Inspection on 08/06/05 for Red Oaks

This inspection was carried out on 8th 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

Red Oaks 12/01/09

Red Oaks 10/01/07

Red Oaks 15/02/06

Red Oaks 08/02/05

Red Oaks 29/09/04

Red Oaks 24/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Red Oaks 27 Hawthorn Terrace New Earswick York YO32 4BL Lead Inspector Maggie Coxon Unannounced 8 June 2004 16:00 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. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Red Oaks Address 27 Hawhorn Terrace New Earswick York YO32 4BL 01904 768126 08708 315293 redoaks27@aol.com Mrs Stacey Marie Lee 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) Mrs Stacey Marie Lee Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08/02/05 Brief Description of the Service: Red Oaks is a family run care home registered by Mr and Mrs Lee to provide personal care and accommodation to up to three younger adults with learning disabilities. Mr and Mrs Lee are the registered providers; Mrs Lee is also the registered manager. The home is a detached, three-storey house that is situated in its own grounds that are set back from a main road in New Earswick, which is close to the city of York. Local community amenities and facilities, including shops and pubs, are within walking distance for those with good mobility and there is a regular bus service into the city. Each of the three bedrooms is for single accommodation, one of which has ensuite facilities. These are situated on the second floor and are accessed via a staircase. There are well maintained garden areas to the rear and side of the house and there is an area for parking to the front. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 8th June 2005, at a time when all of the people living in the home would be present. It took 1.5 hours plus 1 hour’s preparation time. Discussions were held with the three people currently living in the home and with the registered providers. A number of records were looked at and most areas of the home including bedrooms and shared areas were seen. What the service does well: 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. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 6 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 Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 7 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) None. EVIDENCE: Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 8 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) 6,7,8 and 9. People living in the home make as many decisions about their personal lives and about the day-to-day running of the home as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of the registered providers. EVIDENCE: All three residents have very active lives with the support of Mr and Mrs Lee. They can choose from a number of activities organized on a regular basis and are involved in the running of the home. Residents gave many examples of the choices and decisions that they make on a day-to-day basis. They explained that these include decisions about holidays, outings and activities and things that they would like to do within the home. Mr and Mrs Lee talk to the residents about any potential risks as these arise and the individual is supported to make a choice taking this information into account and looking at means of minimising any risk. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 9 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) 12,13,14,15,16 and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. EVIDENCE: The three residents lead interesting and active lives with support of the registered providers on some occasions. Each individual has a weekly programme of activities in a variety of local community based settings. One of them is in part time paid employment. Residents said that they are supported to develop and maintain relationships with families and friends. They explained that they visit their families and socialize with friends and that anyone who visits them at Red Oaks is made welcome and is able to meet with them in private. They also said that they are fully consulted about menus and are involved in their planning. They said that the meals provided are good. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 10 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. Residents’ personal and health care needs are fully met. EVIDENCE: Each person living in the home is registered with a GP through whom specialist health services are accessed if required. Mr and Mrs Lee support them in having regular health checks and checks with their dentist, chiropodist and optician. Only one of the residents takes any medication and this is minimal. Because of this, it has been agreed that the registered providers do not have to undertake specialist medication training. The resident does not look after his own medication but said that he is happy for the registered providers to do this and to administer his medication to him. He has also signed a consent form. Medication is securely stored and its administration is well recorded. Those residents who need assistance with personal care tasks said that they are supported by Mr Lee who always respects their privacy and dignity. The bathroom door is lockable and residents said that both Mr and Mrs Lee always gain permission before entering their bedrooms. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 11 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) 22. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: The home has a clear and comprehensive complaints procedure in place. The residents said that they are happy to talk to the Mr and Mrs Lee should they have any concerns. They said that they are both helpful and kind and always listen to them if they have any concerns. No complaints have been made either to the home or to the C.S.C.I. within the last twelve months. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 12 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) 24,25,26,27,28,29 and 30. The standard of the environment is extremely good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is very well maintained and very pleasantly decorated and furnished. It was spotlessly clean throughout. All three residents showed me their rooms and said that they are very happy with them. Two of them have sofas in their rooms and all have TVs and music systems. All three bedrooms are for single accommodation, are of a suitable size and are on the second floor. One has en suite toilet facilities and there is a bathroom on the first floor that is used only by the residents. Shared space include a first floor games room with exercise equipment, a pool table and darts board. There is also a large lounge and a computer room on the ground floor. The needs of the residents are such that no aids, adaptations or specialist equipment are necessary. All of the residents have good mobility and have no problems in accessing any parts of the home. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 13 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) 35. The residents receive a good standard of care from the registered providers who are very experienced and knowledgeable and are highly motivated. EVIDENCE: The registered providers provide all the care to the service users with occasional support from their daughter on a voluntary basis. They are both available to support the residents at any time. The residents said that they are very happy with the support that they are given. Both Mr and Mrs Lee have undertaken training appropriate to their roles. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 14 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) 37,38,39 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: Mrs Lee has considerable management experience and has since the last inspection completed the NVQ in care to level 4. She is due to start studying for the Registered Managers Award within the next two months after which she will become appropriately qualified as the registered manager. Mr Lee has also completed all the units for the NVQ in care to level 4 and is awaiting accreditation. Residents said that Mr and Mrs Lee are very friendly and helpful and said that they are happy to talk to them at any time including if they have a problem or concern. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 15 Each resident has completed a questionnaire about the quality of service provided. Each of them said that they were happy will all aspects of their care. Both Mr and Mrs Lee have undertaken first aid training. Since the last inspection Mr and Mrs Lee have undertaken a risk assessment of the radiators in the home, which are unguarded. These assessments are well recorded. No other health and safety records were looked at; this will be done at the next inspection. There were no obvious issues of concern noted. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 4 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Red Oaks Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x 3 x J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 17 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 37 Good Practice Recommendations The registered manager should complete an appropriate management qualification. Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Red Oaks J53 JO4 S15828 Red Oaks V229771 080605 Stage 4.doc Version 1.30 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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