Inspection on 28/02/06 for The Oaks Care Home

This inspection was carried out on 28th February 2006.

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 Care Home 05/08/09

The Oaks Care Home 23/08/07

The Oaks Care Home 28/10/05

The Oaks Care Home 21/03/05

The Oaks Care Home 27/04/04

The Oaks Care Home 18/12/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Oaks Care Home 15 - 25 Oaks Drive Lexden Colchester Essex CO3 3PR Lead Inspector Diana Green Unannounced Inspection 28th February 2006 09:25 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 Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Oaks Care Home Address 15 - 25 Oaks Drive Lexden Colchester Essex CO3 3PR 01206 764469 01206 764468 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) New Century Care (Colchester) Limited Ms Helen Elizabeth Bennett Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (61), Terminally ill (3) The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 61 persons) Persons of either sex, aged 65 years and over, only falling within the category of old age (not to exceed 34 persons) Persons of either sex, aged 60 years and over, who require general palliative care (not to exceed 3 persons) The total number of service users accommodated must not exceed 61 persons All new staff to undertake training in palliative care by a recognised authority within three months of appointment. Details of training must be recorded on their individual training and development profile One service user under the age of 60 years who requires general palliative care, whose name was made known to the Commission in July 2004 28th October 2005 6. Date of last inspection Brief Description of the Service: The Oaks Care Home provides nursing and personal care with accommodation for up to 61 older people, including 3 service users aged 60 years and over with a terminal illness. The Oaks is owned by a private organisation named New Century Care (Colchester) Limited. The home is located in a residential area within walking distance from the centre of Colchester. The home is a single -storey building that was purpose built and has been extended to accommodate a small second storey. There are 57 single en-suite bedrooms on the ground floor and a further 4 single en-suite bedrooms on the second floor that are accessible by stairs and a lift. The home offers large communal areas. The home has surrounding wellmaintained gardens that are partially accessible to wheelchairs. The home is accessible by car and the nearest railway station is in Colchester a short bus drive away. Parking is available for staff and visitors in the adjacent car park. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place on the 28/02/06, lasting 4 hours. The inspection process included: discussions with the registered manager, the deputy manager, the activities coordinator, the laundry assistant, the cook, four care staff, four residents and a continence advisor; a partial tour of the premises including observations on residents’ bedrooms, bathrooms, the laundry, the sluice, medication/clinical room and communal areas and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Fourteen standards were covered, two were commended and one requirement made. Action had been taken promptly to address previous requirements and recommendations. What the service does well: What has improved since the last inspection? The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 6 Care plans have improved have been regularly reviewed together with risk assessments and nutritional intake monitoring improved. Residents’ right to privacy is upheld and the records confirmed they are to be addressed by their preferred name. Substantial efforts have been made to improve the choice and quality of food. New suppliers have been commissioned. Menus have been reviewed in consultation with residents, a dietician and a chef from another home within the organisation. Snacks are provided throughout the day and night as residents choose. The kitchen has been thoroughly cleaned, is regularly audited and new equipment including two heated trolleys, a fridge freezer and dishwasher provided. The standards of cleanliness throughout the home have improved. Staffing levels have been increased and were appropriate to meet the needs of residents. The manager has made efforts to ensure she is more visible and available to residents and their relatives. 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 Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 Residents and their representatives had the information they needed prior to making a decision on admission to the home. EVIDENCE: The home had a statement of purpose and service user guide that was made available to residents and/or their representatives prior to admission. These documents detailed the homes aim and objectives/philosophy of care, services and facilities and terms and conditions of the home and had recently been reviewed. Residents spoken with confirmed they were aware of the statement of purpose and service user guide and had been provided with a copy. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 Care plans are regularly reviewed together with risk assessments and provide good information for care staff to satisfactorily meet residents’ needs. Residents have good access to health care services. The systems for administration of medicines are good with clear and comprehensive procedures in place that are generally well adhered to. EVIDENCE: Three care files were inspected. Care documentation covered all key needs (physical and social) and provided good detail of the action required of staff to meet residents’ needs. Agreement of the care plans was confirmed by signature of the resident/relative. Oral assessments and risk assessments for moving and handling, pressure areas, falls, cognitive dependency and nutritional risk assessments were recorded in all three files. Risk assessments for lifestyle choices had been introduced with new documentation and were present in two of those sampled. Daily records were detailed and demonstrated good monitoring of care needs with appropriate action taken. Residents had a choice of GP who attended on request. Residents spoken with said that their personal care needs were met and that staff were very polite but friendly. The records confirmed that residents received access to health care services as needed with regular chiropody, eye tests and attendance at The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 10 outpatients as required. Regular and prompt referrals were made to health and social care staff as relevant. The records inspected demonstrated good monitoring of health care needs being undertaken, including nutritional risk with regular weight monitoring and provision of specialist diets as indicated. The home had policy/procedures for administration of medication. All medication was stored in the clinical/medication room and drug refrigerator temperature monitoring was undertaken daily. Registered nurses administered medication to nursing clients and senior care staff to residential clients. There were three trolleys, one used for residential clients and the remaining two to accommodate the separate zones within the home. Medication administration records (MAR) were well recorded. Advice was given to ensure that the address was recorded on receipt and disposal of Controlled Drugs. A list of homely remedies was agreed with GP’s and reviewed annually. The home had a contract with a licensed contactor for disposal of medication. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 the following standard(s): 13, 14, 15 Residents were encouraged to keep in contact with their relatives and friends through open access visiting. Residents were enabled to exercise choice and control over their lives. The home supplies sufficient quantity and quality of food, and provides a well balanced diet that meets individual needs and choices. Residents have received recent menu changes positively. EVIDENCE: The home’s statement of purpose and service users guide detailed the visiting policy and encouraged family and friends to maintain contact with residents. Relatives and visitors were observed coming into the home throughout the inspection. Residents spoken with said there were no restrictions on visiting times and they could see their visitors in private. From discussion with the manager and examination of records there was evidence that some residents were able to manager their own financial affairs. Information on advocacy services was made available and one resident had an independent advocate who assisted with their choice in moving into the home. Residents spoken with said they were enabled a time in getting up and going to bed and could choose to eat in the dining room or their own room. Some residents had chosen to bring their own furniture and personal possessions into The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 12 the home. There was evidence from the statement of purpose and signature of the resident/representative on the care plan that they were enabled access to their records in accordance with the Data Protection Act 1998. Since the previous inspection a chef from another home had visited to assist with developing a new menu selection. Full consultation had taken place with residents through meetings and individually to determine their preferences. Advice had also been sought from a dietician and a trial menu commenced. Efforts had also been made to improve the quality of food by change of suppliers. Changes had been implemented prior to Christmas when a buffet evening was also arranged for residents and relatives. The lunchtime menu and main meal of the day comprised two choices. Residents spoken with were positive about these changes. New equipment comprising a second heated trolley, fridge freezer and dishwasher had also been purchased. The statement of purpose states that snacks are available during the day and night and those residents spoken with confirmed this. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 the following standard(s): Not inspected EVIDENCE: Not inspected The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 the following standard(s): 22, 26 The Oaks has the equipment necessary to maximise residents’ independence. The home was clean and hygienic with safe infection control practices evident. EVIDENCE: The home had sufficient hoists, slings adjustable beds and pressure relieving cushions and mattresses to meet the needs of residents. An additional hoist had been purchased since the previous inspection. Grab rails and ramps were fitted throughout the home to encourage independence and wheelchairs were available as needed. Small items of equipment to aid daily living were also provided as needed. The home was clean and hygienic throughout with no odorous smells. The infection control practices in place were observed to be safe. The home had two sluice disinfectors, one on each floor of the premises that were well maintained. The laundry was equipped as required and well organised. Laundry and sluice facilities were located away from areas where food was prepared or eaten. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 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): 27, 30 The staffing levels (skill mix, number and competence) were appropriate to the needs of residents. Staff were well trained and competent to care for residents. EVIDENCE: There were 56 residents at the home including one in hospital and one receiving palliative care. There were three registered nurses; one adaptation student and nine care assistants on duty. Care staff hours had recently been increased. Staffing numbers and skill mix met the levels agreed with the CSCI; from inspection of the staff duty rota and discussion with staff and residents, there was evidence that staffing levels were well maintained, and met the needs of residents. The home had a comprehensive training programme. Three staff files were sampled and confirmed that all had received mandatory training in moving and handling, health and safety and fire safety. COSHH (control of substances hazardous to health) training had been provided for relevant staff. Protection of vulnerable adults training, venepuncture and wound care had been provided since the previous inspection. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 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): 33, 35, 38 The systems for service user consultation are good with sound evidence that indicates that their views are sought and acted upon. Residents’ financial interests are promoted and protected through robust systems that are well adhered to. The health, safety and welfare of residents and staff is promoted through the policies and practices of the home. EVIDENCE: The home had a quality assurance framework in place that included distribution of service users’ questionnaires. An annual development plan was formulated from responses to the questionnaires. Fourteen quality audits were undertaken annually. Recent audits undertaken included falls, care profiling, named nurse/carer, catering services, quality of food, general facilities and philosophy of care. Policies and procedures inspected were regularly reviewed The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 17 and action from inspection reports was progressed within timescales as required. There was evidence from discussion with residents, their relatives and staff and previous knowledge of the home that the Oaks was run in the interests of service users. All sundries are invoiced directly to residents/representatives. The home holds small amounts of monies in safe keeping for residents. The systems for the management of four residents’ monies were inspected. All were appropriately managed with records of receipts maintained and amounts confirmed as accurate. The home was safe, well managed and had the relevant health and safety practices in place. There was evidence from observation, inspection of the records and in discussion with staff and residents that the manager aimed to ensure the health and safety of staff and residents. The premises were secure and there was evidence of risk assessments of the premises having been undertaken and appropriate action taken. Health and safety issues evident at the previous inspection had bee addressed. The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 x 18 x X X X 3 X X X 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x X 4 X 3 X X 3 The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 OP9 Regulation 13(2) Requirement The registered person must ensure that records of medicines controlled under the Misuse of Drugs Act 1971, bear the name and address of the supplier/disposer. Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Oaks Care Home DS0000015338.V285244.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Care Home DS0000015338.V285244.R01.S.doc Version 5.1 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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