Inspection on 19/10/05 for Oaklands Nursing Home

This inspection was carried out on 19th October 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 Nursing Home 25/06/09

Oaklands Nursing Home 27/06/07

Oaklands Nursing Home 24/05/05

Oaklands Nursing Home 19/01/05

Oaklands Nursing Home 26/07/04

Oaklands Nursing Home 19/11/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Oaklands Nursing Home Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN7 6JL Lead Inspector Janet McBride Unannounced Inspection 19th October 2005 10:45 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 Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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 Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oaklands Nursing Home Address Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN7 6JL 01302 535386 01302 535726 fourseasons@fshc.co.uk 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) Leeland Limited Elizabeth Potts Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (34) Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Oaklands Nursing Home is a care home providing residential and nursing care and accommodation for 34 older people. Originally registered in 1996 the home is now owned by Four Seasons group, a company that has other homes with similar categories in the area. The home is located in Bessacarr, which is on the outskirts of Doncaster. It is a converted two-storey property that has been extended to provide accommodation for service users in the category of old age, 26 of the bedrooms are single with most of them with ensuite facility. Set in well established gardens the home is within easy reach of local facilities including pubs, the Dome leisure centre and a supermarket. Bus services pass close by and the town centre is a short ride away. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Oaklands Nursing Home, on the 19th October 2005, commencing at 10:45 and finished at 15:30,this was the homes second Inspection since April 2005. Any standards not covered in this inspection were covered in the unannounced inspection that was conducted early in the year. It may be the case that some standards will be covered twice in the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. The Inspector also attended a relatives and resident meeting on the 15th June 2005,this gave those relatives that don’t visit during the day or if they live away to be able to speak to the Inspector and raise any issue or concerns about the home. It was a very informative and positive meeting and feedback from the home found it beneficial, as did the Inspector and some of the comments are included in this report. During the Inspection we looked at chosen number of documents, sampling of records, and direct and indirect observation of staff interaction with residents, this Inspection also included individual and group discussions with residents, and feedback from relatives and visitors on the day. Any issues or concerns that were raised were discussed with the Manager during and at the end of the Inspection. What the service does well: There is a stable staff group who have worked at the home for a good length of time, and they spoke positively about their positions at the home. Therefore the home is well managed, and the manager and her staff work hard to ensure that residents receive consistent quality care and ensuring the safety and protection of residents at all times. The home has a good atmosphere and residents are able to wander around the home safely, those residents spoken to liked the home and felt that staff worked hard to improve things within the home, and stated “nothing was too much trouble for them” and that staff put a lot of effort into the care they deliver. Relatives also spoke very highly of the home and the care they receive, this was also confirmed in recent results of questionnaires sent out to resident and relatives. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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 Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 236 Current residents and prospective service users are provided with the information they need about living in the home, they also have a contract of the terms and conditions with the home. Service users can visit the home prior to their admission to assess if they want to live there, and new service users are admitted on the basis of a full assessment has been completed, to ensure their needs will be met. EVIDENCE: The company have recently sent out terms and conditions to all residents, this includes private clients and those residents funded by social services. One of each of these contracts were examined and found they contained the relevant information required by this standard. All residents are assessed before they move into the home, and care plans contain evidence to show that this as taken place, and that the home had identified any care needs that each individual resident requires and this also includes assessments from other professionals. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 9 The home does not provide intermediate care, but most of the residents within the home require nursing care. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 9 10 The care planning systems are sufficiently detailed to enable staff to deliver the care to residents who have specific identified needs. Residents are treated with respect and personal care ensure privacy and dignity are preserved, and their rights upheld. Medicines in the custody of the home are handled according to the requirements of the Medicines Act and Resident’s benefit from being able to self medicate if capable with appropriate policy and procedures in place to monitor this. EVIDENCE: Most residents within the home have nursing needs; three residents care plans were checked and cross-referenced with medication and accident records. The resident’s health, personal and social care needs are set out in an individual plan of care, baseline assessments on admission and risk assessment dependant on the individual needs. Records show that residents have access to health care services including chiropodist, optician and dental services. Some service users had also been referred to specialist services including tissue viability and continence advisors. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 11 Medicines in the custody of the home are handled according to the requirements of the Medicines Act 1971;and records show, random MAR sheets were examined and found satisfactory. Storage and receipt of drugs was satisfactory, with the exception of waste medicines, this as not been arranged by the company and needs addressing. Controlled drugs were checked and evidence was seen that they are administered correctly with the required records kept. Relatives, visitors and residents seen on the day and early in the year when the Inspector attended a relatives/residents meeting, made very complementary comments about staff within the home and the care that residents receive. Staff spoken to were aware of individual residents care needs, they spoke about ensuring that service users are respected at all times, preserving dignity by ensure they wear own clothes and any personal care is done in private. This was evident when observing staff delivering care to residents, they were seen to approach residents with respect and to encourage independence and choice at all times. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 Residents confirm they have choice and control over most everyday issues, therefore they find the home satisfies their needs. Social activities are arranged by the home and residents are able to participate if they wish, to enhance their lifestyle experience. EVIDENCE: A varied programme of activities, and some one to one work, a number of residents spoken to gave examples of activities that take place whenever possible. Residents spoken to stated they were happy with the level of activities in the home and had enjoyed outings, and are looking forward to bonfire night, which they will celebrate. Newspapers magazines and books are available in the home, and spiritual needs can be met either by visiting local churches or they do have church services within the home. Comments received today and at an early resident/relatives meeting attended by the Inspector found that residents and visitors spoke positively about the support staff gave to maintain relationships and encourage visitors to the home. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 13 Relatives stated they were always made to feel welcome and that staff promoted their involvement within the home, very good atmosphere within the home. A number of residents go out into the community to access other services or on social visits with family and friends. Evidence was available to show that residents are encouraged to exercise choice and control over every day living needs if they are capable; those residents who could voice their opinions confirmed this. Evidence was seen that residents are entitled to bring personal possessions or items of memorabilia with them, and most residents had these in own bedrooms, making them as homely as possible. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These key standards were assessed on the last Inspection and met. EVIDENCE: Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Residents live in a safe and well-maintained environment; this ensures that residents have comfortable surroundings, with their own possessions around them. EVIDENCE: Layout of the home is suitable for its stated purpose, and residents spoken too feel it’s comfortable and homely. Since the last Inspection the home as purchased new chairs for the dining room and some new lounge chairs, which look more suitable and very comfortable for the client group. The home’s handyman attends to day-to-day maintenance of the home, the manager stated that the car park is to be re-surfaced and handrails to the outside the homes front door. Discussed with the manager that the homes signage, which is not very visible from a very busy road, and has the company thought about moving this. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 Staff has the skills and knowledge to fulfil their roles within the home, and a stable staff group ensures continuity of care by staff that knows the residents. Recruitment policies are followed ensuring the safety and protection of residents within the home. EVIDENCE: Staffing was discussed with the manager and duty rota examined, which shows appropriate staffing levels were in place at the time of inspection, and that domestic and laundry staff are employed in sufficient numbers to ensure that the home is clean and tidy and that residents clothes are laundered on a regular basis. A registered nurse is on duty at all times, and the manager works in a supernumery capacity, but the companies practice does not give the deputy at the home any supernummary time to either help with any management duties or when the manager was on annual leave for three weeks during the summer months. Care staff within the home can access NVQ training and three out of the sixteen care staff has completed their NVQ level 2 and other staff members are on NVQ courses. Discussion with the manager regarding the recruitment of staff demonstrates clear understanding of the procedures to ensure the safety and protection of residents. The homes recruitment procedure was checked, and personnel files of any new staff were checked and one nurse’s file. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 17 Two written references are obtained plus one verbal reference for all staff and CRB checks undertaken, these records included, PIN and qualifications of nurses, and one nurse confirmed they continue with their own development and attend courses as required by their registration. All staff has copies of their terms and conditions of employment, and a copy of General Social Care Council code of practice. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 37 38 The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the residents, and tries to run the home in the best interest of these residents. Staff and residents follow health and safety procedures and records provide evidence of servicing of essential equipment is completed. EVIDENCE: The registered manager has a wealth of experience and knowledge and is able to demonstrate her ability to manage the home. She holds a nursing qualification and is working towards the required management qualification. She operates an open door policy to ensure she is accessible to staff and service users, and tries to run the home in the best interest of residents. Residents, visitors and staff spoke highly of the manager and said she was very caring and approachable. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 19 Quality assurance was discussed with the manager, who was able to evidence that they have sought feedback from the residents about life within the home, results of recent questionnaires available to examine, and evidence that these have been fed back to the residents and relatives. Regular audits are completed on care plans, medication records and Accident reports are analysed by the manager to ensure risk assessments are developed where required. The only issue raised was that the company has not conducted a full audit of the home for 2005. Some residents are able to manage their own finances, although most prefer the manager to assist with dealing with their personal allowances. Although residents can access any money they need, this is now pooled and kept in one account so the Inspector could not audit individual balances of resident’s money. Records show that staff receives supervision and the manager undertakes all yearly appraisals, to ensure staff have to opportunity to discuss their development. Safe working practice was discussed with the manager and staff and a number of records checked. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of residents. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 20 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 2 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 3 3 3 Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 21 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 OP9 Regulation 13 Requirement Arrangements for the safe disposal of medication. The registered manager must ensure the secure storage of medication and records are maintained until the medication is safely disposed Of. Quality systems are in place to measure success in meeting the aims, objectives and the statement of purpose of the home. (Audit of the home) Timescale for action 31/12/05 2 OP33 24(1) 31/12/05 Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 22 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 Refer to Standard OP19 OP27 OP28 Good Practice Recommendations Location of the signage of the home should be moved, as it hides the entrance. Deputy should have some supernummary time, especially when the manager is on annual leave or sick leave. A minimum ratio of 50 trained members of care staff (NVQ Level 2 or equivalent) is achieved by 31st December 2005, excluding the registered manager, and in care homes providing nursing, excluding those members of care staff who are registered nurses. The registered manager achieves NVQ 4 in management by 31st December 2005. Good practice; All services users money kept in the home should be kept in individual wallets 4 5 OP31 OP35 Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oaklands Nursing Home DS0000015868.V256308.R01.S.doc Version 5.0 Page 24 - 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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