Inspection on 07/03/07 for Oakley House

This inspection was carried out on 7th March 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

Oakley House 22/02/06

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 6th March 2007 3:30 Oakley House DS0000029277.V328151.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 DS0000029277.V328151.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 DS0000029277.V328151.R01.S.doc Version 5.2 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.V328151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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. The fees for the home are negotiated on an individual basis. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection of the home was undertaken with the home owner, Mrs Val Murray. The residents retuned to the home during the inspection giving the inspector the opportunity to talk to them about their daily lives. The inspector also reviewed key documentation and used this as evidence for the report. The inspector spent approximately four hours at the home and was invited by the residents to visit again. The level of service provided by the home was judged to be of an excellent standard. What the service does well: What has improved since the last inspection? Oakley House has had the main lounge redecorated and refurbished since the last inspection. There are plans to refit the upstairs bathroom and carry out redecoration where necessary. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Oakley House DS0000029277.V328151.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 DS0000029277.V328151.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): 1,2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Significant time and effort is spent making admission to the home personal and well managed, there is a high value on responding to individual needs for information, reassurance and support. EVIDENCE: The home has no vacancies and has remained fully occupied for several years. The statement of purpose is straightforward and easy to read; it includes all relevant information and outlines the procedures that should be followed if a new resident were to be admitted. The information relating to the Commission needs to be updated. Oakley House DS0000029277.V328151.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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The key principles of the home for delivering a quality service are based on the belief that residents should be able to take control of their lives the home is committed to supporting service users to make informed decisions and understand the range of options open to them. EVIDENCE: Residents are aware and used to participating in the reviews of their care plans and planning for the future. The residents have individual care files which contain current care plans, linked to the assessment of support needed which in turn is based on the activities of daily living. All the documentation had been reviewed including the risk assessments. The manager records daily events in several ways; one resident has events recorded on daily record sheets, whilst the others have events recorded in individual books. In order to maintain an up to date record the owner agreed with the inspector to have a minimum of one entry per week in the records, Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 10 this would be a summary of the activity/events, which had taken place that week. The inspector was also able to cross reference information held in the diary to confirm appointments, special events, and visits to families and visitors to the home. The service users discussed with the inspector their involvement with the day-to-day running of the house. For example, the main lounge had been refurbished and redecorated; residents confirmed they were involved in choosing the furniture for the room. The resident group also discuss together where they would like to go on holiday, and talked with the inspector which were there favourite places to go. By doing this they demonstrated of each other’s preferences that should be considered when choosing a holiday destination. The residents are supported to make informed decisions about their lives, and identified other people who they liked to be involved in these decisions, such as parents or friends. Oakley House DS0000029277.V328151.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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home understands the importance of enabling younger adults to follow their interests and be integrated into community life and leisure activities. The home employs the new preferences of the residents when planning the routines of daily living and arranging activities both in the home and the community. EVIDENCE: The residents at Oakley House have very busy lives; daytime activities are selected from college courses, Day Centre activities or employment. The residents choose which of these they would like to attend or take part in; the employment opportunities vary and may only last a short period of time. One of the residents was pleased to be offered an interview for voluntary work at Weston General Hospital. At the day centre, two residents take part in the gardening group, which is planned to become a supported employment organisation. One resident Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 12 particularly enjoys attending the Banwell pottery group, and visiting the local shops and community in Banwell. Another resident has paid part-time employment, but would like to work more. However this is limited by the benefit system which would penalise the resident for working full time. The service users have lived at Oakley House for some considerable time, and enjoy attending leisure activities with each other. On the day of the inspection the residents were due to go out in the evening to a social group. One of the residents had also been nominated to attend the Lord Mayors dinner with his girlfriend, and showed the inspector his suit purchased for the event. The inspector also discussed with the residents other functions and events that they had been to or were planning to go to at local theatres. All of the residents at Oakley House are able to self advocate, and participate in the day-to-day planning of their lives. They are supported with decisions by both the homeowner and staff at the home, and by involving relatives. Residents are free to invite friends and relatives to visit, and often will spend time away from the home visiting relatives. Oakley House DS0000029277.V328151.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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff ensure that personal support is flexible, consistent and responsive to the changing needs of the residents. EVIDENCE: The level at which the residents require support with personal care is individualised. The service users are able to express a choice of who they wished to support them i.e. male or female carers. The residents’ continued good health is promoted by the owner of the home, who ensures that the residents are referred were necessary for healthcare services. The inspector confirmed this with one resident who spoke of his recent visits for dental care, and the support from the home to attend the appointments. If residents are unwell, the home is able to provide staff to support them to stay at home. The medication at the home is minimal; only two residents have regular medication. The prescribed medication is reviewed on a regular basis by either the GP or consultant psychiatrist. The medication administration and records Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 14 were checked and found to be correct. The home does not have any controlled drugs, and keeps a minimal stock of homely remedies. Oakley House DS0000029277.V328151.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): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The complaints procedure is widely distributed to people accessing the service. EVIDENCE: The residents at Oakley House are able to self advocate and raise any concerns or complaints directly with the homeowner. The inspector observed that there is an open culture at the home between the residents and owner, and that the residents would not be hesitant in raising any issues. The complaints procedure is available to the service users and is in an accessible format, it is also available in the statement of purpose. There have been no complaints or adult protection issues at this home. Oakley House DS0000029277.V328151.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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to see Oakley House as their own home. It is well maintained and an attractive home, which is accessible to community facilities and services. EVIDENCE: Oakley House is a well maintained property which provides family type accommodation for its three residents. The residents confirmed with the inspector that they had been involved with the redecoration and refurbishment of the main lounge. The bathroom upstairs is also planned to be replaced. The residents stated that they were happy with the home and their rooms, which they furnished to their individual taste. Residents access all areas of the home, and are aware that before entering each others rooms they are supposed to knock. Currently the manager employs a domestic agency to clean the home, however the residents are never at home when the domestic staff are on the premises. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 17 The home is clean and free from unpleasant odours, and provides a comfortable and safe environment for the residents. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 18 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): 32,34,35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels reflect the needs of the residents, and rotas are flexible to fit around the lifestyles of individuals. Staff have the skills to communicate effectively with the residents, and this includes all members of staff who come into regular contact with the service users. EVIDENCE: No new staff have been recruited to Oakley House since the last inspection. Val Murray has continued to provide the bulk of the support to the residents at Oakley House. This is supplemented by support from staff that are employed at Harewood House (the partner home). By working this way the residents have continuity of staff support. Mrs Murray has undertaken sufficient training and attends regular meetings in order to update her knowledge and skills when providing support for the residents. The inspector suggested that training be sourced for the forthcoming Mental Capacity Act, as it will be relevant to the residents. The residents confirmed to the inspectors that if they wish to attend activities then they have sufficient staff available. The residents also stated that the Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 19 staff who came to the home when Mrs Murray was absent with people they knew, and who knew them, therefore a continuity of care is provided. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The owner is visionary in her approach to the service and communicates a clear sense of direction. These include service specific good practice areas, current legislation and proposed developments, strong leadership for staff and very responsive to service users, providing an excellent role model. EVIDENCE: There is a stable staff team with the proprietor providing 24 hour support on a regular basis. The owner also ensures that the established routine and known preferences of the residents influence the day to day running of the home. The outcome of this approach is that the home runs for the benefit of the residents. The outcomes for the residents were stated to be very positive, enhanced by the supportive atmosphere and open approach style adopted at the home. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 21 There is a degree of informality however this is underpinned by the expectation of respectful behaviour of residents toward each other, visitors to the home, and the staff team. Some of the residents were aware that there are other housing options available to them, but stated they were in the best place as it suited their own interests and lifestyle. The residents were very satisfied with their service, and this was reinforced by the results of the service questionnaire. There were no health and safety concerns at the home at the time of the inspection; fire safety checks had been completed and the fire risk assessment had been carried out was available for the inspector to read. Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 22 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 3 2 3 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 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Oakley House DS0000029277.V328151.R01.S.doc Version 5.2 Page 23 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.V328151.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 DS0000029277.V328151.R01.S.doc Version 5.2 Page 25 - 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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