Inspection on 10/02/06 for Oak Tree Lodge

This inspection was carried out on 10th February 2006.

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 Lodge 25/07/07

Oak Tree Lodge 30/05/06

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oak Tree Lodge 114 Lyndhurst Road Ashurst Southampton Hampshire SO40 7AU Lead Inspector Tracey Box Unannounced Inspection 10th February 2006 10:00 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 Tree Lodge DS0000066314.V281994.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 Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oak Tree Lodge Address 114 Lyndhurst Road Ashurst Southampton Hampshire SO40 7AU 023 8029 2311 023 8029 3817 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) Carewise Homes Limited Mrs Margaret Patricia Duncan Care Home 19 Category(ies) of Dementia (19), Mental disorder, excluding registration, with number learning disability or dementia (19), Old age, of places not falling within any other category (19) Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/09/05 Brief Description of the Service: Oak Tree Lodge is a registered care home providing personal support and accommodation for up to nineteen older people with Dementia and Mental health needs. Carewise Homes Limited own the home, and Mrs Margaret Duncan is the registered manager . The home is situated just off the main road that runs through the village of Ashurst, and comprises of a large detached building with four shared and eleven single bedrooms, on both the ground and first floor, access can be gained to the first floor by a staircase and passenger lift. There is a dining room linked to a large lounge, a smaller second lounge is situated off the dining room. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the homes first inspection under new management. Carewise Homes Ltd were registered as the providers on the 9th January 2006. At the time of the inspection fifteen residents lived at the home. The home has four vacancies which inspector was aware of this as the home had sent the required notification to the CSCI, as required in regulation 37 of the Care Standards Act (CSA) 2000). The people living at Oak Tree Lodge prefer to be referred to as residents, therefore will be referred as this throughout the report. The inspector saw the layout within and surrounding the home the majority of the environment within the home appeared clean and comfortable, however the inspector witnessed an offensive odour in one bedroom. The manager confirmed contract cleaners have been employed to clean the area and the cause is being investigated. The inspector witnessed good interacting between residents and staff. Records were seen and the inspector asked residents and staff for their views and experiences of living and working at Oak Tree Lodge. What the service does well: What has improved since the last inspection? This is the homes first inspection since their registration 9/1/06. Oak Tree Lodge DS0000066314.V281994.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 Tree Lodge DS0000066314.V281994.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 Tree Lodge DS0000066314.V281994.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): 6. Oak Tree Lodge provides short term intermediate care to residents who have been assessed. EVIDENCE: The manager explained the process the home follows if someone wishes to stay at Oak Tree Lodge for intermediate care. The inspector saw the homes policy on intermediate care, this is only provided if a bedroom is available to accommodate the stay. Residents confirmed they are consulted prior to a resident staying for short term care. One resident was staying at the home for respite care, and said “I have been here for two out of the three weeks I will be staying here, I have been made welcome and I would come here again, the changes that are going to be made to the home will make it even nicer.” Oak Tree Lodge DS0000066314.V281994.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): 9. Residents are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: At the time of the inspection, staff administer all of the residents medication. Staff told the inspector that residents prefer them to store and administer resident’s medication for them, one resident told the inspector this was their wish, this was also recorded in the care plan. The inspector saw medication being correctly administered, staff followed the homes medication policy and procedure, (the home uses the monitoring dosage system and monitoring administration record sheets). The records kept in conjunction with medication received were found to be correct, however records showing that returned the pharmacist has received medication were not in place. Records of all staff trained to administer medication were found to be in order. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 10 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. Residents feel the home matches their expectations and preferences, their social, cultural, religious and recreational needs are met. EVIDENCE: Individuals care plans explore individuals cultural needs, contact with family, friends, representatives and social workers, as are individuals wishes to attend activities outside the home. A record of visitors to the home was seen, which showed visits by family members, the chiropodist, local Padre who conducts a service each week for residents who wish to attend. One resident said she has her hair styled by the hairdresser who visits the home once a week. The manager confirmed the home employs an activities co coordinator who spends 2 hours a day three times a week doing various activities with residents. One resident said “ we do bingo, dominoes, skittles and netball. I really enjoy singing.” Care plans include details of the activities individuals have participated in and whether the individual enjoyed it. One resident explained “I get support and help to do what I want, staff encourage us all to take part in activities, sometimes I do, staff are understanding if I don’t want to. My family take me out.” Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 11 Oak Tree Lodge DS0000066314.V281994.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): 18. The home has satisfactory procedures for protecting service users’ form abuse. EVIDENCE: The inspector saw the homes adult protection procedure, and a whistle blowing policy. Records showed each staff has received a clear enhanced Criminal Records Bureau (CRB) disclosure. Records of a Protection Of Vulnerable Adult (POVA) checks being completed prior to the CRB disclosure being returned were available. The inspector saw staff training records, which showed that staff had received training on abuse. Awareness of abuse and the correct procedures to follow is covered in the induction process of new staff. One member of staff said “ I am aware of the correct procedure to follow, I know where the procedures are kept should I need to access them, there is always a more experienced member of staff on duty to ask.” Oak Tree Lodge DS0000066314.V281994.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): 19,26. Residents live in a safe, pleasant environment which is well maintained. The majority of the home was clean, pleasant and hygienic, however an offensive odour was present. EVIDENCE: The home appeared well maintained. One resident said “ if I notice anything that needs fixing or I want a picture hung, I ask and the job is as good as done.” One resident said their room was very pleasant, clean and warm, they were encouraged to bring their own personal belongings, furniture and pictures to make it feel like home. A random selection of bedrooms were seen, all were found to be clean, warm and furnished with personal items. The inspector witnessed an offensive odour in one of the residents bedrooms, the inspector required the cause be investigated and eliminated. The manager Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 14 said a cleaning company clean the homes carpets once a week, and will investigate to see if the odour has effected the floor boards in the room. One resident said “I feel safe here, as well as being free to come and go as I please”. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden is well maintained and residents enjoy looking at it from inside the home. The inspector witnessed good practices regarding hygiene in the kitchen and whilst staff were cleaning. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 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 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): 27,28,30. The staff at the home are well trained, supported and employed in sufficient numbers to meet the residents needs. This has resulted in residents feeling safe and comfortable at the home. EVIDENCE: All the residents spoken with said there was sufficient staff around and that the staff appear to know what they are doing. Two staff told the inspector “I receive more than adequate training to enable me to carry out my role” “I am encouraged to do training, I really enjoy doing it, and working here”. At the time of the inspection, appropriate numbers of skilled staff were on duty, ensuring the residents safety, The rotas showed that there were sufficient staff on duty to meet the residents’ needs, staff confirmed this. The manager stated the home has two day and two night vacancies, which are being covered by staff doing additional hours or agency staff. The manager confirmed the home use the same agencies to provide continuity of care. The manager confirmed agency staff have a handover to inform them pd relevant information and safety procedures. The manager said she is usually available to conduct handovers for new agency staff. Four staff files were sampled and showed that staff had completed the following mandatory training: Induction and foundation, moving and handling, food hygiene, first aid and fire training. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 16 Certificates showed all staff have attended training to cover abuse awareness, dementia care, Control Of Substances Hazardous to Health (COSHH), personal safety awareness and equality and diversity. The manager is positive and supportive of staff development and training. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 17 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): 31,33,35,38. The home has a registered manager who runs the home in the best interests of residents. The home ensures resident’s financial interests are safeguarded. Practices within the home demonstrate the protection of residents and staff’s health, safety and welfare. EVIDENCE: The registered manager is registered with The Commission for Social Care Inspection (CSCI) to run the home. The manager confirmed it is the homes policy not to deal with residents finances, this is clearly stated in the residents guide and home’s statement of purpose. The manager confirmed she gets feedback on the running of the home on a daily basis by talking to residents, their families and staff. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 18 The home operates a keyworker system, which means each service user has a named member of staff who has specific responsibilities for the resident. The manager confirmed the home ensures the residents are consulted, in a very informal way, about issues surrounding the running of the home, the residents respond well to this, therefore no formal documents have been completed. The home would benefit from developing a more formal way of recording the outcomes of these consultations, to show that the home is run in the best interests of the residents. The CSCI has received a copy of the provider’s first monthly unannounced visits to the home, as required to comply with regulation 26 Care Standards Act 2000. The inspector saw certificates to show staff had received health and safety training, moving and handling and first aid training. The home has adequate risk assessments for working practices, staff, visitors and office space, thus ensuring a safe environment. The inspector viewed certificates for the servicing of systems and radiators were covered and had thermostatic controls. Staff confirmed their awareness of health and safety procedures, and were aware if the homes policy and procedures, and where to find them. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 19 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP26 Regulation 16,2 (k) Requirement The care home is kept free from offensive odours. Timescale for action 10/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP09 Good Practice Recommendations The home is to devise a system for ensuring the pharmacist signs for all returned medication. Oak Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Tree Lodge DS0000066314.V281994.R01.S.doc Version 5.1 Page 22 - 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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