Inspection on 24/05/05 for Ocknell Park

This inspection was carried out on 24th 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 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

Ocknell Park 17/07/07

Ocknell Park 10/05/06

Ocknell Park 07/02/06

Ocknell Park 21/02/05

Ocknell Park 18/10/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Ocknell Park Stoney Cross Lyndhurst Hampshire SO43 7GN Lead Inspector Martin Bayne Unannounced 24/5/2005 10:00am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ocknell Park Address Stoney Cross, Lyndhurst, Hampshire, S043 7GN 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) 02380 811287 02380 814083 Truecare Group Limited Mr D Bennett CRH 11 Category(ies) of LD- Learning Disability: 11 registration, with number MD- Mental Disorder: 11 of places Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- Service users may be accommodated between the ages 20 and 60 years. Date of last inspection 21/2/2005 Brief Description of the Service: Ocknell Park is a large detached house set in its own grounds in the heart of the New Forest. The home has one lounge and one lounge/dining area and a large conservatory that leads to a patio area with fishpond. The eleven residents each have their own bedrooms and these are located on both floors of the home. The home has large well-maintained gardens. Within the grounds there is also a day service that the residents and other residents accommodated in other homes belonging to the group can attend. The aim of the home is to provide accommodation and support for people with complex and challenging behaviour who have either a learning disability or a learning disability with associated mental health problems. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the inspector’s first visit to the home. A tour of the buildings and the grounds was made together with an introduction to the staff team and the residents of the home. The aims and objectives of the home were discussed with reference to the particular needs of two residents. Their care plans and personal files were used to track standards relating to their personal care and support. The overall staffing structure, general training and responsibilities of the staff were discussed, in the context of the needs of the residents. The six requirements made at the last inspection were followed up, three now being met. The other three requirements, which related to the building, had not yet been met however plans to meet these were in place and they remain in force. A further three requirements were made, one in respect of the bathroom on the first floor and another in respect of staff recruitment records and one concerning trained staff. The need of the staff to restrain residents on occasion and the policy and staff training in this field was discussed and a recommendation made to review the forms used, together with the guidance given to staff on how to complete the forms. What the service does well: What has improved since the last inspection? Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 6 Since the last inspection the home has reviewed systems for the safety of the staff following a serious incident and the areas of the grounds covered by the alarm call system have been mapped and lines of sight from the house have been improved. New furniture has been bought for the lounge area and building work has been completed to rectify damp problems in the extension on the ground floor where the staff office is located. 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. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The manager of the home has taken steps to set up systems to minimise the use of restraint of residents, however better monitoring systems could be devised in order to meet residents’ needs. EVIDENCE: A requirement was made at the last inspection for the home to analyse and monitor incidents when restraint is used. The manager reported that for each resident, incidents that have resulted in restraint having to be used have been examined and triggers identified. This has then been linked back to the care planning system to try and reduce incidents of restraint. The manager also reported that he was working on a recording system that would collate and analyse the use of restraint in the home. The recording of complaints and regulation 37 notices were discussed and it was agreed that the forms would be revised to detail the actual form of restraint used and the reasons why restraint had had to be used. It was also agreed that the staff would be given guidance on how to record on the forms. The residents who spoke with the inspector said that in general they were happy and that the home compared favourably to other places where they had lived. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 9 From the sample of two care plans viewed there was evidence that the staff addressed medical, social and emotional needs of the residents. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 The home maintains a difficult balance between promoting independence and supporting residents’ wishes whilst having at times to limit the rights of the residents. EVIDENCE: A sample of two care plans showed that all required information was detailed and that plans had been developed with the residents documenting their wishes and goals. Risk assessments had been carried out and both these and the care plans were being reviewed each month, to ensure they are kept up to date. Restrictions on personal freedoms were found to documented in the care plans. In discussion it was reported that care managers and community health teams are involved in devising care plans for residents particularly where their rights have been limited. It was agreed that where there were curtailments of freedoms, care managers and health teams should also be invited to sign the care plans. Residents were found to have access to advocacy services. Residents are encouraged to take part in the running of the home where they are able. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15 & 17 Residents are supported in choosing activities, leisure and educational interests based on their individual needs. EVIDENCE: From speaking with residents and from reading their care plans there was evidence that individual programmes are developed to each person’s needs, linked to their hobbies and pastimes. The home is in a rural location and the staff have the use of home owned cars for transporting residents. Activities are arranged so that residents can access the community and risk assessments are carried out to ensure that community access is managed safely. Some of the residents attend local colleges and some attend the day services on site if this is more suitable to their needs. A notice in the home details visiting arrangements. One of the residents spoken with said that visits from their relatives were supported at the home. Four of the residents have been assessed as requiring one to one staffing and it was observed that this is carried out in practice. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 12 At lunchtime, residents were able to choose from a range of sandwich fillings. A food satisfaction survey was also being carried out to ensure that the residents are involved in menu planning. One of the residents spoken with said that the food was of a good standard. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 &19 Health needs of residents are supported through involvement of specialist health services. EVIDENCE: The home operates a keyworker system and staff work in partnership with care managers in supporting the needs of the residents. There was evidence that specialist health services were accessed when appropriate and that the home works as part of a multi-disciplinary team. As mentioned above it was agreed that the team as a whole should sign the care plans where it has been agreed that limitations on personal freedoms have been put in place and for what duration. The systems for the administration of medication were not inspected on this occasion. From the care plans it was evident that residents are registered with a GP and that other health needs such as dentistry and eye care were being attended to. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected on this occasion EVIDENCE: Not inspected on this occasion. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Some redecoration and refurbishment of the building has been undertaken, however more work is needed to provide a valuing environment for the residents. EVIDENCE: The damp area, which had been responsible for causing odours and problems affecting the staff office and a resident’s bedroom has been fixed. The lounge has been redecorated and new furniture bought. It was reported that the floor in the conservatory was to be replaced as required and new furniture bought for this area. The downstairs bathroom has been refurbished. However, despite these improvements there are other areas that still need to be addressed. The requirement for individually controlled and covered radiators has yet to be met. Currently, should a resident turn off their radiator in their room this affects all the other radiators further down the system. It was noted that the curtains in the lounge/dining area, where new furniture has been provided are torn and need replacing. A strong ammonia type of odour is present in the upstairs bathroom and adjacent WC, and there is a stain on the ceiling underneath in the kitchen area. This requires attention and fixing. It is also recommended that fly screens are fitted to kitchen windows. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 16 Residents have their own bedrooms and there was evidence that they are able to personalise their rooms. The range of the staff personal alarms has been mapped against the garden following a serious incident in which a staff member was assaulted. Areas of the garden have also been cleared to improve the lines of sight from the main building. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 Staff are provided in sufficient numbers to meet needs of residents, however residents would benefit from more trained members of staff to underpin the expertise of the team as a whole. EVIDENCE: It was reported that the home employs nine members of staff to be on duty at any one time. On the day of inspection there were four residents requiring one to one care, leaving five staff to meet the needs of the other six residents. It was reported that there was always a team leader on duty with access to on call managers. The organisation employs a night staff team with four staff on duty during the night hours. The organisation has its own training officer who provides or accesses training for the staff. The staff in general receive a good level of training. The registered manager is now however the only trained member of the staff team. In discussion it was found that in the past two members of staff with RNMH qualifications have also been employed at the home. It is a requirement that the home review the level of qualifications amongst the staff team to ensure that the residents’ needs are being met by appropriately skilled and trained staff. The home accommodates residents with some of the most complex needs within the southern counties. The care team as a whole needs to be underpinned with trained and experienced members of staff. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 18 The recruitment records for two members of staff were viewed and these did not contain all of the required documentation. A requirement was made that all the required records be kept within the home. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected on this occasion. EVIDENCE: Not inspected on this occasion. Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 2 x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ocknell Park Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 21 yes No. 1, 2 & 3 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 24 24 24 32 Regulation 23 (2) (d) 23 (2) (p) 23 (2) (p) 18 (1) (a) Requirement The conservatory floor must be replaced and new furniture purchased Risk assessments of the radiators must be undertaken and covered if necessary Service users radiators must be thermostatically controlled The home must review the levels of qualified staff within the staff team to ensure that they can meet the needs of the residents. The home must ensure that the required records are maintained in the home. The home must investigate the cause of the odour emanating from the upstairs bathroom and WC. Timescale for action 17-6-05 1-9-05 1-9-05 1-9-05 5. 6. 32 24 Schedule 2 23 (2) (b) 1-7-05 1-9-05 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 Good Practice Recommendations Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 22 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 Ocknell Park H54 S55846 Ocknell Park V228052 240505.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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