CARE HOMES FOR OLDER PEOPLE
The Oaks Residential Care Home 14 St Mary`s Road Aingers Green Great Bentley, Colchester Essex CO7 8NL Lead Inspector
Sara Naylor-Wild Unannounced Inspection 28th February 2006 10:30 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 Residential Care Home DS0000017971.V285312.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 Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Oaks Residential Care Home Address 14 St Mary`s Road Aingers Green Great Bentley, Colchester Essex CO7 8NL 01206 250415 01473 785062 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) Florence Care Homes Limited Ms Caroline Tidey Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 21st October 2005 Brief Description of the Service: The Oaks is a two storey detached property, situated in a quiet residential area, approximately 1 mile from the village of Great Bentley. The home provides care and accommodation for 30 older people. A good sized garden surrounds the home, with additional seating and patio areas. Parking can be found to the front of the property. Mrs Caroline Tidey, who has been in post since March 2002, manages the home. The home is owned by Florence Care Homes Limited, the Directors being Mr and Mrs Malhotra. The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 28th February 2006, and the Registered Manager Caroline Tidey was available throughout the inspection visit. The inspection conducted in October 2005 had considered the majority of the key standards and therefore this visit concentrated on those standards not previously covered. The inspector sampled staff files, policy and procedure documents, records relating to service users’ monies and conducted discussions with the manager in relation to the progress of the home. What the service does well: What has improved since the last inspection? What they could do better:
Generally the home does not have significant issues in any one area, but as with all person centred services should continue to demonstrate a development of the competencies of the service and staff working in it to meet the needs of services living there. The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 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 Residential Care Home DS0000017971.V285312.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 Residential Care Home DS0000017971.V285312.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): These standards were not assessed at this visit. EVIDENCE: The Oaks Residential Care Home DS0000017971.V285312.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): These standards were not assessed at this visit. EVIDENCE: The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 10 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): These standards were not assessed at this visit. EVIDENCE: The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 11 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 & 18. The home’s complaints policy and procedure is appropriate. The stated policy and procedures in relation to abuse were appropriate. EVIDENCE: The policy in relation to complaints had not been changed since previous inspections, and the process detailed supported the expectations of the NMS. The home maintains a log, although there were not any entries since the previous inspection. The inspector and manager discussed the opportunities taken to remind staff of the complaints procedures and the home’s good practice ethos in this area. The home’s policy in respect of abuse was due for review in August 2006 and was therefore unchanged since previous inspections. 13 staff had undertaken training in this area with the rest of the staff group booked for May 2006. The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed at this visit. EVIDENCE: The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 13 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): 29. The recruitment procedures were sufficiently robust to protect service users from abuse. EVIDENCE: The files of three staff sampled during the course of the inspection, demonstrated the home’s compliance to their own policies in respect of recruitment and the protection of vulnerable adults. This meets the expectations of the NMS and Care Standards Regulations 2000. The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 14 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 & 36. The home operates a quality assurance programme. The service users’ monies are appropriately managed. The staff have sufficient levels of induction and supervision. EVIDENCE: The home has operated a quality assurance system which is audited and a report produced to detail the action plan. The inspector sampled the records of service users monies’ managed by the home. This did not include management of service users’ pensions but related to personal allowances used to make small purchases. The records were appropriately detailed.
The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 15 The manager had attended the Skill for Care “Training the trainer” induction training dates in the region. She stated this had been a useful course, and she had commenced implementing the new standards for induction produced by the organisation. The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 16 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 x x x x x x x x 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 x x 3 x 3 3 x x The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement The registered person must further develop the care planning system to ensure it records all service users’ abilities and needs. This standard was not assessed at this visit and is therefore carried over to the next inspection. 2. OP30 18 The registered person must ensure that staff’s skills and understanding in dementia care is further developed. This standard was not assessed at this visit and is therefore carried over to the next inspection. 30/06/06 Timescale for action 30/06/06 The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 18 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 OP3 Good Practice Recommendations The registered person should ensure that the assessment format and staff skill in completing them provides the depth of knowledge required to understand service users’ holistic needs. This standard was not assessed at this visit and is therefore carried over to the next inspection. The registered person should further develop the opportunities for service users to be engaged in activities that suit their interests and capabilities. This standard was not assessed at this visit and is therefore carried over to the next inspection. 2. OP12 The Oaks Residential Care Home DS0000017971.V285312.R01.S.doc Version 5.1 Page 19 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
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