Inspection on 03/06/05 for Oaklands

This inspection was carried out on 3rd June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oaklands 23/03/07

Oaklands 27/03/06

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 LS26 9AB Lead Inspector Stevie Allerton Announced 3 June 2005 rd 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 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 CS0000001487.V186435.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oaklands Address 14 Pinfolds Lane Methley Leeds LS26 9AB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01977 515451 01977 667644 kfoley@btinternet.com Oaklands Residential Home Ltd Mrs Kathleen Foley CRH 21 Category(ies) of Old Age 21 registration, with number of places Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2nd December 2004 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 CS0000001487.V186435.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was arranged in advance and was carried out by one inspector over a full day. Pre-inspection material was sent to the home, including posters advertising the date and feedback cards for use by service users and visitors. One service user and four relatives took the opportunity to make written comments. During this inspection, time was spent in discussion with the Manager and with other staff, and 12 of the service users were spoken to in the dining room during and after lunch. A tour of the building and an inspection of records also took place. What the service does well: What has improved since the last inspection? The registered person has continued to improve facilities for the service users. Some redecoration has taken place and plans are currently being discussed for creating additional en-suite facilities for two rooms on the ground floor. Staff training has continued to develop. Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 6 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. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 standard(s) 1,2,3,4 & 5 Prospective service users, their families and Social Workers making placements have access to a very good level of written information about the home, what it provides, what service users should expect and how well it meets National Minimum Standards. This provides sufficient information for people to make comparisons and try out the home, when they can experience the care and facilities for themselves. EVIDENCE: The Statement of Purpose is contained in a comprehensive file, which was updated in November 2004. It includes all of the information required by the Regulations, but presented in a very readable format. Of especial note is a very good description of what a “care plan” is. Results of regular service user surveys are included within the information file, as well as a copy of the most recent CSCI inspection report. Service users confirmed in discussion that they had been able to visit the home prior to making a decision to move in, which was also reflected in their care records. One gentleman spoken to was on his second visit for respite care and Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 9 had another short stay booked in the near future. He was pleased that he had been able to have the same room as on his first visit, very important to him as he had a severe visual impairment and was easily disorientated. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 standard(s) 7,8,9 & 10 Service users have their individual personal, social and health care needs met in a co-ordinated way, by a team of staff who keep good records and communicate well with each other regarding residents’ well-being. EVIDENCE: Care plans for three service users with a range of care needs were examined. The care plan documentation is well-organised and located in the same file as the daily records, so that all staff have access to the written plan for delivery of care on a daily basis. Information on how to safely move each person with mobility problems was easy to find, as were details of their preferences in how or when personal care is delivered, including the gender of the person assisting with sensitive tasks. There was good attention to privacy issues, for example, the recording of how one person’s family visits were made more private. The housekeeper was also overheard asking a service user if she could borrow her bedroom door key, so that she could go in to clean. Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 11 Where pressure-relieving equipment (an air mattress, for example) was said to be in use, noted in the care plans, the practical application of this was seen in the bedrooms, along with associated records relating to pressure area care. Medication was seen to be stored, handled and recorded correctly, by designated competent staff. A useful addition to the care plans, also included on the medication charts, are written notes advising staff on the effects and side-effects of the medication they are dispensing. In one of the care plans examined, there were good notes relating to pain relief, and evidence that the staff have consulted with the GP and pharmacist to find the right form of medication for the individual. The GP surgery is just opposite the home and most of the service users can attend for appointments with staff assistance, as was seen during the inspection. Comments from a relative indicated that staff were very proactive in identifying changes in health and getting medical attention when it is needed. All of the service users spoken to said they felt well supported by the staff, who were caring for them in the way they needed. Each person has a key worker, a member of staff who is responsible for co-ordinating their day to day care. The name of each person’s key worker is displayed on a notice in their bedroom. Part of the key worker’s responsibility is to make regular (monthly) reviews of the service user’s care needs and adjust the care plans in response. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 standard(s) 13 & 15 Service users are enabled to continue their contacts with family and friends outside the home and to take part in community activities if they wish. The staff understand the importance of these contacts and encourage them. The meals provided are good quality and meet the service users’ expectations. EVIDENCE: Some service users have family and friends who are very local and who visit on almost a daily basis. Others have family abroad and do not see them as often, but receive regular phone calls; there is also access to a computer in one of the quiet sitting rooms, where email facilities can be used. Care plans show where service users have received visitors, or where they have gone out to events at the local community centre or further afield. These outings complement the programme of activities which the staff arrange inhouse, for example, some of the service users were making greetings cards during the afternoon of the visit. Comments received from relatives indicated that the staff always made them feel welcome in the home. Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 13 Lunch was taken with the service users in the dining room. The meal was of very good quality and was nicely presented. Service users said that the meals were always good and particularly praised the “home cooking”. The cook was in the dining room during the latter stages of the meal, getting people’s feedback, which seemed very positive. The menus showed a good range of choices and variety and are periodically adjusted for the season or to accommodate particular favourites. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 standard(s) 16 & 18 The Manager has a proactive approach to complaints management, being open about the process should anyone be dissatisfied and demonstrating a willingness to try to put things right. The Adult Protection policy has developed since the last inspection, though specialist training in this matter should help to develop this further. EVIDENCE: Comment cards from service users and relatives indicated that they were aware of the complaints procedure within the home, though none who responded had had to use it. The procedure is on display in each bedroom and on the notice boards. The Manager said that there had been four complaints made since the last inspection, which were able to be resolved satisfactorily, such as articles of clothing spoilt in the laundry, which were replaced and apologies made. Further work has been done on developing an Adult Protection policy and procedure, although this is still incomplete. Two staff are booked onto an Adult Protection course in Wakefield soon, which should help in setting the policy in context. There is a very good policy for staff on understanding and managing aggressive behaviour. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 standard(s) 19,20,21,22, 23,24, 25 & 26 The home provides comfortable and well-maintained accommodation in homely surroundings, which the owners are continuing to improve. Service users have the opportunity to enjoy a communal lifestyle or to live more privately. A high standard of cleanliness is maintained. EVIDENCE: A brief tour of the premises included looking at the bedrooms of the four service users whose care plans were examined; this confirmed the presence of specialist equipment to aid in their care, such as a pressure relieving mattress, as well as indicating that service users are encouraged to arrange their rooms as they wish, with their own personal possessions. One service user was found not to settle at night with the bedroom door closed. A risk assessment was carried out (seen in the care plan) and a magnetic door closer linked to the fire alarm system has been fitted, allowing the door to remain open more safely. Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 16 Some service users prefer to lock their bedroom doors when they are not there; the housekeeper was heard asking people if she could borrow their keys so that she could clean in their rooms. The standard of cleanliness in the home was good and there were no unpleasant odours, a fact remarked upon by some of the relatives. The Manager felt that part of this was down to good teamwork, the care staff letting the housekeeper know if carpets needed spot cleaning due to incontinence. 15 rooms have en-suite WC facilities and there are plans to develop two more on the ground floor in the near future. The communal bathrooms have been repainted recently. There are a choice of four sitting areas in the home, each with a different “feel” and the landscaped gardens are a source of interest and pleasure to many of the service users. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 & 30 Service users are supported by a team of staff who are properly recruited, trained and supervised for the work they do. Team morale appears to be good. EVIDENCE: The staff team has a core of long-standing workers who have been at the home for a good length of time, some of whom have progressed to Senior Care level. Recruitment practices were looked at in respect of the last two workers employed, which showed that proper references are taken up and background checks are made prior to starting work. Five care staff have already achieved National Vocational Qualifications (NVQ) at level 2, with another six people in progress. The housekeeper has also got NVQ at level 1. The Deputy and another of the Seniors have completed NVQ level 3. For new staff there is a structured training plan: in-house induction is complemented by the TOPSS Induction Standards, which then leads on to NVQ level 2. Existing staff have opportunities for refresher training, such as First Aid or Moving and Handling, as well as subjects such as Infection Control, Risk Assessment, Elder Abuse and Continence Awareness. The Senior Care staff meet formally once a month; the minutes of these meetings showed discussion around routines and practices in the home, aiming for consistency and best practice. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35,37 & 38 The home is well managed and is run with the best interests of the service users in mind. There is clear leadership and lines of accountability. There are good administrative and recording systems in place, which safeguard the service users’ rights and interests. EVIDENCE: A selection of statutory records, policies and procedures were examined during this inspection. These included: service users’ care plans, medication records, financial records, fire safety records, health and safety policies, risk assessments and staff records. All were well-maintained and relevant information was easy to locate. Training has taken place for staff with regard to health and safety matters, such as infection control, fire safety, manual handling and the safe handling of Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 19 hazardous waste. Even the hairdresser has been included in the moving and handling training, as she assists service users to get up from their chairs Three of the senior staff have received training on risk assessments and these have been implemented for various systems throughout the home. Maintenance and service records were available for mechanical systems and equipment. The registered person is constantly looking at ways of improving the facilities provided at the home and conducts a client survey twice a year, the results of which are included in the information available to prospective service users. It could be seen from the results of the last two surveys that action has been taken in response to some of the suggestions made, with greater client satisfaction expressed subsequently. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 4 3 x 3 x 3 3 Oaklands CS0000001487.V186435.R01.doc Version 1.30 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 18 Regulation 13(6) Requirement The Adult Protection policy and procedure must be extended to comply with the Department of Health guidance document No Secrets. (Previous requirement, timescale of 14.1.05 not met). Timescale for action By 1.9.05 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 Good Practice Recommendations No recommendations were made. Oaklands CS0000001487.V186435.R01.doc Version 1.30 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 CS0000001487.V186435.R01.doc Version 1.30 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!