Inspection on 15/11/06 for Oaklea Care

This inspection was carried out on 15th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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.

Other inspections for this house

Oaklea Care 22/02/06

Oaklea Care 20/10/05

Oaklea Care 13/08/04

Oaklea Care 29/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Oaklea Care 5 Preston Grove Yeovil Somerset BA20 2BG Lead Inspector Judith McGregor-Harper Unannounced Inspection 15 November 2006 10:00 th Oaklea Care DS0000016199.V315967.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 Care DS0000016199.V315967.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 Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea Care Address 5 Preston Grove Yeovil Somerset BA20 2BG 01935 479721 01935 432027 jackson@oaklea.fsbusiness.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) Mrs Janice Maureen Jackson MR ROBERT JACKSON Mrs Jacqueline Elizabeth Down Care Home 14 Category(ies) of Learning disability (14), Mental disorder, registration, with number excluding learning disability or dementia (14), of places Physical disability (14) Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Two ground floor places may be used for service users with concurrent physical disabilities Service users with concurrent Mental Disorder may be admitted This service comprises four homes: Oaklea, 5 Preston Grove; Homelea, 7 Preston Grove; 65 Crofton Park; Henlea, 131 West Hendford 22nd February 2006 Date of last inspection Brief Description of the Service: Oaklea Care forms one of four homes run by the same providers. The four homes are registered as one. The homes provide personal and supportive care for people with a learning disability, a mental health illness and some with a physical disability. The four homes are close to each other and are situated near to Yeovil Town and close to all the amenities. Each house has single bedrooms and a communal lounge / dining room, kitchen and bathrooms. Oaklea has an office; it therefore holds policies and procedures, staff recruitment files and so on and is seen as the main house. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out by one inspector and took place over one day for a total of five and a half hours. Two houses were inspected where residents were at home. The inspector was able to see and spend time interacting with the residents. Staff on duty were able to give time to speak with the inspector. The registered manager Mrs. Down was on duty and assisted the inspector throughout the inspection visit. The inspector would like to thank Mrs Down and her staff for their time and hospitality shown to the inspector during her visit. The atmosphere at the home was relaxed and friendly. Staff carried out their duties in a professional and attentive manner. The CSCI forwarded service user surveys to the home and received ten completed returns. Professional surveys about the home were sent out to associate community health care professionals and four were completed and returned. The responses were all positive indicating satisfaction with the care and management of the home. One respondent wrote. “This is a lovely home.” The home has recently applied to the CSCI to increase the numbers of registered single bedrooms from 14 to 15. This application is currently being processed. Records examined during the inspection were a selection of care plans, policies on the protection of vulnerable adults, medication records, staff training records and staff recruitment records, staffing rosters, service user menus, fire safety records, recent inspection letters from visiting statutory agencies (fire and environmental health departments), complaints records, quality assurance questionnaires by Oaklea Care, information provided by the home to prospective and new admissions, and staff recruitment records. Prior to the inspection the home completed and forwarded to the CSCI on request a preinspection questionnaire. This inspection examined key National Minimum Standards for Younger Adults. The aim of this inspection visit was to inspect outcomes for service users against key National Minimum Standards as part of the Commission’s ‘Inspecting for Better Lives’ strategy. Inspectors measure the quality of the service against four general judgements. These are - excellent, good, adequate and poor. The judgement descriptors for the eight chapter outcome groups are given in this report. What the service does well: Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 6 The standard of care and social support at Oaklea Care is very good. Residents confirmed that they felt their needs were being met and that staff were kind, caring, very helpful and respectful. They said staff consulted them about all aspects of their lives through discussions, residents’ meetings and care plan reviews. There are excellent systems in place to monitor all aspects of care, staff training and promotion of resident wellbeing. Regular in-house audits are completed on issues relating to National Minimum Standards at each home. This ensures the homes are clean and safe and the standards remain high. Staff encourage and support residents to maintain good contact with relatives and friends. Residents confirmed that staff support them to attend activities, work placements and leisure pursuits. 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. The summary of this inspection report can be made available in other formats on request. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 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. Prospective residents receive sufficient information to enable them to make a choice about moving into Oaklea Care. Several informal pre-admission visits to the home are encouraged. No resident moves into the home without having their needs assessed. Staff have appropriate training and skills to meet assessed prospective resident needs. EVIDENCE: The home has both a Statement of Purpose and Service User Guide that have both been recently reviewed and revised. These documents are also available on audiotape. There have been no new admissions for approximately three years. As the home is in the process of registering an additional room, there is an upcoming vacancy at one of the homes. The pre-admission assessment for a prospective Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 9 resident was inspected. The assessment was thorough and the resident was fully involved in the assessment process. This person has had several trial pre-admission visits to the home over the last six weeks. Results from the most recent in-house service user surveys and CSCI inspection report summaries are included in the Service User Guide provided for residents. Staff training opportunities and staff supervision is highly developed and records demonstrated that staff collectively have the skills to manage the resident categories of registration agreed by the CSCI. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from safe care planning therefore ensuring residents’ needs are appropriately met. The ethos at Oaklea Care is to empower residents to maintain or gain independence in their lives. This is supported via sensible risk assessment processes. EVIDENCE: Residents talked about their care plans and how they are consulted about all aspects of their lives. They attend care plan review meetings with their social worker and regular in-house reviews with staff. Two care plans were inspected in detail. The care plans were person centred, drawn-up and reviewed regularly with the residents and reflected current needs. Residents said they Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 11 have a key-worker who co-ordinates their care and sits down with them each week to plan any objectives they want to achieve. Risk associated with residents’ needs or care was assessed in writing, reviewed as risk changed and the action necessary to reduce the risks was clearly explained. Staff interviews demonstrated a good awareness of current or on-going resident needs. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 12 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. Residents benefit from using the local facilities for appropriate activities and are supported to maintain relationships. Residents’ rights are respected and responsibilities are recognised in their daily lives. Residents benefit from a healthy diet and are involved in meal planning, grocery shopping and meal preparation. EVIDENCE: Residents talked about the varied activities they attend. These ranged from using local facilities for shopping, meals out, cafes, pubs, tenpin bowling and Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 13 skittles, swimming and short holiday breaks. Leisure pursuits included evening and weekends. Each resident had one home day per week where domestic household tasks are completed with their key worker. The homes share two vehicles for transporting residents. All residents either attend day centres or work placements during the week. Records are kept of residents’ weekly activities. These are reviewed and changed regularly. Some residents plan their week with key workers, including social events. Residents confirmed that staff fully support them to maintain contact with their relatives and friends. Many visit relatives on a regular basis and are supported to use public transport where appropriate. Some of the more independent residents have mobile phones to ensure they can contact staff while out, in case of emergencies. There are written menu plans and residents are encouraged and supported to be part of their house’s menu setting, produce shopping, food preparation and kitchen cleaning rosters. Appropriate kitchen cleaning rosters were seen and records for daily fridge and freezer temperatures and hot food temperatures were maintained. The four homes received and Environmental Health department inspection in August 2006. Some recommendations were made to the homes as a result of this visit. The recommendations have been acted upon and met. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. Residents’ medication procedures are handled safely. EVIDENCE: All residents have a key worker who works closely with them in supporting activities of daily living. Residents spoke warmly of key workers. Staff and resident interactions were observed and these were carried out in a relaxed but professional manner. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 15 Care plans demonstrated very good evidence of assessment, anticipation and follow-up of resident health care needs, including appropriate access to community healthcare professionals. Some residents are able to keep their medication themselves. Detailed assessments have been completed to ensure they are safe to do so. A risk assessment is completed with clear action on what residents and staff should do to reduce any risks. Medication kept on behalf of residents is held securely. Medication Administration records (MAR charts) were inspected and were completed appropriately. The home has necessary policies for both prescribed medications and ‘homely’ remedies. All medication, including Homely Remedies is reviewed with each resident’s GP annually. Staff administering medications have received training and are regularly assessed to ensure they remain competent. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 16 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. Residents, staff and relatives benefit from clear procedures and processes when they wish to raise concerns. The home is staffed with carers who have had appropriate training in the protection of vulnerable adults. EVIDENCE: The home has a complaints procedure that provides details of external agencies that may also be contacted, including CSCI. There has been one complaint raised verbally within the organisation since the last inspection. This was documented and a record was kept demonstrating that the home followed through the concern to the satisfaction of the person who raised the issue. The CSCI has not been contacted directly with any concerns or allegations about the service since the last inspection. The home has written policies and procedures to protect vulnerable adults. The registered manager is currently arranging for a review of the policy on abuse to ensure that current best practice advice is reflected in the policy. Staff spoken with during the inspection demonstrated a very good awareness of potential sign of resident abuse and of processes of how to report and Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 17 concerns about the welfare of residents. All staff receive induction training in adult protection and regular refresher training in this area. Resident surveys indicated that residents felt able to approach staff with concerns or complaints directly, in addition to families or access to advocacy services for the raising of concerns. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 18 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, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in clean and comfortable houses. EVIDENCE: Two of the four registered houses were visited. Each house was warm, cosy and homely. There is very easy walking access into the centre of Yeovil. The houses were decorated and furnished to a good standard. Residents confirmed they are consulted about the choice of colours schemes in the houses and their bedrooms. Residents talked about how they took turns at cleaning the house and their bedrooms, with the support of the staff. Residents were proud of the work they did and enjoyed keeping it nice. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 19 Communal space was proportionate to the number of registered beds and staff on duty in each home. All staff receive training in health & safety issues; for example, Food & Hygiene and Infection Control. Regular audits take place that include checks around the environment. Residents’ safety and welfare is therefore well protected. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 20 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): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from a supportive staff team who are experienced and competent in their roles. The home has examples of good recruitment processes but on this occasion not all processes were followed robustly. There is an on-going staff training programme that is proportionate to the needs of both residents and staff. Staff are supervised effectively. EVIDENCE: There is 24 hour staffing available for the four homes. One home is staffed constantly throughout the 24 hour period; homes with less dependent residents have access to on-call staffing cover at night. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 21 Extra day staff are also on duty on days where residents have one to one time or if activities or requests demand it. This will include evenings and weekends. Staff spoken with were clear regarding their roles and responsibilities for which they are employed. The overwhelming majority of staff have completed NVQ qualifications at a minimum level 2. Many staff exceed this level of training. The home’s induction training package for new staff reflects current best practice guidelines for learning disabilities. All staff have attended training to help meet residents’ communication needs. The home currently holds the Investors In People award. The home has some very good written processes to protect residents via recruitment practices and staff health screening. The home also demonstrates good record keeping in the promotion of equal opportunity at the recruitment stage. Two staff files for recently appointed staff were inspected. On this occasion there were only one reference for each newly appointed staff. This does not meet Care Homes Regulations regarding staff recruitment and must be addressed. Staff comments on supervision of their performance and staff supervision records demonstrated that staff are given constructive regular feedback on their performance. Staff verbalised feeling valued at work and spoke of very good open communication throughout the organisation. Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 22 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 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes are competently managed. The viewpoints of residents are respected and incorporated in the day-to-day running of the services. The home’s polices and procedures are regularly reviewed against current best practice guidelines. Residents’ welfare and safety is protected. EVIDENCE: Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 23 The registered manager Mrs. Down has appropriate care and management qualifications and many years experience of working in care homes, particularly with people with a learning disability. The staff team receive excellent training that is tailored to competency needs. Training needs are regularly reviewed at formal staff supervision sessions. The home has established systems to monitor the quality of services offered to residents. These range from audits of the environment, care plan reviews, Regulation 26 monthly visits and written reports by the owners, seeking views of residents and relatives either at regular house meetings where minutes are produced and annual surveys. Residents spoken with said they felt safe living in the homes. Regular in-house fire drills include residents. Fire records were inspected and were maintained in good order. The homes received an inspection visit from the local Fire and Rescue service in August 2006. The fire officer’s letter to the homes as a result of this visit stated. “A satisfactory standard of fire safety was evident.” Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 24 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 3 2 4 3 3 4 4 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 3 25 X 26 X 27 X 28 3 29 X 30 4 STAFFING Standard No Score 31 3 32 4 33 3 34 2 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 4 X 4 X 4 3 X 4 X Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 25 N/A 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 YA34 Regulation 19 (5) (4). Schedule 2 Requirement Whilst awaiting full CRB clearance, prior to any staff member commencing employment two satisfactory written references must be received, in addition to receipt of a POVA first and supervised work. Timescale for action 29/12/06 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 Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. Extracts may not be used or reproduced without the express permission of CSCI Oaklea Care DS0000016199.V315967.R01.S.doc Version 5.2 Page 27 - 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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