Inspection on 07/06/05 for Oak Ridge

This inspection was carried out on 7th June 2005.

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 16/02/06

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 Marilyn Fellingham Announced 7 June 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 Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oak Ridge Address 26 Eastgate Street, North Elmham, Dereham, Norfolk, NR20 5HD 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) Category(ies) of registration, with number of places 01362 668842 Mrs Joy Jordan, Mr Paul Jordan Care Home 3 Old Age (3) Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8 February 2005 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. Since the last inspection the conservatory has been enlarged, much to the delight of the residents. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over 2 hours. The provider of this exceptional service was present for the inspection and all three of the residents were spoken to during the inspection process. A tour of the premises took place and staff and care records were inspected. What the service does well: What has improved since the last inspection? A new system is now in place for the handling and administration of medication this has proved a big improvement. Oak Ridge I55 S27609 Oak Ridge V222626 070205 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 Ridge I55 S27609 Oak Ridge V222626 070205 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 Ridge I55 S27609 Oak Ridge V222626 070205 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) Not assessed at this inspection. EVIDENCE: Oak Ridge I55 S27609 Oak Ridge V222626 070205 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) 7,9 The health care needs of the residents are identified and met. The residents receive their medication safely. EVIDENCE: The three care plans were inspected and they indicated the care that was needed to meet the needs of the individuals, there was evidence of continuous reviews and evaluation of care. The Inspector noted a number letters from various agencies stating that the provider/manager communicated well with the local surgery and promotes the well-being and independence and quality of life for the residents in her care. Other letters described the provider’s commitment to caring for the residents and her pursuit to ensure that they received care that was far and beyond what was expected in a care home. The residents are also enabled to receive any resources that help them maintain their independence. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 10 A new system for receiving, handling and administering medication is in place; this has been instigated by the provider/manager. It is a much safer system and the provider/manager and the part time carer have both had instruction in relation to this new system. They have also attended a study day on medication so that they have a better understanding of the process; certificates were seen for this. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 Social activities are managed extremely well, they are varied and creative. Residents are encouraged to make choices in relation to their daily lives. Links are maintained with the local community. EVIDENCE: The three residents discussed with the Inspector the variety of activities offered to them; they all felt that they very much suited their needs and that they were always given the choice of what they wished to do. One resident commented that they “pleased themselves what they do, and can go out as much as they wished”. A number of outings take place especially during the summer months; they had visited the Sea World at Hunstanton and also enjoyed a trip on a local North Norfolk train to name but a few of the outings. The provider ensures that she takes one resident to visit her friend once a week and collects the friend the next week to visit the home. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 12 The home has a most delightful garden that the residents can access easily. The residents said they very much-enjoyed sitting in the newly extended conservatory and watching the birds and the two elderly tortoises who also live at the home. The residents expressed their satisfaction in all that the providers arrange for them. Two of the residents are local people; hence many of the visitors live locally and bring into the home all news of local events and happenings. Visiting is not restricted in any way and indeed is encouraged. Oak Ridge I55 S27609 Oak Ridge V222626 070205 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) 16,18 The providers have ensured that the residents are protected against all forms of abuse. The home does not have a history of complaints, however the residents are confident that their concerns would be listened to and taken seriously. EVIDENCE: The residents were insistent that if they have any concerns they were always listened to. They felt that they could approach either of the providers, but could not visualise why they might have to. When asked if they had any concerns one resident commented that they were extremely well cared for and that he had only come for two weeks but had been there two years. A most comprehensive complaints procedure is in place, it is easy to understand; it was seen by the Inspector. The provider/manager has constantly kept herself up to date with all the relevant legislation and certificates were seen relating to study days that she and the carer had attended. Oak Ridge I55 S27609 Oak Ridge V222626 070205 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) 19,20,26, The environment is extremely well maintained and safe. Areas inside and outside are easily accessed and safe, ramps have been installed so that the residents do not have to tackle steps. EVIDENCE: The providers have an on going plan for redecoration and as soon as something requires attention it is dealt with; this is obvious due to the general ambiance and state of all décor and furnishings. The home was found to be very clean and tidy and the residents shared with the Inspector that the home was just as they wished it to be. One resident stated that they were lucky to live in such pleasant surroundings. Oak Ridge I55 S27609 Oak Ridge V222626 070205 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) 29, The residents are protected by the homes policies and procedures that are in place. EVIDENCE: This is a very small home that does not have to regularly employ new staff, only one very part time carer is in post who relieves the provider/manager when required. All this persons appropriate checks have been carried out and these were seen by the inspector. All policies and procedures seen by the Inspector were up to date and relevant to the home and its residents. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 16 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) 32,33,38 This is an extremely well managed home, that is totally run in the best interests of the residents. Practices are in place to ensure the safety of the residents. EVIDENCE: Anecdotal evidence gained by chatting with the residents led the inspector to be totally convinced that this home is run well and consideration always given to the needs of the residents. One resident stated that the providers were very good and nothing was too much trouble and that they could not live in a better place and clapped their hands. They went on to state that “the care was so marvellous they could not even start to describe how wonderful it was” A quality control survey was carried out to ascertain the observations of the residents and their relatives. These were seen. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 17 The provider/manager and the carer are enrolled on a course for manual handling. The home obtains advice in relation to fire safety and instruction in the event of a fire. Risk assessments are in place, COSHH regulations are adhered to and a policy was seen for this. The home has achieved a Good Food Award and the certificate was seen. Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 18 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 x COMPLAINTS AND PROTECTION 3 4 x x x x x 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 Standard No 16 17 18 Score 4 x 4 x 4 3 x x x x 4 Oak Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 19 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 Ridge I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 I55 S27609 Oak Ridge V222626 070205 Stage 4.doc Version 1.30 Page 21 - 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!