Inspection on 17/01/06 for Oakdene

This inspection was carried out on 17th January 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 31/10/07

Oakdene 08/11/06

Oakdene 02/08/05

Oakdene 02/11/04

Oakdene 29/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakdene 21 Kendal Green Kendal Cumbria LA9 5PN Lead Inspector Marian Whittam Unannounced Inspection 12:00 17 January 2006 th 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 DS0000022647.V267722.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. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakdene Address 21 Kendal Green Kendal Cumbria LA9 5PN 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) 01539 723396 Kendal Care Limited Mrs Catherine Carradice Care Home 19 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (19) of places Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 19 service users to include: up to 19 service users in the category of OP (Old age, not falling within any other category) up to 2 service users in the category DE(E) (Dementia over 65 years of age) The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2nd August 2005 2. Date of last inspection Brief Description of the Service: Oakdene is a care home providing care for 19 residents over the age of 65, two of whom may have dementia. The home is in the residential area of Kendal Green and is owned and run by Kendal Care Limited. The extended house overlooks a large green surrounded by trees. The bedrooms at the front of the house have attractive views of the green and over the rooftops of Kendal towards the surrounding hills. The home is approximately a mile from the town centre with the shops, banks and other amenities. The home has a communal lounge, dining room and a small conservatory. The kitchen is in the basement area of the home. There is a small front garden area with some seating for residents. The laundry is outside the home, away from bedrooms, food preparation and dining areas. There have been extensions to the rear of the property on two floors and three of the four floors of the property have resident’s rooms on them. The home had a passenger lift from the ground to the upper floors. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 17th January 2006.During the inspection 6 resident’s spoke with the inspector about their experiences of living in the home, 2 staff members and the manager were also spoken with. The inspection focussed on the experiences of residents living there and how well the home was meeting their needs and 6 residents were happy to speak to the inspector about their life in the home. Care staff and the manager were also spoken with, daily activity in the home observed, care plans, risk assessments and medication records examined. A sample of the records which care homes are required to hold and servicing and testing records were examined. What the service does well: What has improved since the last inspection? Communication systems have been improved with the district nursing service to provide closer working and discussion. Resident surveys are displayed so that anyone who wishes can see the results. The home has continued to review and improve its medication systems, practices and record keeping. The home has recruited an additional cook to improve continuity and so the manager does not have to cover if needed and rotas show who is on duty and in what capacity. Staff have done their moving and handling updates as required. Oakdene DS0000022647.V267722.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. Oakdene DS0000022647.V267722.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 Oakdene DS0000022647.V267722.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): 3 and 4 An assessment and care planning system is in place and information from other agencies is obtained to provide staff with the information and assessments to make sure the home can meet individual resident’s needs when they come into the home. EVIDENCE: All residents have individual care plans showing that needs had been assessed before and following admission and the care planning developed from this. The home manager or senior staff do an individual assessment of needs before admission in addition to the social services care management plan to see if the home can meet their needs and have the necessary facilities before they came to live there. Where appropriate other care agencies and professionals are involved in providing information and making assessments of the needs to be met, including the occupational therapist, intermediate support team and community nursing teams. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 9 A new document for recording pre admission dependency assessments has been developed and is to be implemented for the assessment of new residents. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 9 and 10 Individual care plans set out health, personal and social care needs and the action staff must take to meet those needs. The systems for the administration of medication are satisfactory. Care staff treat residents with respect and take appropriate actions to promote privacy and dignity. EVIDENCE: All residents have an individual plan of care stating their health, personal and social care needs and risk assessments that had been reviewed and updated to show changes in needs and new objectives. Healthcare needs are being identified and met and there was evidence of advice and support from other professionals, to assess and help manage individual problems. Residents spoken with said that they felt they were well cared for and that they were treated with respect by staff and their privacy respected. Some residents said that they preferred to stay in their rooms and one said they “liked their own company” and preferred to spend time in their room and “no one ever made them feel they had to do anything they didn’t want to”. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 11 The medication procedures and practices in place are satisfactory and residents are having annual medication reviews. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 15 The home has a limited programme of social activities and staff supported residents to make choices about their daily life. Menus in the home offered a choice of food to give a balanced diet for residents. EVIDENCE: Care plans recorded resident’s interests and how they liked to spend their time. Residents spoken with confirmed that they were supported in outside interests and did not feel they had to join in with any activities going on in the home if they did not want to. Those spoken to enjoyed the Christmas activities such as the party and some relatives had stayed for Christmas lunch and activities. The home provided some activities including exercise sessions and musical events and organised social events, religious services and access to clergy according to choice. One resident went out regularly for walks and into Kendal and had made friends amongst neighbours in the area. Residents said that they could come and go as they pleased and see who ever they wanted to. Activities were advertised and a senior carer coordinated them and made sure they suited resident’s preferences and capabilities. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 13 Residents commented favourably on the food, one said it was “spot on” another that they were “pleased there was plenty of vegetables provided” and another that the food was “beautiful” and they had started to put on weight. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has a complaint procedure that is displayed in the home. Residents and visitors said they felt confident that the manager would listen to them and act to deal with any concerns. Adult protection policies and procedures are in place and staff have received training to promote resident protection. EVIDENCE: The CSCI has received one complaint about care in the home since the last inspection that was investigated with the home and some aspects were upheld. Requirements made as a result have been attended to by the home. Information on making a complaint was displayed on the notice board in the foyer and within the statement of purpose and service user guide. Information on contacting advocacy services was also displayed. Resident’s spoken with felt confident that the staff and owners would attend to any complaints they raised with them. One resident said that “there is nothing I am not satisfied with, but I am not afraid to say if something is wrong “. Adult protection training has been given in house, on recognising signs of abuse and on challenging behaviour. The home uses the multi agency guidance to inform practices and policies and procedures on whistle blowing. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 15 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): 19, 20, 25 and 26 The standard of decoration in the home is satisfactory. The home provides a tidy, homely, adequately maintained and comfortable place for residents to live with the equipment they need to promote personal needs and independence. EVIDENCE: The home has an ongoing maintenance programme and a property audit has just been carried out identifying some items to be replaced. The dining and lounge areas in the home were clean, well lit, and homely and could be used for different social occasions. A resident commented that if something needed doing in their room it was done quickly, this was the case with a problem with their bedroom door. Resident’s bedrooms seen had a satisfactory standard of furnishing and decoration. Many bedrooms had the resident’s own possessions in and this made them more personal and homely. One resident said they liked their bedroom and that it was “warm and cosy”. Another said that they had everything they wanted in their bedroom, “my T.V. and DVD player and lots of books and I prefer to stay in here” Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 16 The home is clean and tidy and equipment is provided to help resident’s mobility, promote independence and for safe moving and handling. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 17 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): 27,28 and 30 The numbers and the skill mix of care staff on duty is satisfactory to meet resident’s needs and provides continuity of care. Staff have received training appropriate to the residents needs and to promote their safety. EVIDENCE: Staff rotas observation and speaking to staff during the visit suggested that the home had a stable staff group providing continuity of care for residents. The home has recruited an additional cook to provide seven day cover and is recruiting for additional care staff. The rotas showed sufficient staff on duty to provide adequate personal care. Training for NVQ Level 2 and 3 in care is well supported and staff received induction and foundation training. Training records were clear and showed what had been done and what was needed for each staff member. Two senior carers are doing dementia awareness training to provide in house training for the other staff. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 18 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): 35,36 and 38 Procedures are in place to safeguard resident’s financial interests and promote their health and safety. EVIDENCE: The home had systems in place to safeguard resident’s monies and a check showed transactions are recorded. Records and servicing contracts indicated that the home had systems, training and practices to promote resident health and safety. There was evidence that appropriate testing and cleaning was being carried out to reduce the risk Legionella and water temperature testing to reduce the risk of scalds to residents. Records showed that servicing and maintenance of equipment is being done. Staff have been given appropriate training on moving and handling by an outside trainer, infection control and fire training. Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 19 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 3 X N/A 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 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Oakdene DS0000022647.V267722.R01.S.doc Version 5.0 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. 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!