Inspection on 01/03/07 for Oaktrees

This inspection was carried out on 1st March 2007.

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

Oaktrees 03/01/08

Oaktrees 20/02/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Oaktrees Warboys Road Oldhurst Cambridgeshire PE28 3AA Lead Inspector Jacqui Barry Key Unannounced Inspection 1st March 2007 10:55 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 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 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 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 Adults 18-65. 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. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaktrees Address Warboys Road Oldhurst Cambridgeshire PE28 3AA 01487 822878 01487 822878 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) CareTech Community Services (No.2) Ltd Ms Ann Footitt Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: Oak Trees is a large detached house situated at the end of a Cul-De-sac in the attractive village of Oldhurst. The home is set back from the road in mature tree lined gardens. There is a secluded rear garden giving service user a private, safe outdoor space. Bedrooms are found on the ground and first floors and are all for single occupation. There is a large conservatory providing a lounge, a dining area and an additional lounge. All bedrooms are single occupancy and are decorated to reflect the occupants personalities. The village amenities are within walking distance but these are limited. All other amenities in local towns of St Ives, Huntingdon and March are accessed by the homes transport or local bus service. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 1st March 2007, over a period of 3 hours. The inspector looked around the home, spoke with one service user, the manager and two members of staff. A range of records was also seen, including one service user’s file. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users and families would benefit from clearer pre-admission assessment procedures. EVIDENCE: One service user had been admitted to the home since the last inspection. He had been able to visit the home several times for tea and two overnight stays to help decide if Oaktrees was an appropriate placement. A representative from the organisation had carried out an initial needs assessment to determine the service user’s suitability. The assessment was limited and in places did not reflect the service user’s needs. Further detailed and accurate information had been gained by the home’s manager, which meant that the assessment presented a true picture of the service user’s needs. Assessment is a highly skilled task and the organisation should consider the ethics and validity of unqualified staff undertaking initial needs assessments. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 8 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Risks to service users were assessed and measured, with appropriate safeguards in place. EVIDENCE: The case file inspected included an individual support plan, which detailed the service user’s needs and how the home intended to meet these on a daily basis. The plan included specific information about the service user’s likes and dislikes and restrictions on choice or freedom. All service users had contact with their families and friends and could use their support networks to advocate wishes and feelings if needed. The two members of staff spoken with were able to describe how they worked positively with service users to make decisions and express their views. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 10 One service user had requested to travel alone on public transport to attend his job. The home had responded to the request by risk assessing the activity. The outcome was positive for the service user who was able to progress in his independence in a safe way. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users benefited from accessing a wide range of meaningful services and activities, in accordance with their personal choice. EVIDENCE: Service users were involved in a wide range of jobs, activities and groups, each one reflecting individual choice. One service user went to work on two days a week and the home were looking to set up a work programme for another. All service users were able to integrate with the wider community, as well as spending time with people with similar needs. Daily routines achieved a balance between the commitments each service user had on any given day and the positive aspects of group living such as coming together at mealtimes. One service user spoken with confirmed that the staff knocked before entering bedrooms and respected his privacy. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 12 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service user’s health needs were recorded and medication was administered as prescribed. EVIDENCE: Service users required minimal support with personal care. The individual support plan inspected contained details about how the service user preferred staff to work with him, in order to live as independently as possible. The health assessment examined related to a new service user. It contained basic information about the service user’s health needs. Registration with a GP had been organised and the service user had had a basic health assessment. None of the service users held their own medication, although one injected insulin for Diabetes under staff supervision. Medication records were in good order and medicines were securely stored within the home. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 14 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users had opportunities to discuss personal matters and concerns with staff on a planned one-to-one basis. EVIDENCE: No formal complaints had been made in the last 12 months. Staff explained that in addition to informal conversations with service users, each had at least one monthly session with their key-worker in which they could raise concerns. The home had an adult protection policy, which was known to both members of staff spoken with. There was also evidence that training on adult protection had taken place since the last inspection. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to this service. The building was clean and generally well maintained, although window restrictors must be fitted to first floor windows for service user’s safety. EVIDENCE: One service user showed the inspector around the home, which was clean and tidy. He said he was happy with his bedroom and had everything he needed. There were suitable laundry facilities to cope with the needs of service users. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Staff had benefited from training and support to achieve National Vocational Qualifications. EVIDENCE: There were some staff shortages, which were being covered by agency staff. The manager reported that the same agency staff were usually booked, which provided continuity of care for service users. At the time of the inspection, there were several members of staff on duty to support service users. Two staff recruitment files were inspected. Both contained all of the necessary checks, although one reference seen did not provide any information offering a judgement about the suitability of the member of staff. The manager was advised that further references should be obtained in such circumstances. Good progress had been made in staff achieving a National Vocational Qualification (NVQ), with 8 having completed the qualification. The manger Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 18 advised that a range of training was readily available to staff and inspection of training records reflected this. Staff engaged with service users at lunchtime and later in the day were observed to supervise from a distance, which limited the level of intrusion. The atmosphere within the home was relaxed, indicating that service user’s abilities and independence was promoted. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The home promoted seeking the views of service users and their families to develop the service. EVIDENCE: The manager had been in post for several years and had achieved the Registered Manager’s Award and NVQ Level 4. One senior worker had left since the last inspection. It was evident from discussions and observations that good working relationships existed between the staff and service users. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 20 Quality assurance systems were in place, seeking the views of families and service users had opportunities to express their opinions about the home. It is recommended that the manager provides evidence of changes that have been implemented as a result of service user and family feedback. A service user was responsible for carrying out fire safety checks, with the support of staff. Records showed that health and safety tests had taken place at the correct intervals. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 22 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. 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. 1 2 Refer to Standard YA2 YA39 Good Practice Recommendations It is recommended that only staff trained and experienced in assessment undertake this work to determine service user’s suitability to the home. It is recommended that the home evidence changes that have been implemented as a result of service user and family feedback. Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Oaktrees DS0000065459.V332088.R02.S.doc Version 5.2 Page 24 - 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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