Inspection on 16/02/06 for Oak Ridge

This inspection was carried out on 16th February 2006.

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 Ridge 19/04/07

Oak Ridge 07/06/05

Oak Ridge 08/02/05

Oak Ridge 13/04/04

Similar services:

Claremont House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Firstlings

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

CARE HOMES FOR OLDER PEOPLE Oak Ridge 26 Eastgate Street North Elmham Dereham Norfolk NR20 5HD Lead Inspector Mrs Marilyn Fellingham Unannounced Inspection 16th February 2006 09:30 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 Oak Ridge DS0000027609.V282922.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 Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oak Ridge Address 26 Eastgate Street North Elmham Dereham Norfolk NR20 5HD 01362 668842 NO FAX # 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) Mrs Joy Jordan Mr Paul Jordan Mrs Joy Jordan Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Oakridge is a charming detached house circa 1930, with a large, well maintained secluded garden. It is situated in the middle of the historic village of North Elmham. The village is approximately five miles from Dereham, seven miles from Fakenham and sixteen miles from Norwich; which can be reached by a regular bus service. The Home is registered to offer care to three people in a small caring family. The Providers make every effort to ensure that the Home retains a homely atmosphere and the Service Users feel very much a part of a family. All rooms are individual and service users can negotiate to have some of their own furniture, there is a communal lounge with television. There are many local clubs including Friends and neighbours, Bowling Club, Horticulture Society and Extend. The Service Users are given many opportunities for trips out. The conservatory has been enlarged, much to the delight of the residents. Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of this very small home and it took place over two hours. The manager/providers were absent and the deputy ably conducted the inspection with the Inspector. Because of the nature of this very small home that has just three service users many of the standards are not inspected as it is deemed not appropriate. Time was spent with two of the service users and care records were examined. There have been no changes since the last inspection. There are no staff members except a deputy who stands in when the provider/manager takes leave. What the service does well: What has improved since the last inspection? Generally the maintenance of the internal and external environment is always being improved. Oak Ridge DS0000027609.V282922.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 Ridge DS0000027609.V282922.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 Ridge DS0000027609.V282922.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): No standards assessed. EVIDENCE: Oak Ridge DS0000027609.V282922.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): 7,8,10. The three care plans are clear in relation to meeting the needs of the service users. The service user’s health and personal care needs are well attended to. Service users are treated with dignity and respect. EVIDENCE: The inspector spent quite a lot of time talking with two of the service users and discussed their care and how they spent their days. They were both adamant that the care was still exceptionally good and that they were very happy living there. They felt that their needs were met particularly in relation to their assessed needs. One of the service users explained that she needed plenty of exercise and that she was taken for walks inside and out on a regular basis. This lady also stated that she “had everything she needs, still very comfortable and would not like to leave the home”: she also said that the manager takes her to visit her friend every other Monday and then her friend visits her the other Monday and is always made welcome. Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 10 The other service user explained that it had been her birthday the day before and that she had been given a party in the conservatory and family had visited with friends. Both service users said that they could not grumble about anything; one commented that she had been shopping the previous day and that “the staff were good at looking after my back”. The care plans reflected this care and there was evidence of evaluation of care and change of care in relation to the service users changing needs. Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14. The home continues to offer a wide range of options to satisfy the service users social and recreational needs. Visitors are made welcome. The service users are encouraged to make choices about their daily activities. EVIDENCE: It was very evident having spent time in discussion with the service users that there were numerous activities and social engagements offered to them and as highlighted previously. One service user was still in bed at the time of inspection and this was what he had chosen to do; the other two service users confirmed that they were enabled to make choices in relation to their daily activities. Oak Ridge DS0000027609.V282922.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. Arrangements for dealing with complaints are satisfactory. EVIDENCE: The service users when asked confirmed that they were able to air their concerns if they so wished, but felt it would be an unusual thing for them to do as everything was always all right. The documentation for lodging a complaint was seen and all service users and relatives have access to this. Oak Ridge DS0000027609.V282922.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): 19,20,24,25,26. Service users live in an exceptionally well-maintained, safe and homely environment. The rooms are suited to the needs of the residents and are comfortable. The home is very clean and tidy. EVIDENCE: The home is maintained to high standard both inside and out. The gardens are neat and tidy with walkways for the service users. The two rooms that the Inspector saw were warm, comfortable and domestic in nature; it was noted that the residents had some of their own personal items in their rooms and the service users reiterated that they were very comfortable. Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 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): 27,30. Staffing is not an issue in this very small home. The provider/manager ensures that they are well trained. EVIDENCE: The manager/provider ensures that she and her deputy are well trained in areas that give them the appropriate skills to tend for the needs of the service users in their care. Certificates for various courses that have been attended were seen. Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 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): No standards assessed. EVIDENCE: Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 x COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 x 4 4 x x x x 4 4 STAFFING Standard No Score 27 4 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 17 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. Refer to Standard Good Practice Recommendations Oak Ridge DS0000027609.V282922.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Ridge DS0000027609.V282922.R01.S.doc Version 5.1 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. 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!