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Inspection on 03/11/05 for Oldfield Residential Home

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

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a home where the residents are looked after well. The staff respect the residents and were seen to be following the detailed individual care plans encouraging each to maintain their independence and take part in a variety of activities that they evidently enjoy and benefit from. The home provides a pleasant and comfortable place to live. It was evident through discussions with staff and management that there are clear lines of accountability within the homes management structure and through discussions and observations it was considered that the management approach created an open and positive atmosphere from which the residents benefit. The home communicates well with families, representatives and visiting professionals, has a group of staff who have worked at the home for a considerable time and training achievements and opportunities for staff remain high on the agenda.

What has improved since the last inspection?

The Proprietors, Manager and staff continue to regularly improve the environment. Since the last inspection a number of areas have been redecorated and refurbished. All recording systems are reviewed, amended and updated on a regular basis and it has to be noted that at this home, management and staff appear to be constantly reviewing all aspects of the service to achieve best practice and maintain a high quality service. Staff reported that all aspects of the service have improved since the last inspection including the `teamwork` approach, the creation of a very attractive `safe` garden and the home now has its own `company` car to enable residents to get out and about more.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Oldfield Residential Home Derrington Road Ditton Priors Bridgnorth Shropshire WV16 6SQ Lead Inspector Janet Oxley Unannounced Inspection 9.20 3 November 2005 rd 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.V259782.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. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 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.V259782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 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.V259782.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology. The inspection was unannounced and commenced at 9.20am. It included observing activity within the home, inspecting the premises, looking at records and case tracking and talking to 7 staff, 2 visitors and 14 residents. The Manager and staff on duty were welcoming and helpful throughout the inspection. It was found that the majority of the National Minimum Standards assessed had been met, with a number exceeded, and that the overall quality of care provided was good. All residents appeared happy, content and very well cared for and those who were able expressed complete satisfaction with their quality of life at the home. What the service does well: What has improved since the last inspection? The Proprietors, Manager and staff continue to regularly improve the environment. Since the last inspection a number of areas have been redecorated and refurbished. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 6 All recording systems are reviewed, amended and updated on a regular basis and it has to be noted that at this home, management and staff appear to be constantly reviewing all aspects of the service to achieve best practice and maintain a high quality service. Staff reported that all aspects of the service have improved since the last inspection including the ‘teamwork’ approach, the creation of a very attractive ‘safe’ garden and the home now has its own ‘company’ car to enable residents to get out and about more. 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. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 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.V259782.R01.S.doc Version 5.0 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): 1, 2, 3 and 5 The policies and procedures that are in place, and have been professionally followed, ensure that the home undertakes all necessary assessments for successful and satisfactory admissions to take place. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide, which includes all the required information for prospective residents. Documentation examined indicated that individuals have a comprehensive assessment of their needs prior to admission, which is reviewed and amended as requirements change. Discussions with residents, the manager and staff on duty indicated that the home continues to meet the individual needs of the elderly people living at the home in a professional and sensitive manner. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 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): 7 and 8. The health and personal needs of service users are well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities and chatting to staff and residents that individual health, personal and social care needs were being met. Senior Managers are to be commended on the manner in which the care plans are maintained, continue to be developed and the professional way in which they promote the importance of the compatibility of the service user and their plan Residents were being treated with respect and staff were working both professionally and sensitively in meeting individual needs. Those residents spoken to were very complimentary regarding the quality of their lives at the home. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 10 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): All The routines of daily living at Oldfield are flexible and each resident finds the lifestyle experienced in the home meets their individual needs. Many activities take place, there is an open visiting policy and the menu offers a choice of well balanced and wholesome meals. EVIDENCE: The residents are encouraged and enabled to personalise their bedrooms, enjoy good meals in the pleasant dining areas or in their own rooms and have a number of activities arranged for them within the home and outside. The home now has a ‘company’ car which staff can use on a daily basis to take residents out, 2 residents go to day centres and 3 residents go to a club on Friday evenings. Individual needs, likes and dislikes are shown in the care plans. Residents are enabled to exercise choice and control over their own lives as far as they are able and visitors are made welcome at all times, are included in events and are given all the necessary information on aspects of the home and the welfare of the residents. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 11 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): 16 and 18 Concerns and complaints are dealt with promptly and procedures and practices are in place to ensure that individuals are protected from abuse. EVIDENCE: The home has a clear complaints procedure, which is given to residents and their relatives before they move into the home. No complaints have been received by the CSCI or the home since the last inspection. It was reported that any minor concerns, received by staff at the home, from residents, are dealt with in a satisfactory manner without delay. The home has all necessary documentation in relation to the protection of vulnerable adults and this subject is included in staff training. A number of staff have recently attended external training on the subject at a local venue run by ‘Joint Training’. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 12 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): 19, 24, 25 and 26 Service users individual and communal accommodation is safe, well maintained and personalised to a high standard. The home had a very good standard of hygiene and cleanliness. Shortcomings included the need to test hot water temperatures, to prevent risks of scalding, and to ensure the laundry floor is impermeable, to prevent the risk of infection. EVIDENCE: The location and layout of the home are suitable for elderly residents. Communal rooms are well equipped and are warm, homely and welcoming. Bedrooms are personalised and suit individual needs and the gardens and grounds are attractive, generally well maintained and accessible to residents and their visitors. Since the last inspection an attractive ‘safe’ garden area has been created with seating and it was reported that residents had really enjoyed this space during the summer months. At the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 13 It was evident that the proprietors and staff work hard to maintain this environment and at the time of this inspection the standard of hygiene and cleanliness was excellent. The laundry however now requires some refurbishment and the flooring needs replacement as the tiles are cracked with some missing pieces. The temperature of the hot water to one bath was found to be in excess of the required temperature, safety valves must be checked without delay and regular recorded checks made on the temperature of all hot water to baths and showers at the point of delivery, to prevent the risk of scalding. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 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): 27, 28, 29 and 30. Residents appeared to be supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: Discussions and staff on duty at the time of inspection indicated that there are sufficient staff in numbers and skill mix to meet the needs of the residents. Recruitment at the home is generally thorough and all elements required by Schedule 2 of the Care Home Regulations were found to be maintained on each file at the time of the last inspection. However the file of 1 staff member, who had recently been recruited, only contained 2 testimonials and not 2 satisfactory references as required by the said Schedule. This staff member was complimentary regarding the induction training she had received and good records of this training are maintained. The managers continue to support staff to undertake their NVQ awards, a very good variety of other training has been undertaken and staff on duty indicated that they were very sensitive to the service users needs and disabilities and that their attitudes and practice were monitored and supervised by the management. Good training profiles were seen to be maintained. Recorded staff supervision and appraisals are undertaken. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 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): 31, 32, 33 and 38. There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the residents benefit. The home regularly reviews all aspects of its performance through a programme of self review and consultations and meets the requirements of the Fire Officer and Environmental Health Officer, promoting the health, safety and welfare of the residents with the exception of the need to maintain, and regularly check, safe hot water temperatures. EVIDENCE: The manager has undertaken the NVQ4 in care and will commence the Registered Managers Award in the very near future. She has many years experience working at the home looking after elderly residents. Her Deputy has also completed the NVQ4 in care and her Assistant the NVQ3. It is evident Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 16 that all senior staff continue to update their own professional knowledge by attending a number of related courses to the resident group catered for. They involve themselves fully in the day-to-day running of the home and work alongside the staff with a clear sense of purpose. The manner in which the manager and staff responded to this inspection indicated that a sound management approach is in place and that staff are committed to achieving best practice and to developing equal opportunities. Quality assurance systems are in place and there was evidence available to indicate the manager ensures, so far as is reasonably practical, the health, safety and welfare of service users and staff. The majority of staff have attended relevant training in health and safety and at the time of this inspection the only hazards identified, as previously mentioned, were the need to maintain safe hot water temperatures to all baths and to replace the floor in the laundry. Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 17 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 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 3 x x x 4 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 x x x x 2 Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 18 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 That hot water temperatures to baths and showers be checked on a regular basis and the finding recorded and that immediate action be taken to repair the fail safe devices if the temperature exceeds 43°C. That the laundry be refurbished to include work to ensure that the floor is impermeable. 19(4)(c) That two satisfactory written references are obtained before appointing a member of staff. Timescale for action 1 OP25 30/11/05 2 OP26 31/01/05 3 OP29 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 19 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 © 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 Oldfield Residential Home DS0000020717.V259782.R01.S.doc Version 5.0 Page 20 - 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. 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