Inspection on 21/11/06 for Oakdene Rest Home

This inspection was carried out on 21st November 2006.

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

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

Other inspections for this house

Oakdene Rest Home 11/09/07

Oakdene Rest Home 20/12/05

Oakdene Rest Home 08/08/05

Oakdene Rest Home 27/09/04

Oakdene Rest Home 05/05/04

Oakdene Rest Home 30/03/04

Oakdene Rest Home 04/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakdene Rest Home 165 Minster Road Minster On Sea Sheerness Kent ME12 3LH Lead Inspector Graham Cummings Unannounced Inspection 21st November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 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.V320299.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 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. The fees range from £315 to £410 per week. The quality of the service provided is good. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key Inspection was completed with a site visit on the 21st November 2006. The inspection report consists of information from previous inspections, a completed pre Inspection Questionnaire, discussion with staff, Service users and manager. The Inspector also viewed 4 care plans and 3 staff files and observed interaction between staff and Service Users. The Inspector discussed Inspecting for Better Lives 2 (IBL2) and the processes involved, the Manager was aware of the changes. The files seen showed that the home carries out an assessment of need and gains information from the funding authority. Since the last inspection the home has had 3 admissions, the Inspector looked at 2 of the new admissions care plans and found 1 not started and the 2nd completed but with minimal information. The care plans were completed by the time the Inspector left the home. The person responsible for completing the care plans was to be spoken to. A survey of Service Users had recently been carried out to find out the activities they would like. The home has responded to the survey and purchased more art and craft materials and looking to arrange more outings. The home had received 1 complaint since the last inspection and this was dealt with and recorded appropriately. The Inspector did not tour the whole home but looked at downstairs bedrooms and community areas. The bedrooms were well decorated and furnished with personal belongings. Staffing rotas and appeared to provide good cover to meet the needs of Service Users and had a strong management support team. The home was clean and free from any offensive odours. What the service does well: 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. The home provides a good option of activities and involves Service Users in this. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 6 Staff training is good and the home exceeds the 50 requirement of staff with NVQ level 2 or higher. The home has good staff retention and offers a continuity of service to the Service User’s. 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. The summary of this inspection report can be made available in other formats on request. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Service Users have the information required to make an informed choice about where to live. Prospective Service Users are able to visit the home prior to any placement and have their needs assessed. Service Users can be confident that they will be issued with contracts/Statement of Terms and Conditions by the home. The home does not cater for Intermediate care. EVIDENCE: The Inspector looked at 4 care plans and all contained a pre placement assessment of needs and gains information from the funding authority. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 9 . The Manager informed the Inspector that a robust admissions procedure is followed to ensure that the needs of the Service User could be fully met by the home. This included visits to the home by the Service User and/or relatives. Service User files contained the terms and conditions of their stay. The home does not cater for Service Users with intermediate care needs. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is Adequate. Not all Service users had their personal and social care needs set out in an individual plan of care. Service User’s health needs are met and they are protected by the homes policies and procedures for medication. Service Users are treated with respect and their wishes regarding illness and death are recorded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at 4 care plans and found 2 of them to be complete and contain information that allowed for staff to be able to meet the Service Users individual care needs. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 11 One of the Service User’s had arrived at the home 4 weeks prior to the inspection and did not have a completed care plan in place. This was in the process of being completed when the Inspector left the home. A second care plan seen was complete but lacked information for staff to appropriately meet the individuals care needs. This was in the process of being completed when the Inspector left the home. The same member of staff was responsible for completing these and the Manager informed the Inspector that they would ensure the member of staff concerned was informed of the findings and procedures put in place to ensure it did not happen again. Service Users 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. Service Users also have access to a local optician. No Service Users 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 and heard staff asking Service Users if they wanted assistance or help with anything. The Inspector found Service Users wishes regarding illness and death on 2 of the care plans. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users experience a good lifestyle and most maintain good contact with relatives. Service Users are helped to exercise choice in their lives and they have a wholesome and nutritious diet. EVIDENCE: The Manager has recently completed a survey of Service Users regarding activities carried out in the home and whether Service Users were happy and had any further suggestions. In response, the Manager has purchased more arts and crafts for painting and drawing and looking to go on more outings. Due to the success of the last years visit from the local Primary School children to sing Xmas carols, the Manager has organised for this event to happen again. This time song sheets written in large print will be given to Service Users so that they have the opportunity to participate more. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 13 Family and friends are able to visit the home at any time and are encouraged to participate in any activities that are taking place. The Inspector noted that staff treated Service users with respect and were seen to knock on bedroom doors before entering. The 2 dining areas are well set out with 1 of them also used as a smoking area. The menus were seen and the food provided appeared to wholesome and nutritious. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that their complaints are listened to and acted upon. The service users can be confident that they are protected from abuse by the home’s policies and procedures. EVIDENCE: The home has had 1 complaint since the last inspection and this was documented and met with the guidelines set out in the homes complaints procedure. The Care Manager was fully involved in the process. Staff have good access to training that covers protection, the home has booked dates for Challenging Behaviour, Death and Dying, Vulnerable Adults and Administration of Medication. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from living in a clean, pleasant, safe and well-maintained environment. Service Users benefit from having access to specialist equipment to maximise independence. Service Users’ bedrooms meet their needs, they are comfortable and decorated with personal possessions. EVIDENCE: The home was clean, tidy and well maintained with a continuous programme of maintenance. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 16 The bedrooms seen were comfortable and well decorated, they were also furnished with personal possessions. The Service Users have access to specialist equipment to assist with increased independence such as walking aids, wheelchairs, grab rails, hoists and stair lift. The home has a conservatory that doubles as a second dining area and a large lounge giving Service Users ample communal space to compliment their private area. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users needs are met and they are protected by the competency and recruitment of the staff team. EVIDENCE: The Inspector looked at the staff rota and between the hours of 8am and 8pm there are usually 4 staff on duty but a minimum of 3. From 9pm to 8am their are 2 wake night staff. The home employs a cleaner and cook. The staff structure is Manager, 2 deputies, 2 seniors, 2 acting seniors and 6 carers. The home has regular team meetings and the Manager and deputy carry out supervisions. Recent training courses include 1st Aid, Administration of Medication, Challenging Behaviour, Dementia and Diabetes. The home has 80 of the staff team with a minimum NVQ level 2. The 2 staff files seen were complete and contained the required documentation set out in Schedule 2 Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users live in a home that is well managed and run in the best interests of the Service Users and staff are supervised. Service Users Financial interests are safeguarded by the home’s policies and procedures. The home’s record keeping mainly safeguards Service Users’ best interests. Service users and staff can be confident that they will be protected by the home’s procedures with regard to health and safety. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 19 EVIDENCE: Service Users 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. Service Users choose whether they wish to participate in the activities on offer and are involved in making the menu. The 2 Deputies deal with Service Users finances, records show 2 signatures for any transaction that takes place. Staff files showed that staff supervision was being carried out and that staff were receiving a minimum of 6 supervisions a year. The homes record keeping was generally very good, however there was a shortfall in 2 of the care plans seen although the Manager ensured these shortfalls were rectified by the time the Inspection left the home. It appeared that the same person was responsible for these shortfalls and the Manager was going to discuss this with them and put any training issues raised in place. The health, safety and welfare of Service Users is mainly protected by the training and supervision staff receive. Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 3 3 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 3 3 3 3 3 2 3 Oakdene Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 21 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 OP7 OP37 Regulation 15(1) 17(1)(a) Requirement Timescale for action Unless it is impracticable to carry out such consultation, the registered person shall, after 01/02/07 consultation with the service user, or a representative of his, prepare a written plan(the service user plan) as to how the service users needs in respect of his health and welfare are to be met – in that all service users must have a comprehensive care plan that sets out how the home will meet individual service users needs. This should be completed by 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.V320299.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 Rest Home DS0000054752.V320299.R01.S.doc Version 5.2 Page 23 - 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. 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