Care Home: Oakleigh Residential Home Limited

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What the care home does well There is a relaxed and friendly atmosphere throughout the home and the registered manager and staff go about their daily work in an unhurried and professional manner. Privacy and dignity is maintained at all times and everyone we spoke with confirmed that they were well cared for and their care and support needs were being met. People are able to make choices on a daily basis and are encouraged to be as independent as possible. The registered manager is both supportive and approachable and families and friends are strongly encouraged to be involved in the life of the home. Staff are well trained and knowledgeable within their roles and both the registered provider and registered manager are committed to ensuring that further training courses are made available. What has improved since the last inspection? This is the first key Inspection since the service was re registered as a Limited Company in March this year. What the care home could do better: Provide more information within the care plan documentation. We found that not all care plans included fully how individual care and support should be offered. If the care plans included more specific information relating to each person, care workers would be fully informed of each persons preferences in daily living. When carrying out a risk assessment, include the specific actions care workers are required to carry out, to minimise the risk. Care workers need to be fully aware of all risks presented to both themselves and the person they are supporting and what actions they need to carry out to keep the person as safe as possible. Contact their contracting pharmacist to ensure that medicines and eye drops that need refrigeration are being stored in line with best practice and pharmaceutical guidelines. Review each persons records to ensure that they are accurate and up to date and maintain these records as required by regulation. Key inspection report Care homes for older people Name: Address: Oakleigh Residential Home Limited 50 Ashby Road Moira Swadlincote Derbyshire DE12 6DJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Diane Butler     Date: 0 2 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Oakleigh Residential Home Limited 50 Ashby Road Moira Swadlincote Derbyshire DE12 6DJ 01283221048 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): fatimmawji@hotmail.com Oakleigh Residential Home Ltd Name of registered manager (if applicable) Mrs Joy Whetton Type of registration: Number of places registered: care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 19 The registered person may provide the following categories of service only: Care Home - Code PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical Disability - Code PD, Dementia - Code DE, Old Age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Oakleigh Residential Home is a care home providing accommodation and personal care for up to nineteen people. The home is situated in the village of Moira, which is on the Leicestershire/Derbyshire border. Care Homes for Older People Page 4 of 26 19 0 19 Over 65 0 19 0 Brief description of the care home Accommodation is provided on two floors with the upper floor accessed by lift or stairs. There are two lounges, a conservatory and a dining room available on the ground floor. All bedroom accommodation is provided in single rooms with fifteen of these offering ensuite facilities. There is a large well-kept garden to the rear and side of the home, which offers views over the local countryside. A large car park is available at the front of the home for visitors and staff to use. Current charges range from £320.00 per week to £390.00 per week and additional charges are in place for hairdressing, chiropody treatment and personal toiletries. Details of all charges can be found in a Statement of Purpose document (a document which provides relevant information about the home), which is available to anyone interested in living at the home. Inspection reports regarding the home are available and can be accessed via the CQC website: www.cqc.org.uk. Further information about the home is available from the registered manager. Care Homes for Older People Page 5 of 26 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: The quality rating for this service is 2 star. This means the people who use the service experience good outcomes. This key inspection took place on Wednesday 2nd September. We (the Care Quality Commission or CQC) arrived at the service at 08:50 am and completed the inspection at 14:30pm. The inspection was unannounced and this means the service was not aware that we were coming. When undertaking key inspections CQC focuses on the outcomes for people receiving a service. In order to do this we case tracked three people receiving care and support. This means we checked relevant records, spoke with them and their relatives where possible and spoke with the care workers providing the care and support on the day of our visit. Care Homes for Older People Page 6 of 26 Surveys were sent to ten people living at the service and five members of staff to gather further views of the service provided. All ten surveys sent to those living at the service and three staff surveys had been returned prior to this report being written. Comments received in the surveys returned included: People who use the service: The staff are very committed and professional as well as being very caring. The food is nice. The staff are nice and very helpful and take us out on enjoyable trips. A clean and comfortable home. They care for the individual. They do everything well, the food, the cleaning, you could not get anything better. On the whole the home is very good, everyone is caring and helpful. Activities are arranged on a regular basis. The staff self fund these outings by raising money themselves and often give their own time. They could improve the lounge area so that all residents have access to the conservatory and have a better view and outlook. The outdoor facilities have been poor for the last 18 months and despite a beautiful garden it is a mess as the owners seem to be undecided over improvements. The patio door could have been open and the patio area outside would have been a lovely place for residents to sit this summer. Maybe next year. The home cooked food is excellent and activities and outings are provided regularly. Staff Comments: Oakleigh offers a wide variety of training, the training is in house and done by outside organisations. I enjoy taking part in the courses, this helps to develop my knowledge and understanding. I always feel supported by my manager and head of care and they are always available if needed, any problems can always be discussed in confidence. The home is a lovely place to work and is an enjoyable environment. We have regular staff meetings and resident meetings where we discuss up and coming activities. The residents have the opportunity to suggest any activities or outings which they would like to do. Every client is treated as an individual and their privacy and dignity is respected. Care Homes for Older People Page 7 of 26 I think the home works to a very high standard that would be difficult to improve upon. Further planning for the site visit included looking through the AQAA document (Annual Quality Assurance Assessment), which was submitted to the CQC prior to the visit. The AQAA document is the main way that providers inform us of how well their service is delivering outcomes for the people using it. We checked all the standards that the CQC has decided are key standards during this inspection. The information below is based only on what we checked during this visit. We have kept details about individual people out of the report to make sure we respect their confidences. Care Homes for Older People Page 8 of 26 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 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 10 of 26 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. Peoples needs are assessed before they move into the home to ensure that they can be met. Evidence: Information is available to everyone interested in living in the home, this includes a brochure and a copy of the statement of purpose and user guide. These tell the reader all about the facilities within the home and steps to follow should they not be happy about something. We were told that peoples needs are always assessed before they move into the home to ensure that their needs can be met and information is also obtained from their social worker if the have one, in order to gather as much information about the person as possible. No one has moved into the home since it was re registered in March this year but we were able to see the paperwork to be used. Care Homes for Older People Page 11 of 26 Evidence: A personal preference sheet is completed on arrival. This records the persons specific likes and dislikes including, what time they would like to get up and go to bed, how many baths or showers they would like each week and where they would like to take their meals. We talked to people living in the home and their relatives to find out whether they were able to visit before moving in and we were told that they had had the opportunity to look around to see if it was the right place for them. We were told: When we came to look around the home, it felt right, it felt like home. We looked around a number of homes and we knew this was the place for us. Intermediate care is not currently provided at Oakleigh Residential Home. Care Homes for Older People Page 12 of 26 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. Care and support is provided in a respectful and dignified manner. Evidence: We looked at some care plans to see if they contained all the information care workers needed to meet the needs of those they were caring for. On the whole those checked did include relevant information to enable the carers to provide the appropriate support, but if the care plans contained more specific details about the individual persons preferences, a more person centred service could be provided. The care plans seen had been re written since the re registration of the home in March this year and were being reviewed on a monthly basis. The registered manager is currently looking at the individual risk to each person living in the home and when a risk is highlighted an assessment of that risk is carried out. We looked at some of the risk assessments completed and although risks had been identified, the actions the care workers needed to take to minimise the risk had not Care Homes for Older People Page 13 of 26 Evidence: always been clear. This included for one person with a sleeping disorder and another for a person with diabetes. The registered manager realised that more information was needed and told us that those identified would be attended too. Staff who deal with peoples medication have been given training and when we checked the records that need to be kept, we found them to be up to date and accurate. Opened eye drops and sealed insulin are currently stored in the main fridge, which is not accessible to those living in the home. We advise the registered manager to contact the local pharmacist regarding best practice on the storage of medication which needs to be kept refrigerated. People told us that they were being well cared for and the care workers treated them with great respect and always treated them with dignity. They told us: All of them are ever so good, Im treated ever so well. I dont feel rushed at all. Xxxxx [care worker] bathed me this morning, she was really good, did everything she could for me and was talking to me all the time. You cant fault it. We talked to two relatives whilst we were at the home and both had much praise for the registered manager and the staff. They told us: She [her mother] always looks well cared for and from day one, it has been a real home from home. They [the staff] are absolutely brilliant, they look after her very well, and always tells us of any concerns or issues. Care Homes for Older People Page 14 of 26 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. People are able to make choices on a daily basis. Evidence: People spoken with told us that activities are provided and trips out are arranged. They told us: A fortnight ago they took us to Dobbies Garden Centre and stopped at the Appleby Inn for lunch, it was lovely. They sometimes ask us to play dominoes, but we would rather watch Emmerdale or Coronation Street. The staff keep an activities book and record when an activity or outing has been provided. Visitors are welcome to visit at any time. One relative explained, They are very friendly and always make me feel welcome. Everyone we talked too, told us how good the food was. They told us: Care Homes for Older People Page 15 of 26 Evidence: The food is good, we get some really good meals and they come round when we are having lunch and ask us if we want any more. The food is excellent, I have no complaints. When we visited, roast pork with stuffing, vegetables and apple sauce, or fish was being offered for lunch and lemon meringue was being offered for pudding. Throughout our visit, people were being offered choices, were able to move freely around the home and were encouraged to be as independent as they could. Care Homes for Older People Page 16 of 26 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 are confident that any concerns that they have, would be listened to, taken seriously and appropriately dealt with. Evidence: People are informed of how to make a complaint, or share a concern, when they move into the home and a copy of the complaints procedure is displayed in the reception area. Everyone we talked too knew who to go to if they werent happy about something and they all said that they felt that any concern that they had would be taken seriously. They told us: I have never had cause to complain, but if I did I would speak to Joy [Registered Manager]. Joy is absolutely fantastic and I would talk to her if I had any concerns. The registered manager has not received any complaints since registration in March this year and if a complaint or concern comes in when she is away from the home, details of who staff can contact are displayed in the office. The care workers working at the time of our visit were well aware of what they should Care Homes for Older People Page 17 of 26 Evidence: do if they had any concern about the person they are caring for. One told us, I would speak with Joy straight the way, then I would go to Fatima [registered provider] and then I would go to the authorities. People living in the home feel that they are very safe within the home environment. They told us: I feel very safe and if Im not very well, they will send for the doctor. They come in to me several times in the night to check Im alright Care Homes for Older People Page 18 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with a comfortable and homely place to live. Evidence: Oakleigh residential home is well maintained and provides a homely atmosphere for everyone living there. Communal areas include a conservatory to the front of the home, which leads to a large lounge area and a dining area is also provided. Both the lounge and the dining room look out on to a large garden to the rear of the home. Plans are underway to make the rear of the home more attractive for those living there by the planting of a sensory garden. People are provided with assisted bathing and shower facilities and for those who dont have their own toilet in their room a toilet can be found close by. The areas we looked at were well decorated, clean and warm. One person told us, They always keep it nice and clean. Care Homes for Older People Page 19 of 26 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. Staff are trained and competent to do their jobs. Evidence: People told us that there were currently enough staff on to meet their needs and the care workers spoken with agreed. They told us: Theres enough staff, we dont feel rushed, were not rushable! I dont feel rushed at all, Im treated ever so well. Theres usually four or five of us on a shift, it works OK, you dont have to rush. All established care workers have been trained in Health and Safety, emergency first aid, basic food hygiene, moving and handling, fire awareness and the administration of medicines and more training is to be delivered in the next two months including, infection control, refresher moving and handling training and dementia awareness training. One person has been recruited since the home was registered as a limited company in March this year and the manager made sure that all the necessary checks were in place before they started working at the home. Care Homes for Older People Page 20 of 26 Evidence: All new staff work through both an in house induction and a formal induction to make sure that they know how to provide the necessary care and support to the people living in the home. Care Homes for Older People Page 21 of 26 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. People benefit from the ethos and management approach of the home. Evidence: The registered manager is in the process of completing a leadership in management course and has completed a number of other training courses to ensure that she has the knowledge and experience to enable her to deal with the day to day running of the home. We were told that she was very supportive and always available if someone needed some help or advice. We were told: I feel very supported, both the manager and head of care are approachable and easy to talk too. They are very willing to discuss things and listen to us. Care Homes for Older People Page 22 of 26 Evidence: They are very good at keeping us informed of anything, Joy rang me only the other week. They are very approachable. We saw throughout our visit that peoples views are taken into account and they are fully involved in the the life of the home. Meetings are held where everyone can share ideas of how to improve the home and the service provided and offer suggestions for outings etc. We were told that the registered manager had the facility to hold small amounts of money on behalf of those living in the home. Money is appropriately stored with accurate records kept. Staff are supported by regular supervision, which involves sitting down with the registered manager and discussing how they are getting on, any concerns they may have and if there is any training that they would like to do. Staff are suitably trained to ensure the safety of the people living in the home. Each shift a member of staff is designated as the fire officer, who will take charge if the fire alarms sound, and a member of staff is designated as the emergency first aider who will take charge should a medical emergency arise. Not all records seen during this visit were up to date or accurate but the registered manager is committed to ensuring that any shortfalls are attended to as soon as possible. Care Homes for Older People Page 23 of 26 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 24 of 26 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 1 7 The registered person should ensure the care plans are more comprehensive and include the persons personal preferences to ensure a more person centred service is provided. The registered person should ensure that all the actions that care workers need to take to minimise an identified risk, are included in the risk assessment documentation. The registered person needs to contact their contracting pharmacist to ensure the correct storage of medicines needing refridgeration. The registered person should ensure that records required by regulation are maintained up to date and accurate. 2 8 3 9 4 37 Care Homes for Older People Page 25 of 26 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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