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Inspection on 22/06/05 for Oakhurst Court Rest Home

Also see our care home review for Oakhurst Court Rest Home for more information

This inspection was carried out on 22nd June 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Oakhurst Court provides a homely, comfortable and well-maintained environment for residents. The home is very clean and tidy. Residents feel well supported and cared for by the staff. Feedback from relatives was very positive about the care the home provides. The grounds are very well cared for.

What has improved since the last inspection?

The home has been redecorated, and the gardens redesigned since the last inspection.

What the care home could do better:

The registered provider should consider providing a written menu for residents, either put up in a communal area or given to individuals.

CARE HOMES FOR OLDER PEOPLE Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF Lead Inspector Jo Hartley Announced 22 June 2005, 09:30 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. 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. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oakhurst Court Rest Home Address Carron Lane, Midhurst, West Sussex, GU29 9LF 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) 01703 816242 Mr Ivor Elliott, Mrs Hazel Jane Elliott, Mr Gerald Michael Elliott Mrs Hazel Jane Elliott Care Home (CRH) 6 Category(ies) of Old age, not falling within any other vategory registration, with number (OP), (6) of places H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 6 persons in the category OP (over 65 years) Date of last inspection 16 December 2004 Brief Description of the Service: Oakhurst Court is a privately owned establishment registered to accommodate up to six persons in the category of OP (Old Age over 65 years). Oakhurst Court is situated in a rural area approximately one mile from Midhurst town centre. The detached property is set in its own attractive grounds. Accommodation is on ground and first floor level. There is no lift, therefore only service users who can manage the stairs unaided 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 responsible for the daily running of the home. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over a period of two and threequarter hours. The inspector read information held on the service file since the last inspection in December 2004, the pre-inspection questionnaire, comments cards received from five relatives/visitors to the home and the previous two inspection reports. During the inspection the inspector spoke to all five of the service users, three members of staff and one visitor to the home. The inspector undertook a tour of the premises and looked at two care plans. Various record books, policies and procedures were also examined. What the service does well: What has improved since the last inspection? What they could do better: The registered provider should consider providing a written menu for residents, either put up in a communal area or given to individuals. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 6 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. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 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 standard(s) 3, 4 Service users have their needs assessed prior to admission. The assessment forms the basis of a plan for daily living. Oakhurst Court does not provide intermediate care; therefore Standard Six is not applicable. EVIDENCE: The care plans of the two most recent admissions were inspected and both had pre-admission assessments. It was clear from the care plans that these assessments formed the basis of individual plans for daily living. Comments received from relatives were very positive about the home meeting residents’ needs. Comments include; “…the way they care for her emotionally and physically couldn’t be better.” “I am very satisfied with the competent, efficient and caring care given to my father.” “The treatment of residents at Oakhurst Court is simply first class. No effort is too much for the proprietors.” H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 Service user’s health, personal and social care needs are set out in individual care plans. Health needs are met and service users are treated with dignity and respect. The home has policies and procedures in place for service users who are responsible for their own medication. EVIDENCE: Care plans seen at the inspection set out the health, personal and social care needs of individual residents. Records seen showed that health needs are met through visits to community health resources such as doctor, dentist and optician and hospital appointments. A chiropodist visits the home when needed. No one currently living at the home has pressure sores. Weight screening is undertaken on admission and at regular intervals afterwards. At present only one service user is responsible for his own medication. Policies were seen regarding the self-administration of medication. Training certificates for attendance at courses on the safe handling of medicines were seen for those staff in the home that are responsible for administering H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 10 medication. The inspector saw the report of a Pharmacy Inspection that took place on The 8th March 2005. No recommendations were made. Residents said that all personal care takes place in private. They said that they have telephones in their own rooms so they can take calls in private. They receive their mail unopened. Care plans state residents’ preferred terms of address. Staff were witnessed using preferred names and treating residents with dignity and respect. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 13, 14, 15 Service users are supported and encouraged to maintain contact with family, friends, representatives and the local community and are able to exercise choice over their lives. The food is wholesome, appealing and enjoyed by residents. EVIDENCE: On the day of the inspection one resident was entertaining a visitor in the privacy of her own room. All of the residents spoken to said they were able to receive visitors whenever they liked and that visitors are made to feel welcome by staff. The relative spoken to on the day of the inspection confirmed this. On the tour of the home it was seen that service users have their own possessions in their rooms. One resident said that she brought her own furniture from home, and that one of the registered providers put shelves and picture hooks up in her room for her. It meant a lot to this lady that she was able to do this. Service users said that either they or their relatives look after their finances. The home does not control any money on behalf of residents. The menu seen was wholesome and nutritious. All the residents said that the food was “good” or “very good”, and that “there is a lot of it”. One resident said that he is unable to eat certain foods and that he is provided with an H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 12 alternative if any of the foods he is unable to eat are on the menu for that day. Residents told the inspector that they do not receive a menu in advance. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18 Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: Policies and procedures were seen for Adult Protection, Whistle Blowing and discrimination. The home has a copy of the West Sussex Multi-Agency Policy and Procedure for Protecting Vulnerable Adults. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19, 24, 25, 26 Oakhurst Court is very well maintained inside and outside. The interior, including resident’s bedrooms, is clean, hygienic, pleasant and comfortable. EVIDENCE: Oakhurst Court has a homely atmosphere. Communal areas and residents’ bedrooms have been redecorated since the last inspection. Residents said they chose what colours their rooms were decorated in and they were all asked what colour they would like the lounge. The owners are also in the process of redesigning the garden, which is beautifully laid out and appreciated by the residents. On the day of the inspection residents were seen enjoying the sunshine in the garden that is accessible to everyone. All bedrooms doors are fitted with locks although the current service users said they have chosen not to hold their own keys. Bedrooms were personalised and it was seen that residents have their own possessions in their rooms. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 15 All the radiators within the home were seen to be covered. Records were seen to show that the staff at the home checks the water temperatures on a daily basis. Oakhurst Court had an unannounced Environmental Health inspection in December 2004. The feedback form from the Environmental Health Officer was seen and it stated; “Excellent standards of cleanliness and food safety practice noted. No legal requirements. Well done.” On the day of the inspection the home was found to be clean, hygienic and free from offensive odours. Aromatherapy air fresheners were seen in communal areas. A comment received from a relative says; “Oakhurst Court is always clean and tidy, the food good and the staff friendly and concerned.” The laundry was seen during the tour of the home. It is sited in a separate building in the grounds of the home. The floor covering is suitable for its purpose and the floor and walls are readily cleanable. Policies and procedures on the control of infection were inspected and found to be adequate. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the above standards were inspected during this inspection. EVIDENCE: H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users’ financial interests are safeguarded. EVIDENCE: The pre-inspection questionnaire stated, and residents confirmed, that the residents either control their own finances or a relative looks them after. The manager does not act as appointee for any of the service users. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 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 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 3 4 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 Standard No 16 17 18 Score x x 3 x x x x 3 x x x H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 19 No 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 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 15 Good Practice Recommendations The registered provider should consider providing a written menu to residents. H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 H60-H11 S14644 Oakhurst Court Rest Home V224138 220605 Stage 4.doc Version 1.30 Page 21 - 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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