Inspection on 16/10/07 for Oaklea

This inspection was carried out on 16th October 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

Oaklea 10/10/06

Oaklea 28/09/05

Similar services:

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Oaklea 29 Oak Road Woolston Southampton Hampshire SO19 9BQ Lead Inspector Janet Ktomi Unannounced Inspection 16 October 2007 2.30 th Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 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 Oaklea DS0000063436.V344436.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 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. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea Address 29 Oak Road Woolston Southampton Hampshire SO19 9BQ 023 8044 6451 F/P 023 8044 6451 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) In Chorus Limited Ms Kathryn Amelia Bennett Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated between the ages of 18 and 65. Date of last inspection 10th October 2006 Brief Description of the Service: The home is situated in a detached house in the residential area of Woolston, close to Woolston shopping centre and other local amenities. The area is well served by public transport with frequent buses to and from Southampton city centre. The home also has its own transport. The use of the building as a care home is not obvious and it is domestic in scale. It is registered to accommodate and provide personal care and support for up to five people between the ages of 18 and 65 with learning disabilities. The home supports people who have Autistic spectrum disorders. Accommodation is spread across two floors and consists of five single bedrooms all with en suite toilets. People also have access to a lounge, dining room, kitchen/diner, second lounge/quiet room and two bathrooms, a shower room a private garden and a garage. At the time of a site visit to the home on 16th October 2007 the fees ranged from £1343.13 to £2847.07 a week depending on the level of support that the individual concerned required. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows a site visit as part of the process of the key inspection of the home. The home was telephoned the evening before the inspection to determine a suitable time for the inspector to visit based on the planned activities of the people living in the home. The inspector arrived at 2.30pm and completed the visit at 7.15 pm. During the visit accommodation was viewed including some bedrooms (with the permission of their occupant), communal/shared areas and the home’s kitchen and laundry. Documents and records were examined. People living in the home were met and gave their opinions about the service. Staff on duty were spoken to in order to obtain their perceptions of the service that the home provided. At the time of the inspection the home was accommodating five people, all younger men. The home’s manager was present during the visit and was available to provide assistance and information when required. One of the providers joined the manager and inspector towards the end of the inspection and was present for the feedback at the end of the inspection. People who live at the home were given the opportunity of completing surveys prior to the inspectors visit and four of them returned completed surveys. The relatives of and care managers for the people living in the home were canvassed for their views about the home using questionnaires, before the site visit took place. Their responses were taken into consideration when producing this report. Two health professionals also completed surveys. Other matters that influenced this report included: • An Annual Quality Assurance Assessment completed by the manager in which she sets out how she believed the home met and planned to exceed the National Minimum Standards (NMS) for Care Homes for Adults (18 –65) and evidence to support this. • • A “dataset” containing information about the home’s staff team, and some of its managements systems and procedures. Information that the Commission for Social Care inspection had received such as statutory notices about incidents/accidents that had occurred. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has reduced the number of people who live at the home and now provides an additional communal room. The lounge has been redecorated and new furniture provided – chosen by the people who live at the home. New furniture has also been provided in people’s bedrooms and the kitchen has a new cooker and improved lighting. Staff have received training in positive approaches and strategies for managing behaviours in people with autistic spectrum disorders. Following the previous inspection the home has increased the numbers of care staff with an NVQ of at least level 2 in care and now has almost fifty per cent of staff with this qualification and an additional three staff undertaking NVQ training. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 7 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. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 8 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 Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems and procedure in place to ensure that only people whose needs it can meet are admitted to the home. Prospective people have the opportunity to visit the home to decide if they want to live there. EVIDENCE: Surveys were received from the relatives of a person who had recently moved into the home, four of the people who live at the home completed comment cards, as did one care manager. The pre admission assessment for the most recently admitted person was viewed and the inspector discussed the homes admission procedure with the manager and staff. It was clear from the documents seen and the comments of parents and a social care professional that the level and type of support that individuals required was identified in great detail before moving in. The pre-admission assessment involves the current carers completing an assessment and the homes manager and one of the providers (who is a registered learning disabilities nurse and special educational needs teacher with experience of Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 10 autism) undertaking further assessment work. Information/reports from other professionals are also sought and copies were seen in the file viewed. All this information is then collated into an assessment report and a decision made as to whether the home could offer a place to the person. The manager explained the pre-admission procedure. Discussions with the manager and stated in the homes Annual Quality Assurance Assessment, indicated that compatibility with the existing people living at the home would be an important factor in determining if a new placement would be made. There was a “transition” period as part of the process of moving into the home with a transition plan seen in the assessment viewed. These included staff visiting the person at their current accommodation, visits by the person to the home, and overnight stays at Oaklea. Four of the people who live at the home completed surveys. These all confirmed that they had been involved in the process of moving into the home and had received enough information before they moved in to help them decide if it was the right home for them. Relatives who completed surveys also confirmed that they had received information about the home one stating ‘Oaklea have been very good at keeping us informed’ in relation to the admissions procedure. The other confirmed that they had received enough information before deciding that the home was the right place for their son to live. Care staff stated that they felt they had enough information about new people before they moved in and that staffing levels had been increased since the new person had moved in. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives are involved in planning the care and support that they received and risks they take and were able to exercise choices about day-to-day life in the home. Sensitive information was looked after properly. EVIDENCE: During the site visit the inspector viewed care plans, risk assessments and information held on people living at the home. These were discussed with the manager and staff. Four of the five people who live at the home completed surveys, as did one care manager and two relatives. Information from the homes Annual Quality Assurance Assessment is also considered in this section. The documents examined during the site visit included comprehensive individual plans setting out details of the support that each person living in the home needed and how it was to be provided. These were seen to have been Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 12 regularly reviewed. One care manager stated ‘a good care plan has been put into action and this is effective’. Care plans are in typed written English format. Whilst appropriate for some of the people who live at the home others are unable to access information in a written format. This was discussed with the manager and the inspector was shown a file with picture representation/symbols that it is hoped to begin using. The manager and the Annual Quality Assurance Assessment identified a need to increase the use of Makaton and provide information in a format suitable for the person for whom it is intended. The inspector observed some symbols in use around the home. Each care plan viewed included risk assessments that identified possible harm to the individual but the home also recognised that some risk taking can have benefits and result in a better quality of life. Training records indicated that many staff attended risk assessment training in May 2007. During the visit it was noted that staff discussed decisions and choices with people living in the home about a range of matters, such as activities they wished to pursue. Care staff were observed using some Makaton. Discussions with care staff confirmed that people’s choices are respected and that efforts are made to increase people’s abilities to make choices. One person living at the home had decided not to complete a survey form and on the day of the inspectors visit another had chosen not to attend a music session. Discussions with the people who live at the home indicated that they are able to choose what they do and where in the home they spend their time. Discussions with the manager indicated that she had a good understanding of the way the people living at the home can be helped to make choices and decisions. Comment cards received from four of the people living at the home all confirmed that they are able to make choices and that carer’s always/usually listen and act on what they say. Comment cards from parents confirmed that choice is offered. One care manager stated ‘the staff I have met have demonstrated consistent and effective support skills in enabling service users to make choices and be as independent as possible’. The home has weekly resident meetings where people are kept informed of things affecting the home and options are discussed. The home had policies and procedures about confidentiality and sensitive information about individuals living in the home was kept securely in the staff office. Care staff confirmed that they were aware of confidentiality issues. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home actively promotes the rights of the people to live ordinary and meaningful lives. They are supported to take part in social, educational, work and recreational activities and to develop life skills. EVIDENCE: During the site visit the inspector viewed care plans, daily and weekly routines/activity plans. These were discussed with the manager and staff. Four of the five people who live at the home completed surveys, as did one care manager and two relatives. The inspector observed how people spend their time and talked with people who live at the home. Information from the homes Annual Quality Assurance Assessment is also considered in this section. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 14 Pre-admission assessments included information about people’s social needs, preferred activities and support for these is included within the fee structure of the home. Everyone living at the home has an individual weekly plan of activities both in and out of the home. These were seen during the inspection. The home maintains daily recordings that listed what activities people had taken part in. Comment cards from four of the people who live at the home all stated that they can choose how they spend their time and that a range of activities are available. Discussions with people indicated that there were opportunities to undertake a range of age appropriate integrated activities. Financial records listed personal money spent on outings. Everyone had the opportunity of a holiday in 2007. The home provides a car for transport for activities that is funded by the service. The home supports people to develop life skills and work-based activities. One person told the inspector about his work and another returned home from a work activity whilst the inspector was at the home. People are expected to undertake domestic tasks as part of skills development and discussions with people showed they were aware of what their jobs were. In house the home has ample communal space, which has been increased since the previous inspection to provide another separate communal room. Communal rooms are equipped with home entertainment equipment such as televisions and music systems. The home has an enclosed, private rear garden where one person confirmed he undertakes gardening activities. People were seen spending their time in various communal rooms around the home. Weekly activity plans and daily recordings confirmed that people could have visitors and visit their relatives as they wish. Discussions with people also confirmed that they could have visitors. The home provides residents with access to a cordless phone free of charge so they can make and receive calls in private. They also have free Internet access, enabling them to keep in touch by email as well as learning new computer skills. The home supports people’s religious needs and would be considerate of any cultural or religious issues. Discussions with the manager and observations during the inspectors visit indicated that the home deals sensitively with issues relating to sexuality and self-image/self esteem. This was also confirmed in comments made by a care manager ‘they have worked very sensitively to support his sense of self-esteem and dignity as a young man. People stated to the inspector that they liked the food provided at the home and that menus are discussed at resident meetings. The manager stated that they aim to provide a healthy diet and there was evidence in care plans that peoples weight is recorded on a regular basis. Records in care plans stated what people had eaten. Care staff confirmed that they prepare all meals and include the people who live at the home as far as possible. Records indicate a Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 15 range of healthy foods are provided. The homes Annual Quality Assurance Assessment stated that all care staff have received training in food handling. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs and medication is managed safely. EVIDENCE: The care plans examined set out how the help and support an individual needed was to be provided. Staff members had a good understanding of the needs and wishes of the people who live at the home. The home aims to maximise people’s independence in personal care with personal care a key target area of care planning. Staff members also demonstrated an understanding of how people communicate. The manager discussed and it was identified in the homes Annual Quality Assurance Assessment that it could improve the use of Makaton but has had limited success in identifying a Makaton trainer. The home has made referrals to specialist healthcare professionals in order to obtain support and advice about the specific needs of individuals. The home Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 17 maintains a record of all contact with health professionals (GP’s, Dentists, Opticians etc) and provides a visiting chiropodist free of charge. The home aims to encourage a healthy lifestyle and encourages regular physical activity and healthy diet choices. Two comment cards were received from health professionals and they were both positive about the home. Medicines are kept in a suitable locked metal cabinet in a locked cupboard. Records were kept of the receipt into the home of medicines, giving out and disposal of unwanted items and all records relating to medication were accurate and up to date. The home had individual specific guidelines for the administration of as required medication. Nobody living at the home at the time of the inspectors visit was able to self-administer medication although this would be considered as part of skills/independence development if appropriate to an individual. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives have access to a complaints procedure that would enable the home to address their concerns. There are systems in place in the home to protect vulnerable adults from harm. EVIDENCE: All four people who completed comment cards stated that they knew how to complain as did both parents and the care manager who returned comment cards. The home stated in their Annual Quality Assurance Assessment that they had received no complaints in the past year. People have the opportunity to raise issues within the weekly staff meetings and throughout the inspection people were observed making comments and giving their opinions freely to staff and the manager. The inspector spoke privately with one person who confirmed that he would say if he was unhappy with something at the home. All the people who live at the home have regular contact with their parents who would also be able to raise issues on their behalf if necessary. There were written procedures available in the home for the guidance of staff, about safeguarding vulnerable adults. Staff had received training in the subject of adult protection during induction however this is not included in regular updates provided. The provider stated that this would be considered as part of the homes future training plan. The previous report identified that staff were able to demonstrate an awareness of what to do in the event of an adult Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 19 protection issue and the manager was aware of the local adult protection procedures. The home stated in the Annual Quality Assurance Assessment that staff are specifically asked during regulation 26 visits by the provider whether they have seen any evidence of abuse. The home stated in the Annual Quality Assurance Assessment that staff have undertaken training in the management of verbal and physical aggression from people who live at the home using low arousal and calming techniques. Certificates were seen in staff files and staff confirmed that they felt able to support people who may present verbal or physically aggressive behaviours. Procedures are in place to protect people’s personal finances and to ensure that inappropriate people are not employed at the home. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s environment is comfortable, safe, clean and well maintained and is appropriate for the people who live there. EVIDENCE: The manager showed the inspector round the home towards the start of the visit and observed how people use the communal rooms. Records relating to services (gas certificates etc) were viewed and people discussed their views about the home. Oaklea is situated in a residential area of Southampton, close to local facilities. The house is not distinguishable from any other home in the locality, and does not appear different from other homes in the area. Accommodation throughout the home is maintained to a high standard, and provides a valuing environment to the people who live there. The home Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 21 provides ample communal space with a variety of communal rooms. Since the previous inspection the home has increased the communal rooms available with the reduction in the number of bedrooms and people who can be accommodated from six to five. Throughout the inspectors visit people were observed moving about the home and spending time where they wished within the home. The home has a back garden with lawn, small pond, patio area and flowerbeds. Where people have an interest in gardening they are supported to assist in the garden with various activities. People are actively encouraged to participate in decisions about the home and informed the inspector that they had chosen the colour of the lounge when it had been redecorated and selected the new sofas. One person described to the inspector how he had helped with bricking up and decorating over a nonrequired fireplace in the new communal room. He had clearly enjoyed having the opportunity to be involved in DIY. The kitchen has recently been improved with a new cooker, breakfast bar and improved lighting. All bedrooms are single with en-suite WC and washbasin. People living at the home are encouraged and enabled to personalise their own bedrooms reflecting their own interests and character. There is one shower and two bathrooms. The home has a separate laundry room with the necessary equipment. Supplies of disposable gloves for infection control purposes area available. The home confirmed in their Annual Quality Assurance Assessment that staff have attended infection control training and that the home has a policy for the prevention of infection and managing infection control. Training record information supplied by the provider stated that many staff have attended health and safety and infection control training in 2007. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment, training, support for, deployment level and skill mix of staff ensures the complex needs of people living in the home are met and their safety is promoted. EVIDENCE: Information in the homes Annual Quality Assurance Assessment, duty rotas, recruitment files and training records were seen and discussions with care staff were undertaken. Interactions between care staff and the people who live at the home were observed during the inspection and appeared warm and friendly. People living at the home appeared relaxed around the care staff, those the inspector spoke with stated that they liked the staff. Comment cards received from people who live at the home confirmed that staff always/usually listen and act on what they say and that staff always treat them well. The comment card from a care manager and relatives were also positive about staff at the home. comment cards from health care professionals stated ‘I am always impresses with the manner in which they are treated/respected by staff’, and in response to the Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 23 question as to whether staff have the necessary skills and experience ‘they certainly seem to’. At the time of the site visit the level of staff on duty was in accordance with its published rota with three staff on duty in the morning, three in the afternoon, one awake and one sleep-in staff at night. The home’s manager is generally supernumerary and the deputy has one supernumerary day per week. Care staff stated that since a new person has moved into the home staffing levels have been increased. The home does not use agency staff and has a small bank of care staff who have previously worked in the home. Care staff confirmed that they will undertake additional shifts if necessary to cover sickness and holidays. Care staff stated that the staffing levels are appropriate to meet the needs of the people currently living at the home. There was also support for the home and its staff group available from senior staff on call and a central office team. An on call rota is available to provide support if required to staff on duty when the manager is not in the home. The manager stated that at the time of the visit the home employed fifteen care staff and of these seven, almost fifty per cent had an appropriate National Vocational Qualification (NVQ) of at least level 2 with an additional three staff undertaking this qualification. Staff spoken to described the training that they had attended that enabled them to understand and work with the complex needs and behaviours of the people living in the home including e.g. autistic spectrum disorder; epilepsy; and managing verbal and physical aggression. The provider showed the inspector lists of staff training undertaken and planned for the future. Certificates were seen in staff files of training within the above-mentioned lists. Training planned is relevant to the needs of the people who live at the home. Care staff stated that they felt they had the necessary skills to meet the needs of the people who live at the home. The home identified in the Annual Quality Assurance Assessment that it needs to develop Makaton signing with staff. The home had written policies and procedures about staff recruitment and it indicated that staff appointments were subject to satisfactory, Protection of Vulnerable Adult (POVA) and Enhanced Criminal Record Bureau (CRB) checks and two references and completion of a six month probationary period. The file of a recently recruited person was viewed and contained evidence of all the necessary pre-employment checks having been completed. There was also evidence from discussion and records examined that there was structured staff induction training. Although staff stated that they felt well supported the home needs to ensure that regular formal staff supervision occurs and records are maintained. The manager identified on the homes Annual Quality Assurance Assessment that Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 24 they need to ‘tighten up on the frequency of supervisions and train new team leaders in conducting supervision’. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 25 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well run and is developing self-monitoring and quality assurance processes. Records are well maintained and appropriately stored. EVIDENCE: The registered manager has managed the home since it opened approximately two and a half years prior to this key inspection. The registered manager informed the inspector that she has now completed the Registered Managers Award and this has been forwarded to the external verifier. The manager stated that she anticipates completing the NVQ level 4 in Care by December 2007. Training records indicated that the manager has also undertaken update and relevant training to understand and meet the needs of the people who live at the home. Throughout the inspection the manager was observed to relate well to the staff team and people who live at the home. Positive comments about the manager were made in comment cards from a care manager and Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 26 two relatives. Staff members confirmed that they felt well supported and valued by the organisation and the manager. Residents appeared relaxed in the company of the manager, and responded well to verbal prompts. The home identified in their Annual Quality Assurance Assessment that ‘although the provision is monitored effectively and frequently, we do not have a detailed Annual Development Plan, or an annual residents survey’. They stated that they aim to introduce these in January 2008. The home does seek the views of the people who live at the home during weekly residents meetings as well as informally on a day-to-day basis. The providers undertake regular visits to the home and monitor the quality of service provision via regulation 26 reports to the manager. These are structured and include interviews with residents and staff (confirmed by staff), as well as viewing records and a tour of the home. The Annual Quality Assurance Assessment was completed to a high standard and contained relevant and useful information about the service. This was completed and returned when requested by the Commission. A sample of records relevant to the running and quality assurance of the service were inspected and appeared to promote best practise. Arrangements and systems were in place to promote health and safety in the home. The manager undertakes a weekly check of the homes fire detection equipment. The records for which were viewed and although had generally been completed every week there were a few weeks when this had not occurred. The manager must ensure that systems are in place to ensure that the weekly check is undertaken every week. Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 27 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 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 3 3 X Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 28 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 Oaklea DS0000063436.V344436.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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