Inspection on 24/11/05 for Oak Trees

This inspection was carried out on 24th November 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 Trees 21/06/07

Oak Trees 06/07/05

Oak Trees 17/03/05

Oak Trees 20/01/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Oak Trees 26 Norfolk Drive Attleborough Norfolk NR17 1QW Lead Inspector Mr Roger Andrews Unannounced Inspection 24th November 2005 03:30 Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 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 Trees DS0000027491.V269148.R01.S.doc Version 5.0 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. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oak Trees Address 26 Norfolk Drive Attleborough Norfolk NR17 1QW 01953 457360 01953 457360 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) Flagship Housing Group Limited Mrs Kerrie Jane Good Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate a maximum of seven (7) adults of either sex with learning disabilities (LD) 6th July 2005 Date of last inspection Brief Description of the Service: Oaktrees is situated in a small estate on the outskirts of the town of Attleborough. There are two adjacent properties, registered as one establishment. The buildings are in keeping with the surrounding houses. The home provides personal care to a total of 7 adults with learning disabilities. One building offers long stay accommodation and support to three tenants, while the other offers short stay respite care to four service users, (guests). In the short stay unit there is one first floor bedroom. All other bedrooms are on the ground floor. Staff within the same management team provide support, to people in their own tenancies within supported living units. As such the service is registered as both a care home and as a domiciliary care agency. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. On the day of the visit Oaktrees was at full occupancy with four guests staying. A number of records were looked at and the guests were chatted with. Not all of the National Minimum Standards were looked at on this occasion. The key standards, (these are the ones the Commission thinks should be looked at every year), were covered in the last inspection report. The comments in this summary reflect what was looked at on this visit. Since the last inspection took place the Commission has not received any complaints about Oaktrees. In the Commission’s view Oaktrees is a well run home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 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 Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 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&4 Information gathered on new guests reflects a good level of detail, both in relation to personal care and in respect of interests and preferences of guests. New guests have the opportunity to visit Oaktrees prior to any longer stay. EVIDENCE: The support plan of a new guest who has not been to Oaktrees before was looked at. This consisted of an information sheet with relevant contact information. The plan also contained detailed comment about personal care needs, preferences, (e.g. food likes and preferred time of going to bed), and specialist needs, such as, (in this case), special drinks. Hobbies and interests were also documented as well as ways in which the guest liked to help in the domestic routine. The plan was very much aided by an excellent pen picture of the guest which had been prepared by his parents to give guidance to the staff group. This gave some particularly good tips on problems and misunderstandings that might arise in verbal communication. A previous day centre review was also on file. The guest had visited Oaktrees prior to this stay for introductory visits and his parents had also visited. This is usual practice as part of the acclimatisation process for new guests. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 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): 9 Guests participate in the day to day life of Oaktrees within a risk assessment framework. EVIDENCE: Risk assessments were in place. Examples included risk of self-harm, risk to others, bathing and road sense. A manual handling assessment was also on file. As the guests come to Oaktrees on a short stay basis there is no longterm goal to achieving greater independence. However, written records show that the guests are clearly able to participate in activities, such as cooking, personal care tasks and outdoors activities, that contribute to this and involve elements of acceptable risk. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 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 the following standard(s): 14 Guests have a varied timetable which includes various outings as well as their usual day centre programme. EVIDENCE: The written records on each guest gives a good reflection of their daily routine with morning, afternoon and evening comments. These include examples of the activities that the guests have been involved in which include their work centres or leisure pastimes. The notes reflect the involvement of guests in preparing their own breakfasts, being ‘prompted to have a shower and needing very little assistance’, laying tables, going shopping and going to Burger King. One of the guests said he made his own breakfast, (toast and coffee), and he described his weekday activities. He said he had been to Oaktrees before and he enjoyed coming to stay there. Guests were offered a choice of teatime meal by the staff on duty. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 11 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): 20 Medication is properly stored and recorded. EVIDENCE: Medicines are stored in a locked metal cabinet. The daily administration record was checked and was up to date. A medication discharge form is completed at the end of a guest’s stay to indicate the type and quantity of any medication returned home with the guest. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 12 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): These standards were not inspected on this occasion. EVIDENCE: Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 13 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 & 30 EVIDENCE: Communal areas which include the lounge and large conservatory are furnished in a pleasant domestic style. All areas looked to be in good repair and the home was appropriately heated for the time of year. No obvious safety hazards were noted and all areas looked clean and tidy. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 14 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): 33 Staffing levels meet the needs of guests. EVIDENCE: The four guests staying at Oaktrees were being supported by two members of staff. Judging from written records and observations this level of staffing was sufficient to meet the needs of guests. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 15 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): 42 Proper measures are in place to help prevent fires. EVIDENCE: The fire records were checked. The fire panel is checked on a daily basis to highlight any faults and a record of these checks is kept. The fire procedures are prominently displayed inside the front door. The fire fighting equipment was serviced in September 2005. Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 16 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 3 X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oak Trees Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000027491.V269148.R01.S.doc Version 5.0 Page 17 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Oak Trees DS0000027491.V269148.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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