Inspection on 01/09/05 for Oak Tree House

This inspection was carried out on 1st September 2005.

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 Tree House 26/04/07

Oak Tree House 20/02/06

Oak Tree House 09/02/05

Oak Tree House 12/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Oaktree House The Vicarage Paddock Barnhay Bampton Devon Lead Inspector Sue Dewis Unannounced 1 September 2005 st 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oaktree House Address The Vicarage Paddock, Barnhay, Bampton, Tiverton, EX16 9NB 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) 01398 331446 01398 331446 CARE (Cottage and Rural Enterprises Ltd) Anna Jane Leinster Care Home 7 Category(ies) of LD: Learning Disability (7) registration, with number of places Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9 February 2005 Brief Description of the Service: Oaktree House is a purpose built care home for 7 adults who have a learning disability, and are over 18 years of age. The home is owned by CARE (Cottage and Rural Enterprises) Ltd, and operates as a satellite from CARE Devon at Blackerton, East Anstey, Devon. Oaktree House provides accommodation and personal care, creating an environment where service users can maximise their independence in everyday living, with minimal staff support. The ethos of the home is to promote and encourage independence and choice in daily living. Support and training is offered to develop independent living skills, both within the home and the community. Service users undertake the majority of household tasks, sharing the responsibilities, supported by staff. Service users are very active and are involved in a wide range of leisure, educational and social activities. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one evening at the beginning of September 2005, and lasted approximately two hours. A total of 5 residents were spoken with and one member of staff. Five residents returned from the Blackerton site just as the inspector arrived, three spoke with the inspector while the others took themselves to their rooms for a rest. Two other residents arrived home from work shortly afterwards and spent time talking with the inspector. The focus of the inspection was section 2 (Individual Needs and Choices) and section 3 (Lifestyle). The inspector did not look at any documents, but gained all the information for the report by discussions with residents and staff and through observation. What the service does well: What has improved since the last inspection? What they could do better: All the residents that were spoken with were very happy at the home and none could think of anything that could be improved, one commented that they ‘haven’t found anything that they didn’t like’. The home did look rather untidy and had obviously not been dusted or vacuumed for some while, residents could be more closely supervised when doing household tasks. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 6 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. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10 The systems for resident consultation in this home are good with residents perceiving that they are consulted about decisions to be made within the home. Residents are aware of and contribute to their care plans. EVIDENCE: Residents were all aware of their care plans and what information was kept in them. One resident told the inspector that if he wanted something they would all ‘sit down, talk about it, plan it and review it’. Residents told the inspector that house ‘Council Meetings’ are held monthly and residents are able to talk about any aspect of their lives at the home. Each resident has a different domestic ‘job’ within the home and they take it in turns to cook and wash up. Some residents are a little more confident than others and depending on appropriate risk assessments are able to travel independently to their work or social activities. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 Residents are encouraged and helped to develop their skills to better look after themselves and have good support to access recreational and educational activities within the home or in the community. Meals are nutritious and balanced and offer a healthy and varied diet for residents. EVIDENCE: Residents were keen to talk to the inspector and told of their involvement in the routines of the home and of their busy lives. Two residents had recently taken part in a dance marathon in aid of funds for the Special Olympics, others had taken part in the games recently held in Glasgow. One resident has recently retired from running and now helps coach the Blackerton Athletics Team. Five residents regularly attend CARE Devon’s pottery workshops at the Blackerton site. Others work in local charity shops. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 11 Residents have various social outings throughout the week, including Gateway Club, St. Johns Ambulance and local pubs. Regular holidays and visits further afield are also an important part of the resident’s lives. Residents have visited London to see shows and been to Elland Road to see Leeds United play football. A Mediterranean cruise and a trip to Blackpool are planned for the future. Several residents have signed up to start classes at East Devon College and will be studying card making and cookery when term begins. Residents told the inspector that they keep in regular contact with their relatives and friends, and receive lots of visits as well as going to visit them. Each f the residents take it in turns to cook for the others and they have to plan what they are to cook, and shop for any ingredients. During the inspection there were discussions about the following nights menu which involved thinking about others likes and dislikes and providing a vegetarian option. Healthy eating is generally encouraged and one resident said ‘I like healthy eating because I’m an athlete’. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The environment does not totally provide residents with a clean, comfortable and homely place in which to live. EVIDENCE: The entire environment was not inspected on this occasion. However, the inspector noticed, whilst walking through the home, that it was very untidy and had not been vacuumed or dusted recently. The inspector is aware that each resident has their own domestic task to complete around the home, but it is recommended that there is more supervision of residents to ensure that tasks are adequately completed. Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oaktree House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 18 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 YA 30 Good Practice Recommendations You are recommended to ensure that the home is kept clean and tidy Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 Oaktree House D54-D06 S21994 Oaktree V247637 010905 Stage 4.doc Version 1.40 Page 20 - 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. 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