Inspection on 14/06/05 for Oxford Respite Service

This inspection was carried out on 14th June 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

Oxford Respite Service 08/01/07

Oxford Respite Service 18/10/05

Oxford Respite Service 11/03/05

Oxford Respite Service 22/02/05

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Dalewood Respite Care

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REACH Upton Court Road

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Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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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 Oxford Respite Service 43 Saxon Way North Way Oxford OX3 9DD Lead Inspector Catherine Kane Unannounced 14 June 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 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. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oxford Respite Service Address 43 Saxon Way, North Way, Oxford, OX3 9DD 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) 01865 751115 01865 308142 Oxfordshire Learning Disability NHS Trust Lynda Dickie Care Home 5 Category(ies) of LD; PD registration, with number of places Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The maximum number of services users accommodated at any one time must not exceed 5. Date of last inspection 11 March 2005 Brief Description of the Service: Oxford Respite Service, 43 Saxon Way, provides a short term breaks respite service for up to five people with learning and physical disabilities who live in and around the Oxford City area. The service is run and managed by Oxfordshire Learning Disabilities NHS Trust (OLDT) and is accessed only through referrals from local authority care management. The home has provided CSCI with an action plan on how it shall make the necessary improvements in order to meet National Minimum Standards. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place on the evening of Tuesday 14 June 2005. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took 2.5 hours and the inspector spent this time with all five guests who were visiting Oxford Respite Service and the two staff on duty. Four guests were staying overnight and one guest was only there for a tea visit. The inspector listened to their views and discussed their experiences. The inspector also read notes kept in the home, watched how staff help guests to look after their medication and was present during the evening meal. The home continues to have a very friendly and caring atmosphere. Several guests, by using signs and other communication methods, told the inspector about the things that are important for them and what they like to do when they visit or stay at Oxford Respite Service. The five guests were very relaxed with the two staff on duty. This was the first visit for one guest and he told the inspector about how he was settling in. The inspector would like to thank each guest for taking the time to speak with her and thank the staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? Areas of the home have been redecorated and new carpets have been fitted in the lounge and hallway. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 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. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 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 Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 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) 2 The assessment process used by the manager to make sure that Oxford Respite Service is the right place for each new guest before they are offered a place is thorough and detailed and, where possible, includes introduction visits. EVIDENCE: The registered manager understands how important it is to make sure that Oxford Respite Service is the right place and her staff team have the right skills before offering guests a place. During the inspection the inspector spent time with a young person who was visiting Oxford Respite Service for their first tea visit. The inspector read the manager’s assessment notes and the referral assessment completed by the care manager. This information provides staff with guidance on how to care for this person. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 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 and 9 Care plans and risk assessments were generally neat and easy to read. EVIDENCE: The inspector viewed the files for five guests; each had the essential information that staff need to be able to care for people when they stay at Oxford Respite Service. Two guests confirmed that they knew what staff wrote in their files. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 10 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) 12, 13, 14, 15 and 17 Guests continue to go to the activities of their choice and within their local community that they would go to whilst living at home with their families. The home was able to work very closely with a family to reassure them that the home could provide the proper support. Guests said the food at Oxford Respite Service is good. EVIDENCE: Guests told the inspector about all the different activities in which they take part, including going to college and the local day service. Another guest was pleased to be able to watch a favourite TV programmes during their visit. Two other guests like to be able to play their favourite music. From information shared by the registered manager on how Oxford Respite Service takes time and effort to provide reassurance to families, the inspector could see that the manager and her staff think it is very important to keep good relationships with guests and their families. Staff helped guests make phone calls to keep in touch with family and friends. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 11 Guests and staff sat together at the dining table and shared a cooked meal. One guest who was having a nap after a busy day at the day centre had his meal later. When asked what the food was like, guests gave it the “thumbs up” sign and said it was good. Some guests helped to clear up after the meal. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 12 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 and 20 Care plans give staff the information they need on how to help guests with their personal care and any specific health care issues where necessary. Staff help residents to look after their medication when they stay at Oxford Respite Service. EVIDENCE: The inspector saw staff being very thoughtful in making sure that guests were comfortable. A guest was able to tell the inspector that staff helped him to look after his medication. An experienced staff member showed the inspector how medication was looked after. The inspector saw that the records were well kept. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 13 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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 14 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 The standard of shared accommodation within this home is good, providing a comfortable, family home atmosphere. Proposed improvements to increase bedroom sizes to meet National Minimum Standards in the premises have been supplied to the Commission. EVIDENCE: A guest told the inspector that, “my room’s small but I’m getting a bigger size one next time. They’re all nice rooms”. The registered manager has carefully consulted with architects and planners to take into account the needs of the people who use Oxford Respite Service and the National Minimum Standards. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 15 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 The staff have a good understanding of guests’ support needs. It was not clear which staff member on duty held the shift leader responsibility. The on-call support system worked well. EVIDENCE: The two staff on duty had a good understanding of each guest’s needs and were seen to be able to communicate well with each person. Both staff seemed to work well together, consulting each other about tasks. The inspector recommends that a shift leader is assigned for each shift when there is no manager or senior staff member on duty. The shift leader should be clear about their responsibilities for tasks such as the administration of medication and accounting for guests’ personal monies. The inspector was asked to present her identity card before being granted entry to the home and the inspector commends staff on how carefully they checked this in order to protect the people who were in the home at the time. One member of staff did not have their identity card with them at the time of the inspection. All staff should carry their identity cards when on duty as directed by OLDT policy. Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 16 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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 17 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 2 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oxford Respite Service Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 18 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 None 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 31 Good Practice Recommendations The inspector recommends that the registered manager should assign a shift leader for each shift when there is no manager or senior staff member on duty. The inspector strongly recommends that all staff should carry their identity cards when on duty. 2. 31 Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burgner House, Cascade Way 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 Oxford Respite Service H57-H98 S13129 Oxford Respite Service V233013 140605 Stage 4.doc Version 1.30 Page 20 - 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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