Inspection on 27/11/07 for The Oaks

This inspection was carried out on 27th November 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Oaks 28/11/06

The Oaks 05/10/05

The Oaks 24/05/05

The Oaks 13/01/05

The Oaks 29/07/04

The Oaks 15/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 The Oaks Blaydon Bank Gateshead Tyne & Wear NE21 4PU Lead Inspector Mrs Eileen Hulse Unannounced Inspection 27th November 2007 09:15 The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 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 The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 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. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Address Blaydon Bank Gateshead Tyne & Wear NE21 4PU 0191 414 1742 NO FAX 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) Miss Fiona Karen McCoull Mrs Kathleen McCoull Miss Fiona Karen McCoull Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (4) of places The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2006 Brief Description of the Service: The Oaks provides personal care and support for 9 people with learning difficulties, with an age range between 50 to 71 years of mixed genders. It is privately owned and managed by one of the proprietors. The home cannot provide nursing care. It is located on a steep bank in Blaydon close to local amenities, including a shopping mall, library, medical health centre, local churches and public houses. Access to public transport to the City of Newcastle, Gateshead and the Metro Centre is a short distance away and there is a bus stop close to the home. The property is a converted 2 storey Victorian building offering single bedroom accommodation. The ground floor provides the communal facilities, 3 bedrooms and a bathroom fitted with an over the bath hoist. The home does not have lift facilities and there is no space available to install one, therefore the home remains unsuitable for people with physical disabilities. Internal access to the second floor level is by means of a wide staircase to further bedrooms, bathroom and WC, which are directly off the staircase onto a mezzanine level. The home has a small garden to the front and a paved area to the rear. There are plenty of on-street car parking spaces to the side of the home; parking is restricted to the front. The weekly fees are £338.96 to £485.94 per week depending upon care needs. Additional charges are made for hairdressing, outings, toiletries, newspapers, and transport. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit on 28th November 2006 • How the service dealt with any complaints & concerns since the last visit • Any changes to how the home is run • The provider’s view of how well they care for people • The views of people who use the service & their relatives, staff & other professionals The Visit: An unannounced visit was made on 27th November 2007. During the visit we: • talked with people who use the service, staff, the manager & the home administrator. • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked at parts of the building to make sure it was clean, safe & comfortable • checked what improvements had been made since the last visit We told the manager/provider what we found. What the service does well: The home is friendly, homely and welcoming and residents are obviously proud of their home. Although not all residents were able to speak about the service they receive, residents looked comfortable, relaxed and well supported. Staff know the service users well and work hard to ensure the residents have a varied and good quality of life. On the day of the visit, many activities were taking place throughout the day. The healthcare needs of people are well met, with other healthcare people such as doctors fully involved. Some residents need more support as their health needs are changing. The care plans contain good information and tell staff how they can meet all of the needs of the people living in the home. Service users like living in The Oaks and talked about what they liked best of all. They said how kind and nice the staff were to them and about how nice the house is. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 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 The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home uses a good assessment and admission process and it gives prospective residents detailed information to make sure they have the information they need to make an informed choice about moving into the home. EVIDENCE: All residents living in the house have had individual needs assessments carried out by a Care Manager and the Manager of the home prior to their admission. This follows the home’s equality and diversity procedures. After being admitted into the home, each resident’s key worker repeats the assessment before completing a care plan to ensure that the information given is accurate and that the care needs are being met on a daily basis. This information is also used within the review process and in discussion with residents, they confirmed that meetings take place to discuss if they are happy living in the home. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans and risk assessments are well written and contain detailed information that will address all of the resident’s needs and give good guidance to staff regarding staff practice in meeting the needs. EVIDENCE: The care plans are organised and well laid out and this helps to access information quickly. They are up to date and include planned evaluation dates that make sure the information is up to date and that the care plans are working in practice. The care plans are designed in picture format so that residents regardless of their abilities can understand the contents better before signing them. They are divided into sections that include personal details, health, social interaction, activities, mobility and if appropriate household tasks that service users have chosen to take part in. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 10 The contents of a life history also help staff to get to know the people well. This information is used to form the basis of the care plan and reviews are held regularly to update the persons care needs and to ensure that any changing needs are met and accurately recorded. The staff team carries out monitoring of the care plans and any changes are identified at this time. The details are used to help evaluate the plan of care. Dates and residents signatures are evident throughout the individual care plans and therefore it confirms that residents are aware of the contents of their care plan. Equality and diversity is part of the care planning process. All residents are given the opportunity to take part in activities that they choose supported by care staff and are appropriate to their diverse needs. Risk assessments are detailed, they give step-by-step information and give guidance for staff to follow in various situations and resident have signed all of the risk assessments in place. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to live their lives to the full with a range of activities suitable for everyone and they are encouraged and able to choose to attend day centres and educational courses of their choice. This enables residents to lead ordinary fulfilling lives. EVIDENCE: All daily routines of the home are centred on the preferences of the residents. During the visit, four people were attending day centres, two were spending the morning at Newburn Leisure Centre and the remaining three residents were engaged in home activities and making plans to attend a tea dance in the afternoon. Information is recorded in the care plans identifying how service users choose to spend their time. One resident talked about being a member of the Primary The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 12 Care Trust healthy living group in Leeds and how she enjoyed going to the meetings. Comments she made included: ‘I enjoy doing it, I am going for my Xmas dinner with them to a hotel, I am so looking forward to it’. Other comments made by people living in the home included: ‘I am going to the tea dance today and I’ve been to the Leisure Centre this morning. I enjoy myself, I am always out somewhere’ ‘It won’t be long to Xmas, I love Xmas here’ ‘We went to London for our holidays and we had a cottage in Wales’ ‘I love living here and wouldn’t live anywhere else’ Another resident had recently been sailing on the River Tyne in a powerboat and had enjoyed it so much he is hoping to do it again. A computer has been installed in an area of the dining room for access by the residents. A meal was taken with residents who were at home for the day. The meal consisted of various fillings in sandwiches and a yogurt or item of fruit for sweet. There was a good rapport between the residents and staff during the meal, with time given to residents to enjoy their meal in a relaxed, unhurried way. The menu showed that the evening meal consists of something cooked when everyone is back home. Observation showed a very caring staff team. Residents were treated with respect at all times and called by their preferred name. Staff were also observed to give residents alternative choices at all times. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans show that specialist healthcare professionals are available and used by the service. This ensures that adequate healthcare is made available to meet the needs of residents when required. Good procedures are used in the administration of medication that helps to make sure that residents are protected and given their medication safely. EVIDENCE: Care plans showed that healthcare arrangements are accessible to all residents regardless of their needs. All residents have their choice of GP within the catchment area following admission into the home and healthcare professionals are brought into the home when they are required such as District nurses, Psychologists and GP’s. Residents who have to attend hospital, dental or optical appointments are supported to do this by staff. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 14 Good care practices take place in the home. Staff are sensitive to the needs of residents and show discretion when assisting with personal needs. One resident is currently receiving the services of an Occupational Therapist and has recently had an assessment for an adapted bed that will help to meet her needs. The home has a policy and procedure on the administration of medicines. A monitored dosage system is used and the policy includes areas on the handling of medication, such as the recording, administration safekeeping and disposal of unused or unwanted medicines. All medication is recorded on individual medicine administration records (MAR sheets) that are up to date and well maintained. At all times residents are given medication in the presence of two members of staff and the staff who administer the medicines have all completed the accredited training ‘Safer Handling of Medication’. No residents hold their own medication at this time, however, the choice to do so is made available. All medication for disposal is collected by the pharmacy who supplies it and a delivery and returned recording book is used and signed by the pharmacist accepting the drugs and the member of staff handing them over. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear and easy to understand policy and procedure which is accessible to residents and their relatives should they have a concern or complaint about the service and good safeguarding procedures help to protect residents should an abuse situation arise or be suspected. EVIDENCE: The complaints policy is written in different formats so that all residents can understand the content. The picture format includes sections with headings such as: 1. 2. 3. 4. 5. 6. If you are unhappy How can it be put right Writing and looking into the complaint Action to be taken If you are still unhappy How it was resolved A member of staff on duty confirmed that the staff had received safeguarding of adults training and that they would know what to do should they suspect abuse taking place. They also stated they were aware of how to deal with a complaint should one be made whilst on duty. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 16 Any complaint or concern received by the service is recorded and acted upon and records showed that the most recent complaint had been dealt with satisfactorily. Safeguarding Adults procedures are available in the Home for staff guidance. This also includes whistle blowing. The Local Authority procedures produced by Gateshead Council are also available in the Home for staff guidance and staff records also confirmed that staff have received training on the protection of vulnerable adults. The home also has a safeguarding of adults “in house” training pack for staff and the Manager completes this training with staff prior to attending Local Authority training. Although no relatives visited the service during the inspection, they made comments on the completed questionnaires. Comments made included: ‘I cannot fault the home in any way, the staff are excellent whenever I visit my relative’ ‘This house is precisely what my (relative) needs’ ‘If the home needs improving I cannot see where it is’ All relatives who had completed the questionnaires stated ‘they have never needed to make a complaint but knew the procedure should they wish to so’. Residents also made some comments about if they needed to make a complaint, these included: ‘I have nothing to complain about’ ‘I don’t need to make any complaints’ ‘I would always see (staff) or the Manager’ The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and generally maintained making it comfortable and homely for service users living there. However, some issues still need to be addressed to ensure the home is safe for the people living there. EVIDENCE: Improvements to the furnishing and decoration of the home is continuing. The staircase has now been repaired and recently decorated. However, although a planned maintenance and renewal programme has been set out and sent to CSCI, some aspects of the plan still need to be completed such as refurbishment of the bathroom and some tiling to some of the bedroom sinks. Residents are proud of their home and comments they made included: ‘I love my bedroom and have my own television’ ‘I liked this house as soon as I got here’ ‘The house is always very clean and very tidy, that’s what I like about it’ The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient in numbers, while detailed staff recruitment procedures protect residents from unsuitable employees, enabling the needs of service users to be addressed. This helps to ensure service users can live the lifestyle they prefer. EVIDENCE: Each member of staff has an individual training file that contains all training schedules that have been undertaken. This documented information ensures the staff team receive the annual basic training and specialist training that is required to help to keep service users safe. The records also show that there is a range of training provided for the staff that includes diabetes, epilepsy, first aid, moving and handling, food hygiene, risk assessment and infection control. Specialist training is optional at the discretion of the Manager. Recently some staff have attended training on Challenging Behaviour and the Mental Capacity Act. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 19 There are eleven staff employed at the home, 26 of the staff team now hold an NVQ qualification and two staff are currently completing level 2. The home has a policy and procedure on staff recruitment that is used when recruiting prospective staff. The Manager was able to explain the process that is used. All interviews are carried out with the home manager and the recently appointed home administrative officer. The files of two of the most recently appointed members of staff showed all the necessary documentation, these included two references had been obtained, a Criminal Records Bureau check and an application form was completed. Discussions with staff on duty and completed questionnaires included the following comments: ‘The home provides a caring environment’ ‘This service helps you to identify your role as a carer and putting it into practice’ ‘Happy pleasant atmosphere to both live and work in’ ‘The management are very keen to ensure that all residents are happy’ ‘Supports and encourages and helps to respect the rights of the residents’. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is well experienced to run the home and shows good leadership, guidance and support to the service users and staff team. There are no health and safety issues that would compromise the safety of service users and staff working in the home. This ensures the home meets it’s stated purpose and is a pleasant place for service users to live in. EVIDENCE: The home’s Manager has managed the home for six years. She is a Registered Learning Disability First Level Nurse and has a great deal of experience of working with this service user group and has many valuable relevant skills. The two proprietors do audits of the service on a monthly basis and these records are held by the home and made available for inspection. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 21 The home has recently implemented a formal quality assurance system and this information helps the service to ensure it meets the needs of service users and the stated aims and objectives and allows for improvement to monitored on a regular basis. Various systems have been implemented as part of a quality audit and in the last year questionnaires have been given to service users, their families and other professionals visiting the home, to gain their views, to be included within the quality audit. All were completed and returned stating the home provides a good quality of care and felt no improvements were necessary. Another area used in the quality-monitoring tool includes how the care is provided to residents. This is carried out monthly by one of the senior care staff. Fire safety records and the accident book are both well maintained and up to date. Fire tests and drills are carried out on the due dates. This ensures service users are living in a safe environment. The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 x 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 23 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 YA24 Regulation 16 The refurbishment plans for the home must be completed. (Previous timescale of 24 May 2005 not met) 2. YA35 18 50 of the staff team must hold a qualification 01/04/08 Requirement Timescale for action 01/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 The Oaks DS0000007434.V352898.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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