Inspection on 06/06/05 for Oldroyd House

This inspection was carried out on 6th June 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 05/09/05

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 Announced 06/06/05 at 09:30 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 V222983 060605 Stage 4.doc Version 1.30 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 The National Westminster Staff Foundation Vacant Registered Care Home 26 Category(ies) of Older People x 26 registration, with number of places Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/01/05 Brief Description of the Service: Oldroyd House is a care home providing 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 in Canterbury within close proximity to some local facilities and the City Centre with all of its amenities. The home was opened in August 1989 and consists of a main building with an extension to the rear. There are 20 single rooms and 3 shared as a double, all with en suite facilities of a toilet and a bath or shower. Only one bedroom is currently used a a doule room. There is a shaft lift. There is a garden to the rear of the building which is well maintained and accessible. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the announced inspection an accompanied tour of most of the home (some residents chose for their bedrooms not to be visited) was undertaken and was seen to be well maintained and clean and tidy. The Responsible Individual, manager, administrator, a senior carer and two care assistants in addition to the cook, kitchen domestic two general domestics and a laundry person were working in the home at the time. There were twenty-one residents living in the home at the time and bookings had been made for the vacancies. Residents were eager to praise the care they received and the kindness of the staff. Some residents also expressed their appreciation of the work the staff do to make their lives comfortable. A new kitchen was provided last year and this included specialist equipment and a special surface applied to the walls for easy and hygienic cleaning. The bathroom has a new powered bath and hoist that not only provides a safe and easy system for residents to be lowered and raised in the bath but can be height adjusted to prevent back strain to the staff. The drive and parking area had also been resurfaced. Staff commented favourably on the induction and on going training they receive in the employment of the home. A farewell party for a retiring member of staff had been held the previous day and residents discussed this with the Inspector and said that the activities provided in the home were varied and interesting. Three residents said that resident meetings were held and that they were able to raise any issues and that these would be carefully considered by the home. One resident said that although she knew coming into the home was the right move, she had been very unsettled at first; but staff had made it easy and comfortable for her and now she would not choose to be anywhere else. What the service does well: Residents spoke with some pride about their involvement with the National Westminster and the service offered by the Foundation that enables their care in Oldroyd House. The Royal Bank of Scotland Group also provides a maintenance support system that is on hand to enable ongoing redecoration and refurbishment as well as provide assistance in any emergency. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 6 The encouraging comments by residents about their home; either in the care they received or in the premises underlined the comments made by some staff about feeling valued by the Foundation. 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 H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 standard(s) 1-5 Suitable information is provided for a prospective resident to make an informed choice about the home and visits are encouraged. Contracts/terms and conditions are provided. EVIDENCE: Two residents described their admission the home as being made comfortable by the staff and that they were made to feel very welcome. The National Westminster Staff Foundation is available to retired staff of the Royal Bank of Scotland Group and their dependants and is therefore known to them prior to their admission. Written information includes the statement of purpose and details of the terms and conditions in Oldroyd House. Assessments are made and a short stay is arranged prior to permanent admission. A care manager if involved, will also provide an assessment. Reviews are undertaken yearly. Short term or ‘holiday’ stays may be arranged, but the home does not undertake intermediate care. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 standard(s) 7-11 Health and social needs are assessed and recorded and suitable Health care professionals accessed when required. There are clear written procedures for medication administration Residents privacy is upheld. EVIDENCE: Care plans are considered as being central to the effective delivery and evaluation of residential care services and from which they are used to identify and manage individual health and social needs. Staff were able to identify the uses of the care plans maintained in the home. Risk assessments and daily reports are included in the plans. Medication is administered via a monitored dosage system and is managed by clear policies and procedures. A signature was missing from one administration record and the manager reminded staff on duty to check all records as medication was given. Medication is stored securely. Selfmedicating residents also have secure storage in their bedrooms and are risk assessed and monitored. Staff knocked on bedroom doors before entering and respected the rights of residents who had chosen not to show their bedrooms to the inspector. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 10 Staff said the local surgery is close by and the District Nurse and GP have a ‘good rapport’ with the home and will visit when needed. This was evidenced in care plans. The ‘palliative care team’ is also based close by and may be involved when required to support the care of terminally ill residents in the home unless hospital care is required. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 standard(s) 12-15 Social and cultural lifestyles are identified and met. Families and friends are welcomed into the home. Dietary needs are managed and a varied menu is provided. EVIDENCE: Residents were very happy to talk about the varied activities offered in the home. These included in-house activities such as painting and knitting and keep fit. Special yearly events are celebrated such as Christmas, Easter and birthdays and money is raised for charities through events run by the staff. A resident said they celebrated ‘red nose day’ “in style” by dressing up and holding a raffle to raise money for their chosen charity. Visits out are arranged and include trips to the theatre, gardens, Kent County Cricket and other places of interest. Residents may also suggest ideas for outings during their meetings. A forthcoming visit to the theatre was discussed by residents and was eagerly looked forward to. The manager holds an activities budget. Some residents said the local church was very active in supporting the home as required. Families are welcomed into the home and a member of staff stated that she and other staff enjoyed meeting different visitors and getting to know them and make them feel welcome. This also allowed them to be able to respond to residents better when they spoke about their visitors. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 12 The entrance to the home provides visitors with printed information about the home including the previous inspection report, forthcoming visits, how to complain and information about different events. A ‘pat dog and cat’ were in the home at the time and were greatly enjoyed by residents. The pets’ owner visits regularly and was aware of some residents who did not wish to be involved with the animals. The kitchen was clean and tidy and had benefited the previous year from being completely upgraded with new equipment and specialist wall coverings for hygienic cleaning. The menus are on a six weekly rota and include three choices for dinner and varied choices for breakfast, tea and supper. Residents said they were asked in advance what they would prefer for all their meals. Specialist diets are catered for as described by two residents. The Inspector was invited to lunch with the residents and enjoyed a well cooked and presented meal. Vegetables were served in individual serving dishes on each table and residents confirmed that this is usual practice. The pleasantly decorated dining room has had new dining chairs on discrete wheels with brakes and some residents commented favourably about them. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 standard(s) 16-18 There is a simple and clear complaints policy available to residents their visitors and families and to staff. Staff have a good understanding of adult abuse issues. EVIDENCE: A detailed complaints procedure and action form is included in the admission pack. Staff were able to discuss types of abuse and were able to confirm their responsibilities to protect residents. Policies and procedures identify prevention of abuse. The whistle blowing policy identifies the reporting action to be taken and includes addresses of the Commission for Social Care Inspection and the Foundations accountants and solicitor. Staff terms and conditions of employment have been reviewed to include information about POVA (Protection of Vulnerable Adults). All staff are subject to being checked by the Criminal Records Bureau as part of the ongoing recruitment process. Training for understanding abuse is undertaken in house during induction and the staff also undertakes NVQ that includes a section on abuse. Some residents said that they would feel confident talking to staff about problems they may have. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 standard(s) 19-26 The standard of the environment is very good, providing a comfortable, safe and hygienic place to live. Communal and private facilities are suitable for the residents needs. EVIDENCE: The home is located close to the city centre and to various health care centres. Access to the attractive and well maintained garden is suitable and the home has provided a mobility scooter for some, risk-assessed residents to travel independently out of the home. Residents have to ‘pass a test’ including travelling on routes approved by the home before allowed use of the scooter. All bedrooms are well furnished and individual and each has an en-suite shower or bath with hand basin and toilet. There is a bathroom with new hoist as previously indicated and a shower and separate toilets. Communal areas offer sufficient space and include a garden room/conservatory where two residents said they thoroughly enjoyed sitting. There is a hairdressing ‘salon’ that is used by the visiting hairdresser up to three times a week. Aids around the home include the lift, a stair lift and grab Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 15 rails. Adaptations to facilitate residents’ needs would be assessed and advice from suitable agencies sought. A new washing machine maintains the temperature levels required for soiled linen. COSHHE items are stored in a locked facility. The home has employed the services of a specialist Health and Safety consultant and the environmental risk assessments are currently being reviewed in response to advice given. Procedures are in place for infection control and some training is available through the induction process. The home was clean and free from offensive odours. The National Westminster Staff Foundation is a registered charity run by a group of trustees and provides a support system to the running of the home. This includes a proactive maintenance and repair system. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 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 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 meets the identified needs of the residents. Staff demonstrated a clear understanding of their roles. EVIDENCE: There have been three vacancies in the staff group due to long-term sickness, retirement or general vacancy. Some written comments to the Inspector from visitors/relatives that indicated at times recently the staff had seemed rushed; would verify the vacancies. However the Responsible individual said that this was being addressed. Two have been covered permanently and the third is being advertised whilst being covered. The staff rota seen was fully covered. Dependency levels that ascertain the numbers of staff on duty are monitored through the care plan process. All staff undergo a recruitment process including CRB checks, references and induction and foundation training based on TOPSS recommendations. A copy of the General Social Care Councils codes is given to all staff. Staff spoken to confirmed the ongoing training provided. All staff are required by the Foundation to undertake NVQ2 training following their induction. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 17 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) 31-38 The management of the home promotes the welfare and best interests of the residents and staff. EVIDENCE: The Responsible Individual (senior manager) for the home visits at least monthly and undertakes Regulation 26 to report to the Commission for Social Care Inspection. A new manager is in post awaiting registration and has the support of the Foundation. Some staff commented that although she is new in post she is integrating into the home quickly. Some residents also commented that; although they missed the previous manager, they liked the new manager and felt they could speak to her freely and trust her judgment. Some small cash amounts are held in the home for a few residents. Receipts are maintained and amounts held corresponded with records kept. Staff confirmed that supervision is undertaken. Senior staff have undertaken supervisory training. Quality assurance questionnaires are maintained from Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 18 visitors and families, residents and professional visitors. These are collated and referred to previous years outcomes. Health and safety in the home is maintained via training, policies and procedures and the homes’ maintenance programme. Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 19 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 4 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Oldroyd House H56-H05 S23708 Oldroyd House V222983 060605 Stage 4.doc Version 1.30 Page 20 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 V222983 060605 Stage 4.doc Version 1.30 Page 21 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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