This inspection was carried out on 3rd February 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Oakville Park Nursing & Residential Home 76-80 Duchy Road Harrogate North Yorkshire HG1 2HA Lead Inspector
Denise Rouse Unannounced Inspection 3rd February 2006 10:55am 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.V280393.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V280393.R01.S.doc Version 5.1 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 www.oakvillepark.co.uk 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.V280393.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service Users to include up to 33 (OP) and up to 4 (TI) up to a maximum of 33 Service Users. (OP) - 50 years plus (TI) - 40 years plus Date of last inspection 11th October 2005 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.V280393.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place over one hour and fifteen minutes. The deputy manager was available to assist in this process. Service users and staff were spoken with. A tour of the building was undertaken; this included communal areas, service users bedrooms, laundry, kitchen and staff room. Records inspected included the controlled drugs register, medication policy and kitchen records of fridge, freezer and cooked meat temperatures. At the end of the inspection a feedback session was held with the deputy manager and the regulatory inspector. What the service does well: What has improved since the last inspection?
Controlled medication was now being witnessed when dispensed and given to service users. Both staff then sign the controlled medications register. The ordering of medication has been reviewed; the system has been made more efficient. An infection control audit system has been introduced. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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.V280393.R01.S.doc Version 5.1 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): Not inspected on this visit. EVIDENCE: Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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): Standard 9 Service users are protected by the homes practices, policies and procedures regarding medications. EVIDENCE: This standard was not fully inspected. However the highlighted shortfall from the last unannounced inspection was examined. The controlled medication register was observed, It was found that two staff now witness the dispensing and giving of all controlled medication. This complies with current law and legislation. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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): Standard 15 Service users receive a wholesome and appealing diet in pleasing surroundings, However external transportation of food to the dining areas may pose a risk to service users. EVIDENCE: Service users could eat within their own rooms or in the two dining areas. Tables were laid with linen cloths and napkins; there were flowers on the tables. Service users requiring assistance and encouragement were seen to be helped in an unhurried manner by attentive staff. Conversations were occurring between service users at the dining tables, and it was apparent that mealtime was a very sociable and enjoyable event. A service user stated, “The food is good “. The kitchen was inspected it was clean and tidy. Food being prepared looked appetizing and wholesome; it was well presented upon the plate. Special diets and puree food was also available. Records of fridge, freezer and hot meat temperatures were examined. Food storage areas were adequate and clean. Stock was rotated upon delivery. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 Page 11 The chef obviously took pride in presenting the food well. A birthday cake for a service user had been made and decorated to a high standard. During the inspection lunch was being served, it was witnessed that the deserts for the downstairs dining area were delivered via the back kitchen door. Food was carried on a tray, exposed to the open air, approximately 3 meters before staff entered the conservatory. This exposed the uncovered deserts to possible risk of contamination. This was discussed with the chef and the deputy manager at the time; Staff was informed that all food must be delivered to the dining room by an internal route, via the dumb waiter. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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): Not inspected on this visit. EVIDENCE: Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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): Not inspected on this visit. EVIDENCE: Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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): Not inspected on this visit. EVIDENCE: Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 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 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): Not inspected on this visit. EVIDENCE: Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 Page 17 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. Standard Regulation Requirement Timescale for action 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 OP38 Good Practice Recommendations The registered manager should ensure that food is transported internally to the downstairs dining room via the dumb waiter. To prevent service users being placed at risk from contamination by food being transported externally. Oakville Park Nursing & Residential Home DS0000027943.V280393.R01.S.doc Version 5.1 Page 18 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
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