CARE HOMES FOR OLDER PEOPLE
Oaklodge Care Home Oaklodge Care Home Stockton Street Haughton le Skerne Darlington Co.Durham DL1 2RY Lead Inspector
Gavin Purdon Key Unannounced Inspection 23rd May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oaklodge Care Home DS0000069420.V337287.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Oaklodge Care Home Address Oaklodge Care Home Stockton Street Haughton le Skerne Darlington Co.Durham DL1 2RY 01325 381135 01325 381020 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) Care Stream Ltd June Miller Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 6th November 2006 Brief Description of the Service: Oaklodge Care home provides nursing and residential to older people. The home is registered for up to 28 service users. The home is spread over three floors the ground floor has 11 bedrooms, one of which is a double, it also has two bathrooms a lounge and a dining room. It also has a small smoker’s lounge. The first floor has 10 bedrooms a lounge/dining area and a bathroom. The second floor has a bathroom, one double room and 4 single bedrooms. The home meets those environmental standards required for services in existence prior to April 2002. There is a small patio area to the rear of the property. The home is situated within Haughton Village and is close to the town centre. There are local shops and amenities nearby. The current weekly charge for care at Oaklodge is £334. Goods and services not included in that overall charge are, newspapers, toiletries, and transport. There is no standing charge for these and costs vary according to the service user’s own preference. If the service user wishes, Oaklodge will arrange private chiropody at £10 per session. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place on the 23rd May 2007. It lasted 5 and three quarter hours, starting at 9.30am and finishing at 3.15 pm. This inspection is classed as unannounced and took place at very short notice to the home. During the inspection, time was spent talking in private with 3 service users, with the manager and deputy manager of the home, and with the activities co-ordinator. The 3 members of the care team who were also interviewed were the key workers for the 3 service users spoken with. Some parts of the building were seen and some records were examined with a particular emphasis on the management recording and provision of care for the 3 service users chosen as an example of how Oaklodge looks after the people living there. What the service does well:
Saying what the service does well touched on very many of the main areas of care standards. People had a lot of good things to say about Oaklodge, and the quality of care and the way of life of service users there. Service users said, “ I’ve been here a long time. I was poorly, I can’t explain. I don’t know anything about care plans. What I can tell you is this is a good place to be. Staff help with everything. Just ask and you get it.” “ I’ve been here 7 years. I had a fall and was taken to hospital. I suppose you would say the hospital sent me here. I enjoy my life here. Yes I have a care plan. The staff are very good. Yes this place is good. It’s definitely alright.” “ If you are not well they report it to the nurse and the nurse rings the doctor and the doctor comes straight out. I would say I get to see the doctor quicker than when I was at home.” “They get the doctor straight out to you, and it’s your own doctor that comes. I’ve always been with the Westmoreland Street Surgery and my doctor still comes out to me from there.” “ My daughter helps me into bed every night, sees that I’m comfortable, that I’ve got my water, and that the windows are closed, the curtains are drawn and that my buzzer’s handy if I need the staff. There’s a nurse on all parts of the day. They always answer the call.” “ The food here is great. There’s nothing other to be said about it. They know what I like. They give me what I like and not what I don’t like.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 6 “ I am one who likes to spend time in the lounge, and join in, with the music and the exercises. The lady that does the activities is very good. She has a great sense of humour and it’s good to have a bit of fun.” “ I complain but I also complement. The food I get now suits me better than it did. You see I was getting a lot of meat, and I like a lot of fish. I mentioned it and it was dealt with.” The manager said, “ I think we provide good care. We manage any difficulties. We get through them. We keep a high standard. We have good staff morale. Nothing is neglected. You start with whatever service users want to have, and work around that. This is their home. They can make their own choices and decisions. They are individuals. You have to value that. You have to include families in this as well. You also have to value your staff, and I think we do that. You can’t value service users and not value your staff.” Staff said, “ There’s good team work. You come in and you are well briefed on how people have been during the night, how they’ve slept, if they’ve had a good night. We are good at caring for people. We give people choices and alternatives. You talk to people about what they want. Even if people can’t talk you know them. You are close to them. Their vocals and gestures might be very limited but you get to know what they mean. On the teamwork side we have very good support from the nursing staff. You observe and you report and the matter is dealt with. Also I think we work very well with outside staff and with families. Another member of staff said, “We are friendly. We are a team. We like to solve problems. We like to find positive answers. We are communicators. We don’t hide things. If things go wrong, we get people involved and deal with it quickly. It’s not just the basic care here. It’s the quality as well.” What has improved since the last inspection?
The home was taken over by new owners at the end of last year. Most previous inspection findings concern the previous ownership rather than the present owners. However the view from long serving management and staff and from a brief follow up visit by CSCI at the end of last year was that the general trend is one of improvement. Some building works have been completed to improve kitchen and staff facilities. The laundry has been moved to a more convenient location and the car park has been improved. As the manager said, “ The home’s a lot better than it was 4 years ago.” Importantly other things have moved on as well, and past improvements around the quality of care plans and the quality of food have taken a very firm hold, which is to the benefit of service users.
Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 7 There are plans for further development of the service and improvements are expected to continue. 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. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service, and people who help them choose this service, have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: 3 service users were chosen as a sample of how the home manages assessments of potential service users. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 10 The home’s manager and the home’s deputy manager, who deal with assessments, were asked about the assessment process for these 3 service users. The home’s deputy manager produced the assessment documents for these 3 service users and explained and illustrated the assessment process from the 3 service users’ files. The 3 service users concerned were spoken to individually, and in private about their experience and recollection of the admission process. The documents seen, and the discussions with management staff and the 3 service users showed that all 3 service users benefited from an organised, sensitive, and well recorded assessment process. That process respected each service user’s individuality, took account of their whole range of needs, and included and supported them and their families in that process. During the inspection it was possible to observe a referral telephone enquiry made to the home’s manager. This initial contact was dealt with very politely, thoroughly and professionally. The manager asked searching questions about the needs of the person concerned and took into account the aims, facilities, and resources of the home. One service user said about admission to the home, “ I’ve been here a long time. I was poorly, I can’t explain. I don’t know anything about care plans. What I can tell you is this is a good place to be. Staff help with everything. Just ask and you get it.” Another service user said, “ I was in and out of hospital. My daughter saw to me coming here. She got a list from social services, where vacancies were. She looked at some and picked here. I’ve always lived nearby. My daughter sees to things for me.” A third service user said, “ I’ve been here 7 years. I had a fall and was taken to hospital. I suppose you would say the hospital sent me here. I enjoy my life here. Yes I have a care plan. The staff are very good. Yes this place is good. It’s definitely alright.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Oak Lodge receive a reliable service that plans and delivers care in a way that makes sure their health and personal care needs will be fully met. EVIDENCE: 3 service users care plans were chosen as a sample of how the home plans updates and delivers care. The home’s manager and deputy manager, who deal with care plans, were asked about the care planning process for these 3 service users. The home’s deputy manager produced their 3 current care plans and explained how these were completed, arranged, and updated. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 12 The 3 service users concerned were spoken to individually, and in private about their knowledge of and involvement with care plans. The documents seen, and the discussions with management staff and the 3 service users showed that all 3 service users benefited from an organised, sensitive, comprehensive, and well recorded care planning process. That process respected each service user’s individuality, took account of their whole range of needs, and included them and their families in that process. The 3 nursing care plans seen were well developed and maintained, using a variety of professional risk assessments to identify key arrears of need and levels of risk. The 3 nursing care plans were supported by equally well-developed and maintained social care plans. There was evidence of service user and family involvement in these processes such as life histories completed by the children of service users, and the signing of agreements about care by service users and family. Any gaps found in this process were rare, limited, and a case of minor oversights that the home’s management started to rectify on the day of the inspection. The information in all of the plans was easy to read and easy to find, even though much of it was hand written. The medication needs of the 3 sampled residents were discussed with the deputy manager of the home, and the recording, administration, storage and disposal were looked at with the deputy manager. All of these were properly arranged and operated. Only one of the 3 service users interviewed said they knew about their care plan, the others didn’t know or thought that it was something their family looked after. All thought the care they got was good. The 2 management staff, the 3 service users, and their 3 key workers spoken to on the day were very sure that service users in the home were shown respect. Staff were aware of good care principles and service users felt they were very well cared for. Service users were pleased about the medical care, “ If you are not well they report it to the nurse and the nurse rings the doctor and the doctor comes straight out. I would say I get to see the doctor quicker than when I was at home.” Another service user said, “They get the doctor straight out to you, and it’s your own doctor that comes. I’ve always been with the Westmoreland Street Surgery and my doctor still comes out to me from there.”
Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 13 One service user said how the home was happy for her daughter to be involved In her personal care. “ My daughter helps me into bed every night, sees that I’m comfortable, that I’ve got my water, and that the windows are closed, the curtains are drawn and that my buzzer’s handy if I need the staff. There’s a nurse on all parts of the day. They always answer the call.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have a lot of say in how they live their daily lives. Their wishes are known and respected, as are their religious beliefs. The wide range of activities in the home and community gives service users a good range of opportunities to join in stimulating and motivating activities. Families are very welcome. Food and dietary matters are both well dealt with in terms of social and health care needs. EVIDENCE: The choice and variety in the social lives, community links and food for 3 service users were looked at with the help of the home’s manager and deputy manager, 3 of the service users, their 3 key workers, at the home, and the home’s activities coordinator. A discussion took place in private with 1 service user whose care was looked at as a sample of how the home provides for the daily life and social activities of the people living there. Part of the time, the service user’s key worker in the
Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 15 home was involved in this discussion. The respect, understanding, and close relationship between this staff member and the service user were very clear. This service user was very much living in a style that she chose. She preferred to spend much of her time in her own room and did not feel under any pressure to spend time elsewhere in the home or be involved with other people and activities if she did not want to. Nor did she feel isolated. Staff often popped in to check she was OK and that she had what she wanted. The key worker explained that not only did the home want the service user to live life as they chose but they also wanted to be sure the choices were good ones. A simple example mentioned was not just having your meal in your own room and leaving it at that but making sure that it was the meal that you really wanted and that you had enjoyed it, and if not, doing something about that. The service user and her key worker described the close and regular involvement of the service user’s daughter in her mother’s personal care. This was fine with the home who wanted to work closely and flexibly with anyone who could improve the contentment and happiness of a service user. This service user mentioned having her own personal fridge in her bedroom. She was eating a cold melon and said she had always liked really cold water and fruit and that the fridge was ideal. The service user mentioned her deep religious beliefs and said she had been very touched recently by a carer in the home, who knew this, who had been on holiday overseas, and brought back a small religious symbol for her. The service user also said that the home supported and encouraged visits to the home by representatives of her faith and that this was a comfort to her. During the inspection a group activities session was taking place in one of the small lounges. One of the other service users talked with at length earlier in the inspection was taking part in that, and her daughter was with her, at the time. There was a lot of affection, good humour, and enjoyment observed in that session. The activities coordinator gave a very good example of the inclusiveness of care in the home. She explained that not everyone is capable or inclined to go off to an ice cream parlour for an afternoon treat but there would be very few people who would say to a Strawberry Pavlova or a Hoky Poky if these were brought back to the home for them. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 16 The good food in the home was mentioned a lot. It was an example of the home’s underlying interest in pleasing service users. As key workers explained it was not only about providing choice of food, but if people changed their minds about the choice then that was fine with them, and it was fine with the kitchen staff. If the ordered steak and chips became a fancy for scrambled eggs on toasted white bread, that was not a problem. Care staff interviewed mentioned that one of the big satisfactions of the work was to get a positive reaction from a service user, be that a gesture, a look, or a few words, because of something they had done for them. A discussion with the home’s deputy manager about the dietary, eating, and health issues of the 3 service users sampled showed that this aspect of food was also well considered, monitored, and recorded. A service user said, “ The food here is great. There’s nothing other to be said about it. They know what I like. They give me what I like and not what I don’t like.” The same service user said, “ I am one who likes to spend time in the lounge, and join in, with the music and the exercises. The lady that does the activities is very good. She has a great sense of humour and it’s good to have a bit of fun.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 17 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users definitely feel safe and listened to and the home understands the importance of this and of having well understood and consistently applied formal processes and procedures to encourage this. EVIDENCE: The 3 service users whose care was sampled all said that they were well looked after, and that if they had any concern they could take that up with the manager, or with a family member who would do that for them. The home’s registered manager said it was their working philosophy to stop any dissatisfaction from setting in. This was done by listening to people and acting on what they had to say. The home’s approach is to identify the problem, flag it up, and get it dealt with, and this was mentioned many times during the inspection by people interviewed. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 18 The home is aware of the general high regard service users and relatives have for the service provided. However, as the registered manager explained they do ask for people’s cooperation in completing formal satisfaction surveys even though service users and relatives do not always see the need for doing so repeatedly. The home has very limited responsibilities for the safekeeping of money on behalf of service users. One service user said, “ I complain but I also complement. The food I get now suits me better than it did. You see I was getting a lot of meat, and I like a lot of fish. I mentioned it and it was dealt with.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Oaklodge benefit from a safe and well maintained environment that meets most needs of most service users in most ways, and provides them with a clean, pleasant, homely, and hygienic place to live. EVIDENCE: The environment of Oaklodge was discussed with 2 management staff, 3 care staff, and 3 service users. The overall view was that Oaklodge is a pleasant and friendly place to live, with many homely touches to bedrooms and public areas of the home. The people spoken to, some of who had known the home for many years, thought
Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 20 there were definite improvements in that time, to the quality of facilities and services. The manager and other staff mentioned that very careful attention was paid to any wearing out of furnishings and fittings or failure of equipment. They thought the home was very good at noticing any problems, flagging these up and getting them attended to. The home has a maintenance worker who plays a key role in this process but all staff are active and observant in these matters. Any delays to maintenance and improvements are more due to outside matters, such as when a manufacturer can make the visit and make the repair or when the planned development can practically be started. The home recognizes this is a difficult balance, as any delay in putting problems right can inconvenience service users. One of the service users whose care was looked at as a sample of how well the environment meets people’s needs had a special mattress with an air pump that was not working properly and making a persistent rattling noise during the interview in that service user’s bedroom. The manager confirmed that everything had been done to make sure the pump was replaced. One of the other service users whose care was sampled did have a room that was highly personalised with pictures, furniture, and ornaments, which is commendable, but the size of the bedroom, although meeting minimum size standards for homes existing before 2002,made it a bit short of room to manoeuvre. The third service user spoken with was very happy with the bedroom arrangements and these were very suited to her own lifestyle. One issue raised by the service user was not being able to use the existing assisted bathing facilities in the home and having to make do with a very basic substitute. The manager explained the background to this situation and what steps the home had taken to achieve a good solution with an assisted bathing standard Shower facility. Plans are well in advance to provide this. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff at Oaklodge are well managed, well organised, and work well together as a team. There are enough of them, with the right kind of skills, to make sure service users are well looked after and benefit from living at Oaklodge. EVIDENCE: Staffing arrangements were discussed with 2 of the management team, 3 members of care staff, and 3 service users. At the time of the inspection there were 23 service users at Oaklodge with 1 further service user in hospital. During the week daytime staffing levels are 4 carers on mornings, and 3 carers on afternoons with support from the manager or deputy manager. Weekend daytime staffing levels are 4 carers plus a nurse in charge. The general view was this does allow service users a good standard of care. Staff said that they do work well together, and that any gaps in the rota caused by things such as long-term sickness are always filled. Staff also said although working with temporary staff can be less efficient than working with
Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 22 close colleagues, they are not left short handed when staff absences occur, and in their view service users still get a good service. The 3 service users spoken with thought highly of the staff at Oaklodge, and the good relationships, understanding, and appreciation was very noticeable on the day of the inspection. The personnel records of the most recently appointed member of staff were looked at. These contained all of the most important records relating to proof of identity, employment history, and suitability to care for vulnerable people. Some details were not provided but the manager took steps to have this information collected, some of it on the day of the inspection. A copy of one document not available at the time was sent to the CSCI within one week of the inspection taking place. The proportion of staff holding the NVQ qualification in care to at least Level 2 stands at or above 85 . Staff spoken to on the day of inspection had a very positive attitude towards training and felt it was important and meant they could make a better job of looking after service users. Staff and management mentioned that the owners of the home were very supportive of the training and development of staff. Any member of staff attending a training event in their own time is paid for doing so. A service user said, “The staff are very good. They are long serving. They are more like friends. They know me, and I know them. They know my daughter and she knows them.” Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 23 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and ownership arrangements contribute to providing a good quality service for the service users at Oaklodge. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 24 EVIDENCE: Staff and service users spoken with during the inspection had a high regard for the manager of the home as someone who could be confided in, and looked to for an answer or a solution to any difficulties in the day to day running of the service. Also there was a high regard for the management team in general that any issue of concern could be referred to them with confidence and would be dealt with quickly and properly. There was a general view that the home was moving forward for the better under its new ownership from the position it was in 2 or 3 years ago. It was noted that the home’s registration certificate pages, confirming many important details, such as the name of the person that the CSCI has approved as the fit and appointed, is displayed at the entrance. These details were accurate and prominently displayed, but in photostat copies, and not the originals. It was noted that the record in the home of reports on the monthly visits to Oak Lodge by the registered provider was not complete. The manager produced good evidence of the home’s interest in seeking views from service users and their relatives about how satisfied they are with services received. The manager was aware that not all service users could offer a view and was sensitive to overburdening those who could with repeated cycles of questionnaires. The manager was approaching the task on a phased basis, seeking views from some service users about some issues, and building the picture up across the year. The home has an organised and responsible approach to safe working practices. Staff interviewed confirmed details of their most recent fire safety training and the next planned fire safety event. The manager confirmed that there is a reliable programme of maintenance and repair operating in the home throughout the year. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 26 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. 1 Standard OP31 Regulation 9 Requirement The home’s certificate of registration displayed in the home, and confirming important matters such as the name of the registered manager considered to be competent to run the home, must be the original certificate and not a photocopy. The home must supply a copy of the Regulation 26 monthly registered provider visit reports to the CSCI from the end of June 2007 onward and until further notice. Timescale for action 30/06/07 2 OP33 26 30/06/07 Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 27 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 OP21 Good Practice Recommendations It is recommended that the provider takes all steps necessary to ensure that the planned assisted bathing standard shower facility for the home is provided without unreasonable delay. If the existing plan is subject to such delay then the provider should look at what other steps could be taken to provide the better standard of shower facility needed. Oaklodge Care Home DS0000069420.V337287.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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
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