This inspection was carried out on 27th February 2006.
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.
CARE HOMES FOR OLDER PEOPLE
Oldfield Residential Home Derrington Road Ditton Priors Bridgnorth Shropshire WV16 6SQ Lead Inspector
Mike Moloney Unannounced Inspection 27th February 2006 10:00 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 Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 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. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Oldfield Residential Home Address Derrington Road Ditton Priors Bridgnorth Shropshire WV16 6SQ 01746 712286 01746 712411 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) Mr Simon James Badland Selina Broome Care Home 35 Category(ies) of Dementia (14), Learning disability (1), Mental registration, with number disorder, excluding learning disability or of places dementia (9), Old age, not falling within any other category (10) Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Oldfield Residential Home is purpose built and provides personal care for up to 34 people suffering from a range of conditions, including dementia, learning disability, mental disorder and old age. The Home is situated on the edge of the small Shropshire Village of Ditton Priors and has extensive well-maintained grounds with shrubs, mature trees, flower borders, lawns and woodland walks. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one and a half hours during the late morning. Information was gained from documentation made available by the home, by discussions with the manager, the staff and the service users, as well as by looking around the building. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Oldfield has a history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. What the service does well: What has improved since the last inspection? What they could do better:
No requirements were made as a result of this inspection. Please contact the provider for advice of actions taken in response to this
Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 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 Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 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): EVIDENCE: All of the key standards in this section were assessed at the last inspection on 3rd November 2005. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 9 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): 9 and 10 The medication is managed in such a way that the correct person gets the right medication at the right times and every effort is made by the manager and her staff to ensure that the privacy and dignity of the residents is maintained. EVIDENCE: The medication kept by the home is held in appropriate storage with ‘blister packs’ for most of the tablets and a fridge being available for medication, creams etc that need to be kept in a cool place. The records of the medication that had been administered was seen to be accurate and there were pictures of the people for whom it was intended on each of the medication files. During the visit staff could be seen and heard talking and interacting with the service users in a respectful manner and demonstrating good manners such as knocking on doors before entering peoples’ bedrooms and the bathrooms. Both the manager and her deputy were able to quickly lay their hands on the home’s policies and procedures relating to privacy and dignity and they
Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 10 observed that the staff had been regularly referring to those policies as they had worked through their NVQ assessments. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: All of the key standards in this section were assessed at the last inspection on 3rd November 2005. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: All of the key standards in this section were assessed at the last inspection on 3rd November 2005. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 13 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): 25 and 26 Hot water temperatures are maintained at a level that is safe for the residents to use and the well equipped laundry room has now been improved to further decrease the possibility of cross infection. EVIDENCE: A number of the key standards in this section were assessed at the last inspection on 3rd November 2005. However, there were issues raised regarding the monitoring of the hot water temperatures and the flooring in the laundry. This section should be read in conjunction with the report of that visit. During this visit records were seen that showed that the hot water temperatures in areas where residents have access to it are monitored on a monthly basis and every time the bath is run for a resident. The flooring in the laundry room has been replaced with an impermeable covering.
Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 14 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): Pre-employment checks on new staff are carried out helping to ensure that the people employed at the home are safe to work with vulnerable people. EVIDENCE: All of the key standards in this section were assessed at the last inspection on 3rd November 2005. An issue raised at that time was in relation to the obtaining of appropriate employment references for new staff. Looking at the records of recruitment since that time shows that all of the appropriate preemployment checks have been carried out. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 15 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): 35 The home accurately records the monies held on behalf of the residents thereby reducing the chance of theft. EVIDENCE: The home stores small amounts of cash for some of the residents at the home. Records of the monies held were seen and checked against the actual amounts held. Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 16 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x x Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 17 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. 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. Refer to Standard Good Practice Recommendations Oldfield Residential Home DS0000020717.V285015.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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