CARE HOMES FOR OLDER PEOPLE
Oak House Residential Home Pond Lane Greetham Rutland LE15 7NW Lead Inspector
Steve Hunnybun Unannounced 7 June 2005 10:00 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 Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Oak House Residential Home Address Pond Lane Greetham Rutland LE15 7NW 01572 812647 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) Oak House (Donald Walker) Donald Walker Care Home 22 Category(ies) of OP Old Age 20 registration, with number PD(E) Physical disability 2 of places Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 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. Date of last inspection 25th February 2005 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 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. 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. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over four hours and was the first statutory unannounced inspection this year. Four residents files were tracked and the inspector spoke with all four residents. Comments from residents were all very positive. The home was described as ‘fabulous’ and ‘lovely’. All four residents informed the inspector that he ‘would not find a better home’. Staff were praised very highly being described as ‘caring’ and ‘very helpful’. Residents seemed to view the home as a family and all appeared very happy. The manager also spoke with the inspector, as did the proprietor. The inspector looked at the residents’ rooms and communal areas during a guided tour of the building. What the service does well: What has improved since the last inspection?
Two recommendations were made at the last inspection regarding the frequency of the testing of the fire alarms and water temperatures. Both have been met. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 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 C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 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 Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 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) 3 Residents’ needs are assessed to ensure that they will be met when they live at the home. EVIDENCE: All files tracked contained assessments that had been completed by the manager. These were comprehensive and included mobility, continence, emotional well being and self care among other headings. Residents had signed the assessment forms to indicate that they agreed with them. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 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 standard(s) 7, 8 All residents have a comprehensive care plan and their health care needs are met. EVIDENCE: All files tracked contained comprehensive care plans that had been generated using information from the assessments. All plans were specific to the individual and covered areas such as swallowing difficulty, pain relief, visual impairment and poor mobility. All care plans had been reviewed by the manager a few days before the inspection. Records indicated that they are reviewed at least monthly and the outcome of any review is recorded. All residents’ health needs are recorded in their files. Any specific areas are included in the care plan. Appointments with GPs and any other health care professionals are recorded along with any advice or outcomes. Residents who spoke with the inspector stated that their health needs are met. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 15 Residents are provided with activities to meet their needs. All residents are able to maintain contact with families and friends. The food is healthy and nutritious and is served in pleasant surroundings. EVIDENCE: All residents stated to the inspector that they are happy with the activities offered in the home. One lady who is over a hundred years old stated that she had never played bingo until she moved to the home and won several prizes on her first attempt. Other activities include piano evenings, board and card games, videos and trips out. Residents stated that they are not forced to join in activities and can choose to remain in their rooms if they wish. Residents’ preferred leisure activities are recorded in their care plans. All residents stated that they are able to receive visitors at any reasonable time and they all had sufficient space and enough furniture in their rooms to enable them to ensure privacy during visits. Although the inspector did not observe a meal all residents stated that the food is very good. They are able to choose their food and can take meals on a tray in their rooms if they wish. The kitchen has recently been refurbished and appears highly professional. Menu boards indicated a varied and nutritious diet. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 11 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 Residents feel able to complain and know that their concerns will be listened to. EVIDENCE: The home has a comprehensive complaints procedure that is referred to in the statement of purpose and service users’ guide. All residents who spoke with the inspector stated that they would feel able to complain if they ever needed to but all felt that this was very unlikely. Regular residents’ meetings are held. Copies of minutes were available to be picked up near the main entrance. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 12 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, 24, 26 The home offers a safe, well-maintained environment that meets residents’ needs. The home is commended for the quality of the environment. EVIDENCE: The home offers very high quality accommodation. All rooms are tastefully decorated and have been personalised with furniture and possessions. The property has been extensively extended and retains the character of an old building throughout. Residents benefit from several indoor sitting rooms and very pleasant grounds. All residents who spoke with the inspector stated that they love to sit outside when the weather permits. The home was clean and tidy on the day of the inspection. The hot and cold water system has recently been upgraded to better meet residents’ needs safely. The home’s handyman carries out maintenance and decoration. He has also made a number of planters for the balconies and gardens. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 13 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 Residents’ needs are met by the staff team. EVIDENCE: Duty rotas are designed to meet residents’ needs. The manager stated that when there are gaps in the rota these are filled from within the staff team. All residents who spoke with the inspector stated that the staff are lovely and that they are helpful and always respond when they are needed. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 14 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) 35, 38 Residents are able to manage their own finances. Health and safety of residents and staff are given due attention. EVIDENCE: All residents handle their own finances with either a relative or solicitors support as appropriate. Health and safety is clearly important within the home. All relevant fire and water temperature checks are carried out at appropriate intervals. The new water system has been designed to reduce risk from scalding and water born infections. All electrical equipment has been subject to portable appliance testing. Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3
COMPLAINTS AND PROTECTION 4 4 x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 3 Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 16 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 none 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 none Good Practice Recommendations Oak House Residential Home C51 C08 S6462 Oak House V231468 070605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 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
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