Inspection on 07/12/05 for Oban House (42-46)

This inspection was carried out on 7th December 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 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 (42-46) 03/10/07

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

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

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) Oban House 42-46 Bramley Hill South Croydon Surrey CR2 6NS Lead Inspector Michael Williams Unannounced Inspection 7th December 2005 11 am 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 (42-46) DS0000019035.V269927.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. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oban House (42-46) Address Oban House 42-46 Bramley Hill South Croydon Surrey CR2 6NS 020 8649 8866 020 8649 8811 oban.house@ashbourne.co.uk 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) 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) of places Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Oban House traded as APTA Healthcare UK Limited, a subsidiary of Ashbourne Healthcare Ltd., but is now owned and managed by Southern Cross, a large company with homes across the country. 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 May 2005. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based upon an unannounced inspection carried out at midday in December 2005. The lead inspector was accompanied by a second inspector and the manager was present during the inspection to discuss those matters requiring attention. Several service users and relatives contributed their opinion about the 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 House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 the following standard(s): 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: Key standard 3, the only one that applies in this home, was not re-assessed on this occasion having been previously assessed as met and a brief examination of a sample of case files indicated key standard 3 continues to be met. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 the following standard(s): 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 key standards in this section were not assessed on this occasion having been previously assessed as met. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 the following standard(s): 12 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: All key standards were assessed as met at the time of the previous inspection and there was no evidence that they are not still being met. During the examination of a sample of case files the very detailed care plans and multiple assessments were noted; they were clearly laid out and easy to follow and made clear the specific health care needs of each service user. The life-story notes were particularly note-worthy as they make known to staff the background and personal history as described by the residents themselves. We have suggested a checklist of the service users’ wishes and preferences be added as part of the life-story notes - this will help to guide the activity coordinator in providing opportunities tailored to services users’ specific expectations of the home. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 the following standard(s): 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 policies and procedures for the protection of vulnerable adults ensures the safety of service users. EVIDENCE: Because these key standards were fully met on the previous visit they were not re-assessed in any great detail on this occasion other than to confirm they remain met. The record of complaints was in place and two are recorded as having been dealt with since the last inspection. Documentation was in place to demonstrate that a thorough complaints procedure is in place and executed by the manager. The manager and staff are also clear about the procedures to be followed if abuse is suspected. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 the following standard(s): 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: The key standards in this section were not re-assessed on this occasion having been identified as met earlier in the year. During a tour of the building it was noted that it remains in a good sate of décor and maintenance. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 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 home has adequate numbers of staff and the staff recruitment procedures, induction, training, support and a supervision regime is in place so this will ensure they are competent in their jobs ensuring service users are in safe hands at all times. EVIDENCE: During the previous inspection there were adequate numbers of staff shown on the staff duty roster that is, for 61 service users there were to be 3 Nurses and 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 sample of police checks (CRB) was examined to ensure compliance with good practice and the relevant legal requirements in respect of the recruitment of staff. The manager and staff confirmed that induction and ongoing training is in place, including standard courses such as first aid, moving & handling, health & safety and so forth as well as courses related to the health and social care needs of service users. One issue of concern arose during the course of this inspection; two staff were absent for part of the shift and had not been replaced at the beginning of the inspection; this included the manager and a member of the care staff team. A requirement is made to ensure that if the manager is absent then the person in charge must be supernumerary to the nursing or care staff team. Similarly if a nurse/carer is absent then they must be replaced to ensure staffing levels are maintained at all times. Both the manager and extra Nurse arrived within two hours to correct staffing levels. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 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 This well managed care home ensures the health, welfare and safety of service users is paramount. No health and safety hazards were identified. EVIDENCE: The key standards were assessed as met in the previous inspection and no matters requiring attention under these headings were identified during this inspection. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 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 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 15 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 Standard OP27 Regulation 18(1)(a Requirement Staffing levels: The registered person must ensure that at all times there are adequate numbers of staff for the health and welfare of service users. Timescale for action 30/12/05 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 OP12 Good Practice Recommendations Expectations of service users; It is recommended that, in addition to the life-story notes, a ‘wishes and preferences’ list is complied for service user. Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 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. Extracts may not be used or reproduced without the express permission of CSCI Oban House (42-46) DS0000019035.V269927.R01.S.doc Version 5.0 Page 17 - 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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