Latest Inspection
This is the latest available inspection report for this service, carried out on 26th November 2008. CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ocean House.
Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Ocean House 15 Alder Hills Parkstone Poole Dorset BH12 4AJ two star good service The quality rating for this care home is: 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: Tracey Cockburn Date: 2 6 1 1 2 0 0 8 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. 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. Internet address www.csci.org.uk Information about the care home
Name of care home: Address: Ocean House 15 Alder Hills Parkstone Poole Dorset BH12 4AJ 01202706160 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): ocean.house@harbourcare.co.uk Mrs Eve Mary Went t/a Harbour Care Name of registered manager (if applicable) Mrs Lesley Baker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) The maximum number of service users who can be accommodated is 4. Date of last inspection 2 0 1 1 2 0 0 7 A bit about the care home Up to four people are able to live at Ocean House. The service is for respite care. The home is accessible. Anyone staying in the home would have their own bedroom. 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We spoke to two staff that work in the home. We spoke to one person who was using the service at the time we visited. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. We looked at information on how support staff are recruited. We looked at care plans, which tell us how people are supported. What the care home does well We found the service provides a very comfortable place for people to come to for short breaks. People using the service are supported to make decisions about their daily lives. People are able to participate in activities, which interest them in the home and the wider community. People are able to maintain relationships, which are important to them. People are able to eat the food they like as part of a healthy diet. Staff receive the training they need to support the people using the service. The home smells nice and is clean. What has got better from the last inspection Care plans are now in place for each person who uses the service for respite. We found that staff are receiving the training they need to understand their role and the needs of the people using the service. It is important that information about the service contained in the service user guide is accurate and accessible. We found that the complaints procedure is more accessible for the people who use the service. What the care home could do better Improvements need to continue in making care plans accessible to the people whom they are about. It is important that the views of people who use the service are used to improve the service. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tracey Cockburn South West Regional Office Colston 33 33 Colston Bristol BA1 4UA 011 7390 7110
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 Details of our findings
Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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
. Information about the service is less confusing and work has taken place on making the details of the service being offered more accessible to people. Individual needs are assessed before a service is offered so that everyone is clear that the service is the right one before it starts. Evidence: Since the last inspection the information about the service has improved this provides clearer information about the service and means that people who are considering using the service will not be confused by the information given to them. Everyone who uses the service has an assessment of their needs provided by the funding authority. This assessment is developed by the service as they get to know the individual and there wishes and preferences. From these assessments care plans are in place and provide information for staff on how individual need to be supported to make their stay in respite a positive one. Individual needs and choices
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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 who use the service are involved in making decisions about their lives and play a role in the support they receive. Evidence: Information on individuals who use the service is stored securely. All records of incidents and accidents are stored individually now. The registered manager has worked hard to develop individual care plans based on the care management assessment and care plan. There was some evidence in both files seen that the service were looking at information about individuals in a person centred way. Several survey forms returned by relatives and carers suggested that a carers needs are taken into account. Care plans provided by funding authorities for individuals receiving care are very detailed and cover all aspects of a persons health and welfare. A health care professional told us that the service responds to peoples changing needs well. There was evidence in the two files seen that people who use the service are supported to make decisions and care plans provided cover how people make choices. A record is kept of daily choices about getting up, activities, and meals. As people are in the service for respite there is no management of finances for individuals, however a clear record is kept of any monies brought into the home by an individual for the duration of their stay. A record is kept with receipts of how the money is spent. These records are audited daily and weekly. There are risk assessments in place for people who use the service, the manager says they are continuing to develop these as they get to know people better. Files contained risk assessments around being out in the community, evacuating the building if there Evidence: was a fire. Lifestyle
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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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
. Social and recreational activities meet individual expectations but not all the time. Evidence: People who use this service are already participating in activities such as going to college and day activities either in a day service or in the community. While in respite these activities continue. The manager continues to capture information about the social and leisure activities which people want to do while on respite, this includes having information available on activities in the community while people are with them, arranging trips at the weekend and booking bowling alleys or getting cinema tickets if they know the person who is coming likes to do these things. The AQAA states that the service has a variety of indoor games and videos for people to use while they are on respite if they wish. The manager pointed out that the service is still in the process of getting to know the people who use the service and tailoring the activities to individual wishes. One person who uses the service returned a survey form, which said, They are able to do what they want at the weekend and in the evening One person told us that this is the best respite Ive ever had Another person told us Mum thinks Ocean House is BRILLIANT - and I agree The daily routines for each person staying are detailed in the care plan provided by the funding authority. the home has developed its own detailed care plans which cover the individual wishes around activities. The manager also told us that following successful fund raising in the summer with a garden fete, the money raised is going to provide a variety of games consoles and other equipment to give a variety of choice for people Evidence: during repsite. The fridge and freezer were well stocked with food. There was fresh fruit and vegetables in the kitchen. There is a menu plan, a member of staff explained that this is flexible depending on what people feel like. The member of staff also said that they would buy specific food items if they know that someone coming in for respite really likes a particular item. As part of the introductory visit people who are considering using the service come for visits at teatime and have participated in the preparation of the meal. Personal and healthcare support
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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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
. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: As previously stated the service receive detailed care plans from care managers, which contain information on the way people prefer to be supported. The manager also explained that they are developing a more person centred approach to updating information as they get to know people better, doing this during stays. Four survey forms returned by people who use the service they were all positive about the way staff support them. Staff are aware of health care needs and check with parents and social workers before someone is admitted on their current health. The service tries to ensure that routines are maintained while someone is in respite. Several examples were seen of where staff have checked with the GP or psychiatrist when the information given has not been the same as the medication brought in by someone. The home has a medication policy and the annual quality assurance assessment (AQAA) says that when someone comes into the service the medication is checked and this is repeated at the end of his or her stay. There is a hi lo bed in one of the bedrooms which staff told us has made a big difference to how they support people. The service also has information on the individuals own GP and they can register temporarily with a local GP for the duration of their stay. Staff have received training in the safe handling of medication. At the time of the inspection the records seen were accurate. Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 who use the service are able to express their concerns and have access to an effective complaints procedure. People who use the service are protected from abuse. Evidence: The service has a complaints procedure and make it available to people using the service. People told us that they know who and how to complain. The complaints leaflet is also in an accessible format. Since the last inspection the complaints information has been reviewed and produced in several different formats which will support peoples different communication needs. There had been no formal complaints at the time of the inspection. One person told us that staff always listen to me The service has a policy and procedure on safeguarding adults and staff receive training. The service has also arranged for staff to complete total communication training. This will enable staff to enhance communication with those people who use the service and are not able to communicate verbally. The manager is very aware of how to raise concerns about individuals and meets with funding authorities to discuss worries or pass on information following respite. One health care professional said that communication with the service about concerns was very good. 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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
. The physical design and layout of the home enables people who use the service to be safe and comfortable and maintain their independence. The home is clean and hygienic which people who use the service appreciate. Evidence: The service can accommodate a maximum of four people in single rooms. There is a large lounge with patio doors leading onto a wooden veranda. All the rooms are well presented. One bedroom has a wash hand basin which is neatly hidden behind doors as part of the built in cupboard area. The rooms have either single or double beds according to individual preference. The bathroom is well designed with two flaps in the side of the bath so the hoist can be used over the bath. There is access to the garden for a wheelchair user through a bedroom, which has a patio door and ramp into the garden. All bedrooms are on the ground floor. The home is in keeping with others in the street and is accessible. The furnishings are comfortable and of good quality. The home is clean and free from odours. 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 in the home are trained, skilled and in sufficient numbers to support the people who use the service. The recruitment practice in the service ensures that people who use it are protected. Evidence: Four staff responded to the surveys we sent them. key worker training has been provided for staff. Staff have had training in meeting someones health care needs so they are able to have respite in the home. Staff have completed total communication training, key worker training, Epilepsy awareness and safeguarding training. There was also evidence in the staff files we looked at that they are encouraged to enroll on national vocational qualification training. One person started their NVQ level 3 in September 2008. The manager told us that they are in the process of setting up training in autism and makaton which is a sign language. We also found evidence of non violent crisis intervention training and challenging behaviour and dementia training dates for staff. Recruitment procedures are robust, people are interviewed face to face, interview records are kept with decisions reached and why, references are sought and Criminal Records Bureau checks are completed before someone starts work with the service. Any concerns are picked up at an early stage and monitored through supervision. People who use the service have not been involved in the staff selection process at this point but the manager is considering how this could be achieved. Two files for staff were seen and contained the correct information. Staff told us they feel supported by their manager and believe there is good communication between each other. Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified and competent manager. Evidence: Since the last inspection the manager has become registered with the commission, she has also completed national vocational qualification at level four. The managers of all the services owned by Harbour Care meet every three months and discuss development of the services. The manager at Ocean house said this was very useful and supportive. At the last inspection the manager was considering using pictures of staff so that people know to look at the board to see who will be on duty when they return from activities. We found at this inspection that the manager has done this and there is a board in the entrance hallway which has photographs of the staff on duty and pictures of all the people who work in the home. As staff are becoming involved in total communication the manager has developed pictures and symbols in the home and uses the Dorset total communication book. The quality assurance process has been further developed and in May 2008 survey forms were sent out to people who use the service as well as relatives and other stakeholders. The information from the survey has been collated but an annual development plan has not been produced. The manager also explained that after each episode of respite a survey form is completed to find out how the respite went and what if any problems there were or if people were unhappy with any aspect of the service. A letter was sent out to everyone who responded to the surveys detailing what issues came up such as activities. People who responded to our surveys before the key inspection made positive comments about the service and the support they receive. Evidence: Hazardous substances were stored in a locked cupboard in the kitchen. Water temperatures are regulated and the environment is maintained safely. Gas and electricity equipment is maintained appropriately. Insurance was also up to date and the certificate displayed. A fire risk assessment had been reviewed in 2008. All fire records seen were up to date and staff were in the process of receiving fire training. Fire evacuations had been completed and the weekly checks done. All accidents and incidents are recorded and reported. Safety procedures are posted in the kitchen. The hoist used in the home was inspected and passed in November 2008. Are there any outstanding requirements from the last inspection? Yes ï£ No ï 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 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 Description 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 Description 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 6 The registered manager should continue to develop individual care plans in a format which is accessible for the individual to whom the care plan is about. The registered manager should produce an annual development plan based on the findings from surveys sent to people who use the service and other stakeholders. 2 39 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.
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