Inspection on 20/04/05 for Oldway Heights

This inspection was carried out on 20th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Oldway Heights 16/11/09

Oldway Heights 07/01/08

Oldway Heights 17/08/06

Oldway Heights 19/10/05

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 Announced 20 April 2005 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Oldway Heights Address 40 Headland Park Road, Paignton, Devon, TQ3 2EL 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) 01803 527088 01803 664738 Mr Barry Michael Privett and 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 D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD Maximum registered 25 service users (both) 2. MD Maximum registered 25 service users (both) 3. OP Maximum registered 25 service users (both) Date of last inspection 20th October 2004 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 D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 and a half hours and was announced. Information was received from the registered provider before the inspection as was written feedback from 1 relative/visitor. A full tour of the home took place and personal records of 3 residents and 3 staff were inspected. The inspector spoke to 4 members of staff on duty and 15 of the residents as well the registered owner/manager and administration and care managers. What the service does well: What has improved since the last inspection? Systems for the documentation of residents care plans and risk assessments have been improved and provide clear and accurate information, which is understood by the residents and staff and accurately reflect the care given. Staff receive regular supervision and support from their line manager. The environment has been improved through the provision of a sensory room and a ‘smokers’ lounge has been divided to provide a good-sized single room with en suite WC whilst the lounge (although smaller) retains a cosy, homely feel. The storage and recording of personal monies held on behalf of residents has been improved to provide even more security. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 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 standard(s) 1,2,3,4,5 The level of information the home provides to service users is good. The needs of service users are fully assessed before a decision is made about if/how those needs can be met within this home. EVIDENCE: The inspector examined the information the home obtains before a prospective resident is accepted for admission to the home, as well as assessing the physical, psychological and health needs of the individual consideration is given to existing residents and whether in the opinion of the management team the individual will fit in to the community of the home. The homes statement of purpose is clear and provides enough information about the services and facilities available. Residents told the inspector that they had been able to visit the home and meet other residents and the staff before making a decision to stay. All residents are provided with a terms and conditions of residency (contract) by the home in addition to the individual service contract supplied by the placing authority (If any). Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 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 standard(s) 6,7,8,9,10 The residents are aware and agree their planned care within a risk- assessed framework. EVIDENCE: The inspector examined the records held on behalf of 3 residents living in the home, not only was there documentary evidence of agreement and input from the individual but residents told the inspector about their own care plans. Service users are able to make decisions about how they live their lives and when a risk is identified this is discussed and recorded, whenever possible a plan is agreed to minimise the risk, but the rights of the individual appeared to be paramount. The inspector found that formal channels of communication exist through regular recorded meetings as well as individual 1:1 review. Satisfaction surveys have recently been distributed and responses were being received. The less formal systems of communication observed by the inspector and interaction between the residents and all disciples of staff were open and respectful. Residents told the inspector they would feel happy to discuss any concerns they had with the staff, all residents have a key worker and all those spoken to were aware they could speak with the managers openly. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 10 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 standard(s) 12,13,14,15,16,17 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: A number of people living in the home were spoken to and every one who commented on the food said how good it is and they welcomed the daily choices offered. The inspector observed that the lunch- time meal was unrushed and was considered an important daily social event. Trips away from the home are a regular occurrence - the sun was shining on the day of inspection and a group of residents and staff visited the sea front. Others spent time socialising in the lounge while others were spending time privately in their rooms some were observed using computers, watching TV or listening to music or talking books. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 11 A notice board in the lounge displayed a certificate indicating that the homes carnival float last summer had won 1st place - the inspector had conversations with the residents in the lounge about this, they said they had thoroughly enjoyed being involved even though some had chosen to sit back and watch rather than dress up and get in the midst of it. The residents said they were looking forward to this years carnival and would need to decide early what theme they should have because they had so much to live up to from last years. The minutes of residents meetings indicated that residents are consulted about any group activities and new ideas are sought. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 18,19,20,21 The home has robust arrangements to ensure the health care needs of residents are identified and met. EVIDENCE: The records of individual residents indicated that regular visits are made from health professionals including physiotherapists, speech therapists, occupational therapists, community nurses and general practitioners. When possible residents are enabled to visit community professionals in their own settings. The inspector examined the system of medication storage and recording and the homely remedy list agreed by the General Practitioners who care for residents in the home. The system for storage and administration was safe and easily audited. Residents are able to self medicate following assessment and have safe storage within their personal accommodation The home has suffered the loss (through death)of three residents in recent weeks and staff and residents spoke to the inspector of this loss. Staff and residents attended the funerals if they wished and a wake was held in the home where family and friends could pay their last respects. The inspector was touched by the obvious intense sense of sadness felt by all those who spoke to her but also through the positive comments they made about experiences they had had from knowing those who had died. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 13 Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 14 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 standard(s) 22,23 Residents are listened to and feel safe in the home. EVIDENCE: One resident told the inspector ‘I’d come right on out and tell the staff if I didn’t like something’, another resident told the inspector that before they lived at Oldway Heights they had always felt like a victim but ‘here’ they feel safe and respected. Information given to the Commission by the registered provider before the inspection reports that the home received 8 complaints in the last year these were investigated and 6 were found substantiated and action taken to prevent a re-occurrence. All of these complaints had been responded to within 28 days in accordance with the homes policy. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 15 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 standard(s) 24,25,26,27,29,30 The environment is safe, comfortable and homely. EVIDENCE: Since the last inspection the home have continued with their redecoration programme. A sensory room has also been provided. Individual risk assessments have been performed on the environment and actions to reduce risk have been documented. Residents told the inspector they like the décor in the home and have been able to chose the decoration and furnishings in their own rooms. Furniture, furnishings and equipment appeared to be in good order. Where service users want a key to their room they are provided with one. A resident told the inspector how pleased they were with the level of privacy they have within the home. The home has equipment and adaptations to meet the needs of those living in the home and a passenger lift provides access between floors. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 16 Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 The staff team are effective and competent. The procedures for the recruitment of staff are robust and provide safeguards to offer protection for people living in the home. EVIDENCE: Residents were able to tell the inspector who the staff were and what they did. A key worker system is in operation and residents knew who their key workers were and said they ‘help me do stuff like tidying my room’, just talk to me about things’. The inspector examined the personnel records of 3 recently employed members of staff these contained records of previous employment/experience and qualifications, written references Criminal Records Bureaux checks and had been checked against the protection of vulnerable adults list and proof of identity. The files also contained 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. 28 of care staff have obtained a National Vocational Qualification in care and a further 8 are undertaking it. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 18 Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,41,42, The registered manager does not have the required qualification to be registered as manager of this home. There are clear lines of accountability and leadership. 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 only 2 units left before obtaining her Registered Managers Award and will then 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 records of meetings provided evidence that the staff team and service users are able to voice concerns and to effect the way in which the service is delivered. Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 20 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. Records indicate that gas installations and the central heating were last checked in October 2004; the lift was inspected in February, lifting equipment checks have been carried out since September 2004. The fire alarm is tested weekly and a check on the emergency lighting has been performed. Staff have regular training in fire safety and the last fire drill took place in February. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 4 3 3 4 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 Oldway Heights Score 4 Standard No 24 25 26 27 28 Score 3 3 3 3 x Version 1.20 Page 21 D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc 7 8 9 10 LIFESTYLES 4 3 3 3 Score 29 30 STAFFING 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 2 3 3 x 3 3 x Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 22 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 37 Good Practice Recommendations The Registered Manager should have a National Vocational qualification in both management and care by the end of 2005 Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Oldway Heights D54-D07 S18405 Oldway Heights V210415 200405 Stage 4.doc Version 1.20 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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