Inspection on 22/02/06 for Oakley House

This inspection was carried out on 22nd February 2006.

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

Oakley House 07/03/07

Oakley House 12/09/05

Oakley House 02/02/05

Oakley House 22/09/04

Oakley House 02/05/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Oakley House 23 Gerard Road Weston Super Mare North Somerset BS23 2RE Lead Inspector Nicola Hill Unannounced Inspection 22nd February 2006 3.45pm Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 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 Oakley House DS0000029277.V278206.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakley House Address 23 Gerard Road Weston Super Mare North Somerset BS23 2RE 01934 627481 NONE 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) Mrs Valerie Murray Mrs Valerie Murray Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Oakley House is a small community home for younger adults with learning disability. It is situated close to local amenities that allow the residents the opportunity to independently pursue specialist interests. Currently the home is registered for three people all of whom have been there for a considerable time. Oakley House is a converted Victorian property, which provides ample space and facilities for its residents. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection at Oakley House was unannounced, but timed to ensure that the residents had returned from their daytime occupations. The inspector was able to talk with all the residents, and the manager. The inspector also accompanied the residents on a planned activity, tenpin bowling, during which time the residents spoke about their daily life at Oakley House. The inspector also reviewed some documentation at the home, although the previous inspection had covered the key inspection standards. What the service does well: What has improved since the last inspection? What they could do better: 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. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was not assessed. EVIDENCE: There have been no vacancies at the home for several years, and there is no plan to extend the capacity of the home. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 Service users are supported to take informed decisions about their lives. EVIDENCE: The inspector was able to observe the interaction between the residents and the manager, and noted that residents were offered choices and supported to make appropriate decisions. The residents discussed with the inspector the prospect of moving out of Oakley House into supported living. The decision to move would be the residents’ and two of them expressed doubts about the benefits of living on their own. The manager was observed to prompt the residents to complete tasks, for example getting ready to go out, and supported their decision making by reminding them of the options available to them. The three residents appeared to benefit from this style of approach, and were supported to be independent. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 The home facilitates residents to use community facilities. EVIDENCE: The inspector was able to accompany the resident group to tenpin bowling, and was able to observe how confident they were to use community facilities. The manager ensures that all the residents have a very active social life, which enables them to develop their own self-confidence, and follow a preferred lifestyle. The programme for the residents during the inspection was that they had returned from the day centre following a presentation ceremony for educational achievements. The inspector then spoke with the residents and had a cup of tea with them before going tenpin bowling. The residents were very welcoming and included the inspector in the game. The residents go bowling on a regular basis, and are familiar with the different facilities available in Weston-super-Mare. After the game the residents walked to McDonalds for tea and then attended an evening club. The residents are able to return home as a group independently, one of them uses their mobile phone to contact the manager and tell her that they are on the way home. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 10 The independent lifestyle supported by the home has enabled the confidence of the residents to develop, now two of the residents work part-time, and another wishes to explore employment opportunities. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 The service users are supported to maintain optimum health and wellbeing. EVIDENCE: The residents are supported to attend appointments with care providers. Evidence of this was seen during the inspection when a resident was prompted to attend a dental appointment. The manager had arranged that the resident attend independently but the dental surgery rang the home should there be any dental work needed. This arrangement facilitated the independence of the resident whilst ensuring that any necessary treatment was supported by the home. The other residents were able to tell the inspector the arrangements that they had to attend appointments – each person had an individual plan. The inspector reviewed the medication with the manager who has introduced a system of storing and recording administration of medication, which is easier to audit. All medication was accounted for and stored correctly. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The residents have a mechanism for voicing concerns or complaints. EVIDENCE: There have been no complaints received by the manager at the home; all of the residents are able to self-advocate and have an open relationship with the manager. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,30 Oakley House is a homely, family size house, which meets the needs of the resident group. EVIDENCE: The inspector did not tour the building but noted that the communal areas were clean and well maintained. The oven in the cooker at the home had broken and the residents were expecting a new one to be delivered at the end of the week. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The recruitment practise at the home protects service users from abuse. EVIDENCE: There has been a change of staff as the care worker at Oakley House has left. The replacement worker is already employed by Mrs Murray (service provider) at Harewood House, which is also owned by Mrs Murray. The worker will continue to work at both houses, and the staff file containing the application form, CRB and references will be kept at Harewood House. The residents are happy with this arrangement, as they all know this member of staff. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,42 The home is run for the benefit of the service users. EVIDENCE: The ethos at Oakley House is that it is the residents’ home, and the staff team support the residents in their chosen lifestyle. The residents are able to selfadvocate and discuss with the manager any issues or concerns that arise. The annual holiday has not yet been planned, as they haven’t decided where to go. All of the residents have a different routine, all have families who they visit at weekends and who are welcome at Oakley House. The residents evidently enjoy living at Oakley House, they informed the inspector they would not wish to leave and live independently in flats. There were no concerns about the implementation of health and safety at the home; recommended fire safety precautions were being implemented. Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 4 X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X 3 X 3 X X X Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 17 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakley House DS0000029277.V278206.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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