Inspection on 18/01/07 for Oakwood House Nursing Home

This inspection was carried out on 18th January 2007.

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 House Nursing Home 19/02/09

Oakwood House Nursing Home 01/12/05

Oakwood House Nursing Home 04/08/05

Oakwood House Nursing Home 06/01/05

Oakwood House Nursing Home 19/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Oakwood House Nursing Home Old Watton Road Colney Norwich Norfolk NR4 7TP Lead Inspector Mrs Marilyn Fellingham Unannounced Inspection 18th January 2007 09:20 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 House Nursing Home DS0000015667.V328020.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 House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakwood House Nursing Home Address Old Watton Road Colney Norwich Norfolk NR4 7TP 01603 250101 01603 458097 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.bupa.com BUPA Care Homes (BNH) Limited Mrs Gillian Newnes Care Home 50 Category(ies) of Dementia (19), Old age, not falling within any registration, with number other category (31), Physical disability (31) of places Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons accommodated or provided services with a physical disability may be aged 40 years and over 1st December 2005 Date of last inspection Brief Description of the Service: Oakwood is a fifty-bedded nursing home in Colney on the outskirts of Norwich. It is one of BUPAS homes.The building is of new design and is on two floors. It is set in pleasant grounds, with several very large oak trees being a notable feature. There is a car park at the front of the home. There is good wheel chair access to the home and to the garden. The internal environment, especially the residents’ rooms, are of a very high standard. The Home provides general nursing care for persons over forty, and also cares for persons over forty, who may have a physical disability. There is a large dining room that is furnished with separate tables, seating various numbers of Service Users; it is a most pleasant room that has been tastefully decorated and allows accommodation for wheelchair users. The home has recently undergone an extension and now provides accommodation for ten more service users. These new rooms have en suite facilities and patio doors leading to extensive landscape gardens. A new small conservatory has been added which leads off the dining room. The new extension also provides a new dining room, satellite kitchen, quiet room and a nurse’s station. Recently the home has been registered to enable it to use nineteen of its rooms on the first floor as a unit for persons with dementia. Fee levels range from £650 to £850 per week. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over six and a half hours. Opportunity was taken to examine care records, policies and procedures, records for complaints, tour the premises and speak with service users, relatives and staff. Only four comment cards were received from service users and these did not indicate anything negative about the services provided by the home. The manager has returned from extended sick leave to which the staff and service users have reacted positively. Her sick leave does not seem to have had a detrimental effect on the management of the home. The dementia unit is being managed well and there was a lot of activity taking place on the day of the inspection. What the service does well: The service users are treated with respect and dignity and feel that they are well cared for. The staff remain loyal and work well in a cohesive way. approachable and make visitors very welcome. They are all The home continues to have a good track record for training and has ensured that all staff who are caring for those persons with dementia have the skills to do so. The environment is always very clean and tidy and well suited to all the service users needs. What has improved since the last inspection? The whole system for the provision of meals has improved greatly with emphasis on ensuring that the elderly receive well-balanced and nutritious meals. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oakwood House Nursing Home DS0000015667.V328020.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 House Nursing Home DS0000015667.V328020.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No service user moves into the home without being assessed. Service users who are admitted for intermediate care are helped to maximise their independence. EVIDENCE: Case tracking confirmed good practice and the manager or her deputy assesses all prospective service users. Assessment records confirmed that a detailed assessment is carried out to ensure needs can be met. Those service users who were in receipt of intermediate care were found to be accommodation that was suitable for their needs. One daughter and one son and wife remarked that they felt that the home had been most helpful when they had initially enquired about their relative’s prospective admission to the home. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, speaking with relatives and service users on the day of inspection. The variable evaluation and reviews on the care plans means that it is difficult to assess if all care needs are being fully met. EVIDENCE: The inspector examined six care plans; three of those were those service users with dementia. There was adequate information on all care plans and the care prescribed was detailed and related to the resident’s needs. In some cases the care had not been evaluated since early November of last year so it was difficult to assess if the prescribed care was adequate and a requirement is made. It was noted that nutritional and skin integrity assessments had been carried out. Assessments were in place for determining those at risk in relation to manual handling and falls. It was also noted that service users had been involved in the care planning system. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 10 Those service users and relatives spoken with felt that their privacy and dignity was upheld. One relative stated that her husband was always spotlessly clean and treated well and that the carers actually talked with him and knew such a lot about him. Another relative said that she felt that the staff appeared to have the skills and knowledge to look after her relative. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence, observation and discussion with service users staff and relatives. It would appear that on the whole the service users lifestyle in the home matches their expectations. The service users receive a wholesome diet at a time when it is convenient to them. EVIDENCE: The home plans all activities around individual needs especially in the dementia unit; the Inspector noted that there was a lot of one to one activities being carried out in the dementia unit. However one of the activity co-ordinators has left and so the other residents felt that the activity programme had not been so good over the past two weeks. The manager did state that she was interviewing that week in the hope of recruiting a new activity person. One resident stated that she was always asked what she wanted to do but preferred her own company. It was recommended that all activities participated by the residents were entered on a care plan, noting the their involvement. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 12 Menus were examines and were found to be nutritional and well balanced. The menus have changed over the last six weeks and they are geared round an assessment tool used to assess the nutritional needs of the elderly and the chef had just attended a course about this. A ‘nite bite’ system has also been put into place so that any service user who wants something to eat in the night can do so; this is especially made good use of in the dementia unit where the residents often feel hungry in the middle of the night. Menus were examines and were found to be nutritional and well balanced. The menus have changed over the last six weeks and they are geared round an assessment tool used to assess the nutritional needs of the elderly and the chef had just attended a course about this. A ‘nite bite’ system has also been put into place so that any service user who wants something to eat in the night can do so; this is especially made good use of in the dementia unit where the residents often feel hungry in the middle of the night. The staff were found to be very caring and respectful, particularly with the service users on the dementia unit. The residents were being asked if they wished for a drink even if they were not capable of answering. It was noted that the residents on this unit were being encouraged to feed themselves if able. Linen napkins were on the tables and this mealtime seemed very peaceful and dignified. The main meals of the day are produced in the main kitchen and transported to the dementia unit in a heated trolley. Those residents spoken with said that they enjoyed the meals and that they had improved recently. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made after discussion with service users, the management and relatives. Service users and relatives feel they are listened to. EVIDENCE: A long discussion took place with the manager and her deputy in relation to the number of complaints that had been received by the home. They were all to do with basic care and could be seen to relate to how areas of care were managed by one nurse and lack of management of care needs. All complaint records were seen and were responded to in 28 days; records were also kept and examined by the inspector of how every complaint had been dealt with and whether they were substantiated. All service users spoken with and relatives were aware of the complaints procedure and felt if they needed to air their concerns they would feel quite happy to do so. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The unit is suitable for its chosen clients. EVIDENCE: The Inspector found the dementia unit to be very clean and tidy with no obvious offensive odours. The dining room is particularly charming and peaceful and the residents and staff were helping to choose some wallpaper for one of the walls. The unit has its own kitchen facilities for making snacks. The sitting room has a large window with a panoramic view of the enclosed garden that is visited by the residents in this unit when the elements allow. All occupied rooms have little prompt boxes outside that allows residents locate their rooms; these prompt boxes contain memorabilia that are meaningful to the individual residents. Lavatories are within easy access of communal rooms. At the time of the inspection the hairdresser was doing some of the residents hair in the hairdressing room. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, examining records and discussion with staff and management. Training continues to be good. EVIDENCE: Training records were examined and especially those belonging to the staff who are attached to the dementia unit. The staffing of this unit is good and occupancy is being kept down until all the care hours are filled. Extra staff are allocated at meal times so that meals are unhurried and relaxed. All the staff working on this unit have had training in dementia care, they are very enthusiastic and have many ideas about caring for these extremely vulnerable people. A nurse who has a qualification in dementia care has just been appointed to head up the unit. Those staff interviewed said that they had been well supported to develop in their new role on this unit. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, information gained in discussion with staff, relatives and service users. It appears that the home has been managed well and the manager’s absence had not had a detrimental affect. EVIDENCE: Those service users, relatives and staff spoken with felt that whilst the manager had been away there was some disruption, however all stated that they were pleased that the manager was back. It was noted that the deputy and the senior sister had done sterling work in the absence of the manager. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 17 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 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x x x 3 x Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 18 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 OP7 Regulation 15 (2) (b) Requirement The registered person shall ensure that the service user’s plan of care is kept under review. Timescale for action 01/02/07 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 OP12 Good Practice Recommendations It is recommended that for good practice activities are entered on a plan of care. Oakwood House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 House Nursing Home DS0000015667.V328020.R01.S.doc Version 5.2 Page 20 - 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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