Inspection on 31/01/07 for Oakley House

This inspection was carried out on 31st January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Oakley House 10 Bushmead Road Eaton Socon Cambridgeshire PE19 8BP Lead Inspector Alan Buttery Key Unannounced Inspection 31st January 2007 10:00 Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 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 DS0000068174.V329438.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 DS0000068174.V329438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakley House Address 10 Bushmead Road Eaton Socon Cambridgeshire PE19 8BP 01480 407010 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) na Brookdale Healthcare Limited Miss Renee E W Hughes Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Not applicable – First inspection Brief Description of the Service: This was the first inspection of the home since it opened in September 2006. Oakley House provides a home for eight service users within the autistic spectrum disorder, and is situated in the village of Eaton Soken, close to St Neots. The home is particularly well decorated and furnished, and offers a comfortable setting, close to local amenities. The home is owned and run by Brookdale Healthcare Ltd, who operated a number of similar services in the area. The service is quite specialised, and fees range between £2,335 and £3,304 per week, depending on assessed need. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the service which was registered on the 1st September 2006. The inspection lasted around three hours, and although the home manager was not available that morning, the care staff and team leader were very helpful in providing the required information, and two of the service users were at home, and their comments are noted in the report. What the service does well: What has improved since the last inspection? What they could do better: Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 6 There were no areas of improvement noted from this inspection. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 7 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 DS0000068174.V329438.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 4 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The needs of service users are fully assessed, and trial visits arranged to ensure that once they move into the home, service users can be confident all their needs will be met. EVIDENCE: During the inspection, the files for three of the service users in the home were examined, and it was possible to talk to one of theses service users. Most of the current service users in the home have lived in other Brookdale Healthcare services, and detailed assessment information was therefore available covering a period before the move to Oakley House. However, detailed information was gathered in respect of all the service users, and a planned transition organised, involving regular visits, overnight stays etc. The assessment information also includes input from a variety of professionals who work for Brookdale, Including psychologists, psychiatrists and speech and language therapists. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are fully involved in developing care plans to demonstrate how their assessed need can be met safely. EVIDENCE: Again, the files seen for three of the service users provided evidence that the service has very detailed individual plans. It was very pleasing to note how they demonstrated full involvement of the service users in them, they were not all in an identical format, but suited to the wishes of the individual service users, and included a great deal of social background and history. Within the individual plans were risk assessments, ensuring that the service users are able to take part in everyday life with a degree of safety, and to enjoy new challenges. Clearly the service users in the home have an input into how they spend their time, and are able to make choices and decisions about their lives, with support as needed. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 10 Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users have the opportunity to take part in a variety of work and leisure based activities, and to be part of their local community. EVIDENCE: The service users living in Oakley house are able to take part in a variety of activities, both educational and leisure. The activities are identified within the individual plans, and include college courses, meals out, visits to a local pub (where they meet friends from another Brookdale service for karaoke), shopping, cinema and other leisure pursuits. One of the service users works at a hospital facility owned by the company, and two others attend healthy eating courses run by the company. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 12 Family contact is maintained, for example one of the service users spoken to indicated that she speaks to her mum regularly on the telephone, another was visiting his parents in London on the day after the inspection. The service users are encouraged to plan their own meals, and staff help with the shopping and cooking, and each service users has cupboard space in the kitchen, and their own space in fridges and freezers to store their food. During the inspection, a discussion with the team leader indicated their awareness of potential diet issues with two of the service users, and although conscious of the individual choices of service users in respect of food, the need for some guidance to be given to ensure healthy options are always explored. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A range of professional support is available to ensure both physical and emotional health needs are met EVIDENCE: Within the individual plans, details of the health needs of service users are identified, and the way in which these will be met set out. The company has its own facilities and professional, and they meet many of these needs, particularly in respect of their psychological needs. Other professional are called on where required, and the service users are all registered with a local GP practice. Medication is administered by the care staff, who have received the relevant training, and service users would be supported to manager their own medication where this was felt to be appropriate and safe. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 14 Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to ensure that any complaint or adult protection issue is properly dealt with. EVIDENCE: Policies and procedures are in place to deal with any complaints that may arise, although none have been received, and staff receive training in complaint handling. All staff also receive training in dealing with adult protection issues, and the company follow the local authority guidance. One potential adult protection issue has been dealt with in accordance with the policy, and the inspector kept aware of developments. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service provides an exceptionally well equipped and maintained home to the service users living there. EVIDENCE: The home was opened in September last year, and has been renovated and furnished to a high standard, in keeping with the service users living there. For example there are two wide screen televisions, and computer equipment available in the lounges, and the furniture all good quality. The home was clean on the day of the inspection, and service users are encouraged to help keep their home clean and tidy, and there were no unpleasant odours. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A well trained and competent staff team are available to support the service users in meeting their assessed needs. EVIDENCE: The staff team in the home, along with the manager and team \leader are all competent and qualified for their role, with many having previously worked in other services owned by the company. Recruitment policies ensure that service users are not placed at risk, and evidence of the required checks was seen on the files of three staff members seen during the inspection, including references, CRB disclosures, health declarations, identity proof and interview notes. Details of the training received was discussed with one of the care staff, and it is clear that the staff all receive both the mandatory training and more service users specific training, and this is planned to continue throughout the year. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run, and service users views and opinions taken into account at all times. EVIDENCE: From discussions with care staff and service users it is clear that the home is well run, and that the interests of service users are always put at the front of any discussions. Service users are clearly able to contribute to decisions affecting them, and ideas for future changes, and the interaction between staff and service users appeared very positive. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 19 Policies and procedures are in place to ensure service users and staff are safe, and staff receive all the required health and safety raining both during their induction, and ongoing. Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 21 No 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. 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 DS0000068174.V329438.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oakley House DS0000068174.V329438.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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