Inspection on 20/04/05 for Oasis House

This inspection was carried out on 20th April 2005.

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

Oasis House 17/09/08

Oasis House 15/04/08

Oasis House 23/10/07

Oasis House 07/07/06

Oasis House 06/12/05

Oasis House 06/01/05

Oasis House 08/07/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 OASIS HOUSE 19 Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ Lead Inspector Penny Bailey Unannounced 20 April 2005 09.00 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 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. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Oasis House Address 19 Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ 01273 279683 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) oasishome@ntlworld.com Sunrise Apartments Limited Mr John Ghazal Care Home 5 Category(ies) of Old Age, not falling within any other category registration, with number (OP) of places OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users must not exceed five (5). 2. The service users will be aged sixty-five (65) years or over on admission. 3. That the home is registered to accommodate a named service user under the age of sixty (60) years on admission with a sensory impairment. 4. Only older people who have been assessed as requiring residential care are to be accommodated. Date of last inspection 6 January 2005 Brief Description of the Service: Oasis House is a small, family-run care home that provides personal care and accommodation for up to five older people. The home is a detached residence, situated in Saltdean, East Sussex. It is opposite a Park that has a bowling green, pitch and putt and tennis courts. Oasis House is a short distance from the local community centre, library and shops, with a bus route to Brighton and other coastal towns nearby. Accommodation is provided in five single rooms on the ground floor. There are two communal bathrooms with a shower. The joint proprietors are resident at the home and provide the bulk of the overall staffing. They also employ a small group of staff. There is a garden area at the front and rear of the property that is accessible to service users. The home has a communal lounge, with recliner style chairs for each resident, and a dining area. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9.00 a.m. and 12.30 p.m., and was one of the two inspections required over the year. The Inspector spoke with all of the four residents currently living at the home, the Manager and catering Manager. A tour of the premises took place and records relating to care and the home’s maintenance were inspected. The inspector would like to thank the residents, staff and owners for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? One requirement was made at the last inspection to provide a radiator guard in the dining area. This has been completed. Requirements and recommendations made during a recent visit by the local Fire Safety Officer have also been completed, including the provision of a fire door to the lounge area and new fire exit signs. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 standard(s) 1, 2, 3, 4, & 5 Information in booklet form that gives a clear picture of the services offered has been produced. This information needs to be given to people preferably before they move in so that they can make a proper choice about where they wish to live. The home must ensure that residents are able to receive visitors at any reasonable time. Prospective residents are assessed before they move in to ensure that the home is able to offer the care needed. EVIDENCE: The home provides detailed information for residents regarding the services offered. This has been provided to all residents, but in one instance the booklet was not provided until after the resident had moved into the home. The Manager, where possible, visits people either at home or in hospital to tell them about Oasis House, and make an assessment to ensure that their care needs can be met. Residents are only accommodated if the home is satisfied that they can meet their needs. Information from the hospital and the Social Worker had been obtained prior to the admission of the most recent residents OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 9 to the home. The needs assessment then forms the basis for each residents plan of care. Prospective residents or their relatives are able to visit the home and talk to people living there before deciding whether they wish to live in Oasis House, and residents are admitted for a month’s trial period to ensure that they are satisfied with the placement. The home also holds a monthly cream tea, to which prospective residents and their families are invited. The home has worked hard to ensure that a resident with specialist needs receives appropriate support, and has arranged for them to visit local day centres to undertake activities on a regular basis throughout the week. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 standard(s) 7, 8 & 10 The home was found to be meeting resident’s health and general needs and was fully aware of what additional support was required. Care-plans provided a good overall picture of each resident’s needs, but the home must ensure that each resident’s medical history is recorded, to ensure that health needs can continue to be fully addressed. EVIDENCE: An individual plan of care is in place for each resident, and residents are invited to attend reviews of their care, along with the Social Worker where appropriate. Residents’ physical needs are closely monitored and the home calls in specialist services when necessary. Residents confirmed that visits from the G.P. were arranged promptly when required. The medical history for one resident was not recorded in their plan of care, although treatment was being provided for medical needs. This could present a risk to health if staff are not made fully aware of each resident’s health care needs. Residents confirmed that they could see friends and other visitors in their rooms and that staff were polite and considerate. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 standard(s) 12, 13, 14 & 15 Flexible routines are part of the daily practice at the home, and residents are supported to continue with the activities they enjoy. The home must ensure that restrictions are not placed on the times that residents may receive visitors, unless this is the clearly recorded choice of the resident. Food served by the home was found to be good in terms of taste variety, and choice. EVIDENCE: The Inspector was pleased to note the efforts made by the home to ascertain residents likes and dislikes, and preferred activities. All residents confirmed that the home provides support to enable them to undertake the activities they enjoy, including arts and crafts, and gardening. Visits to day-centres have also been arranged where required, and residents are supported to attend the church services of their choice. The home’s Service User Guide stated that visitors are able to attend the home between 10 a.m. and 6.00 p.m. The need to enable residents to have visitors at any reasonable time was discussed with the Manager, and he agreed that this policy would be reviewed. Staff demonstrated a good knowledge of residents nutritional needs, and menus showed that balanced and nutritional meals are provided. The chef reported that due to the small number of residents accommodated, personal choices can generally be provided at each meal time, as an alternative to the set menu. Fresh fruit, hot drinks and snacks are provided throughout the day. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 12 All of the residents reported that they enjoyed the meals provided. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 standard(s) 16 The home operates in an open manner and has not had a formal complaint since the last inspection. All residents and visitors are made aware of how to complain or raise concerns, with information provided in the home’s Service User Guide. EVIDENCE: All residents spoken to confirmed the sensitive care they receive from a long established staff team who were observed by the inspector to operate in an appropriately caring and patient manner. The home has a comprehensive complaints policy and contains information about how complaints will be investigated. There is also a form for reporting concerns. A copy of the complaints procedure and forms is available in each resident’s room. There was no record of any complaint made to the home over the last year. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 standard(s) 19, 20, 21, 23, 24, 25 & 26. The home provides pleasant accommodation for residents, and all rooms were noted to be personalised. The home continues to benefit from investment as evidenced in recent works. EVIDENCE: The home was warm, accessible and well-maintained on the day of the inspection. Oasis House has recently been refurbished, with the majority of residents’ rooms redecorated. Where redecoration has been undertaken, residents confirmed that their wishes had been consulted. A good standard of cleanliness was noted throughout the home. All rooms were personalised, and furnished in a homely way. Radiators are provided with guards. All residents’ rooms provide ground floor single accommodation, with a washbasin and mirror. There are two bathrooms with w.c.’s and walk-in showers. There is also a standard bath, but the Manager reported that residents prefer not to use this. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 15 The home meets the individual space requirements for homes existing prior to transfer to the National Care Standards Commission on the 1st April 2002. One room does not meet the size requirements under the current standards, however, the service user who occupies this room declined the offer to have the room extended as part of the recent renovations. There is a communal lounge that contains recliner style chairs for the use of each resident, and a small dining area with a hatchway to the kitchen. There is also a pleasant patio area at the rear of the home, which is accessible to residents. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 28 There continues to be sufficient numbers of staff on duty to meet the needs of resident’s along with the cleaning and cooking tasks, based on guidelines on staffing by the residential care homes forum, and further recruitment of staff is taking place. Staff training is continuing on a regular basis and therefore staff are knowledgeable regarding the conditions and treatment of the needs of the residents within their care. EVIDENCE: The staff team comprises of the Owner/Manager of the home, his wife and one carer. Both Mrs Ghazal, and the member of care staff have recently completed training as first-aiders, and the member of care staff has also commenced the NVQ Level 2 training. The inspector observed that all residents’ needs were being promptly met by the available staffing, with routines unhurried. The home does not employ night staff, but each resident has a call point that is linked to a pager carried by the Manager, who lives on the first floor of the home. The Manager reported that the home is in the process of recruiting further staff, in line with proposals to offer day-care services. The Inspector observed sensitive interactions between staff and residents, which were undertaken in a friendly and relaxed manner. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 37 & 38 There is a friendly atmosphere in the home both for residents and staff. Adequate health and safety measures are in place. The home is run with the emphasis on the safety and well-being of the residents, and was found to be conducted in an open and friendly manner. EVIDENCE: The Manager has owned and run the home for a number of years, and demonstrated an in-depth knowledge of the needs and preferences of each resident. The home has responded promptly to any requirements and recommendations made during routine health and safety visits from CSCI, the Fire Safety Officer and the Environmental Health Department. Residents stated that they are able to speak to the Manager at any time and bring suggestions or concerns to them. OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A 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 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 x 3 x x 3 3 OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 (1) Requirement That service users past medical history is recorded within the plan of care, to ensure that all health needs are addressed and met. Where a service user declines to provide this information, this must be clearly recorded within the plan of care. That service users are able to have visitors at any reasonable time. Timescale for action with immediate effect. 2. 13 16 (2) (m) with immediate effect. 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 Good Practice Recommendations OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 OASIS HOUSE H59-H10 S14218 OasissHouse V221604 200405 stage4.doc Version 1.20 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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