CARE HOME ADULTS 18-65
Oakwood Court 7-9 Oak Park Villas Dawlish Devon EX7 0DE Lead Inspector
Sam Sly Unannounced Inspection 9th February 2006 02.45 Oakwood Court DS0000003765.V270428.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 Court DS0000003765.V270428.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 Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Oakwood Court Address 7-9 Oak Park Villas Dawlish Devon EX7 0DE 01626 864066 01626 866770 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) Education and Care (Devon) Ltd Vacancy Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. LD aged 16 - 25 years Date of last inspection 21st September 2005 Brief Description of the Service: Oakwood Court is one of three establishments that make up Oakwood Court College, a privately run educational and care service for students with a learning disability aged 16 up to 25 years old, owned by a Education & Care (Devon) Limited in Dawlish. Students attend the College for up to three years either on a 38-week basis or on an extended placement. Oakwood Court College is also Inspected by the Office for Standards in Education (Ofsted) and the Adult Learning Inspectorate (ALI). The most recent Inspection was in May 2005 and the report can be obtained at: www.ofsted.gov.uk. The residential facilities take up the first floor of the Colleges main educational building and are accessible by stairs or by shaft lift. The premises are situated in Dawlish, within walking distance of the town centre and bus and train routes. Each student has a single bedroom, and two have self-contained flats to help students develop independence skills. There is also a staff sleep-in room/office, a communal lounge, kitchen diner, 2 bathrooms and 2 shower rooms and a laundry room. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place on a College day and early evening in February. The acting manager Pat Dingle and responsible individual Frank Loft were present for part of the visit. All students were spoken to briefly or in depth, as were the staff on duty. Evidence was collected through talking to students and the staff on duty, examining care and health and safety records and touring the communal areas of the home, and those bedrooms invited into. Staff records had been examined on 30/01/06 at the responsible individual’s office. What the service does well: What has improved since the last inspection? What they could do better:
Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 6 Although staff have a range of ways of giving students information, contracts and Service User Guides should be given to each student or their representative. To ensure the premises at Oakwood Court remains in good order in the long term there should be a written maintenance and renewal programme with timescales. Now that the College management structure and acting manager is in place the responsible provider should apply to the Commission for re-registration to formalise these arrangements. 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 DS0000003765.V270428.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 Court DS0000003765.V270428.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): 1 The College is actively seeking ways to ensure students are fully aware of their rights and responsibilities. EVIDENCE: The College has a welcoming pack that is sent to potential students, parts of which are supported by symbols. The Statement of Purpose is available at Oakwood Court and reflects that it is part of the wider services provided by Oakwood College. The acting manager, Pat Dingle, is actively working on producing a Student Guide, which will include a contract and a copy of the complaints procedure. Pat had provided evidence at an inspection of one of the College’s other homes of what had been achieved so far, and said the work would be completed within a month. College-Student Teaching and Learning Partnership agreements, which form the contract between College and Student, have been produced in a format understandable to students and are about to be issued. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were inspected in detail as the Owners had met the required standards at the last Inspection, and no issues were identified that warranted further investigation. Two student’s care planning records were examined briefly and found to have all the required information to ensure staff knew the needs and goals of each student. A recommendation made at the last Inspection was discussed with Pat Dingle and he agreed to follow it up. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: None of these standards were inspected in detail as the Owners had met the required standards at the last Inspection, and no issues were identified that warranted further investigation. Discussion with students found they had settled into life at the College and enjoyed a variety of educational and leisure activities. Some students were doing Keep Fit on the evening of inspection, and another was planning a train trip to visit a relative at the weekend. Students had been to see Starlight Express at the theatre the night before the inspection. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 11 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): 20 Students are involved in administering their own medication, and medication administered by staff is done so safely. EVIDENCE: Students were involved in administering their own medication, although it was all stored in a suitable metal cabinet in the staff office. Staff administering medication had received training, and some were undertaking extra training. Medication administered by staff was recorded correctly, and an appropriate returns book was kept. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 12 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 & 23 Staff listen to student concerns and act on them, and students are protected from abuse. EVIDENCE: There were copies of the College’s complaint’s procedure displayed, and copies were seen in student’s bedrooms. Records from student House meetings and key worker meetings proved that students were given lots of opportunities to express any concerns. The acting manager is actively working on reviewing the College’s complaints procedure to ensure the symbolised format is understood by students. Neither the Commission nor Oakwood Court had received any complaints since the last Inspection. The acting manager has child and adult protection training and is aware of his duties with regard to the Protection of Vulnerable Adults and Children (POVA & POCA), and has arranged training for the majority of staff as well as training on positive behavioural interventions. Staff are also issued with a handbook about the safe care of students, which sets out clearly child and adult protection procedures. The acting manager is working on a range of behavioural procedures and individual plans for students. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 13 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): Oakwood Court is homely, clean and comfortable, however to remain so on a long-term basis, a written maintenance programme is required. EVIDENCE: A tour of Oakwood Court found that the premises were clean, comfortable, homely and adequately furnished and decorated. Records showed regular fire safety checks were taking place. The Fire Service had visited a few days previously and Frank Loft said he was acting on some identified issues. The maintenance issues identified at the last Inspection had been acted on, and maintenance issues were sent to the responsible Individual Frank Loft to be picked up by the College’s maintenance team. However, there was no written maintenance and renewal plan at Oakwood Court. Each student has his or her own single bedroom, which was lockable. Keys are provided for students. Student’s bedrooms reflected their personalities and were full of personal possessions. Students who invited the Inspector into their rooms said they liked them and were responsible for keeping the rooms in order.
Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 14 The Environmental Health Department had not visited since the last Inspection. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 15 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): 34 & 35 Staff recruitment procedures protect residents, and staff are appropriately trained. EVIDENCE: Staff files are not kept at Oakwood Court, but at the responsible individual’s, Frank Loft’s, office. Staff files had been examined on the 30th January 2006. At this time Frank Loft had agreed to work towards key recruitment information and staff training files, in line with the Commission’s guidance, being kept at the College’s three registered establishments from now on. Three staff files had been examined. Each had evidence of references, a job description and application form, evidence of ID and a contract. The acting manager had just introduced a new employment protocol, which stipulated that staff would not start work until a Criminal Record Bureau check was received. The Senior Management Team at the College is discussing this protocol. There was no staff interview format, however one had been used in the past, and the acting manager was in the process of developing a new format to be used for now on. The acting manager is in the process of auditing the training needs of all staff. When the audit is complete he will produce a staff team training plan. Frank Loft had provided evidence on 30th January 2006 that records were already kept of staff training profiles; the acting manager said information needed to
Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 16 be collected about newer staff training needs, and that once the audit was complete files would be kept of staff training certificates. Two staff spoken to said they receive a range of mandatory and specialist training including equal opportunities training and positive behavioural interventions. One of the newer staff had not yet received any training, and another said they were about to start an Induction course. The College has a member of staff who is an NVQ Assessor with dedicated hours to oversee staff progress. Many of the staff are now doing either NVQ 2, 3 or 4 dependent on their job description. On 30th January 2006 it had been found that Criminal Record Bureau (CRB) checks, including Protection of Vulnerable Adult and Child First (POVA and POCA) checks had been sent off for all new staff. Frank Loft said the Company had previously had a problem with accessing the POVA First e-mails, but this was now resolved. Evidence was gained from the Company providing CRB checks on the 30th January 2006 that all but one staff fitness check had been completed. The outstanding check was for a staff member employed in September 2005, and would need to be completed again. Frank Loft had said on 30th January that he was considering becoming a CRB ‘umbrella’ company, which would mean the College could carry out there own checks thereby cutting the time it is taking for checks to be returned. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 & 42 Staff and students are protected by safe working practices. Although working for the benefit of students, the current management arrangements must be formalised with the Commission. EVIDENCE: The Owner of Oakwood College, and therefore Oakwood Court is going to apply to the Commission to re-register the three establishments that make up Oakwood College as one establishment, and at the same time register the acting manager Pat Dingle. At present Oakwood College has no Registered Manager. Records showed regular fire safety checks were taking place. The Fire Service had visited a few days previously and Frank Loft said he was acting on some identified issues. Frank Loft also said that gas appliances and the boiler had been checked at the end of January, the wiring in the home had been checked in 2001/02, a check of Legionella had been carried out at the end of January and he was awaiting a report, and that all areas of the College were checked Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 18 regularly from a health and safety perspective, however they had identified that the residential areas at Oakwood Court needed to be added to this audit. Discussion took place about the need to have written information at Oakwood Court demonstrating that health and safety checks and maintenance are regularly carried out. Frank Loft agreed to put this in place. Staff receive a range of mandatory health and safety training including first aid, food hygiene, health and safety and manual handling, however the training needs of newer staff are still being audited by the acting manager as were the College’s policies and procedures. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 19 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 2 2 X 3 X 4 X 5 X 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 2 X X X X 3 X Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 20 Yes 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 YA1 Regulation 5 Requirement Students must be given a copy of a Service User Guide that contains all the required information (including their contract). A copy must also be sent to the Commission (Previous timescale 25/12/05 – ot met). There must be a written maintenace and renewal programme that details all the proposed and on-going environmental improvements with timescales (Previous timescale 25/12/05 – not met). The Owners must apply to the Commission to re-register the College and register a manager. Timescale for action 31/03/06 2 YA24 23 31/03/06 3 YA37 8 31/03/06 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 YA9 Good Practice Recommendations The trainer providing staff training on restrictive physical
DS0000003765.V270428.R01.S.doc Version 5.1 Page 21 Oakwood Court 2 YA35 interventions should be accredited by the British Institute of Learning Disabilities, and the Department of Health Guidance should be followed. There should be a staff training and development plan for the whole staff team (when complete a copy should be sent the Commission in this instance). Staff training records, including copies of certificates, should be kept in the Home. 3 3 YA40 YA42 At least 50 of care staff should have NVQ 2. All the Homes policies and procedures should be audited and revised where necessary. Up to date records of Health & Safety checks should be kept in the home. Oakwood Court DS0000003765.V270428.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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