Inspection on 10/12/08 for Oakdene

This inspection was carried out on 10th 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

Oakdene 26/10/06

Oakdene 13/03/06

Oakdene 21/09/05

Oakdene 24/02/05

Oakdene 14/07/04

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oakdene Ringwood Road Three Legged Cross Wimborne Dorset BH21 6RB     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: Gloria Ashwell     Date: 1 0 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 23 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 23 Information about the care home Name of care home: Address: Oakdene Ringwood Road Three Legged Cross Wimborne Dorset BH21 6RB 01202813722 01202828346 info@oakdenecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Linda Marie Harmer Type of registration: Number of places registered: Dorset Health Care Limited care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One named person (as known to CSCI) in the category of MD(E) may be accommodated to receive care. One named person (as known to CSCI) under the age of 65 years may be accommodated to receive care. Date of last inspection Brief description of the care home Oakdene is a purpose built care home registered to accommodate a maximum of 45 older people requiring nursing and personal care. The home is situated in a small village close to local amenities including a shop, post office and garden centre. Accommodation is provided in 44 rooms one of which is a shared room, 41 of the rooms have en-suite facilities. These are situated on the ground and first floor and two passenger lifts provide access between the floors. There are two communal lounges and dining room space on the ground floor and a smaller lounge is situated on the first Care Homes for Older People Page 4 of 23 Over 65 45 0 Brief description of the care home floor. The ground floor houses the homes kitchen and office areas. A laundry is sited on the first floor. There is easy access to the attractive and well-maintained garden, which surrounds the home. Fees are charged weekly; the fee range quoted by the manager at the time of inspection was per person £525 and £675 for residential social care, and £600 and £825 for nursing care. Up to date information on fees can be obtained from the service. Care Homes for Older People Page 5 of 23 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 star. This means the people who use this service experience good quality outcomes. This was a statutory inspection required in accordance with the Care Standards Act 2000. This inspection was carried out by two inspectors, and throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. This inspection was unannounced. The inspectors arrived at 10.00 on 3 December Care Homes for Older People Page 6 of 23 2008, toured the premises and spoke to residents, staff, observed staff interaction with residents and the carrying out of routine tasks and together with registered manager Mrs Harmer discussed and examined documents regarding care provision and management of the home. The duration of the inspection was 5 hours. During the inspection, particular residents were case tracked, for example, for evidence regarding Standards 3, 7 and 8, records relating to the same residents were examined and the residents spoken with. In advance of the inspection an Annual Quality Assurance Questionnaire was completed by Mrs Harmer and returned to the Commission; the information it contained has been used to inform the findings of this inspection. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the care home does well: What has improved since the last inspection? For the enjoyment of residents the range of activities and outings has been extended, a new televison with video and DVD facilities has been provided as have a Computer with internet, camera and e-mail connection. A sensory garden has been created. Care Homes for Older People Page 8 of 23 The ongoing programme of updating has included total refurbishment of the Garden Lounge, redecoration of communal areas including new hand rails, improved lighting and carpeting, installation of a kitchenette for use by residents and their guests and the installation of a loop system in both main day rooms. 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 9 of 23 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 10 of 23 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. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Evidence: Evidence SummaryThe records of 2 residents admitted since the last inspection included details of pre admission assessments carried out by the registered manager and a senior nurse while visiting the prospective residents at their previous addresses.In advance of making the decision to enter the home the prospective residents or their representatives visited the home to view the premises and meet residents and staff.Following pre admission assessment of each prospective residents needs and circumstances the home writes to them confirming the agreement and ability to provide accommodation and care. Care Homes for Older People Page 11 of 23 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. The health and social care needs of residents are met by suitably trained staff; doctors and other professionals visit as necessary and residents receive the medicines they have been prescribed. Evidence: The care records of 4 people who live at the home were examined and found to contain risk assessments forming the basis for care plans and daily records describing the care of each person. There was evidence that individual residents or their representatives had been involved in the development and review of planned care provision. In general, the care plans and associated records were clear and comprehensive but some areas for improvement were identified. One resident has diabetes but the care plan made no reference to this circumstance and thereby failed to provide guidance to staff on the condition e.g. any testing required, specific precautions including the likely indications of health deterioration and the action to be taken in such event. Some residents use beds fitted with safety rails but the home has not recorded associated risk assessment and has not obtained the consent of the Care Homes for Older People Page 12 of 23 Evidence: residents or their representatives for this potential restraint. A requirement and recommendation for improvement to these aspects are contained in this report.Medicine handling is carried out by staff trained in this work. Residents wishing to do so can manage their own medicines in accordance with a risk assessment process and a number of the currently accommodated residents do manage their own medicines. Medication records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. Residents spoken to during the inspection said they are treated with respect and their privacy and dignity is protected at all times but some commented that on occasion they are required to wait a considerable time for staff to respond, when they have requested assistance via the call bell system. The registered manager said that the call system responses are monitored by the registered provider but the results of this monitoring have not been made known to her. The home is recommended to take appropriate action to progress this matter. Overall, there was evidence of provision of good standards of nursing and social care, by well motivated, kind and competent staff. Care Homes for Older People Page 13 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to engage in social and recreational activities and are encouraged and supported to pass the time according to individual preference. A choice of menu is provided and meals are nutritional and appetising. Evidence: The home arranges seasonal activities and celebrations and frequently engages visiting entertainers. Visitors can attend at any time and those spoken to during the inspection said they are always made to feel welcome and placed at ease by the staff.Residents believe they are shown respect and properly treated; comments made during the inspection included The staff are all lovely.Meals provide good nutrition and are liked by residents. Most residents take meals in the large dining room on the ground floor, others receive them in their bedrooms. Residents said they have plenty to eat and the quality of meal provision is good. Care Homes for Older People Page 14 of 23 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. People know how to complain and are confident their complaints would be listened to. Residents are safeguarded against risks of abuse in its various forms. Evidence: Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home has a complaints policy and procedure. No complaints have been received and there have been no allegations or investigations regarding the safeguarding of vulnerable adults.All staff receive training on the safeguarding of vulnerable persons and the home has a written policy and procedure for the protection of vulnerable adults. Care Homes for Older People Page 15 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean, well equipped and suited to the needs of residents. Evidence: The home is well maintained both inside and out. The gardens are attractive, safe and easily accessible for residents. There is a continuous programme of repair, renewal and refurbishment to ensure the premises and furnishings remain comfortable, well maintained and safe.The building complies with the requirements of the local fire service and environmental health department.All areas of the home were clean and there were no unpleasant odours. There are bathrooms equipped for the use of persons requiring assistance.The laundry room is equipped with equipment compliant with hygiene requirements, including a sluice cycle washing machine. Adequate supplies of clean linen were seen to be available. Care Homes for Older People Page 16 of 23 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The deployment and number of available staff may sometimes be insufficient to enable staff to promptly meet the needs of each resident.Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home.Staff are well trained and experienced and residents are confident they are in safe hands. Evidence: During the inspection there were indications that, particularly at rising and retiring and meal times, staff have on a number of recent occasions felt under pressure to fulfil a number of obligations at once and have been unable to do this to the satisfaction of all residents, and themselves. For example, some residents told us that they sometimes have to wait a long time after they have activated the call bell system to receive attention because staff are engaged in assisting other residents. Subsequent discussion with some staff indicated that there are at present a high number of very dependent residents who require assistance to rise and retire and who need help at mealtimes. This has resulted in pressure points at the particular times e.g. early morning, midday and evening. The home is therefore recommended to review staffing levels and the ways in which staff are deployed, to ensure that at all times sufficient staff are available to properly meet the needs of residents. The records of 3 recently employed staff members were examined and found to contain all essential information including written references and evidence of identity. Criminal Records Bureau (CRB) Care Homes for Older People Page 17 of 23 Evidence: disclosures are obtained for all staff in advance of employment. The home has developed and implemented a comprehensive induction process for all staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities.There is an enthusiastic approach to staff training and all staff undertake and as necessary update training in core subjects including fire safety, moving and handling, food hygiene and emergency aid.All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the training provision. Care Homes for Older People Page 18 of 23 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. The home is properly managed and maintained in the best interests of service users. Evidence: Registered manager Mrs Harmer and the deputy manager are both experienced nurses and each holds the Registered Managers Award.Prior to this inspection the home completed an annual quality assurance assessment (AQAA) identifying what they feel they do well, what they have improved during the past 12 months and their plans for improvement over the next twelve months.The home has good systems for internal audit quality assurance monitoring including monthly audits of medicine handling, accidents and incidents to identify any trends or high aspects of risk.With the exception of safekeeping small amounts of money for some residents, the home does not manage the finances of residents. Residents who are unable to undertake this responsibility personally have nominated relatives, friends or other representatives to do this on their behalf.There are good processes for staff recruitment, induction and formal supervision.As described for the Health and Social Care section of this report, Care Homes for Older People Page 19 of 23 Evidence: risk assessment processes for reducing risks associated with bed rails must be developed and implemented.Records indicated that fire safety equipment is routinely checked and tested at the required frequencies and during the inspection a sample of records regarding equipment servicing and maintenance were examined and found to be in good order. There is a regularly reviewed fire safety assessment and escape plan. Care Homes for Older People Page 20 of 23 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 21 of 23 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 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 1 7 As necessary, care records should be expanded to include reference to diabetes and any other conditions relevant to particular residents. Prior to the use of bedrails the home should obtain the consent of the resident or their representative. Periodic monitoring and audit of call bell response should be conducted, with results made known to staff and service users, to ensure provision of a satisfactory care service at all times. The home should review staffing levels in accordance with resident dependency to ensure that at all times staff have sufficient time to provide individual care and properly meet the needs of each resident. 2 3 8 8 4 27 Care Homes for Older People Page 22 of 23 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 23 of 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. 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!