Inspection on 03/10/07 for Oak House Residential Home

This inspection was carried out on 3rd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Residential Home 05/04/06

Oak House Residential Home 15/12/05

Oak House Residential Home 07/06/05

Oak House Residential Home 25/02/05

Oak House Residential Home 13/07/04

Oak House Residential Home 26/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Oak House Residential Home Pond Lane Greetham Rutland LE15 7NW Lead Inspector Lesley Allison-White Unannounced Inspection 3rd October 2007 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 Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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 Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak House Residential Home Address Pond Lane Greetham Rutland LE15 7NW 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) 01572 812647 01572 813633 dcw@oakhouse28.fsnet.co.uk Mr Donald Walker Mr Donald Walker Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability over 65 years of age (2) of places Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category PD (E) may be admitted to the home when 2 persons of that category are already accommodated within the home. 5th April 2006 Date of last inspection Brief Description of the Service: Oak House is a residential care home for older persons situated in Greetham in the heart of Rutland. It is registered to care for twenty-five residents. Oak House is situated in an old building with much history. As the home has developed the building has undergone extensive renovation retaining much of its traditional character. The home is carefully and appropriately furnished and is tastefully decorated throughout. All bedrooms have en-suite facilities with toilets and sinks, and eight en-suite facilities have baths fitted with mechanical hoists. Two rooms are registered to accommodate shared occupancy, but often have single occupancy. There are two lounges for residents and a separate dining room as well as additional seating located around the home. The outside of the building has undergone significant improvements and development continues. There is a large landscaped garden, with raised beds and walkways. Fees range from £500.00 to £600.00 depending on room occupied and care package per week. The Statement of Purpose and Service User Guide (information about the service provided) is available. A copy of the Commission for Social Care Inspection (CSCI) report is available from the office. The Employers Liability certificate is displayed in the office also. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for service users and their views of the service provided. The home provides care for up to twenty- five residents. On the day of inspection there were twenty- one residents. The inspection focussed on checking existing records kept in the home, talking to the people who lived there, talking to their relatives and the staff. Care practices were observed in some cases. An Annual Quality Assurance Assessment form (AQQA, current information about the service) was received from the provider. The service history was used to plan this inspection. At this inspection all the key National Minimum Standards were met. What the service does well: What has improved since the last inspection? Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 6 The residents at Oak House dine in a spacious new dining area. A new office space has been provided for the mangers to use. 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. The summary of this inspection report can be made available in other formats on request. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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 Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No resident moves into the home without having their needs assessed and assured that these will be met. EVIDENCE: The manager of care is responsible for conducting the care assessments. The pre-assessment forms were completed and a full assessment of need entered into the care plans, as seen by the inspector. (Care plans are care notes giving specific information about the care required for an individual resident). Significant time and effort is made to ensure that admission to the home is personal and well managed and information available to prospective residents is clear and helpful. Oak House does not offer intermediate care, standard 6. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents living at Oak House are treated with respect. EVIDENCE: The primary method of inspection used was “case tracking”. This involved speaking with the residents who use the service provided, looking at two residents care plans and making observations. Resident’s individual care plans gave a comprehensive over view of general health. They were evaluated as part of the observations of individuals changing health care needs. Care plans were reviewed and updated monthly. Feedback and involvement is a continuous process staff and residents who spoke with the inspector felt they were part of the decision-making processes. Residents who spoke with the inspector explained the choices that they made with regard to their health and personal care. Residents also explained that they could go out to see health care professionals such as the Opticians or Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 10 when they were unwell the General Practitioner (GP) or District Nurse visited them at Oak House. Residents who spoke with the inspector said that they were happy for the staff to administer their medicines to them. Medicines of the case tracked residents including a Controlled Drug were checked and satisfactory, minor errors were discussed with the manager of care and the Registered Manager. Staff’s attitude and response to residents or their relatives and friends was appropriate and respectful. For example staff knocked on doors, found time to stop and enjoy light banter with residents, assisted less mobile residents without making them feel that they were different from the more independent residents. Comments from residents included ‘The staff are wonderful’ ‘Everything is just right as far as I am concerned’. Relatives’ comments included ‘Oak House has been my relatives home for a number of years. They are very well cared for and all the staff treats them well. As their health has become more of a concern their needs have been catered for.’ Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Oak House find the lifestyle matches their expectations. EVIDENCE: ‘The staff are wonderful, the food is magnificent it is the best place for miles’. People living at Oak House enjoy a life style that matches their expectations and an individual activities co-ordinator is employed to enhance their day. Organised activities include keep fit, trips out or activities within the wider community. Staff are encouraged to maintain the individuals independence by providing support to those who need it and routines can be changed to suit the individual. The residents of Oak House were aware of the family dog, the budgerigar and the fish tank those who commented about it said that it added to the homely atmosphere. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 12 Families and friends are encouraged to visit whenever they can although the managers requests that visitors avoid meal times when possible. Mealtime was seen being taken in the new dining room. It was a pleasant social occasion. Many of the people who live at Oak House said that they enjoyed their meals. However, some of them could not always remember what they had ordered or what the meal was to be as the order was taken at an earlier time and was not placed on a board where they could be reminded of the menu choices. A board could be provided for this purpose to further enhance the residents’ meal times. This will be a recommendation. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at Oak House can expect to be protected from abuse and can be re-assured that any concerns that they may have will be treated seriously and resolved. EVIDENCE: The Commission of Social Care Inspection (CSCI) has not received any complaints about Oak House since the last inspection. However, CSCI was informed of an internal complaint this was dealt with at the time satisfactorily. The complaints book was checked. The complaints procedure is displayed with the other information about the service in the activities lounge by the entrance to the building. Residents who spoke with the inspector explained that if they had a problem they would go to the manager of care or the Registered Manager and knew that it would be dealt with. Relatives who spoke with the inspector were happy to express their concerns or complaints and knew that the Registered Manager would address them. There are policies in place to for dealing with complaints and protection. The training records of staff were made available at inspection. Staff receives training on the Protection of Vulnerable Adults (POVA). Staff who spoke with Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 14 the inspector were able to demonstrate their understanding of the issues involved ensuring that residents are protected in this way. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Oak House provides people who live and work there with a safe environment. EVIDENCE: Three bedrooms were seen they were clean and had residents personal belongings in them. A public area was seen it included a hoist in the bathroom. Bedrooms had specialised mattresses for those assessed to need them. Bedrooms appeared clean and spacious. Oak House remains homely and well decorated. The home is well lit, clean and smells fresh. Clinical waste is properly managed. The domestic staff that spoke with the inspector was aware of her role in relation to the protection of the people who live or work at Oak House when handling cleaning materials. She was aware of the need to avoid trailing wires at all times during her domestic work. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 16 Oak House is currently under going refurbishment and some building work. The process is being managed safely. Planks of wood were covered over and placed in a less busy area of the corridor to avoid injury to anyone passing in that area. Oak House employs a maintenance person who over sees the daily repairs and health and safety aspects of life within the home. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to do their jobs. EVIDENCE: The recruitment record of a member of staff was inspected and was satisfactory. Staff has regular training and are part of an ongoing training programme. Seven out of twelve staff has a National Vocational Qualification (NVQ) in care or above. Staff receives induction when they start working at the home. Many of the staff has been at the home for a number of years. This has helped to create a stable environment for residents living at Oak House. Residents at Oak House who spoke with the inspector said that they felt the staff were well trained and felt that they were able to provide for their needs. The staff rota indicated that the resident’s needs were met by the flexibility of the staff. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Oak House live in a home, which is run and managed by a person who is fit to be in charge and is able to discharge his responsibilities fully. EVIDENCE: ‘Oak House is a very special residential home with friendly management and staff.’ Residents’ comments. The Registered Manager provides Quality Assurance Questionnaires for relatives and professionals who visit the home. Resident and staff meetings are held. These were available at inspection. There is a strong ethos that the home is open and transparent with the views of both residents and staff listened to and valued. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 19 Advocacy groups form part of the decision making process when residents have financial decisions to make and families share responsibility with the residents over financial affairs. The Registered Manager employs a business services team to ensure that all statutory requirements under Health and Safety are met. Records were available for inspection. Fire drills and checks form part of the normal weekly and monthly routines at Oak House. Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 20 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 21 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. 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 OP15 Good Practice Recommendations Oak House Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © 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 Residential Home DS0000006462.V341939.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!