CARE HOME ADULTS 18-65
Oswald House 31/33 St Oswalds Walk Newton Aycliffe Durham DL5 4BQ Lead Inspector
Mr Leonard Hird Unannounced Inspection 15:30 23 February 2006
rd Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 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.V266038.R01.S.doc Version 5.0 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.V266038.R01.S.doc Version 5.0 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.V266038.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th December 2005 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 the residential part of Newton Aycliffe and is within walking distance of the towns amenities. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection of Oswald House was carried out on the 23/02/06. During the inspection discussions took place with 5 residents, staff and management as well as a tour of the home been undertaken. Various documents and records kept at the home were examined during inspection. What the service does well: What has improved since the last inspection? What they could do better:
The registered manager/provider was aware that Oswald House must continue to develop and improve the delivery of its care practice services to ensure that the ever-changing needs of the residents were to be met. This development must take full account of the ageing of residents as well as further development of the care plans. The registered manager/provider was also aware of the need for the completion of the management and care qualification at NVQ level 4. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 6 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.V266038.R01.S.doc Version 5.0 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.V266038.R01.S.doc Version 5.0 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): This standard area was not assessed at this inspection. EVIDENCE: Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 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 9 There is a clear and consistent approach by the care staff working at Oswald House to positively encourage residents to have an independent lifestyle and make decisions for themselves. EVIDENCE: Risk assessments had been undertaken on behalf of the residents living at Oswald House and these were being maintained on the individual residents files. Residents were actively being encouraged to make their own decisions wherever possible and records were being maintained when this had happened. Staff were observed to be interacting positively and sensitively with residents as well as affording appropriate levels of support and assistance when required by residents. Residents spoken with said that they were encouraged to make decisions that affected them. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 10 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 15 The home were actively in encouraging where appropriate the links between the families, friends and partners of the residents. EVIDENCE: Evidence was available to show that residents had regular visits from families, friends and partners but only when the resident wanted them to visit them at the home. There were also regular visits to their own family homes and visits to friends within the different homes in the group. During the inspection there was a birthday tea party for one of the residents. It was pleasing to see their family taking part in the celebration along with the other residents living at Oswald House. The family commented on the support their family member had received at the home and were pleased at the way the celebration to be had been organised by the home. Records were being maintained of all visits made to and by residents with in the individuals care plan. Information was also being maintained on the individuals care plan if there were any special information as to who could visit. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 11 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): This standard area was not assessed at this inspection. EVIDENCE: Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 12 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 Oswald House has a simple, clear and effective complaints procedure that both residents and staff can understand and use. The policies, procedures and guidance relating to the Protection of the Vulnerable Adult were also available in an easy to use format for the staff. EVIDENCE: The home has a simple and effective complaints procedure readily available and this was being displayed prominently for residents. The complaints document is simple, clear, well illustrated and easily understood. Residents spoken and communicated with confirmed that they were aware of where the complaints document was kept, how to access it and how and who to make a complaint to if they needed to do so. Staff had recently undertaken a training course in the Protection of the Vulnerable Adult. The policies and procedures the home used for the Protection of the Vulnerable Adult were readily available for staff and these were in line with current practice and guidance. Information regarding the local authorities Protection of Vulnerable Adult Policy Procedures was also available in the home. Records were being maintained of when staff had undertaken training as well as all the annual reviews undertaken by an external company on all of the the policies and procedures. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 13 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 The residents who lived at Oswald House were seen to be living in a homely, safe, clean and well maintained environment. EVIDENCE: Residents’ rooms viewed by invitation during the inspection were seen to be well maintained, furnished and personalised to a good standard. One resident had their room decorated in the colours of the local football team another resident had their room set up with their electrical musical equipment. The communal living areas were well decorated, furnished and maintained. The home had a planned program of redecoration and refurbishment. Residents spoken with said that they were involved in choosing the decorations and furniture for both their own room and communal rooms. The home was clean, hygienic and free from unpleasant odour. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 14 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 The staff team working at Oswald House were fully aware of their roles and responsibilities within the home and were being well supported and supervised by the homes management team. There were appropriate recruitment policies and procedures in place to ensure that residents were being protected. Staff had undergone training that enabled them to give good support to the residents. EVIDENCE: There were clearly defined job descriptions available for all staff employed at Oswald House. These job descriptions were being maintained both on the individual member of staffs personnel file as well as being contained in the homes policies and procedures. Staff confirmed that they were aware of their job descriptions and how they fitted into the overall structure of the home. Staff were receiving regular supervision sessions from the manager and these had been recorded. Residents spoken and communicated with confirmed that they were being well supported by the staff and that they were treated with both respect and dignity at all times. All staff had undergone appropriate checks before employment. Personnel files on recently appointed staff were inspected and were found to contain; an application for the position at the home, a criminal records bureau check at enhanced level, references from previous employers, the results of the interview process as well as information on qualifications and identification.
Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 15 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): NMS37 NMS 39 The residents living at Oswald house have the benefit of a well-run and managed home that enables them enjoy an independent lifestyle. The homes experienced and nurse qualified registered manager had yet to complete the relevant management and care qualification course. EVIDENCE: Residents spoken with during the inspection confirmed that they had regular residents meetings, that they were consulted over appointment of new staff and were being consulted about the different individual and group activities that they took part in. They also met on a daily and weekly basis with the residents from the other houses that were part of this small group of homes. From these different meetings records were available for inspection that indicated that residents were influencing their life. Records were being maintained of these and of all other meetings held at the home. Residents made positive comments about how they chose their holidays, where they worked, that they could have their family, friends and partners come and visit them whenever they wanted them to and that they could also visit family, friends and partners similarly. The residents care plans contained sufficient
Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 16 information to assist staff in meeting the changing needs of individual service users however there is a need to make sure that care plans are randomly audited to ensure that this is occurring. Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Oswald House Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000007495.V266038.R01.S.doc Version 5.0 Page 18 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 37 Regulation 9 Requirement The registered manager must ensure that they have the appropriate qualification atlevel 4 NVQ in management and care Timescale for action 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oswald House DS0000007495.V266038.R01.S.doc Version 5.0 Page 19 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
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