Inspection on 15/09/05 for The Oaks Care Home

This inspection was carried out on 15th September 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

The Oaks Care Home 17/10/06

The Oaks Care Home 28/02/06

The Oaks Care Home 15/03/05

The Oaks Care Home 15/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Oaks Campbell Street St Anns Nottingham NG3 1GZ Lead Inspector Richard Ramsden Unannounced Inspection 15th September 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 DS0000061784.V250139.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Oaks Address Campbell Street St Anns Nottingham NG3 1GZ 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) 0115 9155555 Nottingham City Council Ms Vicky Barrett Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15/03/05 Brief Description of the Service: The Oaks is a Care Home providing personal care and accommodation for thirty-three older people. The home is owned and managed by Nottingham City Social Services and is located in St Anns approximately one mile from Nottingham City Centre. There are shops, public houses a post office and other amenities within a few hundred yards of the home. The accommodation is provided over two floors with a shaft lift to assist independent access. All of the bedrooms are for single occupancy and have ensuite facilities. The home has a well-maintained garden area at the rear of the building which is accessible to all service users. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced inspection over one-day it took approximately 5 1/2 hours. It is included the inspection of care and other records, a discussion with three residents the homes manager and two members of staff. A partial tour of the building was also completed. What the service does well: The residents are very happy with the care they receive at The Oaks and made many positive comments. They describe the staff is helpful and considerate and said that nothing is ever too much trouble. None of the residents spoken with could think of anything that could be changed, to improve the services provided by the home. The observed interaction between staff and residents was of a very good standard. All of the residents spoken with said that they enjoyed the food provided at The Oaks. One person said that the food is excellent there is always plenty of choice and staff will provide an alternative if they do not want the food suggested on the menu. The premises are purpose built, they have been refurbished to a high standard and are well decorated. The bedrooms are spacious and all have ensuite facilities. People have been encouraged to personalise their bedrooms with pictures ornaments and small items of furniture. The home employs an activities organiser who helps to arrange and provide a good range of activities, outings and social functions. There were many aspects of good practice highlighted the main body of the report. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 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 Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3. The literature supplied prospective residents needs to include additional information to ensure that residents can make an informed choice as to whether the home will meet their individual needs. The homes staff always ensure that they can meet the needs of prospective service users by obtaining a full written assessments prior to their admission to the home. EVIDENCE: At the last inspection a requirement was made that a Statement of Purpose must be produced and be available within the home at all times. A Statement of Purpose and Service User Guide were available at this inspection but did not contain all the required information. The literature supplied the prospective residents must include, the qualifications of the manager and staff, details of how to obtain a copy of the most recent inspection report and the residents views of the home. This The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 9 information is essential to ensure that residents are able to make an informed choice about whether the home will meet their individual needs. Three residents records were checked during this inspection. An extended social work assessment had been obtained for each person prior to his or her admission to the home. The manager stated that no residents would be admitted without a preadmission assessment. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9,10. One recently transfered resident did not have a care plan. The care plans that were in place do not contain sufficient information to ensure that all of the resident’s health, personal and social care needs will be met. The homes systems for the Administration of medication were generally well maintained, however staff must ensure that residents do not run out of prescribed medication. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: One of the residents who had recently transferred from an assessment placement at the home did not have a care plan. The information in other care plans was insufficient to ensure that staff are always aware what assistance each resident requires. The care plans were not being reviewed on a regular basis. The records of the receipt and disposal of medication were well maintained and the medication was stored securely. It was however noted that a resident had The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 11 not been given her prescribed medication for two days. When the inspector checked this, there was evidence that the pharmacist had informed the home that they had not supplied this medication. Staff did not then contact the pharmacist until two days after the medication had run out. The inspector informed the senior staff that they must take steps to ensure that residents do not run out of prescribed medication as this can potentially put their health and safety at risk. The homes controlled medication was checked at random and had been well maintained. None of the individual medication administration records had a photograph of the appropriate resident attached. It is important that photographs are attached to these records as they help to ensure that staff are administering medication to the correct resident. None of the residents in the long stay or assessment units were administering their own medication at the time of this inspection. Staff were advised that they must record the temperature in the room in which medication is stored on a daily basis. The temperature must not exceed 25°C as the medication can deteriorate and become less effective when stored at higher temperatures. The service users spoken with during the inspection stated that staff are always friendly and respectful and that they ensure that their privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Residents are provided with an impressive range of activities and entertainment. People are encouraged main contact with family and friends. The diet provided for residents is wholesome, well balanced and varied. EVIDENCE: The home employs an Activities Organiser 25 hours each week. (This is good practice). Details of the planned activities and outings are displayed in the home. All of the residents spoken with said that their very happy with the level of activity is provided. The homes policy on visitors is included in the information provided to prospective residents. All of the residents spoken with during the inspection confirmed that they could have visitors at any time and that their visitors are always made very welcome. All residents are given a copy of the City Councils Access to Records policy and people confirmed that they were encouraged to bring items such as ornaments photographs and small items of furniture to personalise their bedrooms. One of the residents, spoken with during the inspection, said that she was going to visit her home the following weekend to choose what items she wished to bring into the home. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 13 Comprehensive information on how to contact local advocates is displayed in large print on a notice board next to the residents’ pay phone. (This is good practice). The lunch on the day of this inspection appeared appealing and nutritious there is a choice of food at each meal. The cook had made homemade bread and cream and jam scones for tea. All of the residents spoken with were full of praise for the food provided by the home, they stated that there is always plenty of food available and that an alternative will be provided if they do not want the food suggested on the menu. One person said that she has put on a considerable weight since entering the home, as the food is so appetising. There are five separate areas in which residents can make themselves drinks or snacks if they are assessed as safe to do so. (This is good practice). The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. The homes complaints procedure is accessible to residents and visitors to the home. The complaints records did not contain details of all complaints made about the services provided by the home. EVIDENCE: The homes complaints records show that only one complaint had been received since last inspection and this complaint had been dealt with appropriately. The home had received many commendations for the services it provides. The manager stated that the homes line manager had investigated one formal complaint and that this had now been referred to the Ombudsman. The home did not have details of the complaint and consequently the inspector was unable to assess if it had been investigated thoroughly and assess whether appropriate action, if any, had been taken. The manager was informed that details of all complaints, including the investigations completed must be kept in the home available for inspection at all times. All of the residents spoken with said that the manager and senior staff are all very approachable and that they are confident that should they have any complaints these would be dealt with appropriately and effectively. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23. The refurbished accommodation has been maintained to a very good standard. Resident’s bedrooms meet their individual needs but staff must ensure that call bells are accessible to residents when they are lying in their beds. EVIDENCE: A partial tour of the premises was completed as part of this inspection. The home has been refurbished and maintained to a very good standard. All areas of the home are accessible to the residents. All of the residents spoken with during the inspection said that they are very happy with their bedrooms and said that the home is always kept clean and tidy. It was noted in two of the bedrooms viewed during the inspection that the call bells would not be accessible if people were lying in their beds. Therefore if they became ill or distress in the night they may not be able to The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 16 summon assistance from staff. All residents must have access to a call bell while lying in bed. The call bells were tested; they were fully operational and were answered promptly by staff. The home is clean and there were no offensive odours at the time of this inspection. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,30. The home had sufficient experienced and trained staff meets the assessed needs of the residents. EVIDENCE: The homes records show that staff have completed a comprehensive programme of training and development. (This is good practice). Seven people have completed NVQ level 2, two people are currently completing this training and four additional members of staff are to start the training in September 2005. Five members of staff have NVQ level 3 and the manager as NVQ level 4 she has also recently commenced the Managers Award which it hopes to complete in 2005. Records show that all new members of staff complete appropriate induction training. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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. Appropriate accounting and financial procedures are in place to safeguard residents. EVIDENCE: The records of residence finances were checked at random and were well maintained. All of the residents who were asked said that they were satisfied with the way in which their finances are manage. Appropriate records and receipts of care of possessions handed over for safekeeping. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 19 The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 20 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 3 X X X 2 X X X STAFFING Standard No Score 27 X 28 3 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 22 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 1 OP1 5 It is required that the written 27/11/05 information provided to prospective residents includes the following information. 1. The qualifications of the homes manager and staff. 2. The resident’s views of the home. 3. A copy of the most recent inspection report. 2 OP7 15 It is required that care plans are 15/09/05 produced for all residents within 72 hours of there admission to the home. 3 OP7 15 It is required that care plans are 15/09/05 reviewed and updated at least once a month in consultation with the resident & where appropriate their representative. 4 OP7 15 It is required that care plans 27/11/05 provide more detailed information so that staff can meet residents assessed needs. 5 OP9 13 It is required that:15/09/05 a) Residents do not run out of prescribed medication. b) A photograph of each resident is attached to their medication administration records. c) Staff record the temperature in the room in which medication is stored. The temperature must not exceed 25C. 6 OP16 17 It is required that the records of 15/09/05 all complaints received must be kept in the home available for inspection at all times. 7 OP23 13 It is required that the call bells 15/09/05 are accessible to residents while lying in bed. The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. X Refer to Standard X Good Practice Recommendations None The Oaks DS0000061784.V250139.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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