Inspection on 01/11/05 for Oxenden House

This inspection was carried out on 1st November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 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

Oxenden House 23/06/09

Oxenden House 25/05/07

Oxenden House 01/03/06

Oxenden House 02/02/05

Oxenden House 15/11/04

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

CARE HOME ADULTS 18-65 Oxenden House Oxenden Square Herne Bay Kent CT6 8TN Lead Inspector Sandra Crosby Announced 01/11/05 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oxenden House Address Oxenden Square, Herne Bay, Kent, CT6 8TN 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) 01227 371228 oxendenhouse@hotmail.com Mr Phillip Brett Harden Registered Care Home 5 Category(ies) of Care Home for Younger Adults with a Learning registration, with number Disability of places Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Learning Disabilities - 30 years of age and over Date of last inspection 22/01/05 Brief Description of the Service: Oxenden House (the Home) is registered to provide accommodation and personal care for five adults (Service Users) between the ages of 30 years and 64 years who have a learning disability. The premises are a semi-detached house which has accommodation arranged on three floors. Currently all four Service Users occupy individual bedrooms. Each of the bedrooms has a private wash hand basin and one of them also has a private toilet. The Registered Providers and two members of their family also live on the premises. The property is located in a quiet residential area. Herne Bay’s town centre is about one half mile away. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was announced and carried out on Tuesday 01 November 2005 from 09.30 – 12.30. During the inspection the Inspector spoke with the Registered Person, wife of the registered person, and one of the four Service Users. Records were seen and an accompanied tour of the premises was made. The majority of standards were inspected at this inspection visit. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. Three Service Users Comment Cards were returned, together with two Relatives/Visitors Comment Cares all indicating that they were more than satisfied with the services provided at the home. The Pre-inspection Questionnaire and Assessment and Inspection Record completed by the home prior to inspection and the information in the comment card returned, together with observational information and discussion with the Service Users and staff at the time of the inspection, has been used when compiling this report. The information in this inspection report indicates that the home is committed to complying in full with all aspects of the Standards, and the one requirement and three recommendations made in the report dated 22 January 2005 have been addressed. What the service does well: The home provides a warm and friendly home like environment The service aims to promote and develop independent skills. The staff team are stable and staff communication is good. Support is provided in enabling Service Users to find and undertake employment opportunities. Activities undertaken are many and varied, including holidays the most recent was to Butlins. The home is maintained to a good standard. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 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 standard(s) 1,2,4 The homes Statement of Purpose and Service User Guide provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. Service Users are offered trial visits and move into the home knowing that their needs can be met. EVIDENCE: A Statement of Purpose/Service User Guide seen at previous inspection visits has been compiled in keeping with the information required in the National Minimum Standards and the Care Home Regulations. Some assistance would be required for them to fully understand the information as they have limited literacy skills. The home has pre-assessment documentation and the Registered Person said that this documentation was completed for a recently admitted Service User prior to admission to the home. The Registered Person said that trial visits were undertaken by the most recently admitted Service User, together with a ‘settling in’ period following admission. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 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 standard(s) 6,7,9,10 Service Users know that their personal goals are reflected in their individual plans and that potential risks are managed. Service Users know that their views are listened to and that their records will be kept securely maintaining confidentially The staff at the home support Service Users needs in a respectful manner that protects privacy and dignity. EVIDENCE: One Service User Plan was seen and discussed. The Service User Plan contained relevant information including risk assessments and regular reviews. The daily record books were seen and the Registered Person agreed to reinstate the recording in these books. A recommendation made in the last inspection report in relation to a Service User Plans containing information about emotional needs and personal relationships has been addressed. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 10 Risk assessments were seen. They are in place to enable rather than disable Service Users. For example residents are able to make their own hot drinks and one resident is able to be out in the community without the support of staff for short periods of time. The risk assessment process has been implemented in order to ensure that it is safe for one resident to remain living in this Home. Service Users are involved in the decision making process at a level that they can understand. They are assisted to make informed decisions to minimise any risks that may be involved. The personal allowance records were seen, and showed that a good accounting system is in place. Records are kept secure when not in use. Those records seen during the inspection were up to date. There is a policy regarding confidentiality. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,16,17 Service Users have opportunities for personal and social development and are enabled to develop life skills within their individual capacity. Links with the local community are encouraged as part of the daily routines of the home, and Service Users are supported when engaging in appropriate activities. Daily routines respect Service Users rights, responsibilities and individuality. Service Users know the relationships they form will be supported by the home. The meals in the home are good offering both choice and variety and catering for special diets EVIDENCE: For most Service Users it is important that their present skills can be maintained. From evidence on the day with regard to the Service Users day care programme this standard is being met. Service Users continue to attend the day centre and educational opportunities. One Service User has a supported work experience placement. Opportunities are available for Service Users to use community resources. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 12 Three of the four Service Users have lived together for some time, and it said during discussion that the newest Service User to the home had settled in well. Examples were noted through discussion with the Registered Person of Service Users being supported to maintain contact with relatives and friends. Visitors are welcomed at all reasonable times. It is also clear that Service Users are supported to maintain personal relationships. The menus were checked and contained evidence that the Service Users have a sufficient and nutritious diet. From evidence reported at the previous inspection Service Users are able to choose from a variety of options for their lunch boxes to take to the day centre. Service Users take their meals in the pleasant surroundings of the dining room. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 Personal care is offered in a way to protect Service Users privacy and dignity and promote independence. The health needs of Service Users are met. EVIDENCE: Personal support is offered to Service Users with regard to personal care tasks and their personal appearance. The level of support necessary is recorded in their care plans. The staff have a good understanding of the needs of the Service Users and provide support in a way that Service Users prefer. The health care needs of the Service Users continue to be met. The Registered Persons stated that currently no Service Users were on prescribed medications, however records would be kept should this situation change. The Registered Person confirm that they had obtained a copy of The Royal Pharmaceutical Society Guidelines on the administration and storage of medication as recommended in the last inspection report. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22,23 The home has a satisfactory complaints system in place, and there are policies and procedures in place to protect Service Users from abuse, neglect and selfharm. EVIDENCE: There is a complaints procedure but because of their limited literacy skills it may not be able to be used by Service Users. This standard was discussed with the Registered Person at the last inspection visit to ensure that Service Users have someone outside the home that may be able to act as an advocate for the Service Users if they were unhappy with any aspects of their care within the home. Since the last inspection visit the Registered Person has accessed care management involvement for the Service Users living at the home. The home has the relevant policies and procedures. The Inspector was assured that all staff working in the Home has satisfactory CRB checks. There is a good understanding of what constitutes abuse. There are persons outside the Home that come into contact with the Service Users and who would hopefully identify any cause for concern. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24,25,26,27,28,29,30 The standard of the environment within the home is above average providing Service Users with a homely place to live. Service Users bedrooms suit their needs and lifestyles. The home was clean and hygienic at the time of the inspection visit. EVIDENCE: It was indicated during the accompanied tour of the home that the premises are suitable for its stated purpose, and meets the needs of the current group of Service User’s. In general the premises are presented to a good domestic standard. On the outside the fabric of the property looks to be in good order, and the garden area is well maintained. On the day of the inspection visit the premises were clean and free from offensive odours. The furnishings, fittings, adaptations and equipment were to a good standard. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 16 The Service Users have their own bedrooms, together with a well-presented communal lounge where they are able to make hot drinks if they are able. All bedrooms are individualised to suit Service Users needs. All bedrooms contain personal items. Bedrooms have wash hand basins, and one bedroom has en-suite facilities. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 The family and staff at the home work positively with Service Users to improve their whole quality of life. Staff are multi-skilled ensuring good quality care and support. Service Users are protected by the homes thorough recruitment procedures. The arrangements for the induction of staff are good. EVIDENCE: There are safe staffing levels operating in the home at present, with the main carers being the joint owners. Staff currently employed in the home is experienced carers and can meet the needs of the Service Users. The home employs competent members of staff to carry out domestic tasks within the home. When the owners are not on the premises competent members of staff well known to the Service Users are employed to care. The owners are always contactable by telephone. If the owners are included as care staff then their qualifications exceed that of NVQ level 2. Therefore the ratio of staff with NVQ qualifications is being met. One staff file was seen, and included all relevant documentation as required by this standard. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 18 It was previously reported that the Home uses a TOPSS accredited induction programme for all new staff. The owners undertake specific training in order to maintain their knowledge and skills base. The Registered Person is awaiting certification for completion of the NVQ Assessors course. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,41,42 The Registered Person has a clear plan and vision for the home, which they effectively communicates to Service Users and staff. Service Users rights and best interests are safeguarded by the homes record keeping, policies and procedures. The health, safety and welfare of Service Users are promoted and protected. EVIDENCE: The Registered Person and family members all have a good relationship with Service Users. Service Users benefit from the open management, and leadership from staff, together with a continuing stable staff group. There have been no reported accident/incidents at the home. It was seen in the pre-inspection questionnaire information provided by the home that maintenance certification is up to date as required. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 20 The Fire Log Book was seen, and all records showed that the regular checks were undertaken and recorded. The home has the required public liability insurance cover. Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 21 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 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 4 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oxenden House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 22 NO 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oxenden House H56-H05 S23507 Oxenden House V248508 011105 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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