Inspection on 28/09/05 for Oakleigh House

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Oakleigh House 20/11/07

Oakleigh House 13/09/06

Oakleigh House 18/05/05

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

CARE HOME ADULTS 18-65 Oakleigh House 8 Barn Park Road Teignmouth Devon TQ14 8PN Lead Inspector Judy Hill Unannounced Inspection 11:05 28 September 2005 th Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 1 Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 2 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 Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 3 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. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Name of service Oakleigh House Address 8 Barn Park Road Teignmouth Devon TQ14 8PN 01271 322819 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) Networking Care Partnerships (SW) Ltd Vacancy Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 Brief Description of the Service: Oakleigh House is registered to provide accommodation and care for a maximum of six people who are under sixty-five years of age and who have learning disabilities. At the time of this inspection there were three residents and three vacancies. The house is a large terraced property situated in a residential area of Teignmouth and within walking distance of the town centre, railway station and beach. The bedrooms, which are all single and have full en-suite facilities, are situated on the ground, first and second floors and there is a flight of steps leading to the front door so the home may not be suitable for people with poor mobility. There is a large lounge/dining room, a kitchen, communal bathroom and communal toilet/utility room. There is a large terrace to the front of the house and an enclosed garden at the back. The home is staffed on a twenty-four hour basis. Following the promotion of the registered manager, an acting manager is in post and has applied to be registered. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be carried out in the year April 2005 to March 2006. The inspection was unannounced and was carried out by one inspector from 11.05am to 12.35pm on Wednesday 28th September 2005. The information contained in this report was gained in conversation with three residents, two senior support workers, two support workers and the area manager (by phone). Additional information was gained from a partial tour of the premises, direct and indirect observation and from records including one of the residents case files, minutes of staff and residents meetings, the current staff rota and the homes Statement of Purpose & Service Users’ Guide. What the service does well: What has improved since the last inspection? What they could do better: When the home was registered it was agreed that in addition to the lounge/dining room, a second communal room would be provided for the Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 7 residents. The room identified as the second lounge is currently being used as an office and either this room, or another room in the house must be converted into an additional communal room for the residents. An effective quality assurance/quality monitoring system should be put into place. 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. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Prospective residents and their representatives have the information they need to make an informed choice about where to live. EVIDENCE: The Statement of Purpose & Service Users’ Guides are presented as a single document. It is well written and contains all of the information needed to help prospective residents and their representatives to make an informed choice about whether the home is right for them. Some of the information presented in these documents was seen to be out of date, as changes had not been made to reflect the change of manager, however the area manager contacted the inspector immediately after the inspection to say that these documents have now been updated. A residents case file was inspected and found to contain very comprehensive and well documented needs assessments which demonstrated that a very detailed assessment of the suitability of the placement had been carefully considered before admission. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 EVIDENCE: None of the above standards were inspected in depth on this occasion. Standards 6 to 8 were assessed as met and standard 9 was assessed as exceeded at the last inspection. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 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 The residents are encouraged to lead active and fulfilling lives. EVIDENCE: None of the residents are currently employed or attending any education or training courses, however they are all involved in valued and fulfilling activities. One of the residents is an active member of the local Gateway Club and participates in a variety of activities including football, archery, swimming and artwork. Two attend Gateway discos on a regular basis. One of the residents assists with meal preparation and all of them participate in household chores. One of the residents spoken with expressed justifiable pride in the way she kept her room clean, tidy and looking nice. Another said that he had painted a garden fence. Two of the staff on duty said that they enjoyed taking the residents out and that outings were arranged most days. On the day of the inspection two of the staff had made arrangements to take two of the residents out for lunch. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 12 Standards 13 to 16 were assessed as met and standard 17 as exceeded at the last inspection. None of these standards were inspected in depth of this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 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): 0 EVIDENCE: Standards 18 to 20 were assessed as met at the last inspection and were not inspected in depth on this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 14 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): 0 EVIDENCE: Standard 23 was assessed as met and standard 22 was assessed as exceeded at the last inspection and were not inspected in depth on this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 15 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): 25, 26, 27 & 28 The bedrooms clearly reflect their tastes and interests of each of the residents and the provision of full en-suite facilities helps them retain their privacy and independence. EVIDENCE: Each of the residents has a single bedroom with full en-suite facilities. One of the residents showed the inspector her bedroom. She had chosen her own colour scheme and said that she liked to keep her room tidy and looking nice. The room was seen to reflect her interests and personal tastes. A second bedroom was seen and it too reflected the interests and lifestyle of the occupant. All of the bedrooms have locks, which can be overridden in the event of an emergency. Although each of the residents has his or her own private bath or shower room with a toilet and wash basin in it, there is also a communal bathroom and a communal toilet for visitors to use. The staff have their own toilet and shower facilities en-suite to the sleeping in room. The staff toilet has been provided since the last inspection. There is a large lounge/dining room, which is comfortably furnished and nicely presented. The lounge area has a large screen television, which the residents Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 16 were watching during the inspection. They also have televisions, music centres and DVD’s in their bedrooms. The second lounge is currently being used as an office and either this room or another room in the house must be used to provide a second communal room for the residents. Standards 24 and 30 were assessed as met at the last inspection and were not inspected in depth on this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 17 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): 32 & 35 The residents benefit from being supported by trained and competent staff in numbers that are adequate to meet their collective and individual needs. EVIDENCE: At the time of the inspection there were two senior support workers and two support workers on duty. One senior support worker and one support worker have worked at the home since it was registered in December 2004, one senior support worker had been employed since February 2005 and one support worker had only recently been employed and was receiving induction training, part of which was to shadow one of the seniors. The acting manager was on duty but was not at the home because she was attending a meeting. It was observed that the staffing levels were adequate to meet the needs of the three residents. The staff rota showed that one member of staff is employed on a waking basis from 8pm to 8.30am and that a second support worker works from 8pm to 10pm and from 7am to 8am and sleeps in. This was assessed as adequate for the needs of the residents. All four members of staff were seen and spoken with during the inspection and all of them were seen to be interacting well with the residents and working well together. One of the senior support workers was asked about the provision of training and she said that it was good. She is currently working towards Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 18 gaining her NVQ in Care at Level 3. She said that all of the staff would be completing an NVQ at Level 2 or 3 using the learning disability framework where possible. New staff must complete an their induction training and regular on-going training is provided. Standards 33, 34 & 36 were assessed as met at the last inspection and were not inspected in depth on this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 19 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 The residents benefit from living in a well managed home. EVIDENCE: Since the last inspection registered manager has been promoted to area manager and the deputy manager has been promoted to acting manager. She has submitted an application to be registered and this is currently being processed. A member of staff spoken with said that the acting manager was providing regular one to one supervision for the staff and that she had an open door policy to enable any member of staff to discuss any concerns that they may her with her at any time. The former manager is still very involved with the home as he has a responsibility to oversee the management of the home. There is currently no quality assurance system in place to seek the views of the residents and other stakeholders but regular staff meetings and residents meetings are held. Minutes of the residents meetings demonstrated that they are informed of changes and involved in some decision making. The residents are also involved in their care planning reviews and in setting personal goals and targets. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 20 Standard 42 was assessed as met at the last inspection and was not inspected in depth on this occasion. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 21 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 3 4 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 4 2 X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakleigh House Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X X X DS0000062352.V252941.R01.S.doc Version 5.0 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA28 Regulation 23 Requirement A second communal room must be provided for the residents use. Timescale for action 28/12/05 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 Refer to Standard YA39 Good Practice Recommendations An effective quality assurance system should be introduced based on a systematic cycle of planning – action – review, involving and reflecting the residents perception of how well the service is meeting their needs. Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Oakleigh House DS0000062352.V252941.R01.S.doc Version 5.0 Page 24 - 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. 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