Inspection on 12/01/06 for The Oakes

This inspection was carried out on 12th January 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Oakes 14/06/07

The Oakes 10/07/06

The Oakes 14/06/05

The Oakes 21/12/04

The Oakes 12/07/04

The Oakes 12/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Oakes (The) 55 Railway Approach Laindon Basildon Essex SS15 6JX Lead Inspector Patricia Stanton Unannounced Inspection 12th January 2006 11:00 Oakes (The) DS0000018125.V265382.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 Oakes (The) DS0000018125.V265382.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. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakes (The) Address 55 Railway Approach Laindon Basildon Essex SS15 6JX 01268 441096 01268 455103 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) Kingswood Care Services Limited Mr Antony Golding Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide care and accommodation to one service user who is 17 years of age and known to the Commission for Social Care Inspection. 14th June 2005 Date of last inspection Brief Description of the Service: The Oakes provides care and accommodation for six young adults with learning disabilities and complex needs such as autism/challenging behaviour. A high staffing level is maintained to meet the needs of the residents to enable them to access facilities in the community. The Oakes is a large detached house located in a wholly residential area in Laindon. There is a choice of two-day rooms and a kitchen diner. There are five single bedrooms; three with en suite facilities in addition there is a self-contained bedroom and dining area/lounge for one resident. The home has two vehicles for transporting residents to activities in the community. There is a secure garden with seating, patio and shed. Laindon shopping centre is within easy reach and the home is close to local amenities. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection took place on the 12/01/2006. Four residents were spoken to, two of which were not able to verbalise plus one relative, five staff members and two senior carers. The registered manager and assistant manager were not on duty at inspection. Records and documents were looked at including requirements from the last inspection. Time was spent in the lounge, bedroom and kitchen with residents briefly chatting and taking note of their daily lives. Staff on duty were most helpful, and this was greatly appreciated. The inspector would like to take this opportunity to thank the residents’, staff and senior carers’ for their cooperation during the home’s inspection. What the service does well: What has improved since the last inspection? The staff are given more freedom to make changes and now complete their own staff rotas. Risk assessments are now in place for the homes garden and staircase and fire records and training have been improved for staff. Residents’ likes and dislikes are now recorded in relation to food. Staff appraisals have been completed to identify training needs and skills and the management encourage training for staff that wishes to be promoted. The home seeks the views and opinions of residents and their significant others and to promote good relationships. Residents have access to independent advocacy services if required. Oakes (The) DS0000018125.V265382.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. Oakes (The) DS0000018125.V265382.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 Oakes (The) DS0000018125.V265382.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): 1. Prospective residents do not have all the relevant information to enable them to make an informed choice about the home. EVIDENCE: The home has not completed a suitable up to date service users guide for residents although no new residents have been admitted since the last inspection. The service users guide does not have a suitable format complaints guide or contact details of the CSCI. Oakes (The) DS0000018125.V265382.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): 8,9. Residents are consulted about decisions made in the home and regarding their care and give views and opinions in house meetings and reviews. Residents are encouraged to be independent and take risks within their own capabilities. EVIDENCE: Minutes confirmed residents are encouraged to give their views and opinions in regular meetings. Records confirmed residents requested destinations for the annual holidays’, choice of pantomime, food preferences and Christmas presents. Records confirmed residents discuss what they have done and are praised by staff. Residents’ sign minutes to confirm their attendants. Staff were seen to be supportive, patient and respectful of residents needs and assist resident to take part in daily activities within their capabilities as part of their independence. Risk assessments were on file and relevant to the residents individual needs. Infringement rights were recorded to help keep residents safe. Oakes (The) DS0000018125.V265382.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): 11.13,15. Residents have the chance to develop personally within their capabilities and participate in age appropriate daily activities in the community. Residents may have appropriate personal relationships and regular contact with family and friends. EVIDENCE: Each resident has a daily activity plan, which is developed with key workers who ensure residents are consulted on their interests. On the day of inspection two residents were going our for lunch, one resident who was very interested in buses watched his bus video before going out with staff to attend his first introduction to a bus training a course run by the local church which teaches residents how to travel on buses. Another two residents were going swimming. One resident stated “I like living here as I have been on a coach and went on holiday with Mark. Two residents attend college to undertake a computer and communication course. Care plans confirmed residents have the chance to fulfil personal interests and have good regular contact with family and friends. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 11 The home encourages residents’ family to visit the home and attend social events to encourage feedback and promote good relationships. At inspection one relative stated she was unsettled about the changes in senior management as she was not familiar with the new manager. However it was noted staff were to invite relatives to meet with the new manager at a future social event organised at the home. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 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 the following standard(s): 20 Mediation procedures are not audited to ensure residents are protected. EVIDENCE: The homes medication stocks examined at inspection were found to be in order with the exception of Lorazepan stock. Records of numbers of medication given did not match the stock balance and the home does not complete daily checks of stock or regular audits. The home has an appropriate policy and procedure for medication and staff receive training in medication. Signatures of staff members qualified to give medication are kept on file. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 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 the following standard(s): 22,23. Residents’ views and opinions are listened to and staff protect residents from abuse. EVIDENCE: Care plans and minutes confirmed residents are listened to and their wishes acted on by staff. Staff spoken to at inspection including agency staff were conversant with the signs of abuse and the procedures for reporting abuse. Staff confirmed they had received protection of vulnerable adults and fire training. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 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 the following standard(s): 24,25,29,30. The home is clean and hygienic decorated to a good standard but not all staff have access to the locked gate in the rear garden, which may compromise safety. Residents and staff do not have equipment to maximise planning, communication and education skills. EVIDENCE: The home was homely, comfortable, clean, bright and hygienic. One resident’s bedroom was personalised and decorated to a good standard. The home has all appropriate risk assessments for the home but had not yet arranged to have a suitable lock fitted to the rear gate in the garden to enable all the staff to exit with residents in the event of a fire. Staff stated it would be helpful if the home had Internet access to allow staff to communicate better with other homes in the Kingswood Group and plan days out including annual holidays for residents. It was thought residents might enjoy the Internet to help maximise their educational skills and promote contact. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 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 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): 35.36. Staff do not yet receive regular formal supervision although supported by the homes manager. Appropriately trained staff, meet residents’ needs. EVIDENCE: Staff records were on the premises at inspection but could not be seen as the manager and deputy manager were not on duty and have access files. However staff confirmed they receive supervision sometimes only once in 6 months but feel they can discuss any issues on a day-to-day basis with management who are approachable. Staff rota examined reflected the staff on duty at inspection including agency. The senior carer stated the home had employed another full time carer, which would help reduce the amount of agency staff employed in the home. Residents in the home mostly have limited communication skills and it is important the home employs staff that have a good knowledge and insight of residents. One relative stated she was not happy with the amount of agency staff employed as she felt they did not have the same understanding of her daughters needs. The staff rota does not include a code for the number of hour’s staff works as this is recorded separately. The senior carer was advised to write the staff hour codes on the off duty in case the code pages are mislaid. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 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 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): 39,42. The home seeks the views and opinions of residents and their significant others but this has not been developed to self monitor the service. The home does not ensure all staff and residents’ can escape the rear garden in an emergency. EVIDENCE: Records and evidence from a relative confirmed the home seeks the opinion and views of residents and relatives but this has not been developed into a quality assurance report, which could help improve the service. Oakes (The) DS0000018125.V265382.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 2 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 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 X X X x 3 LIFESTYLES Standard No Score 11 3 12 X 13 2 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 2 X X X 3 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakes (The) Score X X 2 x Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 x DS0000018125.V265382.R01.S.doc Version 5.0 Page 18 YES 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 YA39 Regulation 24(1-3) Requirement A quality assurance system, for monitoring the system must be developed with the inclusion of residents, significant others, placing authorities and visiting health professions. This should be collated into a report and sent to the CSCI. Timescale not met 01/11/05 The home must produce a service users guide suitable for residents with a learning disability. Timescale not met 01/11/05 The home should ensure residents have a suitable service users guide before admission to the home. Timescale not met 01/11/05 All staff must receive formal supervision to identify further training needs. Timescale not met 01/08/05 Staff files must be available at all times for inspection. Timescale not met 01/07/05 The home must ensure all fire exits can be opened without delay in an emergency. Timescale not met 04/06/05 DS0000018125.V265382.R01.S.doc Timescale for action 01/04/06 2. YA1 5 01/04/06 3. YA3 5 01/04/06 5. YA36 18 01/02/06 6. 7. YA31 YA42 17 23 (4) 01/02/06 12/01/06 Oakes (The) Version 5.0 Page 19 8 YA20 13 (2) The home must ensure suitable arrangements for the recording, handling, safe administration and disposal of medicines into the home. A record must be kept of why medication is not administered or refused and frequent refusal must be reported to the prescribing practitioner. 12/01/06 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 YA33 YA29 YA20 Good Practice Recommendations The homes staff rota should include tables to indicate number of hours staff work. This is a repeat recommendation. It is recommended the home install internet access to maximise residents’ independence and improve planning and communication for staff. An appropriate designated senior member of staff should regularly monitor mediation. Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Oakes (The) DS0000018125.V265382.R01.S.doc Version 5.0 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!