Inspection on 12/05/05 for Oak Lodge Rest Home

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Rest Home 07/01/09

Oak Lodge Rest Home 23/01/07

Oak Lodge Rest Home 25/10/05

Oak Lodge Rest Home 07/01/05

Oak Lodge Rest Home 31/08/04

Oak Lodge Rest Home 17/04/03

Oak Lodge Rest Home 17/04/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Oak Lodge Rest Home 1a Adams Road Shire Oak, Brownhills. West Midlands. WS8 7AL Lead Inspector Lesley Webb Unannounced 12 May 2005 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 Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oak Lodge Rest Home Address 1a Adams Road Shire Oak Brownhills West Midlands. WS8 7AL 01543 372078 01543 372078 david@davidwilson6.wanadoo.co.uk Mr. David & Mrs. Pamela Wilson 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) Mrs Pamela Wilson Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th January 2005 Brief Description of the Service: Oak Lodge is a two storey detached property located in a quiet residential area of Brownhills. The building comprises of fourteen single bedrooms, many with en-suite facilities, a lounge, separate dining room, kitchen and laundry. There are parking facilities to the front of the property and a small, enclosed garden, with patio to the rear. The home is approximately one mile from the centre of Brownhills, close to bus routes to other towns, shops and other amenities. Oak Lodge is registered to provide care for up to fourteen older people of both sexes for the reason of old age. Over the past two years a number of improvements to the building have been made, including the instalation of a passenger lift, improving facilities offered to service users, with the next phase of building work due to start shortly to increase bed spaces from fourteen to seventeen. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived unannounced at 12.10pm and stayed at the home until 6.30pm. Most of the inspector’s time was spent talking to residents (seven in total) before interviewing both members of staff that were on duty and looking at records. In addition to this the inspector had the opportunity to speak to two relatives of people living at the home, both of whom spoke highly of the service provided by the home before giving feedback about the visit to the Registered Manager. The inspector would like to thank both residents and staff for their assistance during the inspection and for making her feel very welcome. What the service does well: What has improved since the last inspection? Since the last inspection many staff have undertaken lots of courses that help them to care for everyone living at the home, with only bereavement training and infection control remaining outstanding. The home has also developed further its appraisal system for staff that is now linked to their personal development, again that ensures staff have the right skills to care for people. Medication policies and practices have been developed and ensure recording and administration are properly managed. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 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 Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 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 Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 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) 1, 2, 3 and 5. The homes Statement of Purpose and Residents Handbook provide service users and prospective service users with details of the service the home provides enabling and informed decision about admission to be made. EVIDENCE: The home has a Statement of Purpose and as also introduced a resident’s handbook, which everyone is given on admission to the home. These documents are also given to prospective service users and/or their families when visiting the home to look at its suitability. All the service users interviewed confirmed that they or their families had visited the home before moving in, with one stating, “I came for the day, I had looked at quiet a few homes but this was by far the best because it is small and personal” and another stating, “my family came with me to visit, everyone made us very welcome, we went all over the place to find the right home”. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 9 Since the last inspection the home has ensured that all service users have comprehensive contracts in place that are signed by the service user, their representative and the manager. All staff that was interviewed was able to give detailed knowledge of service users assessed needs and records viewed by the inspector confirmed that service users needs are assessed prior to admission. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10. Improvements in monitoring and recording must be made to ensure all the health needs of service users are met. Staff have a very good understanding of the service users support needs, this is evident from the positive relationships that have been formed between staff and service users. EVIDENCE: All of the staff that the inspector interviewed were able to give examples of aims and goals contained within service users care plans, when they are reviewed and by whom. The inspector could not be totally satisfied that all service users health care needs are being met due to inconsistencies in recording. For example one service user that the inspector spoke to wore hearing aids but during their conversation had difficulties in hearing and could not say when they last visited the audiologists department. When the inspector looked at this persons records nothing was recorded. The manager stated that this had occurred about 6 to 12 months ago but records had been removed from the home so this could not be verified. Another service user that the inspector spoke to had a swollen foot and stated, “I’m waiting to have Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 11 something done about it”. Records seen by the inspector confirmed that this person had been prescribed medication but had not been seen by a G.P. The manager stated that staff were elevating this persons foot, but the inspector instructed that professional guidance should be sought. Other residents that the inspector spoke to made positive comments about the home maintaining their health needs including “they called the doctor out three times to make sure I was ok” and “the dentist, chiropodist, optician all come in, I’ve just had two new pairs of glasses”. Residents confirmed that staff treat them with respect and respect their rights to privacy. This was particularly evident with three service users who choose to spend time in their bedrooms with comments such as, “even though I choose to stay in my room a lot they always pop in to make sure I am alright” and “they don’t try to force me to join in with things, they understand I like my privacy”. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 12 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 and 15. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: A number of people living in the home were spoken to and everyone who commented on the food said how good it is and that they are offered daily choices. Menus were inspected and found to be balanced and interesting and mealtime arrangements are also flexible enough to accommodate individual preferences. Residents and staff confirmed that activities take place regularly including weekly bingo, walks out in the community, sing-a-longs, armchair exercises and day trips to various events. Two service users reported their appreciation of the activities arranged stating, “I love the sing-a-longs, its such a happy place here” and another stating, “there’s always lots to do, but you can please yourself if you want to join in”. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. EVIDENCE: The general consensus among service users that the inspector spoke to were that they feel safe living at the home and that staff always take the time to listen to them, with comments received such as “staff always sort things out straight away” and “the staff are very, very nice people, you can take your troubles to them and they always have time for you”. There has been one verbal complaint made directly to the home and one received by CSCI since the last announced inspection, both of which have been acted upon and resolved in a satisfactory manner. All staff that the inspector spoke to demonstrated knowledge and understanding of service users rights to complain and the protection of vulnerable adults, with records confirming that training had been undertaken in 2005. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 14 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) 26. The environment creates a homely atmosphere for service users. EVIDENCE: On the day of inspection the home was clean and free from offensive odours. No progress has been made to install a sluicing facility, however the home has been liaising with CSCI and the Infection Control Advisor in order to resolve this situation. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 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 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 and 29. Staff morale is high resulting in an enthusiastic workforce that works positively to improve service users quality of life. The protection of service users will be enhanced when staff records are maintained in full. EVIDENCE: Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 16 All service users that were spoken to stated that the staff are one of the best thing about the home with comments received such as “they are lovely” and “nothing is too much trouble for them”. Practices and discussions with staff confirmed that staff attempts to ensure service users needs are met. In addition to care staff the home employs kitchen and domestic staff and the manager works supernumerary hours to care. The staff that were interviewed demonstrated knowledge and commitment to meeting service users needs with comments received including, “it’s a lovely place to work, you are appreciated and this makes you want to do everything possible for the residents”. Staff confirmed that they undertake a variety of courses in order that they have the appropriate skills to support individuals but did comment that this could be further enhanced if bereavement training was arranged. No progress has been made to ensure staff files have all the required documentation required by legislation as identified in a previous inspection. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 17 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) 32, 33 and 36. The manager encourages involvement and communication, creating a positive and inclusive atmosphere. Quality monitoring systems must be introduced based on the views of service users and other interested parties to ensure the home meets its aims and objectives. EVIDENCE: The inspector received an abundance of compliments about the manager from service users, staff and relatives of people living at the home. Comments received included, “you can talk to the manager and be confident that confidentiality is maintained”, “the manager is a person you can talk to and will listen” and “the people who run the place genuinely care”. Resident and staff meetings occur as means of informing and involving people in the running of the home but the inspector could not validate the frequency of these due to the minutes of some meetings not being available. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 18 No progress has been made to implement a quality assurance system based on seeking the views of service users, their families and other interested parties. The manager recognised that this must be addressed and gave assurances that this would be dealt with as a priority. Since the last inspection all staff have undertaken an annual appraisal that is then linked to their training and development needs for the future. The inspector complimented the home for the system they had introduced as it ensured aims could be monitored and reviewed in a systematic cycle. The inspector did however note that there are inconsistencies in the frequency that staff receive formal supervision that need to be addressed in order that staff receive the appropriate support and guidance. Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 19 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 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x 2 STAFFING Standard No Score 27 2 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 4 1 x x 2 x x Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 20 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 OP8 Regulation 12(1) Requirement The home must ensure all service users have access to specialist medical, nursing, dental, pharmaceutical and chiropody services in a timely mannor, with records maintained The home must ensure all service users have access to hearing and sight tests on a regular basis, with records maintained A sluice must be provided separately from service users toilets (REQUIREMENT ORIGINALLY MADE JANUARY 2005) All staff must undertake breavement training All staff files must contain a recent photograph and two forms of identification (one of which must be a copy of birth certificate (REQUIREMENT ORIGINALLY MADE JANUARY 2005) Service user and staff meetings must occur on a regular basis with minutes maintained A formal quality assurance system must be implemented (REQUIREMENT ORIGINALLY Timescale for action 30/09/05 2. OP8 12(1) 30/09/05 3. OP26 16(1) 01/06/05 4. 5. OP27 OP29 18(1) Schedules 4, 6 30/09/05 01/06/05 6. 7. OP32 OP33 10(1) 24 30/09/05 01/06/05 Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 21 MADE JANUARY 2005) 8. OP36 18(2) All staff must receive at least six formal supervision sessions a year 30/09/05 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 OP9 OP26 Good Practice Recommendations That the home sends its medication policies and procedures to the pharmasist inspector for his advice That a sluicing disinfector be installed Oak Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Lodge Rest Home E55 S20823 Oak Lodge V226221 120505 Stage 4.doc Version 1.30 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!