CARE HOMES FOR OLDER PEOPLE
OVENDEN HOUSE OVENDEN ROAD OVENDEN HALIFAX HX3 5QG Lead Inspector
CHERYL STOVIN UNANNOUNCED 26 JULY 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service OVENDEN HOUSE Address OVENDEN ROAD OVENDEN HALIFAX HX3 5QG 01422 362487 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) PENNINE CARE SERVICES LTD PC CARE HOME ONLY 23 Category(ies) of OLD AGE registration, with number of places OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 6/9/04 Brief Description of the Service: Ovenden House is owned by Pennine Care Services Limited and is registered to provide accommodation and care for up to twenty three older people. The establishment, a stone built detached period property, is situated in a residential area in the Ovenden district of Halifax with easy access to the town centre by public transport. Accommodation within the establishment is provided in thirteen single and five shared rooms. The establishment is currently in the process of being redecorated and refurbished throughout, the areas that have been completed to date appear bright and cheerful and welcoming. Externally there are garden areas for the service users to enjoy in the warmer weather with parking facilities for staff and visitors. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over four hours on 26th July 2005. Four service users and several members of staff were consulted as to their views on the standard of services and facilities provided within the establishment. The residents spoken to all expressed great satisfaction with the facilities and care they receive at Ovenden House. What the service does well: What has improved since the last inspection?
Some redecoration and refurbishment has taken place. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 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. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 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 standard(s) None of these standards were assessed on this occasion. EVIDENCE: OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Service users needs are assessed and the home has a good approach to promoting the service users health care. EVIDENCE: Service users have an individual plan of care which details their personal, social and health care needs. The care plans are reviewed and updated on a monthly basis, with a formal review being held every six months. Risk assessments are in place, again with evidence of regular review. Service users confirmed that they are treated with respect and their privacy respected at all times. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 The lifestyles of the service users match their expectations and preferences. Service users are encouraged to maintain contact with family and friends, and they are made to feel welcome. EVIDENCE: Service users’ preferences regarding activities of daily living are assessed and the routines of the establishment are flexible to reflect these. A range of activities are provided for the service users, if they wish to participate. Recent activities have included meals out and a coffee afternoon to which family and friends were invited. A summer fair is planned for later in the year to which the local community will be invited. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 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 standard(s) 19,20,23,24,25 Service users live in a comfortable and homely environment, with a programme of redecoration and refurbishment underway. EVIDENCE: The establishment is situated in a residential area in the Ovenden district of Halifax and on a bus route to the town centre. The property, a large stone built period residence is in the process of redecoration and refurbishment throughout. The conservatory, small lounge and dining room, and several bedrooms have already been refurbished and new carpets fitted, the appearance was bright and cheerful and welcoming. The establishment provides accommodation in thirteen single bedrooms and five shared rooms, with only two bedrooms being equipped with en-suite facilities. There is no screening provided within the shared bedrooms and no lockable facility in the majority of the bedrooms. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The home is staffed by a well trained and motivated workforce. EVIDENCE: The establishment is adequately staffed by a well motivated and well trained workforce. A programme of NVQ training is in place with all staff being required to attain their NVQ II award. At the time of the inspection 47 of the staff team had achieved their award, with a further 8 in the process of undertaking their award. The organisation employs a training officer with a dedicated training budget. Relationships between staff and service users were observed to be relaxed and friendly with appropriate use of informality and humour. A robust recruitment policy is in place, and staff files examined indicated that an application form is completed, and the satisfactory receipt of two written references and a CRB and POVA disclosure are required prior to an offer of employment being made. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 Management arrangements within the home are unsatisfactory with no Registered Manager in post. EVIDENCE: The previous acting manager of the home had submitted an application to be registered as manager of the establishment by the CSCI. She subsequently, however, withdrew the application. This has resulted in no person being in overall charge of the home. The previous deputy manager has indicated that she wishes to be registered as manager, and must submit an application. The Responsible Individual Mr Bassan visits the establishment regularly, however, no report is completed. Visits to be undertaken in accordance with Regulation 26 of the Care Homes Regulations and a report made available to the CSCI. Consultation with the service users takes place on a regular basis, with a formal quality assurance system now being in place. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score N/A N/A N/A N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 N/A 10 2 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 N/A 15 N/A
COMPLAINTS AND PROTECTION 3 3 N/A N/A 3 2 3 N/A STAFFING Standard No Score 27 3 28 N/A 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score N/A N/A N/A 1 2 1 N/A N/A N/A x x OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 16 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 OP31 Regulation 9 Requirement The acting manager to submit an application to be registered as manager of the establishment to the CSCI. Visits to be undertaken in accordance with Regulatiion 26 of the Care Homes Regulations and a report provided to the CSCI. This remains outstanding from the previous report. Timescale for action 31/8/05 2. OP33 26 31/8/05 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. Refer to Standard OP10 OP24 Good Practice Recommendations Screening to be provided in shared rooms. A lockable facility to be provided in each service users bedroom. OVENDEN HOUSE J52J01_s59091_Ovenden House_226161_260705.doc Version 1.40 Page 17 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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