Inspection on 26/04/05 for Oaktrees Care Home

This inspection was carried out on 26th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oaktrees Care Home 19/04/07

Oaktrees Care Home 18/07/06

Oaktrees Care Home 02/03/06

Oaktrees Care Home 15/12/04

Oaktrees Care Home 24/06/04

Oaktrees Care Home 11/03/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Oaktrees Care Home Main Street Alne York, North Yorkshire YO61 1TB Lead Inspector John McGarva Unannounced 26 April 2005, 10:00 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. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Oaktrees Care Home Address Main Street, Alne, York, YO61 1TB 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) 01347 838262 01347 838986 N/A The Fisher Partnership Mrs Jaques-Morgan Care Home with Nursing 45 Category(ies) of Dementia - over 65 years of age (2) registration, with number Old age, not falling within any other category of places (45) Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2004 Brief Description of the Service: Oaktrees is a care home which can care for up to 45 residents who require personal or nursing care. It is owned by the Fisher Partnership who also own three others, in Bedale and Knaresborough. The home is situated in the centre of the North Yorkshire village of Alne. It is an older property, in red brick and was previously a domestic dwelling and converted and extended for to its present purpose. It has two floors including ground and a vertical lift provides level access to the first floor. Parking is provided to the front west facing aspect and there is an enclosed garden area to the rear the site. There are 31 single rooms , two of which have en-suite toilet facilities and 7 double rooms in the home. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to unannounced inspections, which took place on Tuesday 26th April and Thursday 8th September 2005, and the manager Mrs Jaques Morgan was available to assist with the process. The inspections lasted about 7hrs in total. There were 16 residents requiring nursing care and 15 in receipt of personal care in April and 21 and 16 respectively at the inspection in September. The inspections focused on all the key standards and some issues, which were raised at the previous inspection. An inspection of some of the resident’s rooms, lounges, bathrooms and kitchen also took place. Discussions took place with the manager, nurses, carers, cooks, and several residents. The service users appeared content and several made favourable comments about the care they receive from all the staff. What the service does well: What has improved since the last inspection? Lockable space in the form of wall fixed metal boxes has now been provided in all the residents’ rooms so they can store valuables or medication. There has been decoration to corridors, which has improved the general lighting, and some of the resident’s rooms have also been decorated. Further improvements to the environment including the provision of two new bedpan disinfectors for the sluice rooms, improved sealed diffuser lighting in the kitchen as well as emergency lighting. Further extension of the provision of grab rails has been done and during the inspection more rails were being fitted in the upstairs Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 6 corridors. There has been an additional increase of twelve new electrically adjustable beds. Improvement in the important area of consultation with the staff in regard to changes and equipment provision has occurred and has had a beneficial effect on the general morale of the staff and manager. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 and 4 The resident’s needs are assessed and met in a professionally planned and programmed manner. EVIDENCE: Individual ring folders, which have been replaced recently, are available for each of the home’s residents and into which all information pertaining to them is kept. The information includes admission details, assessment, care plans, daily statements, nutritional assessments and weight charts. The assessment documentation inspected of three residents was good and included sufficient detail so that their needs are identified and upon which information the care plans are developed. Information recorded regarding their social, mental and physical needs was relevant and accorded with the resident’s own accounts. The home does not provide intermediate care. (Standard 6) Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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, 9 and 10 The physical and health needs of the residents are identified and appropriate care plans are created to ensure they are met. EVIDENCE: The residents looked well cared for with clean and well-pressed clothes and those spoken to were very happy with the care they were receiving. The care plans of three residents were inspected and there was ample information on which to ensure that all their needs and wishes were addressed. There is a place for the resident or relative to sign to evidence that they have seen and been consulted about the care plan. In conversation with the residents it was clear that their particular needs and wishes were respected in regard to when and how aspects of care took place. One lady said that she had just had a bath and that she had them twice per week, “just like I had at home” and another said that he had baths on Sundays and Thursdays as was his expressed wish. Conversations with residents confirmed that their privacy and dignity is protected at all times with care staff knocking on their doors before entering Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 10 their rooms and also in respecting their preferred mode of address. The care staff keep the residents informed and consult them about all matters relating to their health and personal care needs. Additional pressure-relieving mattresses have been provided recently and pressure-relieving cushions are available. The storage and administration of medications is managed in accordance with good practice. As the medications are prescribed and supplied from a GP dispensing practice the disposal of unused medications is dealt with by the practice. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 standard(s) 12,13,14 and 15 The resident’s wishes are respected at all times and contact with relatives and friends is encouraged. The dietary needs of users of the service are met with a varied menu of food being offered that satisfied service users tastes and choices. EVIDENCE: The resident’s routines of daily living are tailored to their needs and choice and there is an activities organiser to assist with in social activities when required. Visitors can attend at any time they choose, day or night with drinks provided for them routinely and also meals when required. The home is flexible in relation to allowing the residents to bring in their own items of furniture and other personal possessions and this is evidenced in the different ways in which the individual rooms are furnished and arranged. The residents personal monies is managed either by themselves or their relatives and the home has no responsibility for any residents monies at the present time. The residents were very complimentary about the quality of the food provided, and although there is no proclaimed choice for the main meal of the day, Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 12 alternatives are readily available when requested. There is a choice of meal at teatime. The lunchtime meal provided on the days of inspection was attractively presented with fresh meat and vegetables, and hot. Many of the residents are rather frail and require assistance with their meals and this was provided in a professional and dignified way. Improvements have been made to the lighting in the kitchen with sealed striplights being provided since the last inspection as well as an emergency lighting unit. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 standard(s) 16, 18. The production and display of a relevant complaints procedure and staff’s good knowledge of adult protection issues safeguarded service users from abuse. EVIDENCE: The home has a complaints policy with time-scales for the resolution of these and this is included in the Statement of Purpose. There have been no complaints received regarding this home in the past year. There are robust Adult Protection and Whistle Blowing proceedures available to protect the residents. The home has a ‘policy of the month’, which is reviewed and staff signatures are obtained to evidence that they have seen and understood the homes policies. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 standard(s) 19,20,21,22,24,25,26. The environmental standards of the home are generally satisfactory. Additional bathing provision is required as well as hoisting equipment for the existing three bathrooms. EVIDENCE: • • • • The home is located in the attractive village of Alne north of York and provides a safe environment for the residents with level access to all areas. The gardens to the rear are attractive and are wheelchair accessible. Some internal decoration to the corridors has taken place and the lounges have been programmed to be decorated soon. Three bathrooms have an overhead hoist track hoisting system provided but only one lifting cassette is available, which means that only one bathroom can be used at a time. Transfer of the heavy cassette is required for deployment to the other two bathrooms. One of these bathrooms also has a ‘rising seat’ provided. J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 15 Oaktrees Care Home • • • • • • • • There are a further three bathrooms in the home but not in use as there is no hoisting equipment available. One of the rooms also has a shower cubical but not suitable for assisted showering. Consideration is being given to converting one of these three rooms into an assisted shower and the other two into usable assisted baths. Two mobile hoists are available to assist in the safe transfer of the residents and there is a vertical lift providing level transfer to the upper floor of the home. Grab rails are fitted to most corridors and additional rails were being fitted during the inspection. The individual rooms are well furnished and twelve additional electrically operated adjustable beds have been provided recently. Lockable space in the form of wall mounted metal boxes has now been provided to all the residents’ individual rooms. The heating to all residents’ areas is satisfactory and access to the radiator valves in the individual rooms has now been provided so that resident’s can adjust the temperature to personal preference. Improved lighting has been provided to the first floor and the recent decoration has also had a beneficial effect on the general light to the corridor. There are two sluice rooms available, one on each floor with two new disinfectors recently provided. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 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) 27,28,29,30. The residents receive a good standard of care from sufficient staff who are appropriately trained and supervised. EVIDENCE: The home complies with the staffing letter of the previous regulatory authority and the manager does not admit additional residents should the staffing levels be less than that required to meet all their assessed needs. Three of the care staff have achieved NVQ Level 2 training standard and six have been trained to NVQ Level 3 standard. The percentage of the care staff so trained is 62 thereby exceeding the 50 minimum standard. The recruitment procedures at the home meet the required standard and all Criminal Record Bureau (CRB) checks have now been done for all staff. There is a training programme in place for the care staff, which meets the National Training Organisation (NTO) standards. This small group of four homes have a training officer who facilitates and provides routine statutory training in the areas of Heath & Safety, Moving & Handling and Fire safety at the recommended intervals. A physiotherapist employed by the home undertakes the moving and handling training of the care staff. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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 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) 32,33,35 and 38. The home is well managed with staff that are kept informed and consulted on developments in the home. There are systems in place to ensure that the Health & Safety of the residents and staff are protected. EVIDENCE: The manager enjoys the respect and support of the staff and regular meetings with the staff are held to keep them involved and consulted about the running of the home. Since the last inspection there has been a significant improvement in the morale of the staff whose views are now sought in matters pertaining to the efficient running of the home. Questionnaires are routinely distributed to elicit the views of the residents and relatives about the running of the home. A review of the annual development plan, which will be shared with all the staff, is underway at the present time. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 18 The residents or their relatives on their behalf arrange the management and control of the resident’s personal monies and in consequence there is no need for the home to be involved in these transactions. There are systems in place for the staff to receive training in the areas of Health & Safety, First Aid, Fire Safety and Moving and Handling. Regular servicing and records of this are maintained of the gas boilers, lifts, hoists and other equipments. The lift was being serviced on the day of inspection.Emergency lighting has been installed in the kitchen since the last inspection at the behest of the fire service as well as double lining of the doors to the emersion heater and the linen store. The home’s Health and Safety policy statement and insurance liability certificate is on display on the notice board. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 1 1 x 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x 3 x x 3 Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 20 Yes 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 21,22 Regulation 23(2)(n) Requirement Additional lifting cassettes for the bathroom tracking system must be provided. Timescale for action 1-1-06 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 21 Good Practice Recommendations Plans should be made after consultation with the staff to bring the three unusable bathrooms into use. Oaktrees Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Care Home J53 J04 S27975 Oaktrees V221629 260405 Stage 4.doc Version 1.20 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!