Inspection on 12/05/05 for Oban House (42-46)

This inspection was carried out on 12th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oban House (42-46) 03/10/07

Oban House (42-46) 24/11/06

Oban House (42-46) 07/12/05

Oban House (42-46) 08/12/04

Oban House (42-46) 21/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oban House 42-46 Bramley Hill South Croydon Surrey CR2 6NS Lead Inspector Michael Williams Unannounced 12th May 2005 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 G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oban House Address 42-46 Bramley hill, South Croydon, Surrey, CR2 6NS 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) 020 8649 8866 020 8649 8811 Apta Healthcare (UK) Ltd Mr Thomas Ndebele Care Home 61 Category(ies) of Old Age, not falling within any other category registration, with number (61), Physical disability (10) of places Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13/12/04 Brief Description of the Service: Oban House trades as APTA Healthcare UK Limited, a subsidiary of Ashbourne Healthcare Ltd. It is a purpose built home for older people who require nursing care and was first opened in 1997. The home admits service users both privately funded and through placement agreements with the local authorities. The home is arranged over three floors. Each room has an en-suite shower and there are toilets and bathrooms located on each floor. Each floor also has its own communal living room, kitchenette and dining room. There is a main kitchen in the basement of the building and a laundry service is provided for the Service users. The manager confirmed that there have been no substantive changes since the previous inspection in 2004. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under the direction of the manager this home is now achieving consistently good standards in all areas including the care of service users; catering; the maintenance of the environment and the recruitment, training and support of staff. It is in summary a well managed service. What the service does well: 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 G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 6 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 G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 7 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) 3 Assessments are in place for each service user and these form the basis of the initial care plan and risk assessment. This ensures the care, including health care, needs of the service user is made clear from the outset. EVIDENCE: The home uses a standardised format for the service users’ case files and these contain detailed documentation including assessments as required by this standard. The management of the home is geared to meeting the service users’ care needs including the accommodation, the catering arrangements and the range of staff. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 8 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, 9, 10. Individual plans of care plans are in place for all service users and regularly updated. Medication policies, procedures and administration practices ensure the safety of service users. Service users care treated with respect and their dignity maintained at all times. EVIDENCE: The care plans for each service user includes details of clinical, health needs and treatment plans. The case files indicate that health care needs are monitored and appropriate intervention provided either by the on-site nursing staff or by involving professional agencies such as the General Practitioner or hospital staff specialists. During the course if the inspection no service users were identified as self-medicating but nursing staff will support them if they wish to do so. Provision is made to ensure all service users’ rights to privacy is respected. Service users are being treated with respect by staff. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 9 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. Service users appreciate the comfort and lifestyle provided in this care home. They maintained contact with their families and are given every opportunity to exercise choice and control commensurate with their health and abilities. Service users were unstinting in their appreciation of the meals provided. EVIDENCE: A full programme of activities is provided and the provision of this programme in each of the service users’ bedrooms is commended; the service appreciated this. Whilst many service mourned the loss of their independence and their own homes they nevertheless accepted that the care provided in Oban House was most agreeable to them. Relatives were on site and confirm that they are welcomed into the home and visit when they wish. This is a nursing home so service users are somewhat dependent and vulnerable so the exercise of choice and control of their daily lives is inevitably restricted but within those constraints the home offers a typical range of choices such as choice of meals, of activities, the time they rise and retire to bed, where and with whom they sit each day. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 10 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, 18. Effective policies and procedures are in place to deal with complaints. Service users and their representatives are confident that their complaint or compliment will be listened too and responded to in a timely manner. Staff training and the home’s policy and procedures for the protect the vulnerable adults ensures the safety of service users. EVIDENCE: A record of complaints is in place and shows that since the last inspection one complaint has been dealt with by the home and two outstanding complaints have also been dealt with; one was left unresolved by the local authority dealing with the complaint and the other was unsubstantiated. No complaints arose during the course of the inspection. In contrast several complimentary notes were sent to the home by appreciative relatives. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 11 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, 26 Service users live in a safe, clean, warm and well-maintained and comfortable environment. This is a purpose built care home and is subject to ongoing refurbishment. EVIDENCE: Communal areas are pleasantly decorated and individual rooms are spacious and each bedroom has a shower and a range of suitable bedroom furniture and fittings. Minor damage noted in some areas such as damage to walls where chairs strike the wall or where a radiator discoloured the wall. In most areas the use of wallpaper and tasteful colour schemes make this a large but homely environment. The home was clean and tidy and free of unpleasant odour. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 12 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, 29 Staff levels and skill mix are sufficient to meet the assessed needs of service users. There are robust recruitment procedures that ensures the safety and well being of service users. EVIDENCE: For 58 service users there were 3 Nurses plus 10 carers plus the manager who is also a nurse; in addition there are numerous ancillary staff including catering, cleaning and maintenance staff. Whilst staffing levels are within the levels advised by the previous regulatory authority (Health Authority) the home has increased staffing levels to ensure service users’ needs can be fully met. A Deputy is also to be employed. A sample of Police checks was examined to ensure compliance with good practice and the relevant legal requirements in respect of the recruitment of staff. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 13 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) 33, 35, 38 This well managed care home ensures the health, welfare and safety of service users is paramount. No health and safety hazards were identified. EVIDENCE: A series of excellent inspection reports indicate the skill with which this home is run. The manager is clear about his key objective, that is, to run the home in such a manner as to ensure the health and well being of the service users. The service users attest to the quality of the services including personal care, catering and the comfort of the setting. Money records are in place and an audit of a sample of these records indicate they are well organised to protect the service users from financial abuse. No hazards were identified. Fire safety checks are in place; chemical hazards are well managed; manual handling is carefully monitored; procedures for infection control are in place. Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 14 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 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Oban G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 15 yes 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 Regulation Requirement Timescale for action 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 G53-G53 S19035 obanhouse V193519 100505 stage 0.doc Version 1.30 Page 16 Commission for Social Care Inspection CSCI 8th Floor Grosvenor House 125 High Street, Croydon CR0 9XP 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. 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