Inspection on 20/11/08 for Oldroyd House

This inspection was carried out on 20th November 2008.

CSCI found this care home to be providing an Excellent service.

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 15/01/07

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oldroyd House 55 London Road Canterbury Kent CT2 8HQ     The quality rating for this care home is:   three star excellent 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Penny McMullan     Date: 2 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Oldroyd House 55 London Road Canterbury Kent CT2 8HQ 01227454315 01227379306 oldroydhouse@rbscarehomesfoundation.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Alison D`Lima Type of registration: Number of places registered: RBS Care Homes Foundation care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 26. The registered person may provide the following category/ies of service only: Care home only - (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 - (OP) Date of last inspection Brief description of the care home 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 is currently one room, which is shared by a married couple. There is a shaft lift on the premises. Care Homes for Older People Page 4 of 25 Over 65 26 0 Brief description of the care home 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 515 pounds to 618 pounds per week. There are additional charges for toiletires, chiriopdy and hairdressing. Information on the homes services and the CSCI reports for prospective service users/relatives is referred to in the Statement of Purpose, Service User Guide. A copy is also kept in the office. The email address for the service is: Oldroydhouse@rbscarehomesfoundation.co.uk Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection carried out over a period of time and concluded with an unannounced visit to the home on 20th November 2008. The Senior Manager and Registered Manager assisted throughout the visit. The last key unannounced inspection was held on 15 January 2007. Surveys were given out to residents at the time of the inspection. All comments received are positive and have been included throughout this report. The care of three people was tracked to help gain evidence as to what its like to live in the home. Various records were viewed during the inspection. Care Homes for Older People Page 6 of 25 The home returned the Annual Quality Assurance Assessment (AQAA) within the required timescale. This was clear and contained all the information asked for and has been used to inform this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can feel confident that their care needs will be met before making the decision to move into the home. Evidence: Residents are provided with detailed information about the home before deciding to move in. The home provides each person with a folder containing the Statement of Purpose, Service User Guide, accommodation costs, details of what information is held on each person, a holiday assessment booking form, Application for Admission to the home, a Statement of Terms for Residents, and the Complaints Procedure. Residents confirm that they were able to visit the home prior to admission and in some cases had stayed in the home on a temporary basis before deciding to move in permanently. Residents say they feel they had been provided with all of the information they needed to make a final decision. They also said that someone came Care Homes for Older People Page 10 of 25 Evidence: to visit them to assess their care needs. Standard 6 is not applicable to this home. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, medication and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Residents needs and wishes are recorded in their individual care plan. Three plans were examined and contained detailed information, for example family background, a plan of care including health care, nutrition needs, moving and handling risk assessments and daily contact sheets. The care plans are reviewed by the key worker, signed and updated if required. Some of the plans need to be clarified where the use of the word assistance has been used as to what exactly this means to the individual. Risk assessments need to include specific details of how to move residents safely. Staff are trained in moving and handling and demonstrated their knowledge of moving and handling, however this is not always reflected in the moving and handling risk assessment. A recommendation will be made in this report. Residents spoken to are happy with their care plans and confirmed that they have discussions with their key worker when the plans are reviewed. Care Homes for Older People Page 12 of 25 Evidence: All health care needs are monitored in the care plan, a separate health care sheet is completed for all appointments, including doctors visits, hospital appointments, chiropody and optician. The appropriate equipment is being used to promote skin integrity and records are in place when residents need regular turning to prevent pressure sores. Some residents have been assessed using a nutrition screening tool and the home is in the process of implementing this for all residents. Staff are also booked to receive the appropriate training. Some residents are able to visit the local doctor or dentist and are escorted by the staff to attend the appointments. The management of the medication is good and staff providing medication have been appropriately trained. Storage facilities for medication are satisfactory and medication records are well maintained. In the near future the person administering medication will be wearing red tabard to ensure that everyone in the home is aware they are dispensing medication. Residents spoken to at the time of the inspection feel the staff respect their privacy and dignity. Resident comments: The carers are very good at privacy and dignity. The staff always knock the door before entering my room, they are always polite and courteous. Staff spoken to demonstrated how they ensure they respect the pricacy and dignity of the residents in their daily practice. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to ensure that residents are able to join in with the activities of their choice to enhance their daily lives. They are supported and encouraged to have control over their own routines and lifestyles. Residents receive an excellent choice of meals, offering a well-balanced healthy diet to meet their individual tastes. Evidence: An additional activities person has been appointed. The home has planned activities and has recently introduced a scrabble club. There are trips arranged to the local theatre, and outings are arranged on a regular basis. A list of activities is on the notice board, and residents receive a weekly reminder to ensure they know what is available. There is a library service and on occasions outside entertainment is provided, for example a visit from the local police to talk about police dogs. The residents have just had a Christmas meeting to discuss their preferences, they intend to make their own table arrangements, go to the local pantomime, attend the Christmas Carol concert at the Cathedral and would like to arrange for a ventriloquist and karaoke event in the new year. Residents confirm they have a film or DVD morning and listen to CDs. A Care Homes for Older People Page 14 of 25 Evidence: resident comments: More activities are being introduced, the carer always rises to the occasion when there is an event to be sorted. All residents spoken to say that you can choose what you wish to do with your day. They say they can have breakfast in their room or the dining room, and choose if they wish to participate in the activities. Some residents are able to go to a club of their choice and are supported to manage their own finances. If required the home has advocacy services available. All rooms are personalised to individual choice. Residents are given information as to what records the home keeps on admission to the home. A sample of the home menu is given to residents when they move into the home. There are three choices offered each day for lunch and all meals taken are recorded. On the day of the inspection the meal looked appetising with good portions. Some residents prefer to be served individually or with their vegetables in separate dishes so they can help themselves. The atmosphere in the dining room was relaxed and residents were observed chatting and enjoying their meal. Residents say the birthday cakes are very good, there is wine on Sundays, and the food is consistently of a high standard. Special dietary needs are catered for and staff were observed supporting residents with their meals in a sensitive caring manner. Feedback from the residents is as follows: I always have a large cooked breakfast, half a grapefruit, bacon and eggs and three pieces of toast. There is always a good variety of meals everyday. There is always a choice of desserts, some are mouth watering. There is always lovely home made soup for supper. There is a good variety of meals and menus are provided everyday. At the last Environmental Health visit the home was awarded five stars (Scores on the Doors) and use the Safer Food Better Business system. This means that the home achieved the highest award for complying to health and hygiene regulations. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel confident that their complaints will be listened to. Arrangements are in place to ensure that residents are protected from abuse. Evidence: There has been one complaint since the previous inspection, which has been logged and actioned appropriately. All of the residents spoken to at the time of the inspection have no concerns or complaints. They feel the home would listen and act on what they say if there were any issues. The complaints procedure is given to all residents on admission and is on display in the home. Residents are protected by the homes policies and procedures in place relating to adult protection. All staff have received the protection of adult training at induction and also receive training later from an outside provider. Staff spoken to demonstrated their awareness of adult protection protocols and recruitment systems ensure that residents are receiving care from staff that has been appropriately vetted. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, well maintained and in good decorative order, ensuring that residents live in a pleasant, clean and homely environment. Evidence: There is a planned programme of routine maintenance and the home is well maintained. The Registered Manager walks round the building monthly to identify any areas that may need attention. The home is also in the process of having all of the en suite bathrooms upgraded. The new facilities include a walk in bathing facility. Feedback from one resident indicates that he feels this has improved his independence. All of the residents are aware of this refurbishment and are being actively involved to ensure their views are taken into account. The garden is well maintained and used by the residents. A new radio controlled call bell system is being installed, there will be four portable pendants and staff will be able to contact each other to request assistance or in cases of emergency. Residents live in a safe, homely and well-maintained environment. Laundry facilities are satisfactory and three residents said how good the service was with clothes being returned mostly on the same day. The home had a pleasant smell throughout and residents say the home is always clean and tidy. One residents comment: The bathroom is spotless, always very clean. There are policies and Care Homes for Older People Page 17 of 25 Evidence: procedures in place for infection control. The home has been awarded five stars from the local environmental health office and fire risk assessments have been carried out and any recommendations actioned. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from receiving care from a trained and experienced care staff team that have been appropriately vetted. Evidence: The residents benefit from a low turnover of staff and an established and experienced staff team. Everyone spoken to was very complimentary about staff. There is always a senior carer on duty with three care staff in the morning, two in the afternoon and two waking night staff. There are also dedicated activity staff. In addition there is a Chef, kitchen assistant, domestics, laundry assistant, administrator and a part time handy person. Additional shifts are also in place in times of busy periods, this ensures that residents needs are fully met. Residents and staff spoken to say there is always enough staff on duty and they feel they are supported well by the management team. Robust recruitment practices are in place to ensure that residents are fully protected. The recruitment files of three staff were examined. The home is in the process of amending the application form to list the full employment and ensure that any gaps are investigated. Application forms were completed appropriately and interview notes are kept on file. Two satisfactory references, proof of identification and Criminal Records Bureau (CRB) and Protection of Venerable Adult (POVA) checks are also on file. This ensures that all staff have been appropriately vetted. The home provides staff Care Homes for Older People Page 19 of 25 Evidence: with excellent training opportunities. There is an induction programme in place and staff confirm that any specialist training requested is provided. Training relevant to peoples needs is available and at the time of the inspection some of the carers were receiving care plan training. There is an ongoing training programme in place to ensure that all staff receive mandatory training and the relevant updates. Equality and Diversity training was provided in April this year and an additional course will be held next year. All of the staff have obtained a National Vocational Qualification (NVQ) in care level 2 and 8 are signing up for NVQ 3 in December. One senior carer is also commencing NVQ 4 and another senior carer is completing an A Level in Psychology. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is proactive in all areas of administration and management, and provides good leadership in the home. The home is run in the best interst of the residents. Residents finances are safeguarded and the home provides a safe environment for residents and staff. Evidence: Residents and staff are complimentary about the management team. The Registered Manager is qualified and experienced. She holds a RGN Diploma in Nursing and has a degree in Care Management, incorporating the Registered Managers Award. The staff are qualified and experienced. The atmosphere in the home is relaxed and friendly, and residents feel they are receiving care from a happy staff group. A quality assurance programme is in place and this includes questionnaires being sent to residents, relatives, and other stakeholders. The last quality assurance survey was Care Homes for Older People Page 21 of 25 Evidence: completed in July, the results were analysed and action taken in response to residents wishes. The home has residents meetings and the Senior Manager carries out monthly visits to the home to monitor the service being provided. From speaking to the residents it is evident that they feel confident they can speak to the manager and staff about the services being provided. The home has systems in place to ensure that residents are supported with their finances. There are secure facilities and effective recording systems in place to ensure that all transactions are recorded. This means that residents can feel confident their finances are well taken care of. The home is supported by an external Health and Safety consultant providing a 24 hour support line. Since the previous inspection they have introduced a Health and Safety manual for all employees. The Registered Manager has also attended a two day Heath and Safety training course. The AQAA states that all equipment has been serviced and maintenance and safety checks are up to date. Mandatory training is being provided and there are systems in place to ensure the home complies with health and safety regulations. This ensures that residents and staff live in a safe environment. The fire book is in good order and risk assessments are in place. There is clear evidence of staff on duty when fire drills are carried out. The accident book was completed satisfactorily and a record of any action taken was recorded in the individual care plan. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 To clarify the word assistance in care plans and include further detail in moving and handling risk assessments to provide staff with clear guidelines to carry out the identified safe practice of work Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!