Inspection on 13/06/06 for Oswald House

This inspection was carried out on 13th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oswald House 08/07/08

Oswald House 23/02/06

Oswald House 08/12/05

Oswald House 16/11/04

Oswald House 08/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Oswald House 31/33 St Oswalds Walk Newton Aycliffe Durham DL5 4BQ Lead Inspector Mr Leonard Hird Unannounced Inspection 13th June 2006 16:00 Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 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 Oswald House DS0000007495.V297790.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 Adults 18-65. 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. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oswald House Address 31/33 St Oswalds Walk Newton Aycliffe Durham DL5 4BQ 01325 300296 01325 314621 mail@oswaldhouse.co.uk 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) Mr Ian Thomas Patterson Mr Ian Thomas Patterson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: Oswald House is a family owned and run home that aims to provide care in a friendly and homely atmosphere. The home is registered to provide residential care services for up to 8 persons in the category of learning disability. The home is located in a residential part of Newton Aycliffe and is within walking distance of the towns amenities. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Oswald House House took place on the 13th June between 1600 and 1930 hrs and the 29th June between 1530 and 1900 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Adults (18-65) National Minimum Standards. These Key standards are: Choice of Home (NMS2), Individual Needs and Choices (NMS 6,7and 9), Lifestyle (NMS 12, 13, 15,16 and 17) Personal and Healthcare Support (NMS 18,19 and 20), Concerns Complaints and Protection (NMS 22 and 23), Environment (NMS24 and 30) Staffing (NMS 32, 34, 35) Conduct and Management of the Home (NMS 37,39 and 42). The Commission for Social Care Inspection had received 2 written comment cards from relatives. Comments were also received from residents, relatives, the registered manager and members of the care staff team. What the service does well: What has improved since the last inspection? Oswald House has continued to develop its support for its residents in their working and social environment. The home has continued to develop its training programs for its staff Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 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. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The homes management team ensured that prior to the admission of a resident to the home both the Local Authority’s Adult and Community Services team as well as the home’s registered manager had carried out an assessment of need. EVIDENCE: From a review of individual residents care plans it was noted that comprehensive assessments of need had been carried out prior to admission. The Local Authority’s Adult and Community Services team and the home had undertaken these assessments of need separately. Resident’s representatives had signed the assessment documentation on behalf of their relative and this information was being maintained on the individual residents file. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 6 NMS 7 NMS 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The care planning system used in the home is adequate and provides staff with the information required to assist them in meeting the needs of the individual resident. Residents were being actively encouraged and supported to participate in the decision-making and risk taking process affecting their lives. EVIDENCE: Each resident had a comprehensive care plan in place that contained information about differing aspects of their personal and social well-being, their physical and mental health care requirements and their other specialist needs. Also contained in the care plans was information regarding any restrictions on individual residents choice and freedom and how this was to be managed. When there had been involvment of specialist staff in the care of the resident from the home, eg District Nurse, this had been recorded. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 10 Care plans were being reviewed on a monthly basis at the home and on a yearly basis by the Local Authority’s Adult and Community Services team. Records were being maintained of the daily life of the individual resident within the home and included information on the different activities that the resident had taken part in. Not all of the information contained in the care plans was up-to-date. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12 NMS 13 NMS 15 NMS 16 NMS 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available at Oswald House were varied and flexible and meeting the needs of the residents. The independence and personal choices of residents at Oswald House were being actively promoted by the home. The dietary needs of residents were well catered for with a balanced and varied selection of food being provided. EVIDENCE: Residents had individually planned programs of weekly activities that had been developed to take account of the residents’ own likes and dislikes. Activities ranged from walks, visits to Hamsterley Forest, visits to the Wishing Well Club, a meal or drink at local public houses, swimming sessions, using Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 12 small computer games or the Internet, visits to the National Rail and Air Museums and listening to music. The activities were being arranged for the individual resident or the group as a whole by the home. However it was noted during the inspection that if residents didnt want to take part any activity they didnt need to and that enough staff were available to support this choice. The residents were all going on a holiday cruise arranged by themselves and the home to Bilbao during the late summer. Included in the holiday were visits to Barcelona and on the return coach trip seven nights in Paris. Residents commented, ‘they were looking forward to the holiday and the trip on the boat’ ‘Disneyland was going to be great fun’ and that ‘they were pleased that they had been able to choose this holiday themselves’. Residents attended different day placements where they engaged in work and educational activities with their peer groups. Families were encouraged by the home to spend time with their relatives either at the parental home or by relatives taking them out. One parent visiting the home during the inspection was taking their relative away for a weekend to a large Steam Engine Rally and made comment that ‘the home was always helpful and understanding in dealing with their relative when going on holiday or away’ they also commented, ‘the home and its staff had over the years developed effective ways of communicating with each other to the extent that they had each others mobile phone numbers ’. There were regular residents meetings being held enabling residents to influence decisions being made in the home e.g. choice of menus and choice of activity. Records were being maintained of these meetings and how the home had responded to any suggestion. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Judgement-we looked at outcomes for the following standard(s): NMS 18 NMS 19 NMS 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health needs of residents were being well met with evidence of good multidisciplinary working regularly taking place. No resident currently can self-administer medication. EVIDENCE: A review of residents care plans confirmed that residents were receiving support and advice from the appropriate health professionals as and when required. Individual residents care plans included detailed information about the involvement of doctors, dentists and other healthcare professionals who were contributing to the well being of the resident. The home had appropriate policies and procedures in how to administer medication to residents available for care staff. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 14 Those staff involved in the administration of medication had undergone an appropriate course in the Safe Handling and Administration of Medication. Records of this training and first aid training were been maintained on the individual members of staffs personnel file. Staff were observed during the inspection process to be providing sensitive and dignified support to the residents. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 22 NMS 23 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The complaints and adult protection policies and procedures currently being used in Oswald House provide for a safe environment for residents to live in. EVIDENCE: Oswald House had appropriate policies and procedures in place for the Protection of Vulnerable Adults. Staff had received training on how to deal with the Protection of Vulnerable Adults and records were being maintained of this training. In discussions with staff they confirmed that they were fully aware of the importance of acting quickly in cases of suspected abuse and that they would follow the homes policy and procedures if the situation arose. Oswald House had a simple and effective complaints procedure readily available within the home for residents and their families. One resident spoken with commented, they knew who to complain to and how to complain if they needed to. A visiting relative confirmed that they knew of the availability of the homes complaints policies and procedures. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 24 NMS 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Oswald House is clean, pleasant and hygienic and provides a safe, homely and comfortable environment for its residents to live in. EVIDENCE: Oswald House is clean, tidy and free from unpleasant odours. Individual residents rooms had been decorated and furnished in a pleasant and homely manner. The communal living areas were well decorated, furnished to a pleasing standard and well maintained. Maintenance work undertaken on the homes equipment and facilities had been recorded appropriately. There were appropriate systems in place for infection control. The homes infection control policies and procedures were written in accordance with relevant legislation and professional guidance. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 17 It was confirmed by staff that they had received appropriate training in infection control and a record of this had been kept on their personnel file Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 32 NMS 34 NMS 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Oswald House through its recruitment, employment and training procedures were ensuring that only suitably qualified care staff were employed the home. Staffing levels at the home were sufficient to meet the current assessed needs of the residents. EVIDENCE: From a review of the staff rota provided it was noted that staff were being deployed in sufficient numbers as to ensure the current needs of the residents were being met. There was a commitment to training for all staff at the home and currently 50 of the homes care staff were qualified at NVQ level 2 or above with the rest of the staff in the process of completing the qualification. Though the Registered Manager is a well experienced manager with nursing qualifications they had not yet completed the appropriate qualification at NVQ level 4 in management and care. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 19 Staff who had recently been employed had received appropriate induction training. There was also a rolling training programme operating in the home that provided training for staff in moving and handling, first aid training and the Protection of Vulnerable Adults. Records of training undertaken and completed were being maintained on individual members of staffs personnel file. All staff employed at the home had being recruited in accordance with the homes policies procedures. All of the appropriate employment checks prior to starting to work at the home had been undertaken and recorded accordingly. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 37 NMS 39 NMS and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Oswald House has a well-established management structure ensuring the home promotes the health, safety and welfare and rights of residents. EVIDENCE: Records of individual staff supervision sessions were being maintained securely and staff confirmed that they had received copies. From discussions with staff it was confirmed that they were aware of the management structure within the home. A verbal comment was received from a family member stating that, “the staff were caring, patient and understanding when working with their relative and that their relative was very happy living at Oswald House” Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 21 Records were being maintained of when equipment had been serviced and who had undertaken and completed the work. There were also policies and procedures readily available in the home in regard to health and safety for staff and residents. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 9(2)(I) Requirement The registered manager must have the appropriate qualification at NVQlevel 4 in management and care Timescale for action 31/12/06 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 YA39 Good Practice Recommendations The home’s Quality Assurance systems should include formal procedures for seeking the views of family, friends and advocates and of other interested parties in the community such as health and social care professionals. Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 June only be used in its entirety. Extracts June not be used or reproduced without the express permission of CSCI Oswald House DS0000007495.V297790.R01.S.doc Version 5.2 Page 25 - 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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