Inspection on 13/07/07 for Oakleigh Lodge

This inspection was carried out on 13th July 2007.

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 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

Oakleigh Lodge 27/04/06

Oakleigh Lodge 29/09/05

Oakleigh Lodge 21/04/05

Oakleigh Lodge 12/10/04

Oakleigh Lodge 29/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakleigh Lodge Oakleigh Lodge 36 New Church Road Hove East Sussex BN3 4FJ Lead Inspector Merle Blakeley Key Unannounced Inspection 13th July 2007 09:30 X10015.doc Version 1.40 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 Oakleigh Lodge DS0000014216.V343214.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 Older People. 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 Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakleigh Lodge Address Oakleigh Lodge 36 New Church Road Hove East Sussex BN3 4FJ 01273 205199 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) Mr Lockwood Mrs Lee Lockwood Mrs Lee Lockwood Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of people accommodated must not exceed 15 The people accommodated will be aged 65 years or over on admission Date of last inspection 27th April 2006 Brief Description of the Service: Oakleigh Lodge is a private care home registered to provide care and accommodation for up to fifteen older people who generally do not have a high level of need. The property is a large detached house with bedrooms located over two floors. A passenger lift is available to the first floor. Communal areas include a lounge/dining room and a very pleasant conservatory and garden. A ramp has been installed to provide access to the rear garden area. The home is situated on a main road in Hove and local transport, shops, parks, the seafront and other amenities are located close by. Copies of previous inspection reports are available and are usually located in the lobby area of the home. The current fees range from £368.00 to £450.00 per week. Extra charges are for chiropody, newspapers, hairdresser and some toiletries. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of six and a half hours on 13th July 2007. As well as this site visit information was also gained from a returned an Annual Quality Assurance Assessment (AQAA), four returned service user surveys and a conversation with a relative. During this visit the inspector was able to talk to several residents and staff. Document reading and a health and safety check were also carried out. The deputy manager facilitated the inspection. There are currently eleven people living at Oakleigh Lodge. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that the medication trolley is made secure. They must also make certain that the needs of all residents can be met, as some residents’ needs have changed, and make some health and safety checks and changes. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out good assessments on all prospective residents. EVIDENCE: Two assessments were viewed during this visit. The home uses a preassessment form to ascertain as to whether they can meet the needs of the person. The home will need to monitor and possibly reassess four of the residents as they all have a confirmed diagnosis of dementia. Intermediate care is not provided. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are informative and reviewed monthly. The healthcare needs of people are being met. Medication is appropriately administered. Staff were seen to treat people with respect and dignity. EVIDENCE: During the last inspection a requirement was made for the home to include more detail into people’s care plans. Four care plans were viewed and they do now contain additional information about each resident. Each person’s care plan had recently been reviewed and the deputy manager stated that reviews were held monthly. A requirement was also made for the home to regularly review people’s risk assessments and there was evidence to show that this was being carried out. The deputy manager stated that she had recently attended a training course in care planning and risk assessment and she had found both courses very useful. The home is looking to streamline some its information to Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 10 create a daily information log for each resident and this would be recommended. The health care needs of all the residents were discussed. There is one resident who is currently in hospital. Records showed that residents have had access to district nurses, dieticians, dentists, physiotherapist, opticians, Community Practice Nurses, and chiropodists. There is a possibility that the home will purchase a hoist and staff will need to receive appropriate training on how to use this type of equipment safely. As mentioned previously, the home will need to monitor the assessed needs of the people who have diagnosed dementia to ensure that the home can continue to meet their needs. The home has been provided with a new medicines trolley, however this trolley needs to be provided with a locking system, as it needs to be attached to a wall for security purposes. Medication records were checked and one small error was noted. There is also some overstocking and the home should only order what is required. During the day, staff were observed interacting with residents and they were seen to care for people in a friendly and respectful manner. All four resident feedback surveys, which were returned stated that people felt that staff treated them in a respectful manner and that their privacy was maintained. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is providing a broader range of activities. Visitors are welcome in the home. People are able to make certain choices and decisions about their lives. Residents enjoy the meals that are offered. EVIDENCE: The home has broadened the range of activities it is offering and residents can now join in with a fortnightly art therapy class. Other activities provided include entertainers who come into the home, bingo, film afternoons, cards and staff taking out residents for shopping and lunch trips. The home is also considering starting up a knitting circle and the possibility of coach trips in the future. The deputy manager stated that they do try and take residents out two to three times a week, however it was difficult for some people as they have mobility problems. Residents who were spoken to during the day stated that they enjoyed going out and joining in some of the activities, some others said that they preferred not to join in with any of the activities. There continues to be three staff on duty in the mornings and this allows staff to spend some one to one time with residents or be able to take them out if they wish. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 12 Visitors are always welcome in the home and there are no restrictions in place for visiting times. Most of the current residents have visitors coming in to see them on a regular basis. The vast majority of people who live here are able to make their own decisions and choices in regards to certain aspects of their daily lives. They can choose when they get up and go to bed, when they wish to eat their meals, what they wear and whom they see. Residents who returned the resident questionnaires also stated that they were able to make choices. The home has produced a two-week rolling menu, which has recently been updated to include resident’s requests for certain meals. Staff state that they are always asking the residents for new ideas for meals but some people are not that interested. Overall residents appeared very happy with the meals that were being offered. A senior care staff member is now responsible for cooking the meals during the week. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responded positively to two complaints that were made. Staff have received training in the Protection of Vulnerable Adults. EVIDENCE: The home has produced a complaints policy and procedure, which is displayed in the hallway. The inspector noted that some of the contact details on the document needed to be updated. The home has received one complaint since the last inspection. A relative complained about the décor of her mother’s room. This person’s room has since been redecorated throughout The home has an adult protection policy and procedure and all staff undergo CRB checks before they commence employment. The vast majority of staff have attended training in the Protection of Vulnerable Adults. Two staff are due to attend this training in December 2007. No adult protection alerts have been received by the home. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some improvements have been made to the environment. The home was found to be clean and tidy. EVIDENCE: Oakleigh Lodge provides comfortable accommodation for fifteen people. Some rooms have recently been redecorated and once the home has completed the building of an extension to the property they intend to redecorate and recarpet throughout. A resident commented last year that it would be nice to be able to sit out in the front garden of the home, since then the home has erected gates and railings to the front of the property. These can be closed for safety reasons should people be sitting out in the front garden area. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 15 The home was required to have a inspection of the home carried out by an occupational therapist to ensure that any additional or specialist equipment was being made available to residents. This report was not available during the last inspection, however a copy was sent to the inspector at a later date. The home is intending to purchase a hoist in the future. Risk assessments are currently being carried out on all bedroom. The home needs to think about installing a bath chair/hoist for the second bathroom, as some residents are finding it difficult to step into a bath and an assisted chair would help them. The ground floor bathroom already has a step-in bath installed. During a walk through of the home it was noted that the call bell in room 2 was not working and bed linen and clothes were being stored against a hot pipe in the airing cupboard, which could lead to a fire hazard. Staff immediately removed the items away from the pipes. The home has recently employed a new ancillary worker who is responsible for the day-to-day cleanliness and hygiene of the home. The home was found to be very clean and tidy and several residents commented on how well the home was looking since this person started. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home retains a stable staff team. Over 50 of staff hold NVQ qualifications. Suitable recruitment procedures are carried out. Adequate training is being provided for staff. EVIDENCE: During the last inspection the home was experiencing some staff shortages. Additional staff have since been employed and the home now has thirteen staff members. Some of the staff team have worked in the home for a number of years. As well as care staff being employed a domestic worker has also joined the team and she works five hours a day from Monday to Friday. Since the last inspection a new deputy manager has been appointed and she has been a senior carer in the home for several years. She has obtained NVQ Levels 2 and 3 and will commence training for the Registered Managers Award (RMA) in 2007. Residents who were spoken to on the day stated that they felt the staff team were friendly, caring and supportive. Having a third person on duty in the mornings has allowed staff to spend more time with residents. Six staff currently hold NVQ qualifications, which is a great improvement as at the last inspection only two staff members held NVQ qualifications. There are other staff members who are currently completing NVQ training. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 17 A number of recruitment files were viewed and they all appeared to be satisfactory apart from the home using a CRB for a person who had worked at another care home. The home was informed that CRB checks are not transferable between homes. Whilst this report was being written the inspector was informed that a new CRB check for this person had been carried out. Training records revealed that staff have attended some training courses; Protection of Vulnerable Adults, fire training, first aid, food safety, care planning and risk assessment training. There was a query as to whether staff were being paid whilst they were attending training courses. The home must ensure that all staff receive a minimum of 3 paid training days per year. During the day some staff were spoken to and overall they stated that they were happy working at Oakleigh Lodge. They felt that residents received a good level of care and the staff team got on well together. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owner/manager has run the home for many years. The homes quality assurance system needs to include an annual development plan. The home looks after the finances of three residents; an error was found in one persons finance check. Some minor health and safety issues need attention but overall the health and safety of the home is being maintained. EVIDENCE: The owner/manager has run Oakleigh Lodge for twenty-four years and she has gained a lot of knowledge and experience along the way, however she does not intend to gain the Registered Managers Award (RMA). It is intended that the deputy manager will gain this required qualification and she is due to Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 19 commence this training in 2007. Although there was no evidence available on the day that the deputy manager was enrolled for this course information was sent to the inspector at a later date. The home has a quality assurance programme, which seeks feedback from residents about the care they receive. Questionnaires are also available for visitors to complete and both surveys were carried out in June 2007. The responses were very positive from both the residents and relatives. The home also needs to produce an annual development plan. The vast majority of residents manage their own finances with the help of family and friends. The home currently manages the finances of three residents and these were checked. A small discrepancy was found in one persons money check. This was discussed with the deputy manager who said she would look into this to make sure a receipt or invoice had not gone astray. A health and safety check was carried out and a few items need attention. The pipes beside the door of room number four where found to be very hot to the touch and these need some form of protection in case a person should accidentally fall against them. As mentioned previously, the home must not store any clothing or bedding against the hot water pipes in the airing cupboard, as this is a potential fire risk. The call bell in room two did not appear to be working. A fire risk assessment and fire training has been carried out by an external fire consultant. Fire drills are held and fire alarms are checked regularly. Staff have received training in food safety, manual handling and first aid. Environmental Health last visited the home in September 2006. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 21 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 OP9 Regulation 13(2) Requirement That a locking system must be provided for the medicine’s trolley and that is fixed to a wall to ensure the security of all medication. Timescale for action 30/09/07 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. 3 Refer to Standard OP4 OP22 OP38 Good Practice Recommendations That the home ensures it is able to meet the needs of all residents and where necessary seek a reassessment of needs. That the home ensures that all call bells are working. That the home ensures all hot pipes are protected to prevent residents from scolding. Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Oakleigh Lodge DS0000014216.V343214.R01.S.doc Version 5.2 Page 23 - 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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