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Inspection on 05/04/06 for Oak House Residential Home

Also see our care home review for Oak House Residential Home for more information

This inspection was carried out on 5th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Oak House Residential Home Pond Lane Greetham Rutland LE15 7NW Lead Inspector Lesley Allison-White Unannounced Inspection 5th April 2006 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.V288377.R01.S.doc Version 5.1 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.V288377.R01.S.doc Version 5.1 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 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.V288377.R01.S.doc Version 5.1 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. 15th December 2005 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-two 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 it’s 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. Although two rooms are registered to accommodate shared occupancy, they are currently under 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. The fees for this home are between £450-550.00 Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection started at 10am on Wednesday 5th April 2006 and finished on the same day at 3.35pm. The inspector looked at the home’s records and reports prior to undertaking the inspection. The method of inspection used is called case tracking this means that the care of two residents was looked at through talking with them, the staff involved with their care, and by checking the records relating to their care. What the service does well: What has improved since the last inspection? • The day staff are now used more effectively and the night staff also. The shift patterns have been reorganised for the night staff creating an extra three hours per week that has allowed the staff to spend more time doing activities with residents. There was a new hot water system in place that regulates the temperature of the water so that it is safe to use for residents to use. As the rooms have become vacant redecoration has taken place and the pipes have been boxed in for a neater presentation in the rooms. • • Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 6 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 Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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.V288377.R01.S.doc Version 5.1 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): 3 Quality in this outcome area was good. This judgement was made using available evidence using pre-inspection records and during the fieldwork visit. Management ensure that all residents moving into the home had their needs assessed to ensure that staff could meet their needs. EVIDENCE: The care plans of the two residents who were case tracked were checked. These showed sufficient information to ensure that the staff at the home could meet their needs. The home did not have any residents on an intermediate care basis and therefore this standard could not be checked. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this area is good. This judgement has been made using available evidence during the fieldwork visit. Health and personal needs were well met. EVIDENCE: The inspector observed that the residents were being treated with respect, for example staff knocked on the doors and waited for permission to enter before entering the residents bedrooms. Medication was held in each persons’ bedroom to promote dignity and respect. The records for Care and Medications were checked. These records were found to provide all the relevant information to provide good care for the residents although some minor inconsistencies were noted and discussed with management. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 10 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): 12,13,14,15. Quality in this outcome area was excellent. This judgement has been made using available evidence during the fieldwork visit. Residents had good choice and control over their lives. EVIDENCE: During the inspection the inspector saw that many residents were taking part in an organized activity that would benefit their health and well-being. The inspector talked to three residents who said that they had enjoyed it. The inspector noted that there was a varied programme of planned activities throughout the week. It was noted that the home welcomed visitors at any time during the day and evening. Visitors were observed at the time of inspection. Care had been taken in planning the garden with raised flowerbeds to enable residents to take part in gardening activities and to enable those with poor vision to see the colourful flowerbeds. On the day of inspection the lunchtime menu consisted of Lamb casserole or home made Coriander fish cakes. The meals served to residents were well presented, in good proportions and the residents commented on how lovely the meals were. Particular attention to detail had been made to ensure that dining was a pleasant experience through the use of rich, warm colours and well set tables. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 11 The care manager informed the inspector that the religious needs are met by the attendance of a Roman Catholic Priest who visits the home once a week, another priest visits the home once a month to attend to Holy Communion for the Church of England residents. Residents are offered an opportunity to attend the local church in Greetham. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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): 16,18 Quality in this outcome area was good. This judgement has been made from evidence gathered during the inspection, which included talking to residents. The complaints process was accessible and if residents needed to, they would know how to ask for help in this area. EVIDENCE: There were no complaints in the records at the home and the Commission for Social Care Inspection had not received any. The staff at this home had not had to deal with a complaint and it was felt that all staff would benefit from a refresher in this area. The Managers’ said that this would be included as part of the home’s quality assurance. On speaking to staff about the Protection of Vulnerable Adults Procedures (POVA) it became clear that although staff were aware of the theory they were not so sure as to how to apply this to practical situations. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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, 20,21,22,23,24,25,26 Quality in this outcome area was excellent. This judgement has been made using available evidence during the fieldwork visit. Residents live in a safe, comfortable, homely and very well maintained environment . EVIDENCE: The inspector viewed bedrooms, bathrooms, communal areas and hallways. All were found to be in an excellent condition with good attention to detail. Equipment around the home was clean, of good quality and sufficient quantity to meet all the residents’ needs. Activities took place in a separate room from the quite relaxed areas. Televisions were in residents’ bedrooms. The television in the communal area was mainly used for evening viewing or for playing videos or films that the residents would relate to. Residents were observed having quiet conversations in the corridors, which housed relaxing chairs for them to use if they needed to rest when moving around the home. The corridors were spacious. The home was decorated to a high standard and improvements continue to take place. The dining room was pleasant and relaxing. The proprietor informed the inspector that he intended to further improve this area. He had made plans to Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 14 enlarge the sun lounge. He has planned to increase the number of bedrooms in the home to an extra three and to enlarge the office space. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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, 28, 29, 30 Quality in this outcome area was excellent. This judgement has been made using available evidence during the fieldwork visit. Residents’ needs were met by the range and skills of the staff. EVIDENCE: The proprietor had looked at the roles and responsibilities of staff and had changed them to enable staff more time during the day to do activities with the residents. The inspector noted that there were good staffing levels, staff had a good range of skills and experience and many staff had been at the home for a number of years. This has helped to create a stable environment for the residents living at the home. The home had achieved at least 50 of staff having a National Vocational Qualification in care to level two or above. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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): 31,33,35,38 Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to this service. Management ensured that the home was run in the best interests of residents. EVIDENCE: Management continually look at the changing needs of the resident group to ensure that the home can accommodate those needs. For example, the resident group is becoming older and frail and a greater number of residents require aids such as walking frames and wheelchairs. Space in the dining room is compromised by such aids, and the management have been proactive in putting plans into the building control department to have a new dining room area that will give residents more space to move around the tables. The inspector checked the records of two residents to ensure that their financial interests were being safeguarded and was satisfied with the records seen. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 17 Management had excellent systems in place to ensure that the health, safety and welfare of both residents and staff were promoted. The inspector noted excellent provision of moving and handling aids, good observance of the Control of Substances Hazardous to Health Regulations (COSHH), and a very effective boiler system which controls water to a maximum of 43c, and which was designed to eliminate the possibility of Legionella. Accident and Fire records were checked and found to be satisfactory. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 4 Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? None 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 OP18 Good Practice Recommendations To improve consistency of information in the Care plans To refresh staff members understanding of the Protection of Vulnerable Adults Procedures, by applying practice to theory. Oak House Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Residential Home DS0000006462.V288377.R01.S.doc Version 5.1 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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