Inspection on 09/06/05 for Oaklodge

This inspection was carried out on 9th June 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 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

Oaklodge 21/09/06

Oaklodge 25/10/05

Oaklodge 26/10/04

Oaklodge 21/04/04

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Hawkhills

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Ravensworth Lodge

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

CARE HOME ADULTS 18-65 Oak Lodge 11 Oak Villas Manningham Bradford BD8 7BG Lead Inspector Stevie Allerton Unannounced 9th June 2005 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 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 Stationary 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. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oak Lodge Address 11 Oak Villas Manningham Bradford BD8 7BG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 546920 01274 546920 oaklodgecarehome@btopenworld.com Mr Ronald Berry & Mrs Doreen Berry Mr Anthony Cook Care Home Only 30 Category(ies) of Mental disorder (25) Old age (5) registration, with number of places Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The places for OP are for the service users specified in the letter dated 29th April 2004 only. Date of last inspection 26th October 2004 Brief Description of the Service: Oak Lodge provides care and support for up to 30 men and women with mental health needs, for those aged 18 - 65 years of age on admission, although some older service users are accommodated. There are facilities for regular respite care for those living independently who require additional support. The home does not provide nursing care. It is one of a group of homes owned by Mr and Mrs Berry and is managed by Tony Cook on their behalf. Oak Lodge is a large detached property located in the Manningham area of Bradford, close to public transport systems, shops and local community facilities. Bedrooms are on three floors, with communal rooms on the ground and lower ground floors, all accessible by passenger lift. The house stands in its own grounds, with good car parking facilities. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out without prior announcement and was conducted by one inspector over a three and a half hour period. It was the first of two inspections that are planned to take place during the year commencing 1.4.05. The inspector spoke to around six of the service users, the Manager, his Deputy and other support staff, including the line manager for the home. Some records were looked at, as well as some parts of the building. Following the inspection, a comment card was received from a relative of a service user. What the service does well: What has improved since the last inspection? What they could do better: There are plans to extend the premises and the number of places that will be provided. Whilst these are in the process of being approved, the staff must take care not to allow general maintenance and décor to deteriorate. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 6 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. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 & 4 Prospective service users are provided with the right level of information about the home and what it can offer, so that they can make an informed decision about living there. Proper assessment is carried out before admission, to make sure that the service will be able to meet their needs. EVIDENCE: As there was an introductory visit planned for a prospective service user during this inspection, the opportunity was taken to sit in on this (with the consent of the service user and his Social Worker). The Manager gave a brief tour of the building, including the bedroom which was vacant, answered the service user’s questions about life in the home and gave a rundown of the expectations, rights and responsibilities of both parties, should he decide to move in. Documents made available to the Manager at this stage included a referral form and risk assessment completed by the referring agency. From this, the Manager is able to highlight particular areas that he feels might need more information before a place is offered. A follow-up visit to the individual in their current care setting is often made, so that more discussion can take place. There was a brief written guide to the service available to take away, but all of the required information for service users was on display in the entrance hall for everyone to read. All admissions are subject to a four-week trial period. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 The care and support plans for each service user reflect their changing needs and are based on risk assessment, ensuring a good balance between upholding individual rights and the staff team’s duty of care. EVIDENCE: Some of the service users were spoken to in the dining room during the morning, the general conversations around what areas of daily life they receive support with, being reflected in the written care plans viewed afterwards. Service users have a range of support needs, which are individually assessed and appropriate care plans drawn up. In conversation with one person, it was clear that some agreement had been reached with the staff about expected behaviour and there was almost a reward-based system in place to manage this. The details of this management plan were clearly recorded and staff made daily notes, enabling a view to be taken as to the effectiveness, or otherwise, of the strategy. There was a flexibility seen regarding individual risk assessments, reflecting the fact that situations present more of a risk to some service users than others. An example of this was the Missing Persons risk policy, each one Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 10 tailored to the individual and providing clear guidance to staff as to when to deem someone “missing”. The records of nighttime checks also provided evidence of an appropriate balance between rights and risks. One person spoken to had been able to take the opportunity to move to a newly created en-suite room on the lower ground floor and increase his independence, which he was pleased with. Another person said that she was aiming to move on and was going to look at a flat the following week. Service users said that house meetings are held, where they are able to put their point of view about life in the home, but that there had not been one for a long time. The Manager confirmed this, but has a meeting planned for the near future. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 16 & 17 Service users benefit from the home’s location in the community, which allows for easy access to shops and other facilities in the local area. They are able to choose at what level they mix and socialise with other people living at the home. Meal provision meets the expectations of the service users. EVIDENCE: Some service users direct their own level of social and leisure activities, spending time away from the home following their own preferred interests. Others who were spoken to prefer to spend time around the house, smoking and chatting with fellow residents. On the day of inspection there was a group in the dining room playing dominoes, the handyman included. The staff do organise outings and have access to a minibus, shared between the three homes in the group. The minibus had been used the day before, to take some of the service users out to Keighley and Skipton with a picnic lunch. There is a good selection of DVDs, videos and books in the lounge. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 12 Service users were mainly spoken to in the dining room, some having a late breakfast at the start of the inspection and others seen at lunchtime. The home is without a full time cook at present, so the part-time cook was working some extra hours to prepare lunch and evening meals, the care staff providing breakfast. The Manager said that the menus had recently been revised to give more variety. Service users said they were happy with the food provided, which they felt gave them sufficient choice. Some opt for a cooked breakfast and then go out all day, returning for the main meal, which is served in the evening. Others prefer cereals or toast, and then have a light snack at lunch, usually two options or a sandwich on offer. There are two choices for the evening meal. Service users are able to make hot drinks at the servery area in the corner of the dining room. Service of meals is cafeteria-style, collecting the meal and cutlery at the servery counter and eating where one pleases. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 Service users have the support they need in order to manage their mental and physical health within the community, with appropriate input from other health professionals. EVIDENCE: Care plans showed that all aspects of service users’ daily lives are assessed, to identify what, if any, support the staff can provide and how this will be put in place. This includes emotional and physical health needs, with appropriate input from community or hospital based health care professionals sought as required. Discussion with service users confirmed what individual areas staff gave support in, such as developing more independent living skills in preparation for moving on, the management of symptoms of mental illness, or practical assistance with day-to-day life. Where restrictions on behaviour have been agreed in response to an identified problem, this was correctly recorded within the care plans. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22 & 23 The Manager has responded very well to an incident, which was brought to his attention, demonstrating a robust approach to protecting potentially vulnerable service users. Whilst the home has clear policies for staff to adhere to regarding expected standards, the incident has highlighted there is very little for service users to know how to identify unprofessional behaviour of a staff member. EVIDENCE: Following an incident, which resulted in some Adult Protection work, additional training has been provided to the staff team, with 75 of the staff now having attended an Adult Protection training course. The Manager has also been able to reinforce with staff the concept of professional boundaries, and to make sure that the policy on this has been properly understood. The inspector also discussed with the Manager ways in which some policy statement on expected standards of staff behaviour could be incorporated into the Service Users’ Guide in the future. During the introductory visit by the prospective service user, the Manager was clear about the house rules regarding the use of alcohol, drugs and other substances, also the kind of behaviour, which cannot be tolerated and would result in being asked to leave. There are clear written policies on this for the staff. There has been a problem recently with petty theft, mainly items from service users’ bedrooms. A prominent notice reminded service users to keep their bedroom doors locked in order to safeguard their belongings and also stated Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 15 that any incidents of theft are reported to the Police. A service user mentioned that there had been some problems and that the Police had attended. A comment card received from a relative indicated that they were unaware of the home’s complaints procedure. However, this was found to be clearly displayed on the main notice board outside the office. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25, 27 & 28 The accommodation, although not purpose-built for that category of service user, appears to suit their needs and lifestyles reasonably well. There is good use of communal space on the ground and lower ground floors, to enable people with diverse interests to spend time in company, or more quietly, as they prefer. Some areas of the home are looking shabby and would benefit from refurbishment. Staff should periodically inspect the exterior of the building to ensure the handyman’s efforts can be diverted to the areas requiring most attention. EVIDENCE: Each service user has a single bedroom, all of which are lockable (apart from one person who refuses a key). Some redecoration has taken place since the last inspection, mainly bedrooms which become vacant, prior to the next occupant moving in. It is acknowledged that there is an ongoing programme being carried out by the handyman. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 17 There is a dining room, lounge, quiet sitting room and conservatory on the ground floor and another small TV room, pool table and gym equipment on the lower ground floor. There are plans being drawn up for an extension to the rear of the house, which would provide en-suite accommodation and small lounges on each floor. Most of the house appeared to be well maintained, apart from the conservatory guttering, which was very overgrown with grass and weeds. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 34 & 35 Service users are supported by a team of staff who are properly recruited and trained for the work they do. Supervision and in-house training is sometimes limited due to staff having to cover for vacancies, for example, the full time cook’s absence. The staff appear to have a good understanding of the balance, between upholding the individual rights of service users to act as they wish, and ensuring the personal safety and well being of not only the individual but the service user group as a whole. The staffing levels appear to be sufficient for the current needs of the service users. EVIDENCE: Discussion took place with the Deputy regarding the role of the key workers. There was a policy displayed in the staff office outlining the expectations and responsibilities of the key worker and it was evident from some of the care plans seen, that the named key worker for the service user contributes to the maintenance and review of the plans of care. There is currently some thought being given to organising key workers in teams linked with each floor, in preparation for future extension plans. The night staff have a good deal of contact with many of the service users and their visitors and have the delegated responsibility to decide who is allowed to visit late at night. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 19 The staff file for one of the most recent recruits was examined, which showed that appropriate references and checks were sought before employment was offered. There was also evidence that induction training had been carried out. Four of the staff have completed National Vocational Qualifications (NVQ) at level 3. The staffing rota reflects the times of the day when service users require most support and allows for time during the day to accompany individuals for appointments, etc. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 40 & 41 The Manager has a good working relationship with the staff and representatives of the management of the company, as well as good interpersonal skills with the service users. There appear to be clear messages being given about rights and responsibilities and that action will be taken to ensure that vulnerable people are safeguarded. Record keeping was good. EVIDENCE: The Manager expressed the view that he had a good staff team, which supports one another and that staff turnover seems to have stabilised. The Manager ensures that he sees staff from across all of the shifts. The written policies that were seen on the day were appropriate to the circumstances, clearly written for ease of understanding and readily accessible to those who need them. Policies that directly affect service users are displayed in the glass case outside the office. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 21 The following records were looked at: service users’ care plans, staff rotas, personnel records, daily reports and operational records such as handover sheets. Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x 2 3 x x Standard No 11 12 13 14 15 16 17 x x 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oak Lodge Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 x x J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 23 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. 1. Standard 24 Regulation 23(2) Requirement Attention is required to the guttering above the conservatory, which is overgrown. Timescale for action The staff agreed to attend to this without delay. 2. 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. Refer to Standard Good Practice Recommendations Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Oak Lodge J52 J03 S1314 Oaklodge V230120 080605 Stage 4.doc Version 1.30 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. 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. 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