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Inspection on 24/05/05 for Oakmount Hostel

Also see our care home review for Oakmount Hostel for more information

This inspection was carried out on 24th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is very clear as to their aims and objectives. They provide comfort, security and stability for a client group who would possibly be at risk living in the community. They accept that the service users admitted to the home are long standing alcohol users who wish to continue to drink. The staff do not judge service users, but do try to allow them to maintain their dignity and respect. They provide very good health care monitoring and support. They give service users the opportunity to make decisions and choices. They provide a flexible approach to meeting needs. This is highlighted in how they have adapted the menus and availability of the food provided to meet the needs of service users. House rules are kept to a minimum and service users are given the chance to assist in the decision making process. However there is a very clear understanding that unacceptable behaviour, violence and discrimination will not be tolerated. This was highlighted at the inspection where a service user had been given notice to leave the home because his actions placed other service users and staff at risk.

What has improved since the last inspection?

Very few requirements and recommendations were highlighted at the last inspection. Those that were made have been completed. The manager and the staff have now achieved the required levels of NVQ training. The bathrooms and toilets have been redecorated and now provide a brighter cleaner environment.

What the care home could do better:

There were no major requirements made following this inspection. The manager is reminded that incidents which are notifiable must be forwarded to the CSCI in writing. This includes notification of the recent small fire.

CARE HOMES FOR OLDER PEOPLE Oakmount Hostel 14 Oakmount Manningham Bradford BD8 7BE Lead Inspector Michael Smithson Unannounced 10.30am 24 May 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 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. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oakmount Hostel Address 14 Oakmount, Manningham, Bradford, West Yorkshire BD8 7BE 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 549307 01274 549307 Horton Housing Association Jayne Higgins Care home only 10 Category(ies) of Alcohol dependent past/present (10) registration, with number of places Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 9 November 2004 Brief Description of the Service: Oakmount is a purpose built unit providing residential accommodation for exstreet drinkers. It is situated approximately 2 miles from Bradford city centre and can accommodate ten service users, all in single bedrooms. Oakmount does not provide nursing care. The building stands in its own grounds with parking to the front and good disabled access into the premises.The unit is on a bus route and is close to a number of local amenities including shops and a large park. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the morning and early afternoon of the 24/05/05. This was the first visit of 2 for this inspection year 2005/6. Copies of this and previous inspection reports are available either from the home or on the CSCI website. This inspection focused on the service user records, environment, discussions with staff and service users. The feedback from service users was very positive. Many felt that Oakmount was the place they now called home. For many it was the only security and safe environment they had for a number of years. They had made many friends among the other service users and there was very much a supportive atmosphere created. The service users were very complimentary about the staff team, saying they took time to help with both physical tasks and provided time to talk through problems and concerns. What the service does well: The home is very clear as to their aims and objectives. They provide comfort, security and stability for a client group who would possibly be at risk living in the community. They accept that the service users admitted to the home are long standing alcohol users who wish to continue to drink. The staff do not judge service users, but do try to allow them to maintain their dignity and respect. They provide very good health care monitoring and support. They give service users the opportunity to make decisions and choices. They provide a flexible approach to meeting needs. This is highlighted in how they have adapted the menus and availability of the food provided to meet the needs of service users. House rules are kept to a minimum and service users are given the chance to assist in the decision making process. However there is a very clear understanding that unacceptable behaviour, violence and discrimination will not be tolerated. This was highlighted at the inspection where a service user had been given notice to leave the home because his actions placed other service users and staff at risk. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 8 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 standard(s) 1,2,3,4 and 5. Service users are provided with information to enable them to make an informed choice about the home. EVIDENCE: The statement of purpose and user guide provides service users with very detailed information about the home. The user guide in particular has been produced in a format which provides service users with user friendly information. Service users are issued with a comprehensive licensing agreement which provides details of the terms and conditions of the placement. The service user records include a detailed pre-admission assessment. All the admissions are arranged by a central allocation system. The last service user admitted to Oakmount was offered the opportunity to visit the unit prior to admission. The records show that many of the service users have lost contact or do not have next of kin or close family. However where possible the staff do Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 9 encourage and assist service users to establish and maintain contact with family members. This is good practice. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7,8 and10 . The health and personal care needs of service users are very well met by the staff at the home. EVIDENCE: The case records chosen provide an excellent background and picture of the individual needs of service users. The care records include both social and health care needs. A key worker systems allows staff very good access to service users records and gives them the responsibility for up dating and monitoring. The key workers are involved at a very early stage of the admissions. All service users are provided with regular health care screening and review. This includes a regular review of medication. This is good practice. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13,14 and 15. Service users are given the opportunity to participate in the decision making process and a range of activities. EVIDENCE: The service users said they are invited to contribute to the day to day running of the home. This is achieved both during individual discussions and at the resident meetings. The service users views on the range of activities provided were mixed. Some felt they would prefer to organise their own while others would have liked more to be organised by the staff. However they did acknowledge that their willingness to participate in any organised activities was often dependent on the level of drinking being undertaken when the activity was organised. The feedback regarding the food provided was very positive. All the service users felt they were provided with a very good variety of food and their likes and dislikes were taken into account when menus were planned. The cook provided written information of any individual dietary requirements and suggestions for different meals. A good mix of fresh and frozen produce is used and a degree of flexibility is built into the planning of menus. Many Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 12 service users take their meals over a 24 hour period using a cook, chill and microwave system. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16,17 and 18. A robust adult protection and complaints policy and procedure ensures that service users are listened to. and are protected from abuse. EVIDENCE: No formal complaints had been recorded since the last inspection. Staff have been provided with training regarding Adult Protection. All the service users have been included on the Electoral Register and were given the opportunity to vote at the recent election. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,20,21,22,23,24,25 and 26. The home provides a safe and suitable enviroment for service users. EVIDENCE: A tour of the premises was undertaken during the inspection. The majority of the bedrooms were seen, however a small number of service users were in bed at the time of the visit and were not seen. All the service users are provided with the same level of equipment, fixtures and fittings. Many of the service users have personalised their bedrooms with pictures and entertainment equipment. The standards found in bedrooms did vary depending on the personal standards of service users, however the staff do try to maintain adequate standards of hygiene and safety. At the last inspection it was recommended that the bathrooms and toilets were in need of some redecoration to brighten the enviroment. This work has now been completed and the facilities look brighter and more welcoming. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 15 The service users tend to use the lounge and individual bedrooms. A pool table and a computer are available in the dinning area. A service user kitchen is provided and a cold water dispenser. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28. The staffing levels were adequate to meet the needs of the service users. A very good level of training has been provided to ensure staff had appropriate skills to meet their needs. EVIDENCE: The registered manager was not present at the inspection. The staff on duty did not have access to recruitment and training records. The rotas were on display and were organised to meet the needs of the service users. Two new staff have been employed and the inspector was told their were no further staffing vacancies. The staff were aware of the progress being made regarding NVQ training. Eight of the 11 staff employed have now completed NVQ 2 or above. They now exceed the required 50 levels. During discussions with staff they showed a very good knowledge and understanding of the needs of service users and how the home operates on a day to day basis. They confirmed they had input into the individual needs of service users via the key worker system. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 and 37. The home is very well run and managed staff are involved in the decision making process. EVIDENCE: The staff on duty said that the manager had now completed NVQ 4 and the Registered Managers Award. They felt they had the opportunity to contribute to the decision making process and were kept up to date with any changes to the policies and procedures. The records seen were accurate and up to date. Some records have restricted access and were not available on the day of the inspection. There had been a small fire at the home caused by a service users. The incident was dealt with by the staff on duty. However the CSCI have not been notified of the incident. Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 4 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x x 3 x Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 19 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 OP37 Regulation Reg 37 Requirement The CSCI must informed in wrtting of any notifiable incidents. Timescale for action Immediate Action. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 20 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 Oakmount Hostel J52 S1282 Oakmount Hostel V228134 240505 Stage 4.doc Version 1.30 Page 21 - 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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