Inspection on 22/02/06 for Oaklea Care

This inspection was carried out on 22nd February 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 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 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 Belinda Heginworth Unannounced Inspection 22nd February 2006 09:30 Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 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.V280339.R01.S.doc Version 5.1 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.V280339.R01.S.doc Version 5.1 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.V280339.R01.S.doc Version 5.1 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 20th October 2005 Date of last inspection Brief Description of the Service: Oaklea Care forms one of four homes run by the same providers. The four homes, until last year, were registered separately but are now 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.V280339.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector would like to thank the residents, staff and management for the warm welcome and help throughout the inspection. This unannounced inspection took place over four hours and twenty minutes with the manager being present throughout. The providers also joined the inspection for feedback at the end of the visit. Many residents were out on the day of the inspection. However the inspector visited three out of the four homes. Five residents, two staff and the manager were consulted and their views on the home discussed. A number of records were inspected in Oaklea. Only Key Standards not inspected during the last inspection were looked at during this visit. To obtain an overall picture of the four homes, the separate reports written for each house, during the last inspection, would have to be read in conjunction with this report. What the service does well: The standard of care in each house 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 health & safety. For example, an audit is completed regularly on standards of hygiene around each house. This ensures the homes are clean and safe and the standards remain high. Residents’ records provide excellent guidelines to staff and ensure residents’ needs are met safely. All records are regularly reviewed with residents to ensure any changes are agreed and recorded. 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. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 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.V280339.R01.S.doc Version 5.1 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): 0 No standards in this section were inspected. Key Standard 2 was fully met during the last inspection. EVIDENCE: Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 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 Residents and staff benefit from safe care planning therefore ensuring residents’ needs are appropriately met. Key Standards 7 & 9 were fully met during the last inspection. 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. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 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): 12, 13 & 15 Residents benefit from using the local facilities for appropriate activities and are supported to maintain relationships. EVIDENCE: Residents talked about the varied activities they attend. These ranged from using local facilities for shopping, meals out, cafes, pubs, tenpin bowling, swimming and many more. Staff and residents confirmed that any requests for trips out, for example, to the cinema, theatre or general outings, are always acted on. All residents either attend day centres or work placements during the week. Weekends and evenings are spent on hobbies, leisure interests and trips out. Most of these are planned due to staffing rotas but residents spoken with seemed happy with the current arrangements and felt they lead a full and active life, both during the day and in the evenings. Records are kept of residents’ weekly activities. These are reviewed and changed regularly. Some residents plan their week with key workers, including social events. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 11 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. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 12 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): 20 Residents benefit from safe medication procedures. EVIDENCE: 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, with excellent systems in place that ensure residents safety and welfare is well protected. For example, any medication that is not prescribed by a GP is recorded in a “Homely Remedy” policy. All medication, including Homely Remedies is reviewed with each resident’s GP annually. All staff receive excellent training on medication and are regularly assessed to ensure they remain competent. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 13 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): 22 Residents, staff and relatives benefit from clear procedures when they wish to raise concerns. EVIDENCE: The homes have clear complaints procedures for residents, staff and relatives. The residents’ complaint procedure is included in the Service User Guide. This is also available on audiotape. Residents said they felt that any concerns they brought up would be dealt with quickly and satisfactorily. Staff were aware of the complaints procedure. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 14 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): 24 & 30 Residents benefit from a clean and comfortable environment. EVIDENCE: Each house is warm, cosy and homely. They are 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. 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.V280339.R01.S.doc Version 5.1 Page 15 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): 33 Residents benefit from a supportive staff team. EVIDENCE: Residents said they felt there was enough staff on duty to meet their needs. Residents in two of the four homes live fairly independently and only need staff for a little support at certain times of the day and evening. The other two houses have two staff on duty until 7pm when one staff then remains and sleeps in overnight. There is also an on call system so that extra staff or advice is available at all times. Extra staff are also on duty on days where residents have one to one time or if activities or requests demand it. The manager said staff are very flexible and will always try to accommodate residents’ wishes or needs. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 16 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): 42 Residents’ welfare and safety is well protected. EVIDENCE: Residents spoken with said they felt safe living in the homes. Some talked about fire procedures and what to do in case of an emergency. Staff had provided them with good information and instructions to ensure they felt safe. Prior to the last inspection, the provider completed a questionnaire that provided the CSCI with information about residents and staff and information about policies and procedures that the home has in place. This included policies on Health & Safety, Fire Safety, Infection Control, Food & Hygiene, Assessing Risk and so on. Some of these policies were inspected and were found to be detailed and clear. Staff sign to say they have read and understood all policies. Staff spoken with demonstrated a good knowledge of most of these. Induction training provides staff with an excellent awareness of health and safety issues, therefore protecting residents’ welfare and safety. Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 17 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 4 X X X X X X 4 X Oaklea Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 18 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 Care DS0000016199.V280339.R01.S.doc Version 5.1 Page 19 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. 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