Inspection on 13/12/05 for Oaklands Leonard Cheshire Foundation

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Leonard Cheshire... 28/10/08

Oaklands Leonard Cheshire... 26/02/07

Oaklands Leonard Cheshire... 19/07/05

Oaklands Leonard Cheshire... 06/01/05

Oaklands Leonard Cheshire... 01/09/04

Oaklands Leonard Cheshire... 27/08/02

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

CARE HOME ADULTS 18-65 Oaklands Leonard Cheshire Foundation Oaklands Dimples Lane Garstang Preston Lancashire PR3 1UA Lead Inspector Mr Patrick Rooney Unannounced Inspection 13th December 2005 Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 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 Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaklands Leonard Cheshire Foundation Address 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) Oaklands Dimples Lane Garstang Preston Lancashire PR3 1UA 01995 602290 01995 600026 Leonard Cheshire Deborah Jane Holmes Care Home 27 Category(ies) of Physical disability (27) registration, with number of places Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home will at all times employ a suitably experienced and qualified manager, at all times, who is registered with the NCSC 19th July 2005 Date of last inspection Brief Description of the Service: Oaklands is a Leonard Cheshire Foundation home. It is registered by the Commission For Social Care Inspection to provide support for physically disabled adults from the age of 18 to 65. The registration is for 27 persons of either sex needing either nursing or residential care. There are 26 permanent places and one respite place available. Day care is also available on the premises. The home is situated on the outskirts of Garstang and offers a range of activities and support to meet the individual needs of residents. Residents are encouraged and enabled to maintain links in the community, and a bungalow is available in the grounds where relatives and friends may stay. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a four-hour period from 10am. Only the key Standards not assessed in the last inspection were looked at. There were no outstanding requirements or recommendations from the previous inspection. The inspector had discussion with the manager and staff on duty. Care records, policies and procedures were looked at. Discussions were held with four residents individually and other residents were spoken to in the dining and lounge areas. Observations regarding care delivery were made during the inspection. Questionnaires were given out to all residents and visitor’s questionnaires were left for relatives and friends. What the service does well: What has improved since the last inspection? What they could do better: The home is still uncertain regarding the future the home, once this is clarified improvements in the environment will be made. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 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 Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 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): 9 The homes assessment process includes assessing risk in order that residents are supported in being as independent as possible. EVIDENCE: Risk assessments were seen for four residents; these clearly assess the individual needs and risks for the resident. With this in mind residents are enabled to be as independent as possible. It was noted that several residents have been enabled to go on holidays abroad with the help of the home. Staff carrying out risk assessments have training in how to do so. At the time of the inspection it was noted from records that seven staff have received this training. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 10 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): 16 and 17 The homes routines are flexible according to the needs of residents. There is a good variety of food available to residents, there are always choices programmed in to the menus. Special diets are catered for. EVIDENCE: The inspector spoke to three residents in their own rooms and to eight others individually in the lounge and dining areas. Care files were also looked at, which confirmed individual risks have been appropriately assessed. Residents said that they are able to decide as much as possible about what they wish to do every day. One resident said, “ The staff are very helpful and help to do what I can, nothing is too much for them”, another said “ I am very happy here the staff help me to go out and I can have visitors in my own room.” Residents said they are happy with the food they receive. The inspector looked at menus for the past six weeks and had a meal during the inspection. There was a good selection of food on offer and there are always choices Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 11 available. Food served was observed; this was of good standard and nourishing. There were plenty of staff available to assist those requiring help with eating. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 12 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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 13 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): 23 The Leonard Cheshire Foundation has in place robust policies and procedure to ensure residents are protected from abuse and neglect. EVIDENCE: The inspector looked at the homes policies and procedure, these include protecting residents from abuse and a whistle blowing policies to enable staff to voice any concerns they may have. All staff receive mandatory training in the Protection of Vulnerable adults From Abuse. This was confirmed from staff training records and in discussion with staff. This training faces staff with different scenarios they may come across and asks them to comment. The staff handbook provided for all staff covers the abuse procedures and ensures they are aware of the policy precluding them from receiving gifts or being involved in residents finances or benefiting from wills. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 14 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): 30 There are good procedures in place to ensure the home is kept clean and hygienic and residents are protected from infection. EVIDENCE: The home was observed to be clean and free from odours during the inspection. The inspector saw the homes policies and procedures in relation to infection control. These were comprehensive and require staff to follow correct procedures. Staff are required to change aprons and gloves between residents. Laundry equipment was seen this was of good standard and machines have a sluice facility as well as a disinfectant programme. New machinery has recently been installed. Infection control training is mandatory for all staff; training records confirmed this to be the case. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 15 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): 34 There are good recruitment policies and procedures in place to ensure staff are suitable for working in the home. EVIDENCE: The files for four staff were seen; these showed that all staff are required to complete an application form detailing previous education and work records. Two references are taken up from previous employers. No staff begin employment until Protection of Vulnerable Adults and Criminal Records Bureau checks have been completed. There is a probationary period and all staff receive a terms and conditions of employment. This was confirmed from records. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 16 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 and 42 The home is run by an experienced and qualified manager who is able to ensure it meets its aims and objectives. Residents and staff are protected by the health and safety policies and procedures of the home, including staff training requirements. EVIDENCE: The registered manager is a qualified nurse and has worked in a senior position at the home for a number of years. She has completed NVQ 4 in management and care. She has also completed the Registered Managers Award. The home has policies and procedures, which ensure safe working practises, are maintained. Documentation regarding these was seen during the inspection. These policies also form part of the induction and training for staff, this was confirmed by staff spoken to. All staff receive training in health and safety, moving and handling, fire safety and infection control. This was Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 17 confirmed from training records. Those involved in dealing with food receive food hygiene training. Staff also receive training in first aid. Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 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 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X 3 X Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations Oaklands Leonard Cheshire Foundation DS0000006067.V270644.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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