Inspection on 13/10/06 for Oakfield Nursing Home

This inspection was carried out on 13th October 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 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

Oakfield Nursing Home 29/10/08

Oakfield Nursing Home 24/11/05

Oakfield Nursing Home 06/05/05

Oakfield Nursing Home 10/11/04

Oakfield Nursing Home 01/07/04

Oakfield Nursing Home 02/12/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakfield Nursing Home Lancaster Road Forton Nr Preston Lancashire PR3 OBL Lead Inspector Mrs Christine Marshall Unannounced Inspection 13th October 2006 9:45 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 Oakfield Nursing Home DS0000006066.V307798.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. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakfield Nursing Home Address Lancaster Road Forton Nr Preston Lancashire PR3 OBL 01524 792194 01524 792666 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) Portland Care Services Limited Mrs Leonie Bull Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (28) of places Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the NCSC. The home shall not accommodate more than 28 service users in total at any one time. 24th November 2005 Date of last inspection Brief Description of the Service: Oakfield Nursing Home is situated in Forton, on the A6 road to Lancaster. It is currently registered for 28 residents who need nursing care. There are 26 single bedrooms, of which 18 have en-suite facilities, and 1 double room. Bedrooms and lounge and dining areas are nicely furnished and there are pleasant garden areas. There is wheelchair access to the home and there is a passenger lift in place. There are trained nurses on duty 24 hours a day and good levels of staff in place. Mrs Leonie Bull is the registered manager of the home and Mr Anthony Bull is the administrator. Mr Hadyn Hughes of Portland Care Services Ltd owns the home. At the time of this visit, (21/8/06) the information given to the Commission showed that the fees for care at the home are £465.00 per week, with added expenses for hairdressing, newspapers and chiropody. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process of Oakfield included a site visit to the home which was completed in one full day, and unannounced, which means that the manager, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service, alongside their relatives, and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home included looking at bedrooms, lounges and dining areas, toilets and bathrooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. Comment cards were sent to the home for residents and relatives to fill in; a good number were returned, and these showed 100 satisfaction with the care at Oakfield. A pre-inspection questionnaire was completed by the manager, and forwarded to the commission before the inspection visit; this offered good information about the home and its policies, and enabled the commission to gather comments and feedback from visiting professionals such as GPs, prior to the inspection visit. Discussions took place with the manager Mrs Bull, the administrator Mr Bull and members of the care staff. Administration records were also looked at. Everyone at the home was friendly, welcoming and co-operative throughout the visit. There are major changes taking place at the home, and applications for the provision of care for those with dementia and an extension to the number of nursing beds are in process; these also include the provision of palliative care at the home. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 6 What the service does well: In line with the home’s policies and procedures, Oakfield makes sure that there is equal care given to all residents, considering their individual choices and preferences, and giving equal support to all, irrespective of their race, gender, disability, sexuality, age, religion or beliefs. There is equal consideration given to all employees and there are male, female, and overseas staff, between the ages of 18 and 65 years working at the home; training and development programmes are offered to all members of staff. The home makes sure that residents have equal access all parts of the home through a passenger lift and wheelchair ramps. The home had a very relaxed and friendly atmosphere and the furnishings were comfortable. The carers were friendly and understood the personal needs of each resident; there was extremely good interaction between the staff on duty and the people living at the home. A number of residents were able to voice their opinions; responses to questions and chatting showed that they were happy and content in their environment and with their carers. Resident’s comments included – “It is fine here, I have what I need.” “I am very comfortable.” “The staff are very good and the food is excellent.” “I’ve been here a long time, it is very nice.” Visiting relatives said that they were happy with everything at the home and had no complaints to make. All residents looked comfortable and happy. The home is a registered training centre and has achieved 50 of the care staff trained to National Vocational Qualification (NVQ), which means that the residents are looked after by suitably qualified staff. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 7 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 Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 8 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 9 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 Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 10 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): Standard 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gathers enough information about prospective residents to ensure that their needs can be met. EVIDENCE: Pre-admission assessments were looked at and were completed satisfactorily; they include all aspects of physical, social and psychological care, making sure that the prospective resident’s needs are identified and that the home can provide the care that is needed. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 11 These assessments are done by a the manager and agreed by the resident and/or their family. All residents are assessed by the same tool, thus promoting equality of assessment and care provision. Copies of the home’s Statement of Purpose and Service Users Guide, alongside a contract of care are also given to each prospective resident on this assessment visit. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 12 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): Standards 7,8,9, & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are met and people are treated with dignity and respect at this home. EVIDENCE: Care plans are written records that describe the care that is given to each resident. These were looked at and found to be reviewed and updated. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 13 Some of the residents were unable to say that they knew about their care plans; others were able to confirm that they knew about them, but that they were not really interested. Health care opportunities are offered equally to all residents and there were records of GP, chiropody and physiotherapy visits. The medication system was looked at and found to be satisfactory. Medication sheets are hand-written, each with two signatures for accuracy. All prescriptions drugs are now recorded on a form that the supplying chemist has provided for audit purposes. The residents were seen to be treated with respect, privacy and dignity, and there were good personal interactions between residents and carers. Locks are being fitted to every room, to make sure that full privacy is provided for each resident. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 14 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): Standards 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. The residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: The home offers activities such as dominoes, reminiscence, pampering sessions and manicures for the residents. A mobile library visits the home regularly. Religious ministers also visit the home regularly. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 15 Residents who were able said that they preferred just have quiet time rather than organised entertainment or activities: They also said that they had full choice of what they wanted to do in their daily routines. A number of residents said that they enjoyed having their relatives visit and that they were always welcomed by the staff at the home. Three visiting relatives said that they were always welcomed at the home and had a very good relationship with everyone there. There is a full choice of breakfast and morning tea or coffee with biscuits: The midday meal served at the home during the visit looked very appetising. There was a choice of main course and the sweet trolley had nine choices of pudding, both hot and cold; there is also full equality of choice for every resident and there were the same number of sweet choices for diabetic diets. Pureed food looked as attractive as the normal diets and the home caters for any other preferred diets that are requested or required, for example diabetic, gluten-free or dairy-free food. The evening meal also offers full choices, with afternoon tea and suppers available. The residents said that the food was very good and that they had plenty of choice. Ten residents needed help with their meals and there were eight members of staff assisting. The food, choices, equality of option and the attention paid to assisting those in need are commendable at the home. An outcome score of 4 has been given to this standard. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 16 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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported and protected. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said that they were aware of these. There have been no complaints either to the home or to the Commission for Social Care Inspection. Residents mostly knew about the complaints procedure and who to speak to if they were unhappy; all of those spoken to said that they had no complaint to make at all. Three visiting relatives said that they knew about the complaints procedure and that they had no complaints to make about the home. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 17 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): Standards 19,20,21,22,23,24,25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable environment and bedrooms are personalised. This means that residents feel at home with their belongings around them. EVIDENCE: There are extensive plans to extend the home to provide palliative care nursing; this is the care of people who are diagnosed with a terminal illness. There are also moves taking place to provide care for 8 people who have dementia. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 18 Each resident and their families have been written to, advising them about the planned changes at the home, and offering any extra support that might be needed. The commission is monitoring and advising the manager and administrator during this process of change. A tour of the home showed that the general environment was satisfactory and furnishings were comfortable. There is equal access to all areas of the home for residents and visitors with mobility problems, in that there are ramps and a passenger lift inplace. There are extensive aids and adaptations in place to give equal acces and to help with the residents’ toilet and bathing needs. Most of the residents were able to say that they were happy with their rooms, and all the bedrooms that were visited were clean, personalised and comfortable. Policies are in place for the prevention of any cross infection and domestic staff said that they knew about this. Although there is building work going on at the home, the environment was very clean and hygienic. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 19 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): Standards 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. The residents care needs are met through adequate staff provisions who are appropriately trained. EVIDENCE: The home’s equal opportunities policy is reflected in that there are male and female staff, between the age of 18 and 65, inlcuding overseas carers, working at the home. The list of staff on duty showed that there are good levels of nurses, carers and domestic staff on duty at the home. The carers and the domestic staff were very helpful and showed that there is a good mix of people in place. National Vocational Qualifications (NVQ) and staff training programs are in place; 50 of carers have already achieved the NVQ award. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 20 The staff who have completed their NVQ training have also done a unit covering Equality and Diversity issues and this means that they will be aware of how they can make sure that the residents are treated equally, and given care according to individual choice and preference. Recruitment files were in order, and all staff had undergone pre-employment checks. Residents who were able said that they never had to wait very long for the carers to help them and that they were happy with the levels of staff on duty. The home is a registered training centre for NVQ and there are extensive induction and training programmes are in place: Staff confirmed that they were given regular training. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 21 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): Standards 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and there are quality systems in place to make sure that they are protected. EVIDENCE: The registered manager, Mrs Leoni Bull is a Registered Nurse and a National Vocational Qualifications (NVQ) assessor. She has managed the home for 13 Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 22 years and has proved herself competent. Mrs Bull is now undertaking the Registered Managers Award. There is a quality monitoring system in place. The registered provider Mr Hughes has previously not managed to produce regular monthly monitoring visit reports and after discussions, has now agreed to produce an electronic monthly report for the commission, which is a requirement under the Care Homes Regulations 2001. The pre-inspection questionnaire provided information about residents’ personal monies and none are kept at the home; also information was given that the safety certificates at the home are up-to-date, making sure that the residents are safe and secure. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 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 X 3 X 3 X X 3 Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 24 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. 1. Refer to Standard OP33 Good Practice Recommendations Monthly monitoring visit report should be produced for CSCI. Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Oakfield Nursing Home DS0000006066.V307798.R01.S.doc Version 5.2 Page 26 - 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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