Inspection on 01/02/06 for Oxford House Nursing Home

This inspection was carried out on 1st February 2006.

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

Oxford House Nursing Home 21/05/09

Oxford House Nursing Home 30/10/08

Oxford House Nursing Home 02/06/08

Oxford House Nursing Home 21/02/07

Oxford House Nursing Home 31/08/05

Oxford House Nursing Home 24/01/05

Oxford House Nursing Home 04/05/04

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 Oxford House Nursing Home 204 Stoke Road Slough Berkshire SL2 5AY Lead Inspector Ruth Lough Unannounced Inspection 11:00 1 February 2006 st X10015.doc Version 1.40 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 Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 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. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oxford House Nursing Home Address 204 Stoke Road Slough Berkshire SL2 5AY 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) 01753 536842 01753 539262 info@oxfordhousenursinghome.co.uk Mr Edward Millar Johnston Mrs Abina Teresa Johnston Miss Clare Frances Glennerster Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: Oxford House Nursing Home was opened in 1980 and is owned by independent proprietors Mr and Mrs Johnston. It has the facilities for 34 service users (OP) who require Nursing and Care needs and is situated in a quiet residential close on the northern outskirts of Slough. The home offers views over adjoining school playing fields and residential properties. The establishment was originally an Edwardian family home and has many original features and décor. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to the home was a planned unannounced inspection to review the quality and outcomes for the service users living there. The inspection took one day and involved the inspector meeting with service users and staff. Records regarding the employment, management and administration were also reviewed. What the service does well: What has improved since the last inspection? What they could do better: That all staff that carry out the administration of the Controlled Medications in the home, complete the records with their full signature. Please contact the provider for advice of actions taken in response to this Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 the following standard(s): These standards were not assessed on this inspection visit. EVIDENCE: As above. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 the following standard(s): 9 and 10 The medications are not fully administered in accordance to the regulations. Service users are treated with dignity and respect by the staff. EVIDENCE: The recorded medication policy, procedure and processes are in accordance to the regulations and National Minimum Standards. The medications are stored safely and administered appropriately by staff with the exception of the recording of the controlled drugs. The registered nurses have not regularly recorded their full signature as required by the Medicines Act 1968 and the Nursing and Midwifery Council Code of Professional Conduct. Regular audits are carried out on the medications held and administered in the home by the appointed pharmacist. Should a service user wish to administrate their own medications the home as the necessary assessment and storage facilities. Service users confirmed that the staff are polite and respectful to them and they maintain their privacy whilst they carry out personal care. The staff were observed to be friendly and have a good rapport with the service users. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 the following standard(s): 15 Service users are provided with a nutritious diet that meets their individual needs and wishes. EVIDENCE: The menus are planned on a two week basis and service users have a choice of main meal or a vegetarian option is available. Service users are consulted on a daily basis of what they wish to eat for that day and should they wish to change their choices the staff accommodate their wishes well. Service users with special dietary needs are catered for and soft diets are provided should they be required. The staff were observed to assist service users with eating their meals sensitively and patiently and were making it a very social occasion for them. Service users gave very positive comments to the meals provided and stated that they are enjoyable and well presented. On service user recently admitted to the home informed the inspector that they had regained their appetite due to the quality of the food provided. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 the following standard(s): 18 The home has the systems and has trained the staff to ensure that service users are protected from abuse. EVIDENCE: Staff have a good understanding of protection for vulnerable adults. They are provided with information and training in the induction programme and attend refresher training when required. The home has suitable policies and procedures in place and senior staff have receive training appropriate to their roles. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 the following standard(s): These standards were not assessed on this inspection visit. EVIDENCE: As above. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 The staff are trained well to support the health and social needs of the service users. EVIDENCE: The home’s team of twenty- four care workers has a high number of NVQ trained staff. Eighteen carers have achieved NVQ 2 and two carers are currently obtaining level NVQ3. There is a rolling programme of training inclusive of the mandatory health and safety training required and specialist training to support all staff roles. The home provides monthly workshops for staff to provide support and information regarding care topics. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 and 35 The senior management staff are a skilled experienced team. Service users and others are consulted on a regular basis to ensure that the home is run in their best interest. Systems are in place to support service users control their own money should they wish EVIDENCE: The position of Registered Manager is in the process of changing to the senior nurse taking on the role. The current manager is remaining working in the home as a different role whilst attending further education. An application for this has not yet been received by the CSCI at the time of writing this report. The senior nurse/manager is in the process of undertaking NVQ4 and the Registered Managers Award and is an experienced nurse. Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 15 The home has a quality assurance process that ensures that service users, their relatives and visiting professionals opinion is sought of the services they provide. The information from these processes are provided for the participants and others to view in the newsletters or a report each year. A recent survey has been carried out for the end of the financial year. The home has policies and procedures in place should service users wish to manage their own monies. Secure facilities are available in each of the service users rooms for the safekeeping of valuables. The home does not hold service users monies on their behalf. All purchases of additional services such as hairdresser or newspapers are invoiced to the service user or their representatives Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X x STAFFING Standard No Score 27 X 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13.2 Requirement That all staff that carry out the administration of the Controlled Medications in the home, complete the records with their full signature. Timescale for action 01/02/06 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 Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Oxford House Nursing Home DS0000011008.V278769.R01.S.doc Version 5.1 Page 19 - 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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