Inspection on 13/10/06 for Oban House

This inspection was carried out on 13th October 2006.

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

Oban House 12/10/05

Oban House 27/04/05

Oban House 09/12/04

Oban House 14/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 Oban House 9 - 11 Victoria Drive Bognor Regis West Sussex PO21 2RH Lead Inspector Mr E Mcleod Unannounced Inspection 13th October 2006 09:30 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 Oban House DS0000014649.V303787.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. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 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 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) 01243 863564 01243 860716 Ms Eve Kent Mr Ronald Peter Rook Ms Eve Kent Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 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. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was arranged to update assessments made at the previous inspection. On the day of the visit, the inspector interviewed five residents, two relatives of a resident, four members of staff, and the registered manager. A partial tour of the premises was made, and a lunch sitting and a staff handover meeting were observed. Three sets of pre-admission assessments and care plans were sampled, and one set of staff recruitment records was sampled. A number of policies and procedures were sampled, as were a number of records relating to the health and safety maintenance of the premises. The inspector would like to thank everyone who contributed to the inspection. What the service does well: What has improved since the last inspection? Improvements to the premises since the previous inspection include new fencing, decoration to some communal areas and bedrooms, and the provision of new furniture and carpets in some bedrooms. The laundry room now has a wash hand basin, and this requirement is now assessed as met. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 6 Each resident now has a staff key worker, whose tasks include ensuring that the resident has everything they need. The key worker carries out a monthly review with the resident to ensure their changing needs continue to be met. There is a new staff supervision policy, and all staff now have a contract which sets out what they can expect from supervision meetings. 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 DS0000014649.V303787.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 Oban House DS0000014649.V303787.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, 6 The resident’s needs are being properly assessed prior to admission. The outcomes for residents were seen as good. EVIDENCE: Three sets of pre-admission records were sampled, which indicated that residents’ needs are being assessed before admission, and pre admission visits are being encouraged. The prospective resident’s wishes regarding how they wish their care to be provided are also recorded. Registered manager Ms Eve Kent said that trained staff visit prospective residents in their own home or in hospital previous to admission, and written information on the service provided is given to prospective residents. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 9 The home provides respite stays, but does not provide specialised rehabilitative intermediate care. Fees are £325 – £375 per week. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 Good care plans and care arrangements are in place for residents. Residents’ choice is being encouraged. Good arrangements are in place for the administration of medicines, and for residents to access the health services they are in need of. The outcomes for residents were seen as good. EVIDENCE: Three sets of resident’s care plans were sampled which included risk assessments, an admission questionnaire, resident’s choices, care management plans, longer term outcomes, daily records, and monthly reviews of the care plan. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 11 Residents interviewed who get up early said it was their choice to do so, and one said “I’ve always done it”. Residents’ can choose to take part in activities or not, and encouraged to choose their own clothing. A choice of meals is provided, and how a resident wishes their care to be provided is discussed before the resident is admitted. Residents seen were clean and well dressed. One resident said “I can’t fault it here – they do look after you well”. Ms Kent said that each resident has a key worker, and staff interviewed gave examples of what extra support the key worker might provide for the resident. Ms Kent said “we now focus more on residents’ choice –is the care plan meeting current needs?”. The system for administering medicines was observed – this is done by two staff, and a photograph of resident accompanies the medicines to ensure further safety. The medication record sheet is signed at time of administering. The manufacturer’s information on medicines administered is held in the home. Safe handling of medication training is provided for staff, and Ms Kent advised that all staff have received medication training in some form. Care plans seen indicated that residents are accessing the health services they are in need of. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 12 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, 15 Residents enjoy the food provided. A number of appropriate activities are provided in the home. Relatives feel welcomed when they visit. The outcomes for residents were seen as good. EVIDENCE: The daily menu is displayed in the dining room, and residents have choices for lunch and tea, and alternatives can be provided. The resident’s likes and dislikes and specialist diets (such as vegetarian and diabetic) are recorded in the kitchen diary. The cook said that food is purchased fresh, and cooked usually the same day. Menus seen indicate that a balanced and varied diet is provided. Residents interviewed said they enjoyed the meals. On the day of the inspection, a lunch was observed, where three alternatives to the main course menu were being provided. The lunch was relaxed, and taken in pleasant surroundings. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 13 Residents said trips out to Arundel and Chichester harbour had been arranged during the summer. A music and movement session is arranged once per month, and once per week there is a fitness session. Ms Kent said that residents like going out, and this is encouraged, as well as having one to one chats, skittles, board games and sing songs. Ms Kent said that as part of getting ready for Christmas there would be arts and crafts arranged. Relatives interviewed said they were always welcomed when they visited, and offered tea and coffee. They said they were kept informed about their relative, and that it was “very much a family here”. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 14 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, 18 Arrangements are in place to ensure that the home minimises being directly involved with individual residents’ finances. The adult protection procedure should updated to better guide staff on what action should be taken when an incident takes place, in line with local adult protection procedures. The outcomes for residents were seen as good. EVIDENCE: A complaints procedure is in place. No complaints have been recorded since the previous inspection. Ms Kent said that the home does not manage the finances for any residents, and where the home is making payments for services such as hairdressing and chiropody the bill is sent to the person acting as the resident’s appointee. Ms Kent said she was unable to attend recent training provided on updates to the local procedures in adult protection. A copy of the procedure for responding to suspicion or evidence of abuse or neglect was seen (not signed Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 15 or dated). The procedure does not advise that incidents should be reported to the local social services office, who have the lead role in such matters. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 16 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, 20, 24, 25, 26 The premises are being well maintained, and provide comfortable and homely accommodation. All areas of the home visited were clean, hygienic, and free from odours. For the safety of residents, the store for cleaning materials should be lockable and safe. The outcomes for residents were found to be good. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 17 EVIDENCE: Improvements to the premises since the previous inspection include new fencing, decoration to some communal areas and bedrooms, and the provision of new furniture and carpets in some bedrooms. Ms Kent said that they have been decorating and re-furnishing bedrooms when they become vacant. Residents can bring in their own furniture and possessions if they wish to. A partial tour of the premises was carried out with Ms Kent. It was noted that residents’ care records were stored on an open shelf in the staff office, the staff office doors not being locked. Ms Kent said that to control hot water temperature each hot water outlet has a valve, and monthly hot water temperature checks made. A nurse call system is in place. Bedrooms seen were reasonably decorated and furnished, and all but three bedrooms have en suite toilets. Ms Kent advised that there is a lockable bedroom drawer in each room, and that residents are asked if they would like a lock on their bedroom door. The laundry room now has a hand washbasin, and this requirement is now assessed as met. The ironing room has a separate box for each resident’s clothes. All communal areas visited were found to be homely and well decorated and furnished. There is access for residents into the garden, which is well maintained. All areas visited were clean and hygienic, and free from odours. The premises were found to be being well maintained. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 18 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, 30 The staff team are experienced and receive relevant training and supervision to support them in the work they do. Sufficient staff are employed to meet the needs of the residents accommodated. For the safety of residents, staff need to have the requisite CRB check. The outcomes for residents were seen as good. EVIDENCE: Thirteen care staff and three ancillary staff are employed. Seven staff have the National Vocational Qualification (NVQ) in care at level 2 or above. No staff hold a current first aid certificate, however Ms Kent has advised that the first aid certificates for shift leaders in the home will be updated by January 2007. Future training planned for staff includes food handling and safe handling of medication. All staff have delegated duties are a key worker to individual residents. A new “framework for supervision” is being implemented. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 19 Four members of staff were interviewed. One said the home was “friendly and homely”, and “a nice place to work”. Residents interviewed said they found staff friendly and approachable. One member of staff interviewed said she had seen a lot of improvements in the home – redecoration, and more choice for residents - for example in the meals provided. Supervision records for staff sampled indicated that appropriate supervision is being provided for staff. One set of recruitment records sampled indicated that a new Criminal Records Bureau (CRB) check has not been obtained for a new member of staff. The inspector advised Ms Kent to update herself on current CRB arrangements. On the day of the inspection it was the observation of the inspector that sufficient staff were employed to meet the needs of the residents accommodated. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 20 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, 33, 34, 35, 37, 38 Arrangements are in place to ensure the premises and equipment used are safe. However, for the protection of residents the cleaning materials need be held in a lockable space. The provider is seeking the views of residents and their relatives on the service provided. The home is being well managed. Care records need to be held securely in a lockable facility. All policies and procedures need to be signed and dated for the better guidance of staff. The outcomes for residents were seen as good. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 21 EVIDENCE: Ms Kent has advised the Commission of the most recent service and equipment checks which have taken place. Inspections and servicing records were sampled by the inspector. Ms Kent advised that recommendations and requirements made by the fire and environmental health authorities have now been met. A monthly safety check of the premises is being carried out by staff. Accident records were sampled. The cleaning materials cupboard was found to be not lockable. Residents and staff said they found the home friendly and the managers of the home supportive. Improvements to the service made indicate that the home is being well managed. Ms Kent has advised the Commission of the on-call management arrangements which would make records accessible to the Commission at all times. Some policies and procedures seen, such as the adult protection procedure, were not signed and dated. The inspector observed that some care records which should be considered confidential and held securely were not being held in a lockable facility. The home has a current insurance policy, which was seen to include indemnity insurance. Satisfaction questionnaires were given to residents and their relatives in September 2006, and some completed responses have been received. Ms Kent advised that responses would be collated, considered, and an action plan developed. Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 22 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 2 3 3 X X X 3 x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 2 3 X 2 2 Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 23 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 2 3 4 Standard OP18 OP29 OP37 OP38 Regulation 12.6 19.9 17.1 (b) 23.2 (l) Requirement Adult protection procedures should be updated to reflect current local procedures Required CRB checks must be obtained for all staff The provider must ensure that service user records are held securely in the care home The provider must ensure that cleaning materials are stored safely and securely Timescale for action 22/12/06 22/12/06 22/12/06 22/12/06 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 Refer to Standard OP37 Good Practice Recommendations All policies and procedures should be signed and dated by the registered manager Oban House DS0000014649.V303787.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southampton Hub 4th Floor, Overline House Blechynden Terrace Southampton Hampshire SO15 1GW 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 DS0000014649.V303787.R01.S.doc Version 5.2 Page 25 - 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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