Inspection on 18/10/05 for Oxford Respite Service

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oxford Respite Service 08/01/07

Oxford Respite Service 14/06/05

Oxford Respite Service 11/03/05

Oxford Respite Service 22/02/05

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

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 Northway Oxford OX3 9DD Lead Inspector Catherine Kane Announced Inspection 18 and 19 October 2005 10:00 th th Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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 Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oxford Respite Service Address 43 Saxon Way Northway Oxford OX3 9DD 01865 751115 01865 308142 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) Oxfordshire Learning Disability NHS Trust Lynda Christine Dickie Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users accommodated at any one time must not exceed 5. To accommodate one named individual two weeks prior to his 18th birthday. This service is operating from 47 Saxon Way during redeveloment. Date of last inspection 14th June 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 DS0000061775.V252511.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection visit took place over two days. The visit on Tuesday, 18 October 2005 took three hours. The inspector spent this time with the registered manager, one staff member and visitors to the home. During this visit the inspector also looked at records kept in the home. The visit on the evening of Wednesday 19 October 2005 took one hour. The inspector spent this time listening to the views of the two guests who were visiting Oxford Respite Service and the two staff on duty. The home continues to have a very friendly and caring atmosphere. Refurbishment and building work to improve the accommodation at Oxford Respite Service is about to start. Preparations have been made to provide the service from an alternative accommodation situated in the same building complex. 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? What they could do better: All records that must be kept in the home are to be made available for inspection. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 6 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 DS0000061775.V252511.R01.S.doc Version 5.0 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 Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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 the following standard(s): None Standard 2 was assessed at the inspection held on 14 June 2005. . EVIDENCE: Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8 Staff respect guests’ decisions and support them when they make their choices. EVIDENCE: During the inspector’s visit she was able to see staff work together with guests. At all times guests were invited to be involved and asked for their views. Staff showed clear understanding in line with the home’s aims and objectives to respect each guest’s right to make decisions. They were aware that any limitations in the best interest of the person must be clearly recorded using the care planning process. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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 the following standard(s): 15 and 16 Links and opportunities to build positive relationships with guests’ families are good. EVIDENCE: Comment cards received from guests’ representatives indicated that they were satisfied with the care provided in the home. See Standards 7 and 8. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 11 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 the following standard(s): Standards 18, 19 and 20 were assessed at the inspection held on 14 June 2005. EVIDENCE: Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 22 and 23 The complaints procedure is easy to follow. The policies and procedures that protect the health, safety and welfare of the people who use the services of this agency are robust. EVIDENCE: The registered manager related to the inspector how she responded when an issue was raised. This was in line with the home’s complaints procedure. This home operates in accordance with the Oxfordshire Multi-Agency Code of Practice to protect vulnerable adults from abuse. Staff confirmed a good understanding of their ‘duty of care’ to protect vulnerable people and some staff have attended specific local training. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24 and 30 The standard of shared accommodation within this home is good providing a comfortable family home atmosphere. The home was bright, clean and tidy at the time of the inspection. EVIDENCE: On the day of the inspection the registered manager provided a further update on the planned building work on the major refurbishment of the bedroom accommodation. Satisfactory alternative accommodation during this major refurbishment has been arranged. On the day of the inspection the home was seen to be clean and tidy. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Staff morale was good at the time of the inspection. The arrangements for the induction of staff and training are good with staff demonstrating a clear understanding of their roles. The systems for recruitment, selection and performance management of staff who work in this home are generally good. EVIDENCE: Staff who spoke with the inspector were clear about their job roles. Staff confirmed that they had been offered a range of training opportunities to enable them to do their jobs and generally felt supported by their manager. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 This home is well run and professionally managed. EVIDENCE: The experienced registered manager provides clear leadership and vision for the home. She is currently undertaking the Registered Managers Award. The inspector receives copies of the proprietor’s representatives monthly visit reports. Well maintained health, safety and welfare records kept in the home were made available for inspection. Accident/incident records had been sent to the organisation’s head office. Accident/incident records must be kept in the home and made available for inspection. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 16 The Oxfordshire Learning Disability NHS Trust, the proprietor of this service, has financial and accounting systems subject to internal and external audits. Auditor’s reports and Summary Financial Statements are published and made available. Oxford Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oxford Respite Service Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 2 X DS0000061775.V252511.R01.S.doc Version 5.0 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 YA42 Regulation Schedule 4 Requirement Accident/incident records must be kept in the home and made available for inspection. 17(2) Timescale for action 19/10/05 12(a) 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 Respite Service DS0000061775.V252511.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, 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 DS0000061775.V252511.R01.S.doc Version 5.0 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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