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Inspection on 08/11/05 for Oakmount Hostel

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

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 clearunderstanding that unacceptable behaviour, violence and discrimination will not be tolerated. The staff felt that the home was a positive environment in which to work and the organisation gave them the opportunity to develop skills and knowledge. The home is very well managed by a manger that has earned the trust and respect of the service users and the staff team

What has improved since the last inspection?

The only issue outstanding from the last inspection was the need to keep CSCI informed of notifiable incidents. This has now been completed.

What the care home could do better:

The home operates to a very high standard. No requirements or recommendations were made following the inspection.

CARE HOMES FOR OLDER PEOPLE Oakmount Hostel 14 Oakmount Manningham Bradford West Yorkshire BD8 7BE Lead Inspector Michael Smithson Announced Inspection 8th November 2005 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 Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakmount Hostel Address 14 Oakmount Manningham Bradford West Yorkshire BD8 7BE 01274 549307 01274 549307 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) Horton Housing Associaton Jayne Higgins Care Home 10 Category(ies) of Past or present alcohol dependence (10) registration, with number of places Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/05/2005 Brief Description of the Service: Oakmount is a purpose built unit providing residential accommodation for ex-street 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 DS0000001282.V251796.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over the morning and early afternoon of the 8th November 2005. This was the second inspection for this year. The first inspection was unannounced. Copies of reports for this and previous inspections are available either from the home or from the CSCI website. This inspection focused on the care records, discussions with service users and staff. A poster was on display informing the service users of the inspection. All the service users were aware that the inspection would be taking place. A number of service user comment cards were provided and were returned prior to the inspection. All the comment cards contained positive feedback. Time was spent with staff and service users during the inspection. The feedback was extremely positive. The staff felt valued and part of the care team. Service users felt they had the opportunity to be included in the decision making process and were very complimentary about the majority of the staff team and the manager. They did raise concerns regarding one member of staff and this was being addressed by the manager. 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 Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 6 understanding that unacceptable behaviour, violence and discrimination will not be tolerated. The staff felt that the home was a positive environment in which to work and the organisation gave them the opportunity to develop skills and knowledge. The home is very well managed by a manger that has earned the trust and respect of the service users and the staff team 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 DS0000001282.V251796.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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 the following standard(s): 2, 3 and 5. Standard 6 was not applicable. Service users are provided with information to enable them to make an informed choice about the home. EVIDENCE: A detailed statement of purpose and service user guide are available. The information has been reviewed and up dated to include the new head office address and contact details. The records for the last admission to the unit were checked. A detailed preadmission assessment had been completed which provided excellent information regarding health and social care needs. Service users have the opportunity to visit the unit prior to admission. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 9 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 and 9. The health and personal care needs of service users are very well met by the staff at the home. EVIDENCE: The care documentation for 2 service users were checked. The records were very informative and provided an excellent picture of service users daily lives and highlight any progress or deterioration. A comprehensive risk assessment document is completed as part of the admission process. All service users have a care plan. The care plans are completed and up dated by the key workers. The key workers complete the care plans in consultation with service users, which is good practice. The health care needs of service users are included in the care plans and the unit is very well supported by a local health care team. A monitored dosage drug administration system is provided by a local pharmacist. A spot check of the medications was undertaken at the inspection. The administration records were well recorded and the drugs checked were in order. Secure lockable facilities are provided for the safe storage of Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 10 medications and information is available for staff regarding side effects of medications administered. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 and 15. Service users are given the opportunity to participate in the decision making process and a range of activities. EVIDENCE: Service users tend to organise their own activities, many have televisions and music systems in their bedrooms and a pool table is available in the dining room. Regular service user meetings are held and activities are regularly discussed. A recent visit to a bowling alley has taken place and service users have asked to visit the Leeds Armouries. The key workers discuss family contact with service users. There wishes are respected if they choose not to try to re-establish contact. However a number of service users have contacted close members of family. The staff and the other service users make every effort to make any visit to the home by family a positive experience. The home is currently without a permanent cook. The post has been advertised but they had no suitable applicants. The manager plans to use an agency worker has a short term arrangement. The support workers are undertaking the cooking duties. The same system of food preparation is being continued. A flexible cook and chill system is used. The individual likes and dislikes of Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 12 service users are recorded and the menus are discussed at the service user meetings. The feedback from service users regarding the food provided was positive. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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 the following standard(s): 16 A robust adult protection and complaints policy and procedure ensures that service users are listened to. and are protected from abuse. EVIDENCE: The complaints procedure is available to service users and visitors to the unit. One complaint had been recorded since the last inspection. The complaint was investigated and a positive outcome was obtained. The complainant received a written response and was happy with the outcome. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed. EVIDENCE: A full building inspection was not undertaken during this visit, however the areas seen at the inspection were maintained to a good standard of hygiene and cleanliness. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 15 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, 29 and 30. 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: With the exception of the cook, there were no other staff vacancies. The recruitment records for the last 2 members of staff employed were checked. All the required information was available. A good level of training is provided for the staff team. A detailed induction training programme is provided for all new staff. Mandatory training and specialist training is provided for all staff. Training is discussed during the indivual supervision sessions and at the regular staff meetings. A training needs analysis is completed. The unit has made very good progress in achieving over 60 of the care staff having obtained NVQ level 2 or above. The 2 new staff are being enrolled on the training course. Interviews took place with 2 of the care staff on duty. One was a support worker and 1 a care assistant. Both had an excellent understanding of the daily routines and the needs of individual service users. They demonstrated a high level of enthusiasm and commitment to the home. Both felt they had received adequate training to enable them to undertake their differing roles. They also Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 16 confirmed they are able to discuss personal development and training needs during the supervision sessions. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 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 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, 32, 37 and 38. The home is very well run and managed staff are involved in the decision making process. EVIDENCE: The manager has completed the Registered Managers Award and NVQ level 4. She has demonstrated the ability to develop good standards and motivate the staff team. Good levels of staff supervision are provided and the staff felt valued and included in the decision making process. All the records seen during the inspection were accurate and kept up to date. Detailed health and safety information is available for the staff and training is provided. All the required health and safety checks have been completed and confirmation of this was included in the self assessment pre-inspection questionnaire. Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 18 Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 19 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X X X X 3 3 Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakmount Hostel DS0000001282.V251796.R01.S.doc Version 5.0 Page 21 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 DS0000001282.V251796.R01.S.doc Version 5.0 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!