Care Home: Five Oaks

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Five Oaks is a small care home that provided a very personalised service to the people living there. The delivery of care was very individual and met with peoples needs, choices and expectations. The manager worked well with local health care services to provide a good service to people, and to make sure they got the help they needed. Routines were flexible and allowed people to live as they wished to. People were able to go out with the manager for drives or meals out, and the home enjoyed a number of regular visitors. There were good links with the local community and people enjoyed using the visiting library and hairdressing services. People felt safe and well looked after, saying, "this is the only place to be if you can`t be at your own home". The home was decorated and furnished to a high standard and all bedrooms were single with en suite facilities, and lovely views. What has improved since the last inspection? Since the last inspection the bathroom had been fully re-furbished to a high standard. A new boiler had been installed, along with some additional radiators to ensure the home was sufficiently warm. A second washing machine had been purchased as a back up to the first one, and to speed up the laundry time. Two bedrooms had new carpets and further landscaping had been done to the gardens. What the care home could do better: There were no requirements or recommendations made as a result of this inspection. The manager and staff continued to listen to people and provide a good service. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Five Oaks Capplerigg Lane Bonningate, Crook Kendal Cumbria LA8 8JY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jenny Donnelly     Date: 0 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Five Oaks Capplerigg Lane Bonningate, Crook Kendal Cumbria LA8 8JY 01539821214 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gillian Gibson Type of registration: Number of places registered: Mrs Gillian Gibson,Mr David Gibson care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Five Oaks is a care home providing social care and accommodation for up to three older people. The home is owned and operated by Mrs Gillian Gibson. Five Oaks is situated on the outskirts of the small village of Crook, close to the town of Kendal. There are uninterrupted views over the open countryside of the Lake District. Accommodation is all at ground floor level and the bedrooms have en-suite facilities. Communal space provides a dining lounge and a conservatory overlooking the garden to the side of the house. There is a communal bathroom that has a hoist bath seat. The home is furnished and decorated to a very high standard and the large landscaped gardens provide pleasant seating areas. The fees for this home were £465.00 per week at the time of this inspection, with extra charges for newspapers, hairdressing and Care Homes for Older People Page 4 of 23 Over 65 3 0 Brief description of the care home private chiropody. Further information about the service, including copies of inspection reports, could be obtained on request from the care home. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was the key inspection of this service for the year. Jenny Donnelly, inspector, made an unannounced visit to the service between the hours of 10am and 12 noon on the 9th January 2009. During this visit we (the commission for social care inspection) toured the building, spoke with people who live in the home, the staff and the manager. We looked at care, staffing and management records. We saw how people were spending their day, and what staff were doing. Prior to our visit the manager had completed and returned an Annual Quality Assessment Audit (AQAA) that we had requested. The AQAA is a self assessment document that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information. We sent surveys to people living Care Homes for Older People Page 6 of 23 in the home and staff, and the information we received is included in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process helps people to know if this care home will suit them before they decide to move in. Evidence: There had been no new people admitted to the care home since the last inspection. From the records of people living there it was evident that peoples care needs had been assessed before they moved in, to ensure this would be a suitable place for them. People were able to visit to have a look around the home, and one person told us she had been for a number of short stays before moving in permanently. Everyone had been issued with a copy of the terms and conditions for their stay. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were receiving a good standard of personal and health care, delivered in a way that was acceptable to them. Evidence: Each person had a written plan of care in place, which detailed what level of care and support they needed, and how they liked this to be delivered. People told us they were very happy with the way they were looked after and felt they were treated well. We saw that people looked well cared for and were nicely dressed with their hair done. One person said she was able to have a bath twice a week, which suited her just right. Another person said they got all the help they needed and were very happy. There was evidence that the manager helped people to access the health care services they needed. The community nurse attended to one person regularly, and another person received support from the mental health nurse. The manager took people along to optician and dentist appointments as necessary, and a private chiropodist visited every six weeks. One person had a specialist nursing bed provided by the community Care Homes for Older People Page 11 of 23 Evidence: nursing service, to keep her comfortable and safe. The manager generally looked after peoples medicines, but one person managed their own, after having been assessed as safe and able to do so. Medicines were supplied monthly by the local pharmacy along with administration record sheets, which the manager completed. Medicines were stored safely, and there was a written medicines policy in place. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The routines of the home were planned around peoples wishes and were flexible enough to meet everyones needs and provide the kind of lifestyle people wanted. Evidence: The routines within the home were flexible. People told us they woke and got up when they wished to, and were served their breakfast when they were ready for it. Bed time was equally flexible. People said they were able to spend the day as they liked, whether this was sitting quietly or opting to do chores such as making their bed and tidying up. One person was able to go out a lot with her family and friends, and told us that the manager also took her out for drives, or for meals and to various health appointments. The home received a good number of local visitors as well as the Holy Communion services, the weekly hairdresser and the monthly library van. One person especially enjoyed her supply of talking books and talking newspapers, which helped her keep in touch with local affairs. Meals were home cooked and choices of what to have were discussed with people on a Care Homes for Older People Page 13 of 23 Evidence: daily basis. The manager knew everyones preferences and dietary needs and adjusted her menus accordingly. People said they enjoyed their food very much, and two people told us they always had their lunch together and felt this provided them with a nice focal point to the day. One survey stated, excellent home cooked food. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People felt safe and content living in this care home and believed any issues they raised would be dealt with promptly. Evidence: People told us they knew how to raise any concerns or complaints if they wanted to, but no complaints had been made. People said they spoke with the manager daily and were able to ask her anything, saying she often helped them to sort out queries, or would direct them to some one who could help. The manager maintained good links with social workers, district nurses and the health visitor for older people at the doctors surgery. There was evidence that the manager had on occasion contacted the above on peoples behalf, for professional advice and guidance. The manager and staff had received some training on safeguarding people from abuse and were aware of how to report any concerns or allegations. People confirmed they felt safe living in the home and thought the manager and staff protected them. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a very well maintained, warm and comfortable home that suited their needs. Evidence: The home provides a high standard of accommodation. All three bedrooms are single and have an en suite bathroom. The house bathroom has a bath with an electric bath seat and a shower, and is suitable for people with mobility problems. There is a comfortable lounge/diner and a conservatory for people to use. The upkeep of the property was very good, and since the last inspection the following improvements had been made. The bathroom had been completely refurbished, a new boiler and additional radiators, and a second washing machine had been purchased, and two bedrooms had new carpets laid. The home is set in an acre of ground with beautiful, well kept gardens, lawns, patios, summer houses and seating areas for people to use. There were lovely views across open countryside. The home had a family style kitchen and a small laundry. People told us they were very pleased with the laundry, saying their clothes were dealt with quickly and returned in very good condition. The home was warm, clean and fresh throughout. Care Homes for Older People Page 16 of 23 Evidence: People said their bedrooms were dusted and vacuumed regularly. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefited from having a very small staff team they knew well and could rely on. Evidence: The manager provides the majority of the care for people, but employs two part time staff to assist and allow her some time off. Both staff had been thoroughly vetted at the time of their recruitment and had received induction training. The manager provided training updates through the use of training DVDs and questionnaires. She also supported staff with hands on work, to see they were working to her standards. People told us the staff were wonderful and would do anything asked. Staff knew each person living in the home very well and enjoyed good relations with them. Staff felt as a small home they could give people very individual care and attention. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was operated by a competent and caring owner manager and was being run in the best interests of the people living there. Evidence: The manager had a very clear understanding of the needs of older people and had run the home for a number of years. She spent a lot of time with people to ensure the service she provided met their expectations. There was a very relaxed atmosphere in the home and people said it was a home from home and the only place to be if you cant be at home. The manager did not handle anyones money, but provided a lockable storage in peoples bedrooms. We saw the maintenance records for the home and these showed that all services and equipment had been checked and maintained as they should be, to keep people safe. Care Homes for Older People Page 19 of 23 Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!