Latest Inspection
This is the latest available inspection report for this service, carried out on 9th October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Olivemede.
Annual service review
Name of Service: Olivemede The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Boismier Date of this annual service review: 0 9 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Hawthorn Road Yaxley Cambridgeshire PE7 3JP 01733240972 01733240972 olivemede@hotmail.co.uk www.oakhouseltd.co.uk Oak House Homecare Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 0 33 33 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Olivemede is situated at the end of a cul-de-sac in a residential area of Yaxley. The home is within walking distance of local shops, library, surgery, cafe, pubs and public transport to Peterborough. Built in the 1970s,the home offers accommodation for up to thirty- two places for people who are 65 years of age and older. Accommodation is provided on two floors with all of the bedrooms having ensuite facilities. There are also communal areas, including a dining area, and accessible gardens that surround the home. Peterborough city centre is within a short drive, and the city has good road and rail links to local towns and major cities. Information about fees, including any additional costs, can be obtained from the home. Copies of CQC reports can be obtained from the home or via our website at www.cqc.org.uk Annual Service Review Page 2 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at information we have received from the home since our last Annual Service Review (ASR) that we carried out on the 18th September 2008. We looked at the results of surveys we have received from some of the residents and from some of the staff. We looked at the report of our last inspection that took place in November 2007. We looked at the Annual Quality Assurance Assessment (AQAA) that was completed by the Registered Manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. What has this told us about the service? From our 2008 ASR we considered that the home continued to provide good quality outcomes for the people living at Olivemede and from this ASR for 2009 we consider that this standard has been maintained based on the information that we have looked at. We received seven surveys from the residents, some of which had been completed with help from their relatives. Six of these surveys said that the person always or usually received the care, including medical care, and support that the person needed. The remaining survey said that sometimes this was the case. From the surveys we read additional comments such as ..since (my relative) has lived there...she is like a different person. (They) are extremely happy, very well looked after and the home Look (sic) after me when I am feeling unwell. In January 2009 we received a notification that told us there had been a medication error. This was because a residents medication for pain relief had run out of stock. The home had contacted the persons doctor for a prescription and the pharmacist was also contacted by the home. Although we are satisfied that appropriate action had been taken when it was found that the medication supply had run out, it tells us that, at least on this occasion, there was an inadequate auditing of the level of medication stocks. However we have received no other information to suggest that people are running out of medication, since this episode of January 2009. We have been notified of at least two medication errors that occurred in January 2009: medication was not given as prescribed although we were satisfied that these errors had been picked up by the home and follow-up action had been taken to ensure the safety of the residents. Within the residents surveys there was a range of views about the activities provided: six of these said that the home always or usually provided suitable activities with the remaining survey saying that sometimes this was the case. Added comments included ..residents sit all afternoon, dozing. Some cannot find something to do and the home Annual Service Review Page 3 of 8 could do better to provide ..a few activities at the residential side. Another of these surveys had more positive comments to make, about activities, telling us that they ..enjoy taking (my relative) out for walks, for coffee (to a) restaurant. Another survey said that the home could do better, with regards to activities (and meals) by ..not set the table for meals quite so early. If a person is already confused they think they havent eaten a meal. The table is usually set for breakfast by 5.30 to 6pm. If you wanted to play a game of cards-dominoes etc. (there is) no space unless you clear the table. We received mixed responses about the meals: six of the residents surveys said that the person always or usually liked their meals with the remaining survey telling us that the person sometimes liked their meals. Added comments about the meals included Meals are always good and the home does well as it provides Home made cakes. Comments about activities and the meals indicated that the majority of the respondents were satisfied with their social lives although the home could consider improving the standard and frequency of activities provided, based on the comments made within some of these surveys. All of the five surveys from the staff said that the person knew what to do if a concern, about the home, was made to them. Five of the seven residents surveys said the person knew how to make a formal complaint; one of the two remaining surveys said the person did not know how to do this if they wanted to. The other remaining survey was not completed within this section. Five of these surveys said that the person knew who to informally speak to if they were not happy. One of the two remaining surveys said that they did not know who to informally speak to if they were unhappy.The other remaining survey was not completed within this section. Six these surveys said that the staff always or usually listened and acted on what was said to them whereas the remaining survey said that sometimes the staff listened and acted on what was said to them. Information provided from these surveys told us that most, but not all, of the residents felt that they were listened to and were confident in speaking up about things should they be less than satisfied with their experiences of the home. The AQAA told us that, within the last 12 months, the home has received two complaints: both of these were resolved within the required 28-day time period and neither of these complaints were substantiated. We have received no complaints about the home. Similarly we have received no allegations of abuse against any of the residents and the AQAA confirmed that no such allegations have been made. Comments within the residents surveys indicated that the person feels the staff treat them well. For example we read the following,The staff are fantastic, very hard working and very caring and The staff are caring and get to understand the residents quirks and foibles. In May 2009 we received a notification that told us about an incident between two of the residents; we were also told what action the staff took to reduce the risk of harm and how the incident was both recorded and reported. We were satisfied that such action was appropriate and this action safeguarded the residents by reducing the risk of harm. The home notified us of an incident that occurred in October 2008: a person had become entrapped when in their bed. Although the home found there was no injury
Annual Service Review Page 4 of 8 sustained, the risk of injury was high. The notification informed us that the safeguarding team were notified and that action had also been taken, by the home, to minimise the risk posed, to include how bed rails are used within the home. The information provided by the AQAA and from the information provided by the surveys tells us that the people can be confident that they are, on the whole, listened to; they can be confident that their concerns or complaints will be actively responded to and that they should be safe from the risk of harm. All of the seven residents surveys said that the home was always or usually clean and fresh. One of these surveys said that the persons room and the environment ..are always immaculate clean. This tells us that the residents live in a clean and comfortable home. All of the five staff surveys said that the person had received an induction training and ongoing training and that they were satisfied with this. Although the majority (4) of these staff surveys said that they felt they had the right skills and experience to meet the needs of the residents we read, within the remaining staff survey, that the home could do better by providing More in depth training. The person went on to say that the homes website states that it provides care for people with learning disabilities, severe dementia palliative care- but we have not been trained in these! Our records state that the home is registered for older people and for people over 65 years of age with dementia. If the staff have not received such training this may result in people not getting the right care. There is some evidence of this with regards to the previous comment made, within a residents survey, that the laying of tables may not be mindful of how a person, who has dementia, remembers and often lives in the current moment of time. All of the residents surveys and all of the surveys from the staff said that there was always or usually enough staff on duty to meet the needs of the residents in a timely manner although we read, in one of the residents surveys, that the home could do better by having ..more staff on for bedtime (getting the residents for bed). We sent a letter to the home Manager, dated the 25th August 2009: we wrote asking for a completed AQAA to be returned to us by the 22nd September 2009. The AQAA was late in being sent to us and we received the AQAA that had the completion date of the 2nd October 2009. We have no record that would tell us if there was a request made, by the Manager, to extend the timescale for this required information to be returned to us. This suggests that the home may not be wholly mindful of the regulation, regulation 24 of the Care Homes Regulations 2001 and its amendments thereof. The AQAA told us that as a result of listening to the views of the people there have been improvements made within the home such as Garden furniture has been purchased to enable more service users to relax and enjoy the garden. Additional pot plants presenting a variety of colour have been placed throughout the patio area to enhance the gardens and also at the front entrance to welcome everyone with colour. Menus have been reviewed and amended to meet the individual requests of service users. We have varied the types of day trips we have, to include trips to local parks where bands are playing which is enjoyable to all. Improvements have been made to outside areas to incorprate (sic) patioed (sic) pathways and enhanced planting facilities
Annual Service Review Page 5 of 8 for service users. A new upstairs terrace has been designed with a patio area. This tells us that people who live there are listened to and their views are actively valued. As part of the homes quality assurance the AQAA identified areas where the home does well in, such as All Service Users have an individual care plan that is written with their assistance (and families as appropriate) to enable staff to meet their care needs. All Service users have access to Health Care professionals when needed. We support and encourage our service users to self medicate their medications if able to do so. Delegated staff are trained to administer medication, using the Boots system. The AQAA provides evidence to support these claims, such as All Service users have an individual care plan which fully explains the care needs of the service user and what support they receive from care staff. These care plans are written with the service user to ensure that they feel confident with the care they receive and that they have an active part in this. All of our service users have a key worker who is responsible for reviewing their care plan monthly. The care plan is a tool for staff that they follow to ensure that the service users care needs are met. The care plans are updated / rewritten as the service users needs change, these are not just reviewed monthly. Boots supplies the medication system. Medications are checked into the home and stored in the locked medication storage cabinet. The Boots key contact for Olivemede is organised and is extremly (sic) helpful in the event of quieries (sic) or advice being required. The AQAA also tells us what the home has improved upon, within the last 12 months in these areas: for example We have intergrated (sic) service users within the Day Centre client group to maintain social interaction and stimulation. Changed the medication system to a more advanced system. We have recruited more staff with NVQ levels. Both the manager and deputy managers attended the medicines management for care homes course which was held in 2008 by Cambridgeshire county council. The people should be living in a safe and comfortable home as, according to the AQAA All Olivemede rooms have an en-suite facility, and are regularly maintained to a high standard. Olivemede has a team of domestic staff to ensure the home remains clean, comfortable and free from infection. All care staff are dedicated to providing a clean environment that is free from unpleasant odours and infection control procedures are adhered to. The Health and Safety Key Practitioner completes quarterly Health and Safety checks at the premises and a report is provided to action as necessary. The AQAA also told us that service checks are in date for equipment such as portable (electrical) appliances, hoists and fire detection and fire fighting equipment. People should be receiving safe care as the AQAA told us All staff are trained in compliance with current legislation. 60 of the care team have NVQ Level 2 . The home complies with the Companys rigorous Recruitment and Selection Policy. Staff receive regular supervision. We calculated, from information provided by the AQAA that there is 56.25 of the care staff with a National Vocational Qualification (NVQ) level 2, or equivalent, in care. Although we found some discrepancy between the numerical information provided in the AQAA, there is more that 50 of the care staff with this desirable qualification and thereby meets the associated National Minimum Standard, Standard 28.The AQAA also told us that 46 of the staff have attended training in infection control. The AQAA told us that the Registered Manager is well-trained and they receive support
Annual Service Review Page 6 of 8 from their Manager. The AQAA, although late in being sent to us, tells us that that there is a good quality assurance system in place to ensure that the people receive safe and up to date care and that their views are actively listened to, with regards to the running of the home. There were no requirements made following the key unannounced inspection of November 2007. What are we going to do as a result of this annual service review? We will carry out a next key unannounced inspection by 31st October 2010. We will continue to monitor information that we may receive about and from the home. We may inspect the service at any time should we have concerns about the health, welfare and safety of any of the residents who live at Olivemede. Annual Service Review Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. 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. Annual Service Review Page 8 of 8 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
