Inspection on 08/04/05 for Oakdene

This inspection was carried out on 8th April 2005.

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 15/11/06

Oakdene 22/08/05

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 Nick Morrison Unannounced 8 April 2005, 10:00 th 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 V221597 080405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Oakdene Address 197 London Road Waterlooville Hampshire PO7 7RN 023 9264 0055 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 CRH 19 Category(ies) of Dementia - DE - 19 registration, with number Dementia, POver 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 V221597 080405 Stage 4.doc Version 1.20 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 15.02.05 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 V221597 080405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 8th April 2005 and lasted for six hours. The Inspector toured the premises and spoke with the Proprietor/Registered Manager, the manager, staff, service users and a relative. The Inspector toured the premises and sampled service user and staff files (four service user files and four staff files). All other records referred to in the report were seen by the Inspector. What the service does well: What has improved since the last inspection? What they could do better: There were no recommendations or requirements as a result of this inspection. The home continues to provide a very good service. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 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 V221597 080405 Stage 4.doc Version 1.20 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) 1, 2, 3, 4 and 5. The admission processes ensure that service users have their needs assessed prior to moving into the home. Service users have adequate information to make an informed choice about the home. EVIDENCE: The home has a comprehensive Statement of Purpose in place covering all relevant points. It is clearly written and gives extensive information about the home. This, along with the Service User Guide, is available to all prospective service users and their families as well as existing service users. Service user files showed that Terms and Conditions of residence were clear and signed by all relevant parties. The Terms and Conditions clearly explained the rights of service users. All initial assessments were kept on service users’ files. These had been undertaken prior to admission and were comprehensive enough to cover the whole range of service user needs. Service users were not admitted to the home unless the Manager was clear that the home would meet their needs. All service users had the benefit of a trial period prior to moving into the home permanently. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 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) 7, 8, 9 and 10. Service users are protected by the home’s medication policies and practices and have their personal, social and healthcare needs met. EVIDENCE: Care Plans were in place for all service users. They had all been dated and signed by the people involved in devising them, which included relatives and service users where possible. Plans were easy to read and detailed exactly what support each person required. Records of outcomes were kept and the plans were reviewed monthly. Service users’ healthcare needs were continuously monitored and reviewed. They were supported to access relevant healthcare services as appropriate. Records were kept of each appointment, including the reason for the visit and the outcome. The home had a Medication Policy, which was followed fully. The home ensured that all service users had a medication review with their GP immediately after admission and the policy of the home was to ensure that service users were not receiving more medication than was absolutely necessary. Medication in the home was stored appropriately and staff involved in administering medication had received training. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 10 Service users spoken with were clear that staff treated them with respect at all times. The Inspector observed this to be the case during the inspection and it was further confirmed by a relative who said all the staff were always very respectful. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 11 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) 13 and 14. Service users have control over their lives and are supported to maintain contact with their friends and families. EVIDENCE: The home has a visitors’ policy in place that encourages visitors to come into the home at any time depending on ht needs of the person they are visiting. Visitors observed on the day of inspection were comfortable and relaxed in the home and the manager made herself available to them. Service users spoken with felt that they had as much control over their own lives as possible and said that they were able to make their own decisions without interference. The Inspector observed staff interacting with service users in a very supportive manner and they showed no signs of exerting control over people. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 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) 16, 17 and 18. The policies and procedures in the home protect service users from abuse and uphold their legal rights. EVIDENCE: The Complaints Procedure was clear and was made available to all service users and their families. The home had a system in place for recording and responding to complaints, but none had been received. The manager believed this was due to the fact that they were very responsive to the needs of service users and always kept families involved in care and informed about issues as they arose. A relative spoken with felt that, although she knew how to complain, she would not need to make a formal complaint because any issues were dealt with immediately by the manager and resolved to her satisfaction. Service users had terms and Conditions in place to clarify their rights of residence and the Statement of Purpose and Service User Guide further clarified these and listed all the rights service users had. Staff spoken with were clear about the rights of service users and hw to support them. The home had appropriate procedures in place for responding to instances of suspected abuse and the manager was clear about how to report such instances. She has planned to attend training on this issue later in the year and plans to cascade the training to all staff. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 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) 19, 20 21, 23, 24 and 26. Service users live in a safe, clean and comfortable environment with a range of communal and private spaces giving the opportunity to socialise or spend time alone. EVIDENCE: The home is regularly maintained and records were kept of all maintenance checks. The manager reported that the Proprietor was very responsive and hat anything that was needed was purchased without delay. The gardens were maintained to a very high standard and service users spoken with appreciated the fact that they could sit in or look at such beautiful gardens. The garden was designed to be accessible to service users. The home was kept safe throughout and there were no obvious hazards to service users. The communal space in the home was expansive. There were two lounge areas, a dining room and a very large conservatory. It was easy for service users to find a quiet place in the home if they wanted to. Toilet and bathroom facilities in the home were sufficient in number for the amount of service users and were easily accessible. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 14 Service users rooms were spacious and individually decorated. Service users were encouraged to bring personal items with them to the home. All rooms were fully equipped and service users spoke with were all happy with their rooms. The home was kept very clean and hygienic throughout while still managing to appear very homely. Infection control procedures were in place and staff received instruction in maintaining hygiene. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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) 27, 28, 29 and 30. The home’s recruitment procedures protect service users; there are adequate numbers of staff and they receive training appropriate to their roles. EVIDENCE: Rotas showed that staffing was sufficient for the needs of service users and staff employed in the home received regular training, including NVQ qualifications. Staff files demonstrated that all staff were thoroughly checked prior to being employed at the home and all necessary records were kept. The manager placed emphasis on staff training and all staff were encouraged and supported to improve their skills and experience. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 32, 36, 37 and 38. The management ethos of the home ensures the service focuses on the needs of the service users and supports staff to meet these needs. EVIDENCE: The Management approach in the home was open and lines of accountability were clear. The Registered Manager and Proprietor has appointed a manager to undertake the day-to-day responsibilities of the home and the Commission for Social Care Inspection is awaiting an application for this person to become the new Registered Manager. Service users, relatives and staff spoken with were all very positive about the manager and the Proprietor and how approachable and supportive they both were. All records seen during the inspection were well-maintained, up-to-date and securely kept. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 17 The health, safety and welfare of all staff and service users was given a high priority and regular checks were in place to ensure the building was safe. Staff had received appropriate training in Health & Safety issues and records of this were kept. There was a schedule for checking the safety and security of the building and records were kept. All gas and electrical equipment was regularly serviced and records kept. Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 3 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 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x 3 x x x 3 3 3 Oakdene H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 19 no 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 V221597 080405 Stage 4.doc Version 1.20 Page 20 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 © 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 H54 S12336 Oakdene V221597 080405 Stage 4.doc Version 1.20 Page 21 - 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!