Inspection on 27/04/06 for Oakleigh Lodge

This inspection was carried out on 27th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 13/07/07

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 27th April 2006 10:00 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.V288912.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 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.V288912.R01.S.doc Version 5.1 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.V288912.R01.S.doc Version 5.1 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 29th September 2005 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 £320.00 to £520.00 per week. Extra charges are for chiropody, newspapers, hairdresser and some toiletries. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 27th April 2006. As well as this site visit, information was also gained from informal talks with eight residents, three staff members and the owner/manager. A phone conversation was also carried out with a social worker that had placed residents in this home. This site visit consisted of a tour of the premises, looking at the needs of five particular residents, document reading and observations of the interactions between residents and staff during the course of the day. There are currently twelve residents living in this home. The overall outcomes for people using this service are generally good. What the service does well: What has improved since the last inspection? What they could do better: Residents care plan reviews need to be more informative as at present they are too brief. Resident’s risk assessments need to be reviewed on a more regular basis to make sure that a risk still remains for that person. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 6 Staff must continue to encourage and support residents to pursue their particular interests and hobbies. The home needs to ensure that a full time senior carer is employed as soon as possible so that continuity of care for residents is maintained. More staff need to be encouraged and supported to train for an NVQ qualification, as at present only two of the eleven staff holds a qualification. Following an environment check of the home the hot water pipe leading into the walk-in bathroom needs to be covered to prevent any unforeseen accidents. The bedroom on the top floor requires a safety window restrictor. The sliding door into the conservatory was seen to be difficult for some residents to open and the home needs to look into how they can make this door easier to use. An action plan addressing the requirements and recommendations that were made during this inspection was received prior to this report being published. 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 Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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.V288912.R01.S.doc Version 5.1 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 the following standard(s): 2 and 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident receives a written contract. Prospective residents have a pre-assessment check carried out before they move into the home. EVIDENCE: The home is providing each resident with a contract and several were viewed during this visit. All prospective residents will have a pre-assessment check carried out before they move in to ensure that the home can meet their needs. Two new residents have been admitted since the last inspection and their preassessment records were looked at. Several residents were spoken to during the day and they all stated that they felt the home was currently meeting their needs. The vast majority of residents in this home have a fairly low level of need. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Residents care plan reviews need to be more comprehensive. Residents feel their healthcare needs are being met. The home is following appropriate medication procedures. Residents were seen to be treated with respect and dignity EVIDENCE: Residents care plans are generally good, however when reviews are carried out they need to be entered in their notes with more detail. Risk assessments for one particular resident need to be reviewed again as it is some months since the original assessment was carried out. The home needs to clarify that the risk still remains for this person and if it does exist then how will they go about continuing to ensure this persons safety. Overall resident’s healthcare needs are being met and this was backed up by comments from the residents themselves. Residents have access to their own GP’s plus other professional healthcare workers. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 10 Medication records were checked and two discrepancies were found and these were discussed with staff. Staff had forgotten to sign for a resident’s medication that was given the day before. The home will also need to carry out a risk assessment for the resident who self medicates during the night. The owner/manager stated that staff were due to receive medication training later this year. During the day staff were observed interacting with residents and they were seen to be treating them with respect and dignity. Residents also said that they were treated well by staff. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. Recreational opportunities for residents have recently improved. Residents are able to have visitors at most times. Residents are able to have some control and choice within their current lifestyles. The quality and range of meals have recently improved. EVIDENCE: Activities and recreational pastimes have not always been well supported in the home, however since there has been a change in the staff work patterns this has now freed up the two morning staff members to spend more quality time with residents, which is extremely important for their day-to-day wellbeing. One of the staff is able to take residents out and some have said that this has been of great benefit to them. It is still recommended that staff consult with residents about the types of activities and hobbies they would like to be involved with, as several residents have said that they would sometimes like to do more during the day. Some residents who were spoken to said they preferred not to be involved with any activities at all. Residents have also stated in the past that staff always appeared very busy and did not have the time to spend with them. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 12 Relatives and friends are able to visit residents at most times of the day. No visitors were seen during this visit, however the visitor’s book did indicate that the home has people signing in and out. Residents were asked as to whether they felt they had any choice or control over their daily lives and several stated that they felt they had. Residents also said they felt confident that staff would assist them in helping them to make informed choices. Residents were asked about the quality and variety of meals that were offered. The responses were very positive and all stated that the quality of the meals had really improved just recently. The owner/manager is now preparing the midday meal and this has enabled the other staff members on duty to be able to spend more time with residents as opposed to one of them having to be in the kitchen cooking the lunch. This has created a much more positive outcome for residents. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. 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 has an adequate complaints policy, which is displayed in a public area. The home is ensuring that residents are not subjected to any forms of abuse. EVIDENCE: The home has compiled a policy and procedure on how residents can make a complaint. This policy and procedure is now displayed in the lobby area of the home and it is also included in the service users guide. Residents were asked if they knew how to make a complaint and most stated that they would go to a staff member or the owner/manager if they had any concerns or complaints. There are currently no ongoing complaints. The home has produced an adult protection policy and procedure. All staff have undergone CRB checks prior to their employment in the home. There are still a few more staff members who need to attend Adult Protection training and the owner/manager has stated that she is arranging this. There are no current adult protection alerts in this home. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Overall the home is safe, clean and well maintained. The home has yet to have an assessment carried out by a qualified occupational therapist. The home was clean and tidy on the day of this visit. EVIDENCE: The home is currently meeting the needs of its residents and is generally providing a safe and comfortable environment. Rooms appear homely and they are decorated with each resident’s own small personal belongings. Ten of the eleven bedrooms have en suite facilities. The communal lounge, dining area and conservatory are all on the ground floor and provide a pleasant area for residents to either sit in or eat their meals. A small, enclosed rear garden is also accessible to residents. One person suggested that the home considers providing a small-seated area in the front of the home thereby providing residents with another ‘view of the world’ and this would certainly be recommended. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 15 A requirement was made during the last inspection for the home to be assessed by a qualified occupational therapist. This was not achieved within the agreed timescale, however an assessment is due to be carried out on 22nd May 2006. This assessment needs to be carried out to ensure that residents have the required adaptations they need to have access to all parts of the home. There is one doorway in the home, which is difficult to open and this is the sliding door into the conservatory. This was discussed with the owner/manager. Overall the home was found to be clean and tidy and free from any offensive odours. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is experiencing some staff shortages at present. Only two staff have obtained NVQ qualifications. Suitable staff recruitment procedures are in place. More staff training needs to be completed. EVIDENCE: The full time deputy manager is no longer working at the home. It was envisaged that this person would eventually become the registered manager, however this has not occurred. The home is now short staffed and the current staff team are working additional shifts until another senior carer is appointed. However during this visit it was evident that residents are not having their care needs compromised at present, in fact with additional people in the home it has freed up the morning staff to spend more time with residents. For the long-term future of the home it will be essential that additional staff are recruited as soon as possible. The owner/manager stated that staff positions were being advertised during the week. A domestic person is also required for the home. Some residents who were spoken to did say they were missing the deputy manager. The normal rota for the home has been two staff in the morning, two staff for the afternoon and one sleep-in person for the nightshift. The home has not yet achieved the minimum ratio of 50 trained care staff as only two of the eleven staff members holds an NVQ qualification. The home will Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 17 need to encourage more staff to obtain NVQ training. The home does not employ agency staff. Staff recruitment files were viewed and the majority now contain all the required information, however one staff file did not contain a photo and there was no information recorded regarding staff training and appraisals for this person. Staff are booked to attend first aid training, fire safety and manual handling during May 2006. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The owner/manager will continue to be the registered manager. Residents manage their own finances. There are two health & safety issues, which need addressing. EVIDENCE: During the last inspection it was discussed that the deputy manager would apply to become the registered manager as she had more day-to-day dealings with the residents and she had obtained her NVQ Level 4 qualification. As mentioned previously in this report the deputy manager is no longer working at the home. This situation was discussed with the owner/manager who stated that she intended to employ another senior carer and that she would continue to be the registered manager of the home. The owner/manager will now need to consider commencing the training for the NVQ Level 4/Registered Manager’s Award (RMA). At this time, although there are some staff shortages the home appears to be running well. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 19 Of the current twelve residents, eleven manage their own financial affairs. Some residents have assistance from family and friends to manage their finances. The home maintains records of financial transactions and any monies are securely stored on the premises. An environment check was carried out to ensure that the health & safety of residents and staff is being maintained. The hot water pipe in the walk-in bathroom needs a cover, as this pipe was found to be extremely hot to the touch and if anyone was to fall against it, it could possible cause an injury. The window in bedroom 15 on the top floor requires a window restrictor to ensure the safety of its current resident. The home does need to look at the conservatory sliding door, as it is very heavy and some residents have difficulty opening it and this could restrict their use of this area and the garden if they can’t get through this door. Generally the home is well maintained. Some of the en suites have recently had new flooring installed. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 2 Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 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 2. 3. Standard OP7 OP7 OP9 Regulation Schedule 3 Schedule 3 13(2) Requirement That service user care plan reviews contain more detailed information. That service user risk assessments are regularly reviewed and updated. That a risk assessment is carried out and reviewed for the service user who wishes to self medicate during the night. That the owner/registered manager commences training for the NVQ Level 4/ Registered Managers Award. That a window restrictor is provided for Room 15. That the hot water pipe in the ground floor walk-in bathroom is provided with a suitable covering. Timescale for action 27/05/06 27/05/06 27/05/06 4. OP31 10(3) 27/09/06 5. 6. OP38 OP38 13(4)(c) 13(4)(c) 28/06/06 28/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 22 No. 1 2. 3. Refer to Standard OP22 OP28 OP27 Good Practice Recommendations That a copy of the assessment carried out by a qualified occupational therapist is forwarded to the CSCI. To encourage and support more staff to train for an NVQ qualification. That the home continues to provide three staff on duty for the morning shift so that service users are able to be taken out or spend some one to one time enjoying activities with a staff member. That the home remembers to include information and dates for all staff appraisals and training. That service users are able to open the conservatory sliding door with ease. 4. 5. OP36 OP38 Oakleigh Lodge DS0000014216.V288912.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office 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 DS0000014216.V288912.R01.S.doc Version 5.1 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. 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!