Inspection on 13/10/06 for Oakdene Care Home

This inspection was carried out on 13th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 13/02/06

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 October 2006 08:30 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 Care Home DS0000002634.V314865.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 Care Home DS0000002634.V314865.R01.S.doc Version 5.2 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 www.oakdenecarehome.com 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.V314865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2006 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. On the day of the inspection there were 28 people living in the home. 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. The fees at the inspection on the 13/10/2006/2 ranged from £335 to £447 each week. Extras are for hairdressing which range from £6 25 to £23, chiropody £7, toiletries, personal newspapers and magazines Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and started at 8.30 am. It was undertaken using a review of all the information available to the inspector about Oakdene Care Home. It took place over 5 hours. The inspector spoke to 8 residents, 2 visitors, 7 staff and the manager. The main method of 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 their care. The inspector also examined a pre-inspection questionnaire, which had been completed by the manager. Comment cards were received from 11 residents and relatives/visitors. What the service does well: What has improved since the last inspection? Two bedrooms had been redecorated; new curtains provided in one bedroom and new carpets laid in 3 bedrooms. An extra person had been provided in the kitchen to make breakfasts and serve coffees. This has enabled care staff to have more time caring and supporting the residents. A new mobile hoist had been purchased to provide further help to staff to ensure that residents were moved safely. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 6 In recognition of the catering service provided North Kesteven District Council awarded the home 4 stars (very good) in August 2006 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.V314865.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 Care Home DS0000002634.V314865.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. There was information available to enable residents to make a choice as to whether or not to enter the home. People received an assessment, which resulted in their needs being met. EVIDENCE: The home had a statement of purpose and service user’s guide. Since the last inspection a welcome pack, which was very detailed and gave information about the home and the town of Sleaford had been introduced. A copy was in each person’s bedroom. There was a detailed admission procedure, which described the needs of residents coming into the home. All residents were assessed before entering the home and written confirmation was sent to them that the home was able to meet their needs. One of the residents commented, “someone came and told me about the home and they welcomed me when I first arrived”. The home did not provide intermediate care Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 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, 8, 9 and 10 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. There was a clear and detailed care planning system in this home. This and the home’s comprehensive internal audit system had ensured that the health and welfare needs of people living in the home were 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. There were clear records outlining their care and welfare needs. 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. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 10 Where required, people living in the home were referred to GPs, Community Nurse, Community Psychiatric Nurse, Tissue Viability Nurse, Continence Nurse, Physiotherapist, Opticians, Dentist and Chiropodist. A survey of Community Nurses was carried out by the home in April 2006. Positive comments were in the main received but there was a comment about the level of assistance varying. The manager had addressed this and a communication book has been provided to pass information, to improve communication and aid consistency. The home had Link Nurses who specialise in infection control and palliative care. They met up with other nurses and promoted up to date practice in consultation with the Lincolnshire NHS Primary Care Trust. Efforts had been made to make those residents who spent parts of the day in a wheelchair more comfortable by providing neck/back support and pressure relieving cushions. Nurses administered medication. There was a policy and procedure for medication and there had been a visit by Boots on the 11/10/2006. There were no concerns. The manager assessed each nurse before they were considered safe to administer medication. There was no person self medicating. The inspector observed medication being administered and examined the medicine records. There were no concerns. Residents were satisfied with the way staff cared for them and had confidence in the staff. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 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, 13, 14 and 15 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. Social activities were varied, well managed, creative and provide daily stimulation and interest for people living in the home. Visitors were made to feel welcome and supported. Innovative ideas have been introduced to improve the lives of people living in the home. EVIDENCE: Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 12 On admission details of the resident’s interests were obtained. The home had a written programme of activities, which was displayed on the notice board in the dining room and in the entrance to the home The home employed an Activities Co-ordinator Mondays to Fridays between 9.am and 12 midday. Since the last inspection this person had attended a course provided by the National Association of Providers of Activities for Older people (NAPA). As a result of this, activities were to be reviewed in the future following discussions with residents. Activities included table games, craftwork, reminiscence, quizzes and music and movement. During the inspection a group activity was taking place with many residents being involved and enjoying the activity. Visitors confirmed they could visit whenever they wished to do so and received a warm welcome. One visitor commented, “I visit regularly and always receive a warm welcome. I am invited on Sunday to have lunch with my husband and always find the staff kind and helpful”. North Kesteven District Council awarded the home 4 stars (very good) in August 2006 in recognition of the catering service provided. The kitchen was clean, well organised with staff dressed appropriately. Since the employment of an additional catering assistant this has enabled staff to spend more times with the residents. Meals were served in the dining room with tables with clean table cloths. Staff were assisting those residents who needed assistance. Residents and relatives were complimentary about the food. Comments were “the food is very good” and “I enjoyed my lunch, they always cook it well”. A comment card stated, “Staff go to great lengths to vary each meal I have”. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. Complaints received were treated properly and residents and visitors knew that any complaints they had to make would be addressed and taken seriously. Staff were recruited correctly to ensure that residents were protected from abuse. EVIDENCE: Each person received a copy of the complaints procedure in the welcome pack, which included the service user’s guide. No complaints had been received by the home or the commission since the last inspection None of the residents or visitors 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. All staff were correctly recruited including a check by the criminal records bureau (CRB). During their induction each member of staff received information about abuse. Three staff were asked what constituted abuse and all knew their role and what abuse was. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. Residents lived in clean, well decorated and safe accommodation. Any maintenance was promptly addressed EVIDENCE: There were 2 lounges and a combined lounge/dining room all of which overlooked the enclosed back garden. There was also a lounge on the first floor where residents could meet visitors if they wished. Records kept by the Commission shows that there was one single bedroom 38 (9.67 square metres) and one double bedroom 11 (15.91 square metres), which did not meet the national minimum standards. This information had been included in both the statement of purpose and service user’s guide. Residents told the inspector they were satisfied with the decoration and cleanliness of the home. They also spoke of how they liked their bedrooms. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 15 Residents were encouraged to bring into the home small items of furniture, television, pictures and personal items. Comments were, “my room is comfortable”; “I have a nice bed and sleep well”. The home was clean and odour free throughout. A comment card stated, “being fresh and clean was one of the reasons my family were impressed with the home”. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 16 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, 29 and 30 Quality in this outcome area was good. This judgement had been made using the available evidence including a visit to this service. The home was adequately staffed with employees who were experienced and competent to care for older service users. A wide range of in-house training and National Vocational Qualification training was provided EVIDENCE: The duty rotas were examined. 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, “we could do with more staff at times,” “the staff explain to me what they are going to do”, “There are no problems here mate, they look after us well”. A Comment card stated, “all staff very sympathetic to all I ask. If possible they act”. The manager monitored the dependency of the residents in the home. There were 28 residents (13 nursing and 15 personal care). Two new members of staff confirmed they had been recruited in accordance with the regulations. This included a check by the criminal records bureau (CRB). Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 17 There was a wide range of training provided which had covered National Vocational Qualifications (44 of the staff had achieved NVQ level 2 and a further 3 were working towards this achieving above 50 ) A further 2 were undertaking NVQ level 3 and one member of staff had completed NVQ level 3. Training had covered since last inspection, risk assessment, catheterisation, infection control, fire prevention, first aid, moving and handling, legionnaires, drug rehab, infection control decontamination, mentoring and coaching. Future training would include wound care, dementia care, assessors course, fire lecture, infection control, occupational health and safety. Staff also felt they had sufficient time to care and support the residents. They noted that on occasions they were short of staff as a result of a number of staff not coming to work as a result of sickness. The manager acknowledged this and said this was being monitored and had and continued to be addressed. Comments from staff were “Staffing levels vary but have improved recently”, “we now have more committed and reliable staff”, “there is a lot of training”, “I received a good, supported induction and this home is brilliant”. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 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): 31, 33, 35 and 38 Quality in this outcome area was excellent. This judgement had been made using the available evidence including a visit to this service. The home was well lead by a competent, well trained and committed manager. This in turn had given rise to a confident, supported and trained staff team. EVIDENCE: The manager was a registered nurse with 30 years experience in nursing practice and management. She also had a management qualification. Records examined were well maintained, available for inspection and up to date. Resident’s monies were well maintained with a page for each person with details of description, money in, money out, balance and signatures. The last staff meeting took place in September 2006. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 19 A residents committee had been established and a copy of the minutes of each meeting was given to each resident. The manager carried out a survey of GPs and Community Nurses in April and May 2006. Very positive responses were received. Staff received regular supervision. A care plans audit took place in October 2006 with an action plan. Questionnaires to service users were sent out 6 monthly. There were policies and procedures available and information was well maintained. Residents, visitors and staff were complimentary about the manager. There was an equal opportunities policy, which covered issues relating to equality and diversity. Residents commented, “I can’t fault anything” and “I am quite happy here”. 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. Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 20 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 3 x 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 Oakdene Care Home DS0000002634.V314865.R01.S.doc Version 5.2 Page 21 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.V314865.R01.S.doc Version 5.2 Page 22 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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