Inspection on 09/12/08 for Oak Tree Lodge

This inspection was carried out on 9th December 2008.

CSCI found this care home to be providing an Good service.

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 14/12/07

Oak Tree Lodge 11/10/06

Oak Tree Lodge 28/10/05

Oak Tree Lodge 27/06/05

Oak Tree Lodge 24/11/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address:     Oak Tree Lodge 12 Jesmond Road The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Melanie Edwards     Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Telephone number: Fax number: Email address: Provider web address: oaktreeltd@byconnect.com Oak Tree Lodge 12 Jesmond Road 0 Name of registered provider(s): Name of registered manager (if applicable) Mrs Maxine May Tarling Type of registration: Number of places registered: Oaktree (Clevedon) Ltd care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 34. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are witihin the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Oak Tree Lodge provides residential care for up to thirty four older residents in a homely venue. It is set on a hill in a residential area, close to local amenities and the town centre. Thirty of the bedrooms are single, eleven of them have an en suite bathroom and seven have an en suite toilet. The home is on four floors and there is a passenger lift to all levels. The home emphasises the importance of staff and families getting to know each other well, so that residents can be offered the best possible service. Plenty of in-house activities and entertainment are provided as well as regular local outings for which there is no charge. The provider makes information available through a brochure and information pack. The information pack contains the Statement of Purpose and Service User guide and all relevant information about the Care Homes for Older People Page 4 of 26 Over 65 34 0 Brief description of the care home home. The fees range between 375 and 400 pounds a week with additional charges being made for hairdressing, chiropody, newspapers, and toiletries. This information was provided in December 2007. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was carried out over one day and the visit was unannounced. We met eighteen of the twenty nine residents who are living at the home. We met the registered manager of the home. We also met Mrs Sue Peters the owner of the home since August this year. We met two care assistants and the cook. We spoke with them about roles, responsibilities, training needs and how they help residents. Care Homes for Older People Page 6 of 26 We saw how the staff help and support the residents with their needs. We had lunch with the residents. We saw nearly all of the environment and the only parts that we did not check were a small number of bedrooms. We looked at a number of different records to do with the running and management of the home. These included three residents care plans, three assessment records, training records, staff duty records, staff supervision records, accident records, complaints records, fire records and menus. We found the home was operating within the required conditions of registration set down by us. The conditions of registration detail the type of care and the needs of residents and the numbers of residents who may stay at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are being well assessed and are well met. Prospective residents and their representatives have the information they need to make an informed choice about living at the home. Residents are not provided with intermediate care. Evidence: To see how people can find out about what sort of service and daily life there is going on in the home, we looked at a copy of the service users guide and statement of purpose. We saw that the statement of purpose and the service users guide have a good range of information about the service for residents, the qualifications of the staff and the accommodation. The philosophy of the home and how the service aim to meet residents needs is included. The complaints procedure is in the service users guide so Care Homes for Older People Page 10 of 26 Evidence: residents know how to complain about the service. We saw a colour brochure with photographs of the home and other useful information. There is also a website that tells people about the home. There is also now a regular in-house newsletter and this is a good way for people to find out more about the home. We looked in depth at thee residents assessment records so that we could see how well their needs are being assessed. We saw an assessment for each resident of their range of personal care needs. We also saw a moving and handling assessment for each person setting out how best to help them with their mobility. We found the assessment records to be informative and they showed the residents and their families had been asked about their range of physical, mental and social needs. The assessment records related clearly to the care plans and showed a thorough assessment of the persons needs had been carried out and that plans of care had been written based on this information. The home does not offer intermedaite care for residents. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are well met and care plans and assessment records show this really well. Residents health needs are met. Residents are well treated by the staff who are respectful to them. The systems for handing and administering residents medication are mostly safe. However there needs to be a tightening up in the way that some controlled drugs are stored. Evidence: We read three of the residents care plans so that we could see how well they are being supported with their needs. We found the care plans were informative and they showed clearly how to meet the needs of the person. Care plans also included a good Care Homes for Older People Page 12 of 26 Evidence: level of information about how to help the residents with their psychological needs and what sort of support to give them. The care plans set out what actions staff must follow to assist the resident to meet their needs. Residents care plans had been regularly reviewed to show that their needs could still be met. We looked in detail at the practices and procedures for giving residents medication and for the storage and disposal of it. We saw a photo of each resident kept with the drug charts to help identify residents if required. Medication stock was generally satisfactorily organised. We saw a satisfactory system for ordering and receiving medication and the records were up to date. Medication stock is stored in a cupboard and in a movable metal drugs trolley, which is kept locked. However we saw some medication that needs to be stored as a controlled drug and could not be, as the controlled dug cupboard was too small for the blister pack . We saw staff give out residents medication at lunchtime. The staff member took time with each resident to make sure they had their medication. The residents who we spoke to said how very helpful kind and caring the staff are when they help them. The residents also spoke positively about the polite attitude of the staff who give them the support they need. Examples of comments made by residents included, I am very satisfied with the care they look after me see, that I get washed and dressed properly, the staff are very understanding to us, the staff take an interest in everything. We observed two care staff taking a lot of time and care with the residents at lunchtime. Residents were offered and made choices if they did not want their meals and the staff were very patient and kind in manner. We were sent five survey forms back from residents and their families. Residents told us that they were very satisfied by the overall standard of care they receive. There were comments made about how much care and attention all of the staff give to the residents. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents take part in a very good range of social and recreational events and activities. Residents are given very good opportunities to exercise choice and control in their daily lives. Residents can enjoy a well cooked and nutritionally well balanced diet. Residents are able to keep close contact with family and friends if they so wish. Evidence: Residents can do a really good range of activities in the home and out of it .There are two activities organisers who work in the home putting on a really good range of things for the residents to do. Residents can do baking, go out to the pub and into town on a really regular basis, enjoy musical afternoons, as well as arts and crafts and bingo games. We had been told that the week before the residents had been baking Christmas cakes. We noticed the home had been well decorated with Christmas Care Homes for Older People Page 14 of 26 Evidence: decorations and trees for people to be able to celebrate the festivities. We observed a bingo game taking place during the inspection. We saw a copy of the timetable of social activities planned to take place on display in the home. This helps to ensure residents are aware of current activities taking place. Activities that are planned for the near further include, trips out from the home, arts and crafts sessions, games, musical afternoons and exercise. We were told by the residents who spoke to us that they are able to choose what time they get up and what time they go to bed. Residents said they are asked about the meal options and their likes and dislikes. There are residents meetings held in the home. We met one of the residents who told us that they will assist in the running of the meeting, other residents also told us about the meetings taking place. These are good ways for residents to exercise choices and have some control in their daily lives. Residents and visitors told us they can visit the home any time that they want. They told us the staff make them feel very welcome. We took the opportunity to sample lunch with a small group of residents .The meal was either chicken supreme or steak and kidney pie with potatoes, and three cooked vegetables followed by choices of deserts. We found the meal tasty, nicely cooked and well presented. All of the residents that we spoke to commented very positively about the food served at the home. We noticed residents who did not want either dishes having their own alternatives meals and snacks. We also observed that the staff served the meals in a patient and relaxed way to the residents. We also checked the residents menu to find out if residents are consistently provided with a well balanced diet. The choices we saw were nutritionally well balanced and varied. There are choices available each day, and staff ask residents what they wish to eat each day. Special diets can be catered for as we saw during lunch and there are a variety of special meals provided for residents if required. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents complaints will be responded to well and will be taken really seriously. Residents are satisfactorily protected from the risk of harm and abuse. Evidence: We saw copies of the complaints procedure in the home. We noticed that the procedure has our contact details for anyone who wishes to contact us. How to contact the owner of the home is also explained if people wish to contact them directly to make a complaint. As we have already mentioned there are residents meetings held regularly. This is a really good way for residents to raise any concerns and complaints they may have. The majority of the staff team have now done training to ensure they are up to date in their understanding of the principle of safeguarding residents from abuse. The home has up to date polices and procedures on the subject of safeguarding residents from abuse to protect the residents if an allegation of abuse was ever made in the home . Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are living in a home that is kept clean and mostly satisfactorily maintained. Residents live in a home suitable for them with the necessary adaptations and equipment in place. Residents safety could be better protected in relation to radiators. Evidence: Oakfield Lodge is an older building .The home is a large house set in its own grounds in the town of Clevedon. The home is situated near to private houses a park a church and local shops.The home is also a short drive from the motorway to the south west. The building is situated high up and there is an incline to walk to get to the entrance. However because of this there are views across Clevedon from the front facing rooms. Several residents said to us how much they like these views . The building is set in its own grounds. We found the garden looked satisfactorily maintained. There are patio seats and an area where residents can sit and walk safely. Bedrooms have been made to look more personal and homely. We saw residents had photos mementos and small items of furniture in their rooms. The standard of furniture and fittings is satisfactory. However due to an external problem with the outside wall two bedrooms have a small area of damp in them. We were told by the Care Homes for Older People Page 17 of 26 Evidence: owner Mrs Peters that the work should have been done by now but will now be done by January of next year. We will follow up the progress in getting this work done before our next inspection. Over half of the bedrooms have en suite facilities so that residents have the additional privacy of using their own toilet and sink. The rooms that do not are close to communal bathrooms. We saw that there are hot water temperature regulators fitted to all hot water outlets to which residents have access and these are routinely tested. We saw written risk assessments relating to the risks that there may be for residents from the heat of radiators that are not covered by protective guards. We advised that it could be beneficial to expand the risk assessments as the information in them looked minimal. We advised that they be fully updated. Windows are restricted and this helps to make the environment safer for the residents. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained staff who care for residents and the staff are meet residents needs. Residents are protected by the homes employment practices and procedures. Evidence: We looked closely at how many staff there are on duty to support residents. There is a minimum of five care assistants in the morning with three care assistants on in the afternoon. We saw that at night there are two care assistants on duty who do waking hours. There are additional staff members on duty on a regular basis if needed to give extra support to residents both in and out of the home. The registered manager works full time hours and works regular shifts as well, to keep closely in touch with the residents and staff. We looked at the three care staffs training records to see if they do a good range of training. We saw evidence that demonstrated the staff had done training sessions, and updating over the last twelve months. There is now a good number of care staff in the Home who have now completed National Vocational Qualifications in care. the home use Weston College NVQ trainers. A trainer came to the home during the inspection. Care Homes for Older People Page 19 of 26 Evidence: We checked the staff employment files of three care staff. We saw two written professional references for the staff. We saw completed criminal records bureau checks for all the staff before starting employment at the home. These checks are a safeguard for vulnerable residents. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is run well and where their best interests are central to decisions made by the manager and owner. Residents finances are well looked after in the home. The health and safety of the residents and of the staff is satisfactorily protected. Evidence: Mrs Tarling is the registered manager she has been the manager of the home for two years and been a senior manager at the home before that. Mrs Tarling is supported closely in her work by the owner Mrs Sue Peters. The residents we met knew Mrs Tarling well and said they see her all the time another comment made about her was that she is a very nice person. This helps us to know that she is providing good support for the residents. Care Homes for Older People Page 21 of 26 Evidence: Mrs Tarling told us that that staff meetings are held regularly. There were minutes available but we did not look at them on the inspection. We were told that there are also senior staff meetings and staff can raise any concerns with the manager. Mrs Tarling told us she has an open door policy for residents and the staff. The home has its own system for monitoring the quality of the care and the overall service. We looked at the residents survey forms that are one method used to audit the care and service in the home. We saw that residents and relatives views are sought by the home on a regular basis. We checked the finance records of three of the residents whose money the home look after for safekeeping. We saw when we checked the records that the cash and record totals are kept separately. Records were up to date and we saw receipts for all items that residents had purchased. We also saw that residents themselves will sign for money that they take out. This is a good way for residents to keep some control in their daily lives. We saw that there are regular a health and safety audits done of the whole environment done on a regular basis. We could see that this information is used to respond to health and safety matters and problems in the home. We looked at a selection of recent accident records so that we could see what action is taken after residents have an accident. We saw in the accident records that the staff and the manager set out the nature of the accidents and what may have caused it. The manager also monitors all follow up action taken by staff to assist the resident involved in the accident over a period of days after the event. We saw in the training records we looked at, that the staff do training in health and safety matters including first aid, fire training , food hygiene, and moving and handling practises. This helps to show that residents health and safety is protected. We saw in the fire logbook record that all the required fire alarm tests and drills are being done carried out to make sure alarms and equipment work in the event of an emergency. Care Homes for Older People Page 22 of 26 Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 9 13 The home must have a suitable controlled drugs cupboard in which to store medicines in Safe medicine storage 10/01/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!