Inspection on 13/02/06 for Oakdene Care Home

This inspection was carried out on 13th February 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 Care Home 30/09/08

Oakdene Care Home 13/10/06

Oakdene Care Home 03/10/05

Oakdene Care Home 16/02/05

Oakdene Care Home 22/09/04

Oakdene Care Home 19/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Oakdene Care Home 4 Eastgate Sleaford Lincs NG34 7DJ Lead Inspector Mr Toby Payne Unannounced Inspection 13th February 2006 08:15 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 Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakdene Care Home Address 4 Eastgate Sleaford Lincs NG34 7DJ 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) 01529 415253 Oakdene (Sleaford) Limited Helen Patricia Reilly Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Oakdene Nursing Home is registered to provide nursing and personal care for up to 35 people who are over the age of 65 years. The home is a two storey grade 2 listed building with a purpose built two storey extension within walking distance of the town of Sleaford. The home has an enclosed walled garden with trees, lawn and shrubs set within its own grounds. There is car parking available at the side of the home. Accommodation is provided on ground and first floor levels and the first floor is served by a shaft lift. The directors of the home visit regularly and work closely with the registered manager. Close by the home is a new development of 17 bungalows and flats, which are separate and not managed by the home. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and started at 8.15 am. It took place over 5 hours. The inspector spoke to 8 residents, 4 visitors, 4 staff, a visiting community nurse and the manager. The main method of the inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of how care was delivered. The inspector also observed how care was delivered and how staff responded to other residents living in the home. The inspector also examined a pre-inspection questionnaire, which had been completed by the manager. Comment cards were received from 11 residents and 2 relatives/visitors. Specific comments from residents were, “I came through the door and felt at home straight away. It is like a home from home, all the staff are kindness themselves and always have time for a chat and also to listen”. Comments from relatives/visitors were, “my partner has made really good progress. I can’t thank them enough for their care”. What the service does well: What has improved since the last inspection? Two bedrooms, the dining room and corridor have been redecorated. A new carpet has been laid to the extension corridors and stairs. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 6 A new electric hoist has been purchased to move residents safely and prevent injury to staff. The car park as been resurfaced. A survey had been carried out to obtain the views of GPs and Community Nurses to the service provided by the home. A positive response was received. 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 Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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): 1 and 6 Residents receive information to enable them to make a choice as to whether or not they wish to come to this home. Oakdene Care Home meets the needs of residents coming into the home. EVIDENCE: The home has a statement of purpose and service user’s guide and a copy of the service user’s guide is given to each person when being admitted to the home. The manager is producing a welcome pack, which will give more information about the home in the future to new residents. There is a detailed admission procedure, which describes the needs of residents coming into the home. All residents are assessed before entering the home and written confirmation is sent to them that the home is able to meet their needs. The home does not provide intermediate care. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 the following standard(s): 7 and 8 There is good care planning in this home. The health and welfare needs of the people living in his home are fully met. EVIDENCE: All residents had detailed care plans, which described their health and welfare needs. Care records included admission details including a photograph for identification purposes, admission check list, assessment of daily living activities, personal history, Waterlow dependency and moving handling assessment, risk assessment, care plan and daily report. As part of the inspection process the inspector tracked 2 resident’s care plans. Efforts continue to be made to include residents wherever possible in identifying their care needs and being involved in reviews of their care. There was evidence to show that care plans were up to date and reviewed. The inspector spoke to a visiting Community Nurse who was visiting a resident to provide nursing care. The person had confidence in the home and commented that the nursing directions were carried out. They also spoke of Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 10 the good communications and relationship between the home and their service. Where required, people living in the home are referred to GPs, Community Nurse, Community Psychiatric Nurse, Tissue Viability Nurse, Continence Nurse, Physiotherapist, Opticians, Dentist and Chiropodist. The home has Link Nurses who specialise in tissue viability, continence promotion and palliative care. They meet up with other nurses and promote up to date practice in consultation with the NHS Primary Care Trust. A visitor pointed out to the inspector that there were a number of residents who were left in wheelchairs in the lounge when there were comfortable chairs available. This was confirmed by the inspector who saw 10 residents sitting in wheelchairs. He asked them whether they wished to sit in their wheelchairs to which a number replied they did not mind. It was also noted that they were all sitting on pressure relieving cushions. The manager pointed out that many of them were waiting to have their hair done by the visiting hairdresser. No resident showed any discomfort. However this needs to be monitored to ensure that residents are given the opportunity of sitting comfortably in lounge chairs provided for them. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 the following standard(s): 12 Social activities are well managed with the involvement of residents. Visitors can visit whenever they wish to do so. EVIDENCE: The home employs an Activities Co-ordinator Mondays to Fridays between 9.am and 12 midday. On admission details of the resident’s interests are obtained. The home has a written programme of activities, which was displayed on the notice board in the dining room and in the entrance to the home. Activities included table games, craftwork, reminiscence, quizzes and music and movement. A hairdresser was visiting during the inspection and residents commented how much they enjoyed this. The hairdresser commented on the welcome she received and the assistance from the staff. Visitors confirmed they could visit whenever they wished to do so and received a warm welcome. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 the following standard(s): 16 and 17 The home takes the issue of addressing complaints and ensuring that residents are safe very seriously and has a comprehensive complaints and adult protection procedure. EVIDENCE: None of the residents had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a resident. Each resident receives a detailed complaints procedure when they are admitted to the home. No complaints have been received by the CSCI and home since the last inspection. Residents are supported during elections. Where required legal advice can be obtained. If an advocate is required to offer independent support to a resident, the home can arrange this. This information is also on the notice board at the entrance to the home. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 23 and 24 The home is well maintained, clean and attractively decorated. Furnishings are of a high standard and any maintenance required is attended to swiftly. Residents are also safe. EVIDENCE: There are 2 lounges and a combined lounge/dining room all of which overlook the enclosed back garden. Records kept by the Commission shows that there is one single bedroom 38 (9.67 square metres) and one double bedroom 11 (15.91 square metres), which does not meet the national minimum standards. There are 4 single bedrooms and 2 double bedrooms on the ground floor and 14 single and 5 double on the first floor. One of the single bedrooms is ensuite. Single bedrooms range from 9.67 to 24.11 square metres. Double bedroom sizes range from 15.91 to 22.04 square metres. This information has been included in both the statement of purpose and service user’s guide. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 14 Residents told the inspector they were satisfied with the decoration and cleanliness of the home. They also spoke of how they liked their bedrooms. Residents are encouraged to bring into the home small items of furniture, television, pictures and personal items. Comments were, “I like my bedroom” and “the home is clean and comfortable”. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 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 and 29 There is a well trained and competent staff team. The numbers of staff are sufficient for the numbers of residents. Staff are correctly recruited and there is a very well established team. EVIDENCE: Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to residents needs. Residents did say that staff were always busy. Comments were, “care staff are very helpful” and “staff are very busy”, “staff are very caring but under pressure”. Staff also felt they had sufficient time to care and support the residents. They did however note that at the weekends they were short of staff as a result of a number of staff not coming to work as a result of sickness. This was discussed with the manager who acknowledged this and said this was being monitored and would be addressed. Comments from staff were “I am new to the home. I was welcomed when I arrived, I have received a comprehensive induction which has helped me to settle in and have been supported throughout this”, and “I feel safe working here”. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 16 The home had recruitment policies and procedures, including job descriptions, application forms and an equal opportunities statement. A new member of staff confirmed they had been recruited in accordance with the regulations. This including a CRB check. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 17 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): 31, 35, 37 and 38 The home is well lead by a competent, well trained and committed manager. This in turn has given rise to a confident, supported and trained staff team. EVIDENCE: Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 18 The manager is registered by the Commission for Social Care Inspection. She is a registered nurse with 30 years experience in nursing practice and management. She also has a management qualification. The deputy manager is also studying for a management qualification. Records examined were well maintained, available for inspection and up to date. Residents commented, “I can’t fault anything” and “I am quite happy here”. Records of essential equipment showed that they were regularly serviced/maintained. Records were also kept securely. The home had detailed health and safety procedures. There were also infection control policies and staff made use of alcohol hand rub bottles throughout the home to further prevent infection. Where required risk assessments have been carried out and documented. The last fire safety officer’s inspection was on the 28/1/2006. No major concerns were highlighted. All recommendations had been acted upon. A detailed fire risk assessment was undertaken on the 10/2/2004 with a satisfactory fire inspection. The home has also introduced an emergency plan. Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 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 3 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 3 x x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x 3 3 Oakdene Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 20 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. 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 Care Home DS0000002634.V282809.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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