Inspection on 11/11/08 for Oakdene Care Providers

This inspection was carried out on 11th November 2008.

CSCI found this care home to be providing an Good service.

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 Providers 17/07/07

Oakdene Care Providers 09/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Oakdene Care Providers Oakdene 6 Berwick Road Shrewsbury Shropshire SY1 2LN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pat Scott     Date: 1 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Oakdene Care Providers 6 Berwick Road Oakdene Shrewsbury Shropshire SY1 2LN 07855795239 Telephone number: Fax number: Email address: Provider web address: carolineedge@hotmail.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Caroline Edge Type of registration: Number of places registered: Ms Caroline Edge,Mr Stafford Andrew Jones care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Oakdene is a five bedroom Edwardian town house within walking distance of Shrewsbury town centre. The property has been completely renovated to provide modern and homely domestic style accommodation for mobile young female service users with mental health needs. The Provider took the decision to offer single sex care and accommodation in order to meet the specific needs and vulnerabilities of this client group which may be compromised by the admission of a mixed gender group. Each bedroom has en-suite shower facilities. The property has a rear garden. The property is a no smoking area although there are plans to provide a smoking shelter in the garden. Double yellow lines are on Berwick Street therefore parking is restricted. Following a successful planning application parking at the front of the property has increased and two cars can now park off road with space for a further one small car to Care Homes for Adults (18-65 years) Page 4 of 25 3 Over 65 0 Brief description of the care home park at the rear of the property. A range of community facilities are available in the immediate local area including the Gateway centre for education and recreation, two GP surgeries - one within walking distance, a main library, the park or `Quarry?, Post office, mini supermarket and three local pubs. Current fees range from £2000 to £3000 per week per service user. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is *TWO star good service. This means the people who use this service experience good quality outcomes. We, the commission, used a range of evidence to make judgements about this service. This includes: information from the manager in the annual quality assurance assessment (AQAA), staff records kept in the home, medication audits, survey results from people who use the service, discussion with the manager, tour of the premises, previous inspection reports, quality assurance processes, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. Care Homes for Adults (18-65 years) Page 6 of 25 Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that the care home can support them. This is because there is a complete assessment of their needs that they, or people close to them, have been involved in. People will be able to feel that they can live the life they choose in the home. This is because the assessment is now more person centred and shows an understanding and respect for their diversity. Evidence: Residents are offered a trial visit. The new manager is in the process of reviewing the statement of purpose and service user guide. Residents will have a copy. A new referral for placement of a resident is in progress. All information through the multi-disciplinary team route has been obtained. Through discussion with the manager she demonstrates her awareness of the key aspects of need to be assessed for the category of the home. Full consideration is given as to the suitability of any new person to be compatible with the current social group. Training of staff is under review so that the service is able to meet the needs of people Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: accommodated. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs and risk assessments are set out in their individual plans of care which ensures that all care needs have been addressed and will be fully met. The actions of staff and their approach to care ensures that people are treated with respect and their right to privacy, independence and choice is upheld. Evidence: There are regular reviews with particular emphasis on behavioural guidelines. Records reviewed show that staff plan different strategies to ensure good outcomes and prevent admission to hospital. Risk assessments are in place to assist people to undertake pursuits of their choice. A meal plan is in place which is monitored to assist healthy eating. Staff regularly meet to discuss care which residents are invited to join. The staff focus on positive behaviour and encourage independence and choice. A response from a health professional to our survey states The service manages to avoid giving the impression of being too institutionalised-in other words, it responds to Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: needs of individuals rather than imposing demands of the agency. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are assisted with social activity and can keep in contact with family and friends. Social, cultural and recreational activities meet sresidents expectations through assessment, consultation and choice. Residents receive a healthy diet according to their assessed requirement and preference. Evidence: One resident attends a work centre for two days a week. The manager intends to purchase a laptop so that residents can have access to the internet and participate in a computer course. Residents are to be given the opportunity to join a gym. The care plans record interaction with family as appropriate. During the inspection a staff member was carrying out a craft activity with positive attention from the resident. Healthy eating plans are devised with input from the resident. Staff and residents go out to do the shopping together. Care Homes for Adults (18-65 years) Page 14 of 25 Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service aims to address and meet assessed need through the continued development of plans of care, so that residents are provided with more person centre care. The manager understands the need to comply with safe medication systems and staff practice ensures that the homes procedures are complied with and that residents health matters are always safely addressed. The actions of staff and their approach to care ensures that residents are treated with respect and their right to privacy and independence is upheld. Evidence: The manager intends to improve the care plan format so that it is more person centred, better presented with sections for personal, health and psychological care. The manager has compiled an overview of the input of healthcare professionals such as Community Psychiatric Nurse, Chiropodist, dentist, optician etc. The medication Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: systems and storage facilities are being reviewed by Boots with new recording systems to be introduced for staff. This will be a significant improvement to the current system. A health professional commented in a survey All my clients needs are met completely. Physical health needs also, with support from clinical nurse specialists and district nurses. Staff have worked with her and she is stable and settled. Care Homes for Adults (18-65 years) Page 17 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaint procedure which is accessible so that people who use the service have information of how to make complaints about the home. Training is provided so that residents are protected from abuse and have their legal rights protected. Evidence: The service has a complaint procedure which is under review. All staff are in need of adult protection training updates which the manager is organising. New staff are provided with awareness of adult protection during their induction. There have been no complaints to the service since out last inspection. The manager intends to provide a new record log so that any issues whether formal or informal can be recorded. Care Homes for Adults (18-65 years) Page 18 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and decorated, through service user choice, so that they live in a safe and comfortable environment, which encourages independence. Evidence: A tour of the premises shows that the home is very clean, safe and comfortable. Laundry services have been reviewed and staff have gloves and aprons available to use. All rooms are single with en-suite showers. The manager is to state this in the statement of purpose so that people are fully aware of the facilities offered prior to admission. The fire risk assessment is up to date. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are being trained and are in sufficient numbers during the day to fulfill the aims of the home and meet the changing needs of residents. Evidence: Recruitment is in process. Through discussion the manager was open in the amount of training which needs to be done to meet mandatory requirements. A robust plan is in place to meet this including specific training for identified staff. Staff files reviewed are more organised and all checks meet statutory requirements. Over 50 of staff have an NVQ qualification. The manager has identified that residents would be better cared for at night by a waking member of staff. Residents would be more closely monitored given the fluctuations in behaviour and the layout of the home on three floors. One of the residents commented in a survey that they treat me well. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is based on openness and respect. The service has quality assurance surveys in place so that people are assured that the overall conduct of the home is taking into account their views. Peoples opinions are more central to how the home develops and reviews its practice, and the service is developing appropriate ways of making sure they get things right. So, people have confidence in the care home because it is run and managed well. Evidence: The new manager has been in post for one month. She has made significant improvement to systems and procedures within the service. Staff have a clear understanding of their role in the home and are being assisted to attend training to ensure their knowledge is updated. Supervision is set to commence January 2009 to ensure that competency is achieved and maintained after training. The management of residents personal monies has been reviewed. One resident has Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: been supported to open a bank account so that her money is well managed. When the manager started at Oakdene, she completed a full quality audit of the service to identify shortfalls in service provision. She made a plan to action any deficit and to see improvement through. Once systems are established it is the stated intention of the manager to review the quality of the service through resident questionnaires. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 33 To review the deployment of staff to include a waking member of staff throughout the night shift. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!