Inspection on 03/01/06 for Oakwood

This inspection was carried out on 3rd January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakwood 08/01/07

Oakwood 01/08/05

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 Inspection 3rd January 2006 10:00 Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 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 DS0000018922.V276010.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 Adults 18-65. 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 DS0000018922.V276010.R01.S.doc Version 5.1 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 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) www.macintyrecharity.org MacIntyre Care Mrs Joan Arnold Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005 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, toilet 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours. During the inspection time was spent in the office examining records and policies and procedures and talking to the manager. A tour of the home was undertaken. Staff were spoken with. 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: The contracts/terms and conditions could better support the interests of the service users. Service users must be provided with a contract/statement of terms and conditions on admission to the home. It is recommended that an individual contract/ statement of terms and conditions between the home and the service user be made available. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 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 DS0000018922.V276010.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 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 the following standard(s): 2, 4 and 5 The needs of service users are assessed before they come to live at the home. Opportunities are provided for service users to visit the home to assess if the home is suitable for them. The contracts/terms and conditions could better support the interests of the service users. EVIDENCE: Since the last inspection a new service user has come to live at the home. The initial assessment information available covered the information recommended in the National Minimum Standards for Care Homes for Younger Adults and provided a good basis for care planning. Further background information that could not be obtained prior to the service user moving in to the home is in the process of being obtained from the service users social worker in order to further inform the care plan. 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. A written contract/statement of terms and conditions between the home and the service user were not available for two service users whose records were inspected. The manager was advised to address this. At present a block contract is available between MacIntyre Care and the Health Authority, which Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 9 provides the basis of the service provided to service users at the home. It is recommended that an individual contract/ statement of terms and conditions between the home and the service user be made available. It is understood that the service manager for the home is currently addressing this. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 6, 7, 9 and 10 Care planning provides clear guidance around the service users’ needs so as to enable their wellbeing 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. The care plans have been reviewed since the last inspection and are currently being put into a new format to make them more accessible to service users. The manager has attempted to invite the service users’ social workers to contribute to care planning reviews and is continuing to do so. 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 11 The records indicated that consultation takes place with relevant professionals regarding meeting the needs of service users. The records and a discussion with staff indicated that service users are assisted to make decisions about their lives in accordance with their abilities. Communication guidelines assist in this process. Records of service users likes and dislikes and preferences around daily living, such as what time they like to get up and the activities they enjoy also ensures service users choices are respected. Service users’ records are held in a secure place. A confidentiality policy is available to which service users and their families could have access. An access to files policy for staff and service users is available. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 11, 15, 16 and 17 The activities provided ensure that service users have opportunities for personal development. Daily routines and opportunities to develop and maintain relationships ensure that the emotional and social needs of service users and their preferences are provided for. EVIDENCE: A range of opportunities are provided for service users. These include encouraging independent living skills, use of community facilities and accessing leisure services. A record of planned activities is held on service users files and a record is made of activities undertaken. Support guidelines are available for activities and where necessary, risk assessments are undertaken prior to a service user becoming involved in a new activity. Therapeutic services are provided by making a referral to an appropriate organisation. Service users are provided with opportunities to establish friendships. The records and a discussion with staff indicated that family contact is promoted. Discussions with the staff and observations confirmed that the home’s routines are flexible as much as possible. The records inspected indicated the support Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 13 service users need in their daily lives in order to make choices and encourage independence. An examination of the menu records indicated that varied and balanced meals are provided. Care plans indicate service users’ dietary requirements and any assistance with eating that they may require. Advice is obtained from a dietician if this is required. Staff encourage the service users to eat a balanced diet and monitor diet and appetite in order to ensure their well being. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 18, 19 and 20 The personal support and health needs of service users are well met. Service users are supported by the home’s practices around the handling of medication. 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. The medication procedure gives clear guidance to staff. The medication records and corresponding medication were examined and found to be in order. Medication is stored securely. Members of staff reported and records showed that they have been trained in the administration of medication. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 22 and 23 Staff training and policies and procedures are in place to ensure that service users views are heard and appropriate action taken. The practices at the home provide protection for service users. EVIDENCE: There is a complaint procedure that is more suited to the needs of service users with a learning disability. Staff reported that they elicit the views of service users in accordance with their abilities. Information is available to enable a complaint to be made on behalf of a service user by an advocate. The complaint procedure describes the stages of the complaint and that the complainant will get an answer to their complaint within a maximum of 21 days. The staff were aware of the content of the complaint procedure and how to respond to complaints. The CSCI has not received any complaints about this service since the last inspection. 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 Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 16 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 17 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 the following standard(s): 24, 25, 27, 28 and 30 The home is clean and well presented and provides a comfortable and pleasant environment for service users. The bedrooms are suited to service users needs and sufficient communal space is available. EVIDENCE: A tour of the home showed that the home is well maintained. 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. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 18 Sufficient communal living space is provided. Service users have access to a dining area and a lounge. Service users are able to meet with visitors in their bedrooms or in the dining area. The home has a large garden, which has a seating area. There is wheelchair access via a ramp from the lounge. 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 19 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Service users benefit from the training provided to staff. There are sufficient numbers of staff to meet the needs of service users. The recruitment records demonstrate that service users are protected by the homes recruitment practices. EVIDENCE: The staffing rota showed that there is a minimum of two staff on duty during the day and evening with a third member of staff available for some shifts. Staff interviewed said that the staffing levels meet the needs of the service users and enable service users to take part in group and individual activities outside the home. There are currently no staff vacancies. Relief staff and the current staff team cover staffing shortfalls. A member of staff said the same relief staff are employed who know the service users and how the home works. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 20 Three new members of staff have been recruited since the last inspection. There were sufficient records available to indicate that these members of staff are suitable to work with vulnerable adults. The NCSC 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 information was available at this inspection. Training records and staff indicated that training is provided to ensure service users are being cared for properly and that their needs are being met in accordance with current good practice. Over 50 of staff hold an NVQ qualification. Further staff are currently undertaking this qualification. All new staff undertake an induction training which lasts 6 weeks and a foundation training which lasts 6 months. This training is outlined in a personal development portfolio. A portfolio was examined at a previous inspection and indicated that training is provided around issues such as care planning, health and safety, MacIntyre Care’s value base and the administration of medication. If a new member of staff has no experience of working with people with learning disabilities then a Learning Disability Award Framework training package is provided. This is completed alongside the personal development portfolio. In addition, MacIntyre Care has a training development plan and training for staff around meeting service users needs is provided on an ongoing basis. This training is provided following consultation with staff. This plan is subject to continuous review. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 21 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The quality assurance systems and management approach ensure that the best interests of service users are supported. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 22 EVIDENCE: The qualifications, competence and experience of the registered manager meets the National Minimum Standards. There was evidence that the registered manager undertakes regular training to keep her knowledge and skills up to date. There are a number of quality assurance systems in place. An annual audit is carried out by Macintyre Care which looks at how service users are supported and how the home and staff meet their needs. Relatives are consulted as part of the audit. There is an annual development plan for the home. The service is subject to an Investors In People Review. Key workers elicit the views of service users in line with each service users’ ability. Regulation 26 visits by the representative of the registered provider are carried out. The records of fire safety checks, gas, electricity were in order. Evidence that the hoists had been recently serviced was also made available. 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 X 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 24 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 YA5 Regulation 17 Requirement Service users must be provided with a contract/statement of terms and conditions on admission to the home. Timescale for action 03/01/06 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 2 Refer to Standard YA5 YA23 Good Practice Recommendations It is recommended that an individual contract/ statement of terms and conditions between the home and the service users be made available. It is recommended that advocates be used to oversee the management of service users monies for service users who have limited family contact. Oakwood DS0000018922.V276010.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 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 DS0000018922.V276010.R01.S.doc Version 5.1 Page 26 - 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. 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