CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE
Stoneygate Oaklands 328 London Road Leicester Leicestershire LE2 2PJ Lead Inspector
Fiona Stephenson Unannounced Inspection 09:40 1 December 2005
st X10029.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 Stoneygate Oaklands DS0000006371.V257289.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 Older People and 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. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Stoneygate Oaklands Address 328 London Road Leicester Leicestershire LE2 2PJ 0116 2703454 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) Prime Life Limited Ms Bev Hopkins Care Home 44 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (22), Mental disorder, excluding learning of places disability or dementia (22), Mental Disorder, excluding learning disability or dementia - over 65 years of age (22), Old age, not falling within any other category (44), Physical disability (15), Physical disability over 65 years of age (15) Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service user Numbers. The minimum age for admission under categories PD, MD and DE is 50 years. Service user numbers. No one falling within categories PD or PD(E) may be admitted to the home when there are 15 persons in total falling within these categories/combined categories already accommodated in the home. Service user numbers. No one falling within categories MD, MD(E), DE or DE(E) may be admitted to the home when there are 22 persons in total falling within these categories/combined categories already accommodated in the home. To be able to admit the named person of category MD named in the variation application number 58385 and dated 11th November 2003. To be able to admit the named person of LD named in the Variation application number V6461 and dated 3rd March 2004 11/07/2005 3. 4. 5. Date of last inspection Brief Description of the Service: Stoneygate Oaklands is a residential facility for up to 44 people, and takes a mixed category of clients including clients with old age, dementia, physical disabilities, and mental health issues. The youngest age for admittance is 50 years of age. The home is situated on the London Road in Leicester City. It is a large old house with an extension at the back of the home. It is in walking distance of all local amenities. A majority of the bedrooms are single. The home has two shared rooms and two flats. Clients share bathroom and toilet facilities, and there is a lift to the first floor. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on Thursday 1st December between 9:40am and 12:30pm, and was undertaken by one inspector. The inspection was the second statutory inspection for the home during this year, and the inspector focused on the care standards that were not checked during the first inspection. The primary method of inspection used was ‘case tracking’ which involved selecting four clients and tracking the care they received through review of their records, talking with them and staff supporting their care, and checking parts of the home they use. What the service does well: What has improved since the last inspection?
The manager was undertaking Protection of Vulnerable Adults (POVA) training on the afternoon of the inspection, with a view cascading the training to her staff group at a later date. The manager’s office has been re-furbished, and it is a more pleasant environment for meeting with visitors and holding meetings. The settees and chairs identified as being in poor condition during the last inspection have been replaced with new ones. The floor covering in the toilet identified in the last inspection as being in a poor state has been replaced, and the tiling in the first floor shower room has been made safe. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 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. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,6. Prospective clients make are provided with sufficient information to make an informed choice about where to live. EVIDENCE: The inspector discussed with the Manager the process of assessment and the opportunities clients have to visit the home prior to moving in, and was satisfied with the processes. The manager visits the prospective client to talk to them about the home, and to undertake an assessment of need, if the person is suitable then a place is offered at the home. Prior to accepting a place, clients and their families are able to make visits to the home to assess for themselves, the home’s suitability. Care records demonstrated that an ‘assessment of need’ had been undertaken by the manager, and the contracting authority. The inspector also checked that contracts had been given to privately funded clients, and this was the case.
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The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 11 Clients and their family are treated with care, sensitivity and respect at the time of the client’s death. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 10 EVIDENCE: The inspector was provided with information about how the home managed the expected death of one of the clients. Relatives were able to visit at any time during the client’s illness, and other clients were given good support in dealing with their issues of loss of a friend. The Manager ensured that all other clients were told individually when the resident died, and that staff’s emotional needs were also catered for. During the discussion, the inspector realised she had not received notification about this resident’s death. The manager was not aware that she had to inform the CSCI about all deaths that occur in the home. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not checked on this occasion. EVIDENCE: Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 12 Complaints and Protection
The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Clients and their relatives are given good opportunities to voice any concerns or raise complaints about the care they receive. EVIDENCE: Clients spoken with felt able to talk to the manager about any problems they had. The manager has an ‘open door’ policy, and welcomes comments made by clients and their relatives. There have been no formal complaints made since the last inspection. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26, Clients live in a safe, comfortable and well-maintained environment. EVIDENCE: The inspector checked the communal areas, and the bedrooms of clients who were case tracked and found them to be in a clean, tidy, and hygienic state. The communal areas were nicely decorated for Christmas. Clients had their own possessions in their bedrooms and had made them suit their needs and lifestyle.
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The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not checked on this occasion. EVIDENCE: Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35 Clients benefit from a well run home. EVIDENCE:
Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 16 The inspector checked the financial procedures for handling the money of clients living at the home and found them to be satisfactory in protecting their financial interests. The inspector, through records, and through discussions with clients and with the manager, noted that the manager has a very good understanding of client’s needs and manages the home accordingly. Stoneygate Oaklands DS0000006371.V257289.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 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 3 2 3 3 X 4 X 5 3 6 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X ENVIRONMENT Standard No Score 19 3 20 3 21 X 22 X 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 4 33 X 34 X 35 3 36 X 37 X 38 X Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 18 None 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. 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 Refer to Standard OP37 OP8 Good Practice Recommendations Ensure the Commission for Social Care Inspection is notified when a client dies in the home. Ensure a record is maintained of client’s nutrition, including period reviews of weight and action taken in the event of weight gain or loss. Stoneygate Oaklands DS0000006371.V257289.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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