Inspection on 27/03/06 for Oaklands

This inspection was carried out on 27th March 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

Oaklands 23/03/07

Oaklands 03/06/05

Oaklands 02/12/04

Oaklands 14/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Oaklands 14 Pinfold Lane Methley Leeds West Yorkshire LS26 9AB Lead Inspector Susan Knox Unannounced Inspection 27th March 2006 09:30 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 Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaklands Address 14 Pinfold Lane Methley Leeds West Yorkshire LS26 9AB 01977 515451 (01977) 667644 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) Oaklands Residential Home Limited Mrs Kathleen Foley Care Home 21 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (21) of places Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd June 2005 Brief Description of the Service: Oaklands Residential Home provides care for 21 older people. The day-to-day care is supervised by the owner/manager, who is a registered nurse; however, the home provides personal care only and is not able to care for people with long term nursing needs or who have a very high level of physical dependency. The older part of the house has been extended in recent years and provides 21 single bedrooms, 15 of which now have en-suite facilities. The house stands in private landscaped gardens and is situated close to the local amenities in the village of Methley, part way between Leeds and Castleford; many of the service users and their families are from the local area, hence the home has a lot of visitors on a daily basis. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector and completed in 04.00 hours. Mrs Foley the provider/registered manager was present for the majority of the inspection. The focus was on discussions with service users and staff. Five service users and four staff were spoken to. In addition, a number of records were seen such as care plans, the staffing rota, recruitment records and supervision notes. Service users and staff gave very positive feedback about the care in the home. The findings from the inspection were fed back to the manager at the end of the inspection. Any requirements and recommendations are listed at the end of the report. What the service does well: What has improved since the last inspection? What they could do better: Staff who have attended Adult Protection training need to cascade this information to other staff. Training must be arranged in order to meet the health needs of one service user. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4. All service users are assessed before admission to the home to make sure that their needs can be met. The home has prepared well to meet the change in registration by arranging staff training. Other training should be arranged in order to meet the health needs of one service user. EVIDENCE: The manager confirmed that she visits prospective service users in order to carry out her own assessment. This information was available in care documentation. There has been a recent change in registration with the addition of four places for those with dementia. Training has been arranged for some staff to undertake a distance-learning course about caring for those with dementia. In addition the deputy is to complete an advanced training course. Staff should attend a talk/training about the health needs of one service user in order to fully meet that need. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 11 Care planning was well documented and addressed the individual needs of service users. Service users are asked about their last wishes and staff are able to provide terminal care that involves relatives. EVIDENCE: Care documentation for the latest two admissions into the home were reviewed. Both were well recorded and up to date. One was a fairly recent admission yet care planning was well underway and clearly focused on individual needs. Recognised assessment tools are in use and risk assessments relating to those requiring help with moving and handling were in place. Care plans included agreements reached between service user and manager. The documentation clearly shows the involvement of other professionals. From discussions it was apparent that staff would provide terminal care to long stay service users with the support of the community nurses. One care plan showed that the service user’s last wishes had been discussed. The manager and staff confirmed that in cases of terminal illness relatives are kept fully Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 10 informed and can stay overnight if they wish. It was felt at these times there is good support from the community nurses and from the local religious representatives. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 11 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, 14 Routines within the home are flexible and service users are given choices, they look forward to regularly arranged activities and visits from relatives. EVIDENCE: On arrival at the home many of the service users were being helped from the dining room after breakfast. Some are provided with a tray and breakfast in their rooms. This choice was confirmed during discussions. The hairdresser was in the home and some service users were looking forward to this. From observations it was noted that service users were particularly relaxed with staff and good interactions were evident. Some service users were happy to sit and watch the television others enjoyed regular visits from relatives and friends. Outings to the shops were also enjoyed. Religious representatives do visit the home and one service user said that staff would arrange for her to go to church if that was her wish. One confirmed that choice was provided in all daily routines for example, such as bed times. Staff said that a monthly calendar of activities is arranged. This was available at the time. Passive exercise and games are arranged for interested service users. One service user said that outings to the shops are arranged. It was also said that the large garden is thoroughly enjoyed during the warmer Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 12 months. Service users can walk or be pushed in a wheelchair through a series of small gardens that are laid out around the house. The manager also employs the services of an alternative therapist. This is for Rieki treatment or aromatherapy massages and of benefit to service users. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 13 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 The home has partly prepared well in the protection of service users from abuse by ensuring staff undertake this training. In order to give full protection all staff must know how to respond robustly to any allegations of abuse. EVIDENCE: A number of staff have attended the local authority adult protection training. A copy of the home’s amended policy on abuse was available at the inspection. The manager said there has been no referrals to the local Adult Protection unit or staff to Protection Of Vulnerable Adults (POVA). One service user said she would be able to speak to any staff about her concerns, in particular the manager. The staff on duty had not attended training/talks about protecting service users from abuse. One said she would report any allegations to the manager. A number of staff have worked at the home for many years and may work only one shift a week. There is a reluctance to attend training. However, all staff including ancillary staff should attend training/talks from the staff that completed the training. This is in order to fully safe guard service users from abuse. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 26 The home is well maintained and provides comfortable accommodation. There is sufficient space for service users to move to for privacy, quietness or to see visitors. Service user’s rooms are personalised and comfortable. The service users live in a clean and pleasant environment. The providers are proactive in up grading facilities. EVIDENCE: A building inspection was not carried out as this had been completed at the last inspection. However, some areas of the building including communal rooms and some bedrooms were seen as discussions were held with service users. Oaklands provides a very homely environment for service users. They confirmed during discussions that they were very comfortable in the home. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 15 Bedrooms were well furnished and service users had many of their own possessions displayed. The home has a number of communal rooms including main lounge, two smaller lounges, separate dining room and conservatory. All were well furnished and comfortable. There is level access into the building and the garden and the passenger lift ensures easy access to most areas. The manager made available an initial plan for proposed building works to provide additional ensuite facilities. The work would include altering the lay out in that area and would do away with the short flights of stairs currently in place. This would enable easy access by service users to all areas of the home. On this unannounced inspection the building was well maintained, was clean and had good odour control Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 16 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, 29, 30. Staffing levels were sufficient to meet the numbers and needs of the service users. Service users are well cared for by experienced staff. Good recruitment practices ensure the safety of service users. The training provided for staff ensures they are able to meet individual needs. All staff must attend statutory training. EVIDENCE: The staff team are a stable group many having worked at the home for many years. On the day of the inspection staffing numbers were the manager, one senior carer and two carers. Staff confirmed that the total number of care staff is usually three or four care staff and the manager or deputy. The housekeeper is usually on duty but was attending a training course. Other staff on duty were the cook and the maintenance man. The rota was checked and was satisfactory. From observations at the time staff were very caring. Recruitment records for the latest two staff were checked. Application forms had been completed and two references had been obtained in both cases. Both had worked under supervision until Criminal Record Bureau (CRB) checks had been cleared. Training is on going in the home. Two staff were attending a continence course on the day of the inspection. Some staff were undertaking training in Dementia Care and Medication the same week. NVQ training is well underway with seven Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 17 staff achieving level 2 and four currently attending the same course. As stated earlier in the report the remainder of staff must have abuse training. As discussed with the manager training is required to meet the health needs of one new admission. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 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): 31, 34, 36. A trained and qualified person who has a good relationship with service users ably manages the home. Service users are protected by the financial and insurance procedures in the home. Regular supervision of staff ensures that individually their development is promoted. EVIDENCE: The registered manager/provider is a registered nurse who occasionally works as a community nurse. She is aware that she cannot undertake clinical work in the home. She confirmed that she has attained the Registered Manager’s Award (RMA). In times of staff sickness she does work on shift. The most recent was to cover for a night carer. It was apparent in discussions and from Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 19 observations that she has a good relationship with service users. This was confirmed in discussions with service users. The manager confirmed that financial records are regularly submitted to an accountant. An up to date public liability certificate was displayed publicly as required. The manager was able to provide records of regular staff supervision. These were well documented and covered staff development and training needs. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X 3 X 3 X X Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 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. 1. Standard OP18 Regulation 13(6) Requirement All staff must be made aware of the procedure for responding robustly to any allegation of abuse. Timescale for action 30/04/06 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 OP30 Good Practice Recommendations Training should be arranged in order to meet the health needs of one service user as discussed with the manager. Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Oaklands DS0000001487.V270496.R01.S.doc Version 5.1 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. 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