Inspection on 27/09/07 for The Shrublands Centre

This inspection was carried out on 27th September 2007.

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 06/03/07

The Shrublands Centre 19/10/05

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 27th September 2007 09:30 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 Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 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.V351566.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Shrublands Centre Address Faringdon Road Cumnor Oxford Oxfordshire OX2 9QY 01865 865561 01865 861945 shrubopc@aol.com 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) Pending Registration as Limited Company Pending Application Approval Care Home 7 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (7), of places Physical disability over 65 years of age (2) The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of persons that may be accommodated at any one time must not exceed 7 The PD/E category refers to two named individuals over the age of 65. Date of last inspection 6th March 2007 Brief Description of the Service: The Shrublands Centre is a family owned and managed residential home for older people. There is a registered manager but a new application has been submitted as the registered manager does not have the day-to-day management responsibility for the home. The home is located in a rural location some 5 miles from the City of Oxford. All rooms are single, two of which have en suite facilities. There are two-day rooms on the ground floor for service users use. There are pleasant gardens and an outdoor swimming pool for residents use during the summer months. The home is well supported by local GP’s and community nurses. The home is able to arrange transport for those residents wishing to attend appointments or visit family and friends. 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. Information about the service offered can be requested from the home if required. The weekly charges for this service range from £600 to £650 per week The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. Visit to the property Inspection of core documentation Consultation with service users, relatives and professionals associated with home. Discussion and feedback from staff Discussion with the registered manager Tour of the building and grounds Direct observation AQAA Information From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. What the service does well: The service is a small family run home and as such is able to offer a very personalised service in a family environment. The home has above average staff to service user ratio’s The registered manager is a trainer, ensuring staff receive regular training relative to their job. Service users are consulted as to how the service should be delivered to them. The home is flexible in the way in which it delivers care to its service users The home has the services of a qualified nurse twice a week and physiotherapist five days per week. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 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 Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are encouraged to visit the home on many occasions prior to admission. EVIDENCE: The home provides prospective service users and their families with a Statement of Purpose and a Service User Guide. These documents contain core information as to what the home is able to offer and what is not. The inspector was pleased to note that the information pack also contained a pen picture of all the staff who work at Shrublands. It details who it can care for and who it cannot. A copy of the homes terms and conditions of residence state what is expected from the prospective resident and what will happen if The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 9 there is a problem on either side. A copy of the written contract and the Statement of Purpose are given to the resident on acceptance to the home. A full assessment of the prospective service users is undertaken prior to admission and where appropriate interested professionals are included in this assessment. Service user are encouraged to visit and stay at the home prior to admission to establish suitability on both sides. Service users are encouraged to talk to those who live there, read the inspection report and experience the care first hand prior to making a decision. The home does not provide an intermediate care provision. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 8,9,10,11. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The healthcare needs of the homes residents are being met. EVIDENCE: The inspector viewed all seven residents’ care plans. Information contained in the care plans was presented in a way which would enable carers to be fully informed as to the care needs of the residents. Plans were presented in plain English and were accurate and up to date. Information was written in a very friendly and informal fashion and displayed an in depth knowledge of the individuals needs and wants. The home operates a key-worker system whereby care is provided by the same group of people. The home has a good relationship with the local healthcare practice. The manager highlighted a recent change to the healthcare provision for its residents. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 11 The home has access to healthcare professionals including alternative health therapists. Errors were found in the recording of medication at the last inspection. The inspector requested the medication charts and inspected the medication on arrival at the home. The home has taken on board the requirement and recommendations made at the last inspection. Procedures have been tightened up and the inspector is pleased to report no errors were found at this inspection. One resident has full control of his medication. All others need varying degrees of assistance. The inspector witnessed residents being treated with respect and dignity Evidence was found at the inspection that the wishes of residents following serious illness or death are being recorded and acted upon. Three residents had passed away recently and evidence was found that this was handled with sensitivity and with the wishes of the resident implemented. Some Residents comments: “ I have a room which can take my wheelchair and have access to the garden “ “ Lots of vegetables and healthy meals “ “ It’s not easy to find activities which will suit people with very diverse needs but they do regularly arrange activities of an appropriate nature “ The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,14,15. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides residents with activities and interests which meets their needs. EVIDENCE: Service users spoken to and those who filled in the questionnaires felt that there were enough activities to keep residents busy stimulated and healthy. On the day of the unannounced inspection a keep fit session was taking place. This was being done at the residents pace and was a very popular activity which all residents enjoyed. Evidence was found at inspection that residents are encouraged to have family friends and visitors to the home with the home having very few rules with regard to visiting times. Service user care plans evidenced that residents are given as much choice and control over their lives, as they are willing or able to accept. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 13 All residents spoken to and those who answered questionnaires were very positive about the food. Residents were seen to be asked if they would like what was on offer today and if not an alternative would be found. On the day of the inspection the main meal was of steak and kidney pie, which was cooked from fresh with fresh vegetables. One resident said, “ I am a very fussy eater and the home know this and try hard to give me things I like (choice is always available)“ The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The relatively small size of the home enables complaints to be dealt with at source in most cases. EVIDENCE: All residents spoken to or who filled in a questionnaire were aware of how and who to make a complaint to. The home try to deal with any dissatisfaction at its source and as such no formal complaints have been recorded. A recommendation made at the last inspection was for the home to record minor concerns. The have set up a system for this to happen but as yet nothing has been felt to need recording. Feedback from service users and their representatives indicated that, where there is cause for complaint or dissatisfaction, the home has formal processes for it to deal with them. The homes complaints procedure was viewed and found to be satisfactory. The inspector was shown letters of complement All but three staff have had Alert to Abuse training. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 15 The home ensures, where possible, that residents’ legal rights are protected and that residents are not exposed to any form of abuse. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a safe comfortable environment for its residents. EVIDENCE: The house is a large detached property set back from the main road between Oxford and Swindon. The home has large grounds with an open-air swimming pool. All residents have their own room some have en-suite facilities. The home has obtained planning permission to undertake building work, which will result in the addition of extra en-suite bedrooms. Residents will be consulted as to the best way to achieve this with minimum disruption to the life of the home. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 17 The home is in the main well maintained with both major and minor repairs dealt with fairly quickly. The home has sufficient toilet and washing facilities to meet the needs of its residents, with all rooms having their own en-suite and kitchen facilities. The home provides adaptations for those who need them without making the home feel institutional. A random inspection of residents’ bedrooms showed that residents are encouraged to have their own possessions around them. Residents can bring small items of furniture by prior arrangement with the manager. The overall atmosphere of the home is one of a homely atmosphere and a staff group who enjoy what they do. On the day of the inspection the home was found to be clean and fresh. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are provided in sufficient numbers and with appropriate experience to meet the needs of its residents. EVIDENCE: Staff files inspected contained the required information. Staff are supervised and supported informally on a regular basis. However formal staff supervision is not taking place the required four times per year. Staff spoken to felt supported and training was said to receive a high priority. Staff spoken to indicated that they felt that Shrublands was a good place to work and that they enjoyed their job. The home is recruiting staff in sufficient numbers to meet the needs of its residents. Positions are advertised, interviews take place, references and other checks take place to ensure the suitability of its staff. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed in a professional manner. EVIDENCE: The inspection process gave weight to evidence that this home is well run and managed. The manager is pending being registered and is experienced and trained to manage the service. The home is family run and therefore benefits from the collective ethos, leadership and management approach of a family unit. The family take a very active part in the running and management of the home. This is seen as a positive part of what the home has to offer. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 20 Residents spoken to and questionnaires received evidenced that the home is run with the best interests of its residents. The home has sound financial and accounting procedures. The accounts were not inspected as part of this inspection process. Service users are protected from financial abuse and exploitation by the home having robust policy and procedures where staff and service users are informed of what action the organisation will take in this event. Records policies and procedures inspected were accurate and up to date and recorded and stored in a way which ensures confidentiality is maintained and privacy and dignity is respected. Measures are in place to ensure that the health well being and safety of its residents are safeguarded and protected. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 21 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 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 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.V351566.R01.S.doc Version 5.2 Page 22 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. 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 2 Refer to Standard OP30 OP37 Good Practice Recommendations All staff should receive a minimum of four formal, recorded supervisions sessions per year. The person in day to day charge should pursue an application to be registered with the commission as a matter of priority.u9i The Shrublands Centre DS0000013185.V351566.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V351566.R01.S.doc Version 5.2 Page 24 - 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. 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