Inspection on 19/10/05 for Oldway Heights

This inspection was carried out on 19th October 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oldway Heights 16/11/09

Oldway Heights 07/01/08

Oldway Heights 17/08/06

Oldway Heights 20/04/05

Oldway Heights 20/10/04

Oldway Heights 20/04/04

Oldway Heights 15/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOME ADULTS 18-65 Oldway Heights 40 Headland Park Road Paignton Devon TQ3 2EL Lead Inspector Fiona Cartlidge Unannounced Inspection 19th October 2005 10:40 Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 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 Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oldway Heights Address 40 Headland Park Road Paignton Devon TQ3 2EL 01803 527088 01803 664738 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Barry Michael Privett Mrs Jacqueline Ann Privett Mr Barry Michael Privett Care Home 25 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (25), Old age, not falling within any of places other category (25), Physical disability (25) Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. PD Maximum registered 25 service users (both) MD Maximum registered 25 service users (both) OP Maximum registered 25 service users (both) Date of last inspection Brief Description of the Service: Oldway Heights is a large detached two storey building situated in Paignton, Devon, close to local facilities (a short walk away). The home predominantly provides care to younger adults who have physical disabilities. The home has also retained its registration to care for the elderly, to allow the elderly clients already at the home to remain there. A maximum of 25 service users of either gender can be resident in the home. The emphasis of the home is to ensure that service users with a physical disability are able to have a good quality of life and to this end the home has provided a number of aids and adaptations to both support service users care needs and allow them to retain as much independence as possible. The home is serviced by a passenger lift and all areas of the home are easily accessible for wheelchair users. The home also offers a day care service. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3hours and 20 minutes and was unannounced. A partial tour of the home took place when some bedrooms and all communal living rooms were viewed. Personal records of care of 2 residents and personnel records of 2 members of staff were inspected. The inspector spoke with 2 residents, 1 staff member the care manager and office manager. What the service does well: What has improved since the last inspection? What they could do better: When a risk is identified which may effect a residents wellbeing, a plan to reduce the risk should be agreed and documented in their individual plan of care, in a timely fashion this will help to ensure that the staff provide consistent care. When a health professional requests that a residents health be monitored, there should be a clear system to ensure it happens and findings should be communicated to the health professional to make sure the residents condition is properly monitored. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 6 The passenger lift has been reported as unreliable this should be properly assessed to ensure it is safe for, and fit for its purpose. The manager does not have the recommended qualification in management or Care; to be sure the manager has the most up to date, ‘best practise’ knowledge and skills they should work towards getting suitable training to obtain the qualifications. To ensure that staff employed at the home are suited to be in trusted and caring positions all checks on their background and experience should be made before their employment commences. 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. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 The admissions process is safe. The needs of prospective residents are fully assessed before a decision is made about if/how those needs can be met within this home. EVIDENCE: The inspector looked at records held on behalf of 2 recently admitted residents and spoke to one of those whose records were seen at some length about how they had chosen to live at this home. The records contained copies of transfer letters from the residents previous care settings and robust assessments performed by staff from the home. One resident told the inspector that they had been given information about the home because it was the nearest care home to their family home, which could meet their needs. The same resident told the inspector they had visited the home for a few days before making a decision to stay and during that time had formed positive views about the staff and environment which had given them confidence about permanently becoming resident. The inspector found that in both cases the records also included an individual care plan based on the care management assessment and care plan and the homes own needs assessment, there was documentary evidence that both residents had agreed the plans for their individual care. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 The residents are aware and agree their planned care within a risk- assessed framework. EVIDENCE: The inspector looked at records held on behalf of 2 residents these included an individual care plan based on the care management assessment and care plan and the homes own needs assessment, there was documentary evidence that both residents had agreed the plans for their individual care. The plans had been formulated based on information that came from assessment of risks that may be encountered when: going out in the community, Mobilising, eating and drinking, being lifted or transferred, attending to personal hygiene, medical needs including medication. The care plans provided information about how best needs could be met both during the day and at night. The care plans were supportive and enabling encouraging good practise but not requiring it, there was evidence that the care being planned was risk assessed and that risks had been discussed with the individuals but where the individuals had made an informed choice not to follow advice given, this had been documented and respected. The inspector found that a risk identified in the daily report had not then influenced a formal review of the documented plan of care for that resident Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 10 although other mechanisms had been put in place to alert staff of that risk i.e. a notice on a communication board in the staff room. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,13,14,17 The home offers a broad range of activities to meet the needs of those living in the home individually and on a group basis. People can make choices about all aspects of their lives and are supported to do so. The food in the home is of good quality with plenty of choice. EVIDENCE: The inspector looked at the activities notice board and found a notice inviting residents to identify events they would like to go to the responses included Bowling, Paignton steam rally and going for a trip into town. A recorded check list was then examined which provided evidence of the activities actually undertaken both on a 1:1 and group basis with a record of attendance. Social activities on October had included pottery painting, making of Swedish hankie boxes, quizzes, , pottery, games, painting, walks to the shops/shopping, making pom-poms, glass painting, scrabble, working with computers and sing songs. Residents are also enabled to attend colleges for swimming, pottery and bird-watching. Residents also attend specific centres for their individual needs such as the Parkinson’s falls centre and stroke dysphasia group. Residents spoken to said that there were adequate activities available to them and they confirmed they were not made to join in with anything they didn’t Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 12 want to. The home came 1st in the local carnival with their float in July and a photo provided evidence that the staff and residents did a great job of portraying the musical ‘Greece’. Lunch was served at the time of the inspection, most residents ate their lunch in the dinning room, the meals were well presented and the residents spoken to said very enjoyable. Those people who required assistance were given this in a sympathetic manner and time was taken to promote independence where possible. Some people ate lunch in their own accommodation if chosen. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 Residents receive support in the way they prefer; their physical and emotional needs are met. EVIDENCE: The residents spoken to by the inspector confirmed that the staff provide personal care in a sensitive manner maximising their privacy, dignity and independence. The inspector noted that where personal care was being provided this was done so behind closed doors. Each resident has a key worker and a stable staff team provides care. Residents looked well cared for and told the inspector they chose what they wear and how they look. Records confirmed that professionals including physiotherapists visit the home to provide individual advice and support on issues such as positioning or modification of equipment. One resident has recently (within the last 2 months) been provided with a bespoke wheelchair to provide maximum support and mobility. The documents held on behalf of the residents included a record of professional visits those seen included visits from GP’s, district nurses, physiotherapists, speech therapists and chiropodists there was also documentary evidence that residents are enabled to attend appointments in the hospital and community settings. There was evidence that healthcare is monitored through monthly assessment of blood pressure, pulse and weight however the inspector could not find a Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 14 record of one residents blood pressure or pulse despite an instruction from the doctor being made on the 10th of October (9days earlier), that their BP be monitored on a weekly basis, the care manager looked into this matter during the inspection and informed the inspector that a member of staff had said that they could remember taking the residents blood pressure, but had omitted to record it, a conversation ensued about improvement in the recording process to minimise the risk of such an error being repeated. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents views are listened to and they feel safe in the home. EVIDENCE: Residents told the inspector they feel safe living at Oldway Heights and would feel happy discussing any concerns or issues with staff in the home. The complaints procedure is clear and was found displayed on the notice board in the entrance hall. A record of complaints is maintained and the inspector found that 1 complaint had been recorded since the last inspection the record included detail about how the complaint had been handled, verbally and in writing including the outcome and any further action required. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,29,30 The environment is safe, comfortable and homely. EVIDENCE: The inspector performed a partial tour of the home, not every bedroom was seen, but those that were looked homely and there was evidence that residents have been able to bring personal belongings with them in to the home. The bedrooms were fitted out to meet individual needs with some rooms having adjustable beds, pressure relieving and moving and handling equipment and adaptations to promote independence. Those residents spoken to about their private environment told the inspector they like the décor in their own rooms. The furniture, furnishings and equipment in communal rooms appeared to be in good order. Staff were seen to use the residents smoking lounge for the purpose of smoking themselves. Where service users want a key to their room they are provided with one a recent survey (performed the day before the inspection) revealed that a further 5 locks need to be fitted. The inspector also noted that a room used as Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 17 a sluice and store for cleaning materials had no lock there was however a sign on the door stating the rooms was for staff only. A passenger lift provides access to less mobile residents between floors; one resident said they had recently been stuck in the lift 5 or 6 times, staff confirmed that the lift has been unreliable and engineers have been called on several occasions. It is not known what age the lift is and if that may be a contributory factor to its unreliability. The environment was found to be clean and odour free and wash hand facilities and disposable gloves with notices displayed ‘for use when handling or coming into contact with body fluids were seen through out the home. A notice is responsibly displayed in the entrance hall requesting anyone who has been in contact with or has had diarrhoea and vomiting to restrain from visiting. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34 The staff team are effective and competent. The procedures for the recruitment of staff do not always provide all the safeguards that are recommended to offer protection for people living in the home. EVIDENCE: The inspector examined the personnel records of 2 recently employed members of staff these contained records of previous employment/experience and qualifications, 2 written references had been requested in both cases however only 1 had been returned for 1 staff member and none for the other. One had a Criminal Records Bureaux checks and had been checked against the protection of vulnerable adults list in August before their employment at Oldway in October 2005. There was no evidence that a check had been requested on the other individual although they had been employed at the home since September. The files did contain job descriptions, terms and conditions of employment and records of induction in line with TOPSS specification. Staff spoken to told the inspector they are well supported by the management team and are able to access training appropriate to the needs of the home as well as themselves. New ways of working have been developed and a senior carer said there were benefits because it enabled the senior carers to address the many aspects of the job i.e. the personal care, documentation and Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 19 supervisory roles describing a feeling that the new system would improve the chances of career progression. The staffing levels are appropriate to meet the needs of those living in this home. The care manager devised an assessment of staffing need in April, based on the level of need of each resident in terms of the numbers of actual hours required for staff to meet their needs. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,39,42. Resident’s benefit from the open and clear management approach taken in this home. The health, safety and welfare of residents are promoted and protected. EVIDENCE: The registered provider is also currently the registered manager of the home, the Commission expects the registered Manager to have obtained a National Vocational Qualification (or equivalent) in Care and Management, the Commission has been informed that the Care Manager has obtained the Registered Managers Award and it is expected will apply to be registered as manager of this home. There are clear lines of accountability and the management team has specific responsibilities which staff and residents are aware of. The homes quality assurance processes are based on continual evaluation, careful staff selection and training, an open policy on feedback and complaints, 2 monthly meetings between management and residents and staff, quality surveys at least annually (last performed in February) an audit trail comprising Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 21 of an audit checklist (last completed in February) there is a record of means of achieving the standards and the evidence to support that. All of the records seen during the inspection were up to date and in good order and residents are aware that they can have access to their personal records and that records held on behalf of them are confidential and secure. The fire precautions logbook indicates that the fire alarm is tested weekly and emergency lights monthly. Staff have regular training in fire safety and the last fire drill took place on the 5th October 2005. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X 3 2 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oldway Heights Score 3 2 X X Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X 3 3 DS0000018405.V259538.R01.S.doc Version 5.0 Page 23 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 YA29 Regulation 13(4) Requirement Timescale for action 01/11/05 2 YA34 19 3 YA37 9 Because the passenger lift is becoming increasingly unreliable a full assessment of its safety should be performed The registered person must not 01/11/05 employ a person to work at the care home unless he has obtained in respect of that person all of the information and documents listed in paragraphs 1 to 7 of schedule 2. The Registered Manager must 31/12/05 have a National Vocational qualification in both management and care by the end of 2005 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 YA37 Good Practice Recommendations The Registered Manager should have a National Vocational qualification in both management and care by the end of 2005 DS0000018405.V259538.R01.S.doc Version 5.0 Page 24 Oldway Heights 2 3 YA6 YA19 Where a risk to a resident is identified a plan to minimise that risk should be documented in the individuals care plan at the time it is recognised. When a healthcare professional requests an aspect of their patients health to be monitored, safe systems should be in place to ensure this is performed and the information is available for monitoring purposes. Oldway Heights DS0000018405.V259538.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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