Inspection on 05/04/06 for Oakdene Care Home (Residential Unit)

This inspection was carried out on 5th April 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakdene Care Home (Residential... 19/03/09

Oakdene Care Home (Residential... 20/01/06

Oakdene Care Home (Residential... 04/05/05

Oakdene Care Home (Residential... 28/02/05

Oakdene Care Home (Residential... 11/08/04

Oakdene Care Home (Residential... 23/03/04

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

CARE HOME ADULTS 18-65 Oakdene Care Home (Residential Unit) 10 Woodborough Road St Anns Nottingham NG3 1AZ Lead Inspector Rob Cooper Key Unannounced Inspection 5th April 2006 09:30 Oakdene Care Home (Residential Unit) DS0000037916.V288158.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.V288158.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.V288158.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.V288158.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 20th January 2006 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. The fees range from £245 to £345 per week. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection lasted approximately three hours with one Inspector present. The external windows and doors, which had caused concern at previous Inspections, had been replaced. The methodology used was to visually inspect the premises, case track three residents – which involved looking at a range of care records and plans, and making a judgement about the quality of care that those individuals receive, and speak with three residents, and three members of staff. Some of the information within this report was gleaned from talking to residents, however many of the residents at Oakdene have communications difficulties, which meant that there was a heavier reliance on observation. No relatives were visiting Oakdene during the Inspection. The overall impression is of a well-run care home that has happy and contented residents. What the service does well: What has improved since the last inspection? What they could do better: The new windows need to have restrictors on them, which will limit how far they can be opened. This will ensure the safety of residents and staff from either accidentally or intentionally jumping or falling out of the windows. Residents meetings should be held on a more regular basis. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 6 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.V288158.R01.S.doc Version 5.1 Page 7 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.V288158.R01.S.doc Version 5.1 Page 8 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): 124&5 The quality outcome in this area is: Excellent Prospective residents at Oakdene have the information they need to make an informed choice about where to live. Prospective resident’s aspirations and needs are assessed prior to them coming to live at Oakdene. Prospective residents also have an opportunity to visit and ‘test drive’ the home. Each resident does have an individual statement of terms and conditions of living at Oakdene. EVIDENCE: Both the Statement of Purpose and Service User Guide were seen; these documents together contain all of the information required by Care Homes Regulations. The information was presented in an easy to read format that also contained a section of frequently asked questions. Every resident currently living at Oakdene has a copy of the ‘Service User Guide’ in their bedroom. Three residents files were seen, and each contained an Extended Community Care Assessment, and one had minutes of a meeting that had taken place before the individual had moved in sorting out a number of issues. It is part of Oakdene’s admission policy that prospective residents have the opportunity to visit, and get a ‘feel’ for Oakdene before they move in. This takes the form of visits; tea visits, over night stays, and extended stays – weekend and evening visits. Each of the three resident’s files that were seen contained a copy of the terms and conditions of residence. Whilst talking to one resident about living at Oakdene, they showed me their copy of the Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 9 ‘Service User Guide’ in their bedroom, which also contained a copy of the ‘Terms and Conditions of Residence’. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 10 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&9 The quality outcome in this area is: Excellent Residents know that their assessed and changing needs and personal goals are reflected in their individual plan. Residents at Oakdene make decisions about their lives, with assistance as needed. Residents at Oakdene are supported to take risks as part of an independent lifestyle. EVIDENCE: All three files that were seen contained a clearly identified individual plan of care. There were examples of residents having signed documents within their care plan, to show their agreement, and involvement within the process, which is very good practice. The resident’s files had a number of examples that demonstrated residents were involved in the decision making process. Notably there were minutes of meetings involving individual residents where particular issues were discussed, and the named individual resident was asked their thoughts, views and decisions relating to those issues. All three files that were seen contained detailed risk assessments covering a range of issues and activities. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 11 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): 12 13 15 16 & 17 The quality outcome in this area is: Excellent Residents at Oakdene are able to take part in age, peer, and culturally appropriate activities. Residents are part of the local community. Residents at Oakdene have appropriate personal, family and sexual relationships. Resident’s rights are respected and responsibilities within their daily lives are recognised. The residents at Oakdene are offered a healthy diet, and residents do enjoy their meals and mealtimes. EVIDENCE: The three resident’s files that were seen contained information about social activities, that residents had taken part in. Two residents said that they had been to the Pantomime at Christmas, while a third talked about going to the pub. All three residents said that they had been out for meals, which they liked doing. Oakdene is situated in St Anns, which is not the most hospitable area of Nottingham, and as such St Anns is not the most embracing of neighbourhoods. This can be limiting in respect of activities, and integration. Residents do attend the local library, pubs and shops. Family contact and involvement is well documented in all three files that were seen, and residents Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 12 when asked said that they saw members of their families when they wanted to. Two residents files contained details of sexual/ close personal relationships. There were file notes that indicated that staff were attempting to keep residents safe, while supporting their rights to have open and fulfilling personal relationships. All residents have keys to their rooms, and two residents were seen to be using them. Staff members were observed talking with residents, and this was done in a respectful and supportive manner. Staff were observed knocking on doors before entering, and conversations with residents were friendly, informal and polite. Currently Oakdene employs an Agency cook who prepares lunch and the evening meal, however a new cook has been appointed and they will take up their post on Easter Monday. The kitchens were found to be clean, tidy, and well organised. Menus were seen together with records of choices that residents had made in relation to meals. There was ample choice, and health options (salads) were available. Food temperature, and refrigerator and freezer temperatures were seen, and found to be correct and complete. All three residents when asked said that they liked the food. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 13 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 19 & 20 The quality outcome in this area is: Good Residents receive personal support in the way that they prefer and require. Residents also have their emotional and physical needs met at Oakdene. No residents at Oakdene currently self-medicate. The policies and procedures for medication at Oakdene do offer protection to the residents. EVIDENCE: All three resident’s files that were seen showed personal support had been identified and discussed with individuals, who had then signed to show their agreement with the personal support being offered. This is very good practice. The care plans within the files identified a range of health care needs, and the documentation evidenced that health care and emotional needs were being met at Oakdene. There is a monitored dosage system (MDS) in use, which is administered by a local chemist. Medication was seen to be stored securely with comprehensive record keeping, which was found to be full and complete. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 14 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 The quality outcome in this area is: Good Residents at Oakdene feel that their views are listened to and acted upon. Residents are protected from potential abuse, neglect and self-harm. EVIDENCE: Copies of the complaints procedure were prominently displayed throughout the building, and each resident had a copy of the complaints procedure within their ‘Service User Guide’. Complaints records were seen, and since the last Inspection two complaints have been received. Records show that both of these complaints were dealt with in line with the complaints procedure, and were dealt with within the agreed time frame. All staff have undergone Abuse training within the last six months, two staff members were asked and were aware of abuse issues, and what constitutes abusive behaviour. Two residents were asked about complaints and feeling safe, but neither really fully understood the question, and the conversation went off at a tangent, however both residents appeared calm and relaxed with positive body language and facial expressions. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 15 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 & 30 The quality outcome in this area is: Adequate Oakdene is homely and comfortable, however there is a major risk with the new windows affecting its safety. The entire building was clean, tidy and fresh. EVIDENCE: A visual inspection of the premises showed that efforts had been made to make the environment homely and comfortable, and residents when asked said that they liked it, and thought it was better. A new assisted bath has been installed on the first floor, replacing the former bath, which was damaged. A major refurbishment of the ground floor is planned to take place later this year. The external wooden windows and doors have been replaced with upvc double glazed windows and doors. This is a major improvement. The windows do not however have adequate restrictors on them, which would prevent the windows being opened wide enough to allow someone to jump or fall out of them. This constitutes a major safety hazard, and must be addressed. In the short term those windows without restrictors should remain locked shut. The building was being cleaned during the Inspection, and staff were seen to be hovering, mopping floors and polishing. The net result being that the building was found to be clean and had a pleasant fresh smell throughout. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 16 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): 32 34 & 35 The quality outcome in this area is: Good Competent and qualified staff support the residents. Oakdene’s recruitment policies and procedures are supporting and protecting the residents. Appropriately trained staff meet the resident’s joint and individual needs. EVIDENCE: Two staff files were seen, together with staff training records. These showed that staff were competent, experienced and suitably qualified. Oakdene is a Local Authority run and managed care home; its recruitment follows City Council policies and procedures. In the past all recruitment records were held centrally, however increasingly staff files are being held on site containing relevant recruitment information. These records do show that residents are protected by Oakdene’s recruitment policies and procedures. Staff training records were seen, and these show that there is an ongoing training programme for staff, which is closely tied to the staff ‘Performance Development & Review’ system, where individual goals are set. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 17 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 The quality outcome in this area is: Adequate Residents at Oakdene benefit from a well run home. Oakdene could do more to encourage residents to express their views regarding review and development within the care home. Resident’s health & safety is promoted and protected at Oakdene. EVIDENCE: The Manager at Oakdene is experienced, and has the relevant qualifications to fulfil the role of Registered Manager. The Manager is undertaking periodic training, and is undertaking the role expected under Care Homes Regulations. At the last inspection it was recommended that an in-house quality assurance system be used (resident questionnaire) in addition to the City Council’s audit tool. Evidence was seen that a resident’s questionnaire had been used. The minutes of resident’s meetings were also seen, with the last meeting having been in October 2005. It is strongly recommended that resident’s meetings be arranged on a more frequent basis, with a minimum of a monthly meeting being good practice. A range of health & safety records were seen, including Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 18 Fire records, Control of Substances Hazardous to Health (COSHH) records, and Legionella water tests. These were all found to be complete, timely and clear. Oakdene Care Home (Residential Unit) DS0000037916.V288158.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 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 4 2 4 3 X 4 3 5 4 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 2 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 2 X X 3 X Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 20 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. 1 Standard YA24 Regulation Requirement Timescale for action 31/05/06 Regulation The Registered person must 13 ensure that all parts of the home to which residents have access are so far as reasonably practicable free from hazards to their safety, by ensuring that restrictors are fitted to every window. 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 residents meetings are organised and take place on at least a monthly basis. Oakdene Care Home (Residential Unit) DS0000037916.V288158.R01.S.doc Version 5.1 Page 21 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.V288158.R01.S.doc Version 5.1 Page 22 - 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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