Inspection on 08/11/06 for Oakhurst Court Rest Home

This inspection was carried out on 8th November 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

Oakhurst Court Rest Home 13/02/09

Oakhurst Court Rest Home 10/03/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF Lead Inspector Ms J Hartley Unannounced Inspection 8th November 2006 11:30 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 Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 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.V319885.R01.S.doc Version 5.2 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.V319885.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 persons in the category OP (over 65 years) Date of last inspection 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. Current fee levels are £409 to £475. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit for this key unannounced inspection took place over two and a half hours. One of the registered providers, who is also the manager designate, was present throughout the inspection and provided the information required. The inspector examined information held on the service file since the last inspection in November 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. During the inspection the inspector spoke to all of the residents, and three members of staff. The inspector undertook a tour of the premises and looked at all of the care plans and two staff files. 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: Risk assessments need to be introduced for residents who administer their own medication. It is recommended that the dates of reviews be recorded in residents’ care plans. Please contact the provider for advice of actions taken in response to this Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 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.V319885.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5. Oakhurst Court does not provide intermediate care therefore Standard Six is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with sufficient information to allow them to make a choice about where to live. Residents receive a contract detailing terms and conditions of occupancy. Prospective residents are encouraged to visit the home. EVIDENCE: The inspector was given a copy of the home’s Statement of Purpose and Service User Guide that were updated in April 2006. Both documents include the required information including the home’s aims, objectives and philosophy of care. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 9 The inspector was shown the new contracts/statement of terms and conditions that have just been produced. These are being given to residents in the near future. 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. The files of all the current residents were inspected. They all included preadmission assessments. It was clear from the care plans that these assessments formed the basis of individual plans for daily living. 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.V319885.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are set out in individual care plans. Care plan reviews take place but are not dated. Health needs are met and residents say they are treated with dignity and respect. The home has policies and procedures in place for residents who are responsible for their own medication. The home needs to set up risk assessments for those residents who self-medicate. EVIDENCE: Each person living in the home has a plan of care setting out their health, personal and social care needs. It could be seen that residents’ care plans have been reviewed and changes made when required. However, it was unclear when each review had taken Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 11 place. It is recommended that reviews are dated to ensure that it is easy to see when a review is due. Records seen during the visit show that residents’ health needs are met through visits to community health resources such as doctor, dentist, and hospital appointments. An optician and chiropodist visit the home when required. No one currently living at the home has pressure sores. Weight screening is undertaken on admission and at regular intervals afterwards. At present one resident is responsible for his own medication. Policies were seen regarding the self-administration of medication, however no risk assessment is in place. The home needs to complete a risk assessment for each resident that self medicates. 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 medication. Medication administration records were examined and found to be in good order. Residents say that they are always treated with kindness and respect and that their privacy is respected. They said that all personal care is undertaken in private. Staff were witnessed using preferred names and treating residents with dignity and respect. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home respects the lifestyle wishes of the people living there and encourages people to be as independent as possible. Residents 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 home cooked, wholesome, appealing and enjoyed by residents. EVIDENCE: Residents said that they are able to exercise choice over their lives. The home had a fireworks display in November and the residents said they watched from the window of the lounge. Residents also told the inspector that they had a trip out to a steam railway in the summer, a Christmas carol party is planned for December and outside entertainers visit the home on occasions. One resident is taken to church every Sunday. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 13 Visitors are made welcome in the home. The visitor’s book was seen during the visit and friends and relatives of the residents were frequent visitors. One resident said, “It’s like a home from home. We all know each other and each other’s visitors.” Residents’ bedrooms were seen to include personal possessions that they had brought from their own homes. Oakhurst Court does not provide a written menu as meal choices are discussed directly with residents. On the day of the visit the lunchtime meal was braised steak, onion gravy, potatoes and fresh vegetables with an ice cream desert to follow. The meal smelt good and was well presented. All the residents said they enjoy the food provided. One resident commented, “The food is very, very good. There is lots of variety and they know what we like and dislike.” Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints will be taken seriously and acted upon. Residents are protected as far as possible from abuse by the home’s policies and procedures. EVIDENCE: The home has a clear complaints procedure. The residents said that if they had a complaint they would discuss it with the manager. They were confident that the manager would listen and take action. The complaints procedure is included in the Statement of Purpose and Service User Guide. There have been no complaints since the last inspection. During the visit the inspector saw the home’s adult protection and whistle blowing procedures. Both were robust. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oakhurst Court provides a safe well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: Oakhurst Court is a detached building situated in its own grounds close to the shops and local amenities in Midhurst. Accommodation is provided on two floors. It has a comfortable and homely atmosphere. It was seen to be clean and tidy throughout, and was free of any offensive odours. Furniture, floor coverings and carpets were in good condition. New carpeting has been fitted in some rooms and an extra call point has been added in one bedroom to Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 16 enable the resident to reach it while using the commode. Communal rooms were found to be bright, comfortable and airy. A new en-suite toilet has been added to one of the bedrooms. The grounds are well kept and accessible to residents. New decking has been added to the garden since the last inspection. Radiators and pipe work in the bedrooms are covered to minimise the risk of burns. Radiators in the lounge area are not covered. Risk assessments are in place regarding this. Window restrictors are fitted to first floor windows to minimise risk. 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. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their needs are met by the numbers and skill mix of staff, who are trained and competent to do their jobs. Residents are protected as far as possible by the home’s recruitment policy and practices. EVIDENCE: At present there are four residents living in the home with three staff members and a volunteer on a rota system to support them during the day and two people on call, via a call system, at night. Residents said that if they need assistance during the night help is at hand straight away. Staff files were examined and found to include all the required documentation, including an application form, two written references, and a Criminal Records Bureau Check. Most of the training provided in the home is in-house but all staff have undertaken accredited medication training and Mr. Elliott is trying to access adult protection and basic food hygiene. One member of staff is undertaking the NVQ4 and another is doing the NVQ2. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 18 Residents say they feel well supported by the management and staff at the home. One resident said that, “The manager and staff work very hard. They are always available and they spend time listening.” Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager designate has the qualifications and experience needed to run the home and meet it’s stated objectives. The home has a quality assurance and monitoring system in place. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Mr. Elliott said that the other two current Registered Providers are retiring and that he has put in an application to become the new registered manager of the home. Mr. Elliott has completed the NVQ 4 and Registered Manger’s Award. Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 20 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. Examples of the questionnaires were seen at the site visit. 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.V319885.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oakhurst Court Rest Home DS0000014644.V319885.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP9 Regulation 13 Requirement Risk assessments need to be set up for residents who administer their own medication. Timescale for action 08/01/07 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 OP7 Good Practice Recommendations It is recommended that the dates of reviews be recorded. 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