Inspection on 19/04/07 for Oak Ridge

This inspection was carried out on 19th April 2007.

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 16/02/06

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 Key Unannounced 19th April 2007 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.V337879.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. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 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.V337879.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 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.V337879.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over three hours. The provider/manager was present during the first part of the inspection process and then the deputy finished the inspection so that the provider/manager could take her day off. The Inspector took time speaking with the three residents who clearly enjoy living in this very small home. As usual this home continues to be managed at a very high standard and although small the provider/manager ensures that all the key standards are met. What the service does well: What has improved since the last inspection? The providers/manager will always work on the assumption that there is room for improvement and actively consider ways in which to continually enhance the environment internally and externally. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oak Ridge DS0000027609.V337879.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 Oak Ridge DS0000027609.V337879.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are not admitted to the home unless the manager is sure that their needs can be met. EVIDENCE: The records for the new admission to the home were inspected. These were found to be good. The prospective service user was invited to spend the day at the home so that they could decide if the home suited them and also to ensure that they would settle with the other two residents. During this period the manager said she was also able to make sure that they could meet the needs of the prospective resident. The new service user told the Inspector that she had had enough information about the home to make a decision to stay. A month’s trial was given. Oak Ridge DS0000027609.V337879.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is good content in the care plans, which indicates that the service users can be sure that their health care needs can be met. EVIDENCE: Case tracking confirmed good practice and that the health care, social and personal needs were being met. The service users also confirmed this whom the inspector spent some time chatting with. All three had nothing negative to say about the home and all stated they enjoyed living there and that their needs were being met. All three care plans had clear identified needs in place and evidence of monthly reviews and more if the needs changed. One person, who had a history of falls, had an informative risk assessment in place for falls. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 10 All three service users voiced their love of the home and that the providers/manager were so kind and caring and took great trouble in treating them with dignity and respect. As the Inspector moved around the home she noticed that the member of staff knocked on the residents doors before entering. There were good daily records in place that also highlighted all outings and activities undertaken by the residents. The medication records were examined and found to be in order, they were neat and indicated that the medication had been given at the appropriate times. Medicines in stock also tallied with the record for medicines that had been administered. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers a wide range of options to satisfy service users social and recreational needs. Service users feel that the lifestyle experienced in the home matches their expectations. EVIDENCE: Some time was spent in discussion with the service users about their daily lives; the Inspector gleaned from these discussions that there were numerous activities and outings offered to them. They stated that they often go out as much as twice a week and more if they wished. One resident said that although they could have gone out at the beginning of the week they chose not to go. The other two residents said that they had been taken by the manager/provider for a drive along the coast and they had stopped for an ice cream at Wells Harbour. They also said that quite often in the Summer months they bring home a crab for tea. One of the residents said that they Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 12 particularly liked going out for a pub lunch and that nothing was too much trouble for the providers. On the day of inspection one service user was being taken to the hairdressers for a perm. One of the residents had recently had their ninetieth birthday and that the home had made it very special for them. They had also had a visit from friends who had taken them out. The home has a large conservatory which the residents love spending time in as they also do in the very pleasant gardens. The provider/manager had taken one resident to view the newly born lambs that can be seen from the end of the garden. Other activities also take place in the home such as flower arranging and one of the residents particularly likes doing this. The local group of Chatterbox is also visited by the residents if they wish to. The home needs to be congratulated for its consistent effort in providing suitable activities and outings for its residents. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users feel safe and listened to. EVIDENCE: A complaints procedure is available for all service users and they were all aware of this. All three service users said that they feel very safe and felt that they could talk to the providers/manager or their deputy at any time and knew that they would be listened to. All the persons that work in the home have had training in safeguarding adults and documentation was seen for this. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users live in a most pleasing, well-maintained, safe and homely environment. The rooms are suited to the needs of the residents. EVIDENCE: The home was found to be maintained to a very high standard internally and externally. The gardens looked wonderful with lots of flowers and a wellmaintained lawn. One room has been re decorated and new carpet laid. The hallway that leads of from all three residents rooms has been re decorated and new flooring laid. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 15 All three residents were more than satisfied with their rooms and the overall environment. The rooms had evidence of personal belongings. All three rooms have a pleasant outlook and one resident said that they could not be in a better place and that the home was wonderful. The providers have an on going maintenance plan. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing continues not to be an issue in this very small home. All persons working in the home are well trained to do so. All service users are protected by the home’s recruitment system. EVIDENCE: The provider/manager continues to ensure that she, her husband, her deputy and one bank staff member are well trained in all areas needed to meet the needs of the service users. Documents were seen to verify this, relating to courses undertaken which included Health and Safety, medication training, first aid and protection of vulnerable adults plus other subjects that are concerned with the various conditions of the residents. The home has recruited just one person as a bank staff member who at short notice can be deployed in the home. It was noted that the home has a robust system in place for employment of new staff and all the necessary checks were found to be in place for the new recruit. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 17 The Inspector spoke with the deputy who had come into the home to allow the manager to have a day off and she confirmed that she continually is update with all areas concerned with her work in the home. The home does not have staff turnover problem and the home is run efficiently by the husband and wife team and the deputy. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The providers/manager meet the needs of the service users. The quality of the service is excellent. EVIDENCE: Service users spoken to felt that the provider/manager was excellent and that she is constantly ensuring that they have all that they need and go where they want to. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 19 The deputy appreciated working with the husband and wife team and felt that they did everything to ensure that she and the service users lived and worked in a suitable environment. Although this is such a small home the deputy does receive formal supervision. A quality assurance system is in place and the home annually gets their residents to complete a survey, these were seen by the Inspector who noted one comment at the bottom of the survey, which read “one word, marvellous”. General maintenance records were seen. Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 20 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 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 4 x x x x x x 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 x 4 x 4 x x 4 Oak Ridge DS0000027609.V337879.R01.S.doc Version 5.2 Page 21 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.V337879.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V337879.R01.S.doc Version 5.2 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!