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Inspection on 20/12/05 for Oakdene Rest Home

Also see our care home review for Oakdene Rest Home for more information

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

The home has good staff retention and training and offers a continuity of service to the Residents. The home provides good training opportunities for staff, they exceed the 50% requirement of staff with NVQ level 2. The Management and staff work hard at creating and maintaining good relationships with family and care managers, visitors are welcome at all times. The Inspector found the home had a relaxed atmosphere and the parts seen were clean and tidy, there were no offensive odours, the Inspector noted good staff interaction between staff and Residents.

What has improved since the last inspection?

The Inspector was informed that since the last inspection staff had attended First Aid, Adult Protection and Manual Handling training, several bedrooms had been redecorated and that maintenance was ongoing throughout the year. The home has had 88 children from the local primary school visit to sing carols and a trip to see the Xmas lights has been arranged for the 21st December 2005.

What the care home could do better:

There is nothing the home can do about the problems with local doctors surgeries regarding the use of locum Doctors, it is difficult for the Residents continuity of medical care as they are seen by a different doctor on most occasions.

CARE HOMES FOR OLDER PEOPLE Oakdene Rest Home 165 Minster Road Minster On Sea Sheerness Kent ME12 3LH Lead Inspector Graham Cummings Unannounced Inspection 20th December 2005 09:40 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 Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 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 Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakdene Rest Home Address 165 Minster Road Minster On Sea Sheerness Kent ME12 3LH 01795 874985 01795 871704 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) Mrs Tracey Melanie Gobbi Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Oakdene is a large detached property providing accommodation on two floors. Oakdene is a residential service provider, providing care and support for up to 26 Older People. The owner manages the home, and she employs a deputy manager, 4 senior carers, 5-day care staff, and 5 nights care staff. In addition to this the home employs two cooks, 2 kitchen assistants, a housekeeper and a cleaner. The Registered Owner/Manager, Mrs Tracy Gobbi has several years experience as a manager and owner of residential care homes for the elderly. The home is located on the main road in Sheerness (Minster on Sea). It is within walking distance of public transport, (bus) and has local shops and facilities nearby. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Unannounced inspection was carried out on the 20th December 2005. The inspection consisted of a discussion with the Manager, looking at finance and medication procedures and the progress made on the Requirements from the announced inspection of the 8th August 2005. The Manager had checked through all of the staff files to ensure that they contained 2 references and all the documentation set out in the Schedule 2 of the Care Home Regulations 2001. The recording and storage of finance was checked and found to minimise the risk of financial abuse. The Inspector was satisfied that the storage and recording of administration of medication met with the National Minimum Standards. The Manager informed the Inspector that the home had accepted a Resident on a 2 week trial period as the assessment was not conclusive that the home could meet the individuals needs, during the trial period it became apparent that the placement was not meeting the individuals needs. The Manager has telephoned and faxed the funding authority asking them to find an alternative placement. The Manager is concerned that she will be in breach of the regulations if the funding authority do not respond to her request. What the service does well: What has improved since the last inspection? What they could do better: There is nothing the home can do about the problems with local doctors surgeries regarding the use of locum Doctors, it is difficult for the Residents continuity of medical care as they are seen by a different doctor on most occasions. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 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 Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 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 Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 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): 1,4, Residents have the information available to make an informed choice. Residents enter the home with on clear agreements and their representatives are informed. EVIDENCE: The home has a clear Statement of Purpose and Service User Guide that is given to the prospective Resident, family and/or their representative. The home carries out an assessment of need and gains information from the funding authority, recently the home carried out an assessment following a referral but felt that the individual care needs may be better met at a nursing home, the funding authority carried out another assessment and claimed the person was suitable for a residential placement. The Manager following a discussion with the funding authority agreed to a 2 week trial placement, it became apparent that the home could not fully meet the needs of the individual as they required nursing care. The Manager has contacted the funding authority about finding an alternative placement as the local nursing home provision is full. The Manager has telephoned and faxed requests for the placement to cease as the individuals needs are not being fully met. The Manager is keeping the Inspector updated of the situation. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 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): 8,9,10 Resident health needs are fully met. Residents are treated with respect and their right to privacy upheld. Residents who self medicate are protected by the homes policies and procedures. EVIDENCE: Residents are all registered with a doctor and attend the Community Dentist Department at the local hospital, this also includes a yearly visit to the home by a Dentist. Residents also have access to a local optician. None of the Residents self-administer medication, the home has policies and procedures in place to cover this if it is required in the future. The Inspector noted that staff knocked on Residents doors before entering. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 10 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): 13,14,15 Resident maintain contact with family and friends. Residents are able to exercise choice and control over their lives. Residents have a healthy and nutritious diet. EVIDENCE: The Manager said she will continue to encourage Residents to join in and organise outings from the home. On the 14th December 88 children from the local Primary school visited and sang Xmas carols for the Residents and on the 21st December a trip out to see the Xmas lights has been arranged. Family and friends are able to visit the home at any time, there is a lounge area where they can have some privacy or if they wish they can use the Residents room. Residents are asked what they would like to do, or if they wish any assistance and support. The dining room tables were well laid out and in pleasant surroundings, and the menu was on display by the main door and was 2 weeks in advance. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 11 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): 16,18 Complaints are taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: Since the last inspection the home or the Inspector or the home have not received any complaints. Since the last inspection 2 staff have attended an Adult Protection training course. Medication storage and procedures were looked at and found to be in order, the Medication Administration Records were all signed and up to date including the morning of the inspection. Access to the medication is through the Senior member of staff on duty, there are only 1 set of keys available to the medication cabinets. There are 2 main medication cabinets bolted to the wall, 1 for blister packs and the other for liquids and creams, there is also a lockable drugs fridge, these are all in a lockable room. The Inspector noted that all creams and liquids were individually named with dispensing labels and instructions, they had also got hand written dates of when they were received into the home. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,25,26 Residents live in a safe, comfortable well-maintained, clean and hygienic environment. Residents have access to safe indoor and outdoor communal facilities. Residents have access to sufficient and appropriate baths and lavatories. Residents have specialist equipment that will maximise their independence. EVIDENCE: Residents live in a safe and well-maintained home, there are no en-suites in the home but there are 6 toilets and 3 baths. The Residents have access to specialist equipment to assist with increase independence such as Zimmer frames, wheelchairs, grab rails, hoists and stair lift. The parts of the home seen were clean and free from offensive odours and was safe. Residents live in comfortable surroundings with ample communal space both internally and externally. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 13 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): 27,28,29,30 Residents needs are met by the numbers and skill mix of the staff. Residents appear to be in safe hands at all times. Residents are protected by the homes recruitment policy. Trained and competent staff care for residents. EVIDENCE: A team of competent and trained staff meets the needs of the Residents. Training carried out since the last Inspection includes; Manual Handling on the 7th October 2005, 1st Aid on the 20th October 2005 and 2 staff attended Adult Protection training in late August 2005. The home also uses a competency training booklet covering Administration of medicine, Nutrition, Health and Safety, Aggression Management, Basic Care and Dementia, these are certificated courses. The home is in excess of the required 50 of staff with NVQ level 2, one member of staff has started their NVQ level 4 in care. The individual staff member references that had been misplaced had been located and placed in their staff file. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,38 Residents live in a home that is managed by a person fit to be in charge. Residents finances are protected by the procedures of the home. The Residents health, welfare and safety are promoted and protected. EVIDENCE: Residents live in a home that is managed by a fit person, it was apparent from the discussion with the Inspector that the Manager was competent and confident in carrying out their responsibilities. The Inspector looked at finance records and procedures, most of the money held had come from individual Residents families. Records showed money coming in the expenditure with receipt and signature, most of the expenses were for hairdressing and newspapers. Residents health, safety and welfare is promoted and protected by the Management and staff team. Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Oakdene Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 16 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 Rest Home DS0000054752.V272344.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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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