Inspection on 28/09/05 for Oakland Care Centre (Moston)

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakland Care Centre (Moston) 22/06/09

Oakland Care Centre (Moston) 19/09/07

Oakland Care Centre (Moston) 05/09/06

Oakland Care Centre (Moston) 09/03/06

Oakland Care Centre (Moston) 03/02/05

Oakland Care Centre (Moston) 14/07/04

Oakland Care Centre (Moston) 29/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakland Care Centre (Moston) 134 Kenyon Lane Moston Manchester M40 9DH Lead Inspector Sylvia Brown Unannounced Inspection 28th September 2005 08:00 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 Oakland Care Centre (Moston) DS0000039731.V249782.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. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakland Care Centre (Moston) Address 134 Kenyon Lane Moston Manchester M40 9DH 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) 0131 339 4400 0131 339 5500 oaklandmoston@highfield-care.com Southern Cross Home Properties Limited Sandra Doxey Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (53), Physical disability (1) of places Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The dependency levels of service users requiring personal care only must be assessed on a continuous basis and staffing levels adjusted, where appropriate, to ensure continued compliance with the Residential Forum Guidance in Care Homes for Older People. The number of service users requiring nursing care at any one time shall not exceed 28 aged 60 years or over.This figure includes one named person out of category by age (PD). The number of service users requiring personal care only at any one time shall not exceed 26 aged 60 years or over. Minimum nursing staffing levels as specified in the notice issued in accordance with Section 13(5) of the Care Standards Act 2000 on 9 May 2003 in relation to those service users requiring nursing care must be maintained. Minimum staffing levels as specified in the Residential Forum Guidance in Care Homes for Older People in relation to those service users requiring personal care only must be maintained. 3rd February 2005 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Oakland Care Centre (Moston) is a large purpose built provision set in its own small grounds and located in the North of the City. The home is owned by Southern Cross Health Care who have recently merged with Highfield Care Homes Limited. The home is registered to offer accommodation to 28 older people requiring nursing care and 26 older people requiring personal care. There are car-parking facilities to the front and rear of the building and well maintained gardens with a seating area for residents and their visitors. There was a ramp to the home’s main entrance and a passenger lift enabled access to all levels of the home. The home offers lounges and dining rooms on both floors. All bedrooms are for single use and have en-suite facilities. The home is equipped to meet the needs of those with mobility difficulties and who may require additional space. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Oakland Care Centre was unannounced and commenced at 8:00am and lasted approximately seven hours. The inspector was able to evaluate morning routines and sit with residents at breakfast time. The manager, who had been appointed three weeks prior to the inspection, made herself available throughout the inspection and received feedback on its conclusion. What the service does well: What has improved since the last inspection? 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. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 6 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 Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 7 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): 2&3 Residents receive contracts and have their needs assessed prior to moving into the home. EVIDENCE: Evaluation of residents’ files confirmed that they had received terms and conditions of residency and contracts. Furthermore, records of assessments were present which had been undertaken prior to the resident being admitted to the home. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 8 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 Residents’ health care needs appear to be met and they are treated with dignity and respect. Records of care were inconsistently maintained. EVIDENCE: At the time of the inspection a small sample of care plans were inspected and a new care planning processes was in the process of being introduced into the home. However, as at the last inspection, there was minimal evidence that residents and/or their relatives had been consulted about the care plans or agreed to the manner in which care support was to be provided. There has been no improvement regarding this matter. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 9 Residents spoken to confirmed their health care needs were met and, as far as possible, that they received appropriate support to retain good health. Records demonstrated that health care professionals were consulted and visited the home as required. However, records maintained regarding daily support failed to be consistently maintained. Intake and fluid charts were not completed appropriately, in that, staff were not aware of the amount of fluid intake required and though they stated drinks were routinely given, significant gaps were evident. Medication administration records identified signature omissions for administered medication. A requirement previously made regarding the completion of risk assessments for residents who wish to self administer medication had not been met. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 15 Residents do not receive appropriate social stimulation. EVIDENCE: Residents stated they would like more social activities and opportunities to visit the local community. The manager confirmed that, after consultation with residents and relatives, she became aware of their requests and was in the process of securing transport to enable trips out and was developing an activities programme within the home. Residents appeared to be able to take some control over their own lives; they explained they chose their own times for rising and retiring and where they spent their day. They did, however, make comments regarding the lack of opportunity to have morning drinks when they wished. They stated staff were busy and that they had to wait for the catering assistant to arrive before they could have a drink. Three residents spoken to said that they were thirsty. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 11 One breakfast time meal was observed. It became apparent that care staff were not allocated to the dining area, culminating in the kitchen assistant having to prepare breakfast, monitor residents who were unsteady when mobilising and attempting to leave the area, and assist those residents who required help with eating. Such deployment of staff is not acceptable and places residents at risk and reduces the quality of support they receive. Residents were observed receiving a variety of foods, including hot food items, however the hot food was delivered to the unit in advance and left to go cold and reheated prior to being served. The routine reheating of the food in the microwave culminated in residents receiving hard bacon and very well done fried eggs. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Residents live in a fairly well maintained home, which offers them comfort and security. EVIDENCE: The home free from odours and, in the main, clean and presentable. One unit’s kitchen area was not maintained appropriately. Exposed mops and buckets were placed near food preparation areas and general hygiene standards were not maintained in the area. Lounges and dining rooms were welcoming and residents stated they found seating comfortable. Though clean and presentable, lighting in some toilets was poor and waste bins were without lids. A shower area was out of use due to being broken and the toilet seat in the room was unusable and placing residents at risk. Records demonstrated that electrically operated baths had been serviced in 2005. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 Staff were not in appropriate numbers to meet the needs and requirements of residents. Robust recruitment and selection procedures were not in place. EVIDENCE: Evaluation of staff files continued to identify failings found at the previous inspection. The manager confirmed that she had noted previous practice and, since her employment, has recruited correctly and was in the process of acquiring relevant documents before offering employment to individuals. Notwithstanding that information, action must be taken to ensure staff files contain the required documentation. The previous requirement is repeated. As detailed within Standard 15, staff were not in appropriate numbers at breakfast time. Staff were not available to ensure residents receive drinks when they require or available to support and supervise them whilst breakfasting. At the time of the inspection some designated laundry hours had been transferred to domestic hours, culminating in 43 hours’ laundry provision being in place. The guidance for laundry hours is that a minimum of one hour per week, per resident is allocated for laundry provision, therefore a minimum of 53 hours should be in place. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 38 Residents live in a home which is run by a person who is qualified and experienced. Their health, welfare and safety are promoted. EVIDENCE: The manager had been in post some three weeks prior to the inspection, she has previously been registered by the Commission for Social Care Inspection to manage a care home and had submitted an application to the Commission for Social Care Inspection to be registered as the manager of Oakland Care Centre. The manager has, in her short time at the home, held a number of meetings to consult with residents, staff and relatives and was in the process of familiarising herself with residents and their individual care plans. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 16 Checks of maintenance records confirmed that systems were in place to monitor the home and make day-to-day repairs as they are required. Electrical equipment is serviced and fire safety monitoring and fire drills are carried out as required. It was observed that the fire safety glass over one corridor door was broken, which, in the event of a fire emergency, could increase the risk of harm to residents. Once identified, the manager took action to have the glass replaced. Health and safety monitoring is carried out and certificates of servicing were up to date and in place. Environmental Health inspectors completed an inspection in January 2005. The fixed electrical installation certificate (valid for five years) continued to be valid and hot water delivery points were fitted with thermostatic mixer valves that were unaffected by a drop in water pressure. Inspection of the laundry area identified that systems were not in place to support the laundering of soiled clothing and linens which, as a consequence of a broken machine, not been laundered. Laundry staff stated that the some of the sealed bags had been there for more than six days. When informed, the manager stated she was aware of some difficulties due to awaiting the repair of a washing machine, however she had not been informed of the build up of soiled laundry. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X 2 3 STAFFING Standard No Score 27 2 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 2 Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1) Requirement Timescale for action 15/11/05 2 OP8 Schedule 3(3)(m) 3 OP9 12(4) 4 OP9 12(4) The responsible individual must ensure that evidence is maintained within the home of the residents contribution, or that of their relatives or representatives, to the development of the plans of care and their subsequent review. (Previous timescale of 26/04/05 not met). The registered person must 29/09/05 ensure that fluid intake records detail the minimum daily amount required and systems are implemented to ensure fluids are offered and recorded when taken. The registered person must 29/09/05 ensure that administered medication is contemporaneously signed for on all occasions. The registered person must 15/11/05 ensure that the risk assessments enabling residents to administer their own prescribed medication are fully integrated with the plans of care. (Previous timescale of 26/05/05 not met). Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 19 5 OP12 12(2) 6 OP15 16(2)(i) 7 OP15OP27 18 (1)(a) 8 OP15 16(2)(i) 9 OP21 16(2)(j) 10 OP26OP19 23(2)(b)& (p) 11 OP29 19 & Schedule 2 The registered person must ensure that the home is able to demonstrate that the service users have been consulted in respect of their daily life and social activities. The information gained must be duly noted and actioned where possible. (Previous timescale of 26/05/05 not met). The registered person must ensure that food delivered to units is done so correctly and is maintained at the correct temperature. Systems must be introduced to ensure specifically required food items arrive when required. The registered person must ensure that staff are appropriately deployed at meal times to support and supervise residents. The registered person must ensure that systems are introduced which ensure that all residents receive drinks and food when required and/or desired. The registered person must ensure all food preparation areas comply with Environmental Health standards. The registered person must ensure that all areas of the home are appropriately lit to meet the needs of those with failing eyesight. Repairs must be carried out in a timely manner. The registered person must ensure that records required by Schedule 2 (as amended) of the Care Home Regulations 2001, which relate to the staff employed at the home, are consistently held on file and remain available for inspection at all times. (Previous timescale of 26/05/05 not met). DS0000039731.V249782.R01.S.doc 15/11/05 01/11/05 01/11/05 01/11/05 01/11/05 15/11/05 01/10/05 Oakland Care Centre (Moston) Version 5.0 Page 20 12 OP38 13(3) 13 OP38 13 & 23 The registered person must ensure that infection control procedures are maintained. Ensure timely laundering of residents’ bedding and clothing. The responsible individual must ensure that risk assessments conducted in relation to the home’s fire safety and health and safety are duly completed, signed and dated. (Previous timescale of 26/05/05 not met). 01/11/05 15/11/05 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 OP27 Good Practice Recommendations The registered person should ensure that staffing hours for laundry provision do not fall below one hour per week, per resident. Oakland Care Centre (Moston) DS0000039731.V249782.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Oakland Care Centre (Moston) DS0000039731.V249782.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. 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