Inspection on 04/09/06 for Oakland Court

This inspection was carried out on 4th September 2006.

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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oakland Court 26 Admiralty Road Felpham Bognor Regis West Sussex PO22 7DW Lead Inspector Mrs V Gay Unannounced Inspection 11:45 4 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 Court DS0000014645.V302794.R01.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 Court DS0000014645.V302794.R01.S.doc Version 5.2 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 Susan Greenhill Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 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 17th January 2006 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.V302794.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Key Inspection, which took place on 4th September 2006 between 11-45am and 4pm. Prior to the Inspection, the previous inspection report was reviewed along with any correspondence received since the last inspection. Where there have been no changes the report remains the same. During the inspection the Inspector spoke with residents, and staff. Records in relation to care planning, meals, quality assurance, accidents and health and safety issues were reviewed. No family visitors were present, however a visiting professional said he thought the home was comfortable and he had no concerns. Four residents were case tracked to ensure their needs were being met. This included new admissions and short stay residents. Two files for new staff members were examined as part of the inspection process. Residents praised the home in every respect. Comments included the following “ You couldn’t fault the care…staff are so good … it’s a grand home in everyway…the food is good so much choice…and the manager is approachable” No requirements were made during this inspection. What the service does well: Oakland Court offers the residents, comfortable accommodation, good care, a choice of meals and the opportunity to engage in a range of activities. Residents spoke highly of the staff team and comforts of the home. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 6 It was evident from resident’s comments that the position of the home added to their quality of life. Everyone spoke very highly of the care provided at Oakland Court and no adverse comments were made to the inspector. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 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.V302794.R01.S.doc Version 5.2 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): 1,2,3,6 Prospective residents are given appropriate information about the home prior to moving in. Written contracts are provided for all residents. All residents have a pre admission assessment of need undertaken prior to moving into the home. Prospective residents and/or their representatives are able to visit the home prior to moving in on a permanent basis. Intermediate care is not a service provided at the home. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 9 Case tracking confirmed good practice. Records showed a thorough assessment was undertaken prior to admission to ensure the home could meet individual needs. Residents confirmed that they had received a Statement of Purpose and Service Users Guide giving full details about the home and facilities available. Staff members spoken with were able to demonstrate a clear understanding of each resident’s needs and special preferences. They were observed to go about their duties in a calm professional manner. Residents comments included the following” They are very good here… it’s a grand place…the food is varied and there is plenty of it…we are asked to comment on the standards in the home…I can see my GP whenever I need to”. It was clear from discussion with the residents and observations made during the inspection that they enjoyed a good relationship with the staff. Records inspected were up to date and care plans had been reviewed by the key worker. Each resident receives a written contract and terms and conditions of residency indicating what is included in the fees. A six monthly newsletter is distributed to ensure residents know what is happening in the home. Residents spoken with during the course of the inspection said that they had been made to feel very welcome by the staff and residents. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10 Each resident has an individual plan of care in place. Residents have access to all health related services. Medication is safely stored and suitably recorded. Resident’s privacy and dignity is promoted by the homes policies and practices. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Residents care plans were examined as part of the case tracking process. It was agreed that although care plans contained the relevant information to comply with Schedule 4 Regulation 17(2) of the care Standards Regulations 2000 some procedures needed to be reinforced, as three care sheets were missing from the rooms of those residents case tracked. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 11 A dependency assessment tool and physical needs chart gave a clear indication of what assistance was needed and what residents could do for themselves. Residents were encouraged to remain as independent as possible within their own physical ability. One resident said “ The staff assist me in the morning, and help me get dressed they are so kind… Another resident said no restrictions were imposed on her and that she was free to spend her time as she wished. Residents spoke highly of the attention given to them by the staff. Residents have the opportunity to join in exercise classes and to go out with the care staff. Equipment is in place to promote independence and assist residents with their daily tasks of living. Medication was securely stored and suitably recorded. The medication record was up to date and the senior member of staff had duly completed and signed for the early morning drugs round. All staff involved in the administration of prescribed medication have received the relevant training to ensure their competence. A Pharmacist had visited the home on the 21st February 2006 to inspect the systems in place, and had found everything satisfactory at that time. Residents who choose to manage their own medication are encouraged to do so following a risk assessment. Residents have keys to their rooms to ensure their privacy and safe guard their personal belongings. Staff were seen to knock on residents doors and to wait before entering. Residents care plans showed that GP’s visited by request and other health related services were provided. A GP making one of his regular visits to the home said he had no concerns. EVIDENCE: Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14,15 Meal times and daily routines are fairly flexible to meet residents preferences. Residents are able to maintain contact with family and friends and access the local community. Residents are able to exercise personal choice and control over their lives Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities and outings are on offer to the residents. A newsletter informs residents of forthcoming events, together with weekly programmes which are displayed on the notice boards. Good practice was observed, that staff also reminded residents daily of what’s on in the home. On the day of this unannounced inspection two residents were having an early lunch to enable them to attend a local club for the blind. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 13 Residents said their families and friends were made welcome when they visited the home. A visitor’s book showed that the home had several visitors in the course of a week. Residents said they could furnish and personalise their rooms. One resident recently admitted said how pleased she was with her accommodation, and that she was having a special telephone line installed at her request, which she would pay for. People living at Oakland Court are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. A resident on respite short stay said she found the home to be very comfortable and accommodating. Meal times are served in the dining room or in the residents own room. The main meal served during the inspection offered a variety of choice and contained fresh produce. Likes and dislikes are noted and the cook consults daily with residents to ensure the meal was to their liking. The food is of a high standard, and caters for all dietary needs. Residents told the inspector the food was of a very good standards and that they could not complain in anyway. Oakland’s Court is within a short walk of the sea and cafes, which clearly adds to the quality of life for the residents. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 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 the following standard(s): 16,18 There are appropriate policies and procedures in place to ensure as far as possible that residents are protected from abuse There is a complaints register incorporated in the Statement Of Purpose and Service Users Guide. No complaints have been recorded since the previous inspection. Quality in this area is good. This judgement was made using evidence available, including a visit to this service. EVIDENCE: Residents are listened to and understand how to make a complaint should they wish to. Regular training sessions for staff, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Oakland Court are protected from bad practice. There is a complaints procedure included in the Statement of Purpose and Service Users Guide. Residents spoken with said they knew whom to complain to should the need ever arise. Residents meetings and Quality Assurance surveys encourage residents Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 15 and their families to comment on the standard of service. Senior staff member said that they had received training in Adult Protection as part of the National Vocational Qualification level 2, which several of the staff have obtained. The Registered Manager confirmed that any incident or allegations of abuse would be dealt with following the West Sussex County Council procedures in place. All staff have Criminal Records Bureau enhanced checks done before working in the home to ensure they are safe to work with vulnerable people. Staff interviewed told the inspector that training is always on offer to them in a range of relevant topics. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 16 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 Residents live in a safe, well-maintained environment. The home is kept clean and hygienic with systems in place to prevent the spread of infection. Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home revealed well-proportioned accommodation, attractive communal areas all furnished to a high standard. Residents have a choice in accommodation depending on availability. Residents spoke highly of the homes facilities. A Fire Officers report on file indicated that the means of escape and general fire safety arrangements appear satisfactory at that time. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 17 One resident said, “she had lived at the home for a year and if she wasn’t fully satisfied she would have left by now”. Another resident said she was pleased to be able to furnish the room with her own belongings, which made it more acceptable to her. A maintenance person is employed to ensure the servicing and routine repairs are kept up to date. Residents commented on how much pleasure they derived from the attractive secluded gardens, which were well used on the day of the inspection. Standards of hygiene/ cleanliness throughout the home were very good. No hazards were noted during the course of this inspection. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 18 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 Residents are in safe hands at all times. A robust recruitment procedure is followed to ensure the right types of staff are employed to care for vulnerable people. The current staff team are able to meet the assessed needs of the residents. Staff members receive appropriate training to enable them to meet the needs of the residents. Quality in this area is good. This judgement was made using evidence available, including a visit to this service. EVIDENCE: The inspector saw the duty board and asked residents if there were sufficient staff for the help and support they needed. Residents confirmed that staff were always available and willing to help. A new resident said “ I tend to get lost, and staff are so kind they come and assist me in a sensitive manner without being asked” The duty cook, kitchen assistant, cleaners and handyperson were on duty at the time of the inspection. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 19 Three staff files were examined; this included any new members of staff employed since the previous inspection. They contained the necessary documentation required by Schedule 4 and Regulation 17 (2) of the Care Homes Regulations. The home is on its way to achieving 50 of its care staff trained to National Vocational Qualification level 2. Two staff interviewed said they felt well supported by the manager, and that training courses and refresher training are provided. Records evidenced that staff on duty were competent and trained to carry out their duties. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 20 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 The Registered Manager is qualified, competent, and experienced to run the home and meets its stated purpose. The home is run in the best interest of Service Users . There are appropriate policies and procedures in place to safeguard resident finances. The health, safety and welfare of residents and staff are promoted and protected. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 21 EVIDENCE: Residents live in a home that is run and managed by a person, of good character who is able to discharge her responsibilities fully. The Registered Manager confirmed that any monies held on behalf of residents were recorded and receipted as appropriate. The Responsible Individual on behalf of the company is progressive in her outlook towards staff development and encourages staff to attend courses in relevant topics. The Responsible Individual ensures that Quality Assurance is maintained and that any topic of interest or best practice is cascaded to the staff. The minutes of a staff meeting showed that staff had been made aware of the recent media reports on administration of medication and nutrition in are homes. As a result staff had received training to this effect. The accident record was examined as part of the case tracking process and any incident involving the well being of the residents was recorded. Staff also meet regularly as a team and individually for one to one supervision. Procedures are followed to promote and protect the health and safety of the residents. Regulation 26 Reports are submitted monthly to the Commission for Social Care Inspection. Record keeping in the home is generally of a good standard although as previously mentioned care sheets kept in residents rooms should be regularly audited to ensure a continuity of care is recorded. Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 22 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 X X X X X X 4 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 3 X 4 X 3 X X 3 Oakland Court DS0000014645.V302794.R01.S.doc Version 5.2 Page 23 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. 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.V302794.R01.S.doc Version 5.2 Page 24 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. 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