Inspection on 11/10/05 for Oakville Park Nursing & Residential Home

This inspection was carried out on 11th October 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 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

Oakville Park Nursing &... 10/10/06

Oakville Park Nursing &... 03/02/06

Oakville Park Nursing &... 08/12/04

Oakville Park Nursing &... 23/06/04

Oakville Park Nursing &... 24/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Oakville Park Nursing & Residential Home 76-80 Duchy Road Harrogate North Yorkshire HG1 2HA Lead Inspector David White Unannounced Inspection 11th October 2005 09:30 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 Oakville Park Nursing & Residential Home DS0000027943.V253964.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. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakville Park Nursing & Residential Home Address 76-80 Duchy Road Harrogate North Yorkshire HG1 2HA 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) 01423 523939 01423 500083 Mrs Christine Mitchell Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Terminally ill (33) of places Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. (OP) - 50 years plus (TI) - 40 years plus Service Users to include up to 33 (OP) and up to 4 (TI) up to a maximum of 33 Service Users. 8th December 2004 Date of last inspection Brief Description of the Service: Oakville Park is a large Victorian terraced building that has been suitably adapted for its current use to that of a care home. The home is registered to take 33 residents and provides nursing and residential care for older people. It is situated close to all the local amenities and shops in Harrogate. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 hours. The premises were looked at and six residents, two relatives, five members of staff including three care staff and the registered manager were spoken to. The care records of four residents were inspected along with a number of other records. What the service does well: All residents spoken to said that the care was “very good”. Residents felt that the hygiene and standards of cleanliness in the home were “very good”. All the residents spoken to said that the quality of the meals were good. Residents enjoy a variety of activities and a relative said that there was “always something going on at the home”. Residents are listened to and their views are acted upon. Residents, staff and visitors to the home have confidence that the management of the home would address any issues of concern immediately. A range of training is provided to enable staff to have the knowledge and skills to meet resident needs. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 6 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. Oakville Park Nursing & Residential Home DS0000027943.V253964.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 Oakville Park Nursing & Residential Home DS0000027943.V253964.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): Standards 3 and 6 Residents and prospective residents and their families are fully aware of the care, services and facilities provided by the home and can feel confident that their needs will be understood by the staff and are met. EVIDENCE: The home provides detailed information about the purpose of the home and services on offer together with a thorough pre-admission assessment procedure. The registered manager or her deputy carries out the pre-admission assessment and information from other sources such as social services and GPs is obtained as part of the pre-admission assessment process. A recently admitted resident and a relative said that they were able to visit the home and had been provided with information about the services on offer before making a decision about moving into the home. The home does not provide any form of intermediate care. Oakville Park Nursing & Residential Home DS0000027943.V253964.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): Standards 7, 8, 9 and 10 Good care planning systems were in place to make sure that the health care needs of the residents are understood and met by a respectful staff team. In general medication policies and procedures were followed. EVIDENCE: The residents looked clean and tidy and well cared for. The care records of four residents were inspected and all had detailed care plans in place. The care plans contained clear and detailed information about the likes and dislikes of each resident and their preferred daily living routines. The care plans included the social and spiritual needs as well as the healthcare needs of each resident. A number of risk assessments were in place to cover a number of aspects of daily living to promote independence and safety. Referrals to outside health agencies were detailed and GPs visits are made to the home on request. The registered manager said that a GP comes to assess newly admitted residents within a fortnight of their admission. One resident was admitted to the home with a pressure sore that was not progressing so the home had arranged for a referral to be made to the appropriate agency for Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 10 further investigations to be carried out. Daily records in the care records reflected the care that was being given. Care plans including risk assessments were regularly reviewed and a relative confirmed that he was invited to the care plan review of his relative. All the residents and relatives spoken to said that the care was “very good” with one resident saying “this is a lovely place to live and staff are always so helpful”. A relative said that he felt “absolutely fortunate” that his wife was living at the home as the care was so good and he said that he was always kept updated about his wife’s progress. Staff could be seen treating residents in a respectful manner and addressed the residents by their preferred names. Staff knocked on doors before entering a resident’s bedroom. All residents spoken to said the staff team were very respectful and polite. The medication systems were inspected and proper arrangements are in place for the storage and disposal of medication. The Medication Administration Records inspected were accurate and up to date. The home has some residents who are taking controlled drugs. The controlled drugs register was inspected and showed that registered nurses had been administering controlled drugs both with and without witness. The home must ensure current practice is consistent and this is reflected in the medication policy. It is not currently a requirement that Oramorph medication is witnessed by another member of staff, however it is recognised that this would be good practice. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 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 the following standard(s): Standards 12, 13, 14 and 15 Residents enjoy the activities provided. Flexible visiting arrangements allow residents to maintain good contact with family and friends. The meals provided are varied to suit different tastes. EVIDENCE: The home has an activities person who visits the home twice a week. At other times the care staff undertake activities with the residents as part of their daily duties. The activities on offer include a once a week keep fit session and a visit from an entertainer who sings. Church services are held at the home and residents are able to visit a local church if they wish to do so. The home has a minibus to take people for trips out. Some residents choose not to take part in activities but those that do said they were “enjoyable”. A relative liked the fact that there was “always something going on”. One resident said that they would like to be given more opportunity to “get out more”. Visiting times are flexible and some relatives were seen to be visiting the home at the time of inspection. Residents confirmed that visitors could come at any time and relatives spoken to said that they were always made to feel welcome and offered refreshments during their visit. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 12 All residents spoken to said that the “food was good.” Menus are rotated on a four weekly cycle and there are other food options available if a resident does not like what is on the menu. Food was properly served with attention given to presentation and the tables were nicely set. The chef was spoken to and she had a good understanding of the special dietary requirements of the residents and had written instruction as to the individual dietary needs of each resident. The chef would seek advice from a dietician if she was unsure of any nutritional matters. One resident had been losing weight and so the dietician had been contacted for advice. The care records showed that the dietary advice had been followed and the resident had gained weight. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 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 the following standard(s): Standards 16 and 18 Residents concerns are dealt with and their interests are safeguarded. EVIDENCE: The home has a complaints policy and procedure in place to deal with complaints and the care staff spoken to were aware of these. Residents knew what to do if they wished to raise any concerns and felt confident that any concerns would be dealt with properly. The home has a good detailed policy and procedure, which covers all aspects of the protection of vulnerable adults. New staff spoken to confirmed that they had received training about abuse and adult protection as part of their induction to the home. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 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 the following standard(s): Standards 19 and 26 Some refurbishment work had been carried out to improve the décor and facilities in the home. The home is very clean and well maintained. EVIDENCE: Since the last inspection some bedrooms and other parts of the home have been re-decorated. There are thirteen single bedrooms and nine double bedrooms and since the previous inspection some of the double rooms have been converted to single bedrooms and it is the owner’s intention that the remaining double bedrooms will also be converted to single bedrooms as vacancies in double bedrooms arise. There are plans to install toilet facilities in two of the bedrooms as the next stage of the planned maintenance and renewal programme. The home does not have a shaft lift so stair lifts are used to enable residents to have access to communal and private accommodation. Residents did not feel that this was an inconvenience and said that the journey from the second floor the ground floor “did not take long”. There were lounge and dining rooms on each floor so that residents did not have to have their meals in the ground floor dining room if they preferred not to do so and some Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 15 residents chose to eat in their bedrooms. Residents have access to very well maintained front and rear garden areas. One resident said the home was “lovely”. The premises were clean, warm and free from offensive odours. One resident said “I can not believe how clean the home is, the cleaners always keep up to the work”. Appropriate arrangements had been made for the laundering of bedding, linen and personal clothing. Hot water temperatures were regularly monitored and sluicing facilities were available in the home. The home had plentiful supplies of soap dispensers, alcohol gel and disposable gloves and aprons. Equipment necessary to meeting the needs of the residents and to promote their independence was available. Any recommendations made from fire officer and environmental health officer visits had been acted upon. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 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 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): Standards 27, 28, 29 and 30. Residents receive a very good standard of care from well-prepared and motivated staff. Recruitment procedures safeguard residents from harm. EVIDENCE: Inspection of the duty rotas and observation showed that the numbers and skill mix of the staff team ensure that resident needs can be met. On the day of inspection there were two qualified nurses and six carers on duty. For an afternoon shift there are usually two nurses and three carers and on a night time there is one nurse and two carers. There was a good atmosphere in the home and one resident said that this was always the case. All the residents spoken to were complimentary about the staff team. One resident said that the “care was very good”, another said that the staff were “always helpful and friendly” whilst another described the care she received as “marvellous”. Residents felt that there were always enough staff on duty and call bells are responded to promptly. The home employs kitchen staff, housekeepers and laundry assistants to help maintain standards of hygiene and cleanliness throughout the home. All staff undergo a range of training. An induction programme is in place for all new staff and two new members of staff spoken to were able to confirm that they were receiving induction and were working under supervision until the induction training had been completed. Other staff receive a range of training Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 17 to develop their skills and knowledge. The home has developed a designated staff training area where in-house training is provided. Two staff files inspected were those of recently appointed members of staff and these contained evidence that the necessary pre-employment checks had been carried out. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 18 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): Standards 31, 33, 35 and 38 The home was well managed. Systems were in place to seek the views of residents and visitors with evidence that the views and opinions received were acted upon. Proper attention is given to health and safety promoting a safe and secure environment for residents, staff and visitors. EVIDENCE: The registered manager who is also the joint owner of the home is well experienced in running the home and is a qualified nurse. The registered manager has achieved the NVQ level 4 in care and management and has completed the Registered Manager’s Award. Residents, relatives and staff spoke highly of the manager’s skills and abilities. Residents said she was “very approachable and hands on” and felt totally confident that any matters of concern would be addressed immediately. A relative said the manager was “fantastic and very helpful” and staff said that the management support was “excellent”. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 19 The home has held the Investors In People award for 8 years for the quality of care and services provided at the home and is regularly audited to make sure standards are being maintained and improved upon. The management seek the views of residents, relatives and others through the use of satisfaction questionnaires and the results and actions taken from the comments within the questionnaires are made available to residents and visitors. Staff meetings are held and recorded. Relatives are invited to attend care plan reviews if this is the wish of the resident. The home holds some personal allowance monies on behalf of the residents and records and receipts from incoming and outgoing monies are kept. Residents do have a safe in their bedrooms and a key so they are able to keep their own monies if they wish to do so. Arrangements were in place were in place for the promotion and maintenance of a safe and secure environment for residents, visitors and staff. A number of satisfactory safety reports and certificates were seen relating to the premises. Health and safety training is included in the induction programme and this is updated regularly. Accidents are clearly recorded within the daily records and in the home’s accident book. Individual and general risk assessments are in place to promote independence and safeguard residents from harm. Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 20 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 21 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 OP9 Regulation 13 Requirement The home must administer Controlled Drugs in accordance with section 9 of the Royal Pharmaceutical guidelines of Great Britain. Timescale for action 11/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 22 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 Oakville Park Nursing & Residential Home DS0000027943.V253964.R01.S.doc Version 5.0 Page 23 - 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!