Inspection on 30/08/06 for Oak Lodge

This inspection was carried out on 30th August 2006.

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 Lodge 21/07/08

Oak Lodge 31/01/06

Oak Lodge 05/07/05

Oak Lodge 21/10/04

Oak Lodge 27/04/04

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 Lodge 2 Peveril Road Old Duston Northampton Northants NN5 6JW Lead Inspector Mr Gary Robinson Unannounced Inspection 30th August 2006 11:30 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 DS0000012875.V308825.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. DS0000012875.V308825.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Lodge Address 2 Peveril Road Old Duston Northampton Northants NN5 6JW 01604 752525 01604 583674 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) Restgate Limited Mrs Susan Emmerson-Ward Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (31) of places DS0000012875.V308825.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Oak Lodge is situated in a quiet residential street in the Duston district of Northampton. The home is registered to provide personal care, without nursing, for up to thirty-one older people, including people with dementia related care needs. Oak Lodge is accessible by the local bus service from Northampton town centre, and there are local shops and other community facilities in the immediate locality of the home. Within Oak Lodge there is a passenger lift and stair lift. Oak Lodge currently has twenty-five single bedrooms with twelve rooms having en-suite facilities. There are three double bedrooms, one of which has en-suite facilities. There is a garden to the rear of the building, which the service users are able to enjoy in the warmer weather. Accommodation fees currently range from £376 a week for a ground floor single en-suite bedroom; to £361 a week for a first floor shared room. Additional charges that may apply include, for example, hairdressing and chiropody and these charges are specified in a price list. DS0000012875.V308825.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Oak Lodge was at 11.30am and took four hours. The Manager was on annual leave and a designated senior staff member was in charge of Oak Lodge. Extensive building work to create additional bedrooms is currently ongoing and affecting the upper floor of Oak Lodge and the building is currently surrounding by scaffolding. A range of precautions have been put in place by the Manager and contractors to protect the health and safety of people in residence, staff, and visitors to Oak Lodge. According to the Manager all the people in residence and where appropriate, their next-of-kin, have been kept fully informed of the work in progress and the precautions put in place until this work is completed. The registration of the additional bedroom accommodation for use will be subject to the formal approval of an application to the Commission to vary the current conditions of registration to include the extra bedrooms and increase the total number of people in residence. Oak Lodge was inspected using the method of ‘case tracking’. The process of ‘case tracking’ involves inspecting the standard of care received by, in this instance, three older people resident at Oak Lodge. Two of those people were visited in the privacy of their own bedroom to seek their views on the quality of care provided at Oak Lodge. A third person chosen for this case tracking method was seated in the conservatory area of the home. Additional comments were made by other people in residence in the course of carrying out the inspection. A meeting with two staff members was also held in private in the Manager’s office and there was a discussion on care practices and the day-to-day duties of the staff providing the care and support for the people in residence. There was also a meeting in private with a visitor who said that the staff always made him welcome and did a good job caring for his relative. As in previous inspections samples of records kept at Oak Lodge relating to the service provided were also inspected. These records included the current care plans for those people chosen for ‘case tracking’. These care plans document each individual’s personal care needs and provide staff with the necessary information to enable them to provide the care and support that person needs. Verbal feedback on the outcome of this inspection was given to the Manager when she returned to Oak Lodge on the 1st of September. What the service does well: What has improved since the last inspection? DS0000012875.V308825.R01.S.doc Version 5.2 Page 6 The first floor bathroom has now been refurbished. 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. DS0000012875.V308825.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 DS0000012875.V308825.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 – 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall, people are informed about the service they will receive at Oak Lodge and prospective residents can be confident of receiving the support and care they need, although not all information documents produced at Oak Lodge are being consistently monitored to ensure that the content is kept up to date and accurate. EVIDENCE: There is documentary evidence on file that supports the conclusion that each person’s care needs are appropriately assessed prior to admission to Oak Lodge. Residents confirmed that prior to their admission they were welcome to visit Oak Lodge to see if the Home suited their needs. The complaints procedure seen appeared out of date and referred to the National Care Standards Commission rather than the Commission for Social Care Inspection (CSCI). It is acknowledged that the Manager has confirmed she will review the information content of the complaints procedure document currently being provided to new and existing residents. DS0000012875.V308825.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9,10,11 (7,8 inspected in January 06) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be independent and can rely upon being treated with respect and having their personal care needs sensitively met at Oak Lodge. EVIDENCE: Three examples of completed and updated plans of care were inspected and these people were able to comment individually and positively about their care at Oak Lodge. The three residents who spoke with the Inspector in private all said they were treated well by the staff team and could rely upon them to provide the help and encouragement they needed. There are policies and procedures in place for the safe administration of all medicines kept within the Home. Medication is appropriately and safely stored, with a record of administration of medicines kept up to date. Lockable facilities are provided for each resident who wishes to self-administer their own medication. DS0000012875.V308825.R01.S.doc Version 5.2 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 is good. This judgement has been made using available evidence including a visit to this service. Residents can rely upon support and encouragement from staff to enable them to retain their independence as much as possible. EVIDENCE: The menu for the lunch was displayed on the notice board although the alternative to the meal being served was not specified on this occasion. The residents who spoke with the Inspector said they enjoyed their food at Oak Lodge and that the portions of food satisfied their appetites. It was not clear from the menu if there was a hot snack choice available in the evening as an alternative to sandwiches if the cook was off duty, although the Manager did confirm that residents could choose a hot snack. Meals are generally taken in the dining room, which is pleasantly decorated and furnished. Residents confirmed that they are free to choose the activities they feel happy to participate in. Some residents said they prefer to spend their time in their own room and that staff respected this choice. Residents confirmed that their visitors are welcome at any reasonable time. A visiting relative said he was always made welcome at Oak Lodge and shown hospitality by staff whenever he visited his relative. DS0000012875.V308825.R01.S.doc Version 5.2 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 the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using Oak Lodge’s services are appropriately protected by sound policies and procedures governing good, safe practice. EVIDENCE: Staff members have to have a satisfactory Criminal Records Bureau (CRB), disclosure that confirms they have no convictions that will prevent them working with vulnerable people. The Manager confirms that this procedure is being complied with although on this inspection these records were not checked. There are clear policies and procedures in place to guide care workers in the prevention of abuse and the action to be taken where abuse may be suspected. There is an easy to follow complaints procedure that people can follow if they are dissatisfied with their care at Oak Lodge, but care must be exercised to ensure that this procedure is up to date and in keeping with good practice displayed on the residents’ notice board. The Manager confirmed that written information about the complaints procedure is provided to people on admission to Oak Lodge. DS0000012875.V308825.R01.S.doc Version 5.2 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 the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, the residents live in a homely environment that will be further improved by the ongoing programme of redecoration of Oak Lodge and attention to the lack of appropriate privacy locks for bedrooms. EVIDENCE: The communal areas and bedrooms seen at the time of inspection were clean, and comfortably furnished. There was, however, a faint odour of urine that was noticeable when entering Oak Lodge. There was evidence in residents’ bedrooms that people continue to be encouraged to personalise their own room with their own belongings, items of furniture, etc. It was discussed with the Manager following this inspection and in the previous inspection conducted in January of this year that bedroom doors that lack privacy locks should have these fitted whenever the room becomes vacant or when the existing resident requests such a lock. It is good practice for each DS0000012875.V308825.R01.S.doc Version 5.2 Page 13 bedroom to have a safety lock fitted, whether or not the resident chooses to use it. The toilet located on the ground floor opposite the entrance to the lounge lacks a functioning privacy lock. This matter was drawn to the Manager’s attention and an undertaking was given to remedy this as a priority. The room used for hairdressing has been partly used to temporarily store piles of discarded empty boxes and appeared cluttered. As this room also has a large inward facing window this detracts from the homeliness of Oak Lodge. There appears to be too many advisory notices to staff affixed to doors throughout the home. The staff notice board, with instructions to staff and other material relevant to staff working practices, is affixed to the wall in a public thoroughfare. Ideally, this notice board might be better located in a dedicated staff room or an area less frequented by visitors and residents. DS0000012875.V308825.R01.S.doc Version 5.2 Page 14 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 is good. This judgement has been made using available evidence including a visit to this service. Staffing levels at the time of this unannounced inspection appeared to be satisfactory. EVIDENCE: There was a designated senior staff member in charge of Oak Lodge in the absence of the Manager who was on annual leave for that day. The senior staff member had a clear understanding of her role and responsibilities. Residents who spoke with the inspector said that the staff members who attended to their needs knew their job and did it well. Residents said they felt safe at Oak Lodge. They also commented that the ongoing building work had not caused them any discomfort. DS0000012875.V308825.R01.S.doc Version 5.2 Page 15 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): 31,33,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is experienced and runs Oak Lodge sensitively and in the best interests of the residents. EVIDENCE: There is documentary evidence that staff members are appropriately supervised and the standard of their work is regularly appraised. There is evidence that the health and safety of the residents, the staff, and visitors to the home is being protected whilst the building work is ongoing. Noise is kept to minimum and did not appear intrusive. There was no evidence of dust or equipment and materials being left lying around the home. There was evidence that the Manager has been vigilant about keeping residents safely away from those areas of the home currently undergoing building work. DS0000012875.V308825.R01.S.doc Version 5.2 Page 16 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 X 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 Standard No Score 16 3 17 3 18 3 3 3 2 X 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 3 X X 3 3 3 DS0000012875.V308825.R01.S.doc Version 5.2 Page 17 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. 1 Standard OP10 Regulation 12(4)(a) Requirement A suitable privacy lock must be fitted to the ground floor toilet in the corridor opposite to the lounge entrance. Timescale for action 30/09/06 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 OP24 Good Practice Recommendations Where bedroom door locks are not fitted because of the choice of resident the Manager should consider fitting such locks at the point when the room is next vacated. DS0000012875.V308825.R01.S.doc Version 5.2 Page 18 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 DS0000012875.V308825.R01.S.doc Version 5.2 Page 19 - 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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