This inspection was carried out on 23rd October 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Oaklands North Care Home North Road Whaley Thorns Langwith Derbyshire NG20 9BN two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rob Cooper Date: 2 3 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Oaklands North Care Home North Road Whaley Thorns Langwith Derbyshire NG20 9BN 01623744412 01623748759 oaklands@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Homes No 2 Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 20 20 Southern Cross Care Homes No.2 Limited may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder - Code MD, MD over the age of 55 years and over. Dementia - Code DE 60 years and over. Mental disorder - Code MD, age 55 years and over. Dementia - Code DE, age 60 years and over. The maximum number of service users who can be accommodated is 40. Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Oaklands North Care Home is a purpose built forty bedded care home set on the outskirts of the village of Whaley Thorns. People who live at the care home are situated on two floors, each with its own lounge and dining areas. The care home is registered to provide nursing care for people with dementia (twenty places) and mental disorder (twenty places.) The ground floor is dedicated to caring for people with dementia with the first floor housing people with mental health needs. The home is within walking distance of the few local shops and GP surgery. The range of fees charged at the home are £355.81 to £665.52 per week with extra charges made for Chiropody, toiletries and newspapers. This information is taken from documents in the home during the last key inspection visit. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was triggered following concerns raised by colleagues at both the Primary Care Trust and Social Services. There have also been a number of safeguarding strategy meetings held in recent months, regarding people who live at Oaklands North. In addition the Commission has received information from an anonymous source about the quality of care at this care home. The care files of three people were seen, and there were care plans and risk assessments in place, which were being reviewed on a monthly basis. One of the files showed an individual with a potentially serious medical condition, there was a care plan for this, however it was found to be rather brief. The care plan did not provide staff with information about the condition or what to do if the condition deteriorated. There were also very few details about how this persons condition was progressing to inform any health care professional who was monitoring the individual. Following the introduction of the Mental capacity act (2005) there were no Mental Capacity assessments, and no information regarding the Deprivation of Liberties Standards (DOLS) in any of the care plans, this despite the fact that people living at Oaklands North either have a diagnosis of dementia or problems related to their mental health, and observations during the inspection visit raised questions over some peoples capacity or lack of it. In addition there are locked doors and the use of keypads to restrict peoples movement in and around the building, but no evidence of assessments or recording that decisions have been taken in peoples best interests. During a partial tour of the building, it was noted that some bedrooms had been redecorated, as well as a lounge area. A refurbishment plan has been submitted to the Commission by Southern Cross, which details a significant number of works throughout the building. The staffing rota was seen and reviewed. This showed that there were sufficient numbers of staff on shift to meet the needs of the people living at Oaklands North. In addition staff training records were also reviewed, particularly food hygiene, which were also discussed with the Environmental Health Officer. Staff training records were found to be correct. What the care home does well: What they could do better:
The care records of three people were seen and reviewed. Some short comings in the recording of information within care plans were identified. This was particularly with
Care Homes for Older People Page 4 of 8 regard to specific care plans, and Mental Capacity Act (2005) information and assessments, including the Deprivation of Liberties Safeguards (DoLS.) If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must provide staff 31/12/2009 with direction, so that they are able to meet individuals needs, and also capture relevent information to ensure that appropriate monitoring of those needs is in place. To ensure that people are safe and that their needs are being met competently by the staff team. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 Every person living at Oaklands North should have a Mental Capacity assessment, in line with the Mental Capacity Act (2005) and if appropriate a Deprivation of Liberties Safeguards assessment, to document their abilities to make decisions, and if decisions are being taken on peoples behalf, that those decisions are in the individuals best interests. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
