Inspection on 06/07/05 for Oakwell

This inspection was carried out on 6th July 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

Oakwell 26/03/07

Oakwell 30/01/06

Oakwell 07/10/04

Oakwell 22/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakwell Lyddicleave Bickington Barstaple EX31 2JZ Lead Inspector Adele Adams Announced 6 July 2005 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. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oakwell Address Lyddicleave, Bickington, Barnstaple, Devon, EX31 2JZ 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) 01271 327252 01271 329332 info@devon.gov.uk Devon County Council none currently registered Care 20 Category(ies) of Dementia - over 65 years of age (10), old age, registration, with number not falling within any other category (10) of places Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may admit up to 10 service users on the intermediate care unit over the age of 50 years The maximum number of placements including that of the service users under 65, will remain at 20, of whom 10 may be in the intermediate care unit Date of last inspection 7/10/2004 Brief Description of the Service: Oakwell is situated in the quiet village of Bickington on the outskirts of Barnstaple and was originally constructed in 1974 as a home for older people, it is owned by the Local Authority. In 1994, there was a total refurbishment of the premises; it reopened as the North Devon Community Care Support Centre. The centre houses a residential unit providing accommodation and personal care for up to 20 older people with physical and/or mental health needs; of this 20 up to 10 service users may be admitted for short term intermediate care. A respite service is also provided. The centre also houses a home care service and a day centre. Bedrooms are spacious and all have full ensuite facilities. Service users are encouraged to bring in personal items to individualise rooms. The decoration is tasteful and the communal areas and atmosphere is homely. On the day of inspection the services provided at Oakwell remained unchanged. An application submitted to the Commission by Devon County Council, requesting that the age of service users admitted to the Intermediate Care beds at Oakwell be reduced to include those aged of fifty years and over was agreed. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has introduced “Key Standards “ to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. This inspection was announced and began at 9:30 a.m. on 6th July 2005 and ended at 16:40. The one requirement that had been outstanding from the previous inspections of July 2003, January 2004, 22nd June 2004 and October 2004 has now been addressed. The recently appointed manager and staff were welcoming, and contributed positively to the inspection; feedback was not received from any relatives/ visitors either directly or via ‘comment’ cards. Major internal structural work due to the installation of a new lift was in progress on the day of inspection. There were 2 clients in residence in the home, in addition, one client was discharged from the intermediate care unit and one client was admitted to the intermediate care unit during the afternoon of the inspection – the inspector did not meet these clients. The inspector toured the home, read documentation and client records and spoke with staff in order to gather information necessary for this inspection, the pre inspection questionnaire completed by the manager and provided prior to the inspection, together with previous inspection reports also informed this inspection. It is anticipated that there will be more clients in residence at the next inspection, which will enable a more client-focused inspection to be carried out. What the service does well: This inspection found that comprehensive well-written client records are kept and that these clearly show the needs of clients and how these needs are met. There are good risk assessments in place for both clients and the environment, which shows that the home are committed to the health and safety of both the clients and staff at Oakwell. The home is good at encouraging client independence and has a good approach to enabling clients to manage their medicines themselves if they are able to. The staff place great importance on client privacy and dignity, which helps clients feel recognised as individuals with different but equally important needs. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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, 3 and 4 . Clients at Oakwell have a thorough assessment undertaken and have access to good information about the home prior to moving in, which enables well informed decisions and choices to be made about whether or not the home will be able to meet their needs. EVIDENCE: The manager advised the inspector that no changes have been made to the Statement of Purpose and Service User guide since they were last inspected (this information was found to provide clients and families with good information about Oakwell and the services provided to clients). The inspector read client assessment documentation, which showed that good multidisciplinary and care manager information about clients care needs, is provided to the home before a decision about admission to the home is made. This helps to ensure that the move to the home is positive for all involved. The manager and an assistant manager described the pre admission procedure to the inspector, which demonstrated how decisions are taken by the home (together with using the assessment information) as to whether they can meet a client’s needs. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 Each client’s need for privacy, dignity and respect is recognised, understood and is a high priority for staff at Oakwell. The medication policies, procedures and systems in place at Oakwell ensure that clients if assessed as able to, continue to independently manage their medication but if not able to, then clients are supported by skilled staff with their medication needs. EVIDENCE: The inspector read one client record, which held clear, comprehensive details of the client’s needs and explanation of how these were to be met; the record also contained thorough risk assessments and showed the involvement of visiting health professionals in the client’s care. Each client has an individual plan of care, which identifies their health, and social care needs and states how these needs are met; The client records show that the recommended monthly review of care has not been taking place recently. The pre inspection questionnaire states there has been no change to the medication procedure and policy, the manager also confirmed this. Medication storage was viewed by the inspector, as was the recording of the receipt of medicines to the home and administration of medication to clients. Staff interactions with clients were briefly observed and listened to, this together with details in client records and conversations during the inspection Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 10 with the assistant manager and manager demonstrate the commitment of staff in ensuring clients privacy and dignity is respected. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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) 13 and 14 Clients do exercise choice and control over their lives and are able to maintain contact with family, friends and the local community. EVIDENCE: Visitors are welcome at Oakwell and a sign stating this is clearly displayed in the entrance porch. A good example of a client being supported to continue to make choices and decisions was seen by the inspector, this also included consideration of the client’s safety and this was also evident in risk assessments. The manager discussed the issues involved in ensuring the client’s wishes are respected and demonstrated a commitment to meeting client need in a safe, respectful and appropriate manner. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 and 18 An accessible complaints policy and procedure is in place and service users are protected from abuse. EVIDENCE: The inspector saw the provider’s complaint information booklet clearly posted in the entrance to the home and further information about the procedure is also on a notice board in the entrance hallway. The home also has a suggestion box and leaflets posted by the entrance door and invites comments. The manager advised there have been no complaints made. The inspector was advised that staff are now able to attend Adult Protection Training although places are limited – evidence of this was seen in the stafftraining plan and records. The home also has a whistle blowing policy and guidance in relation to the use of restraint, which provides guidance that will protect clients. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 and 26 Oakwell is spacious, clean and well maintained providing a pleasant environment for clients. EVIDENCE: The inspector toured the home, this included viewing clients’ rooms, and dining rooms, lounges and some bathrooms were seen. Recent decoration of some shared areas of the home has taken place, which gives a brighter feeling to these rooms. The laundry has industrial washing machines and tumble dryers and the floors and walls were clean and impermeable. A recent installation has been hand gel dispensers outside sluice rooms and the introduction of waste bins to dispose of pads. Evidence of the attendance of staff on infection control training courses was seen and the inspector also saw evidence of the infection control team providing advice and support to the home. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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, 29 and 30 Clients are cared for by competent staff who have been employed after undergoing recruitment checks, however staff records were not accessible on the day of inspection. EVIDENCE: The manager informed the inspector that the home is now carrying only one vacancy. The inspector observed that there are enough staff to care for the clients at Oakwell. The manager during discussion with the inspector demonstrated a good understanding of the need for staff levels to change when clients’ needs change. Staff rotas were not provided with the pre inspection questionnaire and were not inspected on this occasion. The manager confirmed that the recruitment policies and procedures have not altered and that these are adhered to. Staff files could not be accessed as they are held centrally – Devon County Council have provided an individual staff record which confirms the recruitment checks undertaken – the inspector randomly selected 6 of these to read. The inspector read 3 staff training records and the staff-training plan, which demonstrated all staff undergo essential training such as manual handling and fire training. The 2 staff spoken with confirmed they can and do access training. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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) 35 and 38 There are good records, which show that clients’ financial interests are safeguarded and the home have a robust proactive approach to health and safety which helps to ensure clients are protected. EVIDENCE: The inspector saw client accounts which show easily auditable financial records are in place and that clients now have appropriate ‘ suspense’ accounts in place, which accumulate interest. A formal letter of confirmation of the financial arrangements has been requested by the manager to file in client records. The inspector saw evidence that staff receive essential health and safety training - the home now has their own in-house manual handling trainer and health and safety representative. Information was also provided in the preinspection questionnaire in respect of health and safety checks, risk assessment and maintenance. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 16 The relevant fire checks and alarm testing takes place regularly. Risk assessments are in place and regular health and safety audits are carried out in the home. Evidence of liaison with relevant authorities such as the Fire Officer and Infection Control Department was seen which demonstrates the home to safe practice. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 1 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 x x x 3 x x 3 Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 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 29 Regulation 17(2) Sch 4 Requirement The registered person shall - (2) maintain in the care home all the records specified in Schedule 4.The registered person shall ensure that the records referred to in paragraphs(1) and (2) - are (a ) kept up to date and (b) are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. This refers to staff personnel files being unavailable for inspection at the Announced Inspection. Timescale for action 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 Good Practice Recommendations The service user plan is reviewed by staff in the home at least once a month and updated to reflect changing needs. Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Oakwell D54-D07 S39186 Oakwell V226847 060705 Stage 4.doc Version 1.40 Page 20 - 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. 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