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Inspection on 11/08/09 for Oldfield Residential Home

Also see our care home review for Oldfield Residential Home for more information

This inspection was carried out on 11th August 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

Annual service review Name of Service: Oldfield Residential Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Becky Harrison Date of this annual service review: 0 1 0 7 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Derrington Road Ditton Priors Bridgnorth Shropshire WV16 6SQ 01746712286 01746712411 oldfield@oldfieldcare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia learning disability old age, not falling within any other category Conditions of registration: Mr Simon James Badland Number of places (if applicable): Under 65 Over 65 15 1 0 0 0 29 The maximum number of service users who can be accommodated is 45. The registered person may provide the following categories of service only : Care home only Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places 45) Dementia - Code DE (maximum number of places15) Learning Disability - Code LD (maximum number of places 1) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Oldfield Residential Home is a care home for older people, registered to provide accommodation and personal care for up to 45 people. The home is situated on the Annual Service Review Page 2 of 8 edge of the small Shropshire Village of Ditton Priors, which is in is in a rural location therefore there is limited access to it by public transport. The property is a purpose built single storey building, and offers both single and double bedroom accommodation, some rooms provide ensuite facilities. The home has been extended in order to upgrade the living accommodation offered to its residents. The grounds are well-maintained with shrubs, mature trees, flower borders, lawns and woodland walks. The home makes its services known to prospective residents in the Statement of Purpose and Service User Guide. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last Annual Service Review. This included: The annual quality assurance assessment (AQAA) that was completed by the former manager and sent to us prior to this Annual Service Review (ASR). The AQAA is a selfassessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by 9 residents, 2 representatives (relatives, carers and advocates) and 8 staff. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection report. What other people have told us about the service. What has this told us about the service? The manager, who has recently left the service, sent us the annual quality assurance assessment (AQAA), which provided some Information about what they are doing now and what they want to do in the future. The last key inspection of Oldfield was undertaken on 28th May 2008. The AQAA indicates that the following improvements have been made since the last inspection: A better care planning system has been introduced. Some bedrooms have been decorated. Bathrooms floors have been replaced. A new management team have been employed in addition to a full time handyman and an activities co-ordinator. Hand washing notices have been put in toilets and bathrooms. Documentation has been improved and updated. Nine people who live at the home completed surveys for us; eight people had the assistance of staff. They told us that they always receive the care and support they need, that staff are always or usually available when they need them and that staff listen and act on what they say. Residents also told us that they get the medical care Annual Service Review Page 4 of 8 they need, that some activities are made available and that they enjoy the meals provided. All nine residents said that the home is always fresh and clean. Residents told us that the home does the following well: Staff help in every way and I feel very lucky to be here Everything, Im happy with the home Dont know I havent been here long All Im looked after well Two representatives of people living at the home completed surveys for us and their comments were mixed. They indicated that they sometimes or usually feel the care service meets the needs of the people they represent, that they are always or usually kept up to date with important issues, and that the service usually or sometimes responds to the different needs of individual people. In response to the question What does the service do well they stated: The physical and mental needs of the resident concerned, adapting things/routines as necessary We asked people what the service could do better and we received the following comments from all of the surveys received: Nothing Walks outside Nothing I am very happy Feedback to residents if query or problem has been raised i.e. when a resident has asked if the doctor/relative has been contacted as the answer is not always relayed back to the resident Stabilise the workforce. I am particularly concerned about the low levels of staffing on occasions and the levels of qualifications but assume that minimum standards are met. Frequently the telephone is not answered and visitors are kept waiting for significant periods to access the building or staff. As long as residents needs are met, this is acceptable. I am also concerned about the fact that there are no outings... I am very concerned about the number of changes happening at the home and the impact on my relative in terms of staffing, physical accommodation and the lack of outings for residents now there is no car We received surveys from eight staff and their feedback was generally mixed. Half of them told us that they are always given up-to-date information about the needs of the people they care for and the other half said they are usually given this. They all indicated that their employer has carried out all checks such as criminal record bureau Annual Service Review Page 5 of 8 checks and obtained references before they started work, this helps to safeguard residents. They all indicated that they receive enough support from the management team, that there is usually or always enough staff on duty and that they are provided with training that is relevant to their role, helps them understand and meet the individual needs of the people they care for and keeps them up to date with new ways of working. However two staff indicated that the training provided does not give them enough knowledge about health care and medication. Their comments include: The home runs well All the staff should work in harmony and do the work with responsibility and find some more time to spend with the residents, as they are in our care and they need some more time for leisure activities The AQAA states that of the 21 permanent care staff employed, nine hold a national recognised qualification known as NVQ at level 2 or above in Care or Health and Social Care and a further four staff are working towards the award. We have not received any correspondence or concerns from the Environment Health Department or the Fire Department about the service in the last twelve months. The provider has notified us of any event that occurs that affects the health and wellbeing of the people living at the home. These include reportable accidents, deaths, safeguarding alerts and the recent notification concerning the resignation of the manager who was appointed in February 2009. We have been advised that interim management arrangements are in place and that the home is actively recruiting for a new manager. The AQAA states that the service has not received any complaints in the last 12 months. Residents indicated that they feel there is someone they can speak to informally if they are not happy with the service provided, however the majority of them indicated that they do not know how to make a formal complaint. One representative could not remember how to make a complaint but representatives indicated that the care service sometimes or usually respond appropriately if they or the person living at home have raised any concerns. Surveys received from staff indicate that they know what to do if someone has concerns about the home. We have received one complaint about the service since the last inspection and have requested the provider to look into the issues raised under their complaints procedure. Some of issues raised relate to environmental factors, assessment of residents needs, facilities, health and safety and staff training. There have been a number of recent referrals under safeguarding adult procedures and the provider is working with the agencies concerned to address these in the best interests of the individuals concerned. We are currently waiting for the outcome of these meetings. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 The last key inspection of Oldfield concluded that people living at the home receive good outcomes. We have reviewed all of the information we have about the service and may bring forward our inspection schedule and carry out a key inspection earlier than we had planned. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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