Inspection on 26/07/05 for The Oaks Care Home

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Oaks Care Home 01/07/09

The Oaks Care Home 04/06/08

The Oaks Care Home 03/12/07

The Oaks Care Home 31/05/07

The Oaks Care Home 04/05/06

The Oaks Care Home 13/10/05

The Oaks Care Home 17/02/05

The Oaks Care Home 17/11/04

The Oaks Care Home 20/07/04

The Oaks Care Home 26/03/04

The Oaks Care Home 20/01/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOMES FOR OLDER PEOPLE The Oaks 172 London Balderton Nottinghamshire NG24 3JD Lead Inspector Karmon Hawley Unannounced 160805@10.00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Oaks Address 172 London Road Balderton Nottinghamshire NG24 3JP 0115 605165 0115 605155 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Exceler Healthcare Services Mrs Diana Coy CHR 33 Category(ies) of OP registration, with number of places The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: The Oaks Care Centre provides twenty four hour care for 33 older people and is managed by Ashbourne Healthcare Ltd. The care home is purpose built and is adjoined to the Little Oaks Care Home which provides nursing care for 40 older people. In general, the care centre is staffed independently from Little Oaks, but services such as catering and laundry is shared with Little Oaks. The Oaks offers individual accommodation of thirty three single rooms as well as three rooms available for occupancy for up to two consenting service users. The registered manager for the care centre is also the general manager for Little Oaks Care Home and she has a clear accountability for ensuring all management issues in relation to both care homes are addressed appropriately. The Oaks Care Centre is situated on the outskirts of Balderton, Newark, Nottinghamshire and is accessible by major road routes and there is a local bus service which links to Newark, which is supported by rail networks. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day during which staff were extremely helpful. Three service users case files, three staff members personnel files and other related records with regards to the care and the environment were observed and examined. Four staff members, four service users and two relatives were spoken with. What the service does well: What has improved since the last inspection? What they could do better: To ensure a service users needs can be fully met when changes occur these are to be highlighted in the plan of care. To reduce the risk to a service user all individuals are to have an appropriate risk assessment in place. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 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 Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 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 standard(s) 3,5 Service users can be assured their needs will be appropriately assessed and met. Opportunities are given to visit the home and for service users and relatives to make an informed choice. EVIDENCE: Preadmission assessments, which cover the requirements of the standard, are carried out prior to service users being admitted into the home. The general manager, unit manager or deputy unit manager carries these out. Relatives are able to visit the home, as are service users if their condition allows and they may spend the day and join in activities should they desire. Trial visits may be arranged and service users are admitted under respite care and short-term contracts if required. Emergency admissions are accepted and the same procedure is followed. The home now also has a mini bus, which is used to facilitate transfer. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 9 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 standard(s) 7,11 Service users health care needs are met however this may be compromised due to the lack of risk assessments and updating of needs in the plan of care. Service users can be assured at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Various assessments take place with regards to safety, falls and pressure area care and information form these underpin the plan of care, which is based upon the activities of daily living. Care plans were of a personalised nature and at a good standard with the exception of a service user who had been admitted on respite care, only a brief assessment had taken place and a minimum plan of care had been devised, there was also no risk assessment completed. A risk assessment in another case file examined demonstrated the risk assessment with regards to falls did not contain relevant information as to reducing and managing the risk. Daily records are maintained of significant events and are in depth, however in one instance a plan of care was not instigated despite a noted change in needs. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 10 Whilst service users with terminal illness or nursing care needs are transferred to the nursing unit on occasion a death may occur. Staff are fully instructed in how to deal with death and were able to discuss these issues in a caring and sensitive manner. It was stated by the unit manager that staff would endeavour to meet the needs of an individual and ensure privacy and dignity is maintained and family are involved as desired. There is a satisfactory policy in place to substantiate this practice. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 11 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 standard(s) 13,14 Service users are enabled to maintain contacts as they wish and to have choice and control over their lives. EVIDENCE: A policy is in place and visiting arrangements are discussed on admission. There are no restrictions on receiving visitors and relatives and service users spoken with were able to substantiate this. Visitors may be received in private if required. There are links within the local community, which consist of the nursery, school and sheltered living accommodation, links are maintained both within the home and at these locations. Service users spoken with were able to substantiate this. Private telephone facilities via a payphone in the office are available and some service users have their own telephone in their rooms. A volunteer assists with activities one day a week. Service users are enabled to make a choice with regards to their daily living, this was observed during the inspection and was also evident within the plan of care. Staff spoken with were able to discuss core values and principles and issues with regards to services users right to choice and control. Service users The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 12 spoken with stated that choice is offered and their needs are met. The majority of service users were enabled to participate with the local elections. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 13 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 standard(s) 16,18 Service users and their relative can be assured complaints will be taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: There have been no recent complaints received. An in depth policy with this regard was evidenced to be in place. Staff spoken with were able to discuss how they would deal with a complaint if received. Service users spoken with did not express any complaints to the inspector on the day of inspection. Policies and procedures with regards to adult protection are in place and staff are well informed and were able to discuss these issues. Staff are issued with a handbook on commencing work with the company, which includes a free confidential whistle blowing help line number. All staff have undertaken training in resident welfare which include the protection of vulnerable adults. Staff are instructed with regards to the acceptance of gifts and care of personal allowances. Each service user has access to a safe to store valuables in their rooms. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 14 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 standard(s) 19,26 Service users live in a safe, well-maintained environment, which is clean pleasant and hygienic. EVIDENCE: A maintenance man is employed who carries out routine maintenance within the home. A redecoration and soft furnishing refurbishment programme is currently under way. Appropriate risk assessments are in place for all areas of the home. The home was clean pleasant and hygienic in all areas. Staff were able to discuss the cross infection and infection control policy. Hand washing facilities and appropriate personal protective clothing was available. The laundry room had a clean and dirty area to assist in the maintenance of infection control. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Service users are supported and protected by the home’s recruitment policies and practices. EVIDENCE: Three staff files were examined and contained all the relevant documentation required for this standard. During a discussion with a relative it was stated that on occasion there is a shortage of staff, therefore this was discussed with the manager, staff and staff rotas were observed, there was no evidence of this occurring. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,38 Service users financial interests are safeguarded. Whist the health, safety and welfare of service users is protected this may be compromised due to the lack of individual service user risk assessments being in place. EVIDENCE: Service users personal allowances were observed and corresponded with the accounts kept, two staff sign for all transactions and receipts are kept for purchases. Accounts are checked fortnightly and reconciled on a regular basis. Service users relatives assist with finances with the exception of one where a solicitor is involved. Service users may access their personal allowances at any time, however out of hours there may be a slight delay whist access is obtained. The manager is pro active in ensuring service users have money as required prior to events occurring. Health and safety maintenance checks and certificates were in place and were satisfactory. Staff have achieved one hundred percent in achieving mandatory The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 17 training. Appropriate risk assessments for the building and environment were in place, however one service user did not have a risk assessment in place and another required more information to be effective. The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 4 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x 1 The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP 7 Regulation 15 (2b) Requirement Timescale for action 18th September 2005 2. OP7/OP38 13(4,b,c) The responsible person is required to ensure service users changing needs are reflected within the plan of care. The responsible person is 18th required to ensure appropaite September risk assessments are in place for 2005 each service user which outline the action to be taken to manage and reduce the risk. 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. Refer to Standard Good Practice Recommendations The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Tottle Roa Riverside Business Park 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. Extracts may not be used or reproduced without the express permission of CSCI The Oaks C53 C03 8763 The Oaks 244905 160805 stage 4.doc Version 1.40 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. 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