Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 30/04/07 for Oaklands Care Home Limited

Also see our care home review for Oaklands Care Home Limited for more information

This inspection was carried out on 30th April 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents looked well cared for and observation showed that staff are caring and that service users are listened too. Choice and individuals rights were seen to be respected and staff were seen to be dedicated in ensuring service users retained skills and independence. The choice of meals was nutritious, reflected residents choice and to a good standard. Service users informed me they were happy with the food, staff, home and care provided. Residents and a relative spoken with commented that they were happy with the staff team and care given to their relative.

What has improved since the last inspection?

The home has fitted a new water tank, thermostatic control valves to keep hot water temperatures at a safe level. All radiator covers have now been fitted. An occupational Therapist has done an environmental assessment and staff have received mandatory, POVA and specialised dementia training. The manager and team have worked hard at achieving the requirements from the last report. There has been much progress made in terms of care plans and include resident`s views and are now reviewed on a monthly basis. Staff who administer medication are on the 3-month `Asset` training course. All requirements and recommendations from the last inspection have been either achieved or in the process of being developed.

CARE HOMES FOR OLDER PEOPLE Oaklands Care Home Limited 34A/B Church Road Brightlingsea Essex CO7 0JF Lead Inspector Sarah Hannington Unannounced Inspection 30th April 2007 10:00 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 Care Home Limited DS0000055180.V337828.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 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 Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands Care Home Limited Address 34A/B Church Road Brightlingsea Essex CO7 0JF 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) 01206 305622 Oaklands Care Home Limited Mrs Lalita Devee Cahoolessur Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (14) of places Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 14 persons) One named person, over the age of 65 years, who requires care by reason of dementia The total number of service users to be accommodated in the home must not exceed 14 persons 30th August 2006 Date of last inspection Brief Description of the Service: Oaklands is a care home, registered for fourteen older people. The category of dementia, for one specific service user only, is included in the homes conditions of registration. The providers of the service have made an application to the Commission for Social Care Inspection (CSCI) to extend their registration so that they can accommodate more people with dementia. The current range of monthly fees, as detailed in an Inspection Questionnaire completed on 18th March 2006, are £340 - £358 per month. Additional charges were listed as £10 for chiropodist every six weeks, hairdressing £6.50 every six weeks and toiletries £6 a month. The home is in the town of Brightlingsea, Essex. The property is situated on the main road into the town and close to all amenities, the seafront and the beach. Mr & Mrs Cahoolessur are the Directors, and Mrs Cahoolessur is the Registered Manager. The home has fourteen single rooms, with the bedrooms located on the ground floor and the first floor. Access to the first floor is by stairs, a chair lift and a passenger lift. Communal areas are situated on the ground floor and consist of a large lounge and a dining area. The home also has a smaller lounge and a conservatory dining room. Both the kitchen and laundry areas are located on the ground floor in the central area of the property. There is driveway access to the property, with some parking areas and garden areas at the front of the home. Gardens to the rear of the home are large, mainly laid to lawn, with some garden seating. Access is through the conservatory, dining room and some ground floor bedrooms. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took over 4 hours. The manager was present throughout. A tour of the building took place 7 residents; one relative, three staff were spoken with as part of this process. The visit mainly focused on all Key standards and all of the requirements from the last inspection report. Random samples of records, policies and procedures were inspected. What the service does well: What has improved since the last inspection? What they could do better: The home needs to ensure that all chemicals are kept in a locked cupboard according to the COSHH (Chemical or substances hazard to health) regulations. Also creams kept in residents rooms need to have lockable storage supplied to comply with medication regulation and guidelines. A Quality assurance system is in place, however this needs to be developed further by collating information; an action plan put together and this needs to be forwarded to the CSCI office. The home needs to evidence work carried out by appropriate means of recording things such as choices of activities tried given and maybe refused. Oaklands Care Home Limited DS0000055180.V337828.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. The summary of this inspection report can be made available in other formats on request. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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 Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are given a service user guide which informs them of the services provided and they also are encourage to visit Oaklands prior to any admission. This allows prospective residents and there families make an informed choice as to whether or not Oaklands will met their needs EVIDENCE: All care plans included initial assessments and were carried out prior to admission. There was evidence that individuals and their families had visited Oaklands and that a service user guide had been given. Service user guides have recently been reviewed. All care plans have recently been re-organised and gives a comprehensive break down of each residents needs including associated risks. The policies and procedures of the home provide evidence that it meets the requirements expected for the admission of any new residents. Oaklands does not offer intermediate care. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Plans reflect and highlight all residents’ individuals’ needs. The care plans include all aspects of an individuals needs. The review of clients care plans is evident. EVIDENCE: Observation during the inspection showed residents to be well cared for, clean and properly looked after. Residents and a relative spoken with felt that the quality of care was good. Residents can have BT lines installed in their own rooms if they wish, there is also the main office phone which can be transferred to individual rooms for privacy. Residents mail are kept for the individual to collect, if support is needed then the staff or relatives give this assistance. A Monitored medication dosage system is in place for each resident. Medication is stored in a lockable cabinet and the administration records were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for.Oaklands has a controlled drugs cabinet and controlled drugs register which is compliant and issues raised at the last inspection regarding correct labelling and storage had been retified.Training records indicated that staff have had medication training and Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 10 staff who were responsible for administering medication are now attending the three month Asset medication course which follows the royal pharmacetucol guidelines and legislative practices required for care homes. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activity plans are in place. Relatives and friends are encouraged to have regular contact with the home. A variety of regular nutritious meals are being provided. EVIDENCE: There is an activity co-ordinator and staff spoken with evidenced that choice of activities are offered. These included group and individual activities, inside and outside of the home. Residents spoken with informed me that they did have a choice. However activity choices and refusal by individuals needs to be recorded appropriately and evidence that staff try to encourage that individual are in place. Good history and likes dislikes of individuals are kept as an aid to staff working with groups and individuals. Residents and relatives spoken with evidenced that visits happen without any restrictions attached. Relatives felt that the manager and staff in general keep them well informed of any issues regarding their relative. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 12 During Inspection dinnertime was observed and it was noted that the residents were encouraged to have a choice of foods available that day. Menu’s looked nutritious and reflected residents tastes. Food smelt and looked appealing and was presented nicely. Meal times were unrushed and had a relaxed atmosphere. Staff were seen supporting residents discreetly to eat meals. Staff were seen to encourage other residents to use their limited skills by letting them eat unhurried and not worrying about mess caused by allowing them to maintain this independence. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and each service users and relative has a service users guide that highlights the complaints procedure. The homes policy and procedures and training of staff protect residents from abuse. EVIDENCE: Since the last inspection there has been no complaints. The manager and staff are available when relatives visit and if they need to raise any concerns or sensitive issues privately they can do so. Residents and a relative spoken with on the day of inspection were complementary about the care provided within the home and felt all staff are approachable. A number of staff spoken with regarding the protection of adults evidenced to me that they knew the correct response and procedures to follow. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The outside environment is pleasant, attractive and provides appropriate and practical usage for the residents of Oaklands. The home environment provides a clean, comfortable and safe environment in which to live in. The home needs to ensure that cleaning materials are kept under Chemicals or substances hazrdous to health regulations. EVIDENCE: The home has fitted a new water tank, thermostatic control valves to keep hot water temperatures at a safe level. All radiator covers have now been fitted. An occupational Therapist has done an environmental assessment and staff have received mandatory, POVA and specialised dementia training. The manager and team have worked hard at achieving the requirements from the last report. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 15 Overall the home presents no health and safety issues, however on the day of the site inspection in one bathroom rubber gloves and cleaning fluid were left unattended, these should be kept in a locked cupboard according to the COSHH (Chemical or substances hazard to health) regulations. Also creams kept in residents rooms need to have lockable storage supplied to comply with medication regulation and guidelines. Individual rooms are personalised and choice of colours and furnishings are of service users choice. The environment was homely comfortable and practical for the use of service users at Oakland’s. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty, their experience and skill is able to meet the needs of residents. Recruitment records are in place and to a good standard. Staff have had mandatory and specific client related training. EVIDENCE: At the time of inspection the skills mix of the staff group was being used positively in meeting the various needs of residents. Staff rotas evidenced that there is adequate cover throughout the day and night. Paperwork for staff recruitment was looked at and overall was to a good standard. The staff team have had a number of recent training packages, which includes mandatory and ‘specific’ client need led training. NVQ training is planned through out this and next year. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems are good and the home is run in the best interests of residents. Evidence to show that teamwork have developed the service and improved the standards of care. The management does respond robustly & rectify matters of health & safety when identified. There is a quality assurance monitoring process implemented. EVIDENCE: The manager of the home evidenced through discussion good understanding of their individual responsibilities and knowledge of the care standards, regulations and the Care Standards Act 2000. The manager is hands on with the residents of the home, which sets good examples for staff to follow and Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 18 promotes a good philosophy of care throughout the staff team. The manager, proprietors and staff were observed to have good communication between the team. The home is in the process of developing a quality assurance system. Once all surveys are back the manager will collate and make a plan of action according to the outcomes and will forward this to the CSCI. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 19 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 20 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. 1. 2. 3 4 Refer to Standard OP28 OP15 OP12 OP38 Good Practice Recommendations The registered manager should ensure that a minimum of 50 of members of care staff have a NVQ level 2 or equivalent as soon as possible. The registered person should consider ways of enabling service users with dementia to make informed choices about what they eat and contribute to menu planning. Individual activity plans are in place to evidence choice, refusal of activity and consultation with residents The registered person should ensure that all chemical and protective clothing and personal medications are stored appropriately and according to regulation and guidance. Oaklands Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Care Home Limited DS0000055180.V337828.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!