Inspection on 08/11/06 for Oakdene

This inspection was carried out on 8th 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 31/10/07

Oakdene 17/01/06

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 8th November 2006 10:30 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.V311917.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 DS0000022647.V311917.R01.S.doc Version 5.2 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 Mr Stephen John 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.V311917.R01.S.doc Version 5.2 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. 17th January 2006 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. Fees payable at the home are £363.00 to £390.00 a week as at 8th November 2006. There are additional charges for hairdressing, personal toiletries and papers and magazines. The home makes information about its services available through its service user guide and statement of purpose. These are available from the home. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 8th November 2006. At the time of the visit there were thirteen residents living in the home. During the inspection 7 resident’s spoke with the inspector about their experiences of living in the home. The inspection focussed on the experiences of residents living there and how well the home is meeting their needs. Care staff and the manager were also spoken with, a tour was made of the premises, and daily activity and mealtimes in the home were observed. Care plans, risk assessments and medication records were examined and a sample of the records that care homes are required to hold, including servicing and testing records. Prior to the visit, the Commission for Social Care Inspection (CSCI) received a pre-inspection questionnaire giving details of the service, the residents, staff and services provided by the home. What the service does well: Residents spoken with like living in the home and speak highly of the management and staff and the care and support they receive from them. Residents spoken with felt that all staff worked hard in the home for them and that they have time for them. The home succeeds in creating a relaxed homely atmosphere for residents living there. Throughout the day it was observed that staff and residents got on well together, there is a good rapport and residents are being treated as individuals with individual choices being supported. This is a small family run home and staff know residents well and are aware of their needs and preferences as individuals. Residents commented positively on the kindness of staff and the support they receive. One resident said, “if you can’t be happy here you’ can’t be happy anywhere”. The home takes care to make sure that the number of residents admitted with higher levels of need does not get too high as that could affect the care and support given to the other more able residents. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 DS0000022647.V311917.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 DS0000022647.V311917.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): 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission assessments done by the home are detailed to ensure individual needs will be met on admission. EVIDENCE: The home’s admission process includes a pre admission assessment of individual needs for residents using a dependency assessment tool done before admission to the home. There are trial periods for new residents, during which time the homes assessment is continued to see that needs are being met. Speaking with a new resident this period is used flexibly according to individual feelings and personal situations. Information is gathered from other agencies and where appropriate a social services management plan is obtained and held on file for information. Where appropriate families, community nursing and other agencies are being involved Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 9 in providing advice and information on the health and personal needs to be met for residents. Prospective residents and their families are encouraged to visit the home prior to admission and newer residents confirm this is the case. This gives them an opportunity to assess the quality and suitability of the home. Records show that residents have a contract or terms and conditions of residency, depending on individual care arrangements. These are signed and kept on file with a copy to individual residents and state resident’s rights and responsibilities, room to be occupied, payment of fees and what is included. Records are also kept of all items of personal furniture and possessions brought into the home. Oakdene DS0000022647.V311917.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): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and assessment system in place to provide information for staff to meet resident’s individual health, personal and social care needs. EVIDENCE: All residents have an individual plan of care and personal and clinical risk assessments setting out their health, personal and social care needs. Residents care plans are signed by residents to indicate their involvement in producing the plans and changes within it. Risk assessments are also in place allowing residents to make choices and be independent. For example one resident likes to have their own kettle for drinks and another to use their own freestanding heater in their room. The care plans are being reviewed regularly and any changes identified on evaluation and/or following medical visits are included in the care plans and Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 11 needs assessments. This provides an up to date plan and action needed for staff to work from. There is evidence in care plan records and from resident comments of prompt referral to health care and support services. Healthcare needs are being identified and met and there is evidence of advice and support from specialist and community nursing services to assess and help manage individual problems. There is evidence from observation, speaking with residents and from their care plans that residents are involved in making choices about their care. Residents confirmed that their opinions are sought about their personal care and life in the home generally and say they feel their privacy and dignity is being respected. Where they want to residents are supported to manage their own medication and so retain independence but within a thorough risk assessment framework. The home has procedures for caring for residents who are dying and some staff have been given training on care of the dying. Medication practices, the storage of medicines and their handling is of a satisfactory standard. The home keeps records of medicines it receives from and returns to the pharmacy. Management of as required medication is in care plans and records for testing and dosage for the use of blood thinning medicines are in place. Oakdene DS0000022647.V311917.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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides social activities within the home, supports resident choice and there is variety and choice in the food on offer to residents. EVIDENCE: Care plans record resident’s social interests and what is important to them to be able to do. Residents spoken with confirmed that they are supported in their interests and do not feel they have to join in with any activities going on in the home if they do not want to. One resident commented that, “no one interferes with what you want to do”. One resident likes to go to a lunch club and also remains an active participant in a club they belong to and is supported to continue with this, another likes to go out walking locally and into the town. One resident has visits from their pet and this is done in a way that does not affect other residents who may not like animals. The home provided some activities including exercise sessions and musical events and organised social events, religious services and access to ministers according to choice. Activities are advertised and carers take the lead from residents about what they want to do and if they suit resident’s preferences. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 13 Sitting with a group of residents as they chatted over lunch it was evident from opinions expressed that the atmosphere in the home is relaxed and friendly. Residents joked about the exercise sessions which they enjoyed as being “good fun and that they, “ have a laugh”. The meal was well presented and the occasion an unhurried opportunity for residents to talk and mix. The residents at lunch commented positively on the food saying it was “very good ” that there is “always plenty to eat”. The residents felt they were given a choice of food at all meals and if they did not want what was on the main menu. Some felt they were given too much sometimes, and one resident, unable to finish their dessert, said it was just that they were too full, not that they did not like it. The menus and records of food served show a varied and nutritious diet that catered for special dietary needs. The home has information on advocacy services; some residents have advocates who act on their behalf as well as relatives and legal representatives. Oakdene DS0000022647.V311917.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): 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints system that residents have confidence in and there are procedures and staff training in place to protect resident’s interests. EVIDENCE: The home has a complaints procedure that is displayed in the home and complaints received are logged for investigation. The home has not received any written complaints since the last inspection. Residents spoken with are confident that the manager will deal with any complaints or suggestions they make. If anything was bothering them they could tell the manager and she would “pretty soon get it sorted”. Residents spoken with, including newer residents are aware of how to make a complaint. There are procedures in place to protect vulnerable adults from abuse and whistle blowing procedures and these have been subject to review. The home also has procedures in place for staff guidance on gifts and preventing involvement in service user’s wills. Current multi agency guidance is displayed and available for all staff and these were available for staff in the home. Staff have been given training on adult protection and this topic is included in their NVQ courses. Staff spoken with are clear about how they would approach suspicions or allegations of abuse and what they would do to make sure residents are protected and safe. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 15 The home holds only small amounts of daily spending money on resident’s behalf. All personal monies are recorded, receipts kept and totals checked are correct. Residents are supported to handle their own financial affairs or with help from their families and legal representatives. Oakdene DS0000022647.V311917.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): 19, 20, 21, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the home is, clean, warm and homely with a good standard of decoration and regular maintenance to give residents a safe and comfortable home. EVIDENCE: The home is well maintained with regular maintenance and a good standard of décor throughout that provides a clean, tidy and homely environment for residents. Residents spoken with say that their rooms are cleaned regularly and kept “fresh”. The lounge and dining areas are comfortable and well furnished with good lighting and natural ventilation. There are call bells in areas used by the residents to summon assistance if needed. Resident’s bedrooms seen by the inspector are attractively decorated and well furnished. Many residents have brought into the home personal possessions Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 17 and items of importance to them. This helps make their bedrooms more personal and homely. The home has policies and procedures for infection control that have been recently reviewed and staff have had training from the Infection control nurse to promote good practice. The laundry facilities are away from the main building and are satisfactory. There are systems in place to test water temperatures and to prevent risks from Legionella. There is a range of moving and handling equipment and adaptations in the home, including a passenger lift to help residents make the most of their independence and to get about the home. Oakdene DS0000022647.V311917.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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and the skill mix of care staff on duty are satisfactory to meet resident’s needs and provide continuity of care. There are recruitment procedures in place to promote residents safety. EVIDENCE: Staff rotas and observation of staff deployment during the visit indicates that the home has a stable care staff group providing continuity of care for residents. Staff spoken with enjoy their work and morale among the small staff team is good. Staff say they feel supported to undertake training and valued in their work by the owner. Records are kept of training attended by staff including inductions taking place in the home and of training planned to take place. NVQ level 2 and 3 training in care is at a good level and well established for care staff. Staff spoken with felt they are being supported to achieve this and other qualifications and are well motivated to take on training. Two senior carers have done dementia awareness training to provide in house training for the other staff. Residents said that the home has a friendly atmosphere, one said staff are “very good, cheerful and help you when you want it” and another that staff are “like friends” and “ we have a laugh”. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 19 The home has established recruitment procedures reflecting equal opportunities. There are up to date personnel records showing that staff have received appropriate training and induction. Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and references are being done before staff start work in the home. The home does not use agency staff. Oakdene DS0000022647.V311917.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): 31, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to safeguard resident’s financial interests and promote their health, welfare and safety. EVIDENCE: The home has regular residents meetings and one was taking place on the day of the inspection. There are also staff meetings and the home does annual stakeholder surveys to gather wider opinions on the service. Residents comment that they see and speak to the Manager on a daily basis and can raise any matters they want to discuss then. Audits are being carried out on the service annually and reviews of procedures are being done to promote consistency and identify any gaps in the service. Oakdene DS0000022647.V311917.R01.S.doc Version 5.2 Page 21 There are clear lines of accountability within the home and the opinions expressed by staff and residents indicate that there is an open and accessible management approach. The manager is qualified and experienced in care and is well supported in their role by the care and administration teams. The home had systems in place to safeguard resident’s monies and a check showed transactions are recorded. All transactions are receipted and the home does not act on behalf of any residents financially. Records and servicing contracts indicate that the home has systems, training and practices to promote resident health and safety. Records show that servicing and maintenance of equipment is being done as needed. Staff have been given appropriate training on first aid, infection control, moving and handling and fire training. Oakdene DS0000022647.V311917.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 3 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 3 3 3 X 3 X X 3 Oakdene DS0000022647.V311917.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 DS0000022647.V311917.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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