CARE HOMES FOR OLDER PEOPLE
Oakland Court 26 Admiralty Road Felpham Bognor Regis West Sussex PO22 7DW Lead Inspector
Mrs L O`Donnell Unannounced Inspection 17th January 2006 03:00 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 Court DS0000014645.V278469.R01.S.doc Version 5.1 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 Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Oakland Court Address 26 Admiralty Road Felpham Bognor Regis West Sussex PO22 7DW 01243 842400 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) Oakland Court Limited Mrs Julie Elizabeth Nicholas Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Up to thirty seven (37) male and/or female service users in the category of old age, not falling within any other category may be accommodated. Only service users over sixty five (65) years of age may be admitted. Date of last inspection 31st August 2005 Brief Description of the Service: Oakland Court is a care home registered to provide accommodation for up to thirty-seven 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 well-maintained garden, with seating areas. The Service is privately owned by Oakland Court Ltd. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection, which took place during the afternoon and evening of the 17th January 2006. In preparation for the inspection the Inspector reviewed the previous inspection report and any correspondence received since the last inspection. During the inspection the Inspector spent time talking with residents in the lounge and dining room, either individually or within small groups. The inspector also spoke with both day and night staff. In addition a tour of the home was undertaken and records reviewed with the new manager. Since the last inspection the previous Registered Manager has left the home. The Registered Provider made arrangements for the Registered Manager of their other home to manage Oakland Court until they could recruit. However this manager, who is already registered with the Commission, has decided to stay at Oakland Court and the Commission is currently processing her application to register her as the manager. Through both inspections this year it has been demonstrated that the home provides a high standard of accommodation and facilities. Standards of care at the home are also high and are consistently provided. Staff demonstrated a good understanding and awareness of residents needs and how these are to be met. Residents spoke very highly of the staff team, and the home generally with comments including ‘the staff are wonderful’, ‘staff are very caring’, ‘I’m very happy here’, and ‘you couldn’t do better.’ What the service does well: What has improved since the last inspection? What they could do better:
No requirements or recommendations have been made at this inspection.
Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 6 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 Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The home does not offer intermediate care. (All the other standards were assessed as met at the last inspection.) EVIDENCE: People requiring respite care can be accommodated at the home, however intermediate care is not a service that is offered. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 Each resident has a care plan in place, which provides details of their health, personal, and social care needs. Residents feel that they are treated with respect. EVIDENCE: Residents have a care plan in place, which is kept within their own rooms. This provides information as to their actual care needs and how these are to be met. The new manager is in the process of introducing a new format for these care plans, which will provide additional information. In addition staff record details of care given, any health issues, health professional visits and outcomes and other matters of note within a daily record log. During the inspection staff were observed to treat residents respectfully. This was supported by residents spoken with who confirmed that staff treated them respectfully and respected their privacy. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 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, 13, 15 Daily living routines are flexible and a range of activities is provided. Residents are able to maintain contact with family and friends. Residents enjoy a good variety of meals EVIDENCE: Residents confirmed that daily routines were flexible and relaxed and that they choose what they wish to do and when. A programme of activities is arranged and this is displayed on a weekly basis within the lounge. It was noted that since the last inspection the type and frequency of activities has increased. Those residents spoken with advised that they enjoyed the activities and entertainment arranged. In addition some residents are able to pursue their own hobbies and interests. The home is close to shops, cafes and the beach and some residents advised that they and others, who are able, walk to and enjoy all of these. Residents and staff spoke about the Christmas festivities within the home. The inspector was shown photographs of these.
Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 11 Residents confirmed that their relatives and friends are able to visit at any reasonable time. In addition some residents confirmed that their relatives have lunch with them at the home. One resident was observed to arrange this for the following day. 90 of residents spoken with advised that they enjoyed the food with comments such as ‘it is very good’, ‘I enjoy the meals’ and ‘there’s lots of choice.’ Suppertime was observed to be very relaxed with staff available to assist if necessary. It was noted that residents choose where they wish to have their meals, either in the dining room or in their own rooms, and if they sit with others or alone. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 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): 18 Residents are protected from abuse. EVIDENCE: There are policies and procedures in place to safeguard residents from any form of abuse. The home has a copy of the West Sussex Guidance for adult protection. Staff receive training in this area. All staff have had a Criminal Records Bureau check and for those staff employed since the Protection of Vulnerable Adults register was begun, a POVA check as well. There are also policies and procedures in place regarding residents money. A few residents have chosen for the manager to keep a small amount of money to cover the cost of things such as chiropody and hairdressing. Individual records are kept for this which detail all expenditure (with receipts). Only the manager and deputy manager have access to this money and both advised that they checked the balance after each transaction. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 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, 20, 26 The home provides a safe and well-maintained environment. Residents have access to a variety of comfortable communal facilities. The home is clean and hygienic EVIDENCE: A tour of the home showed that it is well maintained and kept clean and tidy. The atmosphere within the home is relaxed and homely. One of the residents spoken with described the home as ‘very homely.’ All residents were very happy with the communal rooms. There is a large lounge, sun lounge, spacious dining room and well-maintained and attractive garden. All of the rooms are furnished to a high standard. Records show that the home complies with the requirements of the local fire service and environmental health department.
Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 14 The laundry room is sited separately, away from food storage, preparation and eating areas. There are policies and procedures in place for infection control. Staff confirmed that they received training in this area. They also confirmed that they have protective clothing available to use as necessary. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 15 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 The needs of the current residents are met by the numbers and skill mix of staff. EVIDENCE: The staffing rota was seen during the inspection. This showed that there was a minimum of 3 care staff on duty during the day, with two waking night staff. Since the last inspection there have been some changes to the way in which the rota works and all staff spoken with confirmed that they preferred the new way in which shifts were organised. All staff spoken with demonstrated a good awareness and understanding of the needs of the residents. Staff were observed to be relaxed with the residents. Residents spoke very highly of the staff team with comments including, ‘the staff are very caring’, ‘I feel very cared for’. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 16 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): 35, 38 The financial interests of residents are safeguarded. The health safety and welfare of residents and staff are promoted and protected. EVIDENCE: There are policies and procedures in place with regards to resident finances. The majority of residents manage their own finances, and this was confirmed by a number of the residents spoken with. A few have chosen to keep a small amount of money within the homes safe. For these residents the manager keeps and maintains an individual record of all transactions for which receipts are also obtained and kept. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 17 There are also policies and procedure in place for all aspects of health and safety and safe working practices. Staff receive training in safe working practice areas. All equipment and services within the home are regularly monitored and checked. Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oakland Court DS0000014645.V278469.R01.S.doc Version 5.1 Page 21 - 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!