Inspection on 31/01/06 for Oakhaven Residential Care Home

This inspection was carried out on 31st January 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

Oakhaven Residential Care Home 27/03/07

Oakhaven Residential Care Home 08/09/05

Oakhaven Residential Care Home 25/01/05

Oakhaven Residential Care Home 15/09/04

Oakhaven Residential Care Home 12/02/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakhaven Residential Care Home 136-140 Hales Road Cheltenham Glos GL52 6TB Lead Inspector Gillian Goldfinch Unannounced Inspection 31st January 2006 12:30 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 Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 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. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakhaven Residential Care Home Address 136-140 Hales Road Cheltenham Glos GL52 6TB 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) 01242 528377 01242 262600 myra@oakhaven_cch.co.uk Oakhaven Residential Care Home Limited Mrs Myra Arnot Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: Oakhaven is an adapted and extended three-storey Edwardian style house, situated on the main bus routes and within walking distance of local shops, near the centre of Cheltenham. The home provides accommodation for twenty-seven older people. There is a lounge and dining room on the ground floor with the service areas and staff office. Staff sleep-in facilities are located on the top floor of the home, which is not accessible to service users. All service users bedrooms are situated on the ground and first floor and all have hand washbasins and are single occupancy. Sixteen of the rooms have en-suite toilets. A shaft lift and stairs provide access to the first floor, although in some areas of the home service users are required to negotiate stairs to their rooms; these tend to be rooms for more able service users. There is access to a level well-maintained garden to the front and side of the home, which can be used by service users and their visitors. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one afternoon on one day in January 2006. . Four service users were spoken with to gain their views on the service provided; aspects of daily life and social activity were examined along with how the home manages complaints, the protection of the service users’, service users’ finances and quality assurance. The registered manager was present throughout the inspection Staff were observed going about their duties and interacting with each other and service users. The requirement and recommendations made at the last inspection were followed up and records relating to service users care, meals, activities, staff training, staff personnel files, service user finances and quality assurance were inspected. What the service does well: What has improved since the last inspection? This was the inspector’s first visit to the home. All requirements had been met from the last inspection and all recommendations with the exception of one relating to NVQ training for the registered manager. This was discussed with the registered manager and will require further discussion at future inspections. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 6 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. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 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 Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 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): These standards were not assessed as part of this inspection. EVIDENCE: Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 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): These standards were not assessed as part of this inspection. Recommendation made at the last inspection relating to devising a care plan for the service user needing encouragement and monitoring with their fluid intake had been met. Recommendation made at the last inspection relating to the controlled drugs cupboard had also been met. EVIDENCE: The care plan was inspected and found to contain sufficient and detailed information of the service users identified needs, along with how these needs were to be met. The CSCI Pharmacist Inspector had visited the home since the last inspection. All recommendations arising from this visit had been implemented by the home. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 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): 12,13,14 and 15 Service users’ were able to choose their daily routine and there were activities available for them to join in if they wanted to. Staff help service users’ keep in touch with relatives and friends by making it a relaxed and welcoming place for people to visit. Food and mealtimes are recognised as an important part of service users’ daily lives. EVIDENCE: Service users and staff confirmed that service users’ have the opportunity to exercise choice in relation to daily routines. There is access to advocacy services if required. There was information on service users’ files about their individual interests. A programme of activities is produced on a three monthly cycle. Service users spoken to were happy with the level of activities provided. These included; trips to the theatre, poetry readings, singing sessions, a music and movement class held twice weekly, craft afternoons, outings, hand and foot massage and church services, provided by separate denominations on a monthly basis, or individually as required. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 11 Visitors were welcomed into the home at any reasonable time and service users spoken to were able to confirm this. One service user stated, “My family are welcomed by the staff and always provided with a warm drink”. Meals can also be provided if required by visitors. Service users are supported by the home if they do not wish to see their visitors. Individual likes and dislikes and special needs in relation to food were ascertained on admission, recorded on individual care records and shared with the catering staff. The inspector was told that the cook has regular contact with service users. All service users spoken to stated they enjoyed the food and the quality and quantity was good. Staff were aware of the specialist dietary requirements of service users and ensured their needs were catered for at each meal. A choice of food was available at breakfast time but not at the mid-day meal. The registered manager stated an alternative would always be provided if an individual did not like the food on offer at mid-day. There was a choice available at suppertime. Snacks and drinks were available as required and there were well-stocked fruit bowls throughout the home. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 12 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 and 18 The home has a satisfactory complaints procedure, and systems are in place to ensure the protection of service users’ from abuse. EVIDENCE: A complaints procedure was available in the home. The registered manager confirmed that a copy of the complaints procedure is provided to each service user and their representatives at the time of their admission. A copy of the complaints procedure is contained in the Service Users’ Guide and a copy is also available in each bedroom. A record of complaints is kept as required. Service users who spoke to the inspector were confident about expressing any concerns they may have and confident they would be listened to by the registered manager. There were policies and procedures in place for the protection of services users from abuse. There had been no allegations of abuse in the home. The registered manager confirmed that any allegation of abuse would be taken seriously, investigated and recorded. Service users spoken to stated they felt safe in the home. All staff had received training in the protection of vulnerable adults. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed as part of this inspection EVIDENCE: Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 14 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): These standards were not assessed as part of this inspection Requirement made at the last inspection relating to staff recruitment and preemployment checks had been met. Recommendation made at the last inspection relating to infection control training for staff had been met. EVIDENCE: A sample of staff recruitment files were inspected and found to contain evidence that pre-employment checks had been appropriately undertaken, as required. Evidence was seen in staff training records that staff had completed training in infection control in December 2005. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 15 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): 33 and 35 The home has a quality assurance program that measures its success in meeting the aims, objectives and statement of purpose of the home. There are systems in place to ensure service users’ financial interests are safeguarded. Recommendation made at the last inspection for CRB disclosures to be stored separately from staff files had been met. Recommendation made at the last inspection for the registered manager to undertake NVQ 4 training had not been met and has been repeated in this report. EVIDENCE: Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 16 Quality assurance and quality monitoring systems were in place. Feedback was actively sought from all interested parties about the services provided. These included service users’, staff, relatives and professionals visiting the home. This is undertaken through the use of questionnaires. The registered persons audit these regularly. There is regular review of policies and procedures to ensure they are in keeping with any changes in legislation or good practice guidance. Service users are encouraged to handle their own finances except were they state they do not wish to or lack the capacity to do so. In such instances there are safeguards in place to protect the interests of service users. The registered manager stated that in instances where it is necessary for an individual to have an appointee to act on their behalf an independent person was always used. There was evidence of use of advocates in the home. Secure facilities are provided for each service user for the safe keeping of valuables. Records and receipts are kept of any possessions handed over for safekeeping. These were inspected and found to be in order. Receipts and records are also kept of any financial transactions these records were also inspected and were without error. Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X 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 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X X Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 18 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. 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. 2 Refer to Standard OP15 OP31 Good Practice Recommendations The home should provide a choice of meal at mid-day for service users. The registered manager should undertake training for NVQ level 4 Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Oakhaven Residential Care Home DS0000016518.V280288.R01.S.doc Version 5.1 Page 20 - 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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