Inspection on 20/02/06 for Oak Tree House

This inspection was carried out on 20th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oak Tree House 26/04/07

Oak Tree House 01/09/05

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 Tiverton Devon EX16 9NB Lead Inspector Sue Dewis Announced Inspection 20th February 2006 10:00 Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 Oaktree House DS0000021994.V276354.R03.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 Adults 18-65. 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. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaktree House Address 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) The Vicarage Paddock Barnhay Bampton Tiverton Devon EX16 9NB 01398 331446 01398 331446 www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Anna Jane Leinster Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2002 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 DS0000021994.V276354.R03.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two evenings, one in late February and the other mid-March 2006. On the first occasion there was one member of staff at the home and six residents. The inspector spoke with the staff member and one resident in private and with all the other residents in a group setting. The inspector had to return to the home in order to look at staffing records that were not available on the first visit. The home had been notified that an inspection would take place within three months and had returned a pre-inspection questionnaire, information from which was used to write this report. Comment cards were received from seven residents and five visitors. What the service does well: What has improved since the last inspection? The home continues to provide a high quality of care, improvements for residents are on an individual basis leading to more independence, rather than to the overall service provided. A new kitchen has been fitted and all the service users said it was ‘much better than the old one’. Oaktree House DS0000021994.V276354.R03.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. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 the following standard(s): 2 Prospective residents are assured that their care needs can be met EVIDENCE: No service users have been admitted to the home for quite a while, though all those spoken with, felt that they knew the home could meet their needs. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 the following standard(s): 6,8 and 9 There is a clear and consistent care planning system in place to adequately provide staff with the information they need in order to satisfactorily meet the needs of the residents. Residents are encouraged to make choices and decisions about their daily lives, and staff have given careful consideration to any potential risks and how these can be minimised. EVIDENCE: Each service user has a locker in the office in which they keep their care plans, medication records and any other documents they wish to. One service user showed the inspector their care plan and told them how useful it was. They told the inspector that if they wanted to try something different they would ‘Talk about it, plan it and review it’. Service users spoke of being able to travel independently to and from their jobs and college, after having been risk assessed. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 10 Service users also told the inspector about Oaktree Council House meetings where decisions are made over the running of the home holidays, and any concerns anyone may have. However, there were some comments on the cards received that some residents would like to be even more involved. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 11 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 the following standard(s): 11 and 14 The home provides an excellent range of opportunities for residents to take part in social and leisure opportunities both in the home and in the local community. EVIDENCE: One service user told the inspector about their recent trip to the Special Olympics, and another told of their visit to the theatre to see the ‘Story of Billy Fury’. Service users also told of their involvement in re-cycling, cooking, sports and a ‘Promoting Independence’ group. Service users felt very strongly that Oaktree was their home and that staff did not tell them what to do, just helped them do as they wished. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20 Staff have a good understanding of the residents’ personal support needs, and residents benefit from the positive relationships they have with staff. The systems for the administration of medications are good, ensuring residents receive the necessary medicines. EVIDENCE: Service users are very able and manage much of their own personal care. Often the only member of staff on duty is male, but female service users said that they did not mind this at all. The member of staff on duty said that there would always be female staff available on call if needed. Care plans showed good evidence of where health care concerns had been identified and remedied. Staff were seen administering medication with service users very much involved, signing their own record sheets. Several service users totally self medicate and have lockable storage facilities in their rooms. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 the following standard(s): 22 and 23 The home has a satisfactory complaints system with evidence that complainants’ views are listened to and acted upon. Staff have received training and instruction on the protection of vulnerable adults. EVIDENCE: Service users and the inspector discussed the complaints procedure for the home. All service users were confident that any concerns they had would be dealt with by staff at the home. They did know, however, who to talk to if staff could not help them. Service users themselves were very aware of their safety, and that staff did all they could to keep them safe. Staff files showed and staff confirmed that they have received training in POVA (Protection Of Vulnerable Adults) issues. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 the following standard(s): 24 and 30 Though the home is comfortable for residents it does not present as a clean environment in which they can live. EVIDENCE: The environment is comfortable and homely, though communal areas remain very untidy and again were in need of vacuuming. Service users told the inspector that not all service users kept the home as tidy as others would like. All areas of the home are not clean, and there are concerns relating to this, as there has recently been a serious outbreak of vomiting and diarrhoea in the home. However, during this time all infection control procedures were followed, and the outbreak quickly cleared up. There were no unpleasant odours around the home. A new kitchen is being fitted that will be more accessible to service users. Meals are currently being prepared in the kitchen of the staff flat. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 The deployment and numbers of staff are generally sufficient to meet the needs of residents. The procedures for the recruitment of staff are not robust and do not offer protection to residents. EVIDENCE: Staffing levels are such that staff are around when service users need most assistance. For example when they are going to their placements or on outings. This generally means that there are no staff at the home during the day. Residents can be risk assessed under the ‘Home Alone’ policy, and can stay at the home alone, if they wish to, and it is felt safe for them to do so. However, if a resident does not wish to stay at home alone, a member of staff is available. Two staff files were inspected and contained evidence of proof of identity, qualifications and recent training. One file contained all the required information, though the second did not contain evidence of a satisfactory CRB (Criminal Records Bureau) check. There was evidence on both files of documented regular supervision. A new three monthly appraisal system has recently been introduced, and there was evidence on the files of goals that had been set for the coming three months. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 There is no registered manager in place to ensure service users live in a well run home. The systems for service user consultation are good, with a variety of evidence that indicates that residents’ views are both sought and acted upon. Health and safety systems are well managed ensuring residents live in a safe environment. EVIDENCE: The registered manager has recently left. It is understood that a new manager has been appointed, but no application has yet been received by the Commission. The inspector discussed quality assurance systems within the home with the member of staff responsible. The inspector was told that the quality of service provided to service users and staff was audited as was the service itself. The inspector was given an example of how the audit had led to an increase in Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 17 activities for one service user. Service users themselves told the inspector that there was a ‘house committee’ that they were all part of and at which they are able to discuss any issues. However, no report on the quality of care has been received by the Commission. Fire records were inspected and were well maintained and up to date. Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 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 2 Standard YA30 YA34 Regulation 23(2)(d) 19(1) Sch 2 Requirement You are required to ensure all parts of the care home are kept clean You are required to ensure you do not employ a person to work at the care home unless you have obtained a satisfactory CRB check You are required to submit an application to register a manger of the home You are required to supply a copy of the report on the quality of care in the home to the NCSC and make it available to service users Timescale for action 31/03/06 31/03/06 3 4 YA37 YA39 8 24 30/04/06 30/04/06 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 Oaktree House DS0000021994.V276354.R03.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 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 DS0000021994.V276354.R03.S.doc Version 5.1 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. 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