CARE HOMES FOR OLDER PEOPLE
Oliver House - City of York Council Oliver House 20 Bishophill Junior York North Yorkshire YO1 6ES Lead Inspector
Ms Anne-Marie Foster Unannounced Inspection 2nd February 2006 11:00 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 Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 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. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Oliver House - City of York Council Address Oliver House 20 Bishophill Junior York North Yorkshire YO1 6ES 01904 653301 01904 634853 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) City of York Council *** Post Vacant *** Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: Oliver House is a care home run by City of York Council and registered to provide a service for 30 older people of either gender aged over 65 years who do not have any specialist requirements. Oliver House was purpose-built approximately 40 years ago and is located within a short walk of local facilities in Micklegate. The centre of York is within 1 mile. The accommodation is provided in single rooms on three floors. The upper floors are accessible via passenger lift. There is an enclosed rear garden. There are limited parking spaces. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 2nd February 2006;the inspection took three hours to complete along with four hours preparation. A tour of the home was made and discussions were held with the care leader on duty, with service users and their relatives. The staff were seen carrying out general care duties, and their interaction with the service users was observed. A check was made as to whether the home had complied with the requirements and recommendations from the last inspection. Feedback was given at the end of the inspection to the care leader. What the service does well: What has improved since the last inspection?
The policy for recruiting staff policy has been improved, and no staff have been allowed to start working at the home without the necessary checks, this is necessary in order to protect the service user. Fire doors are no longer held open by unauthorised means, enabling them to function correctly and offer protection to the service users in the event of a fire. Out of date medication is disposed of promptly, and the supplying pharmacist has been invited to the home to inspect the medication system, this should ensure that a safe and robust system for the administration of medicines is maintained. Risk assessments that had been stuck onto items of furniture have been removed, helping the home to maintain a domestic, not institutional décor. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 6 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. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 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 the following standard(s): 9 Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: The staff follow the homes procedures for the receipt, recording, storage and disposal of medicines. The medication records for all service users were inspected and these were found to be accurate and up to date. A check of the controlled drugs was made against the records, and this was found to be in order. There are no service users that self medicate at present. The supplying pharmacist has been invited to the home, to inspect the medication systems. Out of date medication is being disposed of promptly Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 11 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19 Service users live in a home that on the whole provides a safe and wellmaintained environment, however there are some safety issues that need to be addressed. EVIDENCE: Service users bedrooms are comfortable and well decorated. Most of the communal areas are pleasant and furnished to a good standard but there are some areas that need attention. Of the three long corridors in the home only the ground floor corridor had the lights on, the second floor and third floor were not illuminated, and with little natural lighting, this presents as a risk to the service users safety. The smokers lounge is situated on the ground floor next to the non-smokers lounge the smell of cigarette smoke continues to be evident in the home, and the non-smokers health may be put at risk through passive smoking. No plan
Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 13 to install an extractor fan has been drawn up yet. This room is shabby and needs decorating, a notice that was for staff was stuck onto the window, this should be removed to minimise institutional practice. Several aerosol cans of air freshener and deodoriser spray were lined up on the window ledge by the sitting room; these should be removed for safety purposes and because of the unpleasant association. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Service users are supported and protected by the homes recruitment policy and procedures. EVIDENCE: Ten staff files were inspected including the newest recruitments; all of the files had the documentation required by regulation, including two references and the criminal record bureau check. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The health, safety and welfare of staff could be better promoted and protected. EVIDENCE: Whilst a full inspection of this standard was not carried out, the staff toilet facilities were checked and found in need of redecoration and a thorough clean particularly to the back of the door. This should improve this area for staff. Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 17 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 3. Refer to Standard OP31 OP19 OP19 Good Practice Recommendations The manager should proceed with her application to CSCI to become the registered manager of the home. The manager should ensure that the lighting to the second and third floor corridors is kept on throughout the day to ensure the safety of the service users. The smokers lounge should be provided with adequate air extraction equipment, the manager must draw up the necessary plan to provide this, and also make a review of this area The manager should ensure that aerosol cans of air freshener and deodoriser are stored safely and discreetly. The manager should arrange for the staff toilet to be redecorated and thoroughly cleaned. 4 5 OP19 OP38 Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Oliver House - City of York Council DS0000034910.V278652.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
