Inspection on 07/07/06 for Oasis House

This inspection was carried out on 7th July 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

Oasis House 17/09/08

Oasis House 15/04/08

Oasis House 23/10/07

Oasis House 06/12/05

Oasis House 20/04/05

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 Paul Taylor Unannounced Inspection 7th July 2006 09:45 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.V298546.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. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 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.V298546.R01.S.doc Version 5.2 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 6th December 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, one with a walk in 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. The cost of rooms is £380 and £400 per week. Information about the home is gained by contacting the proprietors. All service users have access to a booklet about the home and inspection reports can be read by service users who will be shown the report by the proprietors if it is requested. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place at Oasis House on Friday 7th July 2006. The inspection started at 9.45 a.m. and finished at 2.30 p.m. The Inspector met with three service users, the proprietors and one member of staff. Additionally the Inspector had telephone conversations with a District Nurse and a relative of a service user subsequent to the inspection. Five questionnaires were received from service users living in the home and the Inspector also examined a number of records during the inspection. What the service does well: What has improved since the last inspection? The manager has introduced a quality assurance system that ensures that service users and relatives views are sought and recorded. The quality assurance system also ensures that checks of records such as child protection and policies are carried out on a regular basis. Additionally there is an ongoing process whereby members of staff responsible for the administration of medication can have their competence assessed by the pharmacist who provides advice to the home. Oasis House DS0000014218.V298546.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. Oasis House DS0000014218.V298546.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 Oasis House DS0000014218.V298546.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have their need assessed before being admitted to the home thus ensuring that their needs can be met when they move in. EVIDENCE: The Inspector examined two pre admission assessments. The manager had completed one and the other had been completed by a placing local authority social worker. Both assessments were detailed and contained information required by this standard. The manager also gave an example of a recent assessment where he had declined to consider a placement because he felt that the person being referred by a social services department would not have their needs met if they were admitted to the home. The home does not provided intermediate care. Oasis House DS0000014218.V298546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and care needs are known to the members of staff and this ensures that they receive the care they need to stay healthy. The care is administered respectfully and their dignity is also respected. EVIDENCE: The Inspector examined two care plans which had been formulated using information from pre admission assessments. The care plans were thorough and included information on each service users health, personal and social care needs. The care plans had been dated when they had been checked by the proprietor and also included the signatures of the service users, their relatives and social worker (when appropriate) to show that they had been involved in the formulation of the care plan and review. Each service user is registered with a G.P. There was a record of health appointments attended by service users such as dentist, chiropodists and visits from a community nurse and continence nurse. The Inspector examined the record of administration of medication in the home. The records were accurate and reflected what was identified in the care Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 10 plans and doses administered reflected what was in the medication cupboard. One service user told the Inspector ‘They make sure I get my pills on time.’ Medication is kept locked in a locked metal cabinet in a locked room. The Inspector examined a record of medication training that had been provided to the home by the home’s pharmacist. This was in the form of a booklet which had sections for all staff to complete to show that they were au fait with the process. The manager informed that the plan was to complete this training and have it checked by the pharmacist by the end of July 2006. Members of staff were seen to knock on doors before entering rooms. Service users who met with the Inspector confirmed that they are treated with respect and dignity. The Inspector observed a service user being supported by a member of staff; this process was careful, friendly and respectful. Oasis House DS0000014218.V298546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are able to participate in activities both in and out of the home and are able to receive visitors, this ensures that they are not isolated and have the chance to socialise and be stimulated. Food is of good quality and the service users have a healthy diet. EVIDENCE: The home has an activities programme in place. Examples of activities that are provided are art, outings in the proprietor’s car and music for health. The Inspector also saw photographs of social events which had been organised by the proprietors and had taken place in the home. One service user who met with the inspection said that whilst there were activities available ‘It’s my choice if I don’t want to join in.’ The home operates an open door policy to visitors and the service users who spoke with the Inspector confirmed that they receive visitors regularly and meet them in the privacy of their rooms if they wish. One relative of a service user said that they are always made welcome and that the home has kept their relative motivated and occupied. The manager told the Inspector that the home does not get involved in the management of service users finances. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 12 All service users were able to bring personal possessions into the home. One of the four service users in residence had access to an advocate. The others had access to relatives and placing social workers where appropriate. One of the proprietors who works in the home is a trained chef. This member of staff has knowledge of the individual dietary needs and preferences of each service user. Service users said that the food they received in the home was very good and one in particular said that they are always given a choice and a separate meal will be cooked for them if they don’t want the main choice. One service user is registered as blind and the manager explained to the Inspector how her meals are presented in a set manner so that she is aware of what food is positioned on her plate at each mealtime. The Inspector had lunch with two of the service users. This was a sociable and calm event. The small size of the home and the small size of the staff team means that service users needs and idiosyncrasies are known and can be catered for. The model that the home operates on is to provide a family atmosphere and to avoid the feel of institutional care. Oasis House DS0000014218.V298546.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s adult protection and complaints policies and processes keep the service users safe. EVIDENCE: The Inspector examined the home’s complaints process and policy. There have been no complaints made by service users since the last inspection. All the service users who met with the Inspector knew how to complain and to whom they could complain. The Inspector examined the home’s adult protection procedure. This was a comprehensive document and had been prepared by the local authority. The manager has not attended recent adult protection training recently and so the Inspector has made a requirement that he attends adult protection training by the end of the year. Each service user has a protection procedure and process displayed on the wall of their room so that service users are made aware of what constitutes abuse. Oasis House DS0000014218.V298546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained and the service users live in a pleasant and hygienic environment. EVIDENCE: The Inspector toured the premises with the manager. The home was clean, tidy and well maintained and there were no issues of outstanding maintenance that needed attention. Service users and the visitor that spoke with the Inspector said that the home is always clean and smells pleasant. The laundry is set in an outhouse separate from the main building. Storage and disposal of clinical waste such as continence pads is in a bin specifically designed for the purpose so that hygiene is maintained and odours do not permeate into the home. The Inspector spoke with a District Nurse who commented that the home is always clean and free from odours when she visits. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 15 The manager showed the Inspector records of how water temperatures are monitored and how often shower heads are cleaned to prevent the spread of legionella. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 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 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are kept safe by a staff team who are appropriately checked before commencing employment and who receive induction and training to ensure they are competent in their jobs. EVIDENCE: The Inspector examined the recruitment file of one member of staff. This file contained all the information required by regulation, however one of the references provided by a previous employer had very little information. This was not due to any neglect on the part of the manager but was down to a poor response by the member of staff’s previous employer. The Inspector recommends that a more detailed reference is gained for this employee. The proprietors provide most of the care to the service users, they live on site and this enables them to maintain the ethos of operating Oasis House as a small and family orientated home in a relaxed and caring atmosphere. The proprietors are available to provide assistance to service users at night and can be called via a ‘call bell’ system. The two members of staff who work in the home have been enrolled in the N.V.Q. Level Two in Care as from September 2006. The Inspector examined a written record of a member of staff’s induction. This process is based on the TOPSS induction package which is operated in the home. The home also has an appraisal process to be completed on an annual Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 17 basis for each member of staff. The staff record that the Inspector examined also included a written contract and terms of employment. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 18 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): 31,32,33,35,and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed effectively by a manager who is experienced and committed to providing a homely, comfortable and welcoming environment. EVIDENCE: The manager has worked in a number of settings in the care industry for 21 years. He has worked at Oasis House for 10 years. The manager has a management qualification and is due to start N.V.Q. Level Four in Care in September 2006. The quality assurance system operated in the home is based on seeking the views of service users and relatives as well as monitoring the day-to-day records such as care plans and safety checks. The Inspector examined two completed surveys completed by a service user and a relative. Both were positive about the care and atmosphere experienced in the home. Additionally Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 19 the home has a comments book made available to visitors although this has not been filled in recently. The quality assurance system was being reviewed at the time of the inspection as there were examples of records being checked twice when once would have done this adequately. The quality assurance system has been developed following a requirement made at the last inspection carried out in December 2006. As mentioned earlier in this report, the home does not involve itself in the management of service users finances. The Inspector examined a number of safety records such as fire equipment checks, fire drills and water temperature monitoring. There was a also a recent gas safety certificate in place. The home has a number of policies and procedures in place and the manager reported that these had been reviewed prior to the inspection. Policies examined included adult protection, moving and handling and health and safety. The inspector recommends that when records are reviewed that they are signed and dated to evidence that they have been checked. The proprietors are committed to providing a small home where service users can be part of a family atmosphere and where service users are able to live in a non-institutional environment and where their individual needs are known and respected. The member of staff who met with the Inspector spoke of the proprietors being approachable and supportive, service users who met with the Inspector said ‘I love it here’ and ‘If I want anything they get it for me.’ Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 3 X 3 X X 3 Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 21 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 OP18 Regulation 13 (6) Requirement That the manager attends training in adult protection. Timescale for action 31/12/06 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 2 Refer to Standard OP29 OP33 Good Practice Recommendations That a more thorough reference is gained for the member of staff whose recruitment file the Inspector examined. That records are endorsed when they have been checked by the manager. Oasis House DS0000014218.V298546.R01.S.doc Version 5.2 Page 22 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 © 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 DS0000014218.V298546.R01.S.doc Version 5.2 Page 23 - 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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