Inspection on 20/10/08 for Oliver House - City of York Council

This inspection was carried out on 20th October 2008.

CSCI found this care home to be providing an Adequate service.

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

Oliver House - City of York... 19/11/07

Oliver House - City of York... 16/11/06

Oliver House - City of York... 02/02/06

Oliver House - City of York... 10/08/05

Oliver House - City of York... 30/11/04

Oliver House - City of York... 06/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oliver House - City of York Council Oliver House 20 Bishophill Junior York North Yorkshire YO1 6ES     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Denise Rouse     Date: 2 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Oliver House - City of York Council 20 Bishophill Junior Oliver House York North Yorkshire YO1 6ES 01904653301 01904613221 margaret.handy@york.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Margaret Betty Handy Type of registration: Number of places registered: City of York Council care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 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.The fees charged range from 102.90 to 457.74 pounds per week.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. Additional charges are made for hairdressing, chiropody services and individual items like toiletries.The service provides an information booklet about the home to prospective residents.The statement of purpose and service user guide,which gives information about the home is available,with a copy of the latest inspection report,for people to read. Care Homes for Older People Page 4 of 27 0 Over 65 30 Brief description of the care home Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means people who use this service experience adequate quality outcomes. This evidence used in this report has include: A review of the information held on the homes file since its last inspection. Surveys received from three people living at the home, two staff and one health care professional. An unannounced visit to the home which lasted five hours and thirty minutes, Care Homes for Older People Page 6 of 27 undertaken by one inspector, which included a full tour of the premises. Evidence gained by direct observation during the site visit. This involved talking with people living at the home, talking with senior care staff, the administrator and manager. Inspection of records, including care profiles, medication administration records, staff files and some of the homes policies and procedures. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations. But only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will take place. What the care home does well: What has improved since the last inspection? What they could do better: Care plans for people who have lost weight should be more detailed and care staff should monitor their condition more closely to make sure peoples well being continues to be protected.Care plans should be reviewed at least monthly or as a persons needs change to make sure people are always receiving the care they need especially when specialist equipment is needed to keep people safe. Staff are asked for their views at staff meetings, the staff spoken with would like some more casual meetings with the manager to voice their views informally. Quality assurance systems should continue to be developed and the new audits created by City Care Homes for Older People Page 8 of 27 of York Council should be implemented, to make sure the services provided in the home are maintained at an appropriate level. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before being offered a place in the home, to make sure their needs are known and can be met. Evidence: People are assessed by competent staff before they are offered a place at Oliver House. The assessment includes looking at peoples health and social needs. Additional information is gained from care managers and discharging hospitals to make sure the staff know peoples needs. People are not admitted to the home if it is felt their needs cannot be met. Care Homes for Older People Page 11 of 27 Evidence: Emergency admissions are not accepted without information being received about peoples needs and an assessment taking place. This ensures that people are not admitted to the home inappropriately. People who are considering moving into the home are invited to look round and spend time in the home or have a short stay to see if they feel the home can offer them the services they need. Three people living at the home completed surveys, comments received included I received enough information about the home to decide it was the right place for me. I viewed the room and was satisfied with it, so I moved in. Intermediate care is not undertaken. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health care needs are known, however there are some shortfalls in updating risk assessments and monitoring peoples weight which may place some people at risk. Evidence: The detail in care plans and risk assessments have been improved to provide staff with more information so that peoples needs are known and can be met.Two peoples care was looked at in detail. One persons care profile was satisfactory the second had some shortfalls. One person had not had their care plans reviewed since June. This was discussed with the manager. The risk assessment for the use of specialist equipment had not been updated to reflect some new equipment that was now being used, this was updated at the time of the site visit. Also the person had lost weight Care Homes for Older People Page 13 of 27 Evidence: over three months but no care plan was in place. Staff weighed the person on the day of the site visit and they had gained weight. People who have lost weight should be monitored. A detailed care plan should be in place to make sure that people are receiving the nutrition they need to maintain their health. Medication systems operating in the home were inspected.They systems in place have been improved since the last inspection.The balance of medications received is signed for by the staff who receive the items, this makes sure that balances of medication can now be audited.The balance of controlled medication was checked and found to be correct. A fridge is available for medication requiring cold storage. The temperature was checked weekly this should be monitored daily to make sure the fridge is working effectively. Staff have received training in how to give medication this helps to protect people. People are addressed by their preferred names. People spoken with said staff listened to them and respected their privacy and dignity. Personal care was given to people in their bedrooms and visiting health care professionals talked with the person they had come to see in their bedroom to maintain their confidentiality. People had the time they like to get up and go to bed recorded and can follow their own chosen routines supported, where necessary by the staff. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social needs are known and are met. People receive a nutritious diet. Evidence: Peoples preferred social activities are recorded on their pre admission assessment in a life profile.The persons family history is recorded so that staff can talk with people about their working and family life. This helps people to settle into the home. There is a programme of activities available in the home, this included chair exercises, dominos, quizzes and manicures. People can choose to take part in these activities if they wish. Although there is no activities co-ordinator provided at the home, dedicated time is provided for activities to take part each afternoon. This ensures that care staff are not taken away from providing activities when care issues arise. There is a key worker system in place where staff are allocated a group of people who live at the home. Staff are given some dedicated time to spend with these people so that they Care Homes for Older People Page 15 of 27 Evidence: have time to do different things with people take take them out for a walk. On the afternoon of the site visit a member of staff sang to the people sitting in the downstairs lounge and people joined in if they wanted to. People choose when they want to get up and when they would like to go to bed. They are supported as necessary by the staff. Halloween is going to be celebrated with costumes and mask making. A buffet of food will also reflect the Halloween theme. All the staff spoken with and the manager said how vital it was to make sure peoples social needs were recognized and provided for. Visiting is open and family take some people out for the day. Links with the local community are encouraged. A local artist has been coming into the home and with peoples permission has been drawing portraits of the people living there. These are displayed in peoples bedrooms and this has captured peoples imagination and they seem to be more animated when the artist visits the home. The local clergy visit the home and provide a church service every other Sunday for people to attend in the home if they wish. Local pupils from All Saints School are going to attend the home at Christmas to sing to people. Students undertaking their Duke of Edinborough award also visit the home and spend time talking with people who live at the home. A volunteer also spends time at the home and people like to sit and chat with her. A hairdresser and a chiropodist also visit the home to provide a service for people who live there. Staff at the home raise funds by undertaking raffles and tombolas to raise money for the people who live at the home. This is commendable. The meals are provided in house and four lunches per week come from the local hospital. On bank holidays the food is cooked in the home and a special meal is laid on for people to enjoy. People said the food was good. Special diets can be catered for. Alcoholic drinks are offered most evenings to people who live at the home and supper is available. People who need assistance to eat their meals are assisted by patient staff to make sure they are getting enough to eat. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to raise any complaints they may have and there are policies and procedures in place to help protect people from abuse. Evidence: People are informed about the homes complaints policy on admission. A copy of City of York Councils complaints leaflet Have your say is made available in the home for people to use. This ensures that people are aware how to raise issues and people spoken with all said they felt any issues raised would be dealt with. The home has a training champion who gives staff regular training about how to spot signs of abuse. Policies and procedures are in place to tell staff what action they should take if they suspect abuse is occurring. One issue has been raised which is currently being looked at. This helps to protect people. Prospective staff have to undertake police checks and a thorough recruitment process is in place. This helps to make sure that staff who are not suitable to work in the care Care Homes for Older People Page 17 of 27 Evidence: industry are not employed by the home. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a viait to this service. People live in a home that is maintained, however there were some shortfalls relating to the laundry, which should be adressed to help maintain infection control. Evidence: The home has a secure door entry system to make sure unauthorized people cannot gain entry this helps keep people safe. The staff welcome visitors when they arrive. There are a variety of living rooms and dining areas throughout the home. A passenger lift is available to help people gain access to all areas of the home. General maintainance is undertaken, the ground floor corridor is being redecorated and new flooring has been fitted. This makes sure that the home is being improved for people who live there. There is a patio area through the main downstairs lounge.This is accessible by people Care Homes for Older People Page 19 of 27 Evidence: who use wheelchairs and those who may not be steady on their feet. Garden furniture is available for people to use.There are some raised beds for plants, garden contractors are due to prepere this for winter so that it is pleasant for people to look at. The laundry was inspected. Infection control measures are in place for handling soiled linen. However behind the washers there was a build up of dust and there were missing tiles on the plynth that the washing machines were stood on. There were two missing tiles on the wall by the laundry door. These shortfalls should be adressed so that thorough cleaning can take place which will help to maintain infection control. Handwash facilities are available for staff throughout the home,this helps to prevent cross infection. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after by adequate numbers of well trained staff. Evidence: People are looked after by adequate numbers of staff, who are friendly and approachable. Recruitment undertaken for new staff is thorough all necessary pre employment checks are carried out, including police checks to make sure that people who want to work at the home are suitable to work in the care industry. New staff go through a thorough induction and during this they are helped to understand what is expected of them when giving care to people. The home has 55 of care staff who have achieved a National Vocational Qualification in Care. This helps staff deliver a good standard of care to people who live in the home. Staff receive regular supervision so that any issues they want discuss or receive more training about can be addressed. Staff receive training to help make sure that they have the skills they need to work safely and provide good care. Staff spoken with Care Homes for Older People Page 21 of 27 Evidence: were happy with the amount of training available to them. Staff meetings are held, some staff spoken to said they would like more informal short meetings with the manager and some joint meetings with night staff. This was discussed with the manager who was going to implement this. People said that staff were good to them and listened and acted upon what they said. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which has benefited from an improvement in the managers skills. Peoples health and safety is protected however there are some small shortfalls which should be addressed. Evidence: The home has a manager in place who has improved her management skills over the last year. Staff spoken with said that her confidence had increased which helped her to manage the home more successfully. The manager said that she still wanted to refine her skills and take on new training to help her deal with any issues raised effectively. She operated an open door policy so that staff and people who live at the home can Care Homes for Older People Page 23 of 27 Evidence: speak with her at any time. She is supported by a service manager who visits the home regularly to make sure the home is running well. Some basic quality assurance audits are in place for care profiles. A visual check is undertaken by the manager and senior care staff of individual peoples medications. This medication audit is not formally recorded. The council have developed a full range of audits for all services being provided at the home. However this system has not been completed yet. The new audits will help the manager make sure the level of service and recording of information about peoples care is current and up to date so that people are being protected. resident and relative meetings were held and the minutes from these meetings were available on the notice board in the corridor so that everyone could read them. Personal allowance accounts are available for people who do not wish to look after their own money whist living in the home.These were inspected, balances were correct and receipts were available for transactions made. This makes sure that people are protected from financial abuse. The home is maintained to make sure the environment and equipment is safe for people to use. There was some issues in the laundry that require to be addressed to maintain infection control. Hot water temperatures supplied to peoples bedrooms are checked and action is taken to make sure they are in the correct range to protect people from being scalded. Fire alarm systems are checked regularly to make sure that they would help protect people if a fire occurred. However in June and March only two weekly alarm checks were carried out. This should be undertaken weekly to help make sure people would be adequately protected if a fire occurred. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Care plans and risk assessments should be reviewed regularly or as a persons needs change to make sure that peoples needs are known and can be met. People who are loosing weight should have this monitored and a care plan should be created which states what action should be taken to help maintain the persons nutrition and health. The temperature of the medication fridge should be recorded daily to make sure it is working effectivly and keeping medication within the correct temperature range to be effective. The the build up of dust behind the washers should be removed. The broken and missing tiles should be replaced. To make sure that thorough cleaning can take place to prevent cross contamination occuring. Quality assurance systems should continue to be developed to make sure the documentation and services being provided are maintained to meet peoples needs. Fire alarm checks should be undertaken weekly to help protect people who live at the home. 2 8 3 9 4 26 5 33 6 38 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!