Inspection on 06/09/05 for Olivemede

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Olivemede 01/11/07

Olivemede 19/03/07

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 Unannounced 24 May 2005 @ 10:00 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. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Olivemede Address Hawthorn Road, Yaxley, Cambridgeshire, PE7 3JP 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) 01733 240972 01733 240972 N/A Oak House Homecare Limited Mrs Lynn Gambrill Care Home 34 Category(ies) of OP 34 registration, with number DE(E) 6 of places Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12/10/04 Brief Description of the Service: Situated at the end of a cul-de-sac in a residential area of Yaxley, Olivemede 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. This work is continuing and will provide further ensuite facilities to bedrooms. A day centre used by the local community is attached, and the home is surrounded by pleasantly laid out garden areas. Peterborough city centre, which offers a wide range of shopping and leisure facilities is within a short drive, and the city has good road and rail links to London and other major cities. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 24th May 2005. The inspector met with the Deputy Manager, Administrator, Training Co-ordinator and the Business Manager to assess a number of standards. Standards not assessed on this occasion will be assessed at a later inspection in the year. 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. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 The home produces a variety of information so that prospective service users can decide if they wish to live in the home. Assessments prior to admission are in place to make sure that that the care needs of new service users can be met. EVIDENCE: There have not been any further additions to the Statement of Purpose since the last inspection but the Service Users Guide was reviewed and updated in November 2004. The deputy manager said that these documents will be reviewed during the year to ensure they provide up to date information. The home receives assessment information from the local authority and a copy of the care plan. For those individuals who are self-funding a member of the management team carries out a needs assessment as required. Prospective service users and their family/relatives are encouraged to visit Olivemede as part the assessment process, prior to admission. This ensures that the prospective service users need’s can be fully assessed and also gives the person a chance to experience life in the home. An overnight stay can be Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 8 arranged if a bedroom is available. Service users are welcome to bring personal possessions for their bedrooms, as long as any furnishings or electrical equipment meets health and safety requirements. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 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, 9 The home has care plans, which ensure that the assessed needs of service users can be met. The health of service users is monitored and ranges of healthcare professionals visit the home on a regular basis. EVIDENCE: Three service user files were inspected and they showed sufficient detail to ensure assessed needs are being met. Any changes in care are clearly documented. There was evidence that reviews are carried out but it was noted that a number of files need to be updated. A variety of healthcare professionals visit the home on a regular basis and these include district nurses, nutritionist, chiropodist, CPNs, Social workers, GPs, and a continence advisor. The home is committed to the prevention of pressure sores and there are a supply of appropriate mattresses and cushions. Medication records, including Controlled Medication, were inspected and found to be accurately recorded. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Staff provide appropriate support to ensure that service users have access to activities in the home and access to the community appropriate to their needs and abilities. Service users have a choice of meals, which are prepared and served in a homely way. EVIDENCE: The deputy manager said that there are a range of activities in the home including monthly music entertainment, coffee mornings, bingo, religious services and individual visits from ministers. The deputy manager also stated that care staff are involved in arranging day time activities in the home where possible. A hairdresser makes regular visits and nail care treatment is also offered. There is a notice board displaying events for service users. A number of service users have access to the nearby day service and some service users in the home have been able to be involved in various day trips. 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 this to be the case. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 11 Service users said they were happy with the services they received and felt supported appropriately by the friendly staff team. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16-18 The home has a satisfactory complaints process to make sure that service users and their representatives have their complaints or concerns listened to and actioned properly within agreed timescales. EVIDENCE: The home has a clear complaints procedure, which includes agreed timescales to make sure 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. The home has a satisfactory policy regarding Adult Protection, which is in line with the Local Authority policies. Staff receive training in the protection of vulnerable adults to make sure that service users are protected from abuse. It was observed during the inspection that care staff spoke to service users in a friendly, social and respectful manner. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,23,24,25 & 26 The environment of the home provides service users with a safe, comfortable, clean and a well-maintained place in which to live. Service user bedrooms are presented in a style to meet individual preferences and wishes. EVIDENCE: Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 14 Refurbishments in the home are nearing completion and there are two remaining bedrooms awaiting conversion. Carpets and redecoration are scheduled for the ground floor corridors. Two of the toilets on the ground floor have also been redecorated and refurbished. A new door near the training room has been installed. A new front entrance porch and doors have also been installed. Two washing machines have been replaced and a carpet cleaner has also been purchased. A new dishwasher has also been installed. The home was clean and tidy and free from odours. The gardens are continually maintained and accessible to service users and their visitors. Repairs to the large upstairs window need to be carried out along with repairs to one of the fire doors. One of the staircases is also due to be redecorated as part of the refurbishment programme. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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 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 The home’s recruitment policy and processes make sure that service users are protected from potential harm. A comprehensive training programme is provided to make sure that care staff are competent to deliver care and support to service users. EVIDENCE: All staff are issued with contracts, detailed job descriptions and clear details of their areas of responsibility. Four members of staff’s files was seen and they contained appropriate information including two references and evidence of a satisfactory POVA/CRB check. The inspector discussed, with the Business Manager, the application form currently being used for recruiting staff. Although basic details are recorded it is recommended that the form be expanded to provide more detail regarding previous employment and experience. The home’s training is now being dealt with by the organisations Training Coordinator who arranges mandatory and client specific courses along with an induction programme and NVQ Level 2 & 3. Updates and refresher courses are organised throughout the year. Evidence of individual training was seen during the inspection. A comprehensive training programme is also being developed, for the registered managers across the organisation, which will include topics such as recruitment, supervision and problem solving. Training is well monitored and dates for refreshers/updates are recorded to ensure safe practice. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 16 The appointment of the Training Co-ordinator has enhanced the service and training is now proactively and creatively organised for all managers and staff. throughout the year. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 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) 31,32,36,37 & 38 The home is well managed and the manager provides supportive leadership and guidance to staff to ensure that service users receive good quality care. EVIDENCE: The registered manager was not available on the day of inspection but the deputy manager and administrator were very helpful and able in assisting with the inspection process. They both said that the registered manager continues to provide a clear and supportive style of management supported by the Providers, Training Coordinator and Business Manager. It was noted that photographs are needed in some staff files. The deputy manager said that this would be actioned as soon as possible. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 18 Recorded supervision sessions are in place for all a staff to make sure that their work and development needs are monitored. Monthly staff meetings are also arranged with agendas and minutes provided so that staff can raise care issues and items of business. It was noted that the vent from the tumble dryer in the upstairs laundry is leading out towards adjacent bedroom windows. A build up of lint and particles were observed on the outside wall and, the inspector expressed concern that dust, which may be hazardous, might be blown into service user’s bedrooms. The inspector discussed this issue, along with other repair work, with the maintenance person who said he would ensure that vent was re-routed away from service users rooms. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 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 x x x 3 2 2 Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 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. 2. 3. Standard 7 37 38 Regulation 15(2)(b) 17(3) 13(4)(a) Requirement Service users care plans must be kept under review to ensure care is up to date A photograph must be included on each staff file Service users must be protected from potential hazards. The tumble dryer vent needs reroputing and attention must be given to one of the fire doors. Timescale for action August 31st 2005 August 31st 2005 August 31st 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 29 Good Practice Recommendations It is recommended that the application form used for staff recruitment is expanded to provide more detail regarding previous employment and experience. Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 Page 21 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Olivemede I53 I03 S15190 OLIVEMEDE V227908 240505 STAGE 4.doc Version 1.30 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. 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