Inspection on 13/02/09 for Oakhurst Court Rest Home

This inspection was carried out on 13th February 2009.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakhurst Court Rest Home 10/03/08

Oakhurst Court Rest Home 08/11/06

Oakhurst Court Rest Home 22/11/05

Oakhurst Court Rest Home 22/06/05

Oakhurst Court Rest Home 16/12/04

Oakhurst Court Rest Home 19/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Palmer     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF 01730816242 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Gerald Michael Elliott,Mr Ivor Elliott,Mrs Hazel Jane Elliott Name of registered manager (if applicable) Mrs Hazel Jane Elliott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 6 persons in the category OP (over 65 years) The maximum number of service users to be accommodated is 6 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Oakhurst Court is a privately owned establishment registered to accommodate six persons in the category of OP (Old Age over 65 years of age). The detached property is set in its own attractive grounds and is situated in a rural area approximately one mile from Midhurst town centre. Care Homes for Older People Page 4 of 23 care home 6 Over 65 6 0 Brief description of the care home Accommodation is provided on the ground and first floor level. There is no lift available, therefore only people who can manage the stairs are to be accommodated above ground floor level. The establishment has been in the same ownership since 1986 when first registered. Mr. I Elliott, Mrs. H Elliott and Mr. G Elliott are the registered providers. Mrs. H Elliott is the registered manager. The range of fees charged (at the time of this report) are 420 - 470 pounds per week, with additional charges for chiropody, hairdressing, toiletries, and any newspapers. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection included a site visit to the home over a period of five hours. During this time all of the four staff were interviewed including one of the registered providers, Gerald Elliott who assisted with the inspection. Four residents were met and spoken to. Care plans, medication records, policies and staff records were sampled. Other information used to make judgements about the standard of care in the home included the homes Annual Quality Assurance Assessment (AQAA) which was sent to us late and was very brief. We also looked the last inspection report and other information received by us since the last inspection including notifications of any events in the home. Care Homes for Older People Page 6 of 23 Care Homes for Older People Page 7 of 23 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some improvements have been made to the admissions proceedure to ensure individuals needs can be met by the home. Evidence: The initial assessments of two people who have moved into the home since the last inspection were seen. They contained enough relevant detail to enable the home to be sure they could meet her needs. Details of their next of kin, General Practitioner (GP), a manual handling assessment and past medical history were included as were any likes and dislikes. Religious preferences were noted and seen to be met so far by the home. In the case of one of these residents, social services were involved in the assessment and review process. Based on these assessments, the requirement made at the last inspection for a full needs assessment to be completed is deemed as being met. Care Homes for Older People Page 10 of 23 Evidence: Intermediate care is not provided at Oakhurst Court Care Home. Care Homes for Older People Page 11 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements to the care planning procedures better ensure that peoples health and personal care needs are met. Practises in storing and administering medication have improved and now better protect people. Evidence: Three care plans were looked at. They all had a photograph of each resident, as required by us at the last inspection. The care plans contained detailed information and are kept under regular review and changes are made as necessary. There was written evidence that medical assistance is sought when needed and residents confirmed they can ask to see a doctor if the need to. They said they felt well cared for and in safe hands. One said I couldnt wish to live anywhere better another said we are very lucky. Risk assessments were seen and in one case there was clear evidence that the plan in place was working and improving the health and well being of the resident concerned. The requirements made at the last inspection regarding care plans and risk assessments were seen to be met. Further development of care plans was Care Homes for Older People Page 12 of 23 Evidence: discussed with the person in charge and it is the homes intention to write a pen portrait of each resident. The medication cabinet was seen to be suitably secure although slightly disorganised. No errors or omissions were seen on the records. The home uses a monthly blister pack system delivered by a local pharmacy. Care Homes for Older People Page 13 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported and encouraged to maintain contact with family and friends. The food is home cooked and enjoyed by residents. Evidence: Four residents were spoken to in the lounge, one said it was like home from home. They said they spend most of their day in the lounge as they like each others company. They said they could choose how to spend their time and were never bored. One said we can please ourselves and we live like an ordinary family. Visitors are made welcome in the home, residents told us that they are welcome to stay for meals and are offered cups of tea. Daily records confirmed this and showed it is a busy and open home where people are supported in their relationships. The staff told us that they have a musical session in the morning and then do individual activities with people in the afternoon, such as, reading and discussing the newspaper with them. Each resident confirmed they received the newspaper of their choice each morning. Records showed that religious preferences were respected and support given for people to practise their beliefs and be administered to if they chose. Photographs or celebrations for residents birthdays and Christmas were seen. Care Homes for Older People Page 14 of 23 Evidence: A four weekly menu operates in the home. No alternative to the main meal is offered although we were told residents could ask for an alternative if the wished. Peoples likes and dislikes are recorded as is the support they may need regarding eating. All the staff know the residents so well that they were able to tell you their needs and preferences without referring to paperwork. Residents said the food was lovely and always fresh. They said they get plenty of tea and biscuits in between. Care Homes for Older People Page 15 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to complain and are protected by the homes policies for safeguarding them. Evidence: A complaints procedure is available in the home. Residents spoken to say they know how to make a complaint and feel that any concern they may have would be dealt with. They all said they have never had cause to complain but gave examples of minor concerns that had been sorted out for them. There was an open and relaxed atmosphere in the home. Staff were asked about the homes procedure for safeguarding adults. They say they have received training and were confident about their responsibilities if they suspected any abuse or were told of any. The home has still not got an up to date copy of West Sussex County Councils Safeguarding proceedures and although this does not in practice put people at risk they have been asked, and agreed to get one. Care Homes for Older People Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a safe, clean and homely environment. Evidence: On the day of inspection the home was clean and well maintained. An odour was noticed in one bedroom this was discussed with the person in charge and the reasons were known to staff and action being taken to solve this. All the residents spoken to said the home was always clean and their rooms were cleaned daily. Staff are trained in infection control and water temperatures are checked daily at bath time. Records of this were seen. We discussed random hand testing of all outlets in case of a failure in the system. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The training and support enables staff to carry out their roles confidently and competently. Evidence: Oakhurst Court is a family run home. All staff are related to Mr and Mrs Elliott who own the home and are the Registered Providers, along with their son Gerald Elliott. Currently four people work in the home. Everyone working in the home undergoes the normal recruitment procedures which include a Criminal Record Bureau check and a Protection of Vulnerable Adult check. They are also trained and supported to carry out their roles. Two of the staff have NVQ level four in Care and Management and one has NVQ level two. Residents spoke highly of the staff and said they put themselves out. No new staff have been employed since the last inspection. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people living there, however, the management arrangements need to be formalised. Evidence: The home is currently being run by Mr Gerald Elliott who is one of the registered providers. Mrs Hazel Elliott is the registered manager of the home but is no longer involved in the day to day running. The Commission has no record of having received notification of the current management arrangements for the home, a requirement has been made in respect of this. The health, safety and welfare of residents and staff are promoted and protected and the improvement to risk assessments underpins the practise. Records were sampled including a certificate for the yearly testing of portable electrical equipment and emergency lighting. 3The three monthly in-house fire training, fire drills and evacuation. Care Homes for Older People Page 19 of 23 Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 31 38 The Registered Persons must inform us in writing of the management arrangements for the home. To ensure the smooth running of the home and for the safety and protection of people who live there. 18/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 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. 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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