Inspection on 12/05/05 for Oakdale Residential Home

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakdale Residential Home 13/06/07

Oakdale Residential Home 23/05/06

Oakdale Residential Home 31/10/05

Oakdale Residential Home 14/12/04

Oakdale Residential Home 03/06/04

Oakdale Residential Home 02/12/03

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

CARE HOMES FOR OLDER PEOPLE Oakdale Residential Home 123 Kiln Road Benfleet Essex SS7 1TG Lead Inspector Jacqueline Graves Unannounced 12th May 2005 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 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. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oakdale Residential Home Address 123 Kiln Road Benfleet Essexc SS7 1TG 01702 553734 01702 556836 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr K Rajamenon & Mr K Rajaseelan Ms Mandy Jane Lee Care Home 27 Category(ies) of OP Old Age registration, with number of places Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Personal care to be provided to no more than 27 people over the age of 65 years (OP). 2. Number of service uses to whom personal care is to be provided shall not exceed 27. Date of last inspection 14th December 2004 Brief Description of the Service: Oakdale is a large detached private home which offers accommodation with personal care for twenty-seven older people. The home is situated in a residential area of Thundersley. It is relatively close to the main shopping areas of Southend, Rayleigh and Benfleet. Bus routes are a short walk from the home. The homes facilities are situated on two floors and include two lounges, one with a dining area, twenty-three single bedrooms and two shared bedrooms. A shaft lift provides access to all areas used by service users. Some of the bedrooms have en suite facilities. The home has off road parking facilities to the rear of the building. There is a well maintained rear garden. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over seven hours. The inspector toured the premises, talked to staff, the manager, visitors and residents and examined some records. 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. The full report of this inspection is available to download from www.csci.org.uk or you can order reports using out telephone line on 0870 240 7535. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 6 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. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 standard(s) 3, 5 and 6 For those residents newly admitted to the home, assessments are detailed. EVIDENCE: Residents said they were able to visit the home and move in on a trial basis. The manager feels this is a good opportunity to naturally observe people and further assess their needs. The manager has carried out detailed assessments. Some of those assessments carried out before her appointment did not include enough information. The home has been asked to try to gain further details that are missing on such assessments. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 standard(s) 7, 9, 10, 11 Care plans have improved but need to be reviewed. Some staff are caring and respectful towards the residents. Medication administration was not robust. Recording of the last wishes of residents was not consistent although the manager has tried to obtain this information. EVIDENCE: Care plans for people recently admitted clearly detailed their care needs. Daily recordings were clear for staff to use. Not all care plans had been reviewed often enough. Some comments may be insensitive to residents who are entitled to read them and contribute to them. Residents’ preferred term of address should be recorded and used by staff. The home should ensure that people wear their own clothes at all times. The administration and recording of medication observed was not robust. The system must be reviewed, as there are risks to residents at present. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 10 Last wishes had been recorded for some residents in considerable detail; the manger has tried to obtain this information for all residents but has not had a response from all those relatives contacted on the residents’ behalf. Generally, residents praised the staff for their kindness and friendliness but the respect shown to residents was not consistent amongst staff. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13 and 15 Visitors are made welcome in the home. Limited activities are available to residents; some people would like to have more to do. There is choice of food. Menus are kept but not displayed in the home. EVIDENCE: Some residents read newspapers, played cards, chatted and later in the day, played a game with a carer. One resident helped by wiping tables after lunch. A hairdresser was working in the home. Some residents said they get bored and some felt isolated. Opportunities to interact with residents were not always taken by staff. Ways of occupying and engaging with people who have dementia were limited. Visitors said they were welcome in the home. Those residents spoken to say they have enough to eat and they like the food. There is a choice of food and it would help if the menus were displayed. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 standard(s) 16 The home has a satisfactory system for responding to complaints. EVIDENCE: One complaint was made at the home that was upheld. None have been made to CSCI. The complaints policy was displayed in the home. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 standard(s) 19,20,22,23 and 26 The home was generally comfortable and the garden well maintained. The manager had identified specific areas of the building and garden that could be improved. The providers were supporting these proposed changes. The home has funded specialist equipment, such as mattresses and wheelchairs that resident’s need. EVIDENCE: Fans were being used to air communal rooms and the home was very warm. Blinds have been ordered for windows in the dining room to shade this area. The manager plans to adapt a bathroom that can be used for hairdressing, as present arrangements are not acceptable. There are plans to alter the garden to isolate the car parking areas and make the area secure for residents. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 14 Carers carry out domestic duties while there is a vacancy for a domestic. Standards of cleanliness were not sufficient in places and there was an unpleasant smell in two areas. Several small maintenance jobs were needed; the home planned to advertise for maintenance staff. Grab rails have been provided in corridors. Further adaptations to the premises, for example, additional grab rails and an accessible telephone, to be used in private, would improve people’s use of the building. A call bell was not accessible to residents in the small lounge. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Sufficient care staff are employed at the home. Agency staff were not being used. A vacancy for maintenance staff is being advertised. Further training to help staff meet the varied needs of residents would improve the care given. EVIDENCE: The home has recruited domestic staff that will start soon. The home will advertise for maintenance staff. The manager has put a thorough training package into place for new staff. Training for established staff is being developed to ensure that all staff have the same approach to residents. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 38 The manager has prioritised areas requiring improvement in the home and is committed to improving standards of care. Reports of monthly visits by the registered providers have not been received at CSCI recently. EVIDENCE: The manager is very experienced in the care of elderly people. She has been in place for approximately six months and has made many improvements and changes to the home. She is working to achieve the Registered Managers’ Award. The manager ensures staff have plans of the building and understand fire instructions. Some equipment used for hairdressing was old and did not appear to have been electrically tested, therefore being a potential risk to residents. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 17 The registered providers, or someone they appoint, should visit the home at least each month and send a report to CSCI. Incidents and accidents are recorded. Chemicals, which could be dangerous to health, must be stored securely. Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 3 x 3 3 x x 2 STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x 1 x x x x 2 Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 19 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. 1. Standard 7 Regulation 15,Sch.3 Requirement Timescale for action 1.7.05 2. 9 3. 10 4. 12 5. 19, 26 6. 33 Care plans must be kept under regular review in consultaion with the resident and / or their representative. 13(2) Make arrangements for the recording, safekeeping and safe administration of medicines in the home. 16(2)(a)(i Appropriate telephone facilities, )(b) suitable for the needs of residents must be available and arrangements made to enable these to be used in private. 16(m)(n) Consult residents about their social interests and make arrangements for them to engage in local, social and community activities. Consult residents about the prograsmme of activities. Suitably engage and occupy residents who have developed dementia. 23(2)(d) The premises to be kept clean, (a) 16 maintained and free from (2)(k) offensive odours. Suitable hairdressing facilities to meet residents needs must be provided. 24(1)(2)( Reports of visits to the home, at 3),26(5)(a least monthly, by the registered ) providers or someone appointed I56 S18087 Oakdale V227430 120505 Stage 4.doc 1.6.05 1.8.05 1.8.05 1.9.05 1.6.05 Oakdale Residential Home Version 1.30 Page 20 7. 38 13(4)(a) by them, must be submitted to CSCI. Reports of reviews of the quality of care, providing for consultation with residents and their representatives, must be supplied to CSCI. Chemicals which are potentially dangerous to health must be stored appropriately. 1.6.05 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 3 Good Practice Recommendations That information required in this standard is obtained retrospectively, as far as possible, for those residents who have lived in the home for some time. Weight of residents on admission and susequently should be recorded. Care plans should be reviewed at least once a month and updated to reflect changing needs. Care should be taken that comments on care plans are sensitively written as residents/their representatives are entitled top read them. Staff should record and use the term of address preferred by residents and should be instructed on how to treat residents with respect at all times. People should wear their own clothes at all times. Arrangements regarding terminal care and arrangements after death are recorded. That forums such as residents meetings are held to ask residents their views on all aspects of life in the home. That menus are displayed so that visitors, residents and staff know what is being served. A minimum ratio of 50 of care staff should achieve NVQ Level 2 by 2005. The manager should obtain NVQ Level 4 in management and care by 2005. 2. 7 3. 10 4. 5. 6. 7. 8. 11 12 and 33 15 28 31 Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Oakdale Residential Home I56 S18087 Oakdale V227430 120505 Stage 4.doc Version 1.30 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. 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