CARE HOMES FOR OLDER PEOPLE
Oasis House 19, Arundel Drive West Saltdean Brighton East Sussex BN2 8SJ Lead Inspector
Glynis McLeod Unannounced Inspection 6th December 2005 10:50 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 Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 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. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 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 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) oasishome@ntlworld.com Sunrise Apartments Limited Mr John Mark Ghazal Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (5) of places Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. The maximum number of service users must not exceed 5 The service users will be aged 65 or over on admission That the home is registered to accommodate a named service user under the age of sixty- (60) years on admission with a sensory impairment. Only older people who have been assessed as requiring residential care are to be accommodated 20th April 2005 Date of last inspection 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 DS0000014218.V256746.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours and was one of two inspections required over the year. The inspector spoke with four of the residents, the manager, who is also the owner, and his wife, who is joint owner. A tour of the premises took place and records relating to care, staffing, and medication were inspected. The inspector would like to thank the residents and owners for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better:
The home needs to arrange medication and adult protection training updates so that staff are clear about current policies and procedures. The adult protection and whistleblowing policies also need to be updated with information on how to contact the social services department and the Commission for Social Care Inspection, so that staff have clear guidelines and there is no delay in bringing problems to the attention of the proper agency. The home also needs to look at how it monitors and assesses the service it provides to residents so it can continue to develop. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 6 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. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 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 Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 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): The key standards were inspected at the last inspection. No other standards were inspected at this inspection. EVIDENCE: Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 Care-plans provide a good overall picture of each resident’s needs and now also include information about people’s medical history to ensure that health needs can continue to be fully addressed. Medication policies and procedures are in place but staff must have medication training from a pharmacist in order that they are up-to-date with current good practice. EVIDENCE: Following on from a requirement made at the last inspection, the home now records information about each resident’s past medical history. Medication policies and procedures are all in place and the home has good links with the local pharmacy. However, it was found that in one case there was some confusion over the medication blister packs due to a resident having had their medication recently increased. Whilst this was an isolated incident, the home must ensure that records are kept accurately for resident’s safety. It was also found that staff had not had any recent medication training and a
Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 10 requirement was made that training must be provided for all staff who are responsible for administering medication. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Visitors are made welcome in the home and are able to see their friend or relative in private. EVIDENCE: Following on from a requirement made at the previous inspection, the home now has open visiting times and residents can meet their friends and relatives in private at their convenience. The service user guide and statement of purpose have been updated to reflect the new policy. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 12 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): 18 The home has adult protection policies and procedures but these do not reflect the current multi-agency guidelines for the protection of vulnerable adults in Brighton and Hove. Residents’ safety could be compromised through delay if the home is not aware of whom to contact in the case of suspected abuse. EVIDENCE: The owner had made significant efforts to produce an adult protection policy but, whilst the sections regarding the definition and symptoms of abuse were good, the guidelines given to staff as to what they should do and who they should contact in cases of suspected abuse were not up-to-date and did not reflect the current county-wide policy on adult protection. A requirement was made that the manager must attend local adult protection training and that adult protection polices, including the whistleblowing policy, are updated. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 13 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): The key standards were inspected at the last inspection. No other standards were inspected at this inspection. EVIDENCE: Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 14 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): 29 and 30 The home employs sufficient numbers of trained and experienced staff to ensure that residents’ needs are properly met. In order to protect residents, the home carries out the necessary checks on staff before they begin working at the home. EVIDENCE: The owners provide the bulk of the care in the home with the help of a parttime carer. Records showed that the home had carried out the proper checks to make sure that the worker was experienced and capable of managing her duties. All the necessary documentation was in place and the worker had received a statement of terms and conditions of work. All new staff undertake a 12-week induction training and shadow the owners until they are assessed as being competent to work alone. Recent training in the home has included food hygiene and first aid. The manager is in the process of registering for his NVQ4 in care. He already has a management qualification. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 15 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): 33 and 35 The home does not have a formal system in place to regularly monitor and review the service it is providing to ensure that it is run in the best interests of the residents and to help it develop. The home ensures that residents’ finances are properly safeguarded by its policies and procedures. EVIDENCE: The owners do ask residents and relatives informally for their feedback about how the home is run, but there is no robust quality assurance and monitoring system to ensure that the home can review and develop its service. The inspector discussed with the manager how a system could be set up to include residents’ views about the service. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 16 Residents in the home look after their own money with the help of relatives if required. There is safe storage for money and valuables and a cashbook, which records residents’ transactions, was found to be up-to-date and accurate. Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x 2 x x 3 x x x Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 18 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. 1 2 Standard OP9 OP18 Regulation 13(2) 13(6) Requirement Training must be provided for all staff who administer medication. The manager must attend adult protection training and adult protection policies and procedures must be updated. The home must produce an effective quality assurance and monitoring system. Timescale for action 31/03/06 31/03/06 3 OP33 24(1) 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. Refer to Standard Good Practice Recommendations Oasis House DS0000014218.V256746.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office 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
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