Inspection on 03/01/06 for Oaklands

This inspection was carried out on 3rd January 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 13/04/07

Oaklands 26/07/05

Oaklands 08/12/04

Oaklands 01/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oaklands Lower Common Road West Wellow Romsey Hampshire SO51 6BT Lead Inspector Mrs Pat Trim Unannounced Inspection 3rd January 2006 08:30 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 DS0000011639.V274655.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 DS0000011639.V274655.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaklands Address Lower Common Road West Wellow Romsey Hampshire SO51 6BT 01794 322005 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) Mr Amir Asaria Mr Robert Tyson Care Home 45 Category(ies) of Dementia - over 65 years of age (45), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (45), Old age, not falling within any other category (45) Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: This residential home is registered to provide personal care and accommodation to 45 service users who are over 65 years in age and are in the category of Old Age. They may also have dementia or mental health problems. The home is privately owned by Delicourt Limited. This organisation owns a number of residential and nursing homes in the county. The Registered Manager is Mr. Rob Tyson. Accommodation is provided in a large house that has been extensively extended to provide 35 single and 5 shared bedrooms located on the ground and first floors. 30 bedrooms have en suite facilities. Two shaft lifts enable service users to access both floors. Communal space is provided in four lounges, a chapel/quiet room and a large dining room. The home has a large patio area and garden to the rear of the property with car parking space at the front. It is situated in a quiet residential road in a rural area between Romsey and Salisbury. The home is close to local shops, amenities and public transport. Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the year 2005/2006 and both inspection reports should be read for an overview of how the home is meeting the standards. It was an unannounced inspection completed by one inspector in 4.5 hours. Its focus was to review compliance with requirements from the previous inspection and to assess the remaining key standards. Information was gathered by spending time with four residents and four staff, observing the routines of the home, reviewing a selection of documents and talking with the registered manager. What the service does well: What has improved since the last inspection? What they could do better: The registered manager spends time every day informally seeking the views of residents about the service they receive. However, more formal audit tools must be developed that will enable residents to give feedback about the quality of the service. Oaklands DS0000011639.V274655.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 DS0000011639.V274655.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 DS0000011639.V274655.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. Standard 6 does not apply. The home has a robust admission procedure that ensures residents are offered a placement only when the registered manager is confident their needs can be met. EVIDENCE: The home had an admissions procedure that stated all prospective residents had to have an assessment of need completed prior to admission. Information about this was given to prospective residents verbally and in the statement of purpose. The registered manager was observed arranging a possible visit to a local hospital to complete a pre-admission assessment. Three resident’s files were assessed. All contained assessments completed prior to admission, but one gave very limited information. One contained a copy of the care management assessment, completed by social services and one had a nursing referral, completed by the ward staff. Both these assessments gave good information about abilities and needs. One of these files also contained a copy of the home’s assessment. This gave limited Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 9 information but was useful to supplement the assessments already in place. The third file contained only the home’s assessment and this did not contain sufficient detail to enable the provider to assess whether the home could meet the needs of the resident. The registered manager said he was aware the current assessment tool could only be used to supplement information obtained from other sources and that a more comprehensive one would developed shortly that would clearly identify whether the home could meet the needs of the prospective resident. Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 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. The new care plans identify residents’ abilities as well as needs, so that staff only offer support where it is required and residents are able to maintain their skills and independence. EVIDENCE: The registered manager said that a new care plan was being used. Three of these were viewed. The new care plan format, when completed consistently, will ensure that residents’ abilities as well as needs are identified. The quality of information recorded in the care plans varied, but where the recording was good they identified what residents could do as well as what they needed help with. For example, one care plan recorded that a resident could wash her own face and hands but needed help with washing her lower body, could dress herself but needed someone to lay out her clothes and could clean her teeth unaided. Care plans also identified whether physical care was required or whether a resident needed prompting with tasks. There was information about each Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 11 resident’s daily routines, such as liking a light left on at night or wanting to watch the 10 o’clock news in her room before going to bed. There was limited information recorded about each resident’s social and emotional needs. For example, one assessment recorded that a resident liked walking, dancing, gardening, knitting and sewing. Her care plan did not include an activities programme to support her to continue with these activities, although staff said she did usually spend some time knitting each day and was often accompanied by staff on a walk. Staff said another resident was particularly active. She liked to go out for a walk and was able to do so with staff. This was not recorded as a regular activity in her care plan; neither was the fact she liked to help with daily routines such as setting tables, folding washing or helping in the kitchen. The registered manager said that staff were finding this aspect of care planning difficult to complete. They were being given support through supervision and training. Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 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): The key standards were assessed on the last inspection. EVIDENCE: Oaklands DS0000011639.V274655.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): The key standards were assessed on the last inspection. EVIDENCE: Oaklands DS0000011639.V274655.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): The key standards were assessed on the last inspection. EVIDENCE: Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 15 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): 28 Staff are supported and encouraged to complete qualifications that enable them to demonstrate they have the knowledge and skills to ensure residents are in safe hands at all times. EVIDENCE: The registered manager said that the new policy of the home is that all overseas staff must agree to registering on a National Vocational Award (NVQ) scheme within three months of beginning their employment and all staff are encouraged to complete this award. Mr. Tyson is a qualified trainer and assessor and provides training and support for staff during their NVQ training. At present 75 of staff have obtained their NVQ 2 award and the registered manager said that a further three staff are currently completing the training and one member of staff is completing NVQ 3. The requirement for NVQ 2 training is that 50 of staff should have achieved it by 2006, so this standard is exceeded. Staff confirmed that they are supported by the registered manager and the provider to complete training and are given time and incentives to complete NVQ training as well as mandatory and specialist training. Overseas staff are given support and training to develop their language and communication skills. The registered manager completes an assessment of new staff to identify training needs and to arrange mandatory training such as moving and handling as part of their induction. Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 16 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 and 38 The registered manager provides strong leadership and guidance to staff and has systems in place to monitor all aspects of the day-to-day running of the home. This ensures the home is run for the benefit of residents and that their wishes and aspirations are taken into consideration. The systems in place ensure that residents are protected against the risk of financial abuse. A rolling programme of staff training and service contracts for the maintenance of equipment ensure that the health and safety of residents are protected. EVIDENCE: The registered manager has completed an NVQ 4 in care and the registered manager’s award. He also has a training qualification that enables him to support staff through their induction and NVQ 2 training. Mr. Tyson said he Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 17 continued to develop his skills by completing any relevant training that becomes available. Residents, staff and relatives said he was approachable and people were observed throughout the inspection, coming to him to ask questions. He demonstrated a good knowledge of residents’ needs and said he spent time every day going round the home, speaking to every resident to informally monitor the service provided. Mr. Tyson said that part of his role was to provide feedback to the provider about the service. He was required to complete a monthly audit of home in relation to the kitchen, food hygiene, slips and trips and housekeeping. In addition he was required to provide an annual report. The service is also audited by the provider, who carries out a Regulation 26 visit each month. Part of this includes asking for feedback from residents and their relatives. A quality assurance questionnaire about the service is sent to residents and their families on an annual basis. Mr. Tyson said he felt this was not easy for residents to use and wanted to develop something that was more user friendly. Residents’ meetings had been held in the past, but had not been very successful in getting feedback from residents. Residents were required to pay for services such as chiropody, newspapers and hairdressing. Mr. Tyson said the normal practice was for relatives to leave money with him to pay for these services. A relative was seen leaving money for her mother. The amount was recorded and she was asked to sign the record to confirm the sum handed in. A hairdresser came to the office to receive payment. She was also asked to sign the record of resident’s money to confirm she had received the sum asked for. Mr. Tyson confirmed a written record was kept of all transactions. Three staff were asked what training they had received in respect of health and safety issues. All said they had completed food hygiene, moving and handling and fire safety training. Two had completed first aid training and one was waiting to do it. All said they would be able to keep their training up to date because the training programme was repeated throughout the year. The training record showed that the registered manager monitored staff training. Individual needs for health and safety training were identified during staff induction and a training record kept which identified when refresher training was required. The pre inspection questionnaire, completed prior to the previous inspection, recorded the regular servicing of equipment and services. The fire log book recorded that in house checks were regularly completed and that outside contractors serviced the equipment. During the inspection the fire training company contacted the home to book the next training session. Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 18 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations Oaklands DS0000011639.V274655.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000011639.V274655.R01.S.doc Version 5.1 Page 21 - 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!