Inspection on 29/12/05 for Oakcroft

This inspection was carried out on 29th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakcroft 10/10/08

Oakcroft 16/10/07

Oakcroft 26/02/07

Oakcroft 11/07/05

Oakcroft 18/10/04

Oakcroft 27/04/04

Oakcroft 02/03/04

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

CARE HOME ADULTS 18-65 Oakcroft 8 Winston Rise Four Marks Alton Hampshire GU34 5HW Lead Inspector Mrs Pat Hibberd Unannounced Inspection 29th December 2005 09:30 Oakcroft DS0000034443.V274719.R01.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 Oakcroft DS0000034443.V274719.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 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. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakcroft Address 8 Winston Rise Four Marks Alton Hampshire GU34 5HW 01420 563442 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) oakcroft@iliace.com ILIACE Limited Mr Michael Roberts Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 Brief Description of the Service: Oakcroft is owned by Iliace Ltd a private organisation. The Registered Manager is Michael Roberts. The home is one of a number owned by the Organisation. The property has four bedrooms and is situated in a rural location within a ten minute drive from the town of Alton which has a range of leisure, recreational, shopping, educational and employment facilities. The service provides for four service users between the ages of 18 and 30 years who fall within the learning disability service user group. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours and was the second unannounced inspection of the 2005/2006-inspection programme. The inspector focussed on care provided to service users, discussions with staff, inspection of files and other documentation relevant to this inspection. Nine standards were assessed on this occasion. One requirement was identified. All of the core standards for younger adults have now been inspected during the 2005/2006-inspection year. The inspection included a tour of the home and garden. Discussions were held with two staff members. Time was spent with one service user with a view to gaining an understanding of care provided and to observe staff interaction and support as detailed in care plans. A discussion was also held with a parent who was visiting the Home. What the service does well: What was evident throughout the inspection was the commitment to ensuring service users are central to all care provided and lead a full and positive life style. The home has a communication co-ordinator who is responsible for ensuring the methods of communication in the home are appropriate for each individual. The staff team were seen to communicate appropriately with service users using various communication methods. The home is keen to ensure service users’ interests are identified and both in house and community activities are provided. Three service users are supported to undertake voluntary work. The Organisation has their own “activities (DAP) team” who, alongside the management and staff, assess and provide individual programmes for all service users. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 6 There is a range of training provided and staff confirmed that they receive regular supervision and daily support from the manager, which they find beneficial to their daily practice. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakcroft DS0000034443.V274719.R01.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 Oakcroft DS0000034443.V274719.R01.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): No standards were assessed on this occasion. EVIDENCE: Oakcroft DS0000034443.V274719.R01.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): No standards were inspected on this occasion. EVIDENCE: Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 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): 12,15 and 16. Service users have opportunities for appropriate activities based on their interests and are supported to maintain friendships and family relationships with rights and responsibilities upheld in their daily lives. EVIDENCE: Three service users have voluntary employment supported by the Organisation. Support is provided to identify college courses/activities to suit individual needs. A variety of activities are provided both in house and in the community with records indicating that service users not only engage in planned activities but “ad hoc” visits to the cinema and shopping. One service user was able to describe a film they had been to the previous day of which they had clearly enjoyed. During the inspection a parent visited the Home enabling an opportunity to gain a view as to care provided from their perspective. Much praise was given to the support their relative received and the communication from the staff team of which they considered to be positive and welcoming. Service users are supported to maintain family links and friendships with all visitors welcome to the Home with the individual’s agreement. Visitors can Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 11 meet with service users in their bedroom or communal areas of the Home if they so choose. The Home has a visitor’s policy and procedure which requests that visitors telephone the Home prior to visiting to ensure their relative/friend is at Home. Records completed by key workers indicated that service users are supported to meet relatives/friends and, that the contact is welcome by service users. The Home has a policy and procedure with regards to sexuality and relationships of which one staff member confirmed they were aware of. Daily routines in the Home enable service users to have choices, maintain their independence and individuality of which staff were able to give a number of examples. These included service user’s being addressed by their preferred name, personal care being offered in a respectful and dignified manner and, at a time suited to the individual and service users having unrestricted access to all parts of the Home with the exception of other service users’ bedrooms. One service user has their own bedroom door key of which a risk assessment has been devised. The manager indicated that the three other service users have been offered a key but had indicated that they did not wish to have one. This has been documented in their care plan with the manager confirming that their current decision will be regularly reviewed. Throughout the inspection staff were observed providing the care described, with service users indicating through their behaviour or gesture that they felt well supported by staff and had positive relationships with staff. Service users are supported to undertake household tasks if they so wish. There are no service users who smoke with staff being required to smoke outside if they wish to do so. Oakcroft DS0000034443.V274719.R01.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): 20 The Home’s medication policy and procedure ensures the medication needs of service users are met. EVIDENCE: The Home has a medication policy and procedure that is shared with all staff during their induction and, following any amendments made by the management team of the Organisation. The manager and one staff member explained the process of administering medication including PRN (as required) medication. They were aware of the need to follow care plans and guidelines particularly in relation to PRN of which details as to when to administer were clearly documented in the medication records. Records viewed confirmed that medication administered by staff had been signed for. Medication was seen to be appropriately stored in a locked cupboard in the office with a shift leader having responsibility for the key. All service users have their own separate space in the medication cupboard. There are no controlled drugs on the premises. The manager indicated that the Home consults with the local Pharmacist as required. Seven of the eight staff team members have been trained to administer medication with the exception of a newly appointed staff member who Mr Roberts indicated is due to commence the course shortly. The manager Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 13 further indicated that there is always a medication-trained member of staff on duty. There are guidelines in the file of one service user who requires rectal diazepam in terms of administration and, health support. The Organisation have devised and produced guidelines as to the training requirements and administration of rectal diazepam that are referred to when devising individual care plans for service users. There are no Service User’s who self medicate due to individual needs. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 14 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): No standards were inspected on this occasion. EVIDENCE: There have not been any complaints made since the last inspection. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 15 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 The Home offers a safe, comfortable and suitable environment for service users. EVIDENCE: Oakcroft is double- glazed throughout and has an enclosed rear garden. The home has a lounge, separate dining room and a large kitchen. There is a toilet on the ground floor and separate toilet and bathroom facilities on the first floor with one service user having their own en-suite. The home has various hi-fi, television and video equipment Each service user has a single bedroom, which they have personalised with their own possessions and electrical equipment. One service user invited the inspector into their room that was personalised and comfortable. The service user indicated that they were happy with the environment. The laundry room is situated next to the kitchen with policies and procedures in place to ensure washing is not taken through the kitchen at a time food is being prepared to prevent infection. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and resident’s health and safety is promoted. Staff were observed wearing protective gloves whilst working in the kitchen area and cleaning the Home’s vehicle indicating good practice whilst using COSHH materials. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 16 The lounge has had new curtains and patio door installed. The manager indicated that service users had been fully involved in the choice of colours and style. The Organisation has their own maintenance team. The manager indicated that there is a planned maintenance and renewal programme for the Home. The Home received a Food Hygiene award earlier in the year. There have been no visits undertaken by the statutory fire officer since the last inspection. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 17 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 Service users benefit from a competent staff team who undergo a variety of training. EVIDENCE: Throughout the inspection staff were observed as interested, motivated and committed to the needs of service users in the Home. They were observed communicating effectively with individuals and demonstrated knowledge and understanding of individuals they support. There is a staff team of eight currently supporting service users living at Oakcroft. Staff have undergone a variety of training including fire safety, moving and handling, infection control, food hygiene and SCIP. At the last inspection in July 2005 discussions were held with the manager Mr Roberts as to how he intended to ensure 50 of his staff team had achieved National Vocational Qualifications (NVQ’s) by the end of 2005 as detailed in the standards for younger adults. Mr Roberts indicated that he was in discussion with the Organisations Training Manager as to how this could be achieved. However, during this inspection Mr Roberts confirmed that there was only two staff with NVQ’s due to staff being resistant to commence the course. In discussion with one staff member they indicated that they had been resistant to commencing the course due to the amount of written work it would entail. They had however, had a number of discussions with the manager who Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 18 had been endeavouring to encourage them to commence the course with his support and guidance. It was agreed that the Home needs to produce an action plan as to when staff will be commencing the qualification with a forecast for completion. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 19 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 Service users benefit from a well run home and their views contribute to developments of the Home and service provided. Health and safety practices are satisfactory for the protection of service users.. EVIDENCE: The manager Mr Roberts has a wealth of experience having managed and acted as a deputy manager in residential care homes for a number of years. Mr Roberts has recently completed the Registered Managers Award and is awaiting confirmation as to whether he has passed the course. This will be followed up at the next inspection. Further training undertaken by Mr Roberts includes fire training/ adult protection and trainer for person centred planning and key working. Mr Roberts has a range of responsibilities and indicated that these are reflected in his job description and include ensuring the written aims and objectives of the Home are met, policies and procedures are implemented, the budget is properly managed and service users are aware of their terms and conditions of residency. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 20 From discussions with staff and service users and documentation viewed Mr Roberts is demonstrating his ability to ensure systems are in place to achieve and meet his role and responsibilities and, provide effective leadership and management of the Home. Service users were seen to respond positively to the manager who was able to demonstrate throughout the inspection his understanding and knowledge of service users’ needs. There is an annual development plan in place for the Home and a variety of activities undertaken as part of a quality assurance programme. One initiative described by the manager includes the purchase of cameras for all service users to enable them to contribute to reviews through a pictorial format. The manager further indicated that reviews of service users care/risk assessments are undertaken, staff meetings are held and regular discussions take place with families/representatives and professionals in relation to individuals care needs. Monthly visits are also undertaken by the responsible individual and reports of those visits are forwarded to the commission. The Organisations responsible individual alongside the manager reviews policies and procedures. Systems in place in the Home to ensure the health and safety of service users were satisfactory. These include monthly risk assessments of the building, regular fire checks and fire training of staff, food hygiene/infection control/moving and handling and COSHH (Control of substances hazardous to health) training for staff and gas and electrical appliance checks. Each service user has a fire evacuation risk assessment that is reviewed monthly. Confirmation as to service users understanding of the fire evacuation procedures could not be ascertained due to the anxiety a discussion could potentially cause. There are smoke alarms throughout the Home. PAT (portable appliance testing) had been undertaken during this month. All food and freezer temperature records were up to date. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 21 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X 3 X Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 22 YES 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. 1 Refer to Standard YA32 Good Practice Recommendations The Registered Provider must produce an action plan as to when staff will be commencing NVQ training. Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 23 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 Oakcroft DS0000034443.V274719.R01.S.doc Version 5.1 Page 24 - 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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