Inspection on 22/11/05 for Oakhurst Court Rest Home

This inspection was carried out on 22nd November 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.

Other inspections for this house

Oakhurst Court Rest Home 13/02/09

Oakhurst Court Rest Home 10/03/08

Oakhurst Court Rest Home 08/11/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF Lead Inspector Mrs Annie Taggart Unannounced Inspection 22nd November 2005 09:30a 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 Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 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) 01703 816242 Mr Ivor Elliott Mrs Hazel Jane Elliott, Mr Gerald Michael Elliott Mrs Hazel Jane Elliott Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 persons in the category OP (over 65 years) Date of last inspection 22nd June 2005 Brief Description of the Service: 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 it’s own attractive grounds and is situated in a rural area approximately one mile from Midhurst town centre. Accommodation is provided on the ground and first floor level. There is no lift available, therefore only service users 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 and responsible for the day-to-day running of the home. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 9.30am and lasted for three hours. The inspector spent time talking to the five residents currently living in the home and also spoke to the staff members supporting them. A tour of the home was undertaken during which all private bedrooms and communal areas were seen. The care plans for each resident were seen with any issues tracked and discussed with one of the registered providers. Records for the running of the home including staff records, maintenance and incident /accident reports were seen as was the administration and recording of medication. Mr. G. Elliott, one of the registered providers was present in the home and assisted with the visit. What the service does well: What has improved since the last inspection? New carpets for one bedroom and the lounge have been purchased and are awaiting fitting. New impervious floor covering has also been bought for the kitchen and bathrooms. Waterproof light fittings have been purchased for bathrooms. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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): 1256 Prospective residents and their families are provided with sufficient information to allow them to make a choice about whether they would like to live in the home. Residents receive a contract detailing terms and conditions of occupancy and visits to the home are encouraged. EVIDENCE: There is a Statement of Purpose and Service User Guide available, which sets out the facilities and activities available in the home. Mr. Elliot said that all new residents receive a contract setting out the terms and conditions of occupancy and the resident or their representative signs the document. Only one contract was seen to be held on file and it is recommended that all contracts be held on individual resident’s files. Residents confirmed that they were able to make visits to the home prior to moving in and said that they had been made very welcome. Oakhurst Court does not provide intermediate care. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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): 7 8 9 10 11 The personal and social care needs of each resident are set out in a plan of care. People say that they are treated with dignity and respect and medication is well managed. EVIDENCE: Each person living in the home has a plan of care setting out their personal and social care needs. Although there is support information in place, it is scattered throughout the file and would benefit from being reviewed and updated in an accessible format to ensure staff members receive current, easily read information. There is evidence of input from a variety of healthcare professionals including district nurses and residents say they have very good local doctors. Residents say that they are always treated with kindness and respect and that their privacy is respected. This is confirmed by information contained in weekly monitoring records. The home has an agreement with a local pharmacy and uses a monitored dose system. Staff have recently received updated accredited training in the administration of medication and records were found to be in good order. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 10 Where residents are administering their own creams an agreement should be in place to confirm this. Wherever possible people stay in the home until the end of their lives and the staff say that the acute nursing services assist where necessary. Last wishes are recorded in the care plan and the home has a written policy in place to inform and guide staff. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 the following standard(s): 12 13 14 15 The home respects the lifestyle wishes of the people living there and encourages people to be as independent as possible. Families and friends are made welcome and there is a variety of home cooked food available. EVIDENCE: The people living in the home said that their lifestyles choices are respected and that the staff support them to access the community. One person goes to the town on a regular basis by using their motorised scooter and a risk assessment is in place to support this activity A local vicar visits the home to provide a communion service and one person attends church each week. This was very important to the resident who said, “The staff are so good, they take me to church and pick me up afterwards and always make sure I get there”. Another person said. “I like it here because it is so small, if I can’t be in my own home then this is the best place I could be”. There is also evidence that residents can access groups and clubs, occasional outings are also arranged and outside entertainers sometimes visit. People were seen reading newspapers and chatting and one person said they also liked to play dominoes. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 12 Families and friends are made welcome and one resident said that they had just had a birthday celebration, which was much enjoyed. Menu’s show that a variety of fresh home cooked food is available and people said they were very happy with the quality of food provided. Lunch on the day of the visit was braised beef with three fresh vegetables and rice pudding to follow. The home can provide for specialist diets if required and residents say that there are always alternatives available. The menu is still not being posted in the home; Mr. Elliott said that as the home is so small, menus are discussed directly with residents. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 the following standard(s): 16 17 18 Residents and their families can be confident that complaints and concerns will be addressed in an appropriate manner. Legal rights are protected and residents are protected from abuse. EVIDENCE: The home has a written complaints procedure, a copy of which is included in the Statement of Purpose and Service User Guide. A copy is also held on the file of each resident and has been signed by each person. There have been no recorded complaints recorded since the last visit but residents said that any concerns they had were dealt with straight away and they would feel confident in making a complaint. Mr. Elliott said that the people living in the home were included in the electoral register and supported either to use postal votes or visit the polling station. The home has a copy of the West Sussex Adult Protection procedure and also has in-house procedures available. Mr. Elliott has attended adult protection training as part of the Registered Manager’s Award and had cascaded this to other members of staff. The home is at the present time trying to access accredited training for other people. Staff members spoken to were aware of the procedure to follow should they suspect an abuse had taken place. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 the following standard(s): 19 20 23 24 25 26 The home offers a warm, homely and pleasant environment that is well maintained. Resident’s bedrooms have been personalised to their own wishes and the home is clean and hygienic EVIDENCE: The home has a warm and friendly atmosphere and residents say that it is very homely. New carpets for the lounge and impervious floor covering for the bathrooms and kitchen have been purchased and are awaiting fitting. Water resistant light fittings have also been purchased for bathrooms and are also awaiting fitting. There is a light and airy lounge/dining room and an attractive landscaped garden that people access in warmer weather. All radiators in the bedrooms are covered but are not all covered in the lounge area. Consideration should be given to fitting double-glazing as some of the metaframed windows are beginning to look old and are draughty. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 15 Mr. Elliot said that the need of residents are changing and as some people are becoming less mobile a plan is being discussed regarding extending the building to provide all ground-floor accommodation. Resident’s private bedrooms have been personalised with furniture and belongings brought to the home and rooms were nicely decorated and comfortable. One bedroom is about to be re-carpeted. The home was clean and hygienic. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 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): 27 28 29 30 Residents are well supported and say they are in safe hands. Staff are caring and committed and have received some training. EVIDENCE: There are five residents living in the home and three staff members support them during the day with two people on call, via a call system, at night. At the present time only direct members of the Elliott family provide support and one family member is a volunteer. CRB checks were available for all of the people working in the home and Mr. Elliott said that all of the documentation was in place to carry out a robust recruitment procedure should they employ other staff in the future. Most of the training provided in the home is in-house but people have undertaken accredited medication training and Mr. Elliott is trying to access adult protection and basic food hygiene. The inspector discussed with Mr. Elliott the requirement for any new staff recruited to receive a recognised induction programme including mandatory training and Mr. Elliott said he would research this. Residents spoke very highly of the support they receive and say that they are treated with consideration and kindness and that there is always someone around to help them. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 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 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): 31 32 33 34 35 36 37 38 The home is run in the best interests of the people who live there and records are current and in good order. EVIDENCE: Mr. Elliott said that the other two current Registered Providers were about to retire and that he would be making application to become the new registered manager of the home. Mr. Elliott has just completed the NVQ 4 and is currently undertaking the Registered Manager’s award. Mrs. Elliot is also undertaking the NVQ 4. Residents spoke very highly of Mr. Elliott and said that he was committed and caring and that the home was run in their best interests. At the present time formal supervision does not occur because the family work together in the home on a day-to-day basis but Mr. Ellis said that if other staff Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 18 were employed the documentation is in place to provide supervision and appraisal. The home does not hold any money on behalf of residents and their affairs are managed either by themselves or family members. Mr. Elliot said that questionnaires have been sent out to elicit the views of residents, their families and other professionals involved with the home. The replies have been collated but as yet have not been published. Mr. Elliot said that a financial plan was in place for the home and discussions are underway to extend and improve the facilities available. Records for the management of the service were seen including insurance, electrical appliance testing and fire records and all were in good order. Residents are protected by temperature governing valves on taps and the regular testing of water temperatures. Fire closures are fitted to bedroom doors and equipment is well maintained. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 19 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 3 3 x x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 20 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 3 Refer to Standard OP 7 OP 29 OP 33 Good Practice Recommendations Consideration should be given to reviewing and updating the care plan format to ensure current information is available to inform staff. Staff records should be reviewed to ensure that they contain all of the information required in Schedule 2 Quality assurance questionnaires should be collated and published to provide feedback to people involved with the home. Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Worthing LO 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 Oakhurst Court Rest Home DS0000014644.V260738.R01.S.doc Version 5.0 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!