Inspection on 29/09/05 for Oakleigh Lodge

This inspection was carried out on 29th 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 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 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 Unannounced Inspection 29th September 2005 11:00 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.V250371.R01.S.doc Version 5.0 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.V250371.R01.S.doc Version 5.0 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.V250371.R01.S.doc Version 5.0 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 21st April 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. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 and a half hours on the 29th September 2005. This report should be read in conjunction with the previous report from 21st April 2005. The inspection process included speaking to several residents and one visitor, document reading, inspection of the premises and informal talks with the owner/manager and staff members on duty. What the service does well: What has improved since the last inspection? What they could do better: There are still two outstanding requirements that need to be addressed. The home must provide a weekly/monthly plan of activities, which should be undertaken in consultation with residents. An assessment of the home by a qualified occupational therapist also needs to be carried out. Recruitment files need to contain proof of identity and a recent photograph of each staff member. Two Recommendations were also made and these centred on the home providing a wider variety of meals for residents and the redecoration of certain rooms within the home. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 6 An action plan, which covers all the requirements and recommendations made during the inspection was received from the home 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.V250371.R01.S.doc Version 5.0 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.V250371.R01.S.doc Version 5.0 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): 1, 2, 3 & 4. The home does not provide intermediate care. The service users guide has been updated. Each resident is provided with terms and conditions. Assessments are carried out prior to a new resident moving into the home. EVIDENCE: The home’s service users guide has been updated and the additional information now provides details about staffing information, room sizes and the organisational structure of the home. Written contracts are provided for each resident on admission. Pre-assessments visits are carried out on residents before they enter the home. The pre-assessment forms were discussed with the deputy manager who felt that they could be updated to provide more indepth information about resident’s current needs. The home feels that it is currently meeting the needs of all residents who live in the home. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 & 11 Care plans are maintained. Resident’s healthcare needs are met. The home has recorded the wishes of residents regarding illness and dying. EVIDENCE: A selection of resident’s care plans were viewed and they appeared to be informative and up to date. Reviews of residents needs are held regularly and this information is recorded. The majority of residents living at Oakleigh Lodge are reasonably independent and therefore their needs tend to be quite low. Residents have access to a variety of healthcare providers such as visiting chiropodist, district nurses when required, dentist, optician and hairdresser. A Community Practice Nurse also visits certain residents and all are registered with their own GP’s. The owner/manager stated that most of the residents have recorded their wishes regarding illness and dying. The home would provide care and comfort to any resident who was dying. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 the following standard(s): 12, 14 & 15 The home still needs to provide a more structured programme of activities. There was evidence that residents are provided with autonomy and choice. The menu could benefit from introducing a wider variety of meals. EVIDENCE: During the last inspection some residents stated that they didn’t feel the home offered enough social activities during the day. Staff did commence some afternoon activities but these have not remained consistent. The home will again be required to provide a more structured programme of activities, so that residents have the choice of deciding whether they wish to participate or not. The programme of activities needs to be organised in consultation with the residents. There was evidence to suggest that residents do have the opportunity to have control and flexibility in their daily lives. Some residents chose to eat their meals at different times and all are free to come and go as they wish. The majority of residents have control over their own finances with the help of family and friends. Overall residents stated that they were happy with the meals provided although some commented that there was not enough variety offered on the Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 11 menu. The home would benefit from providing a wider variety of meals and again residents should be consulted as to their likes and dislikes. Meals continue to be cooked by the deputy manager. The home maintains a record of all meals that are provided to residents. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 the following standard(s): 16 The homes complaints policy and procedure now contains information that complaints will be dealt with within a 28-day period. EVIDENCE: The 28-day response has now been included into the policy & procedure. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 the following standard(s): 19, 22, 24 & 26 The home is generally well maintained and magnetic closures have now been fitted to some corridor fire doors. The home still needs to be assessed by a qualified occupational therapist. Resident’s bedrooms are overall comfortable and homely, however some rooms are in need of redecoration. EVIDENCE: Overall the home is generally maintained to a good standard. During the last inspection a requirement was made for the home to discontinue the use of propping open fire doors. At the time of writing this report the owner/manager has confirmed that magnetic door closures have been ordered and will be installed on a number of fire doors throughout the home. A requirement was made during the last inspection for the home to be assessed by a qualified occupational therapist for any specialist equipment that residents may need within the home but this has not yet been carried out. Bedrooms within the home are located over two floors and a lift is available to the first floor. There is a pleasant garden to the rear of the property with ramp access. The majority of bedrooms that were viewed on the day appeared homely and comfortable Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 14 and had been personalised with resident’s own belongings. There are a small number of rooms that are in need of redecoration. The home was clean and tidy and free of any offensive odours. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 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 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): 28, 29 Senior staff have completed NVQ qualifications. Recruitment files still need to include proof of identity for each staff member. EVIDENCE: The home employs a small staff team, two of whom work on a full time basis. The full time deputy manager has obtained the NVQ Level 3 plus Assessor’s Course and is currently completing NVQ Level 4. The senior care worker has completed NVQ Level 2 and is soon to finish NVQ Level 3. The remaining staff work on a part-time basis. The staff recruitment files were again viewed at this inspection and although the home is now maintaining all the correct information they still need to keep on file proof of identity and recent photographs for each staff member. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 16 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, 36 & 38 The home is due to undergo a change of manager. Staff are now receiving supervision sessions. On the day of inspection there were no health & safety issues raised. EVIDENCE: During the last two inspections there have been some issues raised regarding who has been responsible for the day to day running of the home. The owner/manager is currently the registered manager for the home but in discussion it was agreed that she was not always in the home on a full time basis. The deputy manager works full time and she does appear to be overall responsible for resident’s daily care and welfare. The deputy manager is also studying for the NVQ Level 4 qualification. Following discussions with the owner/manager it was agreed that the deputy manager would apply to become the registered manager and the full time senior care worker would then become the deputy manager. The owners will still continue to be very much Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 17 involved with the home and they are aware that they will need to make regular Regulation 26 visits to ensure that standards are being maintained. The owner/manager has now commenced staff supervisions and to date staff have received one recorded supervision session. During the last inspection the home was required to commence recording hot water temperatures at random outlets within the home, as some of the temperatures recorded were very high. The home has now addressed this requirement and temperature checks are being maintained. As mentioned previously fire doors were being propped open by pieces of furniture and wedges, residents did state that they did not like these doors being closed, however this puts residents at great risk should a fire break out in the home. Magnetic door closures are being installed on several fire doors within the home and this will enable residents to keep these doors open and in the event of a fire they will close automatically. The home is due to have a new central heating system installed in the near future. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 18 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 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 2 X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 X 3 Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16(2)(n) Requirement That service users are consulted and a weekly/monthly plan of activities are organised to suit their needs and preferences. Previous Requirement That the home is assessed by a qualified occupational therapist. Previous Requirement Timescale for action 30/09/05 2 OP22 23(2) 30/09/05 3 OP29 Schedule 2 Recruitment files must contain proof of identity and a recent photograph of each staff member. 30/09/05 Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 20 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP 15 OP19 Good Practice Recommendations That a wider variety of meals are offered in consultation with service users. That certain bedrooms are redecorated when possible. Oakleigh Lodge DS0000014216.V250371.R01.S.doc Version 5.0 Page 21 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.V250371.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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