Inspection on 17/05/05 for Oakview

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Oakview 17/11/08

Oakview 14/11/07

Oakview 24/04/06

Oakview 29/11/05

Oakview 03/11/04

Oakview 04/05/04

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

CARE HOMES FOR OLDER PEOPLE Oakview 19 Oakwood Avenue Gatley Stockport SK8 4LR Lead Inspector Jackie Kelly Announced 17 & 18 May 2005, 09:00 th th 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. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oakview Address 19 Oakwood Avenue, Gatley, Stockport, Cheshire SK8 4LR 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) 0161 491 0106 None assrafally@hotmail.com Mr Mohedeen Assrafally Mrs Bibi Toridah Assrafally Care Home 12 Category(ies) of DE (E) Dementia - over 65 - 3 registration, with number MD(E) Mental Disorder - over 65 - 12 of places Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 12 service users to include: *up to 12 service users in the category MD(E) (Mental Disorder over 65 years of age). *up to 3 service users in the category of DE(E) (Dementia over 65 years of age). Service users can be under the age of 65 years but not under the age of 50 years in both categories, 12MD(E) and 3 DE(E). Date of last inspection 3rd November 2004 Brief Description of the Service: Oakview is a care home owned by Mr & Mrs Assrafally and managed by Mrs Assrafally. The home can accommodate 12 older people who may have or had a mental health problem and inclduing up to three people with a dementia type illness. A condition of the registration allows the home to take service users who are aged 50 plus excluding disability or dementia. Oakview is a semi-detached house which comprises of a; ground floor with lounge, dining room, kitchem, bathrooms, toilets, sleeping-in room and four bedrooms; a first floor with two bathrooms, six bedrooms (two of which are shared); and a basement with laundry and food stores. There is no passenger lift between floors. The front of the house has a small garden with driveway, which can accommodate approximately three cars. The lounge is situated at the back of the house and has patio doors overlooking a large lawn. The home is located in the Gatley area of Stockport and is close to local shops and other amenities such cafés, restaurants, public houses, banks, and post office. There are churches of most denominations, a library and a selection of health centres, dentists and opticians. Stockport town centre, motorway network and public transport is easily accessible. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an annual announced inspection, which took place over two, half days. Time was spent talking with the owners Mr & Mrs Assrafally, the care workers and residents. Care plans, staff files, policies and procedures and drug administration records were looked at. A tour of the home took place. Questionnaires were sent to the home for the residents to complete; at the time of writing this report none had been returned. The doctor (who visits all the residents) returned a completed questionnaire, which was satisfactory and included the comment ‘pleasant home with a welcoming atmosphere’. What the service does well: What has improved since the last inspection? What they could do better: Self-appraisal questionnaires had been given to all staff however at the time of the inspection not all had been returned and the owner had not met with all the staff. Once these have been completed it will be necessary for the care workers to have one-to–one meetings with the owner/manager on a regular basis. The recruitment and selection procedures need to be tightened up in order to make sure that only the right people for the job are employed. The policy and procedure for the prevention of abuse should have information about the Protection of Vulnerable Adults reporting to the Stockport Adult Protection Unit. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 6 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. Oakview F54-F04 s8571 Oakview v220944 170505 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 Oakview F54-F04 s8571 Oakview v220944 170505 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) 1,2,3,4,5. Standard 6 is not applicable. Assessment procedures ensured the home could meet the residents needs could be met. Relatives and residents were given written information as to what was provided. EVIDENCE: There were social work assessments, the homes own assessments, contracts and care plans; all of which gave the relatives, residents and care workers facts about the home and the care needs of the resident. A service user guide and statement of purpose were given to residents or their relatives. Residents were given the opportunity to visit the home before making the decision to move in for the trial period of six weeks. For those residents who were admitted from hospital it was often the relative who picked the home; this was confirmed by one of the residents who was spoken with. Oakview F54-F04 s8571 Oakview v220944 170505 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) 7,8,9,10. The owners and care workers met the health care needs and privacy of the residents. EVIDENCE: The care plans had instructions on the care needed that had been taken from the assessments. Those care plans that were seen had been signed by the resident. The care worker who was spoken to said that the care plans were easy to read and work with. The residents who were spoken with said that they were happy with the care they received; one resident said that it was ‘ excellent - a bit like home from home’. The inspector saw that the residents’ right to privacy was respected as bedroom doors were shut and the care workers knocked before entering. Medication records were looked at and had been completed properly. None of the residents who were living at Oakview on the day of the inspection were in charge of their own medication for various reasons such as; not wishing to take the responsibility or mental health problems. Oakview F54-F04 s8571 Oakview v220944 170505 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) 12,13,14,15 Residents were given choices so that they could maintain control over their daily life as far as their capabilities would allow. EVIDENCE: Questionnaires (in the form of a tick box) had been given to the residents by the home asking for the residents’ views. The inspector saw the completed questionnaires; some of the residents had been able to complete them without any help, others had been given help by a care worker. Comments were; ‘homely – caring – comfortable’. A question was asked about the quality of care; 2 ticked the box titled fair; 2 ticked excellent; 6 ticked good. A residents meeting had taken place on the 5 April 2005 when activities, staffing and quality care, general election and voting, re-decoration of lounge and annual inspection had been talked about. The next meeting is to take place on the 29 June 2005. Each resident was also allocated a care worker known as a ‘key worker’ with whom the resident could talk to on a more personal and private level. Friends and relatives were welcomed at the home at all reasonable times of the day and evening. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 11 A small number of residents went out to visit relatives, walked down to the local shops and one resident attended a day centre two or three times a week. When asked about the food all the residents who were spoken with said that they were happy with the cooking and should they not like what was on the menu they could have an alternative. The menus were satisfactory. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 12 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) 16,17,18, For the most part the manager protected the residents through the complaints procedure, training and daily monitoring of care workers. However the adult protection policy needs updating, and a record of residents’ belongings is necessary to ensure that residents rights and property are protected. EVIDENCE: The service user guide (which was given to all residents or their relatives) had a section on how and to whom residents could complain. The home was not responsible for any of the residents’ finances. Staff had received training on elder abuse from one of the owners. There was a policy and procedure for the protection of vulnerable adults, which needs to be updated to include the Protection of Vulnerable Adults (POVA) legislation and Stockport Adult Protection Unit. The home must keep a record of the residents’ belongings, which they bring with them or have brought to them. This is to ensure that they remain with the person and can be accounted for at any time. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 13 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) 19,20,21,22,23,24,25,26 The home was clean, well maintained and decorated. All furnishings, fittings and equipment were in good condition and suitable for the needs of the residents. EVIDENCE: The inspector looked round the home and found it to be adequately maintained and decorated, clean and pleasant. There is one large lounge and one dining room both of which had recently been redecorated. There were enough bathrooms and toilets. Some of the bedrooms were more personalised than others; for instance small items of furniture had been brought in; many had photographs and pictures on display. Oakview F54-F04 s8571 Oakview v220944 170505 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) 27,28,29,30 The training being offered to the care workers was satisfactory. However the recruitment and selection procedures need to be tightened up to make sure that the care workers employed are suitable for the job. EVIDENCE: The rota’s sent to the Commission for Social Care Inspection showed that there were sufficient numbers of care workers on duty. The owner/manager Mrs Assrafally is on duty most days and does the cooking. All new care workers received an induction, which covered all the main areas of care. Further staff training is ongoing with five of the small team of care workers starting National Vocational Qualifications (NVQ). Staff recruitment procedures need to be tightened up; two written references and a written note of any verbal references must be obtained/made before the person commences employment; staff files should contain a photograph of the care worker; the application form should have questions about the care workers general health. The member of staff who was spoken to said that there was a good staff team all working together. Oakview F54-F04 s8571 Oakview v220944 170505 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) 31,33,35,38 The home was run for the residents by a staff team who were trained and were aware of the health and safety of residents. EVIDENCE: The manager is also one of the owners and is a qualified nurse and has recently registered to take the registered managers award. The residents were asked their views through individual talks with their keyworker, owners, resident meetings and questionnaires. The home was not responsible for any of the residents’ finances. The home had a health and safety policy. The health and safety officer from Stockport Metropolitan Borough Council had visited on the 18 January 2004. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 16 The owners had been given a verbal report at the time of the inspection but no written report had been sent. Training for staff on first aid, infection control, administration of medication and adult protection was also in place. A letter from the fire service contained a number of requirements, which the owner said had been met. The fire risk assessment, which the owner had done, had not been seen by the fire officer. All the necessary gas, electric and servicing certificates were available for inspection. A building maintenance programme had been produced for the coming year. Oakview F54-F04 s8571 Oakview v220944 170505 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 2 2 x x 3 x 3 x x 3 Oakview F54-F04 s8571 Oakview v220944 170505 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 17 Regulation 17 (2) Requirement The registered person must make sure that a record is kept of all the residents personal belongings as stated in Schedule 4 of the Care Homes Regulations 2001. The registered person must amend the policy and procedure for the prevention of abuse to include the Protection of Vulnerable Adults legislation and reporting procedures. The registered person must make sure that all the requirements of Schedule 2 of the amended Care Homes Regulations 2001 are met with regard to medical history and the number of references needed. Timescale for action 6 September 2005 2. 18 13 (6) 6 September 2005 3. 29 19 6 September 2005 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. Oakview F54-F04 s8571 Oakview v220944 170505 Stage 4.doc Version 1.30 Page 19 Refer to Standard Good Practice Recommendations Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 0QD 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 Oakview F54-F04 s8571 Oakview v220944 170505 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. 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