Inspection on 20/09/05 for Twin Oaks

This inspection was carried out on 20th September 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

Twin Oaks 15/10/09

Twin Oaks 17/03/09

Twin Oaks 16/03/07

Twin Oaks 22/03/06

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

CARE HOMES FOR OLDER PEOPLE Twin Oaks Victoria Road Windermere Cumbria LA23 2DL Lead Inspector Elaine Brayton Unannounced 20 September 2005 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. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Twin Oaks Address Victoria Road Windermere Cumbria LA23 2DL 015394 48994 015394 48994 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) Heathwaite Care Homes Limited Margaret Palling Care Home 6 Category(ies) of OP - Old Age registration, with number of places Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 6 service users to include: up to 6 service users in the category of OP (Older People not falling within any other category) Date of last inspection n/a Brief Description of the Service: Twin Oaks is a domestic style property which has been equipped to provide accommodation and care for up to six older people. The home is furnished and decorated to a good standard, and provides a very comfortable and pleasant environment for the people who live there. The accommodation is on two floors, on the ground floor there is a spacious lounge, dining room, bathroom, toilet and kitchen, and on the first floor there are six bedrooms each with an en-suite shower and toilet. There is a small car park, and gardens with level access and seating. The home is situated in the town of Windermere, close to all of the usual amenities. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the home since its registration with the Commission for Social Care Inspection. The inspection was unannounced and took place during one morning. As part of the inspection people currently living in the home were spoken to, records relating to the day to day running of the home and the care of the residents were examined and all parts of the home were looked at. 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. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 standard(s) 2,3,5 The admission procedure to the home was thorough, and ensured residents needs would be met. EVIDENCE: Residents have a statement of terms and conditions, and this provides information about the fees payable and the services to be provided. A thorough assessment of need is undertaken before a person moves into the home, so that the proprietor is sure that the persons needs can be met. People are encouraged to visit the home to have a look around before making a decision to move in, or a relative visits on their behalf. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 standard(s) 7,8,9 Resident’s personal and health care needs are attended to in a way that promoted their privacy and dignity. EVIDENCE: Each resident has a care plan which details their care needs and how those needs are to be met. The care plans were informative and up to date with planned review dates. Health care needs are attended to with relevant information recorded in the care plan. District nurses and GP’s visited the home as required, and residents had access to all of the usual primary health care services as they preferred. Residents said that they were well looked after and had all of their needs met. There were suitable policies and procedures in place relating to the storage and administration of medication. The residents currently living in the home managed their own medication, and there are appropriate records and systems for this. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 standard(s) 13,15 Residents maintained links with their relatives and friends as they wished, and are encouraged and assisted to make their own choices about their day to day life. EVIDENCE: Residents told the Inspector that they made their own decisions about the shape of their day, and decided for themselves how to spend their time. Visitors could be received at any reasonable time, and could see people in one of the communal areas or in the privacy of their own room. Residents were served with three full meals each day, with drinks and snacks provided in between these. The weekly menu was balanced and nutritious, with options available to cater for people’s preferences. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 standard(s) 16 The home has a satisfactory complaints procedure that residents are aware of. EVIDENCE: The home has a suitable complaints procedure and residents are provided with information about how to complain on admission to the home. At the time of the inspection the home had not received any complaints about the care and services provided. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 standard(s) 19,24,26 The furnishings and décor in all areas of the home are of a very good standard and provide attractive, comfortable accommodation for residents. EVIDENCE: The home is newly decorated and furnished and provides a high standard of accommodation for residents. The home is well maintained with no obvious hazards to people’s health and welfare. The bedrooms are spacious and comfortable, all with an en-suite shower and toilet, and a number have impressive views of the countryside. Residents are able to bring their own possessions into the home with them, and this personalises the room, making it more homely. The home was clean and tidy on the day of the inspection. Residents were very pleased with the comfort of their environment and said it was always kept spotlessly clean. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 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) N/a EVIDENCE: This standard does not apply, as the proprietors provide all of the care and domestic tasks themselves. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 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) 38 There are satisfactory systems in place to ensure the home operates in a way that protects the health and safety of residents and visitors. EVIDENCE: The fire risk assessment is in the process of being updated, and will be looked at during the next inspection. The tests and checks of the fire safety equipment and procedures were being completed and recorded in the fire log book. Information was available relating to the storage of substances hazardous to health. Risk assessments were completed to safeguard residents when using the stairs. Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 Page 15 n/a 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 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 Good Practice Recommendations Twin Oaks F58 F10 s64043 twin oaks v238244 200905 ui stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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