Inspection on 16/02/09 for Oakland Court

This inspection was carried out on 16th February 2009.

CSCI found this care home to be providing an Excellent service.

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

Oakland Court 04/09/06

Oakland Court 17/01/06

Oakland Court 31/08/05

Oakland Court 09/12/04

Oakland Court 27/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oakland Court 26 Admiralty Road Felpham Bognor Regis West Sussex PO22 7DW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sheila Gawley     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Oakland Court 26 Admiralty Road Felpham Bognor Regis West Sussex PO22 7DW 01243842400 01243842924 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Oakland Court Limited Name of registered manager (if applicable) Mrs Julie Van Biene Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 37. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Oakland Court is a care home registered to provide accommodation for up to thirtyseven Service Users in the category of Older People (over the age of 65). The home is a converted building situated in the village of Felpham and is close to local amenities, the seafront and local transport. Accommodation is provided on three levels, a vertical lift services each floor. All rooms are single occupancy and all have en-suite facilities. There are spacious lounge and dining areas which open out onto a pleasant wellCare Homes for Older People Page 4 of 24 care home 37 Over 65 37 0 Brief description of the care home maintained garden, with seating areas. The Service is privately owned by Oakland Court Ltd. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This site visit as part of the inspection was carried out on 16th February 2009 . The registered manager facilitated the inspection. The Commission for Social Care Inspection was in receipt of an Annual Quality Assurance Assessment from the home, which contained the information we required. Prior to the inspection all files held by the Commission including comments and complaints were reviewed. Any records or documents required on the day were made available. Surveys were received from seven people who use the service, three staff and one Care Homes for Older People Page 6 of 24 health professionals, all comments were positive. During the visit people were spoken to and all comments were positive expressing pleasure with the care offered, the food and the attitude of staff. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because needs are assessed prior to admission. Evidence: People are visited and needs are assessed prior to admission. A pre admission dependency profile covering all aspects of personal care is completed. People spoken to stated that they were happy with the admission process and that they had enough information on the home. People can be admitted for a trial period to decide if the home is the right place for them. The statement of purpose and service user guide are available in large print. A websit has been developed so that information can be accessed in this manner. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because needs are assessed and met. Evidence: New care plans have been introduced and all residents had a plan of care. Three people who use the service were case tracked their care plans and medicine administration charts were inspected. The care plans inspected contained information on health, medical, personal and social need. A nutritional assessment is undertaken on admission. The care plans were drawn up following an assessment of these needs. The person who uses the service is involved in drawing up the care plan and information is sought from the primary care team. The plans are person centered and independence is encouraged. There was evidence of daily records, monthly review, monthly weight and a record of general practitioner visits in the plans. An optician visits the home as required. Care Homes for Older People Page 11 of 24 Evidence: Needs assessed includes bathing, personal dressing, eating and drinking, mobility and dexterity and continence. Needs in relation to visual impairment were seen. Social needs are recorded. We were in receipt of seven surveys from people who use the service and comments were positive. The survey received from a general practitioner was positive and commented good level of care and support for residents A key worker system is in place and staff and people who use the service spoken to understood what this meant. There are policies and procedures available for the safe receipt, storage, administration and disposal of medication. There was one shortfall in the administration of a calcium and vitamin D supplement that it was being dispensed to all people who have the medicine from a box prescribed to one individual. The need for all medicines to given to individuals from their own labeled containers was discussed with the registered manager and she will ensure this practice. Controlled drugs are managed according to policy. The quantity of controlled drugs was as stated in the controlled drug register. People can self medicate following risk assessment and have a locked space for medicine storage. There is a homely medicine policy. End of life care is given with the support of the community and Macmillan nurses. People are allowed to remember those who have died by the provision of photographs and a small remembrance service may be held for those people who could not attend the funeral. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience excellent outcomes in this area because the lifestyle in the home suits the people who live there. Evidence: There is a very varied activities programme and people are given a weekly activities sheet in large print. The current one advertises exercises, beach walk, knit and natter, skittles, radio years, music. The local church attends regularly and visitors are made welcome and can stay for a meal. There are themed days and seasonal events. Tea and chat has been introduced between the manager and the people who use the service to encourage informal conversation and comment.There are seasonal events. There are raised flower beds in the accessible garden. The home also involves people who use the service in local charitable events and pictures of a recent one were seen in a local newspaper. The home won a prize in a story telling competition. People who use the service spoken to stated that they enjoy the activities. Surveys received also were mostly satisfied with the activities and one commented the range of activities has increased under the new manager, she tries to meet the needs of the Care Homes for Older People Page 13 of 24 Evidence: range of people in the home. She has purchased an exercise bike for the use of residents. One person who uses the service confirmed using this exercise bike at least twice daily and derives great satisfaction from it, she also enjoys going out for walks. There were details of advocacy services on the notice board. There is a varied choice of food and all people spoken to stated they were happy with it. The menu is changed monthly. The dietitian has recently been consulted to ensure the meals offered are nutritious and to review menus. There is choice every day, one person spoken to stated Food is excellent here, they will alter it if we want. One survey commented the cook regularly asks for feedback and tries to take on board the feedback received. Meals are served in a pleasant dining room , on trays and in an unhurried manner. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area complaints are listened to and people are protected from abuse. Evidence: There is a clear complaints procedure which is on display and which is included in the Statement of Purpose and Service User Guide. The procedure clearly identifies to whom a complaint should be addressed and the timescales in which a complaint would be managed. Trends in complaints are monitored. People who use the service to were clear as to whom they can raise concerns with, the people spoken to stated that there is not need to complain. There are safeguarding policies and procedures in place and staff have ongoing safeguarding training and have had training in equality and diversity. Staff spoken to demonstrated an awareness of safeguarding procedures. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because they live in a safe and well maintained environment. Evidence: There are comfortable, well-furnished communal areas comprising of a sitting room, conservatory and dining room. The furnishings are domestic in style. There have been improvments to the entrance area to provide a small seating area to allow people to wait for visitors. The home on this occasion was neat clean and free from offensive odours. Bedrooms are personalised and people spoken to stated that they are happy with their rooms. One person stated If I knew how nice it was in here I would have come in a year earlier. All rooms have en suite facilities people can have a lock and if they wish to have their doors open an automatic door closure will be fitted. The AQAA stated that people who use the service can influence the way the environment looks by contributing the the meetings held with them. There is housekeeping support which maintains the hygiene of the home and maintenance support to deal with the day to day attention to problems. Care Homes for Older People Page 16 of 24 Evidence: Aids, wheelchairs and hoists are in place to meet assessed need but a survey received from a staff member since the inspection expressed the need for a standing hoist, especially to help meet the needs of people at the end of their lives. Twenty of the 46 radiators in the home are not covered and risk assessment is in place to ensure people who use the service are protected. The registered manager stated it is the homes intention to cover the radiators in the upgrade of each room as this occurs. There are suitable toilet and bathing facilities throughout the home and there are suitable laundry facilities with the correct machines sited away from areas of food preparation and storage. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because needs are met by suitably trained staff. Evidence: There was sufficient staff on duty to meet the residents care as assessed. Staff spoken with confirmed that they were happy with staffing levels and that this was supportive place to work. Staff confirmed training and supervision was up to date. People who use the service spoken to stated they were happy with the number of staff at the home and found them to be kind and caring. They confirmed that they were well cared for. One survey commented that All staff very caring, although sometimes forget to collect my tray or laundry A general practitioner ticked Always in every part of the survey he completed and commented Good level of care and support for residents. Training files were seen and staff confirmed that mandatory and National Vocational Qualifications (NVQ) are provided. Induction is in place, end of probationary period interviews are held. Ten of the 15 carers have National Vocational Qualification Level 2 in care or above, with four staff having level 3. End of life care Dementia training is also undertaken. Overseas staff have attended an English course. Monthly supervision is in place for staff, those on thier probationary period also receive Care Homes for Older People Page 18 of 24 Evidence: these monthly meetings. Two staff files were checked and they contained all of the required documentation to ensure protection of residents. Two references were in place and Criminal Records Bureau Clearance and POVA check had been undertaken. A staff bonus scheme has been introduced to increase retention of staff. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good outcomes in this area because the home is run in the best interests of the people who live there. Evidence: The registered manager is a registered nurse , level 2 and she holds the NVQ Registered manager award. She has been in post since June 2007 completing registration with the Commission in February 2008. The AQAA states that she participates in monthly budget meetings with and receives monthly management figures from the Chief Executive Officer. The AQAA states that occupancy data is monitored weekly. The registered manager and deputy manager are involved in monitoring annual goals as identified in the development plan. There are clear lines of accountability in the organisation and there is a joint monthly management with a sister home. There is an open positive style of management in the home and staff spoken to stated Care Homes for Older People Page 20 of 24 Evidence: that they feel supported. Seven surveys received from people who use the service were positive. People who use the service spoken to on the day were very happy with the management of the home and stated that the registered manager is approachable. There is an awareness of equal opportunities and equality and diversity issues in the home Quality assurance systems are in place to elicit opinion from the residents on how the home is run. They receive surveys and also have meetings. There are staff meetings in place and minutes were available. The registered manager is providing a fire awareness session for people who use the service at their request. There is monthly audit of accidents and complaints in place. The home has for the second year running received the Investors in People award. The AQAA supplied to us was comprehensive and provided the informationwe required. The home has facilities to hold money for people who use the service separately and securely if requested to do so. Monthly staff supervision is in place which exceeds the requirement in the National Minimum Standards. The registered manager receives supervisionand written actions are agreed. The health and safety of residents and staff are ensured by the provision of mandatory training and policies on health and safety. Evidence of utility, equipment, legionella, fire systems and emergency lighting testing is carried out and records were available for inspection Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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