Inspection on 29/11/05 for Oak House

This inspection was carried out on 29th November 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 27/06/05

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 Ron Reeves Unannounced Inspection 29th November 2005 10:00 X10015.doc Version 1.40 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 Oak House DS0000018092.V265747.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 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 DS0000018092.V265747.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oak House Address 103 Corringham Road Stanford Le Hope Essex SS17 0BA 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) 01375 673104 01375 673104 Christian Care Homes Mrs Lesley Venables Care Home 13 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (13) of places Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 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. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place during the day of the 29th November 2005 and lasted for 7 hours. The inspection process included discussions with the deputy manager, the proprietor’s responsible individual, three staff, three residents, a visiting relative and a visiting community psychiatric nurse. A tour of the premises was undertaken and a sample of care plans, staff records and other records required by regulation. 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 Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 6 contacting your local CSCI office. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Oak House DS0000018092.V265747.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5, The home operates a thorough pre-admission process, care and attention is given to ensure the home can meet individual needs. Appropriate verbal and written information is provided to prospective residents and their families to enable informed choices. Resident’s needs were being met by the home. EVIDENCE: The home’s statement of purpose together with the last inspection report was displayed in the entrance hall. All residents have been issued with a copy of the service users guide. All residents have received a contract detailing the terms and conditions of residence. The registered manager or her deputy always visits prospective residents to carry out an assessment to ensure the home is able to meet their needs. All prospective residents and their families are encouraged to visit the home as often as they like, including staying for a meal, before making a decision. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 9 The home has appropriate aid and equipment to meet resident’s needs. There was evidence of a good level of staff training being provided including NVQ training. Staff spoken with demonstrated a sound knowledge of residents needs. A visiting relative expressed her confidence in the manager and her staff. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 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 the following standard(s): 7-10 Resident’s personal and health care needs are consistently being met. Appropriate systems are in place for the administration of medication. EVIDENCE: Care plans evidenced that residents personal and health care needs were being met and appropriate risk assessments in place. Further developments to the daily records were discussed with the deputy manager. The vast majority of residents have varying degrees of dementia and positive discussions were held with the registered person and deputy manager regarding continuing to develop further the service offered for the residents with dementia. Medication procedures were seen to be appropriate with staff responsible receiving regular training in medication administration. Residents spoken with said the staff always treat them in a gentle and sensitive manner, respecting their privacy. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 15 The home supplies a good quantity and quality of food, which provides a well balanced diet that meets individual residents needs. EVIDENCE: This inspection only covered the provision of meals. Resident’s daily life and social activities were inspected at the previous inspection. The home operates a weekly menu based on likes and dislikes of the residents. The home’s menu is discussed at the residents meetings and suggestions are taken on board by the home’s experienced cook. Nutrition records indicated that resident’s needs and choices are being well met. Residents spoken with were complimentary regarding the quality and quantity of food provided. Hot and cold drinks are available throughout the day. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 12 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 the following standard(s): The home has appropriate policies, procedures and staff training in place to deal with residents concerns and to protect them from abuse. EVIDENCE: The home has an appropriate complaints procedure which is displayed in the home’s entrance area. No complaints have been received by the home during the previous year. The deputy managed informed that many compliments have been received by the home. She was advised to ensure these are recorded. All residents are included in the local voters’ register. The manager informed that residents are supported if they wish to vote or they can apply for a postal vote. The home has policies, procedures and practices in place for the protection of vulnerable adults from abuse. All staff apart from newly appointed staff have received training organised by Thurrock Council. A copy of Thurrock Council’s procedures for the protection of vulnerable adults was available in the home. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19-26 The home provides a good standard of accommodation for the residents. Sufficient aids and adaptations were in place to meet resident’s needs. EVIDENCE: The home provides a good quality of accommodation for the residents, which is well furnished, decorated and maintained, which provides a comfortable and homely environment. All areas of the home are accessible to the residents. There are adequate adapted bathrooms and toilets and suitable hoists and equipment was available to meet residents’ needs. 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 of the day centre if they wish. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 14 A random sample of bedrooms were inspected. These were seen to be well furnished and personalised to individual residents tastes. Residents spoken with said they were very happy and satisfied with their rooms. Laundry facilities were appropriate. The floor of the laundry has recently been sealed. During the inspection the home was found to be clean, tidy and odour free. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 15 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 The home benefits from an experienced, well trained staff team. EVIDENCE: Staff rotas indicated that the home was maintaining the agreed staffing levels of 3 staff on duty from 7.00am to 9.00pm and 1 awake and 1 asleep staff at nights. In addition, the home employs a cook, a domestic and a handy man. The deputy felt that the present staffing levels are adequate to meet the needs of the residents. Staff spoken with confirmed that the present staff levels are appropriate. A staff file examined at random indicated that all the necessary recruitment checks had been made. A wide range of training is provided to the staff including training at NVQ level 2 and 3. The homes staff induction programme meets the “Skills for Care” requirements. Residents spoken with were very complimentary regarding the staff. Comments included “staff are kind and caring”, “staff are gentle and kind”. A visiting relative said “people here are kind, looked after my mother really well when she was ill”. A visiting community psychiatric nurse commented that she was always made welcome, staff are always nice, they are very good to the residents, always taking them out”. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The manager was on holiday at the time of the inspection. The deputy manager said the manager has worked in the home since it opened and has been manager for the past 8 years. She has achieved NVQ level 4 in management and care. The deputy manager felt that the manager and herself work together well with the deputy concentrating on the general management of the home. Both the manager and deputy do have time when they are supernumerary to the care staff, but do enjoy working hands on with the care staff. Staff spoken with said the manager was very supportive, staff spoken with said they had regular supervision with either the manager or the deputy and had regular staff meetings. They are encouraged to be involved in compiling the agenda and all commented that they can freely express their opinions. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 17 Oak House is part of the Investors for People Scheme for 5 years. This shows the organisation is committed to maintain their high standards and improve where necessary the service it provides. The home looks after small amounts of residents’ personal money for day-today expenses. A random sample of records and money were found to be appropriately maintained. A number of records seen throughout the inspection were found to be well maintained and securely held. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 X Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 19 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. Refer to Standard OP7 OP7 Good Practice Recommendations Daily recommendations should be developed to fully include, the welfare of the resident, how they spend their day and the progress of the care plan. The home should continue to improve its services to residents who have dementia. Oak House DS0000018092.V265747.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South Essex Local Office 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 DS0000018092.V265747.R01.S.doc Version 5.0 Page 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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