CARE HOMES FOR OLDER PEOPLE
Oakdene 197 London Road Waterlooville Hampshire PO7 7RN Lead Inspector
Beverley Rand Unnannounced 22.08.05 11:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Oakdene Address 197 London Road Waterlooville Hampshire PO7 7RN 02392 640055 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs G Bryden Mrs G Bryden Care Home 19 Category(ies) of Dementia - DE - 19 registration, with number Dementia, over 65 - DE(E) - 19 of places Mental Disorder - MD - 19 Mental Disorder, over 65 - MD(E) - 19 Old Age -OP - 19 Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users in the MD and DE categories must be at least 60 years of age. Date of last inspection 08.04.05 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 whom may have dementia or mental health problems. The home has eleven single rooms and four shared rooms. Four of the rooms have en-suite facilites. 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 service users can access them safely. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was the second unannounced inspection of the year and took place over two hours. The inspector spoke with two residents, two staff and the deputy manager. Records such as menus were also looked at. Only four core standards were looked at during this inspection, therefore, this report should be read in conjunction with the last report. What the service does well: What has improved since the last inspection? What they could do better:
This inspection has not suggested and changes be made. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. Standard 6 does not apply. EVIDENCE: Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. EVIDENCE: Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 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 standard(s) 12 & 15 The home ensures that residents feel comfortable and enjoy their food. EVIDENCE: The inspector spoke to two residents about activities, and they said that someone visits and organises bingo and painting nails. However, they particularly enjoyed watching television and listening to talking books. The deputy manager said that a named person visits on a daily basis to do nails, bingo, knitting, skittles, walks in the garden and one to one chats. This staff member has attended training days on activities for older people, and has organised making soaps and Christmas cards. The deputy manager is hoping to organise painting on china and a ‘pat dog’. There were photographs of a Fish and Chip lunch party held in June, and a BBQ was planned for two days after the inspection, to which relatives were invited. The two residents who were asked confirmed that they had breakfast in bed, and got up later which suited them. They also chose when to go to bed. Two residents said that the food was, ‘ok’, they got a good lunch and tea. Although there is not a choice as such, they said that if they asked for something different they got it. They particularly liked ‘supper’ when it was ‘cheese and leeks’. Staff told the inspector that the menu was based on a four week rota and that they recorded what people actually ate. Likes and dislikes are known to the cook, as are any food allergies and diabetic needs. Support
Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 11 is given to residents as appropriate, as needs can vary on a daily basis. Residents can eat in their room, but the home encourages residents to eat in the communal areas for lunch and tea. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. EVIDENCE: Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. EVIDENCE: Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. EVIDENCE: Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 The home ensures that it is run in the best interests of the residents and that their financial interests are safeguarded. EVIDENCE: The deputy manager is committed to quality assurance and seeks the view of residents and relatives. Residents meetings have been held but have not been overly successful, so the deputy manager ensures that she talks to residents on a daily basis. The inspector saw some completed surveys which were all positive. The home looks after money for two residents. The inspector checked the records and found that receipts were kept, and the money and records matched. Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3
COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 17 NA Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard Good Practice Recommendations Oakdene H54 S12336 Oakdene V246457 220805.doc Version 1.40 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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