Inspection on 23/06/05 for The Shrublands Centre

This inspection was carried out on 23rd June 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 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 19/10/05

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 Shrublands Centre Faringdon Road Cumnor Oxford OX2 9QY Lead Inspector Andy McGuckin Announced 23 June 2005 rd 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. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shrublands Centre Address Faringdon Road Cumnor Oxford OX2 9QY 01865 865561 01865 861945 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) Jane Quartermain Lucy Dallimore Care Home (CRH) 5 Category(ies) of Old age, not falling within any other category registration, with number (OP) 5 of places Physical disability over 65 years of age (PD(E)) 2 Physical disability (PD) 1 Dementia - over 65 years of age (DE(E)) 1 Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1: The total number of persons that may be accommodated at any one time must not exceed 5. 2: The PD category refers to one named resident under the age of 65. 3: The PD/E category refers to two named individuals over the age of 65. Date of last inspection 1st February 2005 Brief Description of the Service: Shrublands Centre comprises of a Domicillary Care Agency, a day centre for the elderly and a small residential home registered for 5 older persons. The contents of this report relate to the Residential Home only. The home is family owned and managed. The registered manager is Lucy Dallimore the proprietors daughter. The registered manager is experienced and qualified to hold this post. The home is located in a rural location some 5 miles from the City of Oxford. The home are able to arrange transport for those residents wishing to attend appointments or visit family and friends. One long term resident has reached the age of 104 years young and is still able to enjoy a reasonable quality of life. 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. On the day of the inspection which was a very hot day all residents were outside in the shade enjoying activities. Feeedback from purchasers of the service were very complementary about it. Comments included Good activities programme and good food. Shrublands provides a special, flexible, arrangement and is a brave venture. Every confidence in the staff and best quality all round. At present the day care and residential components are housed in the same building. Plans have been submitted to seperate the two Services. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a very hot morning in June. All residents were present at the time of the inspector’s arrival. One resident then went out for the day. The inspector toured the building and looked at all resident’s files. Informal discussion took place with two residents. The inspector met with the senior staff on duty and interviewed two staff members. Staff files, documents required for inspection and policies and procedures were also inspected. The inspector was satisfied that the home had appropriate documentation to enable it to operate in a safe manner. The proprietors, managers and staff were fully co-operative with the inspection process and were prepared to take the recommendations made at the inspection on board. What the service does well: What has improved since the last inspection? What they could do better: The organisation is planning to separate out the day centre from the residential care home by providing a separate venue. This will be of benefit to both services. The inspector has made recommendations for minor adjustments to some of the documentation surrounding complaints. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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) 1,2,3,4,5,6. The home provides clear information to enable prospective service users to make an informed decision as to the suitability of the home for them. EVIDENCE: The inspector was shown a service user guide and an information folder. This information is given to prospective residents and residents already accommodated. The folder is kept in the resident’s room and contains a range of useful information on which residents can make decisions. This information should be made individual. The folder also contains information on the rules and ethos of the home. Rules are kept to a minimum and cover only those aspects to ensure residents comfort and safety. All residents have a copy of the homes terms and conditions these also should be made individual. Where possible prospective residents visit the home prior to taking up a place. Many residents know of the home having been to the day centre or had contact through the Domiciliary Care Service. The home does not offer an intermediate care facility. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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) 7,8,9,10,11 Resident’s health and personal care needs are being met. EVIDENCE: Feedback from local health centres attests to a high level of meeting resident’s healthcare needs. Personal care plans are drawn up to identify the individual needs and wishes of residents. Where possible residents are fully involved in this process. Residents are encouraged to be fully involved in all aspects of the home if they are willing or able. Where residents do not want to participate in activities this is respected. The inspector viewed a random sample of medication and Medicines Administration Sheets. These were found to be accurately recorded. The inspector was of the opinion that the home had robust procedures in place to ensure the safe distribution, recording, and monitoring of medication. Having said this the registered manager feels that the present system could be further improved. The present system is being reviewed to take account of easier forms of distribution. Evidence was found at the inspection that residents wishes following serious illness or death had been sought and where relevant recorded on the residents individual care plan. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 standard(s) 12,13,14,15 The home provides a range of social activities geared towards maximising independence. EVIDENCE: Feedback from relatives and residents indicated that where activities had been identified that every effort had been made to provide these. On the day of the inspection one resident was lunching out with friends. This happens on a regular basis and the home facilitates the transport arrangements. Evidence was found through reading care files and in discussion with residents and friends that contacts made whilst living in the community are being maintained where possible and appropriate. Residents are encouraged to maintain as much control over there lives as they are able or willing to do. On the day of the inspection the meal for the day was being freshly prepared. Ingredients for the meal were freshly bought and included fresh meat and fresh vegetables. Lunch was taken in the main dining/kitchen area and was unhurried and relaxed. Staff were available to give assistance if required. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 standard(s) 16,17,18 Complaints are dealt with as near to the source as is possible. The inspector has made a recommendation as to how the system could be improved. EVIDENCE: Three complaints were looked at and had been dealt with in an appropriate and timely manner. The inspector felt that system for recording complaints could be improved by recording the outcome and whether the complainant was satisfied with the outcome. All correspondence regarding complaints should include contact details for the commission. A copy of the homes complaints procedure should be sent out with all replies. All residents have either relatives or Power of Attorney looking after their interests. The home has a policy of non involvement with residents finances. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25,26 The building is well maintained and the layout and situation is suited to the provision of a residential home. EVIDENCE: The inspector toured the building and with permission visited resident’s bedrooms. Bedrooms inspected were warm clean and showed individuality. All rooms were well decorated with appropriate furnishing and bedding. The exterior of the building and gardens are similarly well maintained and provide a pleasant area for quiet reflection or communal recreation. There is an outdoor swimming pool, which unfortunately is not accessible for the frail elderly. The home is able to provide sufficient washing bathing and toileting facilities. Evidence was found that where residents required specialist equipment, this had been provided and that staff had been trained to use it. All residents have their own room and lockable facilities are available. The home has applied for planning and registration permission to add two extra rooms on the first floor. On the day of the inspection the home was clean and fresh smelling. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 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) 27,28,29,30 The home employs sufficient staff to meet the needs of its current resident group. EVIDENCE: The home is family owned and managed. Many of the staff are family members who live on site. Other staff who are externally employed also live on the premises. Therefore staff are available at all times and can provide flexibility of provision due to their proximity. Staff files evidenced that staff are being recruited appropriately and that regular training is happening. The home has recently employed a full time training co-ordinator and staff training profiles are being worked on at the present time. The home has added a porta-cabin which has been designated a training room. Staff are being supervised on a regular basis and issues identified at supervision are dealt with appropriately. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 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 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) 31,32,33,34,35,36,37,38. The home provides its residents with a safe, secure and comfortable environment in which to live. EVIDENCE: The registered manager is experienced and trained to manage the care provision offered by the home. The registered manager is supported to do this by a staff group of sufficient numbers and experience in the care of the elderly. There is much evidence of family involvement in the home and the ethos, leadership and management stems from this and the desire to provide a good quality service. The home has sufficient policies and procedures to assist in the protection of potentially vulnerable adults. The home is managed in a professional manner and the inspector was informed that it was financially sound. Accounts are available for inspection if required. Accounts were not required as part of this inspection. The health safety and welfare of residents is being promoted and protected. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 15 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 3 3 3 3 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 2 2 2 3 3 3 3 3 3 3 3 Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 16 None 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 Regulation None 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 16 Good Practice Recommendations The registered manager should ensure that outcomes of complaints are clearly recorded. A copy of the homes complaints procedure should be sent out with the initial reply letter. Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 17 Commission for Social Care Inspection Burgner House 4630 Kingsgate 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 Shrublands Centre H57_H08_S13185_Shrublands Centre_V223056_230605_Stage 04.doc Version 1.30 Page 18 - 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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