CARE HOMES FOR OLDER PEOPLE
Oakview 19 Oakwood Avenue Gatley Stockport Cheshire SK8 4LR Lead Inspector
Jackie Kelly Unannounced Inspection 29th November 2005 11:10 X10015.doc Version 1.40 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 Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 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 DS0000008571.V263175.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Oakview Address 19 Oakwood Avenue Gatley Stockport Cheshire SK8 4LR 0161-491 0106 0161 491 0106 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) Mr Mohedeen Assrafally Mrs Bibi Toridah Assrafally Mrs Bibi Toridah Assrafally Care Home 12 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (12) Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 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 12 MD(E) and 3 DE(E). 17 May 2005 2. Date of last inspection 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 including 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 semidetached house which comprises of; ground floor with lounge, dining room, kitchen, bathrooms, toilets, sleeping-in room and four bedrooms; first floor with two bathrooms, six bedrooms (two of which are shared); and 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 DS0000008571.V263175.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one half day. Time was spent talking with the owner/manager Mrs Assrafally, residents and Mr Assrafally. The care plan of the last person to be admitted was looked at. On the day of the inspection there were eleven people living at the home; however one was in hospital and two had gone out for the day. A tour of the ground floor took place, which included bathrooms, dining room, lounge, kitchen and bedrooms. The home was clean and homely with bedrooms reflecting the residents personality. What the service does well: What has improved since the last inspection?
Two of the three requirements had been implemented. These were; the requirement to keep a record of any valuables that the resident brought into the home; and to amend the policy and procedure for the prevention of abuse. Both of these requirements were to make sure that the resident, and their belongings were protected. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 6 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. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 the following standard(s): 2,3,4,5. Standard 6 was not applicable. Assessment procedures ensured the home could meet the resident’s needs. Relatives and residents were given written information as to what was provided. EVIDENCE: There were social work assessments, the homes own assessment, contracts and care plans in place; all of which gave the relatives, residents and care workers facts about the home and the care needs of the resident. Residents and/or their relatives were given the opportunity to visit the home before making the decision to move in for the trial period of six weeks. The most recent resident to live at the home had been admitted for respite care but had settled in well and had decided to stay permanently. There was a service user guide in place however this was not looked at during this inspection.
Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9.10. The owners and care workers met the health care needs and privacy of the residents. EVIDENCE: The care plan of the last person to be admitted was looked at and found to have all the information necessary to help the care workers to meet the residents needs. The daily recordings gave a picture of the care being given. The inspector saw that the residents’ rights to privacy were being respected as bedroom doors were shut and the owner knocked before entering. 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 DS0000008571.V263175.R01.S.doc Version 5.0 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 the following 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: Each resident was 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. A small number of residents went out to visit relatives and others walked down to the local shops. On the day of the inspection one resident had gone out to visit his wife, and one had gone to the day centre which they attended two or three times a week. The owner/manager was preparing lunch at the time of the visit. The residents were having braised steak with fresh carrots and swede. When asked about the food all the residents who were spoken with said that they were happy with the cooking. Should anyone like a particular dish the owner/manager will try and make it for them for instance every Saturday four of the residents have a curry, which the owner/manager makes for them.
Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 11 Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 the following 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. 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 had been no complaints received either by the owners or the Commission for Social Care Inspection. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21,23,24,25,26. The home was clean and for the most part well maintained and decorated. All furnishings, fittings and equipment were in a reasonable condition and suitable for the needs of the residents. EVIDENCE: The inspector looked round the ground floor of the home and found it to be for the most part adequately maintained, decorated, clean and pleasant. There is one large lounge and one dining room. 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. The two wall tiles, which were missing in the kitchen, need to be replaced to maintain the general hygiene of the kitchen. The downstairs bathroom was to be redecorated. It is recommended that all the pipe work be ‘boxed in’ at the same time as it will not only look better but will be safer and more hygienic.
Oakview DS0000008571.V263175.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The training being offered to the care workers was satisfactory. However the recruitment and selection did not ensure that the care workers employed are suitable for the job. EVIDENCE: There were a sufficient number of care workers on duty on the day of the inspection. The owner/manager Mrs Assrafally was on duty most days and did the cooking. Mr Assrafally arrived at the home during the inspection visit. Staff training for the National Vocational Qualification (NVQ) award had suffered a set back due to the company that was supplying the training having gone out of business. A new organisation had been found however it had meant that the three care workers who were doing the NVQ Level 2 training had to start again. The owners should encourage the care workers to complete their NVQ as soon as possible so that the home meets with the National Minimum Standards. All staff had done moving and handling training and administration of medication. It was a requirement at the previous inspection of 17 May 2005 that staff recruitment procedures tightened up. The inspector was unable to see if the requirements had been met, as the records are not kept at the care home but at the owner’s own home. Therefore the requirement is included again in this report and will be looked at during the next inspection.
Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 15 The Commission for Social Care Inspection has recently issued guidance on staff records to be kept at the care home, and this has been provided to the owners. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 37,38. 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; is a qualified nurse and was in the process of taking the registered managers award. All the residents who were spoken with said that they were satisfied with the care they were receiving. The home was not responsible for any of the residents’ finances. As the owner/manager was present at the home everyday the care workers were closely supervised. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 17 The records and areas of the home seen on the day of the inspection were satisfactory with no obvious signs of any health and safety hazards. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 3 3 N/A 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 Standard No Score 16 3 17 3 18 3 2 3 3 x 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 3 3 Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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 OP26 Regulation 23 (2b) Requirement Timescale for action 31/01/06 2. OP29 19 3. OP29 19 The registered person must replace the tiles on the kitchen wall for hygiene and health and safety reasons. The registered person must 31/01/06 make sure that the staff records are kept on the premises, and that these meet with all the requirements. The registered person must 31/01/06 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. 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 OP19 Good Practice Recommendations The registered person should ‘box in’ the pipe work in the downstairs bathroom when it is being upgraded.
DS0000008571.V263175.R01.S.doc Version 5.0 Page 20 Oakview 2 OP30 The registered person should encourage the care workers to complete their National Vocational Qualifications as soon as possible so that the home meets the National Minimum Standards. Oakview DS0000008571.V263175.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs 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 DS0000008571.V263175.R01.S.doc Version 5.0 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!
