Inspection on 04/01/06 for Oakland House Nursing Home

This inspection was carried out on 4th January 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakland House Nursing Home 29/11/06

Oakland House Nursing Home 17/10/05

Oakland House Nursing Home 08/02/05

Oakland House Nursing Home 11/08/04

Oakland House Nursing Home 26/01/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Oakland House Nursing Home 290/292 Dickenson Road Longsight Manchester M13 0YL Lead Inspector Richard Dankwa Unannounced Inspection 4th January 2006 12:00 Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 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 House Nursing Home DS0000021653.V276073.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 and Care Homes for Adults 18 – 65*. 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 House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakland House Nursing Home Address 290/292 Dickenson Road Longsight Manchester M13 0YL 0161 257 2395 0161 248 0652 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) Beamdouble Limited Lesley Mary Sturgeon Care Home 38 Category(ies) of Dementia - over 65 years of age (13), Mental registration, with number disorder, excluding learning disability or of places dementia (25) Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 38 service users will be accommodated All service users accommodated on the home’s ground floor will be aged 60 years or over except where a variation has been granted in respect of age and dementia for a named individual in receipt of nursing care. All service users accommodated on the home’s first and second floors will be aged between 18 and 65 years at the time of their admission to the home and require nursing care by reason of mental illness excluding learning disability and dementia. That the home continues to comply with the minimum nursing staffing levels as specified in the Notice of Proposal to register and its attachments, issued under Section 13 (5) of the Care Standards Act 2000 on 16th July 2003. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 17th October 2005 4. 5. Date of last inspection Brief Description of the Service: Oakland’s House Nursing Home is a care home that provides 24 hour nursing care and accommodation to 38 residents, of whom up to 12 may be above pensionable age. The home provides a service to people with enduring mental health needs. Equilibrium Healthcare Limited owned the premises. The home is situated in a busy residential area in the Longsight district and it is close to public transport routes and within easy reach of Manchester City Centre. The home is close to local facilities, shops, a market and other community facilities. The home consists of a large converted building with a large purpose built extension. The home provides accommodation on three floors for up to 38 residents. There are 12 or 13 residents accommodated on each floor in single bedrooms. None of the rooms has an en-suite facility. Each floor has a nonsmoking lounge, smoking lounge, dining area, communal toilets, one bathroom and one shower room. The home has an off-road parking for approximately 10 vehicles. The entrance to the home is at ground level and is accessible to wheelchair users. A small-enclosed garden area is accessible on the ground floor. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and it took place on the 4 January 2006. The home manager and the area manager were on duty at the time of the inspection visit. The opportunity was taken throughout the inspection visit to speak to some of the residents and staff. Some of the paperwork kept at the home was examined. The majority of the improvements needed at the previous inspection had been carried out. Other areas requiring improvements were identified during this inspection. The Commission for Social Care Inspection did not look at all the standards during this inspection so this report should be read together with the previous report to get a good picture of the home and the service being provided. What the service does well: 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 House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 The residents were given information about the terms and conditions of the home in a written contract. EVIDENCE: All residents received a Service User Guide that contained the terms and conditions of the home. There were contracts in place for all the residents. The contracts were kept in the administration office. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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. The residents were assisted to make decisions about their lives. The home ensured that confidentiality was maintained at all times. EVIDENCE: The residents accommodated at Oakland House were able to communicate and always made their views heard. Resident’s meetings were held on a regular basis. Relatives ‘Open Meetings’ were also held every three months where the relatives set the agenda. There was a policy on confidentiality in place. Resident records were kept secure and locked at the nursing station and the home ensured that confidentiality was maintained at all times. The residents had access to their records. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 14, 15, 17. The residents were supported to maintain contact with their families and to participate in appropriate leisure pursuits both inside and outside the home. The home offered the residents a healthy balanced diet. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 10 EVIDENCE: Some of the residents visited the local shops on a regular basis to buy personal items unsupervised to maintain their independence. One of the residents had a telephone fitted in his room at the day of the inspection visit. A Catholic Sister visited the home on a monthly basis. The home encouraged all the residents to participate in leisure activities. There was a planned programmed activity on each floor that was on display. There were 3 activity organisers at the home. There was one activity organiser allocated to a floor. The home had a mini van that was used for trips out to places of interest. 6 of the residents would be attending ‘Master Mind’ at the end January 2006. The home encourages residents and their relatives to keep in contact. The home had an open policy that allows relatives to visit whenever they wish. Some of the residents visited their relatives on a regular basis. The home offered the residents a well-balanced diet. The chef held meetings with the residents to find out what they would prefer to eat. A menu would then be put in place. The home organised ‘Theme days’ where the residents would choose a menu from a specific country. On the day of the inspection one of the residents had put an Italian menu in place for that evening. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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. The residents were supported in the way they preferred and were treated with respect and dignity. EVIDENCE: The routine of the home was flexible allowing the residents to retire to bed and get up whenever they preferred. Support was given to those residents who needed assistants in washing and bathing. The residents chose what to wear. Experienced mental health nurses generally supported the residents. Observations during the inspection indicated that the staff treated the residents with respect. The residents were spoken to appropriately and were supported sensitively. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 12 The residents had access to an advocacy group. Some residents visited the Roby Centre were there was a trained counsellor who had experience in mental health issues. There was an Internet facility available that was used by the residents to get advice and support from groups such as ‘Mind’. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. There were policies and procedures in place to promote and protect the residents from harm and abuse. However, staff required training regarding the Protection of Vulnerable Adults. EVIDENCE: The home had adult protection policies and procedures in place. However there was no evidence of staff receiving POVA training to enable them deal with an allegation or suspicion of abuse appropriately. He home must ensure that all staff received POVA training. Requirement was made at the previous inspection. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29. The residents lived in a safe and comfortable environment. Residents’ bedrooms, bathrooms and toilets promoted their independence and privacy. EVIDENCE: The residents’ bedrooms were personalised and they had their own possessions around them. He home had a programme of refurbishment and redecoration in place. 4 bedrooms and a smoke room had recently been decorated with the residents choosing the colours. He kitchen floor and the paintwork were not in a good state and must be addressed. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 15 The residents’ bedrooms did not have en-suite facilities but the home had adequate toilets and bathrooms that promoted their privacy and met their individual needs. The home had adequate communal area for the residents. There were nonsmoking rooms on each floor and also smoking rooms. The communal areas were not in a good state of decoration and they must be redecorated. There was an enclosed garden that was well maintained and was accessible to the residents on the ground floor. The home had hoists and wheelchairs available for individual residents use. There was a passenger lift for the residents to use. One resident had a tracking hoist in his room. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 The staff received regular supervisions that enabled them to care for the residents appropriately and performed their duties efficiently. EVIDENCE: There was a staff supervision file kept in the manager’s office that contained evidence that the staff received regular supervisions. Training and skill needs were identified during the supervisions and the appropriate training offered. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40. The home was run in the best interest of the residents, as they were included in all self-monitoring, reviews and developments of the home. The residents’ rights and best interest were safeguarded by the homes policies and procedures. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 18 EVIDENCE: There was evidence of a summary of relative surveys that had been carried out by the home. The survey covered these areas; the maintenance of the home, activities being provided, quality of care in general, attitude of the staff and how helpful they were, complaints, whether needs were being met, changes within the home, and whether their relative was being cared for appropriately. The home had up to date policies and procedures in place which if followed would safeguard the rights and interest of the residents. The residents and staff had access to these records. The policies and procedures were reviewed on a regular basis. Oakland House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 3 40 3 41 X 42 X 43 X X 3 X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakland House Nursing Home Score 3 X X X DS0000021653.V276073.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 YA23 Regulation 13 (6) Requirement Timescale for action 28/02/06 2 YA24 23 3 YA24 23 The registered person must ensure that staff receive training to enable them prevent residents from being harmed or suffering abuse. Previously required (30.12.05). The registered person must 28/02/06 ensure that all parts of the home are kept reasonably decorated. The kitchen must be decorated and the floor replaced. The communal areas of the 31/03/06 home must be redecorated. 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 House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 House Nursing Home DS0000021653.V276073.R01.S.doc Version 5.1 Page 22 - 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. 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