Inspection on 01/08/05 for Oakwood

This inspection was carried out on 1st August 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

Oakwood 08/01/07

Oakwood 03/01/06

Oakwood 03/11/04

Oakwood 12/05/04

Oakwood 08/01/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Oakwood 16 The Wiend Bebington Wirral CH42 6RZ Lead Inspector Beate Roth Unannounced 1 August 2005 st 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oakwood Address 16 The Wiend Bebington Wirral CH42 6RZ 0151 643 9421 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) MacIntyre Care Mrs Joan Arnold CRH Care Home 5 Category(ies) of LD Learning disability 5 places registration, with number of places Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 03/11/04 Brief Description of the Service: Oakwood is registered to accommodate 5 adults with a learning disability. Oakwood is a two storey property located in a residential area. On the ground floor there is a lounge, dining room, kitchen, laundry, shower room, toilet and a single bedroom with en-suite. On the first floor there are 4 single bedrooms, a bathroom and an office. Bathing aids are provided. The home has a large garden which has a seating area. There is wheelchair access via a ramp from the lounge. Parking is available on the main road. Oakwood is located in a central position close to Birkenhead and Prenton. There are local shops within walking distance and the bus stops nearby. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over an afternoon. During the inspection time was spent in the office examining records and policies and procedures and talking to the manager and staff. A tour of the home was undertaken. Staff were observed delivering care to service users. What the service does well: 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. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 The assessment process for new service users could not be fully assessed. Service users and their advocates can visit the home to ensure that it will be appropriate. EVIDENCE: Since the last inspection a new service user has come to live at the home from another home owned by MacIntyre Care. There was some assessment information available at the time of the inspection, the manager reported that further assessments had been completed but the whereabouts of this information could not be located and was therefore not assessed. There was evidence in the records that introductory visits to the home had been made to enable the prospective service user to meet the service users currently living at the home and staff. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 In general care planning provides clear guidance around a service users needs so as to enable their well-being to be met and to ensure they are appropriately supported. EVIDENCE: Person centred and essential lifestyle plans were available for the service users whose records were inspected. This information is comprehensive and covers all the information recommended in the National Minimum Standards. Support guidelines for staff are available around all aspects of care needs identified. These are comprehensive and give clear instruction from a service users perspective. It is obvious that a great deal of work has gone into producing the support guidelines and essential lifestyle plans. Some parts of the service user plan had not been reviewed in the last 12 months. The manager reported that there had been no changes to the service users needs in this time. This information needs to be documented for all aspects of the service user plan. The records indicated that consultation takes place with relevant professionals regarding meeting the needs of service users. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 10 A sample of risk assessments indicated that service users’ needs are assessed and their need for independence is balanced with any risks to their wellbeing. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 16 Service users are able to take part in appropriate activities that ensure they are part of the local community. The rights of service users and their independence is recognised in their daily lives. EVIDENCE: There is a written record of the activities service users are to take part in each week. Service users records show that these activities have been carried out. Activities are provided that meet the abilities of the service users and their choices. Both the records show and staff indicated that service users take part in community life. The home is close to shops and other community facilities. On the day of inspection service users had been out for a walk and for a pub lunch. Daily routines encourage service users independence and their right to make choices. Records show service users day-to-day routines and how they like to be cared for. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 The health needs of service users are well met. EVIDENCE: There is clear information available for staff on service users personal care routines that indicate service users preferences. Observations indicated that staff promote the dignity of service users. Visits to service users from medical/health care professionals take place in private. Records indicate that service users have access to medical/health care professionals as needed. Service users are supported to attend health care appointments. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The practices at the home provide protection for service users. EVIDENCE: A copy of Wirral Borough Council’s adult protection procedure was available at the home. A shorter and more accessible version of the adult protection procedure has been made available by Wirral Borough Council and was at the home for staff to refer to. Staff have received training in the adult protection procedures. None of the service users manage their own benefits. The director of MacIntyre Care is the appointee for the service users living at the home. The records in relation to this are held at the MacIntyre Care head office. The home manages the personal allowances for all service users. From discussion with members of staff and from an examination of the financial records, the home’s policies and practices with regards to service users’ money and financial affairs safeguard service users. It continues to be recommended that advocates be used to oversee the management of service users monies for the service users who have limited family contact. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27 and 30 The home is clean and well presented and provides a comfortable and pleasant environment for service users. EVIDENCE: Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 15 A tour of the home showed that the home is well maintained. Decorative work has taken place to improve the appearance of the home since the last inspection. Furniture and fittings are of a good quality. Service users have single bedrooms that meet the National Minimum Standards in terms of contents and space available. The bedrooms are personalised, well decorated and have good quality furnishings. There are sufficient bathroom facilities available. There is a downstairs shower room and an upstairs bathroom, which has a hoist to enable access to the bath. There is one en-suite bath with a hoist. As well as the toilets in the bathrooms there is a single toilet situated on both floors. One of the downstairs toilets has a step down into it, the other is situated next to the shower and there is limited space available to access it. The manager reported that service users tend to use the toilet, which they can access more easily, and that this will be kept under review as the needs of the service users change. A tour of the home showed that the standards of housekeeping are high. The home was very clean and smelt fresh. It is clear the staff are working hard to ensure good standards of cleanliness are maintained throughout the home. There are procedures for staff to refer to about hygiene and infection control. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 There are sufficient numbers of staff to meet the needs of service users. The recruitment records do not demonstrate that service users are protected by the homes recruitment practices. EVIDENCE: The rota and a discussion with the manager indicated that staff are deployed to meet the needs of service users. There are currently 2.5 staff vacancies. This shortfall is being covered by existing staff and an agency member of staff. The posts are currently being re-advertised. One new member of staff has been recruited since the last inspection. There were insufficient records available to indicate that this member of staff is suitable to work with vulnerable adults. The NCSC (The Commission prior to CSCI) agreed that MacIntyre Care could hold the records of recruitment at a separate building and be made available at the home for inspections as long as a list of all recruitment checks and their outcome is held at the home and is available at all times. This is not being adhered to. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health and safety of service users is promoted. EVIDENCE: The records of fire safety checks, gas and electricity were in order. Staff are given appropriate training in safe working practices. There is written information for staff on how to make sure they protect the health, safety and welfare of service users. There was a record to show that the home is insured. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x 3 1 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakwood Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 19 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 2 Regulation 14 Requirement All documentation relating to assessments of the needs of service users must be available for staff to refer to and for inspection. Evidence that all aspects of the service user plans are being kept under regular review must be documented. Evidence must be held at the home to indicate that appropriate recruitment checks have taken place to determine the suitability of staff. Timescale for action 01/08/05 2. 6 15 01/08/05 3. 34 17 01/08/05 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. Refer to Standard 23 Good Practice Recommendations It is recommended that advocates be used to oversee the management of service users monies for service users who have limited family contact. Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 20 Commission for Social Care Inspection 3rd Floor, Campbell Square 10 Duke Street Liverpool L1 5AS 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 Oakwood F52 F02 S18922 Oakwood V242608 010805 Stage 04.doc Version 1.40 Page 21 - 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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