Inspection on 05/09/05 for Oldroyd House

This inspection was carried out on 5th September 2005.

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 15/01/07

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 Wendy Gabriel Unannounced 05/09/05 at 08:30 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 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 H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oldroyd House Address 55 London Road, Canterbury, Kent, CT2 8HQ Telephone number Fax number Email 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 oldroyd@canterburykent.freeserve.co.uk The National Westminster Staff Foundation Registered Care Home 26 Category(ies) of Older People x 26 registration, with number of places Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 06/06/05 Brief Description of the Service: Oldroyd House provides personal care and accommodation for 26 older people. It is owned by the National Westminster Staff 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 1989 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. Only one room is currently used as a double room. 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. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place at 8.30am on the 5th September 2005. There had been no recommendations or requirements from the last inspection in June and none made following this inspection. The manager had recently left the post and the home has made appropriate cover arrangements until a new manager has been recruited. The Senior Manager was in the home at the time of the inspection and the staffing in the home was fully covered including the chef, assistant chef and the designated laundry person. The medication was observed being administered to residents at breakfast by a suitably trained member of staff and the system was noted to be secure at that time. Following a security alert during the year the National Westminster Staff Foundation has undertaken a security survey for the premises and individual alarms have been put on exit doors. Also downstairs windows have had security fittings added. Training for staff was discussed and the Inspector was pleased to see three, courses had been well subscribed to by the staff. The courses will be in dementia and challenging behaviour, diabetes and stroke. NVQ2 is undertaken by staff when they have completed their TOPSS induction. Senior staff and other staff as appropriate, undertake NVQ3. A one year health and safety review had just been completed for the home and the Senior Manager was pleased to indicate the few points made; including a hand rail recommended to go beside a bank in the garden and that a list of designated fire persons and first-aiders be displayed in the hallway. The list was in evidence including the person on duty on the day and the handrail had been commissioned for the area identified in the garden. There have been no complaints since the previous inspection. A new washing machine has been purchased since the previous visit and the dedicated laundry person confirmed that this was suitable for handling the amount of laundry in the home and for dealing with soiled linen. It was also confirmed by the same member of staff that personal protective items were available and used as part of the homes infection control measures. Residents run their own social committee and minutes for this was seen. A pat-a-pet scheme comes into the home and two dogs and their owner visited during the inspection. It was evident that this was a hugely enjoyable event for residents. It was noted that residents were asked if they wished to be where the dogs were and anyone who did not wish to be around the animals had the opportunity to decline. There was evidence of a variety of activities being offered to the residents including visits to the theatre. Residents and staff organise annual charitable events in the home and residents choose a charity for the proceeds to go to. One resident said that she had come into the home to enable her to make a final decision on whether to become a permanent resident. The Senior Manager confirmed that the home was giving the person time to make her own Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 6 choices. Another resident said that he enjoyed his own routine and that he was able to go for walks out of the home when he wished. There were notices in the office for the handyman and night staff with daily tasks to be completed. The entrance hall has a variety of information for visitors including recent reports from the Commission for Social Care Inspection and the most recent quality assurance questionnaire analysis. The premises and grounds were clean and tidy at the time of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home is actively seeking a replacement for the post of Registered Manager after the previous manager left. The arrangements for managing the home in the interim were discussed and were deemed suitable until a new person has been employed in the post. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 7 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 H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 9 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 standard(s) These standards were not inspected at this time. EVIDENCE: Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 10 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 standard(s) 9.11. Residents are protected by the medication administration systems in the home. Residents will be cared for at the time of their death and with suitable input by Health care professionals as required. EVIDENCE: The home maintains clear policies and procedures for medication administration. Medication is administered via a monitored dosage system and accurate recording for this was seen to be in place at the time. Residents who may self-administer their medication have secure storage in their bedrooms and are risk assessed and regularly monitored. Medication is securely stored in a suitable facility. The Senior Manager discussed the foundation and intermediate training in understanding medication and medication administration that is currently being considered for staff. The ‘palliative care team’ is based close by the home and their advice and support may be accessed when needed to support the care of terminally ill residents in the home unless hospital care is required. No nursing is undertaken by staff in the home. A District Nurse visits the home twice every week to see residents either by arrangement or she visits residents identified by staff on the day. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 11 Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12.14.15. Residents choose their social and recreational interests. Residents are enabled to attend meetings to put forward their points of view. Meals offer choice and variety and are presented in an attractive environment. EVIDENCE: Residents run their own Social Events committee with some support from staff and minutes were seen that indicated the variety of ideas discussed for entertainment in and out of the home. The home uses a quality assurance questionnaire to seek the views of residents. These are analysed and are available to visitors as well as residents. Recreational activities are varied and include visits to the Marlowe Theatre in Canterbury. A barbeque was being arranged to celebrate the 25th anniversary of a member of staff working at the home. Residents and staff hold annual events to raise money for charity and the residents will choose a different charity to receive the proceeds each year. A visit was made to the recently refurbished kitchen and the chef indicated the daily choices made by residents for all meals. There was a choice of breakfast including a cooked breakfast and a wide variety of fruit drinks. There are three choices for dinner and a variety of choices for teatime. The residents themselves complete a daily list or staff will ask them for their choices. It was noted that residents had selected all the choices offered including two cooked Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 13 meals and a salad. The salad was seen being prepared and beautifully presented on individual plates. The kitchen has a well-organised servery between it and the comfortable dining room. A hot serving trolley is used to either serve meals individually for some residents or into serving dishes to go onto the tables. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16. Complaints are taken seriously and prevention of abuse is detailed in the homes training and procedures for staff. EVIDENCE: A detailed complaints procedure and action form is included in the admission pack given to every resident. Policies and procedures in the home identify prevention of abuse. A whistle blowing policy identifies the reporting action to be taken and includes addresses for the Commission for Social Care Inspection and the National Westminster Staff Foundations accountants and solicitor. All staff are subject to checks by the Criminal Records Bureau as part of their recruitment process. There have been no complaints since the previous inspection. A session on understanding and dealing with dementia and challenging behaviour is being arranged for staff. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19.20.22.26. The home is clean and hygienic and well maintained. Communal facilities are attractive and comfortable. Residents may have specialist equipment to suit their needs. EVIDENCE: The home was clean, tidy and hygienic at the time of the inspection. The laundry procedures indicated an awareness of infection control. Personal protective items such as aprons and gloves are available and alginate sacks are used for soiled linen. Following a security alert earlier in the year, the home has undertaken a security survey. In response to the survey, individual exit door alarms have been fitted and downstairs windows have had secure fittings placed on them. A maintenance man has a daily list of tasks to be undertaken and the National Westminster Staff Foundation has a department for undertaking major maintenance. Communal facilities include two lounges, a dining room, a small upstairs sitting room and a large all weather conservatory. All communal areas are attractively furnished. The Senior Manager said that furniture is to be replaced Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 16 in a small lounge as part of the five-year plan. Decoration is ongoing and is homely and fresh. The pretty garden to the rear is wheelchair accessible and is well maintained. Following an annual health and safety assessment, a handrail is to be built by a slope in one area of the grounds. Specialist equipment, such as mattresses and cushions, is available via the district nurse. The home has hoists and there is a passenger lift to the first floor. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27.30. Staff training is good and there were sufficient staff on duty to meet the needs of the residents. EVIDENCE: Recruitment is currently underway for a Registered Manager following the resignation, for personal reasons, of the previous manager. Suitable cover has been arranged until the post has been filled. The rota for care staff has been covered despite recruitment being underway for a senior member of staff. New staff undertake an induction to TOPSS standards and then undertake NVQ2. Senior staff and some other staff also undertake NVQ3. Training courses had been arranged for Dementia and challenging behaviour, Diabetes and Stroke. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31.36.38. Management responsibilities have been suitably arranged to run the home until a Registered Manager has been employed. Staff receive regular supervision. Suitable training and policies promote residents’ health and safety. EVIDENCE: As previously discussed, the home is actively seeking to fill the vacant post of Registered Manager. In the interim, the National Westminster Staff Foundation has put in place a suitable system to ensure the home has management cover. This includes the Senior Manager spending time in the home each week. Records confirm that staff supervision and two annual appraisals are undertaken. Health and safety in the home is maintained via training, policies and procedures and the homes ongoing maintenance programme. An annual health and safety survey is undertaken and recommendations made at the most recent survey have been implemented. Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 19 Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 x 3 x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x x x x 3 x 3 Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 21 no 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. 1. 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 Good Practice Recommendations Oldroyd House H56-H05 S23708 Oldroyd House V246589 070905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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. 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