Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 05/09/06 for Oakland Care Centre (Moston)

Also see our care home review for Oakland Care Centre (Moston) for more information

This inspection was carried out on 5th September 2006.

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.

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

The home carries out a pre admission assessments before a resident is admitted to the home to make sure that the home can meet the person`s needs. It was seen during this inspection visit that residents appeared to be settled and content. The relationships between residents and staff appeared to be very good. Staff were seen to be sensitive to individual resident`s needs and were seen chatting and sharing a joke with residents. The residents spoken to were all positive with regard to the staff. One visitor to the home said, "the staff here are very good and I think they look after my mum very well". The atmosphere in the home felt laid back and relaxed. The home has an open visiting policy and a visitor spoken to said that she could visit whenever she liked and staff always made her feel very welcome. From observations made and from talking to staff, a visitor and residents at the home, it appeared that the privacy and dignity of residents was protected and that residents were able to have choice with regard to their every day life. A choice of meals was available at each mealtime and the resident`s spoken to, with the exception of one, were happy with the quality and quantity of food. Systems were in place to support residents or visitors to make a complaint and the people spoken to confirmed this.

What has improved since the last inspection?

Since the last inspection, the home had continued to work hard to improve the care plans for residents and improvements were seen. The daily progress report contained more information regarding the care that the residents receive and the plan of care detailed the action which needed to be taken by care staff to ensure that the care needs of the residents are met. The plans of care included privacy, dignity and individual likes and dislikes of residents. However some shortfalls were seen which are detailed below. As required at the last inspection, the policy for the Protection of Vulnerable Adults (POVA) had been updated and a copy was available for all staff to access. Since the last inspection a copy of the home`s policies and procedures has been made available on both floors in the home for all staff to access.

What the care home could do better:

Improvements were seen in the residents` care plans, however it was noted that although it was documented that the care plans had been regularly reviewed the actual plan of care was not always updated to reflect the current care needs of the resident. The requirement made at the last the last two inspections that all prescribed medication must be signed for had not been met. The requirement has been made again in this report in this report. At the time of this visit the home was advertising for the post of activity coordinator and some of the resident`s spoken to said that they were bored and not enough activities were provided. At the last inspection some requirements were made in relation to the environment of the home. For example, some of the wardrobes had broken and missing drawers and one of the bathrooms had cracked and broken tiles. These matters had not been addressed. During this visit other areas of the home were showing general signs of `wear and tear` and should be addressed by the home. For example, the grounds to the rear of the property was poorly maintained. The majority of fence panels were missing, the ramp leading from the resident`s dining room and the patio area off the lounge area had weeds growing through the flags. The carpet in the smoking part of the lounge was stained and marked in places. It was also of concern that the smoking area did not have any ventilation and was not separated from the main lounge area.This could cause discomfort for the none smoking residents. The home is a detached purpose built building and it was noted that on one side of the building an external pipe was leaking very hot water onto the floor and grassed area. The senior nurse said that the home had recently had some problems with the heating system and she thought the leaking water was from that problem. The contractors were contacted and attended the home during this visit. The inspector was told that risk assessments would be completed and that the problem would be repaired 2 days after the inspection. Evidence of this must be provided to the Commission. On a tour of the building it was noted that a number of fire doors had been wedged open. To ensure the health and safety of residents and staff are protected at all times fire doors must not be wedged open.

CARE HOMES FOR OLDER PEOPLE Oakland Care Centre (Moston) 134 Kenyon Lane Moston Manchester M40 9DH Lead Inspector Geraldine Blow Key Unannounced Inspection 09:30 5 September 2006 th 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.V303893.R02.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. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 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) 0161 682 5554 0161 682 7775 oaklandmoston@highfield-care.com Southern Cross Home Properties Limited Mrs Wendy Wood 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.V303893.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 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. 9th March 2006 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 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 is a ramp to the home’s main entrance and a passenger lift that enables 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. The charges for fees range from £373 to £465.08 per week. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 5 The Commission for Social Care Inpsection (CSCI) report is available at the home and through the CSCI Internet site. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the last inspection on 9 March 2006 and some supporting information received in the pre-inspection questionnaire submitted by the home prior to this visit, and the requirements made at the last inspection. This visit was unannounced and forms part of the overall inspection process. The visit took place on Tuesday 5 September 2006. The opportunity was taken to look at all the Key standards of the National Minimum Standards (NMS) and the requirements made at the inspection on 9 March 2006. This inspection was also used to decide how often the home is to be visited to make sure that it meets the required standards. As part of the visit, time was spent with the residents who live at the home, speaking with a visitor to the home, observing how staff work with residents, discussions with the nurse in charge, a telephone conversation with the Responsible Individual (RI) of the home, some staff members, assessing relevant documents and files and a tour of the premises was undertaken. What the service does well: The home carries out a pre admission assessments before a resident is admitted to the home to make sure that the home can meet the person’s needs. It was seen during this inspection visit that residents appeared to be settled and content. The relationships between residents and staff appeared to be very good. Staff were seen to be sensitive to individual resident’s needs and were seen chatting and sharing a joke with residents. The residents spoken to were all positive with regard to the staff. One visitor to the home said, “the staff here are very good and I think they look after my mum very well”. The atmosphere in the home felt laid back and relaxed. The home has an open visiting policy and a visitor spoken to said that she could visit whenever she liked and staff always made her feel very welcome. From observations made and from talking to staff, a visitor and residents at the home, it appeared that the privacy and dignity of residents was protected and that residents were able to have choice with regard to their every day life. A choice of meals was available at each mealtime and the resident’s spoken to, with the exception of one, were happy with the quality and quantity of food. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 7 Systems were in place to support residents or visitors to make a complaint and the people spoken to confirmed this. What has improved since the last inspection? What they could do better: Improvements were seen in the residents’ care plans, however it was noted that although it was documented that the care plans had been regularly reviewed the actual plan of care was not always updated to reflect the current care needs of the resident. The requirement made at the last the last two inspections that all prescribed medication must be signed for had not been met. The requirement has been made again in this report in this report. At the time of this visit the home was advertising for the post of activity coordinator and some of the resident’s spoken to said that they were bored and not enough activities were provided. At the last inspection some requirements were made in relation to the environment of the home. For example, some of the wardrobes had broken and missing drawers and one of the bathrooms had cracked and broken tiles. These matters had not been addressed. During this visit other areas of the home were showing general signs of ‘wear and tear’ and should be addressed by the home. For example, the grounds to the rear of the property was poorly maintained. The majority of fence panels were missing, the ramp leading from the resident’s dining room and the patio area off the lounge area had weeds growing through the flags. The carpet in the smoking part of the lounge was stained and marked in places. It was also of concern that the smoking area did not have any ventilation and was not separated from the main lounge area. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 8 This could cause discomfort for the none smoking residents. The home is a detached purpose built building and it was noted that on one side of the building an external pipe was leaking very hot water onto the floor and grassed area. The senior nurse said that the home had recently had some problems with the heating system and she thought the leaking water was from that problem. The contractors were contacted and attended the home during this visit. The inspector was told that risk assessments would be completed and that the problem would be repaired 2 days after the inspection. Evidence of this must be provided to the Commission. On a tour of the building it was noted that a number of fire doors had been wedged open. To ensure the health and safety of residents and staff are protected at all times fire doors must not be wedged open. 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.V303893.R02.S.doc Version 5.2 Page 9 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.V303893.R02.S.doc Version 5.2 Page 10 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home undertakes an assessment of prospective residents’ care needs prior to their admission. EVIDENCE: The home has a documented pre admission assessment booklet to ensure that prospective residents are only admitted on the basis of a full assessment. The nurse in charge confirmed that all residents, unless it is an emergency admission, have the pre admission assessment and for residents who are referred through Care Management arrangements the home obtains a summary of the Care Management Assessment as well. The nurse in charge said that following the pre-admission assessment the home confirms in writing to the resident that the home is able/not able to meet their assessed needs. The home does not provide an intermediate care service. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 11 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Care plans were in place but required further work to ensure residents’ health, personal and social care needs are fully met. The systems and procedures for dealing with medicines needed some improvements to protect residents. EVIDENCE: A random sample of care plans was examined. As already reference in this report some improvements were seen in the care planning process and the Responsible Individual and the nurse in charge confirmed that regular care plan audits are undertaken to ensure that the required standards are met. However, some shortfalls were identified. In the main the plans of care were found to be detailed, informative and clearly set out the action that needed to be taken by staff to ensure that all aspects of health and personal care needs of the residents were met. It was Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 12 encouraging to note that privacy, dignity and individual choice was promoted within the care plans. Appropriate risk assessments had been completed and a review of pressure sores/wounds had been undertaken which included wound measurements. Photograph of wounds were seen in order to review the progress and the recommendation made at the last inspection that consent for taking photographs should be obtained had been met. Some of the photographs were a little exposing and it is recommended that only the wound to be photographed be exposed. The plan of care documented which pressurerelieving mattress was in use for individual residents. It was encouraging to note that regular reviews were being undertaken. However it was noted that not all the plans had been updated accordingly to reflect any changes in care to ensure that all aspects of residents’ health, personal and social care needs are met. For example one resident had been admitted to the home requiring personal care only, however following a review it was determined that she required nursing care. The care plan had not been updated to include the nursing needs although it had been documented that regular reviews had taken place. The nurse in charge said that her care needs had changed and the plan of care was not accurately reflecting her needs. Some evidence was seen that the resident/and or their representative had been involved in the development and reviewing of the care plan. It is recommended that all residents/and or their representatives be given to this opportunity. Residents were registered with local General Practitioners and had access to visiting healthcare professionals e.g., Dietician, Chiropody, Dentistry and Ophthalmology. This ensured residents were in receipt of appropriate health services necessary to support their health care needs. Medication was examined. The nurse in charge said that once a week she conducts a tablet count for all medication not supplied in the blister packs. This is seen as a good practise. The medication file contained a photograph of residents for easy identification and it was commendable to note that it had been documented on the front sheet for each resident if they required thickened drinks with which to take their medication. There was a record of specimen signatures of staff responsible for the administration of medication. It was noted that staff were recording the drug fridge temperatures, however there were gaps in the recordings. It is recommended that daily drug fridge temperatures are recorded to ensure that medication is stored at the required temperatures. The bin used to store medication to be collected from the home was full and therefore the lid could not be securely fitted. The nurse in charge said that unwanted medication was collected on the 16th of every month. She told the Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 13 inspector that she had already phoned the company to obtain a further bin and said that she would make a further pone call. On examination of the Medicine Administration Record (MAR) sheets a number of shortfall were identified. Several prescribed medications had not been given but had been signed for as being given. As required at the last inspection, some prescribed medication e.g. creams, and drink thickeners had not been signed for. In order to provide an accurate audit trail all prescribed medication must be signed for by the person administering them. It was of concern that the prescribed medication, which is used to thicken drinks and soups for residents with swallowing impairment, had not been signed for. In order to ensure that residents care needs are being met it is vital that a record is maintained of each drink/soup etc that has been thickened. This includes every cup of tea/coffee/juice/water every time the resident has a drink. It is essential that the person making the drink signs a sheet, this does not have to be the nurse and it does not have to be signed on the MAR sheet, a separate drinks sheet may be constructed for each resident. In addition, it is essential that the information for thickening is accurate. The dietician will give detailed advice on the matters highlighted and this must be readily available to all involved in the preparation of drinks/ food for a resident. In line with the Royal Pharmaceutical Guidelines the home received the prescriptions and took a copy before they were sent to the pharmacy for dispensing so that the home had an accurate record of what the GP had prescribed. It was noted that some medication with a limited life did not have the date of opening documented and so the home could not be sure that out of date medication is not given to residents. From observations made during the inspection and discussions with members of staff, residents and a visitor to the home it appeared that the nurses and care staff treated the residents with respect and dignity. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 14 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Some activities were provided and residents were able to maintain contact with family and friends. Residents were able to exercise choice and control over their lives and the residents appeared to enjoy the meals that they choose. EVIDENCE: An activity programme and photographs were on display of recent activities. However at the time of this visit the home were advertising the post of activity co-ordinator and a number of residents spoken to said that they were bored and not enough activities were provided in the home. Some of the care plans had a social care plan and at the last inspection evidence was seen that a record has been kept of the activities that have been implemented. However evidence could not be provided that all residents are consulted about their social interests and the planning of activities, outings and entertainment. The home has an open visitors policy where people can visit residents at any reasonable time. Residents can see visitors in privacy of their bedroom or in any of communal areas. The residents and visitor spoken to confirmed this. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 15 The nurse in charge said that since the last inspection the home was now providing the main meal of the day at teatime. These changes was implemented because the majority of residents enjoyed a large cooked breakfast and some residents, at their request, did not have breakfast until later in the morning and so were not hungry enough for a large cooked meal at lunch time. The menus submitted, with the pre inspection questionnaire, demonstrated that the home provided a varied diet, which was nutritionally balanced, although they did not reflect the change over of the main mealtime. It is recommended that the menus be amended to reflect this change. The residents spoken to, with the exception of one resident, said they enjoyed the meals and there was always enough food. One of the residents spoken to said that the meals were a bit bland and tasteless. All the residents and staff spoken to and a visitor to the home confirmed that a choice of meals was available or alternative snacks could be ordered on request. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home encourages and supports people to raise their concerns and complaints and had the policies, procedures and systems in place to protect residents from abuse. EVIDENCE: The home has a complaint procedure on display in the main reception area and at the last inspection the manager had confirmed that a copy had been given to all residents and the home encourages people to raise their concerns and complaints. This was confirmed by residents and the visitor spoken to. A record was kept of all complaints made and included details of the investigation and any action taken. The nurse in charge said that the homes manager holds an open evening every Monday where relatives are encouraged to raise/discuss any issue they have directly with the registered manager. Since the last inspection the home had appropriately initiated 3 Protection of Vulnerable Adults (POVA) referrals. The police were currently investigating one incident and a telephone conversation with the Responsible Individual confirmed that the other 2 allegations had been closed with no action taken. The home had a policy for the protection of vulnerable adults and as required at the last inspection this had been updated to accurately reflect the Departments of Health ‘No Secrets Guidance’. A copy of the updated policy Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 17 was available on each floor of the home and each floor had a copy of the local guidance. At the last inspection evidence was seen that the majority of staff had received POVA training and the manager told the inspector that by the 16/3/06 all staff will have received the training. However the nurse in charge of the home had not received POVA training and she said that she thought that other members of staff and not received the training. To ensure the safety of the residents living at the home all staff must receive Protection of Vulnerable Adults Training, which includes the actions to be taken in the event of an allegation of abuse being made. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service All areas of the home were generally clean, however some areas were not well maintained. EVIDENCE: The location and layout of the home was suitable for its stated purpose. The home was found to be generally clean and tidy and the residents and visitor spoken to confirmed that generally the home was clean. The visitor said that occasionally the home did have an unpleasant smell, although no odours were noted on this visit. A tour of the premises identified a number of shortfalls, which are detailed below: Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 19 The requirement made at the last inspection that the cracked and broken tiles in the shower room opposite bedroom 16 must be replaced had not been met. In addition the shower was broken and therefore not in use. The requirement made at the last inspection that the missing drawers in the wardrobe bedroom 13 must be replaced had not been met. A number of other broken drawers were seen in various bedrooms. The RI said that a number of new wardrobes were on order. The patio area outside the residents lounge was seen to have a large number of weeds growing through the flags. The carpet in the smoke area was stained and marked. In addition there was no ventilation for the smoke area and it was not separated from the main lounge area. This has the potentional to cause discomfort for the none smoking residents. The majority of fence panels to the rear of the property were missing and the waste bins including the clinical waste bins were not stored in an enclosed area and the clinical waste bins were not locked. The ramp leading to this area from the dining room was over grown with weeds. This is an area that is accessible to residents and in order to protect their health and safety the RI must ensure that all parts of the home to which residents have access are as far as possible free from hazards. A number of parasols were stored on the floor in the ground floor lounge. As already mentioned in this report the home had been experiencing problems with the heating systems for some time and it was of concern that an external pipe was dripping hot water directly onto the path running down the side of the home. At the request of the inspector the RI was contacted and the contractors attended the home during the visit. The inspector was told that the contractors had already identified the problem, approximately 2 weeks ago, but they were unable to start repairs, as they had not been given authorisation to carry out the work by providers. The authorisation was given during the visit and the inspector was assured that the work would be undertaken on the 7 September 2006 and risk assessments would be implemented in the interim period. It was requested that written confirmation be sent to the Commission. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 20 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service The number and deployment of staff appeared sufficient to meet the residents’ assessed needs however the home was unable to demonstrate that its staff had completed the required training to meet resident’s needs. The procedures for recruiting staff were robust and provided adequate safeguards to protect residents. EVIDENCE: On the day of this visit observations made by the inspector and an inspection of the staff rota indicated that the numbers and skill mix of staff were sufficient to meet the needs of the residents accommodated. The home employs 29 carers and 9 of those staff have successfully achieved NVQ Level 2 and one member of care staff has successfully achieved NVQ Level 3. Five members of care staff are currently working towards NVQ Level 2. The staff files examined contained the appropriate documentation as required by Schedule 2 of The Care Homes Regulations 2001. Each member of staff had a training file, which contained copies of certificates and evidence was seen of a computerised training matrix for all staff. However it was not clear from the evidence seen that all staff had undertaken the Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 21 necessary training (including mandatory and refresher training) in order to protect the residents living at the home. Evidence was seen that a structured induction was in place and information contained in the action plan in response to the last inspection confirmed that the induction programme is based on the Skills for Care Induction Standards. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 22 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, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service A quality assurance system has been developed to seek residents’ views and the systems for managing residents’ money appeared to protect their interests. Some systems in the home did not serve to protect residents. EVIDENCE: On the day of this inspection the registered manager was off sick. The RI told the inspector that she had confirmed in writing to the Commission the previous day that the manager was off sick and had been off sick for 8 weeks. The letter detailed the proposed management arrangements in her absence. The inspector was told that questionnaires had been sent out to all relatives to seek their views of the service delivered. However, in the absence of the manager it was unclear if questionnaires had been sent out to residents and Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 23 visiting professionals. It is recommended that the questionnaire be sent out to all the above people and on receipt of the results from those questionnaires it is recommended that the manager produce an annual development plan. The home employs an administration manager who is responsible for managing residents’ money. On the day of this visit the regional administration manager and the homes administration manager were in the process of transferring all the information with regard to residents finances from one computerised system to another and conducting an audit of the system. The providers of the home have agreed nationally with CSCI’s Provider Relationship Manager (PRM) regarding residents’ finances. The home has a running balance for each resident and receipts are kept for any purchases made. Secure facilities are provided for money and valuables held on behalf of a resident. The fire logbooks were inspected during this visit and it was found that some of the safety checks were not up to date. For example the weekly ‘fire systems’ were last recorded as checked on 12/7/06, the weekly fire door checks were recorded as checked in week 22 which is the week beginning 29 May 2006 and the emergency lighting was last checked in June 2006. In addition fire risk assessment could not be made available for inspection. It was of further concern that a number of fire doors had been wedged open throughout the home. This practice does not serve to protect the health and safety of residents living at the home or the staff working there. Evidence was provided that the home’s maintenance certificates and records were up to date, with the exception of the electrical wiring certificate. It is recommended that the manager ensures that this certificate is up to date. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 24 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 2 Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 Requirement The responsible individual must ensure that residents’ changing healthcare needs are clearly reflected in their individual plan of care. The responsible individual must make arrangements for the recording and safe administration of all prescribed medication. The previous timescale of 31/03/06 had not been met All staff must receive Protection of Vulnerable Adults Training, which includes the actions to be taken in the event of an allegation of abuse. Previous timescale if 30/04/06 had not been met 1. The care home must be kept in a good state of repair both externally and internally. 2. All parts of the home to which residents have access are so far as possible free for hazards to their safety. Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 26 Timescale for action 03/10/06 2. OP9 13 03/10/06 3. OP18 13 31/10/06 4. OP19 13 & 23 31/10/06 5. OP19 13 6. OP30 18 Written confirmation must be submitted to the Commission regarding the faulty heating system and the external pipe leaking hot water 1. Evidence must be provided that all staff have undertaken the necessary (including mandatory and refresher) training. Previous timescale of 30/04/06 had not been met. To ensure the health and safety of residents and staff are protected at all times the responsible individual must ensure: 1. That the home consistently carries out and records fire safety checks. 2. Fire doors must not be wedged open. 10/09/06 31/10/06 7. OP38 13 & 23 06/09/06 Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 27 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 evidence is provided that all residents/and or representatives are given the opportunity to be involved in the development and reviewing of the care plan. It is recommended that only the wound/pressure sore to be photographed be exposed. It is recommended that daily drug fridge temperatures are recorded to ensure that medication is stored at the required temperatures. Evidence should be provided that residents are consulted about their social interests and the planning of activities, outings and entertainment. It is recommended that the menus be updated to reflect the change of time of the main meal. It is recommended that the waste bins are stored in an enclosed area. It is recommended that the quality assurance questionnaire be sent out to the residents and visiting professionals to the home and on receipt of the results the manager produce an annual development plan based on the results. It is recommended that the manager ensures that the electrical wiring certificate is up to date. 2. 3. 4. OP8 OP9 OP12 5. 6. 7. OP15 OP19 OP33 8. OP38 Oakland Care Centre (Moston) DS0000039731.V303893.R02.S.doc Version 5.2 Page 28 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.V303893.R02.S.doc Version 5.2 Page 29 - 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!