Inspection on 17/02/06 for Oakwood

This inspection was carried out on 17th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakwood 12/09/07

Oakwood 28/11/06

Oakwood 15/11/05

Oakwood 14/03/05

Oakwood 26/07/04

Oakwood 23/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Oakwood Radcliffe Park Crescent Radcliffe Park Road Salford M6 7WQ Lead Inspector Richard Dankwa Unannounced Inspection 11:00 17 February 2006 th 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 Oakwood DS0000006717.V270494.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. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakwood Address Radcliffe Park Crescent Radcliffe Park Road Salford M6 7WQ 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) 0161 745 8119 0161 745 8840 Mr M.K. Raja Margaret Evans Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (1) of places Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum staffing levels as specified in the notice issued in accordance with Section 25(3) of the Registered Homes Act 1894 on 20 May 1991 shall be maintained. The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. One named service user is currently accommodated who is under 65 years of age. When this person leaves or reaches the age of 65, the category will revert to OP for people over 65 years of age. 15th November 2005 2. 3. Date of last inspection Brief Description of the Service: Oakwood Hall Nursing Home is a care home providing nursing care for up to 30 older people. The home can also accommodate up to three people who do not require nursing care but need personal care only. Oakwood is a large Victorian house situated in its own grounds at the end of a cul-de-sac within a quiet residential area of Salford. The home is close to Hope Hospital. The accommodation is provided in a combination of double and single rooms over two floors. The dinning room is situated at the basement. A passenger lift allows access to all floors. The home is close to local facilities and it is close to the Motorways. There is adequate car parking space at the home. Oakwood DS0000006717.V270494.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 that took place on the 17 February 2006. The manager was present during the inspection. Time was spent speaking to some of the residents and viewing the paperwork kept at the home. The general state of the home was inspected. Staff members were directly observed as to how they supported the residents. The majority of the areas needing improvements during the last inspection had been carried out. Other areas requiring improvements were identified at this inspection visit. The previous report should be read together with this one to get a better picture of the home, as the Commission for Social Care Inspection did not look at all the standards at this visit. What the service does well: What has improved since the last inspection? What they could do better: All staff must receive regular supervision to enable them do their work effectively. The home should find out from residents’ relatives and representatives, and also other professionals what they think of the service being provided by them. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 6 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. Oakwood DS0000006717.V270494.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 Oakwood DS0000006717.V270494.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): 1, 5. Prospective residents receive all the necessary information about the home to help them make a decision whether to use the service. Relatives and friends of the residents are able to visit the home. EVIDENCE: The home issued all prospective residents with a Service User Guide and a Statement of Purpose. The information issued to the prospective residents was up to date and detailed. The home has a free policy for visits to the home. Relatives and friends of residents are able to visit at any time during the day. If a relative or a friend is visiting late at night they have to inform the home in advance for security purposes. Several relatives were seen visiting the residents during the inspection visit. Oakwood DS0000006717.V270494.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): 10. Arrangements for health and personal car ensured that the residents are treated with respect and dignity at all times. EVIDENCE: The home had code of conduct in place informing staff to treat the residents with respect and dignity. The staff treated the residents as individuals and ensured that their choices were respected at all times. Observations during the inspection visit revealed that the staff were courteous and spoke to the residents respectfully and appropriately. The home organised advocate support for those residents who required assistants to enable them exercise their rights. An advocate from Age Concern supports some of the residents. Oakwood DS0000006717.V270494.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. The home continues to meet the residents’ expectations and preferences, and satisfies their cultural, religious and recreational interests and needs. EVIDENCE: The home had a planned programme of leisure activities in place. An entertainer visited the home every 3 months and a musician visited the home on a 2 monthly basis. Leisure activities organised by the home includes quiz shows, coordination games, bingo, large jigsaws, beauty sessions, summer fairs, and film and video afternoons. The home receives talking newspapers every week. There is a hairdresser the visits the home on a weekly basis. A reverend visited the home on a monthly basis for Church of England followers. A Roman Catholic priest visited on a weekly basis. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 11 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): These outcomes were not inspected during this inspection as they were met in the previous inspections. EVIDENCE: Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 12 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): 21, 25. The residents have sufficient and suitable lavatories and washing facilities, and they live in a safe and comfortable environment. EVIDENCE: There were 4 bathrooms and 7 toilets available for the residents’ use. One bathroom had a tracking hoist facility in place to enable some of the residents use the bath safely. All bedrooms had hand washbasins. The bathroom and the toilet facilities were all suitably equipped to meet the needs of the residents. The residents’ bedrooms were personalised and contained residents’ personal belongings such as TV and stereo. All the bedrooms had adequate furniture in them. There was a screen in place for a shared bedroom. The home is working towards making all bedrooms single occupancy only. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 13 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): 29. The home ensures that the right staff are employed to look after vulnerable people. This means that the residents’ interest and well being are safeguarded by the recruitment practices of the home. EVIDENCE: The home had recruitment policies and procedures in place to safeguard the interest and well being of the residents. Staff files examined contained all the required information and documentation that the home must keep regarding persons working at a care home. These included Criminal Records Bureau check (CRB) and Protection of Vulnerable Adults check (POVA), terms of employment, application forms, two references, equal opportunities form, certificates health checks and Nursing and Midwifery Council registration. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 14 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): 33, 36. The home is run in the best interest of the residents. Staff were not appropriately supervised. EVIDENCE: The home likes to find out what the people using the service think of it by sending them questionnaires to completely on a 6 monthly basis. The questionnaire is displayed at the reception and copies were available at all times for residents, relatives and all visitors to complete. Although this is the case, the home should send copies to the relatives and other professionals that have contacts with the home. There was no evidence that staff received regular supervisions. All staff must receive regular supervisions to further enable them support the residents appropriately. This was a requirement during the previous inspection. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 15 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 3 X X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X 3 X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X 2 X X Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 OP36 Regulation 17 (2) Requirement The registered person must ensure that all staff receive regular supervisions (previous timescale of 30/01/06 not met). Timescale for action 01/04/06 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 OP33 Good Practice Recommendations The home should find out from the residents’ relatives and other professionals what they think of the services they provide. Oakwood DS0000006717.V270494.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 DS0000006717.V270494.R01.S.doc Version 5.0 Page 18 - 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!