Inspection on 31/10/05 for Oakdale Residential Home

This inspection was carried out on 31st October 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 12/05/05

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 Inspection 31st October, 2005 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oakdale Residential Home DS0000018087.V258640.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 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 DS0000018087.V258640.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakdale Residential Home Address 123 Kiln Road Benfleet Essex SS7 1TG 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) 01702 553734 01702 556836 Mr Kanagaratnam Rajamenon Mr K Rajaseelan Mandy Jane Lee Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Personal care to be provided to no more than 27 people over the age of 65 years (OP). Number of service users to whom personal care is to be provided shall not exceed 27 (27). 12th May 2005 Date of last inspection Brief Description of the Service: Oakdale is a large, detached private home that 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 close to the home. The home’s 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 residents. Ten of the bedrooms have ensuite facilities. The home has off road parking facilities to the back of the building. There is a well-maintained rear garden. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours. This was a routine inspection. The home has recently changed its condition of registration to provide care for fifteen residents who have dementia. This change was initially applied for as there were high numbers of people living in the home who had dementia, but the home now wishes to admit people who have this condition. The inspector spoke to some service users, staff, the manager and deputy. Communal areas and a few bedrooms were visited and part of activity session and mealtime observed. Some records and care plans were examined. The inspector would like to thank the manager, staff and residents for their help with the inspection. What the service does well: What has improved since the last inspection? The home has changed the way hairdressing services are provided and a first floor bathroom has been adapted for hairdressing. A policy has helped people to be clear about their responsibilities towards residents when they are using the hairdressing service. The garden has been adapted to provide a safer and more secure car parking area separate to the garden area used by residents. The area where the residents’ phone booth was sited has been improved so that people may access it more easily. Staff training on how to work with people who have dementia has been provided; staff are keen to try suggested activities with people who have dementia. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 4 Information on the home is made available to people; some small amendments are needed to the statement of purpose. EVIDENCE: Two contracts were seen, which included all the required information needed to help people understand what they can expect from the home. The home has progressed on providing a service which meets the needs of those residents who have dementia, by providing suitable activities, securing the building and garden and in training staff. Further improvements based on current good practice, for example, in colours used to decorate the home, helping people to identify their rooms, would benefit residents who have dementia. The home has a statement of purpose and service user’s guide but some additional information needs to be included and the statement requires updating generally to reflect the change of condition to accept people who have dementia. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 Care plans show improvement and help staff understand the needs of residents. EVIDENCE: Those care plans seen ,were generally clear about the care staff need to give and had been signed by residents to show their approval of the plans. The manager has tried to obtain information retrospectively for those residents who have been living in the home for some time, but this has not always been possible. Some further details were needed on those care plans seen. Staff generally spoke respectfully and politely to the residents and seemed to know their likes and dislikes. However, the way in which one member of staff spoke to residents could be regarded as disrespectful and this was discussed with the manager. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 and 15 Activities have improved but some people would like more to do both in and out of the home. EVIDENCE: An activities coordinator now works in the home two sessions a week and was running a quiz, memory games and physical exercise activities on the morning of the inspection. In the afternoon, people slept, watched T.V., read or went to their own rooms. Some residents said they would like more to do. The inspector was advised that care staff are developing activities specifically for those residents who have developed dementia, following recent training. Opportunities for residents to go out of the home and to take part in the community need to be developed. Unless people have a friend/relative to take them, there are no opportunities to go out. The manager is considering money-raising activities so that trips out can be funded in the future. Those people spoken to were generally happy with the food and said they get enough to eat. Some residents said they would like to see a menu each day. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 11 People said they could choose whether to take part in activities and other aspects of life in the home. One person said they were not able to choose their bedtime. The manager confirmed that people could choose to go to bed (and rise) whenever they wish; she was asked to check this with the night staff. Other residents confirmed that they go to bed when they choose. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 An amendment to the complaints policy and making information on advocacy available to residents/their representatives would further protect residents. EVIDENCE: Staff are given in-house training on the protection of vulnerable adults. The complaints policy is available to people in the home. The complaints policy needs to make clear that people can complain directly to the Commission at any stage of making a complaint. The service user guide does give this information. The manager reported that the home has tried to get information on advocacy for those residents that might need such a service, but had not been successful so far in obtaining this. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21,24,25 and 26 There are better arrangements for hairdressing. Improving standards of hygiene and cleanliness would create a better environment for residents. EVIDENCE: There are sufficient bathing and toilet facilities as well as en- suite facilities in ten bedrooms. One bathroom sink has been converted so that this is suitable for hair washing. Some hot water pipes were accessible to residents in this bathroom. Residents’ bedrooms had been made homely with their own pieces of furniture and possessions. Rooms had sufficient furnishings and the manager is in the process of checking if people want net curtains for privacy. The standard of cleanliness and hygiene in some bathrooms / toilets did not meet minimum standards: some toilet seats were stained and dirty, as were a shower and bath mat. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 14 Some toilets did not have toilet paper so people had used paper towels. These were discarded in bins that did not have lids. The manager explained that some residents like to take toilet paper from the bathrooms, but an alternative means of providing it must be considered to promote good hygiene. Some floors in the home were also dirty; the inspector was advised that cleaning staff are not employed at the weekends and the expected domestic staff had been absent from work that day. One window in a resident’s room was open very wide. The manager checked this and confirmed that it is normally restricted but had been opened wide by staff to ventilate the room; it was made safe immediately. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 29 The home provides training to ensure staff can meet resident’s needs. Checks on prospective staff are carried out. EVIDENCE: A new system of in-house training is provided. The manager and staff reported finding the training useful to their work and liked the flexibility of it as they can choose to study at home or at Oakdale at the end of a shift. Staff confirmed that the induction process had been useful to help them understand how to work in the home with the residents. Both the staff files checked at the inspection showed that the home carries out police, POVA and reference checks before employing new staff; a few suggestions were made which would improve the recruitment process. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,36 and 37 The home is effectively managed and staff are appropriately supervised. EVIDENCE: The manager has gained the registered managers award since the last inspection. The deputy and a senior member of staff are also working towards NVQ 4. There is a clear management structure. Much has been accomplished to improve care in the home since the manager was appointed. Staff confirmed that they are regularly supervised and feel the deputy and manager are approachable. Some records were seen which homes are required to keep ,and found to be up to date and in order. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 17 The business and financial plans for the home were not seen on this occasion as there did not appear to be any concerns about finance. The home has appropriate business insurance. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 X 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 2 18 3 X X 3 X X 3 2 2 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 3 3 X Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4(1)(c) Sch. 1 Requirement Timescale for action 01/02/06 2 OP9 3 OP12 4 OP18 5 OP26OP25 Include the address of the registered provider and manager and update the statement of purpose to include the new condition of registration, current activities available, correct information on making complaints to CSCI and the manager’s qualification. 13(2) Make arrangements for the recording, safekeeping and safe administration of medicines in the home. (Not inspected) 16(m)(n) Make arrangements for residents to engage in local, social and community activities. Consult residents about the programme of activities. Suitably engage and occupy residents who have developed dementia. Previous timescale of 1/8/05 partly met) 18(1)(a) Review staffing levels to ensure the home can be kept clean and hygienic and ensure sufficient arrangements for cover should domestic staff be absent. 16(2)(c)(k The premises to be kept clean. DS0000018087.V258640.R01.S.doc 01/06/05 01/02/06 01/12/05 01/12/05 Page 20 Oakdale Residential Home Version 5.0 23(2)(d) 6 OP29 19(1)(C) 7 OP33 24(1–3) (Previous timescale of 1/9/05 not met) Offer residents net curtains if they wish to have these. All exposed hot water pipes must be made safe. Bathrooms must be hygienic and clean and toilet paper and bins with lids provided. Ensure authenticity or references 01/12/05 by making sure they are addressed to the home, are on headed paper or accompanied by a company stamp. Ensure a full employment history is taken and any gaps questioned and noted, schools and training recorded (this relates to one staff file with an incomplete application form). Reports of reviews of the quality 01/06/05 of care, providing for consultation with residents and their representatives, must be supplied to CSCI. Not inspected 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 2 Refer to Standard OP7OP3 OP4 Good Practice Recommendations Weight of residents on admission and subsequently should be recorded. Complete information on foot care, religious needs and last wishes (when possible). Consider current good practice regarding the care of people with dementia when decorating / maintaining the building, for example to help them find their way around the building and to identify their own rooms. Ensure that staff speak to residents in a respectful manner. Arrangements regarding terminal care and arrangements DS0000018087.V258640.R01.S.doc Version 5.0 Page 21 3 4 OP10 OP11 Oakdale Residential Home 5 6 7 8 9 OP33OP12 OP14 OP15 OP16 OP17 after death are recorded. Not inspected That forums such as resident’s meetings are held to ask residents their views on all aspects of life in the home. That it is confirmed with night staff that residents are able to choose when they go to bed. Menus should be displayed so that visitors, residents and staff know what is being served. The complaints policy should make clear that a person may approach the CSCI with a complaint at any stage, should they wish. Information on advocacy services should be provided to those that need this. Oakdale Residential Home DS0000018087.V258640.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection South Essex Local Office 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 DS0000018087.V258640.R01.S.doc Version 5.0 Page 23 - 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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