Inspection on 19/03/07 for Olivemede

This inspection was carried out on 19th March 2007.

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

Olivemede 01/11/07

Olivemede 06/09/05

Olivemede 12/10/04

Olivemede 27/05/04

Olivemede 28/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Olivemede Hawthorn Road Yaxley Cambridgeshire PE7 3JP Lead Inspector Andy Green Key Unannounced Inspection 19th March 2007 10:00 X10015.doc Version 1.40 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 Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 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 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. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Olivemede Address Hawthorn Road Yaxley Cambridgeshire PE7 3JP 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) 01733 240972 F/P 01733 240972 Oak House Homecare Limited Ms Lynn Isobel Gambrill Care Home 32 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (32) of places Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Olivemede is situated at the end of a cul-de-sac in a residential area of Yaxley. The home is within walking distance of local shops, pubs and public transport to Peterborough. Built in the 1970s, the home offers accommodation to 34 older people, on two floors. Major refurbishment and building work has resulted in all single bedrooms with ensuite facilities and additional and upgraded communal rooms. A day centre used by the local community is attached, and the home is surrounded by large garden areas. Peterborough city centre is within a short drive, and the city has good road and rail links to local towns and major cities. The charges range from £351 to £467 per week. Copies of CSCI reports are made available to service users and their relatives upon request Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulation Inspector, Andy Green undertook this unannounced inspection on 19th March 2007. The inspector met with the manager, members of care staff, the administrator and service users to gather views regarding the services offered in the home. A number of records were inspected including care plans, training records and staff files. A tour of the building and grounds was also undertaken. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home produces information to ensure that prospective service users can decide if they wish to live in the home. Assessments are in place to make sure that that the care needs of new service users can be met. EVIDENCE: The home continues to receive detailed assessment information from the local authority and a copy of the care plan. For those individuals who are selffunding the manager and assistant manager carry out a needs assessment using the home’s own assessment form. There is currently one vacancy and referrals are being considered. Prospective service users and their family/relatives continue to be encouraged to visit the home as part the assessment process to ensure that the service users need’s can be fully assessed. This also gives the person a chance to experience life in the home. An overnight stay can be arranged if a bedroom is available. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate health and personal care to meet their assessed needs. Medication administered in the home is recorded accurately. EVIDENCE: Three service user files were inspected and they are recorded in good detail to ensure needs are being met. Changes in care are clearly documented with evidence that reviews are carried out on a monthly basis with any changes clearly recorded in the care plan. Daily care notes are accurately recorded. The manager stated that a variety of healthcare professionals continue to visit the home on a regular basis and these include district nurses, nutritionist, chiropodist, CPN’s, Social workers, GPs, and a continence advisor. Their visits are recorded in individual service user’s care plans. The home is committed to the prevention of pressure sores and there are a supply of appropriate mattresses and cushions. There are currently no service users with pressure sores. The home has recently been in discussion with district nurses regarding the delegated nursing task of administering insulin injections for two service users. However, after discussion with one of the district nurses the manager has Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 9 decided not to take on this task and the two service users will continue to receive their insulin via district nurses visits to the home. Medication records, including Controlled Medication, were inspected and they are accurately recorded. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide appropriate support to ensure that service users have access to activities appropriate to their needs. EVIDENCE: The manager stated that there are a range of activities provided in the home including monthly music entertainment, coffee mornings, bingo, religious services and individual visits from ministers. A hairdresser makes regular visits and nail care treatment is also offered. The manager stated that a number of day trips are organised to shopping centres and to local theatres. A number of service users have been to a local circus, pantomime, garden centres and pub lunches during the last year. There is a notice board displaying events for service users and participation in activities is recorded in individual files. An Easter raffle is being organised and was displayed near to the front entrance. A number of service users continue to attend the nearby day service. Following discussion with the manager, regarding the home’s transport, it is recommended that a more suitable vehicle be purchased so that wheelchair users in the home can access the community. The manager stated that she would discuss this issue with the provider for further action. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 11 There is a varied range of meals offered throughout the day and service users have choice of alternatives to the suggested menu choices. Snacks and drinks are also available at all times during the day. Service users met during the inspection confirmed the provided in the home was of good quality with choices offered. Service users were complimentary about the services they received and felt appropriately supported by a friendly and caring staff team. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure to make sure that service users have their complaints or concerns listened to and acted upon properly. EVIDENCE: The home has a clear complaints procedure including agreed timescales to ensure that all complaints are investigated and actioned appropriately. The home has not received any complaints since the last inspection. CSCI has also not received any complaints regarding the home. Relatives are made aware of the complaints procedure to ensure that any concerns can be raised and dealt with appropriately by the manager. The home has a satisfactory policy regarding Adult Protection, which is in line with the Local Authority policies. Staff continue to receive updates regarding training in the protection of vulnerable adults so that service users are protected from abuse. It was noted during the inspection that care staff spoke to service users in a friendly, social and respectful manner. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides appropriate premises and accommodation to meet the service user’s needs. Service user’s bedrooms are presented in a style to reflect individual preferences and wishes. EVIDENCE: Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 14 Refurbishments to all bedrooms have been completed since the last inspection and two remaining bedrooms are being completed. All bedrooms are ensuite. An improved toilet facility has been created on the ground floor. All areas of the home have had new floor covering apart from the front reception area and plans are in place to complete this soon. The completed refurbishments give a far more homely, comfortable and noninstitutional presentation. The home was clean and tidy and free from odours. The gardens are well maintained and accessible to service users and their visitors. It was recommended that more seating in the garden and flowerbeds would be beneficial. The manager agreed to action this in consultation with service users and the provider. A new digital weighing machine, which is used in conjunction with a hoist, has been purchased. This is a useful addition especially for service users with mobility difficulties. It was noted that repairs to the large upstairs window, door and the vent from the tumble dryer have been completed as outlined in the last inspection of the home. ensure that repairs would be given priority and actioned within the month Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 15 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment policy and processes ensure that service users are protected from harm. Care staff receive training to ensure that they are competent to deliver care to service users. EVIDENCE: The home has two vacancies for care staff. The manager stated that two carers have been appointed but CRB checks are awaited before they commence employment in the home. All staff are issued with contracts, detailed job descriptions and clear details of their areas of responsibility. Three members of staff’s files were seen and they contained appropriate information including their application form, two references and evidence of a satisfactory POVA/CRB checks. The application form has been developed to provide more detail regarding the applicant’s previous employment and experience. The home’s training continues to be effectively organised by the organisations Training Co-ordinator who arranges inductions and updates in mandatory and client specific courses. NVQ training is well established in the home and 55 of staff has completed NVQ at either level 2 or 3. Evidence of individual training was including dates for refreshers/updates r to ensure continuing safe practice. Four members of care staff were interviewed and they confirmed that they received a thorough induction and detailed training throughout the year. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 16 One of the care staff continues to have the delegated task of auditing health and safety in the home in consultation with the training co-ordinator and the manager. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the manager provides supportive leadership and guidance to staff to ensure that service users receive a good and safe standard of care. EVIDENCE: The registered manager continues to provide a clear and supportive style of management. She is also receives regular support by the Providers, Training Co-ordinator and Business Manager. Staff members confirmed that they felt well supported by the management team in the home. Recorded supervision sessions are in place for all a staff to ensure that their practice and development needs are regularly monitored. Monthly staff meetings continue to be held with agendas and minutes provided so that staff can freely raise care issues and items of business. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 18 The home has recently employed a new part time administrator to ensure that the office processes are smoothly run. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 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 3 X 3 X 3 3 X 3 Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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. 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 2 Refer to Standard OP14 OP19 Good Practice Recommendations It is recommended that the home purchases a more suitable vehicle so that wheelchair users can safely access the community. It is recommended that additional seating be provided in the garden for service users along with additional flowerbeds. Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Olivemede DS0000015190.V322530.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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