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Inspection on 12/10/05 for Oban House

Also see our care home review for Oban House for more information

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the residents who were spoken to on the day of inspection spoke very highly of the Manager, the Deputy Manager, all members of staff, and Mr. Rook. They said they liked their bedrooms and the food, and enjoyed taking part in the activities that the home provides. The building is maintained safely, and all the records required by the Inspector on the day of inspection were found to be in order. The Deputy Manager told the Inspector that Oban House does not use agency workers, ensuring that the residents always know their carers. Everyone that the Inspector spoke to, whether resident or staff member, said what a nice home Oban House is to live and work in.

What has improved since the last inspection?

At the previous inspection residents told the Inspector that they would welcome more outings, and it was seen at this inspection that there have been three outings laid on since then, which, residents told the Inspector, they had enjoyed immensely.

What the care home could do better:

All the residents spoken to on the day of inspection said that they could think of nothing that Oban House could do better. A sink is required to be installed in the laundry.

CARE HOMES FOR OLDER PEOPLE Oban House 9-11 Victoria Drive Bognor Regis West Sussex PO21 2RH Lead Inspector Jennifer Wright Announced 12 October 2005, 9:00 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. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oban House Address 9-11 Victoria Drive, Bognor Regis, West Sussex, PO21 2RH 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) 01243 863564 Ms Eva Kent Mr Ronald Peter Rook Ms Eve Kent Care Home (CRH) only (PC) 30 Category(ies) of Old age, not falling within any other category registration, with number (OP) ,(30) of places Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27 April 2005 Brief Description of the Service: Oban House is a care home registered to accommodate up to 30 residents (2 of whom may be day care) in the category of older adults. Oban House is a large property consisting of two separate detached houses being linked in the middle to form one establishment. Oban House is situated near the sea and local shops, in the coastal town of Bognor Regis. The service is privately owned by Ms. Eve Kent and Mr R. Rook, and the registered Manager is Ms. Eve Kent. Both Mr. Rook and Ms. Kent have successfully undertaken a Criminal Record Bureau check. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was unannounced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a fuller picture of the home. Mrs. Leverett, the Deputy Manager very ably assisted the Inspector throughout the inspection. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Oban House were being taken care of. The inspector shared a meal with the residents and spoke to several of them about how they liked living at Oban House. Everyone spoken to was very positive in their response, and said that the Manager and the staff members were “really helpful” and that they “couldn’t ask for more”. Prior to this inspection, residents, their relatives and visitors to the home, were offered the opportunity to complete a short questionnaire where they could make their views on Oban House known to the Commission for Social Care Inspection. Twenty three people responded, the vast majority stating that they were really satisfied with the care provided by the home. At this inspection Oban House was audited against the National Minimum Standards for Older Persons. The vast majority of the elements in each of the standards assessed were met. A requirement was made in an earlier report for a wash hand basin to be installed in the laundry. It was noted at this inspection that this requirement is still outstanding although the Inspector was assured that this matter would be dealt with as part of the home’s maintenance programme. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: All the residents who were spoken to on the day of inspection spoke very highly of the Manager, the Deputy Manager, all members of staff, and Mr. Rook. They said they liked their bedrooms and the food, and enjoyed taking part in the activities that the home provides. The building is maintained Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 6 safely, and all the records required by the Inspector on the day of inspection were found to be in order. The Deputy Manager told the Inspector that Oban House does not use agency workers, ensuring that the residents always know their carers. Everyone that the Inspector spoke to, whether resident or staff member, said what a nice home Oban House is to live and work in. What has improved since the last inspection? 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. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 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 Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 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) 2 and 4 Each resident has a written contract/statement of terms of conditions with the home. Residents and their representatives know that the home they enter will meet their needs. EVIDENCE: The Inspector saw that the terms and conditions of Oban House, for both private and funded residents, contained all the requirements of the National Minimum Standards. Prior to coming to live at Oban House, prospective residents are assessed by a senior member of staff as to their suitability to fit into the home, and they know that the home will be able to meet their various needs. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 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 standard(s) None of these standards were assessed at this inspection, however they were all met at the previous inspection. EVIDENCE: Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 10 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) 15 Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: On the day of the inspection, the Inspector sat in a light airy dining room and shared a meal with the residents, one of whom told the Inspector that the food was “just like home cooking, lots of choice, and plenty of it ”. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 11 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 Residents and their relatives or representatives are confident that their complaints will be listened to and taken seriously. EVIDENCE: Oban House has a complaint’s procedure that is made available to everyone. There were no complaints recorded at the time of the inspection. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 12 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 and 21 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities, and have sufficient and suitable lavatories and washing facilities. EVIDENCE: There is no sink in the laundry, and a requirement is made in this report for this matter to be addressed. The Inspector was assured that alcohol wipes would be provided for staff members to use, in the interim. Residents spoken with told the Inspector that they were very happy with their rooms, and one particularly liked the new walk-in bath. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 13 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) 28 Residents are in safe hands at all times. EVIDENCE: The Deputy Manager informed the Inspector that all staff members had received induction training together with fire safety, manual handling and infection control. In addition the Inspector was told that all staff members who administer medication, have been trained to do so. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 14 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) 34, 36 and 37 Residents are safeguarded by the accounting and financial procedures of the home, as are their rights and best interests, by the home’s record keeping and policies and procedures. EVIDENCE: The inspector saw that insurance cover is in place, and there is a business and financial plan for the home, which would be available upon request. Policies and procedures were seen to be in place, and the records seen were kept up to date, and secure. It was seen that all staff members receive supervision on a regular basis. Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 15 Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 x 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 4 x x x x x 3 x 3 3 x Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 17 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 19 Regulation 23 Requirement That a sink be installed in the laundry room to enable staff members to wash their hands Timescale for action 31.01.06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 Oban House H60-H11 S14649 Oban House V247060 121005 Stage 4.doc Version 1.40 Page 19 - 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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