Inspection on 06/05/05 for Oakfield Nursing Home

This inspection was carried out on 6th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 13/10/06

Oakfield Nursing Home 24/11/05

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Oakfield Nursing Home Lancaster Road Forton, Nr Preston Lancashire PR3 0BL Lead Inspector Christine Marshall Unannounced 6th May 2005 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 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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oakfield Nursing Home Address Lancaster Road, Forton, Nr Preston, Lancashire. PR3 0BL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01524 792194 Portland Care Services Limited Mrs Leonie Bull CRH Care Home 28 Category(ies) of OP Old Age 28 registration, with number PD Physical Disability 28 of places Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home shall not accommodate more than 28 service users in total at any one time. 2. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the CSCI Date of last inspection 10th November 2004 Brief Description of the Service: Oakfield Nursing Home is situated in Forton, on the A6 road to Lancaster. It is 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 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. The home is owned by Mr Hadyn Hughes of Portland Care Services Ltd. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two unannounced inspection visits, scheduled from 1st April 2005 to 31st March 2006. The inspection took place over a four-hour period, during the afternoon and was carried out by the home’s designated lead inspector. The inspector undertook a full tour of the home, including bedrooms, lounge and dining areas and bathrooms. Plans of care for the people living at the home were examined, as were the policies and procedures for the management of the home. Comment cards were handed out to the residents and when returned, were all very positive and indicated that everyone is satisfied with the care that they receive. The inspector spoke privately with three of the residents, and had group discussions with seven other people living at the home. There were no relatives available during the inspection visit. The registered manager, administrator, five care staff and two kitchen staff spoke with the inspector. The manager and staff were welcoming and co-operative with the inspector throughout the visit. What the service does well: Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 6 The home is committed to the training and development of care staff and is a registered training centre. Daily routines for the people living at Oakfield are as flexible as they can be and designed to meet the residents’ individual needs. Meals are very good indeed. All of the residents that were spoken to during the visit said that they were very satisfied with the quality and variety of meals that are provided. Comments included ‘’The food is excellent with plenty of choice.’’ “You can’t fault the food here, you can have anything you want.” “ The food is smashing!” Plans of care give a very clear picture of the residents’ strengths and needs for their care; they are reviewed regularly. Carers are very friendly and the residents spoken to said that the staff were all very helpful, caring and considerate. 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. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 & 5. Standard 6 does not apply to this home. Anyone considering the move into Oakfield is supplied with enough information to help them make that decision. In addition the home gathers enough information about the person to ensure they can meet that persons needs. This means people can make good choices and receive the care they require EVIDENCE: There is a Statement of Purpose and Service Users Guide in place; this is a set of written information that tells you about the care service that is offered; who the manager and staff are and what the resident can expect if he or she decides to live at the home. Every resident gets a contract of care from the home and this ensures that there are no misunderstandings about things such as any extra costs that might be incurred, or periods of notice to leave the home. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 9 Trails periods of stay are offered so that if the resident or the manager is not happy, then a review can be done to decide whether or not the resident is in the right home for the care that he or she needs. . Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 11 The information contained in the residents’ files indicates that all their health and social care needs are met and that people are treated with dignity and respect at this home. Residents are fully supported in their daily lives. EVIDENCE: Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 11 The inspector looked at four plans of care and found these to be extremely informative, clear about the care that each person needed and reviewed at least monthly. Residents spoken to told the inspector that they knew about these records of care and that they were happy with them. Care staff spoken to were fully aware of the care that was needed by each resident, and paid particular attention to small personal details of each person’s preferences. Residents spoken to told the inspector that they had the GP of their choice and that they had regular visits by the chiropodist, dentist, optician and also hearing aid services. The residents also made comments that included “I am very happy here”. “The food is excellent.” “The staff can’t do enough for you.” And “This is the place to be if you have to be looked after.” The inspector looked at the policy and procedure for the death and dying of residents and found these to be satisfactory. Discussions with the care staff confirmed that all care and consideration is given to residents and their families during the final aspect of care. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 There is an excellent choice of food and menus are varied and nutritious; residents benefit from meals that are well planned and appetising. EVIDENCE: The inspector stayed at the home during the teatime meal and this looked very appetising. The chef had prepared lots of different choices for the residents and along with the carers, knew what each resident liked or disliked. Residents spoken to said that they could have anything that they wanted and this was obvious by the variation of meals that was being served. Care staff were very attentive during the mealtime and helped any resident who need it in a relaxed and dignified way. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 13 The residents told the inspector that they preferred to have their teatime meal at their easy chairs rather than at the dining table, and the staff respected this. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 Residents are able to voice their complaints and know who to speak to if they have any concerns. Adult protection systems are in place which means that residents live in a safe environment where their satisfaction is assured. People’s legal rights are promoted at this home. EVIDENCE: There is a clear complaints procedure for the residents and their relatives; this includes access to comment cards that are left by the signing-in book in the entrance to the home. There has been one complaint to the Commission for Social Care Inspection since the last inspection visit to the home; this was investigated and the complaint was not upheld. All of the residents spoken to told the inspector that they had the opportunity to vote in the recent elections. They also said that they could get in touch with their relatives, solicitors or anyone else that they might need for help, if they wished: This, they said, would be done by speaking to the manage Mrs Leonie Bull. Care staff spoken to told the inspector that they knew about protecting the residents from abuse and that they had been given training about this. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and26 A safe and comfortable environment is provided for the residents. Bedrooms are furnished and decorated to suit the individuals’ tastes and preferences, meaning people are living in homely surroundings. EVIDENCE: The inspector visited resident’s bedrooms and noted that each room was personalised and comfortable. There are two lounge areas and a dining area that are comfortable and homely. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 16 The inspector spoke to the maintenance man who confirmed that there is an ongoing refurbishment programme for the home. 18 of the bedrooms have en-suite facilities and there are adequate toilet and bathing facilities in place throughout the home. The inspector noted that there are aids and adaptations such as grab rails in toilets and special lifting and bathing hoists for the residents who need help with their mobility. There are also assisted baths for residents that cannot get in and out of the bath without help. There are nursing beds and special mattresses in place for the prevention and protection of pressure sores; the inspector visited two residents with these special beds and they said that they were comfortable. A new washing machine was being installed during the inspection visit and this has disinfecting programmes that ensure that the laundry is very clean and any infections are not spread around the home. The inspector commends the cleanliness of the home. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 The training programmes that are available at the home make sure that the staff are qualified and competent to care for the residents. EVIDENCE: Oakfield is committed to staff training and are a registered training centre with City & Guilds. There are currently four carers with National Vocational Qualification (NVQ) at level 3 and three overseas nurses, who are undertaking an Adaptation Course to become registered nurses in England; these nurses are qualified to the equivalent of NVQ level 3. There are three staff who are NVQ Assessors and one who is an Internal Verifier working at the home, and this means that the care staff can be trained, assessed and confirmed as qualified and competent to a satisfactory standard. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 18 Four carers are currently undertaking the NVQ course and when they have completed the course, the home will have 50 of their staff trained to this level. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 The home makes sure that the best interests of the residents are protected in that there are regular quality checks that focus on the quality of care that is provided. EVIDENCE: Regular quality checks are recorded so that the home can maintain its accredited International Standards Award (ISO) quality monitoring system. These are done by questionnaires, speaking to residents, their relatives and care staff meetings. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 20 The home is making plans to build an extension to the home, to accommodate a further 12 people; this will increase the registration to 40. The registered manager and administrator assured the inspector that the home continues to be financially viable Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 21 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 2 3 3 3 2 3 4 Score Standard No 7 8 9 10 11 Score 3 3 x x 3 Standard No 27 28 29 30 x 2 x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 2 34 3 35 x 36 x 37 x 38 x Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 22 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. 1. Standard OP28 Regulation 13 Requirement 50 of care staff must attain NVQ level 2 Timescale for action 1st September 2005 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. 2. 3. Refer to Standard OP20 OP24 OP33 Good Practice Recommendations The provider should increase the available communial space to meet the minimum standards. Locks should be fitted to the resdients bedroom doors. Monthly monitoring visit report should be forwarded to the CSCI. Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court, Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oakfield Nursing Home F57 F09 S6066 Oakfield Nursing Home V224858 040505 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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