Inspection on 12/01/06 for Oakwood Court

This inspection was carried out on 12th 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 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 Court 27/10/06

Oakwood Court 04/07/05

Oakwood Court 22/10/04

Oakwood Court 17/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oakwood Court Amberley Close Haywards Heath West Sussex RH16 4BG Lead Inspector Mrs L O`Donnell Unannounced Inspection 12th January 2006 02:00 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 Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oakwood Court Address Amberley Close Haywards Heath West Sussex RH16 4BG 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) 01444 458872 01444 458872 office@sxhousing.org.uk Sussex Housing and Care Mrs Ivy Mills Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 33 male and/or female service users aged over 65 years in the category of old age may be admitted/accommodated. 4th July 2005 Date of last inspection Brief Description of the Service: Oakwood Court is a care home registered to provide care and accommodation for 33 service users in the category OP (older persons, not falling within any other category). The home is located on the edge of Haywards Heath town centre, close to shops and facilities offered by the town. The home was opened in 1992 and consists of a two storey purpose built building with extensive, well maintained gardens. A lift facilitates access to both floors. All bedrooms, except one provide single accommodation. All individual accommodation provides en suite facilities comprising a level access shower, toilet and wash hand basin. Sussex Housing and Care are the registered providers of Oakwood Court. The responsible individual on behalf of the organisation is Mr. A K Stewart Roberts and the registered manager’s post is currently vacant. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection, which took place during the afternoon of 12 January 2006. In preparation for the inspection the Inspector reviewed the previous inspection report and any correspondence received since the last inspection. During the inspection the Inspector spent time talking with residents in the lounge, either individually or within small groups. In addition a tour of the home was undertaken and records reviewed with the deputy/acting manager. The former Registered Manager left the home in December 2005 and the Registered Providers are currently in the process of recruiting a new manager to the home. What the service does well: What has improved since the last inspection? Recruitment procedures have improved with all required information being obtained prior to the commencement of employment. Risk assessments have been reviewed and updated and now provide appropriate and relevant information to minimise any identified risks. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The core standards were assessed as met at the last inspection. Intermediate Care is not a service offered at the home. EVIDENCE: Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9, All residents have a care plan, which details their social, health and personal care needs. Residents are protected by the policies and procedures in place for the administration of medication EVIDENCE: A sample of care plans was reviewed during the inspection. These demonstrated that the care plans kept are comprehensive and provide detailed information as to individual care needs and how these are to be met. The care plans seen provided information on the immediate needs of residents as well as long-term goals. Each resident has a daily living plan, which provides information on individual preferences for daily routines (i.e. waking/getting up, social activities, personal care) and also what assistance is required to achieve these. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 10 It was identified at the last inspection that risk assessments should be reviewed to ensure that they contained all relevant information. It was noted at this inspection that this has been done with each resident having a risk assessment profile detailing any identified risks and the action required to minimise these. There is a policy and procedure in place for the administration of medication. The home has an agreement in place with a local pharmacy who supplies all medication to the home. All records seen in relation to the administration of medication were up to date and all medicines were seen to be kept securely. Staff who administer medication have all received training in the safe handling of medicines. It was considered that the home demonstrated good working practices in the administration of medication. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 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 the following standard(s): 12, 14, 15 The social interests of residents are recorded within their care plans and there are opportunities for recreational activities within the home. Residents are supported to exercise choice and control over their lives. Residents are provided with a varied and balanced diet. EVIDENCE: Some activities are provided within the home. Feedback from residents over the provision was mixed, some were happy with the activity provision, others were able to enjoy and pursue their own interests and hobbies and others would welcome an increase in activities. As this is similar to feedback received at the last inspection the Registered Providers should continue to keep activity provision under review and possibly address this through their own internal quality assurance procedures. A number of residents did speak about events they enjoyed over the Christmas period and showed the Inspector a number of photographs taken at this and other events held at the home. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 12 Residents confirmed that daily routines within the home were flexible and that they could choose what they wanted to do and when. Advocacy services are available to residents through Age Concern or the local church. Residents confirmed that they had been able to bring their own personal possessions with them into the home and are able to personalise their rooms as they wish. Menus seen showed that a variety of meals are served within the home. The menus are kept within the dining room. Residents spoke highly of the meals served with comments including, ‘the food is very good’, ‘I enjoy the food’, ‘there is always a choice’. The chef was seen to speak with residents during the inspection. The inspector was also able to speak with the chef who advised that he planned the menus taking into consideration the likes and dislikes of the residents. He clearly demonstrated a good awareness of personal preferences and any particular dietary needs. Residents are also able to comment on the meals in a book kept within the dining room. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 13 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): The core standards were assessed as met at the last inspection. EVIDENCE: Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 14 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): 19, 20, 21. The home provides a safe and well-maintained environment. A range of communal spaces are available for residents to use. There are sufficient and suitable bathing and toilet facilities. EVIDENCE: A tour of the home demonstrated that it is accessible, safe and well maintained. It provides a comfortable and homely environment for the residents. Many of the residents spoken with were complimentary about the homes environment. The home complies with the requirements of the local fire service and environmental health department. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 15 There is a large well furnished lounge which is arranged to enable separate seating areas. In addition there is a mezzanine seating area which has bookcases and computers for residents use. There is a large dining area adjacent to the lounge. The home also has a large well maintained garden which a number of residents advised that they enjoyed walking or sitting in, in the warmer weather. One resident also advised that they were able to plant up patio containers and tubs in the summer. All individual rooms within the home have ensuite facilities. The home also has assisted bathing facilities and there are additional toilets throughout the home. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 16 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): 27, 28, 29 At the time of inspection the staffing levels were appropriate to meet the assessed needs of the residents. The majority of staff have an NVQ qualification or are working towards this. Residents are protected by the homes recruitment procedures. EVIDENCE: Rotas seen during the inspection showed that in addition to the manager positions there are 3 care staff on duty during the day with 2 waking night staff. This is a slight increase in staffing since the last inspection however it is again recommended that staffing levels are kept under review. Some residents commented that at times the staff appeared very busy and that they considered that this is why there were not enough activities at times. This is again similar to feedback given at the last inspection. Whilst residents were satisfied that their health and personal care needs are met by the staff team, the Registered Providers should ensure that there are sufficient staff to be able to meet their social needs as well. Residents did speak very highly of the care staff team with comments including ‘they are very good’. Recruitment records were reviewed during the inspection. It was noted that all necessary information was obtained prior to the commencement of Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 17 employment. This demonstrates that the home has reviewed its recruitment procedures to ensure that this standard is now met. Of the current staff team 64 have a level 2 NVQ qualification, with a further 27 working towards achieving this. In addition a senior member of staff is currently working towards her level 3 and the current deputy/acting manager is working towards level 4. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 18 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): 31, 35, 37, 38 The Registered Manager post is currently vacant with the previous Registered Manager leaving the home in December 2005. The financial interests of residents are safeguarded. All required records seen were well maintained and up to date The health safety and welfare of residents and staff are protected. EVIDENCE: The former Registered Manager left the home in December 2005 and the Commission had been notified of this and the arrangements in place to manage the home until a new appointment. It was clear during the inspection that the Registered Providers are currently in the process of recruiting a new manager. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 19 There is a policy and procedure in place in relation to resident finances. There are a few residents who have arranged for the home to keep a small amount of money for them. In these cases the home keeps detailed records of all money paid in and all expenditure with receipts kept. A sample of these records was seen during the inspection. It was noted that all records requested during the inspection were easily accessible, well maintained and up to date. There is a health and safety policy in place which covers safe working practices. In addition staff receive induction training and other health and safety training. Detailed health and safety inspections are undertaken within the home, covering both internal and external areas. Any accidents or incidents within the home are recorded and a monthly audit of these is undertaken. All equipment and services within the home are regularly monitored and checked. Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 4 4 X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X 3 3 Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP27 Good Practice Recommendations 2. It is recommended that staffing levels are kept under review to ensure that all social, personal and health care needs of residents needs can be met by the home at all times, taking into consideration that care staff also provide activities for residents Oakwood Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Court DS0000014647.V276956.R01.S.doc Version 5.1 Page 23 - 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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