medium. To meet this level of need three staff are on duty at all times between 07.00 and 21.00. At night one awake and one sleeping in member of staff is provided. A further member of staff is on call. The homes rotas confirmed that theses levels are maintained. The registered manager felt that they were sufficient. In addition to care staff cooking and housekeeping staff are also employed. A volunteer assists with some administrative tasks at the home. Residents spoke positively of all the staff at the home saying that they were ‘lovely’ and ‘kind’. The registered manager said that the home currently employs 26 staff, many of whom work on a part time basis. Of these 8 have completed NVQ level 2 and a further 3 staff are completing this award. One member of staff has NVQ at level 3 and another member of staff is completing the award. This shows the homes commitment to ongoing staff training, and the provision of well trained staff to meet residents needs. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 18 Staff files showed that good recruitment practices are followed, and that residents are protected by staff’s suitability being fully checked before they begin work at the home. Christian Care Homes provide all new staff with a comprehensive initial two day induction. This is followed up with ongoing training. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 38. Residents living at Oak House benefit from stable and strong management at the home. Views on the service are sought. Health and safety is promoted. EVIDENCE: The registered manager at the home has worked in different capacities at Oak House since it opened. She has undertaken regular training and completed NVQ at level 4 in care and management. The size and ethos of the home mean that there is a family feel where communication is open. This is encouraged by the managers ‘hands on’ approach to the service which also provides a strong sense of direction. Residents are known and treated very much as individuals whose opinions are respected and valued. Staff spoken with said that regular staff meetings are held. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 20 The home distributed a quality assurance questionnaire in March of this year. Copies of received responses were given to the inspector. Oak House is part of the Investors in People scheme. This shows the organisations commitment to maintain and improve the service it offers. Records showed that staff receive regular formal supervision, to assist them in carrying out their role with residents. Staff files showed that staff are trained and kept updated in core areas such as moving and handling. Health and safety records sampled showed that equipment such as hoists and fire equipment is regularly serviced. Services such as gas an electric are maintained and checked at appropriate intervals to ensure that residents live in a safe environment. Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 x 3 Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 22 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 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. Refer to Standard 2 Good Practice Recommendations Residents terms and conditions should include details of the room to be occupied. These documents should be issued in a timely manner on, or as soon as possible after admission. All staff should receive formal training in dementia care Care plans must reflect all care needs and be updated as required to meet the changing needs of residents. Individual protocols should be developed for medication that is prescribed as and when required (PRN). Boxed/bottled medication should be dated when opened. A structure for recording any complaints or comments should be put in place. Suitable storage must be provided for hoists when they are not in use. Attention should be given to the homes laundry floor to ensure that it can be throughly cleaned. 2. 3. 4. 5. 6. 7. 8. 4 7 9 9 16 22 26 Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Oak House I56-I06 S18092 Oak House V235455 270605 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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