CARE HOMES FOR OLDER PEOPLE
Oaklawn Oaklawn 400 Chessington Road West Ewell Epsom Surrey KT19 3NB Lead Inspector
Graham Cheney Unannounced Inspection 2nd November 2005 01:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oaklawn DS0000013733.V269015.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. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Oaklawn Address Oaklawn 400 Chessington Road West Ewell Epsom Surrey KT19 3NB 020 8393 6731 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) EMAS Limited Company Mr Charlie Yong Huat Puah Care Home 3 Category(ies) of Learning disability over 65 years of age (3) registration, with number of places Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. LD(E) Learning Disability, Service Users who are over 65 years of age but do not fall within the category of Old Age. 3rd May 2005 Date of last inspection Brief Description of the Service: The home provides accommodation for three service users over the age of 65years with a learning disability. The building is a bungalow, which comprises of a large lounge, small separate dining room, 3 single bedrooms, bathroom, kitchen, small office and a laundry room. There are no en suite facilities, however the bedrooms are all situated near to the bathroom. There are ample gardens to the rear of the property, mainly laid to lawn, with patio area. The garden adjoins with the companys sister home, Firlawn. There is a parking facility to the front of the property. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an unannounced visit, which meant that staff and residents did not know that it was due to happen. The inspection started at 1.00 p.m. and the inspector had the opportunity to meet one of the current residents and one of the residents from Firlawn the sister home next door owned by the same company. The home’s other resident was at a day centre during the inspection and the home currently has one vacancy. The inspector was introduced to both of the residents, who were busy doing an activity at the dining table, with the support of the member of staff on duty. A tour of the building was completed. The rest of the time was spent observing staff and residents together, looking at records and reports and talking to the member of staff on duty about how the home was run. The inspector was made very welcome and would like to thank the residents and staff. What the service does well:
Both of the residents in the home had some difficulties with verbal communication but seemed to have a good level of understanding. Observations indicated that the relationship between residents and the staff member were relaxed and very friendly, creating a warm and homely feel in the home. Residents were encouraged and supported to be as independent as they were able and involved in what was happening in the home. This was limited for the residents at home during the inspection, but the member of staff confirmed that the other resident living in the home continued to enjoy helping around the home. The member of staff stated that she normally worked in Firlawn next door but that both homes worked closely together and staff had got to know all of the residents well and understood their likes and dislikes. Care plans had been completed for both of the residents providing a good level of information about their needs and wishes. The member of staff stated that both were due to be reviewed in January next year. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 6 Residents also go into the local community on a regular basis, which included attending day care, one attended three days a week the other on four days. Other trips included leisure activities, shopping and having meals out. The home has its own transport for residents. Having been originally registered as a small care home it did not have to meet the same standards as a larger or more recently registered service. The accommodation was well presented and furnished and the home was generally operating to a good standard 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. Oaklawn DS0000013733.V269015.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 Oaklawn DS0000013733.V269015.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): Not assessed on this occasion. EVIDENCE: Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. This meant that the home was able to demonstrate that residents’ health and personal care needs were being appropriately met. EVIDENCE: Care plans had been completed for both of the residents providing a good level of information about their needs and wishes. The member of staff stated that both were due to be reviewed in January next year. Standard 9 was assessed and the practice for administering medication complied with the Royal Pharmaceutical Society’s guidance. On the evidence presented the home was therefore obtaining, storing, administering and recording medication appropriately. In line with the recommendation of the last inspection medication records have been reviewed and records of all incoming and disposed of medication were being kept. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 10 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 Evidence gathered during this inspection confirmed that the home meets all of the assessed standards. This meant that the home was able to demonstrate that residents were encouraged and supported to lead as independent and fulfilling life as they were able. EVIDENCE: Residents were encouraged and supported to be as independent as they were able and involved in what was happening in the home. This was limited for the residents at home during the inspection, but the member of staff confirmed that the other resident living in the home continued to enjoy helping around the home. Residents also go into the local community on a regular basis, which included attending day care, one attended three days a week the other on four days. Other trips included leisure activities, shopping and having meals out. The home has its own transport for residents. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 11 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): Not assessed on this occasion. EVIDENCE: Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 12 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, 20, 21, 23, 24, 25, 26 Oaklawn was a pre-existing, (before 2002) registered small care home. Given this the evidence gathered during this inspection confirmed that the home meets each of the assessed standards and provides a reasonable level of accommodation appropriate to the needs of the current residents. EVIDENCE: Having been originally registered as a small care home it did not have to meet the same standards as a larger or more recently registered service. The accommodation was well presented and furnished and the home was generally operating to a good standard No health & safety concerns were identified on the day of inspection and the home was very clean, tidy and well maintained. Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 13 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 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. The staff member on duty appeared to be enthusiastic and committed to supporting residents, having appropriate training and experience. EVIDENCE: Both of the residents in the home had some difficulties with verbal communication but seemed to have a good level of understanding. Observations indicated that the relationship between residents and the staff member were relaxed and very friendly, creating a warm and homely feel in the home. The member of staff stated that she normally worked in Firlawn next door but that both homes worked closely together and staff had got to know all of the residents well and understood their likes and dislikes. The care staff roster did not show who was on duty for the morning shift on Tuesday, Wednesday, Thursday or Saturday on the weeks observed by the inspector. The member of staff on duty explained that during the week this was because the residents both attended a day centre. However it was a requirement that the staff roster be maintained as an accurate record of staff working in the home. A record confirming that rostered hours were actually must be maintained.
Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 14 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): Not assessed on this occasion. EVIDENCE: Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 16 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. 1 Standard OP27 Regulation 17(2) Requirement It was a requirement that the staff roster be maintained as an accurate record of staff working in the home. A record confirming that rostered hours were actually must be maintained. Timescale for action 02/11/05 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 Oaklawn DS0000013733.V269015.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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