Inspection on 20/02/06 for Oaktrees

This inspection was carried out on 20th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaktrees 03/01/08

Oaktrees 01/03/07

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 Mrs Jenny Cangy Unannounced Inspection 20th February 2006 11:30 Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 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.V276495.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 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.V276495.R01.S.doc Version 5.1 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.V276495.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 31/08/05 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.V276495.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 11.30am and a support worker admitted the inspector to the home. The manager was on duty and the inspection commenced with a review of standards not met at the last inspection and those not inspected at the last inspection. A tour of the building followed and service users and staff were met and spoken to. 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. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 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.V276495.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 The manager recognises the importance of fully meeting service users needs. All prospective service users are introduced to the home and other service users gradually. EVIDENCE: The ability to meet service users needs is paramount. Due to changes in the resident group it is felt that Oak Trees is now unable to fully meet the needs of one service user. Therefore work is underway to reassess his needs and find a more suitable home for him. In the meantime staffing has been increased to ensure his needs are met. Prospective service users have a period of visiting the home and meeting other service users and staff. This culminates in an overnight or weekend stay before the place is allocated and the service user agrees to move in. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 Service users are encouraged to be involved in all decision making regarding their lives. The home has a confidentiality policy but does not currently meet 10.6 of the National Minimum Standards. EVIDENCE: Service users are involved as far as their disability will allow in all decision making regarding their lives. Family or independent advocacy is used when appropriate. Service users participate in regular meetings and have monthly one to one talk time to enable them to be more involved in making decisions. No service users manage their own finances currently but staff are working with one service user to enable him to have more involvement and understanding. The home has a confidentiality policy and all records relating to service users are secure. However the home does not issue partner agencies with a copy of the policy on sharing information as stated in NMS 10.6 Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15, 16 Family and personal relationships are supported. Service user rights are recognised and maintained within the frame work of routine needed by this group of young men. EVIDENCE: Family and friends are welcome and encouraged to visit. Staff enable service users to maintain family contacts and friendships either by visiting or by telephone. The house routines are based around the routine and structure needed by this group of young men who all fall within the autistic spectrum where routines are important. Service users are involved with general housekeeping, shopping and cooking and assist staff in keeping their own rooms, communal space, and the garden tidy. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 All service users have personal care in the way they prefer and in the privacy of their own room or the bathroom. EVIDENCE: One service user needs minimal personal care but is prompted when necessary. The other have personal care in a way that is recorded in their care plan and always in private. There is a key worker system in place. Service users are encouraged to select their own clothes and choose what time the go to bed and get up within the limits of the need for their own routine. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users are able to voice or demonstrate their dissatisfaction and this is acted on appropriately. EVIDENCE: All indications of dissatisfaction are recorded investigated and acted upon. The manager audits the in house complaint book monthly to ensure appropriate action has been taken. There is a complaint procedure for complainants to follow and contains all the information needed to ensure concerns raised are treated appropriately. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 Toilets and bathrooms meet the requirements. Any specialist equipment needed is provided. EVIDENCE: All bathrooms and toilets have lockable doors and they meet the requirements for homes pre-existing 2002. Any adaptations and equipment would be provided where necessary after seeking the advice of outside professionals. Currently the only adaptation in use is that of a bath seat for one service user. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 Staff have clearly defined roles and responsibilities with appropriate job descriptions and contracts of employment. EVIDENCE: There is a senior staff management structure consisting of the manager , a deputy and two senior support workers. This gives the opportunity for the staff team to have the support of a senior member of staff for the majority of the time. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 41 The home is well managed by an experienced manager. The organisation ensures records are in place and regularly updates policies and procedures. However the manager has no means of establishing that these meet the requirements. EVIDENCE: The manager has almost completed the Registered Managers Award and NVQ level 4. Although all records and policies and procedures are appropriately kept the manager has no means of ensuring this as the staff only have access to the National Minimum Standards (NMS) for care homes for younger adults and not to the Care Home Regulations 2001 or schedules 1 to 4 and appendices 1 and 2. This highlighted the gaps in information essential for maintaining the correct records and policies and procedures within the home. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 15 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 X 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 3 28 X 29 3 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X X 3 3 X X Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 16 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 YA10 Regulation 12(4)(a) Requirement A statement on confidentiality must be given to the homes partner agencies setting out the principals governing the sharing of information Timescale for action 30/04/06 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 Refer to Standard YA41 Good Practice Recommendations The manager and staff should have access to the Care Home Regulations 2001 and the schedules contained therein. Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Oaktrees DS0000065459.V276495.R01.S.doc Version 5.1 Page 18 - 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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