Inspection on 25/05/07 for Oxenden House

This inspection was carried out on 25th May 2007.

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 but made no statutory requirements on the home.

Other inspections for this house

Oxenden House 23/06/09

Oxenden House 01/03/06

Oxenden House 01/11/05

Oxenden House 02/02/05

Oxenden House 15/11/04

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Southfields

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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 Mark Hemmings Key Unannounced Inspection 25th May 2007 10:00 Oxenden House DS0000023507.V333781.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 Oxenden House DS0000023507.V333781.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. Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oxenden House Address Oxenden Square Herne Bay Kent CT6 8TN 01227 371228 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) oxendenhouse@hotmail.com Mr Philip Brett Harden Mrs Joyce Shields Martin Harden Post Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disabilities - 30 years of age and over. Date of last inspection 1st March 2006 Brief Description of the Service: Oxenden House (the Service) 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. There is provision for all of the service users to have their own bedroom. 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 live on the premises. The property is located in a quiet residential area. Herne Bays town centre is about one half mile away. People who are interested in finding out about the Service, can read the Service Users’ Guide and the more detailed Statement of Purpose. These are available from the Registered Providers. Between them, they give a lot of information about the facilities and assistance, which are provided in the Service. People can also use the Registered Providers’ website, which can be found on www.oxendenhouse.co.uk The weekly fee for residence in the Service runs from £330.00 to £850.00. Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Report is based upon a number of sources of evidence. These include a review of the correspondence about the Service, which has been received by the Commission since the last inspection visit. Also, the Inspector completed an unannounced site visit to the Service. This took about four hours to complete. During this time, the Inspector spoke with all of the four service users in residence. The Inspector also spoke with both of the Registered Providers. The Inspector examined various parts of the accommodation and he reviewed a selection of the key records and documents. The Registered Providers operate the Service so as to provide the service users with the support they need to enable them to lead normal lives of their own choosing. There are no Required Developments at the end of this Report. What the service does well: What has improved since the last inspection? The Registered Providers have installed a new kitchen. Various minor repairs have been completed. Service users’ individual plans of care have been updated as circumstances have changed. Oxenden House DS0000023507.V333781.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. The summary of this inspection report can be made available in other formats on request. Oxenden House DS0000023507.V333781.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 Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. Prospective service users’ wishes and needs are assessed before they move in. EVIDENCE: The Registered Providers work closely with prospective service users and with their representatives to ensure that the right decision is made about whether or not to move into the Service. This means that the person’s preferred lifestyle and their needs for support, are identified in advance. The information is then used to see if these can reasonably be met in the Service. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this Service. The health and personal care which service users receive, is based upon their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Once a service user has moved in, they are encouraged to work with the Registered Providers in order to establish a detailed account of their requirements. This includes the preparation of an individual written plan of care which says who is going to do what, when and why. Service users say that they are satisfied with their degree of involvement in this process. Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 10 The Registered Providers are aware of the need to monitor the support provided for each of the service users. This is done so that any necessary changes can be made. Service users say that they receive all the help they need. The service users receive varying amounts of assistance to enable them to manage their financial affairs. The arrangements in place are sensible and suitable. Service users are encouraged to live a life of their own choosing. This takes place within a sensible appreciation of the need to ensure that they do not take unreasonable risks. Service users say that the Registered Providers, their children and the care workers are like being members of their extended family. They say that they respect each other’s individual needs in an informal way within this family context. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this Service. Service users are able to choose their life style, social activities and to keep in touch with family and friends. Service users eat well. EVIDENCE: Each service user undertakes a number of activities each week, some of which have an element of work to them. Service users say that they are satisfied with their respective calendars of activities. Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 12 Each of the service users leaves the Service regularly in order to do various things, such as going to shops. Service users are assisted to keep in touch with members of their families. The pace of daily life in the Service is relaxed without there being any unnecessary rules or routines. The balance between things being orderly and people doing their own thing, is about right. Service users say that they are provided with good quality meals and that they have enough to eat. The record of the food provided indicates that the service users have a normally varied and balanced diet. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this Service. Service users’ personal and healthcare needs are met appropriately. Suitable arrangements are used to manage service users’ medication. EVIDENCE: Service users say that within reason, they exercise choice as part of their everyday lives. For example, they can get up and go to bed as they wish. Also, they can retire to the privacy of their bedrooms if this is their choice. The Registered Providers keep a tactful eye on service users’ physical health. This is done so that arrangements can be made for medical attention to be sought promptly, should the need arise. Service users are assisted to follow a Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 14 healthy lifestyle. This includes things such as managing weight and having regular checkups with professionals such as the dentist and the optician. Service users are assisted to take any medicines which may have been prescribed for them. Suitable arrangements are in place to store and dispense medicines. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. Service users and their representatives can complain to the Registered Provider if they need to do so. Service users are protected from abuse, neglect and self harm. EVIDENCE: There is a complaints procedure which explains how someone can make a complaint about the facilities and services provided in the Service. Service users consider themselves to be free to speak to the Registered Providers or to a support worker if there is something on their mind. The Registered Providers are aware of the need to investigate all complaints thoroughly. The Registered Providers’ have a good understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances, which might jeopardise the well-being of a service user. No one says that they have witnessed anything in the Service since the last inspection visit, which has given them cause for concern. The service users say or indicate that they feel safe living in Oxenden House. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this Service. Service users to live in a well-maintained and comfortable environment. EVIDENCE: Service users say that they are comfortable living in their home. The accommodation is welcoming and pleasant. The overall standard of finish is very good without being fussy. There is a lived-in feeling to the place. The Registered Providers have assessed how best to avoid the occurrence of a fire safety emergency in the Service. This exercise shows that there are no appreciable hazards, which require special management. The Registered Providers are now going to submit this document to the Kent Fire and Rescue Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 17 Service. This should enable the Kent Fire and Rescue Service to update its evaluation of the adequacy of the fire safety regime operated in the Service. The Registered Providers are going to address this matter by 1 July 2007. The kitchen is clean and well organised. Sensible food handling and general hygiene arrangements are in place. The Service is understood to comply with the principal requirements of the local Department of Environmental Health. The Registered Providers assist each of the service users to maintain their wardrobe of clothes. This includes regularly putting items in for washing and ironing. Service users say that their clothes are returned promptly to them from the laundry and that they are in clean and presentable condition. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. There are enough members of staff to provide the assistance the service users need. The members of staff are appropriate people who know what they are doing. EVIDENCE: The Registered Providers are on duty in the Service for most of the time and on most days. When they are not present, there is a small team of support workers who stand in for them. Service users say that there are enough people around to meet their needs. Suitable arrangements are in use to ensure that service users receive assistance in a coordinated and consistent manner. This is very important because service users need to experience a reliable and predictable response to their needs for support. Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 19 The Registered Providers are responsible for ensuring that all members of staff are trustworthy people, who are suitable to have unsupervised access to service users. This involves completing various security checks, most of which the Registered Providers have undertaken. One further step now needs to be taken. This entails seeking full employment histories for both of the support workers. The Registered Providers have said that this will be done by 1 August 2007. The Registered Providers are responsible for ensuring that each of the support workers knows how best to assist the service users. Each of them has received introductory training. This has been done to ensure that they have the competencies necessary to enable them to work without direct supervision. The Registered Providers intend to provide additional training for the support workers as and when this is appropriate. Oxenden House DS0000023507.V333781.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this Service. The management of the Service is effective. There is a quality assurance system. The health and safety of service users is promoted. EVIDENCE: The Registered Providers have a detailed knowledge of the daily running of the Service. They have acquired the National Vocational Awards, which are Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 21 recognised by the Standards to confirm their ability to manage the Service in an effective manner. As noted earlier, service users say that they are consulted closely about their day to day lives in their home. This arrangement is now going to be strengthened further by the Registered Providers who are going to prepare an organised annual Quality Report. The Report will summarise any improvements suggested by the service users and by other people such as service users’ relatives. They have said that the first such Report will be completed by 1 August 2007. The Registered Providers complete various checks, which are designed to ensure that the Service’s fire safety equipment remains in good working order. Also, there are regular fire drills. The Registered Providers have arranged for items such as gas-fired appliances to be checked regularly by a competent contractor. There have not been any significant accidents in the Service since the last inspection. The Registered Providers regularly review the premises and the service users’ accommodation. This is done so that potential hazards can be dealt with quickly. There are no significant hazards waiting to be addressed. Oxenden House DS0000023507.V333781.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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 4 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 3 X X 4 X Oxenden House DS0000023507.V333781.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. 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. Refer to Standard Good Practice Recommendations Oxenden House DS0000023507.V333781.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 Oxenden House DS0000023507.V333781.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. 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