Inspection on 21/04/05 for Oakleigh Lodge

This inspection was carried out on 21st April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakleigh Lodge 13/07/07

Oakleigh Lodge 27/04/06

Oakleigh Lodge 29/09/05

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 36 New Church Road Hove East Sussex BN3 4FJ Lead Inspector Merle Blakeley Unannounced 21 April 2005 14:00 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Oakleigh Lodge Address 36 New Church Road Hove East Sussex BN3 4FJ 01273 205199 Telephone number Fax number Email 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 and Mrs Lockwood Mrs Lee Lockwood Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (OP) 15 of places Oakleigh Lodge Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodaated must not exceed 15 2. The people accommodated will be aged 65 years or over on admission Date of last inspection 12 October 2004 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 only with access to the second floor via stairs. A ramp has been installed to provide access to the rear garden area. Communal areas include a lounge/dining room and very pleasant conservatory and garden. The home is situated on a main road in Hove and local transport, shops, parks, the seafront and other amenities are located close by. The upper floor bedrooms would not be suitable for residents who have mobility problems. Oakleigh Lodge Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection took place over a period of five hours on the 21st April 2005. The inspection process included speaking with seven of the residents, a brief chat with visitors, a tour of the premises, document reading and informal talks with staff on duty. What the service does well: What has improved since the last inspection? What they could do better: The home needs to address the lack of activities that are available to residents. Residents spoken to stated that they are not offered any activities and that the days can be very long and boring for those people who are not mobile or well enough to leave the home. It is acknowledged that not all residents wish to participate in activities but the home must consult with the residents who do wish to participate and record their likes and dislikes for future planning. The home must refrain from wedging open the fire doors as this is clearly a breach of the fire safety regulations and puts both residents and staff at risk should there be a fire within the home. They must also remove all combustible materials stored around and on top of the hot water tanks. The hot water temperatures recorded at some outlets within the home were far too high and need to be regulated. Oakleigh Lodge Version 1.10 Page 6 The home needs to be clear about who is the actual manager of the home, as there appears to be some confusion amongst the residents. The vast majority of residents think the deputy manager runs the home and would go to her if they had any concerns. She is responsible for the care plans, their day-to-day care and welfare and cooking their meals during weekdays. The proprietor/manager monitors the home on a regular basis. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakleigh Lodge Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Oakleigh Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 5 The home has updated the resident information booklet, which provides more comprehensive information. Trial visits are offered. EVIDENCE: The home has recently updated their information booklet, which now contains more detailed information about how the home is run. However, it also needs to include information regarding the qualifications and experience of the manager and staff, the organisational structure of the home, the range of needs the home is intended to meet, fire precautions and the number and size of the rooms provided. The guide to the home should also include information about the cost of any extras that residents may have to pay. Prospective residents are offered visits to the home to enable them to decide whether the home is suitable for them. Morning coffee and lunchtime visits are encouraged so that new residents can meet with other residents. Before moving into the home a pre-assessment visit will be carried out to make sure that the home has all the relevant and important personal details about the new resident. This pre-assessment check is there to ensure that both the home and the prospective resident can feel confident that their assessed needs can be met. Oakleigh Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 & 10 The system for recording and documenting information in residents care plans is now much more comprehensive. Medications are now stored and recorded more efficiently. Residents were seen to be treated with respect and dignity. EVIDENCE: The care plans for residents have improved since the last inspection and the deputy manager has made some good progress in this area. Reviews are held regularly and all care plans now include the photo of each resident. The storage and recording of medications were viewed and were found to be in order. Medication management is being carried out efficiently. None of the residents self medicate. The home has addressed the issues of respect, dignity and privacy in the residents guide booklet. Residents were asked whether they felt that their privacy and dignity was respected by staff, all who were spoken to responded positively to the question. The vast majority of residents carry out their own personal care. Oakleigh Lodge Version 1.10 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 There is no organised plan of activities for residents. Residents are able to stay in contact with relatives and friends. The home is providing daily home cooked meals. EVIDENCE: Residents were asked about whether the home provides any activities for them during the day. Some said that the home used to have some planned activities such as singing groups, piano playing and reflexology but now they don’t seem to do them anymore. There wasn’t a plan of activities available to be seen, which would indicate that the home is not providing any activities for its residents. This was discussed with staff who agreed that they would recommence some afternoon activities for residents. The home also needs to start recording the interests and hobbies etc. of all residents so that they can gauge which activities would be more suitable. Several residents said that they would like to have ‘more things to do, as the days can sometimes be very long’. Mealtimes within the home are flexible so that residents can come and go without the restrictions of rigid times for meals. Visitors are welcome at most times during the day and mainly between 9.00 am to 8.00 pm, they are also able to stay for meals if advance notice is given. A visitor was present on the day and was asked if they felt welcome in the home. The visitor stated that they found the home to be welcoming and friendly. Oakleigh Lodge Version 1.10 Page 11 The deputy manager is responsible for cooking the lunches most weekdays with the manager often cooking at the weekends. The home does not have a dedicated cook. Residents were asked about the quality of the food provided by the home. All stated that they were reasonably happy with the meals and they were aware that other options were available. Oakleigh Lodge Version 1.10 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home has a complaint’s and an adult protection policy and procedure. EVIDENCE: The home has a written complaint’s policy and procedure. The home will need to include information that all complaints will be responded to within a maximum 28-day period. The complaints forms were viewed and there have not been any complaint’s received since the last inspection. The home has produced a policy and procedure regarding adult protection and most of the staff have now attended the relevant training in this area. Oakleigh Lodge Version 1.10 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 22, 23, 25 & 26 Overall residents live in comfortable surroundings, however the home needs to address the wedging open of fire doors. Hot water temperatures need to be regulated in some areas of the home. The home is required to be assessed by a qualified occupational therapist. A good standard of hygiene is maintained. EVIDENCE: The home’s communal areas include a pleasant lounge/dining room area with a conservatory. There is also a small rear garden that is used by residents during the warmer months. The home has adequate toilet and bathroom facilities. One of the baths is of a ‘walk-in’ type and situated on the ground floor. There are some additional adaptations in the home and it will be required that a qualified occupational therapist carry out a full assessment to ensure that all residents additional needs are being met. Oakleigh Lodge Version 1.10 Page 14 Bedrooms appear comfortable and well furnished. Some residents have chosen to bring in small pieces of their furniture, which helps to personalise their rooms. The hot water temperatures were checked in random areas of the home and the temperature recorded from the walk-in bath was 66C, which is far too hot. The home was found to be clean and hygienic with no offensive odours. Throughout the home fire doors were seen to be propped open with tables or wedges and this practice is contrary to current fire safety legislation. The home will need to address this situation and consult with their local fire safety department. Oakleigh Lodge Version 1.10 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, and 30 At present staffing levels are adequate and appear to meet the needs of the twelve residents who currently live in the home. Both of the full time staff members hold NVQ Qualifications. Residents said that they felt staff were friendly and approachable. EVIDENCE: There are normally two staff on duty in the morning with an additional staff member coming in to help between the hours of 10.00 am to 1.00 pm. There are also two staff on duty in the afternoon with a night staff carer working from 7.30 pm to 7.30 am. The home does not employ a cook so staff are also responsible for preparing and serving meals. The manager, who is also the proprietor monitors the home on a regular basis. It has been discussed that perhaps the full time deputy manager should take on the role of manager, as she does tend to be responsible for the regular day-to-day care of residents. The manager is not present in the home on a full time basis. The deputy manager is currently undertaking the NVQ Level 4 Award. The other full time carer has completed NVQ Level 2 and is currently completing Level 3. Two other staff members are due to commence NVQ Level 2 training. Staff have recently attended training courses in Adult Protection, Medication and Fire Safety. A First Aid refresher course is booked for July 2005 and the deputy manager is due to attend a one-day course in ‘Effective Care Planning’. Oakleigh Lodge Version 1.10 Page 16 Residents were asked about how well they were cared for by the staff and their responses were positive. Many stated that they felt the staff were friendly and caring. A visiting professional was also asked about the staff and he felt that they were always very friendly. The current staff team work well together and do provide a friendly and caring environment for residents. Oakleigh Lodge Version 1.10 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 36, 37 & 38 As the manager does not work full time in the home there does appear to be a lack of leadership. Most residents think the deputy manager is the actual manager of the home. Staff supervision is carried out but it is not recorded. Suitable records are maintained. There are concerns about how fire doors are kept wedged open throughout the home. EVIDENCE: As was stated in the previous section the manager does not work full time in the home, therefore Standards 31 and 32 are difficult to assess, as the manager was not present during the inspection. Staff supervisions are carried out informally. These sessions should now be carried out formally and recorded and signed by both parties. Random records such as complaints, the accident book, care plans; menus etc. were viewed and were found to have been updated. Oakleigh Lodge Version 1.10 Page 18 There were a number of health and safety issues that need to be addressed. • As discussed previously the wedging open of fire doors must be discontinued. • The hot water temperatures need to be monitored and adjusted in some areas of the home. • Combustible materials should not be stored around hot water heaters. • The fluorescent light outside Room 3 needs replacing. • The hot water pressure from the shower on the top floor needs attention. Oakleigh Lodge Version 1.10 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 3 3 2 3 x 2 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 2 2 x x x 2 3 2 Oakleigh Lodge Version 1.10 Page 20 yes 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 OP16 Regulation 22 Requirement That the homes complaints procedure includes a 28-day response time and that each service user receives a copy of this document. That the service users guide include information about management and staffing qualifications, the range of needs the home can meet and room numbers and sizes. That service users are consulted and a weekly/monthly plan of activities is organised to suit their needs and preferences. That all hot water outlets are monitored and recorded on a regular basis and any excessive temperatures are adjusted. That the home is assessed by a qualified occupational therapist. That the home immediately discontinue the practice of wedging open fire doors and consult with their local fire authority. That all staff supervisions are formally carried out, recorded and signed. To remove all combustible materials stored on and around Version 1.10 Timescale for action Immediate 2. OP1 Schedule 4 30/6/05 3. OP12 16(2)(n) Immediate 4. OP25 13(4) Immediate 5. 6. OP22 OP19 23(2) 23(4)(a) 31/8/05 Immediate 7. 8. OP36 OP19 18(2) 23(4)(a) 31/8/05 Immediate Oakleigh Lodge Page 21 hot water heaters. 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 OP31 Good Practice Recommendations Service users appear to be confused about who is the manager of the home. Mrs Lockwood is currently registered as the proprietor/manager but she does not work on a full time basis. The deputy manager works full time and is responsible for the day to day care of all the service users. She is also currently undertaking her NVQ Level 4 qualification. The home needs to provide clearer guidelines for service users about who is responsible for their daily care and welfare. Oakleigh Lodge Version 1.10 Page 22 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Lodge Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!