Inspection on 24/04/06 for Oaks Court

This inspection was carried out on 24th April 2006.

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.

Other inspections for this house

Oaks Court 15/06/10

Oaks Court 03/03/10

Oaks Court 24/11/09

Oaks Court 05/02/08

Oaks Court 26/07/05

Oaks Court 25/04/05

Oaks Court 29/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA Lead Inspector Mr Ian Harris Unannounced Inspection 24th April 2006 09:00 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 Oaks Court DS0000058725.V289148.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. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaks Court Address Oaks Crescent Wolverhampton West Midlands WV3 9SA 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) 01902 715266 Quality Homes (Midlands) Limited Margaret Mary Sims Care Home 41 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (41) of places Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum number of service users must not exceed 41 (forty-one). No number division between categories. Dementia category is for service users from the age of 55 years. Date of last inspection 26th July 2005 Brief Description of the Service: Oak Court is a new Purpose Residential home for 41 older people. It was built as a nursing home. It is situated in a quite residential cul -de- sac close to Wolverhampton City Centre. The building is on three floors, which is serviced by a lift. All the bedrooms have en-suite facilities. The home has an enclosed garden at the side of the building and a large car park at the front. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5.5 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest, co-operation was given to the inspection officer by the Care Manager, staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 members of staff 6 residents and 2 relatives were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken to expressed their satisfaction with the care they received and there were comments as follows “ the food is good here” “The staff are very helpful “ I’m very settled and I like my room this is a very nice home.” What the service does well: What has improved since the last inspection? Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 6 Considerable amount of internal re-decoration has taken place since the last inspection. Ten residents bedrooms and the corridors have been redecorated. Plans have been drawn up the build a conservatory off of the dining room. 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. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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 Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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): 3 and 6 All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The resident’s, who are self funding are assessed by the Care Manager, using the homes assessment forms. The home does not provide intermediate care. EVIDENCE: All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The resident’s, who are selffunding are assessed by the Care Manager, using the homes assessment forms. Two residents who had recently moved into the home stated that their families received information about the home before they visited which they found very helpful. Since moving into the home the staff have been very supportive in helping them settle down. The home provides very detailed care plans for each resident, which are reviewed on a monthly basis. There was a care plan on every resident’s individual file to show that, where necessary, special services are obtained to met the resident’s individual needs. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 9 All residents are encouraged to visit the home prior to admission. However it was noted that on occasions the visits are declined and relatives visit the home on behalf of the prospective resident prior to admission. A trial period is included in the statement of terms and conditions of residence and the homes contracts and is discussed with the residents and their relatives at the time of admission. The home does not offer intermediate care. Short stays and respite care is offered only when a permanent bed is vacant. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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 the following standard(s): 7,8,and 9 Each resident has a comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that residents’ health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are met EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 11 local practitioners. The records indicate that resident’s medical needs are being met. The residents that were spoken to confirmed that they attended hospital appointments and that their Doctor visited them. Medication is administered by means of a monitored dosage system, which is supplied by the local 8 pm chemist. The system appears to be working very well. The home receives good support from the pharmacist who does a three monthly audit of the homes medication. All care Senior Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as an integral part of the staff induction programme. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 12 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 The home provides a good programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities. Individuals are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual. The meals in the home are good homely type offering both choice and variety and also catering for special dietary needs. EVIDENCE: The residents and staff stated that the residents are consulted regarding the day-to-day running of the home through residents meetings and by feedback from their key-workers. The key-workers also identify interests that the residents wish to pursue. A regular programme of musical evenings, boardgames, Keep Fit, Bingo, Art and Craft sessions are organised within the home. Also the care manager has organised shopping trips, Pub lunches, and barge trips, which are very popular. The staff are to be commended on the organisation of a 5 day holiday to Blackpool for 21 residents this summer. The observations made and the comments received from the residents and their relatives confirmed that particular attention is given to the resident’s individual preferences regard the meals provided. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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 and 18 The home has a good complaints procedure with some evidence that resident’s views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy and the staff have a good understanding of their responsibilities. EVIDENCE: The home has a very good complaints procedure, which ensures complaints are dealt with promptly and all complains are recorded in a complaints book. Residents and their families are given a copy of the complaints procedure on admission and there are copies readily available in the reception area. It was note that no complaints have been recorded since the last inspection. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which includes, a WhistleBlowing policy. These issues are also covered in the N.V.Q. training, which all the care Staff, are undertaking. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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): 19 and 26 The standard of the environment is good providing service users with a safe well-maintained environment to live in. However action must be take to improve the odour control on the ground floor. EVIDENCE: The home is a modern building, which has been purpose built in order to provide appropriate accommodation for older people. The home is maintained to a very high standard and provides a very comfortable homely and safe atmosphere. The home is furnished to a high standard throughout. All the bedrooms are well furnished and close attention has been paid to detail. It was noted that the lounges, corridors and 10 bedrooms have been redecorated since the last inspection. Also pictures plants etc. have been provided in all the bathrooms to improve their general appearance. It is recommended that locks are fitted to the en-suite toilets on the first floor in order to prevent residents causing flooding when not supervised based on Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 15 risk assessments. It was noted that most of the residents are using the lounges and dining room on the ground floor this is causing congestion at times. It is recommended that the possibility of providing a conservatory type extension to the ground floor lounge and dining room be explored. The home was found to be clean and tidy, however there was some odour around the main lounge and ground floor corridor that should be addressed. A change in floor covering in these areas should be considered to provide easier cleaning. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to be conscious of the dangers of cross infection Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 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 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 There is a stable staff group working positively and enthusiastically to provide the residents with a quality of life that meets their individual requirements and aspirations. The home operates an efficient recruitment procedure. All care staff have been trained and are competent to carry out the duties for which they are employed to do. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates an efficient recruitment procedure and has registered with the Social Care Association in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training, which has now exceeded the minimum standard and most of the care staff have now completed N.V.Q. level 2 and 4 staff members are undergoing N.V.Q. level 3 and 5 staff members have completed level 3. Also the care staff have attended courses on Safe handling of medication, Mental Health for Older Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 17 People, Dementia care, Abuse Awareness, Moving and lifting, First Aid, Food Hygiene, Infection Control, Dementia in care homes, and Fire Prevention. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 18 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 and 38 The manager has very good leadership skills and has a clear development plan and vision for the home, which she has effectively communicated to the residents, staff and relatives. The home is well managed, where service users interests and welfare are well processed and promoted. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues. EVIDENCE: The Care Manager has considerable experience in caring for older people, in residential home settings and has also completed the Registered Managers Award. There are clear lines of accountability within the home and the Care Manager has regular supervision meetings with her line manager. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 19 Observations made and discussions with residents and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents stated that they are happy to approach the Care Manager with any problems they might have. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training and safety issues are discussed at staff meetings and staff supervision. Fire fighting equipment is well maintained and the systems are regularly checked. In regards to any accidents, they are minimal and are all recorded in an appropriate record book. Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 20 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X X X 3 Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 21 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 OP 26 Regulation 23 (2) d Requirement The registered person must take action to keep the home free from odour. Timescale for action 01/06/06 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. 2. Refer to Standard OP19 OP19 Good Practice Recommendations The registered person fit locks to all the en-suite bathrooms on the first floor subject to risk assessment. The registered person explores the possibility of providing a conservatory type extension to the ground floor lounge and dining room Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Oaks Court DS0000058725.V289148.R01.S.doc Version 5.1 Page 23 - 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. 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