Care Home: Oaklands Nursing Home

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What the care home does well People`s views were listened to and acted on. The service encouraged discussion about concerns at regular service user meetings, so that the service could act on issues raised before they developed into problems and formal complaints. Staff received training in how to safeguard people, which meant they had the knowledge and understanding of how to protect people from harm. What the care home could do better: Display the complaints procedure lower down so that everyone can see it more easily. Arrange training for staff on the Mental Capacity Act and Deprivation of Liberty Safeguards, so they are up to date with information, to ensure the right procedures are followed to ensure people`s choices and human rights are maintained and that limitationson facilities or personal choice are only made following assessments, best interest meetings, risk assessments and discussion with the person concerned and/or their advocate. Provide furnishings in the wet room, to protect people`s dignity better and repair the loose fitting to make it safe to use. Random inspection report Care homes for older people Name: Address: Oaklands Nursing Home Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN4 7BQ three star excellent 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 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: Jayne White Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Oaklands Nursing Home Oaklands 82 Bawtry Rd Doncaster South Yorkshire DN4 7BQ 01302535386 01302535726 oaklands@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Leeland Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 34 Number of places (if applicable): Under 65 Over 65 34 34 old age, not falling within any other category physical disability Conditions of registration: 0 0 One specific service user under the age of 60, named on variation dated 10th July 2006, may reside at the home. Service Users that are independent wheelchair users must be accommodated in a room that is 12sq.m or above. The service may admit 2 persons between the age of 60 to 65 years. Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Oaklands Nursing Home is registered to provide nursing care and accommodation for up to 34 older people. Originally registered in 1996, it is now owned by the Four Seasons group, a company that has other homes with similar categories in the area. The home is located in Bessacarr, which is on the outskirts of Doncaster. It is a converted two-storey property that has been extended and provides a range of communal areas and bathing facilities. Twenty-six of the bedrooms are single with most of them having an ensuite facility. The homes gardens are landscaped and a car park is provided. The home is within easy reach of local facilities including pubs, the Dome leisure centre and a supermarket. Bus services pass close by and the town centre is a short ride away. Information about the home is provided to people and their representatives in the form of a service user guide. Further information relating to fees and any additional charges may be obtained from the homes manager. Leaflets and other general written information are available in the homes reception. Care Homes for Older People Page 3 of 10 What we found: This was an unannounced random inspection, to comply with our regulatory processes of inspection of services. The visit started at 09.30am and finished at 12.30pm. A random inspection means we visit the service and look at specific areas. On this inspection it was about the health, safety and wellbeing of people who use the service. The excellent star rating for this service was made at the previous inspection visit on 25 June 2007. We can only change the star rating following a key inspection, therefore, the rating for this service will stay the same following this random inspection. However, we can still inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. We completed Annual Service Reviews (ASR) for the service on 20 June 2008 and 1 July 2009. We only do an ASR for services rated as excellent or good that have not had a key inspection in the last year. An ASR is part of our regulatory activity and is an assessment of our current knowledge of a service rather than an inspection. The published ASR is a result of that assessment. Our judgement for both of the ASRs was that the home continued to offer excellent outcomes for people using the service. Before we visited the service we looked at any information we had received since the services last inspection. This included: The services AQAA (Annual Quality Assurance Assessment). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. The outcomes from the previous inspection report and whether the service had met their previous requirement, to provide appropriate grab rails in toilet areas. We also looked at what the service has told us about things that have happened at the service that have affected peoples health, safety and welfare. These are called notifications and are a legal requirement. We also sent out surveys to people living at the service, relatives, health and social care professionals and staff. Three were returned from health and social care professionals and seven from relatives. During the visit, time was spent walking round the home and talking to eight people using the service, two members of staff, the deputy manager and manager. We observed some care practices and looked at some records and documents. The outcome was as follows: Information in the AQAA completed by the manager on 5 March 2010 indicated that the complaints policy and procedure was displayed prominently within the reception area of the home. We found that unless you looked above the picture rail, you wouldnt see it and advise that it is displayed lower down, so that people can see it more easily. Care Homes for Older People Page 4 of 10 The AQAA told us no complaints had been received in the last twelve months. None had been received by CQC. When we spoke to people using the service, they told us they were confident raising any issues with the manager or staff. They all said care staff and managers always treated them well and they felt safe and well protected. Their comments included, were well looked after, dont think you can get much better, feel safe, staff very nice. Theyre helpful and sociable, ready for a laugh, we get a choice of meals and were drinking all day, they welcome relatives and theres a good atmosphere. Health and social care surveys told us the service always responded appropriately if they had raised any concerns. Relative surveys told us four knew how to make a complaint, one didnt and two didnt answer. The AQAA and inspection of our records told us there had been no safeguarding allegations made. This means concerns about keeping people safe from harm. The service had the South Yorkshire Safeguarding of Vulnerable Adults in place to refer to if they needed. We looked at the staff training matrix that confirmed all staff had received training on Safegaurding of Vulnerable Adults from abuse. We spoke to two members of staff, the deputy manager and manager in detail about their understanding of protecting people from harm. They understood very well what to look out for to identify if someone could be at harm of abuse and they knew the right action to take to help people keep safe. This demonstrated they had a good understanding of the procedures to be followed should an allegation of abuse be made. The manager told us training on the Mental Capacity Act and Deprivation of Liberty Safeguards was not in place, but were aware they needed to act on this. It is important the manager acts on this so that staff are up to date with current information on the procedures to follow. This will ensure peoples choices and human rights are maintained. This is because limitations on personal choices and rights must only be made following assessments, best interest meetings, risk assessments and discussion with the person concerned and/or their advocate. In our last key inspection report of 25 June 2007 we made a requirement that The registered provider must ensure that toilet facilities are provided with appropriate grab rails to meet the needs of people who use the service. Checks at this visit have found this requirement had been met. We looked at the bathroom in question at the time of the last visit. This had been refurbished and converted to a wet room. Adaptations to assist people to go to the toilet more independently had been placed around the toilet. However, we noted that one of the fittings was loose and therefore unsafe. The manager was told about this, so that it could be repaired. Also, the room would benefit from curtaining around the window, which would also protect peoples dignity much better. Comments by health and social care professionals and relatives in their surveys told us that in the main they continued to be satisfied with the service provided. In what the service did well they commented, continence care is excellent at Oaklands. Nursing staff complete continence assessments with my support, when I have been to Oaklands the Care Homes for Older People Page 5 of 10 staff have been helpful and the patients I have seen seem to have positive relationships with the staff!, I have good relationships with Oaklands, in my role with the discharge team at Doncaster Royal Infirmary. The manager and I liaise on a regular basis regarding new and existing residents. I usually e-mail my assessments to Ms Fotherby (manager) and she will bleep me about assessing patients prior to admission or return to the care home. Family visits before discharge are encouraged and the families always tell me they are welcomed and shown around the facilities when they have been to view. I feel the hospital has good relationships with Oaklands, which is something I do try to build on, my mum has very good meals. She looks clean and tidy most of the time. She looks cared for when I visit, Oaklands always seems friendly and homely. Staff remember us and are always friendly, the care given by the staff is of a good level. They give time and attention to both residents and family members. The activities co-ordinator is an excellent member of staff. She is always thinking of ways to encourage the residents to be involved in activities. She is very bright and bubbly and her warm, friendly nature is perfect for this position. Resident meetings, to encourage residents to give ideas to aid their lifestyle in the home, we had all kinds of problems other than my mothers health at the time she came to Oaklands. The manager was excellent when we visited and spent time talking about the home and all the staff have been very friendly and helpful. All our questions are answered immediately and I have been very pleased at the way my mother has settled in, due to the staffs care, they have been very kind, when we celebrated my mothers 99th birthday on Mothering Sunday, even though it was a very busy day for them and overall we are very pleased with the care, attention and time given to residents. In what the home could do better they said, I would like to know when ... needs new clothes and old ones are thrown. My mums appearance makes life better. Look good! Feel good!, we feel it could be very useful to have a motorised wheelchair available when needed, perhaps health and safety goes too far in many cases, the home could do with some updating. It needs a handyman, which it has not got at the moment and has not had for some time. Although the home seems to be cleaned on a regular basis it does have a distinctive smell, even at the door before entering. This could put clients off. Requests are not always acted on straight away, the freshness in parts of Oaklands could be better and I would like my mums room refurbished. The furniture is battered and old. What the care home does well: What they could do better: Display the complaints procedure lower down so that everyone can see it more easily. Arrange training for staff on the Mental Capacity Act and Deprivation of Liberty Safeguards, so they are up to date with information, to ensure the right procedures are followed to ensure peoples choices and human rights are maintained and that limitations Care Homes for Older People Page 6 of 10 on facilities or personal choice are only made following assessments, best interest meetings, risk assessments and discussion with the person concerned and/or their advocate. Provide furnishings in the wet room, to protect peoples dignity better and repair the loose fitting to make it safe to use. 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 7 of 10 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 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 18 Training on the Mental Capacity Act and Deprivation of Liberty Safeguards should be arranged for staff, so that they follow the correct procedures to ensure peoples choices and human rights are maintained and that limitations on facilities or personal choice are only made following assessments, best interest meetings, risk assessments and discussion with the person concerned and/or their advocate. Care Homes for Older People Page 9 of 10 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. 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