Care Home: Oakdene

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What the care home does well Oakdene continues to provide a very comfortable and caring atmosphere in which to live. Activities arranged in the home meet the expectations of the residents living there. At the time of our visit a number of residents were participating in social and recreational activities taking place in the lounge and were clearly enjoying the afternoon. What the care home could do better: To ensure that staff have available all relevant information to direct their work, care records and risk assessments must be accurately recorded for each resident, describing their needs and circumstances. To reliably safeguard service users against risks of abuse in its various forms the home must ensure that any suspicion or allegation of abuse is promptly reported in accordance with established protocols, and that in accordance with Regulation 37 of the CareStandards Act we are notified of any event which adversely affects the well being or safety of any service user. Random inspection report Care homes for older people Name: Address: Oakdene Ringwood Road Three Legged Cross Wimborne Dorset BH21 6RB two star good service 10/12/2008 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gloria Ashwell Date: 2 2 0 6 2 0 0 9 Information about the care home Name of care home: Address: Oakdene Ringwood Road Three Legged Cross Wimborne Dorset BH21 6RB 01202813722 01202828346 info@oakdenecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dorset Health Care Limited care home 45 Number of places (if applicable): Under 65 Over 65 45 old age, not falling within any other category Conditions of registration: 0 One named person (as known to CSCI) in the category of MD(E) may be accommodated to receive care. One named person (as known to CSCI) under the age of 65 years may be accommodated to receive care. Date of last inspection Brief description of the care home Oakdene is a purpose built care home registered to accommodate a maximum of 45 older people requiring nursing and personal care. The home is situated in a small village close to local amenities including a shop, post office and garden centre. Accommodation is provided in 44 rooms one of which is a shared room, 41 of the rooms have en-suite facilities. These are situated on the ground and first floor and two passenger lifts provide access between the floors. There are two communal Care Homes for Older People Page 2 of 9 1 0 1 2 2 0 0 8 Brief description of the care home lounges and dining room space on the ground floor and a smaller lounge is situated on the first floor. The ground floor houses the homes kitchen and office areas. A laundry is sited on the first floor. There is easy access to the attractive and well-maintained garden, which surrounds the home. Fees are charged weekly; the fee range quoted by the manager at the time of inspection was per person £525 and £675 for residential social care, and £600 and £825 for nursing care. Up to date information on fees can be obtained from the service. Care Homes for Older People Page 3 of 9 What we found: This focussed inspection was undertaken in order to consider the ways in which the home managed a recent event which became the subject of a Safeguarding Investigation led by staff of the local Social Services office. During April 2009 an incident that took place between two residents was considered to constitute an abuse perpetrated by one upon the other. Later investigation indicated that there was a delay in referring the matter to Social Services and to us and it is possible this delay may have hampered the subsequent investigation which also involved the police. It was also noted that staff failed to write details of the incident in the care records of the two residents and that following the alleged incident during February 2009 related risk assessment was not recorded in respect of the suspected perpetrator. During the investigation it came to light that during February 2009 a different incident had been reported to staff, by another resident of the home who thereby constitutes another alleged victim. The registered manager of the home has explained that due to the nature of the allegation and the associated circumstances of the possible victim, the home considered the accuracy of the allegation unlikely and did not refer it to Social Services and did not notify us. These actions were contrary to established practice in the management of safeguarding vulnerable people; prompt referral of any allegation or suspicion must be made to Social Services and in accordance with Regulation 37 of the Care Standards Act we must be notified of any event which adversely affects the well being or safety of any service user. Following the first meeting of the Safeguarding Investigation the registered manager has reviewed the homes procedure relating to the safeguarding of vulnerable people, to ensure it provides clear instruction and guidance for staff, and has arranged for all staff to receive additional training on the subject. What the care home does well: What they could do better: To ensure that staff have available all relevant information to direct their work, care records and risk assessments must be accurately recorded for each resident, describing their needs and circumstances. To reliably safeguard service users against risks of abuse in its various forms the home must ensure that any suspicion or allegation of abuse is promptly reported in accordance with established protocols, and that in accordance with Regulation 37 of the Care Care Homes for Older People Page 4 of 9 Standards Act we are notified of any event which adversely affects the well being or safety of any service user. 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 2. Care Homes for Older People Page 5 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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, 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 1 7 15 The registered person shall, 23/07/2009 after consultation with the service user, or a representative of the service user, prepare a written plan as to how the service users needs in respect of health and welfare are to be met, and shall keep the plan under review. Care plans and other care records must be improved to ensure provision of accurate information to staff to enable them to properly care for residents. 2 18 13 The registered person shall 30/06/2009 make arrangements to prevent serice users being harmed or suffering abuse or being placed at risk of harm or abuse. To reliably safeguard service users against risks of abuse in its various forms the home must ensure that any suspicion or allegation of abuse is promptly reported in Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 accordance with established protocols. 3 33 37 The registered person shall 30/06/2009 give notice to the Commission without delay of the occurrence of any event in the care home which adversely affects the wellbeing or safety of any service user. . 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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