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Inspection on 20/01/06 for Oakdene Care Home (Residential Unit)

Also see our care home review for Oakdene Care Home (Residential Unit) for more information

This inspection was carried out on 20th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Oakdene is a homely and welcoming care home, the residents appear happy and well cared for.

What has improved since the last inspection?

The majority of requirements and recommendations set at the last Inspection have been met. There is still one major piece of work outstanding - the replacement of the windows. Quotations are being taken, and it is anticipated this work will be completed by April 2006.

What the care home could do better:

The quality assurance system would be better if it was more localised, rather than relying on City Council`s systems.

CARE HOME ADULTS 18-65 Oakdene Care Home (Residential Unit) 10 Woodborough Road St Anns Nottingham NG3 1AZ Lead Inspector Rob Cooper Unannounced Inspection 20th January 2006 10:00 Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 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 (Residential Unit) DS0000037916.V279094.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 Adults 18-65. 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 (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakdene Care Home (Residential Unit) Address 10 Woodborough Road St Anns Nottingham NG3 1AZ 0115 9580172 0115 9482700 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) Nottingham City Council Mrs Linda Sadler Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 22 people with Learning Disabilities who are over 45 years of age. To include 1 named person aged 42 years and 1 named person aged 43 years. One named service user to be included between 16 - 23 September 2004 18th October 2005 Date of last inspection Brief Description of the Service: Oakdene provides care and support, including short-term care for up to twenty-two people with a learning disability. Oakdene is situated on a busy road, close to the City Centre, and near to local shops, pubs and restaurants. Oakdene was originally purpose built for people with physical difficulties, and as a result there is good access throughout the building, with two passenger lifts as well as stairs. There are three separate self-contained units, one situated on each of the three floors, and a large communal dining room, which is situated in the adjacent day centre. All bedrooms are single occupancy. There is a well-maintained, pleasant enclosed garden to the rear of the property. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place through the middle of the day and lasted approximately three and a half hours, with one Inspector present. The Registered manager was on annual leave, so the deputy manager – Kath Weston, facilitated the Inspection. The methodology used was to visually inspect parts of the premises, case track three residents, which involved examining care records for those three individuals and making a judgement about the quality of care that they actually receive. On the day of the Inspection only two residents were at ‘home’, with everyone else attending the day centre. One of the two residents was spoken with, although the second had some communication difficulties, and declined to speak with me. The general impression formed was that there has been a great deal of hard work at Oakdene since the last Inspection, and this had had a positive effect on the care delivered. What the service does well: 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. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Residents at Oakdene do have a written copy of the terms and conditions within their file, and room numbers have now been inserted. EVIDENCE: Three residents files were seen, and copies of the terms and conditions of residence were seen. At the last Inspection it was recommended that room numbers are inserted into this document, and this has now been done. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 67&8 Residents at Oakdene know that their assessed and changing needs are reflected in their individual plan. Residents at Oakdene do make decisions about their lives with appropriate assistance and support. Residents are consulted with, and do participate in all aspects of life at Oakdene. EVIDENCE: Of the three resident’s files that were seen, all had had the care plans reviewed within a six monthly period. This is the National Minimum Standard for residents within this age range. Within the resident’s files there was a great deal of evidence of decision-making – both independently and with assistance. This was documented within care plans and within the running records. Records of residents meetings were seen, and these showed a level of consultation and involvement in decision making around a range of activities from menu planning through to in-house activities. Care plans within the resident’s files were also signed by the residents showing consultation and agreement. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 16 & 17 Residents at Oakdene are part of the local community. Resident’s rights are respected at Oakdene and responsibilities are recognised in daily lives. EVIDENCE: There is plenty of evidence within the resident’s files of involvement in local activities and use of local community facilities, although St Anns is neither the safest or best-equipped (with community facilities) area in Nottingham. Within the resident’s personal files there was evidence of individual rights being respected. Particularly there were signed sheets indicating what range and type of furniture resident’s wanted in their bedrooms, together with identified choice of activities and choice of key worker. Records relating to food served, and choices made were seen together with refrigerator and freezer temperature records – at the last Inspection these records were not being kept appropriately and it was set as an immediate requirement that refrigerator and freezer temperatures were recorded. All records within the kitchen were found to be complete and correct. The meal being offered at the time of the Inspection was fish and chips, with an option for soup and roll and/or a salad. Discussions with the cook, and looking at the menu, showed that there were a range of alternatives with regard to food on offer. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents at Oakdene do receive personal support in the way they prefer and require. EVIDENCE: Personal support was identified within care plans that were seen in the individual’s files. Individual choices were identified where possible, and staff were asked about how personal support is delivered. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents do feel that their views are listened to, and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: There have been no complaints since the last Inspection, with the last three recorded complaints in August 2005. Records were seen, and these complaints were dealt with in line with the Oakdene complaints policy. Copies of the complaints procedure were prominently displayed throughout the building. At the last Inspection it was identified that staff at Oakdene were in need of Abuse training, and this was set as a requirement. Training records were seen, and these showed that a Protection of Vulnerable Adults course was held for a significant number of the staff in December 2005. Further training in this area is in the process of being organised. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 & 29 Oakdene residents do live in a homely and safe environment. The bedrooms at Oakdene do suit resident’s needs and lifestyles and promote independence. Oakdene is well equipped with specialist equipment to maximise independence. EVIDENCE: The design of the building at Oakdene is far from ideal, but there is clear evidence of ‘home making’ with little homely touches. Following the serving of a statutory notice, the windows at Oakdene will be replaced, and quotations are being received, with a target date for completion of the work by April 2006. Two of the baths are damaged, and the bath manufacturers have been contacted about repairs. Several bedrooms were seen, and these were found to be well personalised, comfortable and clean. A resident was seen to be using a key to their own bedroom door, and spoke about having what they wanted in their own personal space. Oakdene has two passenger lifts, a large one, and a smaller one, which serve all levels of the building. There are specialist-bathing options with integral chair lifts, and hoists. Grab rails are fitted throughout, to aid those with restricted mobility. In addition there are walk in showers, and there is a nurse call system fitted in all bedrooms and communal spaces. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Residents at Oakdene are protected and supported by the recruitment policies and practices. Oakdene’s resident’s needs are met by appropriately trained staff. EVIDENCE: Oakdene is a City Council run and managed care home, and as such the Council’s Human Resources Department manages all of the recruitment centrally. This led on to staff records held on site not being as thorough as they might be, and it was set as a requirement at the last Inspection that staff files comply with Schedule 4 of Care Homes Regulations. There has been much improvement, and the majority of the information required was available for Inspection. Staff training records were seen, and these showed that a variety of job specific and relevant training is being offered to the staff team. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 & 42 Residents at Oakdene do benefit from a well-run and well-managed care home. Residents are confident that their views underpin self-monitoring at Oakdene, but this could be better organised. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The Registered manager is qualified, competent and experienced to manage Oakdene, with plenty of evidence from residents, staff and record keeping supporting the view that Oakdene is well managed and well run. The Quality Assurance system being used is two fold, the City Council have their own tool which is used to monitor the service, and residents formally express their views in the forum of their residents meetings. A more localised quality assurance system would be more effective, with the Quality Tree being the obvious model, as it is freely available, user friendly, and specifically designed to monitor learning disability services. At the last Inspection it was noted that the Control of Substances Hazardous to Health (COSHH) records were not available, these records were checked together with a range of other health & safety records – fire records, water testing and Legionella, and were all found to be complete and in order. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 4 X 2 X X 3 X Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Yes 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. 1 Refer to Standard YA39 Good Practice Recommendations The Registered person should ensure that a localised quality assurance system is used, rather than relying just on the City Council’s audit. Oakdene Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Care Home (Residential Unit) DS0000037916.V279094.R01.S.doc Version 5.1 Page 18 - 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. 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