Inspection on 15/01/07 for Oldroyd House

This inspection was carried out on 15th January 2007.

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

Oldroyd House 20/11/08

Oldroyd House 05/09/05

Oldroyd House 06/06/05

Oldroyd House 01/03/05

Oldroyd House 09/08/04

Oldroyd House 05/02/04

Oldroyd House 09/09/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Oldroyd House 55 London Road Canterbury Kent CT2 8HQ Lead Inspector Mrs Penny McMullan Key Unannounced Inspection 09:30 15th January 2007 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 Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 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. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oldroyd House Address 55 London Road Canterbury Kent CT2 8HQ 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) 01227 454315 01227 379306 RBS Care Homes Foundation Post Vacant Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: Oldroyd House provides personal care and accommodation for 26 older people. The home is owned by the RBS Care Homes Foundation. The home is located in a residential area of Canterbury within close proximity to some local facilities and to the City centre with all its amenities. The home was opened in 1975 and consists of a main building with an extension to the rear. There are twenty single rooms and three shared rooms, all with en-suite facilities of a toilet and a bath or shower. There are currently two rooms, which are shared by married couples. There is a shaft lift on the premises. There is a garden to the rear of the building that is well maintained and accessible. There is some parking to the side of the house. The current fees for the service at the time of the visit are £430 to £516 per week. There are additional charges for toiletires, chiriopdy and hairdressig. Information on the homes services and the CSCI reports for prospective service users/relatives will be referred to in the Statement of Purpose, Service User Guide. A copy is also kept in the office. The email adress for the service is: OldroydHouse@rbscarehomesfoundation.co.uk Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on evidence gained from a pre-inspection questionnaire completed by the home; comment cards received from service users, families, and visiting professionals; and a site visit of 8 hours to the home. The site visit includes talking to service users, staff, the Registered Provider and the Manager; a partial tour of the building; inspection of records; and various observations. Feedback from care managers, GP’s and relatives indicate they are overall satisfied with the service being provided. Ms Alison Haley is the new Manager and has been in post since September of last year. She is in the process of applying to the Commission to become the Registered Manager. Feedback from service users, staff and relatives indicate that the home is well run. Additional comments have been added throughout the report. What the service does well: Service user comments are as follows: ‘Staff listen to you and are very helpful, I called once in the night and she was there immediately’ ‘Staff know me well so they know what to do’. ‘If there is anything wrong staff they attend to it immediately’. ‘The staff are very good at supporting me with my personal care, especially my key worker’. ‘The home is well organised and run in the best interests of the service users’. ‘The Manager Alison Haley is very understanding, listens and cares, she is a very good Manager’ ‘I can’t fault the home they look after me very well’ ‘The home is very well run’ ‘staff are very good and helpful’. ‘My key worker understands my needs and helps me with my personal care’ ‘ I am amazed, it is really lovely here, better than my expectations’.’ They do everything here to make my life happy and contented’. ‘You only have to press the bell once and the staff are there’. The home is relaxed and homely’. ‘It is a good quality of life’ ‘ I have been here for several years; I still say ‘it’s the best decision I ever made’. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 6 ‘The food is excellent and well catered for health wise’. The choices for all meals is excellent there is always three choices at dinner’. ‘I have a much better diet now I am living here, it is a well thought out menu’. The choice and standard of food in the home is excellent. The home has exceeded the standard and has been scored as commendable. The home provides stimulating activities for service users, promoting their independence and autonym of choice. Relative comment: ‘I am delighted with the progress mum has made following her admission in August 2004. The standard of care is excellent’. 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. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 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 Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to carry out a detailed and through assessments of needs of service users prior to admission to the home. Standard 6 is not applicable to this home EVIDENCE: All three service users case tracked had a care needs assessment together with a care plan or joint assessment from the placing authority. Two service users confirmed that someone from the home came to see them before they came to the home and one said that he visited before he moved in. In some cases they stayed a week before making their final decision. Service users also confirmed they had been given an information pack about the home. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is consistent to provide staff with the information they need to meet service users needs health and social care needs. Services users are protected by the home’s policies and procedures for dealing with their medication. The home promotes service users rights and choices. EVIDENCE: Three care plans were looked at and contained detailed information in all aspects of health and social care. The service user confirms that they are aware of the information in their plans and have contributed to the information. Comment Cards from relatives confirm they are consulted about their relatives care. The plans are reviewed on monthly basis and risk assessments are in place. However, in some cases the moving and handling risk assessments need to include further detail to provide staff with clear guidelines to carry out the identified safe practice of work. A recommendation Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 10 has been made in this report. Service users comments indicate they receive the care and support they need. Health care needs are monitored in the service user plan, clearly recording health checks and appointments in addition to more specialised hospital appointments. Service users confirm that the home calls the GP when required and there is evidence on file with regard to visiting professionals. Service users also say they attend hospital appointments with their relative or are supported by the staff. All service users have access to dentist, optician, chiropodist either visiting the home or they visit the local surgery in Canterbury. Senior Staff administer the medication and they have all received appropriate training. Some service users are able to self medicate and risk assessments are in place. The home is reviewing the storage of medication in the cupboard to ensure creams are stored separate to topical medication. Overall Medical Administration Sheets (Mar sheets) are in good order however, hand written entries of medication need to be countersigned to minimise risk of error. A recommendation has been made in this report. Staff demonstrated their awareness of the homes policy and procedures. Service users feedback indicates their preferences are taken into consideration with regard to their daily lives. Staff demonstrated their understanding of the service users needs and the importance of treating them with respect whilst maintaining privacy and dignity. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is providing a programme of activities for service users that take account of their preferences. Visitors are welcomed in the home. Arrangements are in place to ensure service users rights and choices are promoted. The meals in this home are excellent offering both choice and variety. EVIDENCE: The home has a planned activity programme each month. Service users spoke of the garden party, outings, rides in the country and celebrations. They say they play quizzes and do crosswords. Other entertainment includes a visit from a choir and entertainment provided by musicians. Service users feedback indicates there is a good response to arranging and attending the activities. Some service users are able to attend their personal clubs in Canterbury and enjoy outdoor activities. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 12 Service users confirm that their relatives visit them. Surveys from relatives indicate that they visit their family in private and are consulted about their care and feel welcomed in the home. Relatives and service users say the staff is friendly and always make tea or coffee. One visitor says ‘nothing is too much trouble’. Service users choice is promoted in all aspects of their daily lives. Service users have personalised rooms with some of their own furniture. Service users comments: ‘We can choose when to get up go to bed and what to do in the home’. ‘I am encouraged to remain independent’, you can go to your room, or do anything you want to do’. ‘You can be with the others or choose to be alone’ ‘The staff encourage you to do things for yourself and support you if you can’t manage’. There is a choice of a cooked breakfast or cereal, a choice of three dishes for dinner and various choices for tea. The service users complete a daily list for staff of their choices. The dining room is well presented and furnished and the meal looked appetising and nutritious. The atmosphere was relaxed and unhurried. Service users were chatting and enjoying their food. Service users comments: ‘We have lovely birthday cakes and wine’. ‘The chef and cook are very good and the food is very good’. The home caters for individual diets and preferences. The home has exceeded this standard and has been scored as commendable. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with some evidence that Service Users feel that their views are listened to and acted on. Arrangements for protecting Service Users are in place. EVIDENCE: A complaints procedure is available to all service users and this is included in the service user guide. The majority of service users are aware of the information and all spoken to said they had no complaints but would complain to the Manager or staff if need to. They all felt safe, listened to, and able to speak to the staff and manager if they were not happy about anything to do with their care. There have been no complaints since the last inspection. There was an anonymous complaint made directly to the Commission however there is no evidence to uphold this information. Staff demonstrated their awareness to adult protection issues. The home has a policy, which includes whistle blowing. Staff have received training in adult protection. POVA checks and Criminal Records Bureau (CRB) checks have been completed for all staff and personal possessions are also recorded. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 14 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and decorated ensuring that residents are living in pleasant homely environment. Laundry facilities are satisfactory and policies and procedures are in place to control the risk of infection. EVIDENCE: There is a planned programme of routine maintenance and a daily log of jobs, which need completing. Service users confirmed their room had been decorated and said ‘nothing is too much trouble for the handyman’. The home has a five year plan in place and is well maintained, comfortable and homely. The gardens are tidy with a patio and seating areas, one service users was checking the bird feeders and service users confirm how much they enjoy the garden weather permitting. One service user says ‘My room looks out to the garden it is very nice’. ‘My room is very clean and well decorated’. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 15 Laundry facilities are in place and service users confirm that the service is good. The home is clean, tidy and there are no offensive odours. Service users say the home is cleaned to a high standard and is always very clean. The home supports service users who are able with their laundry. There are policies and procedures in place for infection control. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient trained and qualified staffs are provided to ensure Service Users needs are met. Recruitment polices have been consistently followed resulting in Service Users receiving care from staff that have been fully vetted. EVIDENCE: There is a senior member of staff and two carers on duty am and pm and two waking night staff. In addition the Manager is on duty together with a Chef and domestic staff. Service users say they feel there is always enough staff on duty. Staff confirms this information, as agency staff will be provided even at weekends and bank holidays. The home has a planned NVQ programme with over 50 of staff having achieved the award or are currently completing the award. Staff files viewed contained all of the necessary documents, two satisfactory references, proof of identification and Criminal Records Bureau (CRB) and Protection of Venerable Adult (POVA) checks. Training certificates are also on file. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 17 A staff-training matrix is in place, and a number of courses booked to ensure that all staff achieves training in mandatory core skills, and more specialised training. Staff feel that the home provides good training and any training requested is considered. Induction training is provided and signed off by senior staff and is line with Skills for Care. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 18 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run effectively managed home. The arrangements for service user consultation are good. The home has implemented an effective financial system to support residents with their finances. The home provides a safe environment for service users and staff. EVIDENCE: Service users and staff comments are complimentary to the way the home is managed and how they feel supported by the Manger. Staff also said that the staff work well as a team. The proposed Registered Manager has been in place Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 19 since July 06. She has over 20 years experience and is a Nurse, she has a certificate in management and is currently half way through her RMA award. The home supports five service users with their personal allowance monies and ensures that the relevant records are in place. Records were viewed and were found to be accurate. Receipts are in place and service user sign for any monies issued. There is a detailed and thorough quality assurance system in place. Service users confirm they had received questionnaires and have resident meetings to discuss issues. The quality assurance programme includes, relatives, service users and other stakeholders. The information is collated analysed and actioned upon where required. All staff receives mandatory training. The appropriate safety checks have been carried out, including PAT testing and electrical installation. Am annual Health and Safety survey is undertaken and there is a record of actions completed. Environmental risk assessments are in place and reviewed on a yearly basis. A detailed fire risk assessment was completed in 2004 and updated and reviewed on a yearly basis. The fire book was in good order with evidence of tests and drills taking place. Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 20 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 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 21 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. 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. 1 Refer to Standard OP7 Good Practice Recommendations To include further detail in moving and handling risk assessments to provide staff with clear guidelines to carry out the identified safe practice of work Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Kent and Medway Area Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Oldroyd House DS0000023708.V306725.R01.S.doc Version 5.2 Page 23 - 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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