Inspection on 30/06/06 for Oakmeadow Community Support Centre

This inspection was carried out on 30th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakmeadow Community Support... 03/10/05

Oakmeadow Community Support... 20/06/05

Oakmeadow Community Support... 19/01/05

Oakmeadow Community Support... 01/10/04

Oakmeadow Community Support... 04/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakmeadow Community Support Centre Peelhouse Lane Widnes Cheshire WA8 6TJ Lead Inspector David Jones Key Unannounced Inspection 11:30 30 June and 7th July 2006 th 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 Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakmeadow Community Support Centre Address Peelhouse Lane Widnes Cheshire WA8 6TJ 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) 0151 424 9185 0151 420 1993 dorothy.white@halbon.gov.uk Halton Borough Council Dorothy White Care Home 32 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (3), Old age, not falling within any other of places category (32), Physical disability (2) Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users to include: * Up to 22 service users in the category of OP (old age not falling within any other category). (Hawthorns 7, Ashleigh 8 and Elms 7 = 22) * Up to 10 service users in the category DE(E) (dementia over the age of 65) may be accommodated. (Chestnut and Beeches). * Up to 3 service users in the category DE (dementia 55 years and over) may be accommodated. (Hawthorns1, Chestnuts and Beeches 2) * Up to 2 service users in the category PD (physical disability 55 years and over may be accommodated. (Hawthorns 2) * Up to 2 service users in the category OP (old age not falling within any other category) who are 60 years of age and over may be accommodated on Hawthorns and Elms areas of the home from time to time. The registered manager must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of service users at all times and shall comply with any guidelines that may be issued through the Commission for Social Care Inspection. The registered provider must ensure that Dorothy White achieves a qualification at NVQ level 4 in care by 11th November 2006. 3rd October 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Oak Meadow is a Local Authority Community Support Centre that incorporates a day centre and a personal care home. The day centre is not subject to inspection. The care home offers personal care on a permanent or short term/respite basis for up to 32 older people. It includes an intermediate care unit The Hawthorns for up to 7 residents and dementia care unit The Beeches and Chestnuts for ten residents. It is owned and managed by Halton Borough Council. The premises are purpose built and designed to meet the needs of older people. They are set out on three floors with first, second and mezzanine floors. Access to the second floor is provided by stairways and a passenger lift. Accommodation is set out in a number of group living areas each equipped with lounge/dining room with kitchenette, and bathroom and toilet facilities. Twenty single bedrooms each have a washbasin, hot and cold running water and privacy screening, where required. A further 12 single bedrooms are provided with en-suite facilities. Kitchen and laundry facilities are Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 5 located on the mezzanine floor, which are only accessible from the lift in the interior of the building. The home is located in a residential area of Widnes with access to public transport and local amenities Information about Oakmeadow including copies of the most recent inspection report is made available to each resident and can be acquired by contacting the home on the telephone number given above. Information provided by the registered manager on the 12th May 2006 confirms that fees range from £318.22 to £355.31 depending on levels of supervision required. There are no additional charges other than hairdresser, toiletries, newspapers and other sundry items charged at cost. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Oakmeadow included a site visit to the home, which was unannounced and completed on two days over an 8 and 50 minutes. It takes into consideration the developments in the home since the last inspection. It is focused on the experiences of residents and the people who support them. The views of residents, their representatives including family members and health and social care professionals were gathered by survey questionnaires before the site visit. Time was spent sitting and taking with people who use the service and observing the day-to-day routines of the home and care staff as they provided support. The manager and some staff were spoken with about developments in the home and how they were being supported to provide good standards of care. The inspector looked around the building to assess its suitability to provide a comfortable, homely environment for the enjoyment of everyone and ensure his or her safety. Five residents, and two visitors were spoken with during the site visit and seven residents, three health and social care professionals and three relatives returned survey questionnaires. What the service does well: Residents speak highly of the standard of care facilities and services provided at Oakmeadow. Some describe the home as excellent and are very appreciative of the good standards of care and rehabilitation received. Individual needs and personal preferences are generally recognised and addressed. The location and layout of the home is suitable for its stated purpose. It is accessible, safe, comfortable and well generally well maintained. Rehabilitation facilities are sited in a dedicated part of the home known as the Hawthorns and include equipment for therapies and treatment, as well as equipment to promote activities of daily living. A multidisciplinary team of staff including social care staff and health care professionals provide care and rehabilitation. Residents are helped to maintain and develop independent living skills so they can live in their own homes’ with assistance where required. The vast majority of residents returning questionnaires and all those spoken with said the food is always good. Some say it is excellent. Special dietary needs are catered for and menus confirm that a varied and nutritious diet is on offer. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 7 The staff team are skilled, well trained and are employed in sufficient numbers to ensure the wellbeing of residents. They are knowledgeable about residents needs and communicate effectively with health and social care professionals to make sure that residents’ health care needs are met. The atmosphere in the home is welcoming and sociable. Residents are able to entertain their guests in the privacy of their rooms and may offer them beverages and a meal if they choose. What has improved since the last inspection? What they could do better: The carpets in the corridors and one of the lounges have become stained and are unsightly. Some smell of stale urine and must be thoroughly cleaned or replaced to provide residents with a clean, hygienic and odour free place to live. Prospective residents must be provided with the information they need to make an informed choice about the home before they move in. It is imperative that they are consulted about their assessment and assured that the home is suitable to meet their needs and provide a lifestyle that is in line with their expectations and personal requirements. They should always be offered the opportunity to visit the home before they move in and be given the support they need to address any anxieties about personal care homes. They must be provided with a contract or terms and conditions document that sets out their rights and responsibilities so they know what to expect and what they can do if the home does not deliver on its promises. Complaints records must be improved for the benefit of review and accountability. Quality assurance arrangements require further development to make sure that residents and their representatives are consulted about the quality of care and services provided. The activities programme should be extended so residents on the rehabilitation unit so they are offered a range of opportunities for socialising and personal development. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 8 The gardens are unsightly and need development for the enjoyment of all residents. Equipment should be provided so people with a physical disability could access the garden participate in gardening if they choose. 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. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 9 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 Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Residents have their needs assessed by competent persons before they move in but they are not provided with sufficient information to enable them to make an informed choice. EVIDENCE: Polices and procedures are in place that are designed to make sure that potential residents have the information they need, have been consulted on the home’s suitability to meet their needs and have been given opportunity to visit and test drive the home before they make any decision about moving in. Unfortunately these procedures are not always put into practice. Only three of the seven residents returning survey questionnaires said they had enough information before they moved in. One of the residents suffered a particularly traumatic experience as a consequence. This resident said that it has been marvellous coming into Oakmeadow but at first they were broken hearted. Health care professionals from the rehabilitation service assessed this person in hospital. The resident said they were told they were suitable for rehabilitation and would move into Oakmeadow the following day. There is a Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 11 service users guide and a statement of purpose but they were not provided with these documents before they moved in. They said they did not know anything about Oakmeadow. They thought it was the end of the road; they would die in a home for older people. When the health care professionals left after completing their assessment this resident said they cried they were so upset. They had no information about Oakmeadow and their anxieties got the better of them. They said they were not offered a trail visit that would have been great; they said they felt they were not in control. The same resident who spoke about their traumatic experience when moving in praised the dedication and skill of the staff working in the intermediate care unit known as the Hawthorns. They said only if they had known what they could achieve at the home their experience of moving in would have been entirely positive. This resident said that they wanted their experience to be made known so others do not suffer the same problems. They said that they would be prepared to visit potential residents in hospital to try and explain what excellent facilities and opportunities for rehabilitation are available at Oakmeadow. They said that it has been fantastic, I can walk and they encourage me to be more independent, I am doing my own medication and have been given somewhere to lock it away. Another person who was resident on the intermediate care unit for a period of rehabilitation also spoke very highly of the home, standard of care and facilities and services provided. The staff were said to be wonderful. The home’s admissions procedures must be fully employed to make sure that new residents have the information they need and are clear as to how the home will meet their needs before they are expected to make any decisions about moving in. They should be invited to visit the home and meet the staff and fellow residents. This will help them to address any anxieties and misconceptions about personal care homes and make sure they are adequately prepared before moving in. Each new resident must receive a statement of purpose; service users guide and written confirmation as to how the home will meet their identified needs before they move in. Without this information residents are disadvantaged when making decisions about the home. See requirement 1. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Arrangements for health and personal care are based on residents’ individual needs and the principles of respect; dignity and privacy are put into practice. EVIDENCE: Reading of care plans and discussion with staff, residents and their representatives confirmed that arrangements for care are reviewed and evaluated according to the respective individual’s changing needs. Each of the three care plans seen confirmed that care planning is a live and progressive process. Individual needs and personal preferences are recognised and addressed. There is clear evidence of staff identifying issues that require attention and working with the residents, their relatives and other representatives including health and social care professionals to solve problems, control hazards and explore ways and means of improving the quality of life of the individual concerned. Two on the care plans seen would benefit from further development. One related to a resident with dementia, it did not confirm how their dementia care needs were being met or provide details as to what continence products were required. The other care plan Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 13 related to a resident on the Hawthorns intermediate care unit. This resident said that they often have nothing to do during the daytime as the only activities provided were the exercises associated with their rehabilitation. The care plan and arrangements for care and rehabilitation of this resident did not capitalise on the individuals’ interests and hobbies as a means motivation, promoting independence and personal esteem. This should be central to the rehabilitation programme and should be reflected in the care plan. See recommendation 1. Information provided by General Practitioners (GPs); other visiting health and social care professionals and relatives indicates that staff demonstrate a clear understanding of residents needs, communicate clearly and work in partnership with the multidisciplinary team to ensure that residents health care needs are met. This is reflected in case records that confirm ongoing liaison with residents’ representatives including health and social care professionals and relatives. Appropriate arrangements are in place for the administration and safe storage of medicines. Medicines audits are carried out as a matter of routine but the audit is not recorded for the benefit of analysis and review. See recommendation 2. Residents praised the staff team and all feel they are treated with respect and their right to privacy is upheld. Staff were observed to carry out their duties with sensitivity and due regard for each individuals circumstances. It was positive to witness staff on the dementia unit intervene with timely prompts to assist residents to maintain independence and orientation. One resident said that “you can have a laugh with the staff they are very good on the old privacy bit too very discrete.” Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The lifestyle in the home reflects the expectations and personal preferences of residents and choice is promoted. Visitors are made welcome, the standard of catering is good and residents have access to a range of appropriate activities. EVIDENCE: The atmosphere in the home is relaxed, welcoming and sociable. There is an established activities coordinator who provides a range of activities and opportunities for social outings. The majority of residents said that appropriate activities are on offer other than on the Hawthorns intermediate care unit. One resident said the only activities are on offer other than TV and chatting are the exercises associated with the rehabilitation routine. This person said his love in life is growing plants vegetables and flowers, but the gardens have no equipment for people with a physical disability so there are no opportunities to take part in his favourite hobby. The manager confirmed that the activities coordinator does not visit the Hawthorns. See recommendation 3. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 15 Residents indicate that visitors are made welcome and they can see their guests in private and offer them a beverages and a meal should they choose. They said that there are no rules, they get up and go to bed at times that suit them. The vast majority of residents returning questionnaires and all those spoken with said the food is always good. One said it is excellent. Special dietary needs are catered for and menus confirm that a varied and nutritious diet is on offer. One resident said that there is not always enough to eat. The manager advised that residents are routinely consulted on the quality of meals and menus are discussed at residents meetings. Consideration should be given to serving food in tureens so residents are able to help themselves. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information as to how to make a complaint. All residents asked said they know how to make a complaint and some can point to the complaints procedure. Information provided indicated that four complaints had been received since the last inspection. A record is maintained in the home of all complaints received but in some instances there is no record of the action taken or what feedback was given to the complainant. See requirement 2. Robust procedures for responding to suspicion or evidence of abuse or neglect are in place including whistle blowing as in accordance with the Public Interest Disclosure Act 1998. There have been 12 adult protection referrals since the date of the last inspection. All were handled effectively and were reported in accordance with the home’s policies procedures and the requirements of the regulations. Information provided indicates the majority of staff have had adult protection “alerter” training and all receive refresher training via a video twice each year. The home’s records on adult protection require further development to ensure they are kept in chronological order and provide comprehensive Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 17 information on related investigations and any follow up action that may have been required. See recommendation 4. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. The premises provide comfortable and spacious accommodation but there is an odour of stale urine in some parts of the home and carpets in communal areas are stained and unsightly. EVIDENCE: The home is located in a residential area of Widnes with access to public transport and local amenities. Accommodation is set out in a number of group living areas each equipped with lounge/dining room with kitchenette, and discrete bathroom and toilet facilities. The gardens have been sub-divided to provide two discrete gardens. Both are in need of tidying and development. They are not attractive and do not accommodate the needs of people with a physical disability who may wish to work in the garden. A resident said that they would have loved to have done some gardening but were prevented from doing so because there are no raised beds or other facilities to assist them. See recommendation 5. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 19 The carpets in “lounge one” is stained, as are the corridor carpets, some of which emanate an odour of stale urine. Some of the WCs were dirty in the afternoon and required cleaning. The registered persons must take appropriate action to maintain standards of hygiene in the home. See requirement 3. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Staff are trained, skilled and employed in sufficient numbers to meet the changing needs of residents. EVIDENCE: Residents and visiting professionals speak highly of the staff team indicating satisfaction with the overall standard of care. Two of the residents said staff are wonderful and one added that they know what they are doing and are very good at motivating, nice to chat to and you can have a laugh with them. Information provided by visiting health and social care professional including a number of GP’s; a social worker, a health care worker and a district nurse indicates that staff are knowledgeable and demonstrate an understanding of the care needs of residents. They work in partnership and communicate clearly with visiting health and social care professionals. Rotas show that staff are employed in sufficient numbers to meet the needs of residents. Staff are employed flexibly with particular attention given to busy times of the day and changing needs of the residents. Twenty-six people were resident at Oakmeadow at the time of the site visit. Two seniors care staff and six care assistants were rostered on duty in the mornings reducing to two seniors and five care assistants in the afternoons and early evenings. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 21 Staff records and recruitment information provided confirmed that Halton Borough Council operates thorough recruitment procedures based on equal opportunities and ensuring the protection of residents. Management encourage staff members to undertake nationally recognised qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. Information provided indicates that 52 of care staff team have an NVQ level 2 in care or above. Each member staff has a personal development training plan. There is a comprehensive staff-training programme that incorporates “Skills For Care” staff training standards. There is a rolling programme of training that covers: Safer Handling, Risk Assessment, Medication, Fire Awareness, and training in conjunction with other identified training needs. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The management and administration of the home is based on openness and respect. Quality assurance systems need development to make sure the home maintains standards in line with residents’ changing needs and expectations. EVIDENCE: The manager is a qualified and experienced practitioner in the field of social care with many years of experience caring for older people. She is in the process of studying for and working toward accreditation to NVQ level 4 in management and care. Staff speak highly of the manager. They appreciate her leadership and guidance and find her approachable and supportive. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 23 The manager routinely consults residents about the quality of care but there is no structured quality assurance system in place and resident surveys have not been carried out. The manager advised that work is ongoing to address this requirement, which has been outstanding for over 19 months. Sample survey forms have been produced for sending out to residents, their relatives and friends and health and social care professionals but there is no indication when this work will be completed. See requirement 4. The manager ensures that residents are able to control their own money, except where they state that they do not wish to or they lack capacity and other arrangements are made. Residents may deposit small amounts of money with the home for safekeeping. Appropriate records and receipts are maintained. Halton Borough Council seeks to ensure the health and safety of all employees and residents. Risk assessment and risk management is central to the conduct of the home. The manager ensures that risk assessments are carried out for all safe working practice topics and significant findings are recorded and reviewed. Information provided indicates that fire precautions are in place and routine maintenance checks of gas and electrical systems, hoist, electrical appliances, lift, fire alarms, extinguishers and emergency lighting systems are undertaken and are up to date. Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 24 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 2 X X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 2 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 2 X 3 X X 3 Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? yes 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 OP3 Regulation 14 Requirement The registered persons must not provide accommodation to a resident unless the full requirements of regulation 14 are met including: · there has been appropriate consultation with the resident regarding the assessment · the registered person has confirmed in writing to the resident that having regard to the assessment the care home is suitable for the purposes of meeting his/her needs in respect of his/her health and welfare. (Previous timescale 31/08/05 and 30/11/05 not met). The registered persons must keep a record of action taken in respect of complaints made. The registered persons must ensure that all parts of the home are kept clean. Where carpets cannot be adequately cleaned to remove stains and malodours they must be replaced. Timescale for action 31/07/06 2 3 OP16 OP26 22 23 31/07/06 31/07/06 Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 26 4 OP33 24 The registered persons must establish and maintain a system for reviewing at appropriate intervals and improving the quality of care in the home including consultation with service users and their representatives. (Previous timescale of 31/12/04, 31.03.05, 31.08.05 and 30/11/05 not met.) 31/08/06 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 OP7 Good Practice Recommendations The registered persons should develop care plans to ensure that resident dementia care needs, continence needs and social care needs are met. The registered persons should record the date medication audits take place for the benefit of analysis and review. The registered persons should develop an appropriate activities programme for people resident on the intermediate care unit known as the Hawthorns. The registered persons should maintain records of all adult protection issues in chronological order with information as to the outcome of investigations for the benefit of analysis and review. The registered persons should develop the gardens to ensure they are accessible for all residents and have equipment for people with a physical disability. 2 3 4 OP9 OP12 OP18 5 OP19 Oakmeadow Community Support Centre DS0000037125.V291741.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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