Inspection on 20/10/05 for Oaklea Care

This inspection was carried out on 20th October 2005.

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 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 Care 15/11/06

Oaklea Care 22/02/06

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 5 Preston Grove Yeovil Somerset BA20 2BG Lead Inspector Belinda Heginworth Unannounced Inspection 20th October 2005 3pm Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 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 DS0000016199.V252817.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 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 DS0000016199.V252817.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oaklea Address 5 Preston Grove Yeovil Somerset BA20 2BG 01935 479721 01935 432027 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 5 Category(ies) of Learning disability (5) registration, with number of places Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two ground floor places may be used for service users with concurrent physical disabilities Service users with concurrent Mental Disorder may be admitted Date of last inspection 13th February 2005 Brief Description of the Service: Oaklea forms one of four homes run by the same providers. Although currently registered separately they are run as one, with the same staff working across the four homes. 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. Oaklea has five single bedrooms with a shared lounge /dining area, bathrooms and kitchen. Oaklea is the home that holds staff recruitment files and is seen as the “main” house. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector would like to thank the residents, provider, staff and manager for the warm welcome and help during the inspection. This unannounced inspection took place over four hours with the provider being present throughout. The four homes run by the provider were inspected. The four home were visited and residents were spoken with but the majority of the paperwork was inspected in Oaklea. Nine residents in total, one staff and one manager were consulted and their views on the home were discussed. A number of records were inspected and a resident showed the inspector around one home. What the service does well: What has improved since the last inspection? What they could do better: The home had no requirements or recommendations during this inspection. However, the provider said there is always room to improve and plans review residents’ recording systems to see if there is a better system. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 6 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. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 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 DS0000016199.V252817.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Residents benefit from good assessment and admission practice that ensures that the home is able to meet residents’ needs. EVIDENCE: The majority of residents living at the home have done for a number of years. Some remembered visiting prior to admission and said how happy they were choosing the home. The home has good arrangements to ensure the home can meet residents’ needs. Staff complete a detailed assessment of need prior to admission and offer trial visits. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Residents and staff benefit from safe care planning therefore ensuring residents’ needs are appropriately met. 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. Residents’ records provide excellent information to staff about health and care needs. Residents said they have a key-worker who co-ordinates their care and sits down with them each week to plan any objectives they want to achieve. Any risks associated with residents’ needs or care is assessed and the action necessary to reduce the risks is clearly explained. Staff demonstrated a good awareness of residents’ needs. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 17 Residents’ rights are respected and responsibilities are recognised in their daily lives. Residents benefit from a healthy diet. EVIDENCE: Residents said staff are caring, fun to be with and respectful at all times. The four homes have a warm and friendly atmosphere. Residents said staff keep them informed of any changes going on in the home. Residents enjoyed showing the menu plan they have decided for the winter. They said it took into account their likes and dislikes. Residents said it can be changed if they wanted something different to eat. Staff support and advice residents when choosing meals to help encourage healthy eating. Residents said they take turns in helping carry out household chores and going shopping. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Residents’ health needs are well met. EVIDENCE: Residents said listen to them and treat them with respect when carrying out personal care or support. Residents said that they felt their health needs were well met. Care plans showed that healthcare needs are assessed regularly and the home has good links with local GP practices and community professionals. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Residents benefit from excellent systems that protect them from abuse, neglect and self-harm. EVIDENCE: Residents said they felt able to speak out if they were not happy with anything going on in the home. They were confidant their concerns would be dealt with quickly. Staff spoken with demonstrated a good awareness and understanding of the complaints procedure and whistle blowing policy, and all staff have received training in Adult Protection. Staff knew what to do if they suspected abuse. The home has abuse awareness policies that are in line with the Department of Health guidance on “No Secrets”. Therefore residents’ welfare and rights are well protected. Each resident has a savings account, some require support to use it but others are more independent. Residents pay their fees in a variety of ways with good financial records kept. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 Not inspected on this occasion. EVIDENCE: Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Residents benefit from an experienced, competent and qualified team of staff. EVIDENCE: Some residents live more independently than others with staff around to support them when necessary. The recruitment procedures and practices fully protect residents, with police checks, references and identity checks completed. The majority of staff have completed NVQ qualifications at various levels. Staff attend other training courses that help meet residents’ needs and protect their safety and welfare. For example the home’s induction training for new staff is specific to learning disabilities. And all staff have attended training to help meet residents’ communication needs. The home has achieved “The Investors in People Award”. This is achieved through meeting certain standards for care homes. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 Residents benefit from a well managed home with excellent systems in place to monitor the quality of the services offered. EVIDENCE: The registered manager has care and management qualifications and many years of experience working in care homes, particularly with people with a learning disability. The staff team receive excellent training which helps meet residents’ needs and supports the manager in the running of the home. The home has excellent systems to monitor the quality of services offered to residents. These range from audits of the environment, care plan reviews, seeking the views of residents and monitoring systems that ensure all work is completed. Staff training and supervision also forms part of the home’s quality review method. Residents spoke highly of the providers, manager and staff and were clearly happy with the services they received. Residents said they had a great relationship with all staff. Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 4 X X X Standard No 22 23 Score X 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X X X 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oaklea Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score 4 X 4 X X X X DS0000016199.V252817.R01.S.doc Version 5.0 Page 17 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. 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 DS0000016199.V252817.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Oaklea DS0000016199.V252817.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!