Inspection on 05/10/06 for Oaklands

This inspection was carried out on 5th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 19/05/05

Oaklands 23/11/04

Oaklands 30/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Oaklands 76/78 Church Road Plymstock Plymouth Devon PL9 9BD Lead Inspector Anita Sutcliffe Unannounced Inspection 5th October 2006 09:30 Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 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 DS0000003549.V305583.R01.S.doc Version 5.2 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 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. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Address 76/78 Church Road Plymstock Plymouth Devon PL9 9BD 01752 481166 01752 482790 headoffice@durnford.org 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) The Durnford Society Limited Mrs Jenna-Marie Worley Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (10), Physical disability (10), of places Physical disability over 65 years of age (10) Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Oaklands is part of the Durnford Society group of homes. The Durnford Socitey is a voluntary organisation that provides services for people who have a learning disability. Oaklands care home provides care for up to ten service users that have have learning disabilities and may or may not have physical disabilites. The accommodation is provided in a purpose built bungalow that is set in landscaped gardens. The home is seperated into two units and all bedrooms are single rooms. Most of the service users who live at Oaklands require a high level of care and there are high staffing levels as a consequence. The home has its own transport and the home is near to public transport routes, shops and local services. The home is equipped with various aids and adaptations to enable service users mobility. Current Fees: £1,233.98 to £2,198.90 Additional Charges: Hairdressing, chiropody, toiletries, transport, activities, personal effects. The most recent inspection report is made available to prospective service users on request. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information towards this Key Inspection has been collected since April 2006. Prior to the inspection visit the home provided current information about the service provided. The opinion of staff, service user’s family, G.P. and a social care professional, was sought anonymously. No information was received from GP’s. The inspection visit took place over one day. Each service user was met, each part of the home visited, staff spoken with and staff and service user interaction observed. No service user was able to verbally express their feelings about living at Oaklands. A visitor gave her opinion of the home during the visit. Staff and service user records, and different aspects of how the home is managed, were examined. What the service does well: What has improved since the last inspection? What they could do better: There is not much that needs to be done better at the home. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 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 DS0000003549.V305583.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users have an extremely thorough assessment of their needs. Every effort is made to ensure that the complete needs of the individual are understood and recorded. EVIDENCE: The admission of a newly admitted service user was examined and found to be of a high standard. Very detailed information had been collected prior to and on admission. This was transferred to a care plan which was being continually developed as staff more fully understand the person as an individual. Both the service user and his family were closely involved in the assessment and care planning. Great attention had been given to ensure safety during the admission period. A service user’s representative said: “Our experience has only been a positive one. The organisation and implementation of care in my opinion is second to none”. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can be assured that staff will enable them to be as independent as possible and be encouraged to safely participate in all aspects of life in the home. Care plans are comprehensive and detailed, and risks and choices are appropriately balanced. EVIDENCE: All personal care services to be provided are presented in service users’ plans of care. They have been drawn up with input from the service users, families, key workers and health and social care professionals and are very detailed and informative. Evidence of specialist services and consultations were detailed, with recommendations and actions taken. Reviews are recorded, and pictorial daily planners for service users help them to communicate their needs. Although many of the service users at Oaklands have limited communication skills, every effort is made by staff to enable them to make choices about their lives. Staff were able to demonstrate a good knowledge of the service users who they support, and it was observed that they work with them in a respectful manner. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 10 Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a large variety of activities, which meet their interests and needs. Personal development is encouraged. There is a nutritious varied diet, which meets individual choice and health care requirements. EVIDENCE: Every effort is made to ensure that each service user may engage in a variety of leisure activities and are able to develop any interests they have. These have to date included musical instruments, swimming, film, literature and exercise, and are continually being expanded. The degree to which the home ensures that family connections are maintained is commendable as are connections with community services and events. To aid communication information is conveyed in pictorial form; development of this is ongoing. Risk is managed so that opportunity exists for each service Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 12 user to meet their full potential. Evidence from care plans showed that service users enjoy holidays that are individually arranged and mainly funded by the Durnford Society. The home provides nutritious food to a good standard, and manages to balance safety with the pleasure of eating. Residents are involved in the preparation of food if they wish. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that staff will treat them with respect, and their personal care needs will be met in the way that they prefer. Health care needs are met. EVIDENCE: Service users looked well cared for. Care plans show that all health care needs are considered and steps taken to prevent illness or discomfort which are appropriate to age and gender. The home works with health care professionals towards this and is in the process of devising a pictorial system to help residents communicate with any practitioner they visit (doctor, chiropodist etc). Detailed assessment, planning and the knowledge of staff and manager, ensure that physical and emotional health care needs are met. Family commented on the high standard of health care provided by the home. There has been a recent change in the system used by the home to manager medication. Staff are finding this a more effective method, which will reduce any likelihood of mistakes. Staff who administer medication are trained to do Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 14 so through the organisation. All medication is securely stored. It was identified that the record of controlled drugs in use (drugs that are considered the more dangerous) could be clearer, otherwise the handling of medication was good. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ are listened to and benefit from the way complaints to the home are managed. Residents are fully protected through the home’s policies, procedures, training and the commitment of staff. EVIDENCE: Service users are limited in their ability to make a complaint, but there is a pictorial complaints policy available. However, the high standard of care planning (see Standard 6) and supervision (see Standard 37) reduces the likelihood of this need. In addition, family are strongly encouraged to engage with the home, again reducing the likelihood of complaints arising. The previous requirement to display a copy of the home’s complaints procedure has now been met. The home has not received any complaints and none have been received by the Commission about the home. Information and subsequent training on the protection of vulnerable adults from abuse commences at recruitment and continues throughout employment. The standard of this training is good and staff spoke very confidently about how they protect service users. There have been no allegations of abuse. Policies and procedures on service user protection are available to staff, and are found in the office. They contain strict guidelines, and take into account equality and the rights. Although containing the contact details of the provider Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 16 organisation and the Commission, policies should also include the Local Authority Adult Protection team. The manager was aware of this need. She further protects service users through the use of advocates where there is no external person to speak for and safeguard them. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, pleasant, well maintained and meets the complex needs of service users. EVIDENCE: The home is spotlessly clean, homely and comfortable. Equipment is of a very high standard and meets each service users needs both toward independence and quality of life/interests. Providing privacy and dignity in a safe environment is a challenge. This has been well thought out and is met through changes to the environment as well as staff practice. The garden is attractive and accessible. There are plans to further improve it. These include raised beds, which will enable service users to plant and garden themselves. Where outdoor activities are enjoyed they are provided. There is a laundry on each side of the home. Each contains laundry equipment of sufficient standard to meet the particular needs of service users. However, there should be hand washing facility available in each to reduce the risk of Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 18 cross infection. Staff are equipped with and use protective clothing to maintain hygiene. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff who are well trained, knowledgeable, skilled, well supported and supervised. They are in sufficient numbers to meet service user needs. Recruitment practice protects service users. EVIDENCE: During the visit the home was relaxed and staff spoken with were experienced and knowledgeable. One staff member surveyed said: “we want a full staff team and consistency”. However, previous problems appear to have been resolved and that need is now much reduced following successful recruitment. Staff spoken with said there is now a more settled staff team; currently used agency staff are familiar with the residents and home and there is a regular bank of additional staff which can be called on. The staff rota indicates that staffing numbers and delegation are adequate and staff on duty and a visitor confirmed that this is so. One family member surveyed said: “Staffing has very much improved in the last six months. The Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 20 atmosphere in the home is now much improved because of a more consistent staff.” The commitment to staff training is very good. All staff are encouraged to take qualifications in care including those particular to the needs of service users with learning difficulty. Some staff have achieved these to a high level. Where staff lack experience they are supported and supervised in a structured way. Recruitment records examined, and surveys returned from staff, indicate that recruitment of new staff is undertaken diligently. There is full regard to the suitability of the employee and safety of service users. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the bet interest of residents, and their health and safety are properly attended to. EVIDENCE: The manager was registered with the Commission in July of this year. She is considered by staff to be “approachable, organised, efficient and gets things done”. Family surveyed said: “The new home manager has made a big impact. I feel a whole lot better about the home again” and “In my opinion the organisation and implementation of care is second to none”. Throughout the inspection the manager demonstrated her expectation of very high standards from staff and support from the provider organisation. She ensures that each service user’s individual and diverse needs are understood and has regard for their equal rights as human beings. The approach to ensuring a quality service is commendable. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 22 Residents’ financial affairs are well handled in their best interest by the home. Where advocacy is beneficial it is sought. Policies and procedures protect service users from financial abuse or mismanagement. The health, safety and welfare of service users are fully promoted. The building and equipment are well maintained; risk is assessed, understood, and well managed. Staff training includes first aid, moving and handling, food hygiene, and health and safety. The manager checks that the home is running efficiently and safely. On the day of the inspection visit residents’ money was being checked as correct against the home’s records. Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 23 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. 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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 4 4 X X 3 X Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 24 NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations The record of controlled drugs at the home should clearly state those entering and leaving the home, so that an audit trail demonstrates how the balance has been achieved. All policies and procedures in the protection of vulnerable adults should contain the contact details of the Local Authority Adult Protection team. Staff should be able to wash their hands (with running water, liquid soap and paper towels) where personal care is provided or soiled laundry dealt with. 2 3 YA23 YA30 Oaklands DS0000003549.V305583.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 DS0000003549.V305583.R01.S.doc Version 5.2 Page 26 - 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. 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