Inspection on 15/11/06 for Oakdene

This inspection was carried out on 15th November 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oakdene 28/11/08

Oakdene 22/08/05

Oakdene 08/04/05

Oakdene 15/02/05

Oakdene 23/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oakdene 197 London Road Waterlooville Hampshire PO7 7RN Lead Inspector Roy Bega Unannounced Inspection 15th November 2006 11:45 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 Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 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. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakdene Address 197 London Road Waterlooville Hampshire PO7 7RN 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) 023 9264 0055 Mrs G Bryden Mrs G Bryden Care Home 19 Category(ies) of Dementia (19), Dementia - over 65 years of age registration, with number (19), Mental disorder, excluding learning of places disability or dementia (19), Mental Disorder, excluding learning disability or dementia - over 65 years of age (19), Old age, not falling within any other category (19) Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the MD and DE categories must be at least 60 years of age. 22nd August 2005 Date of last inspection Brief Description of the Service: The home is a large Edwardian building set on the main road between Waterlooville and Cowplain. It is registered to provide a service to up to nineteen older people, some of who may have dementia or mental health problems. The home has eleven single rooms and four shared rooms. Four of the rooms have en-suite facilities. There are two lounges, a large dining room and a new conservatory overlooking the gardens. The gardens are very well maintained and designed so that residents can access them safely. Current weekly fees range from £405 to £500 per week with additional costs being made for hairdressing, newspapers, chiropody and toiletries. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is an assessment of how the National Minimum Key Standards for Care Homes for Older Persons were being met. Evidence has been collated from the service’s history file a returned pre inspection questionnaire and this site visit. This visit took place on 15 November 2006 between the hours of 11-45 a.m. and 4-15 p.m., a total of four and a half hours. Opportunity was taken to look around the home view records, observe the working environment and speak with management, staff, residents and relatives. There were not any requirements raised as a result of this or the previous visit. What the service does well: What has improved since the last inspection? Three bedrooms have been re-decorated and equipped with new soft furnishings. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 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 Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standard 3 was assessed on this occasion. This service does not provide intermediate care as defined by key standard 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information they need to make an informed choice with regards to moving into the home. EVIDENCE: A sample of two detailed assessment records was seen for most recently admitted residents. Discussions with management residents and relatives indicated admissions are not made to the home until a full needs assessment have been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. For people whom are self funding and without a care management assessment the assessment is undertaken by a skilled and experienced member of staff. Evidence confirms that the assessment is Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 9 conducted professionally and sensitively and has involved the family or resident’s representative. Residents and relatives spoken with stated they were fully involved in the assessment process and management and staff were so kind and helpful before, during and after the move. They were provided with appropriate literature regarding the home. For example, the home provided a statement of purpose that clearly sets out the objectives and philosophy of the service. The guide also gives a good detailed account of the quality of the accommodation, qualifications and experience of staff, how to make a complaint and recent CSCI inspection findings. They were also given a statement of terms and conditions prior to moving to the home, which sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the resident. Before making a decision they had opportunities to visit the home. Staff spoken with informed the inspector that they are made aware of prospective new residents and their needs prior to them moving into the home. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 7, 8, 9 and 10 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social needs are set out in individual’s care plans ensuring the individual’s needs are fully met. Appropriately trained staff, who follow the homes policies and procedures for dealing with medicines, protects residents. Personal support within the home is offered in such a way as to promote and protect residents’ privacy and dignity. EVIDENCE: Each resident has a personal care plan that has been agreed with them/relatives/placing authority. A sample of three was seen. They are written in plain language, easy to understand and considers all areas of individual’s lives including health, personal and social care needs. Documentation seen and discussions with staff, residents and relatives indicated resident’s health care forms an integral part of their care plans which Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 11 give a comprehensive overview of their general health and acts as an indicator to changing health needs. Residents are also encouraged to have the choice to shower or bath when they wish, and are supported and facilitated to be independent in their personal hygiene. Observations, discussions and available training records indicated that staff have the skills and experience to deliver care effectively. Staff were observed to inform residents what they were going to do with regards to care before carrying it out. Residents spoken with informed the inspector that staff are very kind when they are not feeling too well. Visitors comments included, “Staff are reliable”, They know what they are doing” and “They are super”. (See also the section on Staffing of this report.) The home ensures that each resident’s plan is reviewed regularly and involves the resident and family/representative if agreed and they choose to. The plan is updated and the necessary action taken to respond to any changes. Members of staff spoken with regard care plans as working tools; they understand the plan and work to it. Medication within the home is administered primarily through a monitored dosage system. The inspector was informed that any resident who has the capacity are encouraged to keep and take their own medication but currently there are not any who have been assessed as able to. Evidence was seen that staff who administer medication have completed appropriate training. Records seen were well maintained an up to date. Procedures for medication to be taken as required were in place. The staff member who assisted the inspector with the auditing of this standard also was able to demonstrate an understanding of the medication currently being used and appropriate storage. The aims and objectives of the home reinforce the importance of treating residents with respect and dignity and these values should be applicable to all aspects of their life and are fundamental to the philosophy of care. Observations showed particular attention is given to ensuring privacy and dignity when delivering personal care. Staff make every effort to enable residents to choose who delivers their care and respect their preferences. Comments from residents and relatives included – “They always knock the door”, “I am treated with respect” and “Staff treat dad with respect”. It was noted that staff induction includes privacy and dignity. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 12, 13, 14 and 15 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from social, cultural and recreational activities, which meet their expectations. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: Observations and discussions with residents, relatives and staff indicated the routines of the home are planned around residents’ needs and wishes. Systems enable the service to be flexible and changed to meet individual wishes. Residents spoken with told the inspector that they are not rushed and can move around the home when they want to. This was observed to be the case. Sufficient staff resources are provided to allow time for activities and stimulation. Staff were observed to spend time with residents either engaging them in meaningful group activities or one to one discussions. Residents spoken with informed the inspector that they like staff spending time with them. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 13 Visitors informed the inspector that they feel welcome and know they can visit the home at any time. Observations and discussions indicated that staff always make time to talk to visitors. The layout of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. An experienced cook is responsible for providing quality nutritional meals that meet residents cultural and dietary needs. The cook meets regularly with residents, listens to their choices and suggestions for the menu, and encourages them to be adventurous and try new tastes as well as traditional foods. This was reflected in conversations with residents’ observation and seen menus. Residents’ likes and dislikes and any variation of the main menu are kept in the kitchen. Care staff were observed to be sensitive to the needs of those residents who find it difficult to eat and gave assistance with feeding. Tables are set attractively with the necessary cutlery and aids to help individuals during their meal. Discussions with staff and residents indicated that birthdays are made special events for individual residents. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 16 and 18 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives have access to an effective complaints procedure. Staff have good awareness policies and procedures to protect residents from abuse. EVIDENCE: The service has developed a clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. The complaints procedure is provided to residents and relatives. Residents and visitors informed the inspector that they have been provided with a copy of the home’s complaints procedure, know what action to take but have not had the need to do so. The Commission has not received any concerns in respect of the service within the preceding year. Policies and procedures are in a place with regards to the protection of vulnerable adults. Staff spoken with portrayed a good knowledge and understanding of what action to take if they had any concern. Evidence was seen that staff have completed an adult protection course as part of the home’s training programme. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 15 Discussions with staff indicated the service ensures through training and supervision that they comply with the policies and procedures provided in relation to protecting and safeguarding the rights of residents. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 19 and 26 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is accessible, safe, clean and well maintained. It meets residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: Discussions with visitors and residents indicated management and staff encourage residents to view the home as their own home. Residents have personalised bedrooms with their own possessions and “nick knacks”. The service provides a very well maintained, safe, comfortable environment, which has all the specialist equipment and adaptations needed to meet individual resident’s needs. There is a choice of communal bathing facilities, both assisted and unassisted, showers and baths. Four of the bedrooms have ensuite toilet/shower facilities. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 17 A contractor is employed who visits three days a week to ensure the home is routinely maintained. As well as a good selection of general aids such as hoists and variable height beds, the home also ensures that equipment is individualised for each service user and all staff members are trained in the safe use of aids and equipment. Residents say that there is plenty of hot water and the temperature in the home can be changed, on request, in their own rooms. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy. They seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes’ policy to reduce the risk of infection. Comments recorded in relatives’ surveys as part of the service’s quality assurance include – “There is always a homely atmosphere”, “A good quality environment” and “The bedroom is immaculately clean”. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 27, 28, 29 and 30 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to meet the aims of the home and changing needs of residents. EVIDENCE: Rotas seen show that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of residents. The service clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. Residents reported that staff working with them are very helpful, kind and seem to know what they are doing. This was reflected in discussions with visitors. The service has a good recruitment procedure that clearly defines the process to be followed. Discussions with staff and records seen indicated this procedure is followed in practice. A sample of two staff records seen included all the required information and a structured comprehensive induction-training programme. The service ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving outcomes for residents. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 19 The service uses external providers to deliver this training if they have not got the appropriate skills within. Discussions with staff and records seen indicated management encourage staff to undertake external qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. Evidence was seen with regards to twelve staff having completed the National Vocation Qualification (NVQ) level two or above in care. Staff spoken with stated that they feel well supported by management and the training provided is very helpful in assisting them to understand and carry out their work. Records seen and discussion showed the following specific training has been provided. – First aid, manual handling, infection control, dementia care, care of substances hazardous to health, health and safety, food hygiene, fire safety, management of medication and adult protection. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards 31, 33, 35, and 38 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experience and competent to run the home. Management and administration of the home is based on openness and respect. An effective quality assurance system is in place. Safeguards are in place to protect the interests of the residents. As is reasonably practicable the health, safety and welfare of residents and staff are promoted. EVIDENCE: Management have the required qualifications and experience and is competent to run the home. Discussions with staff and relatives and records seen show the service works continuously to improve resident’s quality of live. Staff Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 21 informed the inspector management has a strong ethos of being open in all areas of running the home and is resident focused. Records and observations showed management leads and supports a strong staff team who have been recruited and trained to a good standard. Discussions indicated management is aware of current developments both nationally and by the Commission and plans the service accordingly. The home has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice. Management processes ensure that they receive feedback on their work. A quality assurance and monitoring system based on seeking the views of residents, relatives, staff and professional is in place. As well as completing questionnaires, monthly resident and staff meetings respectively are held and considered as another source in obtaining views in monitoring the service. Comments on relatives surveys included – “Staff always help and answer questions”, “Some needs have been met that are above expectations” and “The bedroom is kept immaculately clean”. The home works to a clear health and safety policy, all staff are given a copy, and regular random checks take place to ensure they are working to it. The home has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. Records seen and discussions showed that the home has very efficient systems to ensure effective safeguarding and management of resident’s money. Invoices/receipts were seen where the home had purchased goods on behalf of residents and requested the money from relatives/representatives. Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 22 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 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 © 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 Oakdene DS0000012336.V315948.R01.S.doc Version 5.2 Page 25 - 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!