Inspection on 11/07/05 for Stoneygate Oaklands

This inspection was carried out on 11th July 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 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

Stoneygate Oaklands 24/01/07

Stoneygate Oaklands 01/12/05

Stoneygate Oaklands 10/01/05

Stoneygate Oaklands 24/08/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Stoneygate Oaklands 328 London Road Leicester Leicestershire LE2 2PJ Lead Inspector Fiona Stephenson Unannounced 11 July 2005 09:30 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 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 C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stoneygate Oaklands Address 328 London Road Leicester Leiestershire LE2 2PJ 0116 2703454 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) Prime Life Limited Mrs Bev Hopkins Care Home 44 Category(ies) of DE Dementia(22) registration, with number DE(E) Dementia - over 65 (22) of places MD Mental Disorder(22) MD(E) Mental Disorder - over 65(22) OP Old Age(44) PD Physical Disability(15) PD(E) Physical Disability - over 65(15) Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/01/05 Brief Description of the Service: Stoneygate Oaklands is a residential care home for people over the age of fifty, who may also have mental health problems, physical disabilities and/or dementia. It is located in a large extended house in the Stoneygate area of Leicester City, and is in easy reach of all local amenities. The majority of bedrooms are for single use, there are also two flats to support people in living more independently, and two shared rooms. All communal areas are on the ground floor. There is also a pleasant garden for clients use. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 11th July 2005. The inspection commenced at 9.30am and finished at 1.15pm. When undertaking inspections, The Commission for Social Care Inspection (CSCI) focuses on the outcomes for clients living in a home. To support this, four clients living at Stoneygate Oaklands were ‘case tracked’. This means that the care records of four clients were checked; the clients themselves were spoken with where possible, as well as staff supporting their care. The inspector received 14 ‘service user’ comment cards, and three ‘General Practitioner comment cards. The recommendations and requirements arising from this inspection are a direct result of case tracking, comment cards and other observations made by the inspector during the inspection. What the service does well: What has improved since the last inspection? Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 6 Cooked lunches from the Prime Life central kitchen are no longer arriving at the home too early. They now arrive on time, and are served hot. Water temperatures from the showers are now thermostatically controlled and do not present a danger to clients. Good standards of cleanliness were observed throughout the home. 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 C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 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 Standards 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 C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 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 standard(s) 3,4 Clients living in the home are having their needs appropriately assessed and met by staff planning their care. EVIDENCE: The inspector case tracked a new client and spoke with her. The assessments and care records linked with the discussion the inspector had with the client. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 9 Health and Personal Care 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 standard(s) 7,8,9,10 Health and personal care needs are being well met by staff, and more independent clients are supported in having an independent life style. EVIDENCE: Care plans were assessed and found to be in satisfactory order, and showed change when the client’s needs changed. There are daytime and nighttime records in place – although daily records would benefit from more detail. Clients, who are able, have responsibility for their own medication, although the majority have medication administered by staff. The medication records were checked and found to be in good order. All three General Practitioner Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 10 comment cards were positive in their responses about the home and the way staff manage the medical care of clients, one respondent said ‘The senior staff are very competent and always knowledgeable about the patients’. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 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 asssistance 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 standard(s) 12,13,14,15 Generally, clients find the lifestyle experienced in the home matches their expectations and preferences well. EVIDENCE: The inspector noted that three of the clients attend day classes during the week. Many were observed to be entering and leaving the premises freely during the inspection. Visitors can come to the home at leisure, and there was a visitor at the home during the inspection. One client who was case tracked informed the inspector that her daughter visited regularly. For less independent clients, the management organise a trip out each week to places such as West Midlands Safari Park, or to local pubs for pub lunches, or to Golf Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 12 courses. There is also a hairdresser who visits the home each week, and staff support female clients in having their nails done. There is a karaoke machine that is well used, cards, dominoes and other games. The inspector spoke to the manager about one client who was case tracked, as there was a query as to whether his intellectual needs were being sufficiently catered for. The manager informed the inspector that the client’s social worker was meeting with them and this would be discussed at the meeting. Of the four clients case tracked, two could be spoken with. One was happy with the quality of food throughout the day, the other was satisfied with breakfasts and teas but thought the ‘main horror is the lunch – there’s no flavouring’. The inspector observed the lunch being plated up, and found it to look presentable and nutritious. The manager informed the inspector that she cooks the breakfasts, and this includes, kippers, and bacon and eggs, with cereals, porridge and toast also provided. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 13 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 standard(s) 18 Generally, clients are well protected from abuse, neglect and self-harm. EVIDENCE: Care records, and discussions with staff demonstrated that staff have a good understanding of the needs of clients in their care, and work well with those who are prone to neglect and to limit self-harm (alcohol related). Staff, when questioned, were not so clear in their understanding of the Protection of Vulnerable Adults policy and procedures. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 14 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 standard(s) 19,20,21,22,23,24,25,26. Clients live in a safe, and sufficiently well maintained environment. EVIDENCE: The inspector checked the bedrooms and bathing facilities of clients who were case tracked, as well as going into the communal areas where they eat and sit. The bedrooms were suitably furnished, with clients having their personal possessions around them. Toilet and bathroom facilities used were sufficient Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 15 to meet their needs, although the tiling in one shower room was in need of repair, and the flooring in one toilet was again in need of repair. All areas were observed to be clean and hygienic. Many of the chairs and the settees in the communal area were, although useable, in a shabby condition. Currently none of the clients living in the home require special moving and handling equipment, although the equipment is available in the home. The inspector noted that some of the radiators were still on and providing warmth on an extremely hot day. Once alerted to this the manager asked a member of staff to ensure they were turned off. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 16 Staffing 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, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. Clients are given good support by the number and skill mix of staff. EVIDENCE: The inspector observed that there was sufficient staff to enable routine jobs to be undertaken, as well as enabling care workers the time to sit and chat to clients. The manager ensures that each shift has a good mix of ages and experience. The inspector checked the staff records of key workers to the clients being case tracked. It was noted that staff have been on relevant training to support the clients they work with. Records of new staff were also checked and found to have all the relevant documentation contained within. The inspector was informed that all staff on day duty are undertaking their National Vocational Qualifications (level 2) in care. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 17 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 polies 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 33, 35 and 38 (Older People) and Standards 23, 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 standard(s) 31,32,33,36,37,38. The home is well managed with clients benefiting from the good leadership of the person in charge. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 18 EVIDENCE: Through discussion, the inspector noted that the manager has the best interests of the clients living at the home. She has developed good relationships with medical and social services staff. Records are up-to-date, and staff receive regular supervision. Both clients spoken with were happy with the way the home was managed, one saying ‘Bev and Donna are very helpful’. The manager informed the inspector of a situation that happened in the home a few weeks ago. The inspector was very satisfied with the manager’s actions relating to the incident, but had not been notified about it. The manager acknowledged this was an oversight. The manager is due to complete her National Vocational Qualification (level 4) in management and care. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 19 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 x 2 x 3 3 4 3 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 3 3 3 3 3 3 3 Score Standard No 7 8 9 10 11 Score 3 3 3 3 x Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 4 33 3 34 x 35 x 36 3 37 3 38 2 Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 20 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 19 Regulation 16 Requirement Provide an action plan detailing the timescale for: improving or replacing the settees and chairs that are in poor condition; in repairing or replacing the floor covering in the toilet identified in the inspection; and in making safe the tiling in the first floor shower room. Timescale for action 11/09/05 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. 3. Refer to Standard 18 19 38 Good Practice Recommendations Provide staff with training regarding the Protection of Vulnerable Adults (POVA) policy and procedures. Limit the discomfort of clients by ensuring radiators are turned off during the hot weather. The manager ensures that any event in the home which adversley effects the well-being or safety of any client, is reported to the CSCI. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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. Stoneygate Oaklands C51 C01 S6371 Stoneygate Oaklands V230092 110705 STAGE 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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