Inspection on 09/01/07 for The Oaks

This inspection was carried out on 9th January 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 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

The Oaks 28/02/08

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

Heather House Nursing Home

REACH Upton Court Road

The Cotswold Home

Fairways

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

CARE HOME ADULTS 18-65 The Oaks 91 Hulbert Road Bedhampton Havant Hampshire PO9 3TB Lead Inspector Michael Gough Unannounced Inspection 9th January 2007 09:30 The Oaks DS0000067905.V321298.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 DS0000067905.V321298.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 DS0000067905.V321298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Address 91 Hulbert Road Bedhampton Havant Hampshire PO9 3TB 02392 412 430 02392 413 193 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) Dolphin Homes Limited Mrs Victoria Johnson Care Home 8 Category(ies) of Learning disability (8), Physical disability (8), registration, with number Sensory impairment (8) of places The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: The Oaks is a large detached house that has been converted to provide support and accommodation for up to 8 people who have learning disabilities and associated physical disabilities. Bedrooms are situated on the ground and first floor and there is a lift, which provides access to the upper floor. All bedrooms and communal areas are fully wheelchair accessible. The home is situated in a quiet residential area and is situated close to local shops and access to public transport services. The home has a minibus that is equipped to provide transport for physically disabled service users. Dolphin Homes Limited manages the home. Basic fees at the home range between £900 - £1249 per week. Service users are responsible for paying for their own chiropody, toiletries and items of a personal or luxury nature. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at The Oaks and takes into account the accumulated evidence of the activity at the home since the home was registered in July 2006 and this is the first inspection visit to the home. The inspection took into account the homes pre inspection questionnaire; and evidence for this report was obtained from reading and inspecting records, touring the home and from talking to service users and staff. It was not possible to gain the definitive views of all the service users due to their verbal communication difficulties, however the inspector was able to observe the interaction between staff and service users. It was also possible to gain the views of 3 members of staff and a member of an advocacy service who support all of the service users living at the home. The homes manager was not available on the day of the inspection and the homes deputy manager and the Dolphin Homes director of care assisted the inspector throughout the visit. The home is registered to provide support for 8 service users and at the time of the inspection there were 7 service users living at the home. What the service does well: What has improved since the last inspection? What they could do better: There were no areas identified as needing improvement on this occasion. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 6 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 DS0000067905.V321298.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 DS0000067905.V321298.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. Prospective service users aspirations and needs are assessed before they move into the home. EVIDENCE: The home has a policy and procedure in place with regard to admissions to the home. The current 7 service users all moved into the home together in July 2006. The assessment process for these service users started in May of 2006 as the service users were moving to the home from Camberley. There were comprehensive social service assessments undertaken as well as the homes in house assessments. These assessments were kept on file at the home and formed the basis for the care plans that are in place. The Oaks DS0000067905.V321298.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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and personal goals are reflected in an individual plan of care and service users are supported to make decision about their lives with assistance given by staff. Service users are supported to take responsible risks and this allows service users to live an independent lifestyle as much as possible. EVIDENCE: Care plans were inspected for 2 service users and these were comprehensive documents and were clear and easy to follow, they gave clear information for staff on the support each service user requires and detailed how and when this support should be given. All service users have a key worker and they review care plans monthly then inform staff if any changes have been made. Service users are encouraged to be involved in the care planning process as much as possible and there is evidence in daily notes that show that service The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 10 users are involved in making informed decisions. Service users choose when they want to get up or go to bed and the service users have the support of an independent advocacy service who stated that they were very happy with the support that is being offered by the home. Staff informed the inspector that because of the communication needs of some of the people living at the Oaks, gauging their views involves knowing the service users and observing their responses to different situations, although they were very clear in making their views known if they did not wish to do specific things. The inspector observed staff interacting with service users and taking their views into account. Service users care plans contained risk assessments and these gave details of the assumed risk the service users understanding of the risk and the support required and the action to be taken to minimise any identified risk. The Oaks DS0000067905.V321298.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in age, peer and appropriate activities and they access the local community on a regular basis. The homes visiting policy supports service users to maintain family links and friendships both inside and outside the home and service users rights are respected. Service users are offered a healthy and varied diet and service users enjoy their meals at the home. EVIDENCE: None of the service users at the home are able to undertake any form of paid employment. 3 of the service users attend a local college 5 days per week and are participating in a course in independent living skills. 2 other service users go to a local college one day per week for sensory activities. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 12 Due to the natures of service users learning disability all service users require staff support to go out into the local community. Service users regularly go shopping, visit local pubs and cafes and attend local fetes and community events in the local area. Staff at the home has supported one service user to get back in touch with 2 of his brothers who he has not seen for a number of year and another was in touch with a friend. There is a clear visiting policy and the inspector was informed that staff would respect service users wishes on who they wish or do not wish to see. Daily routines in the home promote service users independence as much as possible, staff were observed knocking on service users doors before entering and seeking permission for them and the inspector to visit their rooms Staff were observed interacting with service users and their preferred form of address was used. Service users who were able to communicate with the inspector made it clear that they were very happy at the home and it was clear that service users and staff get on well together. Service users are able to access all areas of the home, as there is a lift to the upper floor. Menus at the home are made up each week by the staff after a menu-planning meeting. The likes and dislikes of service users are taken into account as is their nutritional needs. Due to past history and cultural background staff are encouraging service users to try new things and service users are offered a choice of cereals and toast at breakfast and lunch is normally a snack type meal with the main meal being in the evening. Alternatives choices are always available as are snacks and drinks. Service users are encouraged to eat their meals at the dining table in the lounge, however they can eat elsewhere if they wish. On the day of the inspection staff were observed supporting service users and support was appropriate and service users were not rushed. Food shopping normally takes place twice a week and service users are encouraged to go with staff to shopping for the home. The Oaks DS0000067905.V321298.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and require and there is a consistent approach and service users physical, emotional and health care needs are met. Service users are protected by the home policies and procedures for dealing with medicines. EVIDENCE: Personal support is given flexibly and service users plans give clear information to staff on how service users would like their personal support to be given and this allows for a consistent approach. There is a mix of both male and female staff and each service users has a key worker and service users have been involved as much as possible in their selection. Personal support is given in private and the preferences of service users on who they prefer to give them the support they need is respected. The home has a policy on cross gender care and if at all possible same sex care is offered and given. All of the service users at the home are registered with the same GP surgery, and the GP is experienced in working with service users who have a learning disability. Service users have specialist input from the local learning The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 14 disability team, from district nurse’s, occupational and speech therapists, a continence adviser and physiotherapists. Dental checks and treatment are provided by the local health centre and a visiting optician calls once per year. The homes medication policy and procedures were examined and discussed with the homes deputy manager. All staff have received training in the administration of medication. The information for the receipt, storage, disposal and administration of medication was clear and there was a protocol regarding “when required” medication. The home uses a monitored dose system for medication and records were inspected and found to be accurate and up to date. The Oaks DS0000067905.V321298.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and accessible complaints procedure, which includes timescales for the process and service users can be confident that their views would be listened to and acted upon. The homes policies and procedures help to protect service users from any form of abuse. EVIDENCE: The home has a clear and accessible complaints procedure, however service users were not fully aware that the home had a complaints procedure due to their learning disability, however copies were given to independent advocates and this contained all of the required information and gave details of how to contact the CSCI. There have been no complaints made to the home since it opened in July 2006. Staff members spoken to were also aware of the complaints procedure. The home has a copy of the Hampshire Adult Protection procedure and has a whistle blowing policy and a copy of the department of health guideline “No Secrets” staff also receive training with regard to adult protection and POVA as part of their induction. Staff members spoken to confirmed that they had received training and were aware of their responsibilities in this area. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. EVIDENCE: A tour of the home was conducted and the home is laid out over 2 stories. Downstairs there are 4 en-suite bedrooms with shower, a bathroom with bath and WC and there is also a separate WC. There is a large kitchen and a large lounge/dining area. The 1st floor has 4 ensuite bedrooms with showers and a bathroom with bath and WC. All areas of the home were clean and furniture and fittings were of good quality. All areas were homely in appearance and all areas of the home were wheelchair accessible. The service was clean and hygienic and there were no offensive odours. There is a separate laundry situated on the ground floor, which has washable floors and walls. There is an industrial tumble drier and also an industrial washing machine with sluice facility and this is able to wash clothing at appropriate temperatures. Staff carry out laundry duties and there is information, which gives staff clear guidance for washing any soiled items. The home has an infection control policy and staff have received training in this area. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 17 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent, qualified and appropriately trained staff supports service users and meet their needs. The homes recruitment policy and practice protect service users. EVIDENCE: There is a good staff mix at the home and all staff are encouraged and supported to undertake National Vocational Training. Currently the home has all of its staff members either completed or undertaking NVQ training. On the day of the inspection the homes manager was not available, therefore it was not possible to view recruitment records at this visit, as records were kept locked away for confidentiality reasons. The inspector did speak with the organisations director of care who confirmed that all staff had undertaken suitable recruitment checks and advised the inspector that recruitment records were available for inspection at any time. The home uses a training organisation that provides training for all staff employed at the home. Staff undertake induction training, which is linked to NVQ, and is completed within the first 6 weeks of employment. Mandatory training is carried out in; moving and handling, fire safety, medication, first The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 18 aid, health and safety, food hygiene and infection control. Additional training is also carried out for managing challenging behaviour, care practices and NVQ training. Staff members spoken with confirmed that they had received a good induction and said that there was regular training sessions at the home. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 19 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and the views of service users and other interested parties are sought on how the home is meeting service users needs. The health, safety and welfare of residents and staff are protected. EVIDENCE: The registered manager was not available during the visit, however the recent registration process confirmed that the manager had suitable qualification and had the skills required to effectively manage the home. The home has only been in operation for a few months and has not carried out any quality assurance surveys, however the inspector was informed that the views of residents would be obtained through staff interaction, and also by the use of advocates. The organisation has a quality assessment process and all services are audited annually and the views of stakeholders are sought and acted upon. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 20 A member of staff at the home is responsible for Health Safety and they report directly to the manager. There is a risk assessment for the building and regular monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for gas safety, fire alarms systems and equipment, private electrical equipment, fixed hoists, passenger lift and the homes hot water system. The home has a new style accident book and appropriate recording takes place. The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 21 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 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 DS0000067905.V321298.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard Good Practice Recommendations The Oaks DS0000067905.V321298.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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