Inspection on 31/08/05 for Oakland Court

This inspection was carried out on 31st August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oakland Court 16/02/09

Oakland Court 04/09/06

Oakland Court 17/01/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oakland Court 26 Admiralty Road Felpham Bognor Regis, West Sussex PO22 7DW Lead Inspector Lynne ODonnell Unannounced Wednesday 31 August 2005, 11:00am st 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 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 H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oaklnad Court Address 26 Admiralty Road, Felpham, Bognor Regis, West Sussex, PO22 7DW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 842400 Oakland Court Limited Mrs Julie Elizabeth Nicholas Care Home 37 Category(ies) of PC Care Home 37 registration, with number of places Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Up to 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 65 years of age may be admitted. Date of last inspection 09 December 2004 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 Ltd. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection which took place over a 7 ½ hour period. Prior to the inspection the Inspector reviewed previous inspection reports and any other correspondence or information received. During the inspection the Inspector undertook a tour of the home, spoke with residents and staff and examined care plans and other related documentation. Care plans contained information on the personal, health and social care needs of the residents and were seen to be reviewed regularly. It was evident that residents are involved in the care planning process. Staff promote residents independence, through ensuring and supporting residents to take responsibility for their personal and health care needs as capacity allows, with individual needs and wishes respected. This was confirmed by residents spoken with. Residents spoke very highly of the staff team and the care provided with comments including, ‘I cannot fault the place’, ‘I am very happy here’, and ‘I don’t think that you could get any better.’ Residents also spoke very highly of the food served advising that there was a good choice and range and that it was always well presented. What the service does well: What has improved since the last inspection? What they could do better: The review of activities should continue to ensure that the types and frequency of activities meets the needs, wishes and expectations of the current residents. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 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 H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Information regarding the aims and objectives of the home is available for prospective and existing residents. A written contract is provided to all residents. A pre admission assessment of need is carried out for all residents. The home is able to meet the assessed needs of residents admitted to the home. Any prospective resident or their representative is able to visit the home prior to moving in. EVIDENCE: Copies of the Statement of Purpose and Service User Guide are kept within the entranceway of the home. These provide information on the aims, objectives and services and facilities provided at the home. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 9 The records of five residents were reviewed and these showed that a written statement of terms and conditions are provided and signed by both the Registered Manager and the resident. These include full details of the room to be occupied, the overall care and services covered by the fees, any additional service which can be provided (with additional charges) and the rights and obligations of both the resident and the provider of services. From the sample of records seen it was clear that residents have an assessment of need carried out prior to admission. A standard format is used for this purpose and covers all aspects of personal, social and health care needs. A high proportion of the residents spoken with advised that they had visited the home prior to admission with many staying on a short stay respite basis prior to a permanent move. It was clearly demonstrated through records seen, and discussions with residents and staff that the home is able to meet the assessed needs of the residents living at the home. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 All residents have an individual plan of care in place. The health care needs of residents are maintained and promoted. The administration of medication is appropriately managed. EVIDENCE: The care plans of 5 residents were reviewed during the Inspection. All care plans are kept within residents rooms and those seen showed that residents had been involved in the production of these and had signed them. Through discussions with staff it was also demonstrated that staff discuss and agree care plans with the residents. A standard format is used for care planning which includes information on aspects of social personal and health care needs as appropriate. There is then an individual plan of care needs which is personal to each resident. With the exception of one health care need identified through discussions with a resident, all needs were recorded within the care plans seen. This exception was discussed with the Registered Manager and was rectified during the Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 11 inspection. Whilst it had been omitted from the care plan it was clear from other records seen and discussions with the resident that appropriate treatment was in place and that the situation was being monitored by both care staff and other health professionals. All care plans are reviewed regularly with amendments made as necessary. Records seen and discussions with residents demonstrated that access to health professionals was arranged as required, these were seen to include community nurses, speech therapy and other therapeutic and medical services as appropriate. Both residents and their visitors were satisfied that their health care needs were met. On the afternoon of the inspection one resident had requested to see a doctor and this was dealt with immediately by a member of staff. On the morning of the inspection an exercise session took place in one of the lounge areas. From activity diaries seen this is a regular weekly session. Staff demonstrated a good awareness of individual needs and the need to monitor and take appropriate action when changes in health were noted. All residents spoken with were happy with the care provided and felt that all of their needs were met by the staff team. Comments included ‘staff do anything you need’ and ‘if you are not feeling to well the staff do everything, I was recently not feeling very well and the staff regularly came and checked on me and contacted the doctor for me.’ Prior to the inspection the Commission was notified of a misadministration of medication. From records seen it was clear that all appropriate action had been taken and medical advice sought. To address the issues raised by this incident training in the administration of medication was arranged for staff, evidence of this was seen during the inspection. Appropriate polices and procedures are in place and at the time of inspection all records seen in relation to medication were up to date. Medication was seen to be stored securely. Some residents self-administer their medication. This follows an assessment which is counter signed by their doctor. Lockable storage is provided within residents rooms to ensure the secure storage of their medication. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Daily routines within the home are generally flexible however leisure and social activities within the home can at times be limited. Residents are able to have visitors at any reasonable time. Residents choice and independence is promoted A good choice of balanced and well presented meals are provided within the home. EVIDENCE: Whilst meals tend to be at set times during the day other aspects of daily living are flexible. Residents spoken with confirmed that they were able to get up and go to bed at times that they preferred. One resident advised that when she first moved in this was not the case however as soon as she spoke to the staff about it this was rectified and now times for regular daily activities are determined by her. Activities are arranged within the home and these include musical entertainment, exercises, art and craft, quizzes, bingo and scrabble. In addition last month a garden party was held at the home and other similar events are held throughout the year. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 13 However when speaking with residents a number advised that they would welcome more activities particularly things such as quizzes, scrabble and discussions which provided mental stimulation. This was discussed with the Registered Manager and Responsible Individual of the home who were aware of this through their own consultation with residents and they are currently reviewing the activity provision. Residents confirmed that they were able to have visitors at any times. This was also confirmed by visitors to the home during the inspection, they also advised that the staff always welcomed them. The home is situated close to local shops, cafes, a park and the seafront. Some residents advised the inspector that they enjoyed walks down to the seafront. Others advised that they would welcome more opportunity to do this with staff accompaniment. It was clear when speaking with residents that their personal autonomy and choice and independence was encouraged and supported. 90 of residents spoken were very happy with the food provided, advising that they had a good choice and that the meals were always well presented. They praised the chef highly, with comments about the food including ‘very good’, ‘excellent’, ‘always well presented’, ‘lots of choice’. In addition they advised that the food served at events like the garden party was excellent, this was also confirmed by some of the visitors to the home. The majority of residents eat their midday and evening meals in the spacious dining room. However this is optional and a few choose to have their meals in their rooms. Mealtimes were observed to be relaxed. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 There is a clear and simple complaints procedure in place EVIDENCE: The complaints record book was seen during the inspection. Three complaints had been received, two of which were dealt with appropriately and resolved. The third was referred to the Commission and at the time of the inspection was still being investigated. Residents if asked were clear as to who they would speak with if they had any issues or concerns. One resident advised that she had ‘no complaints however if there was something then I am sure that they would do everything they could to put it right.’ Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 24 Residents have access to safe and comfortable indoor and outdoor communal rooms and areas. All residents rooms have ensuite facilities. There are also other toilets and bathing facilities throughout the home. All rooms are single occupancy and residents are able to furnish these with their own possessions if they wish to do so. EVIDENCE: The home has lounge areas, a large conservatory and dining room. Both the conservatory and dining room give access to the rear garden which is well stocked with plants and flowers and is very well maintained. There are chairs and tables outside and a gazebo has been erected for the summer months. A number of residents were observed to sit out in the garden during the inspection. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 16 All furnishings in the communal rooms are of good quality. All individual rooms offer ensuite facilities. In addition there are two assisted bathrooms, a shower room and additional toilets situated close to the communal areas. The home provides furniture for residents or alternatively residents are able to bring their own furniture and possession with them. All residents spoken with in their rooms expressed great satisfaction with the room, in terms of layout, position, views and furnishings. Visitors also commented that the rooms and the home generally were always kept clean and tidy. Rooms are lockable and records show that residents are able to choose if they wish to have keys. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staffing numbers are appropriate to meet the assessed needs of the current residents. Residents are protected by the recruitment policy of the home. There is a staff training and development programme in place. EVIDENCE: Rotas showed that staffing levels were consistently maintained, with three care staff on duty during the day and evening, and two waking night staff members. Residents spoke very highly of the staff team and in discussions with staff they were able to demonstrate an understanding of the care needs of the residents. Comments from residents included ‘staff do everything they can’, ‘I know that the staff are there if I need any help’. Recruitment records were seen for two members of staff and these demonstrated that the Registered Providers operate a thorough and robust procedure. Attendance on training courses were seen within staff records . The Registered Providers also maintain a central record of all training undertaken and arranged for the coming year. This was seen to include a variety of training areas and staff confirmed the training they had attended. A new member of staff confirmed that they had received appropriate induction training and had Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 18 felt supported by the management of the home. Records seen and discussion with the Registered Manager and Responsible Individual demonstrated that there was a commitment to provide National Vocational Qualification training for staff. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 The current Registered Manager has successfully completed the registration process demonstrating their competence to run the home. The home is run in the best interests of the residents. Staff are appropriately supervised. EVIDENCE: The current Registered Manager has demonstrated to the Commission that she has appropriate experience and knowledge to manage the home. However the Commission has been notified that she will be leaving the home in late September. The Responsible Individual has confirmed the arrangements for the continued running of the care home whilst a new manager is recruited. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 20 There are quality assurance and monitoring systems in place. Completed questionnaires that have been given to residents who had stayed at the home on a respite basis were seen. In addition resident meetings are held within the home. It was evident throughout the inspection that both staff and the management are available to speak with residents on request. It was clear from records seen that staff receive regular supervision and the staff spoken with confirmed this. Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x 3 3 x x 3 x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x x 3 x x Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 22 no Are there any outstanding requirements from the last inspection? 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 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. 1. Refer to Standard Good Practice Recommendations Oakland Court H60-H11 S14645 Oakland Court V241311 310805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing West Sussex 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. 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