Inspection on 19/12/05 for Oakland Grange

This inspection was carried out on 19th December 2005.

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

The inspector 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 Grange 17/10/06

Oakland Grange 25/07/05

Oakland Grange 21/02/05

Oakland Grange 24/08/04

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 Grange St Floras Road Littlehampton West Sussex BN17 6BB Lead Inspector Mrs L O’Donnell Unannounced Inspection 01:00 19 December 2005 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 Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakland Grange Address St Floras Road Littlehampton West Sussex BN17 6BB 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) 01903 715995 Oakland (Littlehampton) Limited Mrs Susan Greenhill Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2005 Brief Description of the Service: Oakland Grange is a privately owned care home registered to provide accommodation for up to forty two service users in the category OP (old age, not falling into any other category). The home is situated in the village of Littlehampton. Littlehampton shopping centre, train and bus services are nearby. The home occupies three floors with a vertical lift servicing each floor. The majority of rooms are for single occupancy, however some rooms are double rooms, which can be shared if requested. All rooms have en-suite facilities. There is a large and wellmaintained accessible garden at the rear of the home. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection, which took place over four hours. Prior to the inspection, the previous inspection report was reviewed along with any other documentation or communication received. Within the National Minimum Standards for Older People there are core standards, which must be assessed at least once in a twelve month period. The majority of the core standards were assessed at the previous inspection in July 2005, and were considered to be met. Whilst the core standards not assessed at the previous inspection were reviewed as part of this inspection, the Inspector chose to spend the majority of this inspection speaking with residents to obtain their feedback on life within the home. This feedback therefore provides the majority of the content within this report and the Inspector would like to thank those residents who spent time with the inspector. All residents spoken with were very satisfied with life within the home. One resident commented that she had been reluctant to consider moving into a home but that ‘if I had known about this home before I would have moved in months ago.’ All residents spoke very highly about the staff team with comments including, ‘they are excellent’, ‘they all work hard but are always happy’, ‘they do all they can for me.’ The atmosphere within the home was relaxed, friendly and welcoming. The Registered Manager of the home is currently working at the Registered Providers other home in Felpham. There is a new manager in post and it is proposed that he will take on the responsibility of the Registered Manager position. He has worked at the home for the past three years. An application to register as manager with the Commission is currently being processed. What the service does well: The home is conducted so as to maximise the residents’ capacity to exercise personal choice and autonomy over their lives. The staff team provide a high standard of care to all residents. Residents have access to a range of high quality communal rooms and areas. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 6 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 Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 Grange DS0000014646.V273933.R01.S.doc Version 5.0 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, 5, 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. EVIDENCE: There is a Statement of Purpose and Service User Guide in place which provides the required information about the home. In addition the Registered Providers have produced an informative brochure about the home which is given to prospective residents. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 9 Records seen demonstrated that written contracts are provided to all residents. These contracts provide full details of the terms and conditions of living at the home and the charges for these. Contracts were seen to be signed by the resident or by their representative. The records for residents who have moved into the home since the last inspection were seen during the inspection and these showed that an assessment of their individual needs had been undertaken and information obtained as to their personal, social and health care needs. Some of the residents spoken with during the inspection confirmed that either they or their relatives had visited the home prior to moving in. During the inspection a prospective resident was being shown around the home and had been provided with a brochure. The new manager of the home confirmed that intermediate care is not a service provided at Oakland Grange. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 Each resident has an individual plan of care in place. EVIDENCE: A sample of care plans was seen during the inspection. The care plan for each resident is kept within their rooms. A standard format is used which can provide information on the physical, emotional, social and spiritual needs of the individual resident. It was noted that not all parts of the care plan were completed for each resident and this was discussed with the senior staff present at the time of inspection. They advised that the care plans are developed with the resident over time, as needs are identified and become known. Whilst this is acknowledged it is recommended that all information gathered as part of the pre admission assessment is used to provide relevant information within the care plan. It was also noted that for newer residents a risk assessment had not been undertaken and this also needs to be addressed. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 11 Information within the care plans is supported by the homes Kardex system, which staff use to record all relevant information on a daily basis as necessary. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 With the exception of main meal times daily routines are 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. EVIDENCE: Residents confirmed that life within the home was relaxed with flexibility in daily living routines. Comments included, ‘we all have freedom of choice’, ‘there are no restrictions, you just have to let the staff know if you are going out’. Residents also advised that there were a variety of activities during the week. They confirmed that they joined in if they wished or chose not to if it was something they didn’t particularly enjoy. Some residents have their own interests and hobbies that they are able to pursue. During the inspection some residents were enjoying a game of bingo. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 13 Residents confirmed that their family and friends were able to visit at any time and on some occasions had joined them for lunch. Some residents also advised that they were able to access the local community and made use of a local minibus service, which is arranged and paid for by the home. It was clear through discussions with residents that they are able to exercise choice and control over their lives. Through individual rooms seen it was evident that residents are able to bring their own personal possessions into the home to personalise them. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 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): 18 There are appropriate policies and procedures in place to ensure that residents are protected from abuse, however it is recommended that updates and/or refresher training is provided to the staff team. EVIDENCE: There are appropriate policies and procedures in place to protect the residents within the home from abuse and staff spoken with were clear as to their responsibility in protecting residents. Staff have also received training in adult protection although for some this was a while ago and therefore the staff team may benefit from an update or refresher training in this area. However, it is recommended that senior staff revisit the West Sussex Guidelines for Adult Protection to ensure that agreed county protocols and procedures would be followed in the event of an allegation being made. It is noted that there have been no allegations made within the home for at least the last 12 months. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 the following standard(s): 20, 26 A range of well-maintained and decorated communal rooms is available for all residents. The home is kept clean and hygienic with systems in place to prevent the spread of infection. EVIDENCE: There are a number of communal rooms within the home which are all very well presented and furnished. There are two lounge rooms with a very large sun lounge which has access to the gardens. The sun lounge also provides separate seating areas within it. There is a large and well furnished dining room. Residents confirmed that they enjoyed using the communal rooms and were particularly pleased that there were a number of different areas that they could use depending on what they wanted to do. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 16 The garden is also fully accessible and is again very well maintained. Residents advised that they enjoyed sitting out in the garden with some of the newer residents looking forward to spring so that they could go out and enjoy the garden as well. There are policies and procedures in place with regards to infection control. A tour of the home during the inspection showed that the home is kept clean and tidy throughout. Laundry facilities are cited separately to all food storage, preparation and eating areas. Protective clothing is available for all staff. Although the standard relating to heating and lighting was not fully assessed at this inspection it was noted that works continue to progress towards ensuring that all radiators are appropriately covered throughout the home. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 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 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 The needs of the residents are met by the staff team. Residents are in safe hands at all times. EVIDENCE: Staffing rotas were seen during the inspection and these demonstrated that there were consistently sufficient staff on duty to meet the needs of the residents. Since the last inspection four new staff have been employed, resulting in less need for agency staff, and therefore more continuity of care for the residents. At the last inspection it was noted that the Registered Providers are committed to providing NVQ training to staff. Since then one further member of staff has successfully completed their NVQ level 2 and a further two members of staff are working towards this. All residents spoken with were very complimentary about the staff team and spoke very highly of them. Comments included, ‘the staff are very kind’, ‘staff do all they can’, ‘all of the staff team are very good, during the night if I can’t sleep the night staff always check that I am ok and get me cups of tea if I would like one’. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 18 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 The financial interests of the residents are safeguarded. EVIDENCE: The majority of residents control and manage their own finances. However some have chosen for small amounts of money to be kept within the homes safe and managed by staff. For these residents individual record books are kept. These were seen during the inspection and showed that all incoming and outgoing money was recorded, with receipts kept. It was noted that this covered costs relating to hairdressing and chiropody. The new manager advised that only he and the assistant manager had any dealings with residents’ finances. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 19 There are appropriate policies and procedures in place in relation to resident finances. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 20 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X 4 X X X X X 3 STAFFING Standard No Score 27 3 28 3 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 X Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 21 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. 1. 2. 3 Refer to Standard OP25 OP7 OP18 Good Practice Recommendations All radiators are to be guarded or have low temperature surfaces. Care plans should include all aspects of health, personal and social care needs and risk assessments should be undertaken Updated and/or refresher training should be provided for staff which should include reference to the West Sussex Guidance for adult protection. Oakland Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 22 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 Grange DS0000014646.V273933.R01.S.doc Version 5.0 Page 23 - 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!