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Care Home: Oaken Terrace

  • Oaken Hollybush Lane Codsall Wolverhampton West Midlands WV8 2AT
  • Tel: 01902847575
  • Fax: 01902846974

Oaken Terrace is located between the villages of Codsall and Oaken approzimately four miles from Wolverhampton and stands in its own spacious grounds. The home is set in a rural location with good road links and nearby rail and bus services. The home has four units and provides care for people who need both personal and nursing care, this also includes people with dementia. Accommodation is largley single occupancy but there are shared rooms available. All areas of the home are run separately with an overall manager in charge. The home has not included the range of fees people are expected to pay in the service user guide. People are asked to contact the home directly for this information.

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Oaken Terrace.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Oaken Terrace Hollybush Lane Oaken Codsall Wolverhampton West Midlands WV8 2AT one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Mandy Beck Date: 2 7 0 3 2 0 0 9 Information about the care home Name of care home: Address: Oaken Terrace Hollybush Lane Oaken Codsall Wolverhampton West Midlands WV8 2AT 01902847575 01902846974 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) : Interhaze Limited care home 92 Number of places (if applicable): Under 65 Over 65 17 20 dementia physical disability Conditions of registration: 17 20 17 Dementia (DE) - Minimum age 60 years on admission 20 Physical Disability (PD) - Minimum age 60 years on admission Date of last inspection Brief description of the care home Oaken Terrace is located between the villages of Codsall and Oaken approzimately four miles from Wolverhampton and stands in its own spacious grounds. The home is set in a rural location with good road links and nearby rail and bus services. The home has four units and provides care for people who need both personal and nursing care, this also includes people with dementia. Accommodation is largley single occupancy but there are shared rooms available. All areas of the home are run separately with an overall manager in charge. The home has not included the range of fees people are Care Homes for Older People Page 2 of 10 Brief description of the care home expected to pay in the service user guide. People are asked to contact the home directly for this information. Care Homes for Older People Page 3 of 10 What we found: We visited the home to check compliance with a Statutory Requirement Notice (SRN). The SRN was sent to the home following a breach of the Care Home Regulations 2001. The home was required to make sure they had good systems in place to meet the health and welfare needs of the people living there. In a previous visit to the home in February 2009 we were worried they were not doing this. At this visit we looked at the care of five people living in the home. We saw in each case that assessments had been completed for all of them. Some contained more in depth information than others but all of the assessments contained sufficient information for nursing staff to plan peoples care. We looked at care plans, particularly those that related to pressure area care, breathing problems, weight loss and challenging behaviour. We found a marked improvement in peoples care plans who had pressure sores. The plans were clear and informative and gave staff clear guidance on how to meet the persons needs. We were able to determine when dressings had been changed and if the wounds were improving. There was evidence that the home had consulted with the Tissue Viability Nurse in relation to each of these people. The nurses recommendations had been included into the care plan. We spoke to staff on duty on each of the units we visited. We asked them specific questions about pressure area care and what peoples needs were. They were able to tell us clearly and accurately about the care needs the people in their care. We looked at the pressure relieving equipment in place for each of these people, again we found that equipment had been inflated to the correct setting for peoples needs. We looked at the daily records, this is where nursing staff record the care they have given to people. We found that whilst the recording of pressure sore care had improved there were still no regular records of when staff had given pressure relief such as turns or other changes of position. We looked at the way the home manages peoples weight, in particular unexplained weight loss and gain. There was some improvement in recording but the home must make sure that it follows the guidance in its own care plans if peoples needs are to be met. For instance we saw in one care plan for a persons weight loss, weigh weekly until BMI (Body mass index) is improved. This had not been done, the home had however continued to weigh the person on a monthly basis and had sought the advice of the doctor and the person had been prescribed a dietary supplement. We spoke to nursing staff about the care of people with a tracheotomy. They told us we recently had training, it was very good it covered the anatomy of a trachea and the care and support people need. This had been a requirement from the previous inspection because of the concerns we had about the homes ability to meet peoples needs in this specialised area. We saw in one persons assessment they were receiving treatment for asthma. We did not find any care plan for this or for the as required use of the prescribed inhalers. We spoke to care staff who were able to tell us when they would be needed and that the person had not needed them since admission. Whilst is it positive that staff understand this, it is also necessary for them to complete a care plan so that all staff who need to administer this medication are very clear about the circumstances in which to do so. We saw that the home is consulting with other professionals in order to meet peoples needs. This includes the dietician, tissue viability nursing service and the community mental health team. When we visited Cavell unit we looked at the care of two people. One person in Care Homes for Older People Page 4 of 10 particular displays some very challenging behaviour. The home is currently providing one to one care for this person. The nurse in charge told us we are supported by the community mental health team, the nurse is helping us put the care plans together and meet this persons needs. We saw the care plans they were descriptive and did give staff some guidance about how to meet this persons needs. We noted in their notes that they should be looked after by a Registered Mental Nurse (RMN) who has knowledge of dementia and can continuously assess and evaluate this persons care. We looked at the duty rota and saw that there is no RMN on duty. The home had told us that they were in the process of recruiting an RMN to help with the care of people who have challenging behaviour. This has not happened and we are recommending the home continues to pursue this. What the care home does well: 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 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 (2) The home must make 11/02/2009 sure that fridge temperatures are kept between 2oC and 8oC. This will mean that medications requiring cold storage are being kept appropriately and not placing people at risk. 2 9 13 (2) The home must make sure that when people are prescribed medication on a PRN or as required basis there is a clear record in the care plan about the circumstances of its administration. This will mean that all staff are clear about the specific circumstances of when this medication should be administered. 11/04/2009 3 9 13 (2) The home must make 11/04/2009 sure that the current storage for controlled drugs is replaced. The home must do this to make sure they are complying with new legislation and peoples medication is being securely stored. Care Homes for Older People Page 6 of 10 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 4 29 19 The home must make sure that every new worker goes through the recruitment process even if they have previously been employed the home. This will reduce the risk of unsuitable people working with vulnerable adults. 09/03/2009 5 38 13 The home must make sure 02/03/2009 that people are not placed at risk of falling from windows by excessive gaps. The windows must be risk assessed and the home must take appropriate action to keep people safe. This must be done to reduce the risk posed to people living in the home. 6 38 17 The home must make sure it 06/02/2009 keeps written records of the safety checks it carries out on peoples bed rails. This will help the home audit the use of bed rails and the continued safe use. 7 38 23 The home must make sure 27/02/2009 that fire drills are undertaken at suitable intervals. This is so staff will be sure of evacuation procedures in case of fire and the do not place people at further risk. 8 38 13 (4) (c). The home must make sure that bed rails are 02/03/2009 Care Homes for Older People Page 7 of 10 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 not used until a risk assessment for their use has been completed. This will reduce the risk of harm being caused to people using the service. Care Homes for Older People Page 8 of 10 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 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 1 8 The home should give consideration to the recruitment of a Registered Mental Nurse to work on Cavell unit to offer guidance and support for staff in the management of challenging behaviour. Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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) 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 10 of 10 - 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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