Inspection on 19/10/05 for The Shrublands Centre

This inspection was carried out on 19th October 2005.

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 Shrublands Centre 19/11/09

The Shrublands Centre 09/10/09

The Shrublands Centre 27/09/07

The Shrublands Centre 06/03/07

The Shrublands Centre 23/06/05

The Shrublands Centre 01/02/05

The Shrublands Centre 20/09/04

The Shrublands Centre 20/01/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE The Shrublands Centre Faringdon Road Cumnor Oxford Oxfordshire OX2 9QY Lead Inspector Andy McGuckin Unannounced Inspection 19th October 2005 02:00 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 Shrublands Centre DS0000013185.V260221.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 Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Shrublands Centre Address Faringdon Road Cumnor Oxford Oxfordshire OX2 9QY 01865 865561 01865 861945 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) Ms Jane Quartermain Lucy Dallimore Care Home 5 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (5), of places Physical disability (1), Physical disability over 65 years of age (2) The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The total number of persons that may be accommodated at any one time must not exceed 5 The PD category refers to one named resident under the age of 65 The PD/E category refers to two named individuals over the age of 65. Date of last inspection 23rd June 2005 Brief Description of the Service: Shrublands Centre comprises of a Domiciliary Care Agency, a day centre for the elderly and a small residential home registered for 5 older persons. The contents of this report relates to the Residential Home. The home is family owned and managed. The registered manager is Lucy Dallimore but the dayto-day management is being undertaken by Nigel Collins. The home is located in a rural location some 5 miles from the City of Oxford. The home is able to arrange transport for those residents wishing to attend appointments or visit family and friends. The inspector was present when the homes oldest resident who is 104 was asked her opinion of the home. She was able to be very positive about her time in the home and the quality of the care provided. Residents are encouraged to take part in the day-to-day running of the home and to take part in any activities it provides. It does however respect the wishes of residents who do not want to participate. Previous feedback from residents, relatives and friends has been very positive about the home and its staff. Phase one of the proposed extension to separate the day care and residential provision have been completed and approved. The second phase will commence shortly. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a follow up unannounced inspection, which took place on a weekday afternoon. The inspector was made welcome in the home. The inspector toured the building and gained feedback from one resident. Core documentation relating to residents care was inspected. Staff files and allied documentation was inspected and a random check done on medication and its recording. The inspector was satisfied with the quality and content of this documentation. What the service does well: 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 Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 6 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 Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 7 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): None All standards within this section remain met. EVIDENCE: No standards were inspected under this section as they were assessed as met at the last inspection. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 8 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): 7,8,9,10,11. Documentary evidence was found that the health and personal care of residents is being met. EVIDENCE: The inspector examined care plans and associated documentation for all residents. The inspector observed care being given in a dignified and private manner with the addition of gentleness and humour. All documentation inspected was found to be satisfactory and all standards met. Recommendations made at the last inspection regarding the recording of medication have now been implemented. The inspector would recommend that all care staff administering medication have a sample copy of their initials next to their name. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 9 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, The home provides a good standard of daily life and an appropriate range of social activities. EVIDENCE: On the day of the inspection a communion service was taking place in a residents room to which other residents were free to join in the home should be commended for this initiative. All standards within this section were assessed as met at the last inspection. Evidence was found through documentation and observation that this remains the case. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 10 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): 16,17,18, The home has appropriate complaints and protection procedures, which are known to residents and those visiting the home. Service users rights are being protected. EVIDENCE: In line with a recommendation from the last inspection the home have updated its complaints procedure. This standard is now met. All other standards within this section were assessed as met at the last inspection no changes have been made to alter this assessment. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 11 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): 20,21,22,23,24,25,26. The home is fit for purpose. EVIDENCE: All standards within this section were assessed as met at the last inspection. Evidence was found through documentation and observation that this remains the case. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 12 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): 27,28,29,30. The home recruits and trains staff in an appropriate manner. EVIDENCE: All standards within this section were assessed as met at the last inspection. Evidence was found through reading all staff files and observation that this remains the case. All staff currently employed are undergoing some form of vocational training. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 13 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): 31,32,33,34,35,36,37,38. The home is run and managed in a professional manner. The organisation has the appropriate documentation to assist its managers and staff to fulfil their duties in an appropriate manner. EVIDENCE: All standards within this section were assessed as met at the last inspection. Evidence was found through documentation inspected that this remains the case. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 14 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 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 15 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. 1 Refer to Standard OP9 Good Practice Recommendations Staff responsible for the administration of medication have sample initials next to their signature. The Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Shrublands Centre DS0000013185.V260221.R01.S.doc Version 5.0 Page 17 - 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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