Inspection on 25/04/05 for Oaks Court

This inspection was carried out on 25th April 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.

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 24/04/06

Oaks Court 26/07/05

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 Ian Harris Unannounced 25 April 2005 09:00 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. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oaks Court Address Oaks Crescent, Wolverhampton, West Midlands, WV3 9SA 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) 01902 684589 Quality Homes (Midlands) Limited Margaret Mary Sims Care Home 41 Category(ies) of Dementia - over 65 (17) registration, with number Older People (41) of places Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Maximum number of service users must not exceed 41 (forty-one). 2. No number division between categories. 3. Dementia category is for service users from the age of 55 years. Date of last inspection 20/07/04 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 E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 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. Since the last inspection a new Care Manager has been registered and two additional visits were made to the home to investigate 2 separate complaints. The fullest, co-operation was given to the inspection officer by the Acting 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. 12 of the 28 staff were on duty, and 10 of the 37 residents were spoken. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable. All the residents spoken to that could express themselves in a meaningful way confirmed that they were happy and content. Only positive comments were received regarding the staff and the care provide by the home. What the service does well: The home provides a warm and friendly atmosphere and the staff relate very well to the residents. The commitment of the staff to encourage residents to maintain their independence and contact with the community outside of the home is to be commended. The fact that the staff, have taken 8 residents on a holiday to Lowestoft is a good example of this. The home also provides a very good programme of social activities within and outside of the home. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 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. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 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 Oaks Court E56 000058725 Oaks Court V222745 UI 250405 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) 3, 5 and 6 and the Inspection found that all 3 standards were met. EVIDENCE: 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. 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 E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 9. The inpection found all 3 standards were met. EVIDENCE: The home provides a care plan for each resident based on the initial assessment .The care plans are drawn up by staff with consultation with the resident and their family. There was evidence on file to show that the care plans are reviewed on a monthly basis. The home is well supported by local G. P.’s and all paramedical services. Where possible the residents are encouraged to retain their own G. P.’s, Dentists and Opticians. However if a resident has moved outside of their area, the Care Manager ensures, that these services are provided by local practitioners. Medication is administered by means of a monitored dosage system. The system has improved and is now working well. The home receives good support from the local pharmacist, and the care Staff are trained in the system before they are allowed to administer medication. The home does have policies and procedures, which are an integral part of the homes staff induction programme. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 10 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 and 15. All three standards were met. EVIDENCE: The Care Manager stated that the residents are consulted regarding the dayto-day running of the home through social committee meetings and by feedback from key-workers. The key-worker’s, also identify interests that the residents wish to pursue. A regular programme of musical evenings, Art and Craft sessions, board- games and sing-a-longs are organised within the home. The Care Staff encourage the residents to maintain contact with the local shop and community by arranging shopping trips to the city centre and to the local shops and pub. Information about forthcoming events and activities are displayed on the notice board in the reception area of the home and these are discussed at resident’s meetings. The manager is to be commended for arranging a short holiday for 8 of the residents to Lowestoft. In regards to the food provided from observations made and the comments received from the residents and their relatives confirmed that particular attention is given to the resident’s individual preferences. All the comments made by residents during the inspection regarding the quality, quantity and variety of food provided were highly complimentary. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 11 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 and 18. Both standards have been met. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence. The home has a complaints book in which all complaints are recorded. There have been two complaint recorded since the last inspection and both have been resolved appropriately and changes made to ensure they that the issues do not recur. The home has very good policies and procedures regarding the Prevention of Abuse, Restraint, Dealing with Aggressive Behaviour and a Whistle Blowing policy. It was noted that these issues have been discussed at staff meetings and is cover in the N.V.Q. training. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 12 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, 21,24,and 26 The inspection found that standards 19,21, 24 and 26 were partly met and the resident’s health and safety could be compromised. EVIDENCE: The home is a new building which has been purpose built, a rolling programme of maintenance within the home will now have to be introduced to maintained the home to it’s high a standard. It was noted that the first floor lounge and room 33 is in need of redecoration. 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 risk assessments. Also the bathrooms appear clinical and the introduction of pictures plants etc. would improve the general appearance. The home is furnished to a high standard throughout. All the bedrooms are well furnished and close attention has been paid to detail. However, there are Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 13 a number of bedrooms that look bear and without pictures, photographs plants, ornaments etc. Some areas of the home were found to be in need of cleaning and not free from odour. An increase in the domestic staff and a redeployment of them will need to be made in order to cope with the large areas within the home The home has good policies and procedures regarding infection control and all 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 E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 14 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 29 There should be an increase in domestic staff in order to improve the cleanliness of the home. EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed with care staff. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The staff group is stable and no one has left since the last inspection. The increase in care staff since the last inspection has enabled the care manager to improve the social and leisure activities within and outside of the home. However the domestic staff must be increased to cope with the large areas within the home and the needs of the frail residents. There are good written policies and procedures regarding recruitment of staff. The Care Manager is aware of the procedures to obtain police checks etc. and it was noted that the homes company have registered with an agency in order to carry out the appropriate checks. There was evidence in the staff files that all the appropriate checks have been undertaken. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 15 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, 37 and 38 All four standards have been met. EVIDENCE: The Care Manager has considerable experience in managing homes for older people. There are clear lines of accountability within the Home. The Care Manager has regular supervision meetings with her line manager and has completed the Registered managers Award. The provision of a clerical assistant has taken off a great deal of pressure and enabled the care manager to discharge her responsibilities more effectively. From observations made and discussions with residents,Resident’s Relatives and staff indcated that the Care Manager is very approachable and opperates an open door policy. The staff and residents stated that they are happy to approach the Care Manager with any problems they might have There was Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 16 evidence that the staff participate in the homes planning and development through staff meetings and supervision. All the records and administrative procedures required by the Residential Care Homes Regulations that were inspected, were found to be well ordered and well maintained. The Care Manager is to be commended for the recent work undertaken to improve the orderliness of the records. 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. Fire fighting equipment is well maintained and the systems are regularly checked. In regards to accidents, they are all reported and recorded in an appropriate record book, which indecated that 11 accidents took place since the last inspection. Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 17 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 x x 3 x 3 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 2 x 2 x x 2 x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x 3 3 Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 18 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 OP27 Regulation 23(2b) Requirement Timescale for action 01/06/05 2. 3. 4. OP19 OP19 OP19 23(2b) 23(2b) 23(2b) The Registered person must increase the domestic staff in order to cover all areas of the home throughout the wrking day. The registered person must 01/08/05 ensure that the first floor lounge is redecorated The registered person must 01/08/05 ensure that bedroom 33 is redecorated The ground floor W.C. is repaired 01/08/05 and redecorated. 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 21 23 Good Practice Recommendations The registered person fits locks to all the en-suites on the first floor subject to risk assessments. The registered person provides the bathrooms with pictures, plants etc . Oaks Court E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 E56 000058725 Oaks Court V222745 UI 250405 Stage 4.doc Version 1.30 Page 20 - 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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