Inspection on 16/07/05 for Oxenford House

This inspection was carried out on 16th July 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

Oxenford House 30/11/06

Oxenford House 06/02/06

Oxenford House 22/12/04

Oxenford House 31/08/04

Oxenford House 06/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oxenford House The Glebe Cumnor Oxford OX2 9RL Lead Inspector Carole Moore Unannounced 16th 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. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oxenford House Address The Glebe Cumnor Oxford OX2 9RL 01865 865116 01865 865923 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) Abbeyfield Oxenford Society Limited Mrs Pauline Shaw (CRH) 25 Category(ies) of Physical disability over 65 years of age (PD(E)) registration, with number 4 of places Old age, not falling within any other category (OP) 25 Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1: The total number of persons that may be accommodated at any time must not exceed 25 Date of last inspection 22nd December 2004 Brief Description of the Service: Oxenford House was purpose built and first registered in 1990. The accommodation is on two floors with 25 bedrooms and a central lift. Eight of the bedrooms have en-suite facilities and one room is designated as a short stay for a holiday or convalescence. This room is also used for prospective residents who may like to experience living in the home whilst considering permanent residence. There is a spacious sitting room and dining room on the ground floor with a large conservatory leading into attractive gardens. There is a summerhouse at the rear of the home and ample space to walk around the gardens. The first floor has a small sitting room with kitchenette facilities. There are four bathrooms and a shower room. A ground floor room is used for hairdressing, aromatherapy and physiotherapy. A physiotherapist visits the home twice a week, a hairdresser twice a week, library service and chiropody monthly and a trolley shop service weekly. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place on Saturday 16th July 2005. The inspector was made to feel very welcome and was appreciative of the cooperation of the staff who were on duty that day. The registered manager was not working but did come into the home during the inspector’s visit to support the senior who had the responsibility for managing the home that day. The inspector toured the building looking at the communal areas and visited some bedrooms with the permission of the residents. A majority of the time was spent talking to residents and some family members. Individual time was also spent talking to the staff who were on duty that day. A senior carer was responsible for the running of the home that day in the absence of the manager, but clear lines of communication were in place for the manager to be contacted should the need arise. There is no administration support over a weekend and the inspector made a decision to view records in more detail at the next inspection. Time was spent in the kitchen with the cook and lunch was observed. Feedback from some of the residents was really positive. “Everybody is so helpful,” “Staff are excellent,” “spotlessly clean everywhere” What the service does well: There is a very homely environment and the home takes pride in its robust housekeeping and cleanliness. All staff spoken to had a personal knowledge of their residents and are committed to providing their residents with the best care possible. All visitors to the home are made to feel welcome. The physiotherapist provides an important service to promote mobility and to advise staff on how to encourage residents to maintain their independence. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 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. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 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 Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 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) 1&5 Oxenford House provides clear information and it is used by prospective residents to help them choose a home that is right for them. EVIDENCE: The information about Oxenford House was seen in the entrance hallway along with other important information on the notice board. The booklet outlined what the home could and could not provide and it was written in plain English and could easily be understood. Relatives spoken to described how they were made to feel welcome when they first visited the home, and were given all the relevant information to support their decision to choose the right home for their relative. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 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) 8,10 &11. The home meets the health; personal and social care needs of the residents. All staff respect the privacy and dignity of their residents. EVIDENCE: The physiotherapist was present during the morning of the inspection assessing resident’s mobility. She was seen helping residents who had difficulties in walking and advising staff on what support or exercises to do with the residents to further assist with their mobility. The physiotherapist confirmed that her twice-weekly visits certainly helped residents maintain their independence and enabled staff to assist in this process. Residents spoken to confirmed that the GP usually called every week and they could easily access a dentist, optician and chiropodist. Residents also confirmed that staff were kind and gentle and respected their privacy and dignity. Staff were seen knocking on bedroom doors before entering and being sensitive to resident’s needs. The physiotherapist also confirmed that the manager preferred to look after her residents up until the time of their death unless there were strong medical reasons not to do so. The home’s philosophy is that, it is their home and if they wish they should spend their final days in familiar surroundings. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 10 Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 11 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) 12,13,14 &15. Residents are encouraged to maintain contact with family and friends and are assisted to exercise choice over their day. Some staff need to further ensure that residents enjoy the whole mealtime experience. There needs to be a wider range of activities that suit the needs of all the residents. EVIDENCE: The home welcomes all visitors and there were many families visiting on the day of the inspection. Relatives confirmed that they were made very welcome and were usually offered some form of refreshment. Time was spent with the cook on duty that day and she explained the dietary arrangements and choices of food available. On the day of the inspection there were three choices for lunch, lasagne, cottage pie or cauliflower cheese with fruit and ice cream for desert. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 12 Residents spoken to were reasonably happy with the food but felt that it could be better presented. There were also comments made about the carers clearing the tables too quickly. The dining room looked attractive with all tables well set with napkins and flowers. Staff were seen being attentive to those residents less able. The activities are provided by the care staff and is therefore dependant on what time they have available. The carer on duty on the Saturday was organising a quiz in the afternoon and she had also taken some residents for a walk in the morning. Residents spoken to felt that there were less activities for the more able and sprightly and that they would like more organised trips out in the community. Residents are all helped to exercise choice and those more able residents confirmed that this was correct. Decisions can be made about where they spend their day and choices in relation to the food they eat. The inspector saw some residents having coffee in the lounge, two residents were in the conservatory and two residents were seen talking with a member of the care staff in the garden. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 13 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) 16 There is a clear complaints policy. EVIDENCE: Residents spoken to all confirmed that they knew the procedures for making a complaint. Any concerns are taken to the manager and she deals with them promptly. The complaints procedures are clearly outlined on the notice board for all to see. Residents meetings are held quarterly and the manager chairs this meeting. Issues can be raised at these meetings for further discussion with the residents. Relatives meetings are being introduced to further facilitate discussion and to provide the opportunity to raise any issues of concern or to discuss any areas that could be improved. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 14 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) 19.20,21,22,23,24,25,&26. Residents live in a safe, homely and clean environment. They have safe access to indoor and outdoor communal facilities and enjoy safe, comfortable and pleasant bedrooms. EVIDENCE: Cleaning was taking place during the inspection and everywhere was clean tidy and pleasant smelling. All bedrooms were individually styled with resident’s personal possessions and those residents spoken to were completed satisfied with their rooms and surroundings. The home has sufficient toilet and bathroom facilities close to both bedrooms and communal areas. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 15 There is a passenger lift, handrails, assisted baths and toilets and a hoist to assist those residents less able. There is also good access for wheelchair users to all communal areas of the home. The sluice has been leaking for some time and the manager assured the inspector this was being dealt with. The cook also raised issues within the kitchen: ie the extractor fan was not operating on the day of the inspection and work was needed in relation to the kitchen lighting. These items were discussed with the manager and are in hand to be repaired. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 16 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 &28 On the day of the inspection there were sufficient trained staff to meet and protect the overall needs of the residents. EVIDENCE: There were three carers, one senior carer, one domestic, one cook and one kitchen assistant on duty. This is the usual Saturday rota and appeared to meet the needs of the residents on that day. Staff spoken to had a clear understanding of the resident’s support needs and most were clear on the training they had undertaken. In the absence of the manager on this inspection, the area of training will be looked at in more detail at the next inspection. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 17 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) 33 &36. The home is well managed and run in the best interests of the residents. EVIDENCE: On the day of the unannounced visit, the home had a relaxed feel about it with relatives visiting and staff carrying on with their normal routine duties. The senior carer presented as competent and was helpful throughout the inspection process. It was helpful to speak with the manager near the end of the inspection and it was appreciated that the senior carer was allowed to see the inspection through to its close. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 18 All staff spoken to enjoyed working at Oxenford House but the inspector had some differing messages in relation to communication between staff members and between staff and the manager. It has therefore been decided that a questionnaire will be sent to all current staff members to obtain their views and their expectations from working at Oxenford House. All staff interviewed confirmed that they had regular supervision from their manager. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 19 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 3 x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x 3 x x Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 20 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. 2. 3. 4. Refer to Standard 15 15 12 Good Practice Recommendations It is recommended that staff allow more time at the end of each meal before clearing away the dishes. It is recommended that more care is taken with the presentation of the meals. It is recommended that more thought be given to the activities programme to ensure inclusion of all the residents. Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Burgner House 4630 Kingsgate Oxford Business Park (South) Cowley, Oxford, OX4 2SU 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. Extracts may not be used or reproduced without the express permission of CSCI Oxenford House H57_H08_S13122_Oxenford House_V234292_040705_Stage 4.doc Version 1.30 Page 22 - 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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