Inspection on 23/01/06 for Oaklea House

This inspection was carried out on 23rd January 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklea House 29/06/07

Oaklea House 22/08/06

Oaklea House 25/08/05

Oaklea House 18/10/04

Oaklea House 26/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Oaklea House Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE Lead Inspector Jane Capron Unannounced Inspection 23rd January 2006 10:00 Oaklea House DS0000004986.V280264.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 House DS0000004986.V280264.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 House DS0000004986.V280264.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaklea House Address Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE 01782 373236 01782 399244 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 Grace Jeffries Mr Ronald Jeffries Mrs Helen Lynne West Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user over the age of 65 years be admitted. The 12 LD(E) refers to current service users who become 65 years whilst living in the home. 25th August 2005 Date of last inspection Brief Description of the Service: Oaklea is a registered care home for 12 people of both genders with a learning disability. The home is set in a large house set back from the A34 road at Tittensor. It is located on a bus route and is close to a pub and the local parish church. The home has car-parking facilities at the rear and has a garden where service users can sit. The home has its own transport. The homes main role is to provide support, encouragement and empowerment for the service users. Many of the service users access the college at Newcastle under Lyme or local authority day services. The staff at the home provide stimulation for those service users that do not attend formal activities during the week. Service users, according to ability, assist with practical tasks around the home including meal preparation, laying tables, washing up, and keeping their bedrooms tidy and assisting with the gardening. The home provides a range of outside leisure activities for all the service users and they access local facilities and facilities further a field in Newcastle and Stoke. The staff accompany the service users on holiday at least once a year. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day lasting nearly four hours. The inspection included discussions with the Care Manager and staff on duty and contact with the residents that were in the home. The inspection included looking round the communal rooms and a sample of bedrooms. A sample of support plans was looked at. The procedures for the administration of medication was looked at and a sample of the residents; finances was checked. The CSCI has received no complaints since the last inspection. No additional visits have been made to the home since the last inspection. What the service does well: The home was providing the residents with a good service that gave them a varied lifestyle with opportunities to develop their skills and to engage in a range of educational and social and leisure activities. Residents had positive relationships with staff. The home had developed satisfactory support plans that identified the residents’ needs and provided the information needed to meet the needs. The residents were having their health care needs met. The home supported residents to have any necessary heath treatment and screening and to have health care checks. The home had developed good working relationships with a range of health, educational and local authority staff. The home had effective medication administration procedures in place that provided residents with the medication that had been prescribed. Residents were encouraged to engage in a range of independent living tasks including helping with food shopping, cleaning and tidying and meal preparation. Residents’ views were listened to and they were consulted over new staff appointments, activities, holidays and trips out. The home had developed methods of communication to improve interactions with residents with specialist communication needs through having some procedures in pictorial form and though the use of picture boards. The home provided staff with the training needed to support the residents and staff were well supervised and well motivated. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 6 The residents were befitting from a home that was well run. The Care Manager was fully aware of the individual needs of the residents and regularly consulted with them. The manager had an open style of management that was inclusive involving residents and managers in any changes. 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 House DS0000004986.V280264.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 House DS0000004986.V280264.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): 3 The home staffing levels, the staff training and the range of multi agency working taking place were ensuring that residents’ needs were being met. EVIDENCE: The examination of the files as well as discussions with staff showed that the care needs of the residents were being met. The needs of the residents were identified in their support plans and actions were identified to show staff how to meet these needs. The home’s staffing levels allowed for a minimum of two care staff to be on duty at all times although at times there were three care staff on duty and during the day there was often the manager on duty on as well. This level of staffing was able to meet the needs of the residents. The home provided staff with the necessary training to have the knowledge to work effectively with the residents. There was also evidence of good interagency working taking place with a range of specialist staff including staff from the day services, the college as well as Speech therapists, Community Nurses and psychological and psychiatric staff. Plans were in place to aid communication between staff and residents. Oaklea House DS0000004986.V280264.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): 6,8,9 The home’s care plans provided the necessary information for staff to be able to support residents to have their needs met. Risk assessments were supporting residents to take reasonable risks and not to be subject to unnecessary restrictions. EVIDENCE: The hone had developed individual support plans that covered the needs of the residents. This included health and social care, educational, social and needs relating to independent living. The contents of the plans ensured that staff had the necessary information in order to be able to meet the needs of the residents. The files showed that plans were being reviewed both internally and through inter agency meetings that included the resident, relatives, education, health and the local authority. The plans included risk assessments covering such areas as managing finances, accessing the community, road safety and showering. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 10 Residents were involved in a range of activities within the home. During the inspection two residents were seen preparing vegetables and one was doing some dusting. Residents according to ability were involved in keeping their bedrooms clean and tidy, doing ironing, helping with meal preparation and helping with the food shopping. Residents were also consulted over activities and over the meals they wanted to eat. Residents’ views were also sought of prospective staff. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 11 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 The home provided residents with opportunities for personal development including independent living skills supporting them to develop their skills and to have more control over their lives. EVIDENCE: The residents were provided with the opportunity to develop their independent living skills through a range of daily living tasks as outlined in Standard 8. Social skills were encouraged through residents’ relationships with the other people living in the home and through contacts with agencies such as banks and shopping in the community. Communication skills were encouraged and developed through the support of the speech therapy service. A range of picture boards had been developed to aid residents with communication needs and the complaints procedure and the fire procedure was in pictorial form. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 12 Residents were supported to fulfil their spiritual need with five residents attended the local Church Of England church and all the residents attending the social functions of the church. Prospective residents of alternative faiths and denominations would need to discuss whether their spiritual needs could be made. The home was part of the local community using the local church, the local post office/ shop and going to the local pub. Residents also accessed resources in Newcastle and Stoke. The home had its own transport, which the residents contributed towards. Residents were supported to vote in elections if they wished to. Residents were supported to maintain contact with relatives and friends and they were able to visit the home at any reasonable time. Four of the residents stayed with family members over Christmas. Family members involved were invited to reviews of residents’ care. The home was supportive of residents’ rights to intimate relationships and was aware of issues of consent. Staff supported residents to access any necessary specialist services. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 13 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): 19,20 The home had systems in place to ensure that the health care needs of the residents was being met and had developed positive multi agency working. The resident’s medication needs were being met and all staff that administered medication had been trained. EVIDENCE: The examination of support plans showed that residents were receiving the necessary health care treatments and screening. Residents were subject to health reviews. Residents received eye and dental checks and attended for chiropody treatment. The residents were well supported by specialist health care professionals including Community Nurses and staff providing psychological and psychiatric services. Residents were receiving mental health assessments when needed. The staff supported residents to attend for health care appointments and supported them through medical treatment. The arrangement for the administration of medication was inspected Medication was being stored correctly and the home checked medication received and returned to the chemist. The home operated a bottle to person Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 14 system feeling that this lead to medication being monitored better than monitored dosage systems. A sample of two residents medication was inspected and this showed that it was being administered correctly. There were no gaps in the records and the staff member was able to identify the medication and to explain what it was for. The staff that administered medication had been trained. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 15 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 The home’s complaints procedure had been developed in a suitable format and the home’s records showed that residents’ views were listened to and responded to. EVIDENCE: The home had a complaints procedure that had been given to all residents and relatives. A copy of the procedure had been done in a pictorial format. The home maintained a record of all complaints and this showed that residents felt able to raise issues with the staff. The records showed that residents were being listened to and actions were taken to address any issues raised. The home had involved social workers to act on their behalf. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 16 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): 24,26,28,30 The home was providing resident with a home that was homely and comfortable and was being suitably maintained. The hygiene and cleaning was providing residents with a home that was hygienic and where there the spread of infections was controlled but this process could be improved through the provision of a washer that could achieve disinfectant standards. EVIDENCE: The home was located in the village of Tittensor a few miles from Newcastle under Lyme. It was on a main road and on a bus route. There were limited resources within walking distance in the village. Externally there was a garden and car park at the rear. The home was well maintained and provided suitable accommodation. Parts of the home had been decorated and one bedroom and the kitchen were due to be decorated. New windows had been fitted to the rear of the property. The home had a large entrance hall that was used as a second lounge, a lounge/ dining room and a dining kitchen. The home provided ten bedrooms. Two bedrooms were for double occupancy and the residents in Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 17 these rooms had stated to staff that they were happy to share. Eight of the bedrooms had ensuite facilities. Bedrooms were lockable and those that wished and were able had keys to their rooms. Bedrooms had suitable furnishings and furniture and had seating. Most of the rooms had a lockable facility and the home was in the process of ensuring that this was provided in all rooms. All bedrooms seen had been well personalised with residents personal items such as certificates, ornaments, TVs and soft toys. The home was clean and tidy throughout and staff were aware of infection control issues. Several staff had undertaken training in this area and others were due to undertake the training. The home had adequate supplies of aprons and gloves. The home had a small laundry. The home would also benefit from the provision of a drier. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 18 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): 33,35,36 The home’s staffing levels were suitable to meet the needs of the residents. The home provided staff with the necessary training and supervision to enable them to work positively to improve the residents’ quality of life. EVIDENCE: The home was providing suitable staffing levels to meet the needs of the residents. There was a minimum of two care staff on duty through the day and two staff that slept at the home at night. The home had the scope to alter the staffing levels to provide additional staffing to support residents to access the community and to undertake leisure and social activities. The home provided the staff with appropriate training. There was a programme for staff to receive the necessary health and safety training and one staff member confirmed that she had undertaken such training during her induction. Further training had been provided in medication, dementia, mental health and dealing with aggression. Several staff had received training in adult protection and infection control. Two of the staff had achieved NVQ level 3 and a further three staff members were programmed to start NVQ training. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 19 Staff files and discussions confirmed that staff were receiving individual supervision that looked at their practice, their development and ensured that they were conversant with policies and procedures. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 20 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): 37,38,42 The residents benefited from a home that was well managed by the Care Manager who was suitably experienced and undertook the necessary training to remain up to date with current practices and who was committed to improving the lives of the residents. The manager’s open management style ensured that staff and residents were consulted and were involved in any changes to the home. The home’s health and safety procedures were promoting the welfare of the residents. EVIDENCE: The manager had been in post for some years and was fully aware of the needs of the residents and was confident in her role as manager. She undertook periodic training to ensure that she was aware of current practices. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 21 She spoke to staff and residents on a daily basis and ensured that she was aware of residents’ wishes and staff abilities. Staff felt that she was open and they felt able to raise issues with her knowing that she would treat them fairly. The manager operated an open style of management that included both staff and residents in the planning process. She was highly committed to the residents and would ensure that their rights were being upheld. The home had health and safety procedures in place. The home had programmes in place to ensure staff received the necessary training including fire safety, food hygiene, and first aid and moving and handling. Plans were in place to provide staff with training in infection control. The necessary checks were on equipment was being done. Fire safety equipment and checks were being completed. The home had security measures in place. Radiators were covered and risk assessments were in place for the residents to manage hot water. The home had procedures in place for the safe storage and handling of hazardous products. Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 22 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 3 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 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X 3 3 X LIFESTYLES Standard No Score 11 4 12 X 13 4 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 4 4 X X X 3 X Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA41YA5 Regulation 17(1)(a) Requirement To ensure that a photo of each resident is on file Timescale for action 23/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA30 Good Practice Recommendations To consider introducing a more person centred care planning approach To consider the provision of a drier in the laundry Oaklea House DS0000004986.V280264.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 House DS0000004986.V280264.R01.S.doc Version 5.1 Page 25 - 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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