Inspection on 27/10/06 for Oakwood Court

This inspection was carried out on 27th October 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 12/01/06

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 H Church Key Unannounced Inspection 27th October 2006 09:00 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.V314685.R01.S.doc Version 5.2 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.V314685.R01.S.doc Version 5.2 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 Elizabeth Miles Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 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 accommodated. 12th January 2006 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 newly appointed registered manager is Mrs Elizabeth Miles. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place over one day and planned to take part in the morning and over the lunch time period. The Commission has recently registered Mrs Elizabeth Miles as the registered manager and although she is new to the post, she has been working at the home for a number of years as deputy manager. The inspector noted staff spending quality time with individual residents, either in the lounge or in their rooms. A homely, friendly and relaxed atmosphere prevailed and the inspector was welcomed into all areas of the home. Although early autumn, it was a fine day and a number of residents were going out. For the site visit, the inspector examined previous information and the Statement of Purpose and Service Users Guide that informs residents about the service. During the inspection, eleven residents and one visitor gave their views to the inspector. Without exception all comments were enthusiastic about the staff and their life there. One resident commented, “It has met my expectations”. The visitor commented, “Few homes I have been to are such a good standard” and “they are happy for me to be involved in my mother’s care”. Two members of care staff said they felt very supported by Mrs Miles and were thrilled at her appointment. All staff carried out their duties in a relaxed and positive manner. The care plans showed that the care provided is appropriate according to the needs of the residents and the right amount of support to maintain independence and ensure resident’s lives continue to improve was given. There were no requirements or recommendations made at this inspection. What the service does well: Oakwood Court is a well-established care home providing a friendly and homely establishment where residents feel well supported. It is well maintained with rooms exceeding the National Minimum Standards. The manager has created a supportive management leadership style to provide a good standard of individual care. Care staff are promoting care with independence and outside professionals are providing a support to assist the care staff to achieve this goal. It was clear that Oakwood Court are maintaining a care home where resident’s needs continue to be the focus for all activity. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 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.V314685.R01.S.doc Version 5.2 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): 1,2,3,4,5. All new residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four residents, one new and three existing residents were case-tracked. The manager prior to their admission to the home had pre-assessed the residents but the paperwork was unclear about its usage and in one case, the date of completion was inaccurate. However, the format was comprehensive and included all the areas required for making a decision. The Statement of Purpose and Service Users Guide has been recently updated and the Commission for Social Care Inspection and residents have all receive Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 9 the updated copies. The inspector recommended that a copy of the last inspection report be displayed in the hall for visitors to see. Residents are either self-funding or funded by the local authority. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10. All residents had an individual care plan set out for staff to follow. The home operates a policy where all medication is managed by care staff. Care staff are meeting the health care needs of the residents in a respectful manner. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four care plans and assessments were examined and were seen to include the health, care and social needs of the resident. Risk assessments and nutritional assessments formed part of the care plans. The involvement of the resident and/or their relative was seen in the care plans and at the reviews. Care plans reflected the needs of residents and the risks to their health, safety and welfare, including falls and pressure areas. Accident Records are fully Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 11 completed but the inspector recommended that staff record follow-ups in the care plans and carry out statistics to see where changing practice can minimise falls. The inspector noted the care plans were reviewed regularly and contained updated information on each record to inform staff of the current situation. The staff were well informed about the care needed for the four residents case tracked. The home’s medication procedures ensure safe practice with the handling, administration, storage and disposal of medicines. Staff have been assessed as competent to undertake the medication procedure and closely monitor any resident who wishes to manage their own medication to ensure the agreement to manage and store this safely is maintained. MAR charts were accurate with no gaps noted in recording of administration of medicines. Links are made between residents needs and determine the care provided. Where district nurses are providing a service, the information was current and relevant to the care being provided. Where specialist equipment had been identified, this had been provided. The inspector noted where health care professionals are involved in a resident’s care the staff are referring and following instructions to a good standard. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 12 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): 12,13,1,4,15. Activities are suitable for current residents, visiting is positively encouraged and residents are served meals that are nutritious and appetising. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: There are thirty three residents living in the home at present and care staffing hours are sufficient giving care staff opportunity to spend individual time with the residents. According to three residents and one visitor, visitors are always made welcome. The visitor’s book confirmed this. A programme of activities was observed and residents confirmed this was provided. Currently, activities are based on resident’s wishes and abilities with any new activities being provided from residents’ requests. Activities range from individual to group activities and range from music and movement sessions to reminiscence, quizzes and games. The inspector noted from Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 13 residents comments that the music activities are the most popular. Three residents commented on their enjoyment of the range of activities. Two computers provide access to the internet for those residents who enjoy surfing the net or use e-mails to keep in contact with friends and family. The inspector noted that the dining area looked very inviting and was arranged to encourage residents to sit at tables laid for up to four persons but also to communicate with other residents. The resident’s praised the home cooked food and good choices offered. On the day of the inspection, a choice of three main dishes was being provided. The inspector spoke with the manager and the cook and it could be seen that dishes were prepared according to the needs and wishes of the residents. The inspector observed the freshly made dishes and noted the meal was of a good standard. The menus are changed regularly according to feedback. The kitchen was fitted with spacious and well-organised work surfaces with wellmaintained equipment giving staff the means of providing a good choice of meals in a hygienic and specialist area. Where residents are unwell or prefer to eat in their rooms, individual trays are laid and staff assistance is provided for residents who cannot manage without help. Dietary needs are recorded in the individual care plans and these are taken into consideration when planning meals. Weight charts showed that all aspects of health care and meal planning are linked. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 14 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): 16,17,18. Residents are confident that complaints are taken seriously and acted upon appropriately. Staff have had in-house training in adult protection procedures so are equipped to protect residents from abuse. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The complaints procedure was displayed in the hallway with the Visitor’s Book and included in the Statement of Purpose and Service Users Guide. The complaints log was examined but there had been no substantiated complaints recorded. Four residents told the inspector that they had no hesitation in speaking to the staff or manager if there was anything they felt unhappy about. The staff confirmed that in-house training for Adult Protection Training had been given this year and the training was certificated. The induction and foundation training included some training aspects of this. The West Sussex Multi Agency Guideline was present in the office and made available to staff at all times. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 15 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): 19-26 inclusive. The indoor and outdoor areas used by residents are clean, safe and homely with good access to all parts. Resident’s rooms are suitable and homely. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector toured the building and examined specialist equipment to ensure residents are safe and enjoy surroundings. The indoor communal areas, garden and individual room areas are safe and well arranged to maximise independence without compromising a sense of freedom. Throughout the tour the home presented as clean, pleasant and hygienic, All areas were clean and odour free. The decoration was in good condition and all Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 16 communal and individual areas were well lit with appropriate furnishings and furniture. The reception area was clean and free from obstacles. A notice board in the hall gave information about complaints, meals and activities. The inspector observed equipment was being maintained and the redecoration, refurbishment programme continues. Room doors are fitted with locks but also some residents have lockable furniture in their rooms. Radiators are guarded and thermostatic valves are in place to restrict water temperatures to safe levels and protect residents from burns and scalds. Residents are encouraged to furnish their rooms with their own furniture and as one resident and her daughter commented, this was a tremendous help when settling in. All of the resident’s rooms exceeded the National Minimum Standard and were spacious, well laid out and had en-suite facilities. The rear garden is the main garden area with ramps and barbeque area. The garden and outside areas are well maintained and are linked to the housing section run by the organisation. They were well landscaped and ramps provided access for all residents regardless of their abilities. The main communal rooms consisted of a separate lounge and dining room. The lounge was well provided with easily managed chairs and substantial occasional tables. A balcony is arranged with occasional chairs and tables and there is one computer in this area and one computer in the main lounge for residents to use. A toilet is strategically placed near the lounge for residents. The lounge overlooks the rear garden. The dining room has small tables accommodating four residents but arranged so residents can still interact with each other. Health and safety was well maintained with stairwells and fire doors free from congestion of equipment and doors to the outside easily managed. Bathrooms were well laid out with hoisting apparatus and equipped with thermometers for monitoring safe hot water. The laundry is well equipped and well managed for all laundry services with machines meeting Water Regulations. The kitchen was well fitted out with spacious and well-organised work surfaces with wellmaintained equipment giving staff the means of providing a good choice of meals in a hygienic and specialist area. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30. The duty rota indicated that sufficient staff with a suitable mix of skills and experience are on duty over the 24 hours period to ensure needs can be met. Recruitment processes were in place to ensure residents are protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector observed that the staffing rota, examined in conjunction with care plans, showed that the staffing levels do ensure residents needs can be met at all times. The inspector recommended that both first and surnames be used for clarity for the duty rota to meet the requirements of a legal document. The inspector observed that staff spent quality time with residents in the communal areas as well as ensuring residents who chose to remain in their rooms were given staff time as they needed or wished. During the fieldwork, the inspector spoke to residents about the time spent with staff and all of the comments were good. Residents also felt their privacy and dignity is maintained and four residents commented that “staff were kind and helpful”. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 18 The homes use of agency staff is minimal as staffing absences are generally covered by existing and bank staff, but if needed, the manager has authorised access to monies for this at all times. The inspector observed that domestic and catering roles are staffed separately with staff having clearly defined roles for these. The inspector examined recruitment procedures to ensure that the home continues to meet this standard. Two staff records were examined in conjunction with their training records and noted that the recruitment process was good and had been updated to reflect current practice. All staff, whether care or ancillary, complete the induction and foundation training course work. All staff have received mandatory training at appropriate intervals with periphery courses on the care needs of this group of residents also provided. National Vocational Qualifications at levels 2 and 3 are continuously provided but with recent completers, the home exceeds the 50 of care staff with National Vocational Qualifications. Records showed and staff on duty confirmed that they had only been employed following a Protection of Vulnerable Adults check and Criminal Records Bureau clearance. The staff on duty confirmed that training has been provided as per the training schedule and that there was no restriction on courses available to them. All staff had received some training applicable to their roles and level of expertise. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 19 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): 31,32,33,34,35,36,38. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Mrs Miles has recently been appointed as the registered manager although she was the deputy to the retired manager for a number of years. Mrs Miles has just appointed a senior worker to the position of deputy but already they have experienced a good working relationship and staff expressed their pleasure at Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 20 both appointments. The manager has just completed her National Vocational Qualification 4 and is shortly commencing the Registered Managers Award. Two Quality Assurance Systems have been implemented for residents and visitors. The inspector examined the results of these and noted that an excellent response was achieved. The home is to be commended on their presentation of these for residents and visitors to see that their views have been noted. The manager holds quarterly meetings with residents. Information from these is sent round in newsletter for other residents to see and comment on before any action is taken to change the areas discussed. The inspector observed the informal and on-going system of seeking views from residents and visitors at every opportunity during the site visit. Residents are encouraged to manage their own finances or if this is not viable and a representative of the resident take on the responsibilities for this. The home only holds small amounts of monies for residents and records of these were examined and were well managed with good records maintained. The supervision procedure was examined and this is generally provided at the required intervals with training needs are identified from this procedure. The inspector noted that the documents used to record accidents meet the Data Protection Act. Health and safety is maintained through training and servicing of necessary equipment. All equipment checks and servicing is carried out within the safe guidelines. Good moving and handling practise was observed that minimises risks to residents’ health safety and welfare. Accident records do need more information and for good practice, analysed to minimise falls but all policies and procedures were in place and had been updated recently. The inspector concluded that the health care needs of all of the residents were being safely met. Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 4 4 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 3 3 3 3 Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 22 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 Good Practice Recommendations Oakwood Court DS0000014647.V314685.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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.V314685.R01.S.doc Version 5.2 Page 24 - 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!