Inspection on 04/04/07 for Oaklands House Residential Home

This inspection was carried out on 4th 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.

Other inspections for this house

Oaklands House Residential Home 30/01/06

Oaklands House Residential Home 08/08/05

Oaklands House Residential Home 05/01/05

Oaklands House Residential Home 02/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Oaklands House Residential Home Blackwater Covert Reydon Southwold Suffolk IP18 6RD Lead Inspector Julie Small Unannounced Inspection 4th April 2007 10:50 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 House Residential Home DS0000024463.V335248.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 House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklands House Residential Home Address Blackwater Covert Reydon Southwold Suffolk IP18 6RD 01502 724955 F/P 01502 724955 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) Pri-Med Group Ltd. Mrs Aileen Janice Bond Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Oaklands is a large detached property, and stands in wooded grounds within the Suffolk village of Reydon. The home has been adapted to meet the needs of older people in a hotel style setting and is registered to provide care and support for up to 29 service users. Oaklands is part of the Pri-Med Group of care and nursing homes, which was founded in 1976. Healthcare Homes Ltd purchased the company in March 2006 and the home continues to operate under the Pri-Med registration. Oaklands has a choice of attractive ground floor communal lounges, large conservatory and a spacious dining room. Good views are available of the landscaped grounds. The accommodation is on three floors with 6 bedrooms on the ground floor, 13 bedrooms on the first floor and 10 bedrooms on the second floor. There are two shaft lifts, which provide access to the first floor bedroom area, with one serving the second floor bedrooms. All rooms are single occupancy and spacious, with en suite facilities. In all bar three of the en suite rooms this includes a bath or shower as well as the standard toilet and hand washbasin. The home has its own minibus transport enabling service users access to local shops, arranged entertainment events or day trips out. The minibus also provides access to Southwold and Lowestoft, for shopping. The pre-inspection questionnaire completed by the homes manager stated that fees for the home range from £400 to £665 per week, items not covered by the fees include the use of services such as hairdresser, newspapers, chiropodist, manicurist and aroma therapist. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on Wednesday 4th April 2007 over a period of approximately six hours. The inspection was a key inspection which focused on the core standards relating to older people and was undertaken by regulatory inspector Julie Small. The report has been written using accumulated evidence gained prior to and during the inspection. The homes manager, Mrs Aileen Bond was present during the inspection and provided the inspector with all requested information promptly and in an open manner. Mrs Bond said that service users were referred to as residents and this term will be used throughout the inspection. The manager, staff and residents made the inspector welcome in the home. Prior to the inspection a PIQ (pre-inspection questionnaire) and a range of surveys were forwarded to the home. The PIQ, one resident and nine staff surveys were returned. During the inspection a tour of the building and observation of work practice was undertaken. Five residents and three staff were spoken with. A range of records were viewed which included four residents records, four staff recruitment records, health and safety, menu’s, the homes procedures and training records. Further records viewed are identified in the main body of the report. What the service does well: The home was in attractive grounds and the environment was well maintained, clean, attractively furnished and comfortable. There was particular care taken with items such as fresh flowers and plants which provided a further homely environment. Residents spoken with were complimentary about the food and the meal served at the time of the inspection smelled and looked appetising. The menu was well balanced, nutritious, varied and there was a choice of meals including a vegetarian option. The manager confirmed that there was particular attention taken to providing a nutritious diet to the residents by the homes two chef’s. Interaction between staff and residents was observed to be positive and respectful and residents spoken with were complimentary about the commitment and support they received from the staff. Residents and staff spoken with confirmed that the home is a pleasant environment with a culture of respect, and observations of staff and residents undertaking their usual activities at the time of the inspection evidenced that the home provided a relaxed, friendly and professional service. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Oaklands House Residential Home DS0000024463.V335248.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 House Residential Home DS0000024463.V335248.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): 1, 2, 3, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can expect that they are provided with the information they needs to make an informed choice of where to live, that they have their needs assessed and that they have the opportunity to visit the home prior to deciding whether to move in. Residents can expect that they are provided with a written statement of terms and conditions with the home. The home does not provide an intermediate care service. EVIDENCE: The Statement of Purpose had been updated to include details of the new providers of the home and the organisational structure and was sent to CSCI with the PIQ. The Statement of Purpose included the details of the homes mission statement, client profile, emergency admissions, staffing details, accommodation and living space, fire precautions, evacuation of the home, Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 9 facilities and services provided, details of the homes quality assurance procedures, visitors, religion and worship, privacy and dignity, care of residents and concerns, complaints, comments and compliments. Three residents spoken with confirmed that they were provided with sufficient information about the home before they moved in and had visited the home prior to deciding if they wished to live at the home. Two residents said that their family members had also visited the home when they were looking for a suitable home which would meet their needs. A resident’s survey stated that they had received enough information about the home before they moved in and that they had received a contract. Four residents records were viewed and all held a written statement of terms and conditions of the home which included details of the service they could expect, their rights and obligations and details about the fees of the home. The home had a procedure which detailed the responsibilities of the management in completing detailed needs assessments prior to prospective residents moving into the home. One resident’s record viewed had a social care assessment and one had an assessment undertaken by the homes manager. Two residents had been living in the home since 1994 and 2000. The manager confirmed that the residents had moved into the home prior to the manager’s appointment and that the manager routinely undertook needs assessments prior to residents moving into the home. Four residents records viewed were in the process of being updated and there were updated needs assessments and they correlated with care plans. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that their health, personal and social needs are set out in an individual plan of care, that their health needs are fully met, that they are protected by the homes medication procedure and that they are treated with respect. EVIDENCE: Four residents’ records were viewed and were in the process of being updated to reflect changing needs of on Healthcare Homes Ltd standard paperwork. Records had been regularly updated and there was a record which identified the date and what the change, if any had been. The resident’s records held updated needs assessments and care plans which identified the care that residents should be provided with to meet the assessed needs. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 11 One care plan identified that the resident needed assistance when using the bath and stated that the bath should be made ready for them to use, there was no clear explanation of what assistance they needed and how the bath should be readied. The manager was spoken with and agreed that further clarity of care plans would be included. The care plans clearly identified where residents had preferences about their image, such as colour coordinating their clothing. There were risk assessments which included risks of falling, medication risk assessments, dependency assessments, nutritional assessments, pressure risk assessments and continence assessments. There were clear details of healthcare appointments, treatment and support that each resident received and required. A residents survey asked ‘do you receive the medical support you need?’ and they answered ‘always’. The home had recently changed the procedures for the administration of medication. They had previously used dossett boxes and had changed to Boots MDS. The manager and staff spoken with confirmed that the system had improved the audits and administration of the medication. Staff training records viewed and staff spoken with confirmed that they had received training on the medication system and had received medication training prior to the new system. A staff member said that they had also received support from the manager and the staff team discussed the new medication procedure in team meetings. The manager said that staff were supported and observed during the use of the system. The medication records were viewed were well maintained. It was clearly recorded in the MAR (medication administration records) the dosage administered for as required (PRN), for example one tablet or two. Controlled medicines were stored in a lockable box inside a lockable metal cabinet attached to the office wall. A staff member explained how the administration and audit of controlled medicines was recorded and the records were viewed. The administration and balance of medicines was recorded in a separate bound book and two staff signed to confirm that the medication had been administered. The staff member explained the methods of receiving and disposing of medicines and the records were viewed. The staff member explained that if medication was removed from the MDS and the resident had refused to take it would be destroyed, records were viewed. Medication was stored in a lockable trolley which was secured to the office wall with a chain when not in use. The lunchtime medication administration was observed. The staff member was observed checking the records and medication was removed from blister packs directly into a clean pot. The medication trolley was locked each time the staff member left it to administer Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 12 the medication. The staff member was spoken with and had a good knowledge of their responsibilities and the procedures for administering medication. Four residents records viewed identified what was the preferred form of address for each resident. Residents spoken with confirmed that their privacy and dignity was respected at the home and were complimentary about the staff. Staff said that the staff were respectful to them at all times. One resident said that staff never entered their bedroom without knocking the door and being invited in and that their visitors were welcomed into the home. They said that they could entertain their visitors in the privacy of their bedroom or could use communal areas of the home. They said that they could have a telephone installed in their room and that their mail was delivered to them unopened. Resident’s bedrooms which were seen during a tour of the building had a personal telephone. A staff member spoken with said that most residents, who wished to, had a telephone in their bedroom, some had mobile telephones and if they wished to use the office telephone they could. There was a procedures manual which was viewed and included details of how staff should be respectful to residents at all times. Resident’s records viewed included details of their wishes following their death. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 13 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, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can expect that the lifestyle experienced at the home matches their expectations and preferences, that they maintain relationships as they choose to, that they are supported in exercising choice and control over their lives and that they receive a wholesome, appealing and balanced diet. EVIDENCE: Since the last inspection there had been the appointment of an activities coordinator. They were a former carer who was known to the residents at the home. There was a range of activities including bingo and shopping trips to Southwold and Lowestoft in the homes mini bus. Two residents spoken with said that there were plenty activities to keep them busy at the home. A residents survey stated that they enjoyed joining in with tea trips, exercise and quiz activities. Resident’s records viewed evidenced when they had taken part in activities which also included one to one chats and walks with the activities coordinator Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 14 and hand massage from another staff member. One resident enjoyed a regular walk in the grounds of the home and one regularly played bridge with friends in a nearby town. The manager explained that they were developing the activities programme following the activities coordinators appointment and that they could provide activities to those who chose not to be involved in group activities. Resident’s meetings minutes were viewed and evidenced that residents were informed of the appointment and asked for suggestions for activities. There was regular Holy Communion held at the home which residents could choose to participate in. During the inspection a staff member was observed to provide residents with a hand massage, which they used aromatherapy products. They were observed providing a massage to a male resident who talked about their history. During a tour of the building it was noted that there were several activities available in the home which residents could enjoy such as a piano in the dining room, a staff member said that one resident played often for the enjoyment of their peers. A jigsaw, which was being worked on, newspapers and magazines, a chess set and a range of books were in the lounge. There was a library area on the first floor with two large chairs. There was a television, video, DVD player and music systems which were available for residents use. There was a bar in the home which a staff member said that residents had pre-dinner drinks at the weekend. One resident showed the inspector their bedroom and they had a cd and cassette player with which they listened to talking books, and further residents who agreed to show the inspector their bedrooms had their own belongings which reflected their interests. There was a carousel stocked with greetings cards which residents could purchase if they wished, and a book seller often visited the home. The manager said that there was a local post office that delivered newspapers and magazines to residents and would accommodate delivery of items if the resident could not or did not wish to go out. Residents spoken with confirmed that their visitors were welcomed into the home and they could entertain them in their bedroom or use communal areas of the home. Residents records viewed identified contacts which residents regularly maintained. Residents spoken with confirmed that they were supported in making decisions and choices in their life. Minutes of house meetings were viewed which evidenced that residents were consulted with on issues such as menus and activities in the home. Residents spoken with said that they had bought some items of furniture with them when they moved into the home such as chairs. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 15 The homes procedures were viewed and included resident’s financial arrangements and access to records. Residents records viewed identified their financial arrangements. The manager explained that the home were working to ensure that residents were provided with a nutritious diet and the two chefs working at the home ensured that this was provided. Menus were viewed and provided a good choice of balanced, varied and nutritious meals, all meals provided a vegetarian option. During lunch on the day of the inspection residents were observed to enjoy their meal of lamb in red wine or mushroom omelette. There was a menu displayed in the entrance hall to the home and a menu for the following day was placed on the dining table to enable residents to make their choices. Staff were observed preparing and serving the evening meal which consisted of various choices such as sausages and fried bread and soup and sandwiches. Residents spoken with were complimentary about the meals in the home and confirmed that they were provided with enough food and drinks. The menus were changed regularly. One residents record identified that their diet affected their well being and they managed the control of their diet independently. The dining room was attractively furnished, well lit and airy. The tables were attractively laid out for meal times and each table had a vase of fresh flowers. Residents confirmed that they chose where they wished to eat their meal. A staff member spoken with said that the majority of residents had lunch in the dining area and others preferred to eat in their room. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 16 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that their complaints will be listened to, taken seriously and acted upon and that they are protected from abuse. EVIDENCE: The homes complaints procedure was viewed and explained how complaints would be dealt with and there were contact details of the home’s proprietors and other agencies such as CSCI (Commission for Social Care Inspection), Local Government Ombudsman and Social Care. There was a procedure on individual advice and assistance, which included contact details of CSCI and local advice bureaus. Complaints records were viewed and there had been no complaints since the last inspection. Previous concerns were well recorded and correspondence and documentation of discussions evidenced that they had been dealt with in a timely manner, which was acceptable to the individuals raising the concerns. Nine staff comment cards were received and all stated that they were aware of the complaints procedure. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 17 Staff and residents spoken with had a clear understanding of how they could raise concerns about the home. A staff member explained their understanding of whistle blowing and how they could use the procedure. Nine staff comment cards stated that they had received training on the homes abuse policy. Staff training records viewed evidenced that staff had received POVA (protection of vulnerable adults training). Staff spoken with had a good understanding of their responsibilities regarding POVA. Records of resident’s financial arrangements were viewed and there was a clear record of how residents had spent their money, which included the cost and receipts. The homes procedures were viewed and included resident’s property, prevention of abuse, restraint, managing harassment, abuse and actual violence by residents and safe keeping of finances and valuables. A staff member spoken with had a good understanding of the homes procedures regarding working with aggression from residents and the reasons for behaviour changes and their responsibilities for supporting residents. They said that the home did not restrain residents and that there had been no real need for this practice. Four staff records viewed held evidence that POVA checks had been made prior to them commencing in their role. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 18 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, 20, 21, 24, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a clean, hygienic, safe and well maintained environment. EVIDENCE: On arrival to the home it was noted that the grounds were attractive and well maintained. A tour of the building was undertaken and the home was attractively furnished, clean, homely, comfortable and well maintained. Residents spoken with were complimentary about the cleanliness and décor of the home. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 19 The entrance hall was attractive and had fresh flowers and plants, there was relaxing piped music, which was not too loud to cause annoyance to those living in, working in and visiting the home. A copy of a fire and rescue service report of an inspection dated 29th August 2006 was forwarded to CSCI. The report stated that the outcome was satisfactory. There were attractive communal facilities in the home, which provided a choice of areas which residents could use. There was a large comfortable lounge, which provided comfortable seating, a table and chairs with a jigsaw which was in the process of being completed, television, video recorder and DVD, a selection of books and a coffee table which had a chess set and a newspaper and magazine. A resident was observed to use the lounge to read the newspaper and have a ‘nap’ following lunch. There was a lounge which had a bar and comfortable seating. A staff member reported that residents could meet together for pre-dinner drinks at weekends. Resident’s records viewed which identified activities they had participated in confirmed this. The bar area was observed to be used by a resident and their visitors in the afternoon of the inspection. There was a large attractive conservatory which residents were observed reading magazines in and enjoying the view of the garden. The conservatory had tables and seating. The home had a large dining area which was attractively furnished, with several tables and chairs. The tables were attractively laid, each having a small vase of fresh flowers. Some place settings held specialist eating equipment, such as cutlery with larger handles, which staff reported were used by individual resident to assist them to enjoy their meal independently. There was a piano in the dining room, and staff said that a resident often plays the piano. There was a large garden, which had a seating area that residents could enjoy. The home provided areas which residents could use around the home, including a seating area on the first floor and a library with large comfortable chairs, a selection of books and good lighting. There was a hairdressing salon, where residents were observed having their hair styled. The PIQ stated that the hairdressing salon had recently had new flooring, this was observed to be laminated flooring. Areas of the home were accessible to wheelchair users, providing ramps to the grounds and a lift. Throughout the home there were plants, fresh flowers, ornaments and a staff member explained that former residents families had donated some items such as a wall clock to the home. The manager said that Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 20 there were plans to purchase new carpets for the communal areas of the home. There were sufficient bathrooms and toilets in the home, all communal bathrooms and toilets provided hand wash gel and disposable paper towels. All bedrooms provided en-suite facilities, which varied in their furnishings, all included a toilet and hand wash basin. Some included a shower or a bath. The PIQ stated that there had been a new assisted bath recently purchased, this was observed during a tour of the building. During a tour of the building it was noted that there was a hoist, a staff member reported that it was used for one resident in the home. Nine staff comment cards stated that the home provided sufficient mobility aids. A staff member reported that the home promptly provided equipment such as sliding sheets when the need was identified. Four residents bedrooms were viewed, all were clean, comfortable, provided required furnishings and were personalised with items of personal memorabilia, such as photographs and ornaments. Residents spoken with confirmed that they had bought items of furniture for their bedroom when they moved in such as armchairs and small tables. Residents said that they had keys to their bedroom and safe storage for their valuables. All bedrooms were of single occupancy. Residents spoken with were complimentary about the hygiene and décor of their bedrooms and said that they had chosen their own bedroom. A resident said that they had a bedroom, which was bright and this supported them with their deteriorating eyesight. There were no offensive odours in the home. Staff spoken with said that there were always disposable aprons and gloves available for their use and that infection control standards were good. The home had an infection control procedure. There were risk assessments, which were viewed and identified risks and methods of preventing the risks to all areas of the home. The laundry was viewed and contained two washing machines, one drying machine and hand wash facilities. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 21 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that they are supported by sufficient numbers of well trained and competent staff and that they are supported by the home’s recruitment procedures. EVIDENCE: Staff rotas were viewed and a copy of rotas was forwarded with the PIQ. The rotas evidenced that staff were sufficient to meet the needs of residents and care staff were available 24 hours each day. In addition to care staff there were housekeepers and two chefs employed at the home. Nine staff comment cards stated that they felt that the staffing levels were sufficient to meet resident’s needs. The PIQ stated that 40 of staff working at the home had achieved NVQ (National Vocational Qualification) level 2 or above, which was seven staff members of the employed fifteen. A staff member reported that three staff were working on their NVQ award and that the home continued to offer the opportunity to staff to achieve their award. When the three staff had completed the home would have achieved 50 of care staff to have achieved a Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 22 minimum of NVQ level 2. Training records which were viewed confirmed the NVQ achievement. A staff member spoken with said that they had achieved their NVQ level 3 while working at the home and explained how the award had improved their practice and knowledge. Nine staff comment cards stated that they felt that the home had a good training and development programme to support staff and that they had received sufficient training to undertake their role. Staff spoken with said that they received a good range of training which was of good quality and supported them in their work role. One staff member said that they were due to attend a distance learning qualification on dementia care. Training records viewed evidenced that staff were provided with TOPSS (now Skills for Care) induction training and training courses regarding issues such as POVA, manual handling, health and safety, first aid, fire safety, medication, food hygiene, communication, principles of care, dementia awareness and person centred care. Four staff recruitment records were viewed and included a photograph, application form, two written references, terms and conditions, medical report, identification such as copies of driving licence and birth certificate and POVA checks. Three records held CRB (criminal records bureau) checks, one held evidence that their CRB had been applied for and that they had been recruited at the home February 2007, a copy of the acceptance letter from the home stated that their employment would be subject to satisfactory CRB checks. The manager confirmed that the staff members CRB had been applied for and that they had a satisfactory POVA check. They said that the staff member was supervised at all times and would continue to be until their CRB was returned. There was written evidence that checks had been made with those providing references. Residents spoken with said that the staff team were very good, and one stated that ‘it’s the staff that make the home good’. Staff spoken with reported that there were good working relationships within the staff team and that the manager was accessible when they wished to discuss any issues. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 23 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that the home is managed by a person who is fit to be in charge, that their financial interests are safeguarded, that their health, safety and welfare is promoted and protected and that the home is run in their best interests. However, there was no evidence that there were quality assurance visits by the provider were recently undertaken. EVIDENCE: The manager had proved competent, qualified and experienced to run the home during their registered manager application. The manager had achieved a diploma in management and held a current RGN nursing qualification. The Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 24 manager explained that they undertook continuous development activities, which were a requirement of their nursing qualification. Training records viewed confirmed this. The manager had a clear understanding of their role and responsibilities and the responsibilities of others in the home and of management of the agency. Nine staff comment cards stated that they felt that the home was well run. The published results from a quality assurance exercise were viewed which included residents satisfaction questionnaires and questionnaires completed by staff and other professionals providing a service to the home. The document explained the results and actions which would be taken if any issues had arisen from the exercise. The home had a quality assurance procedure which clearly identified methods of providing a good service to residents. Minutes to residents meetings were viewed and evidenced that residents were consulted with regarding issues in the home such as activities, the menu and their views of the service they received. Records of Regulation 26 visits were viewed and there was evidence that they were undertaken on a monthly basis until November 2006. The manager confirmed that they had been undertaken and telephoned their area manager to request the reports. They said that the reports were completed but the manager had not received them and confirmed that following discussion with the area manager that they would be forwarded to the home as soon as possible. Resident’s records clearly identified the financial arrangements for residents. There were records which showed details of the residents spending, such as payment for chiropody, hairdressing and newspapers, the dates of the spending and the balance of their monies which had been handed over to the home for safekeeping. Staff training records evidenced that staff were provided with training such as manual handling, first aid, health and safety, fire safety, COSHH (control of substances hazardous to health) and food hygiene. The homes risk assessments were viewed and identified the risks and methods of prevention of the risks with regards to all aspects of the environment including walking in the grounds, using the tea trolley, foodstuffs bought into the home by residents and using the bathrooms. The home had a fire risk assessment. A copy of the fire and rescue service inspection report was forwarded to CSCI, which stated that the outcomes were satisfactory and provided recommendations for when the fire risk assessment should be updated. Fire records viewed evidenced that fire safety checks were regularly undertaken. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 25 Accident records were viewed, which included clear details of accidents which had occurred and treatment which had been administered where appropriate. Records were viewed which evidenced that there were regular checks undertaken which included water temperature, fridge and freezer temperatures and electrical appliance checks. There were records of services to the hoist equipment and cleaning undertaken in the kitchen area. There was an employer’s liability insurance certificate. The homes registration certificate and previous inspection report were displayed in the entrance hall to the home. Visitors were required to sign in and out of the home. Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 26 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 X X 4 X 4 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 2 X 3 X X 3 Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP33 Regulation 26 Requirement Regulation 26 visit reports must be available in the home for inspection Timescale for action 30/04/07 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 OP7 Good Practice Recommendations It is recommended that the specific support required by service users be included in their care plan Oaklands House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 House Residential Home DS0000024463.V335248.R01.S.doc Version 5.2 Page 29 - 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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