Care Home: Oxford Respite Service

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well The service provides valuable respite to enable carers to have a break. The home is able to provide short term accommodation at short notice. The home provides a homely and safe environment for its guests. The home provides staff who are trained supported and supervised. The home has good links with health care professionals.The home has good links with relatives and friends of its guests. The home is well run and managed. What has improved since the last inspection? Case files now contain a photograph for all users of the service. Service users bedrooms have been redecorated. A new bathroom has been installed. The food budget has been increased from 140 pounds per week to 160 pounds per week The home is to provide extra gaming facilities including a W11 games consol. The home is to change the floor covering from carpet to wood. What the care home could do better: The home must ensure that the information held on guests or prospective guests is up to date and accurate. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Oxford Respite Service 43 Saxon Way Northway Oxford OX3 9DD     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andy McGuckin     Date: 0 6 0 1 2 0 0 9 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. 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. 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: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 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. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Oxford Respite Service Northway 43 Saxon Way Oxford OX3 9DD 01865751115 01865308142 lynne.dickie@oldt.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Oxfordshire Learning Disability NHS Trust care home 5 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Additional conditions: 5 5 The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Physical disability (PD) Date of last inspection Brief description of the care home Oxford Respite Service, 43 Saxon Way, provides a short term breaks respite service for up to five people with learning and physical disabilities who live in and around the Oxford City area. The home has ground floor accommodation for five people where there is full access for people who use a wheelchair. The service is run and managed by Oxfordshire Learning Disabilities NHS Trust (OLDT) and is accessed only through referrals from local authority care management. The email address on the front page of the report is incorrect and should read jan.tattershall@. Care Homes for Adults (18-65 years) Page 4 of 25 Brief description of the care home The charges for an overnight stay at the home are 187 pounds 50 pence. Care Homes for Adults (18-65 years) Page 5 of 25 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 peterchart Poor Adequate Good Excellent How we did our inspection: The site visit took place on the 13th January. The inspection included a visit to the property. The Commission inspected core documentation to evidence standards were being met. Consultation was sought with service users, relatives and professionals associated with home. The Commission obtained feedback from staff. The Commission discussed with the registered manager changes made and changes about to be made to improve the service. The Commission inspected the premises The Commission reviewed the ( Annual Quality Assurance Assessment ) AQAA. The Commission reviewed the previous inspection report. Care Homes for Adults (18-65 years) Page 6 of 25 Care Homes for Adults (18-65 years) Page 7 of 25 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 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. Care Homes for Adults (18-65 years) Page 8 of 25 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 Care Homes for Adults (18-65 years) Page 9 of 25 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. The home provides its guests with sufficient information on which to make an informed decision as to its suitability to meet their needs. Evidence: The home has no permanent residents as it provides respite and emergency care. Users of the service are referred to as guests a term which will be used throughout this report. The home provides prospective guests with information on which to make an informed decision. This information is currently being reviewed and updated. On the day of the inspection a potential new guest visited the home. He was made welcome and invited to look round the home and speak to staff and one the guest who was in the building at the time. The home has built up a profile of many of the guests who use the service and know their needs well. Where possible a full assessment of needs is undertaken prior to an admission but sometimes the home has to offer a placement as an emergency as happened recently with a person who was made homeless and needed accommodation at short notice. An assessment of need was taken very soon after admission. Many Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: guests know the the service well and have had the opportunity to attend the home for short periods of time prior to taking up a respite placement. Care Homes for Adults (18-65 years) Page 11 of 25 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. The home does not record up to date information on the needs and wants of its guests. The home does however have a good working knowledge of the people they are offering a service to. Evidence: As previously mentioned the guests that use the service are in the main well known to the manager and carers. This means however that in the past information has not been kept up to date and the case files lacked current information on guests present circumstances. The Commission looked at three guests files which contained limited information, with out of date information and no record of review. The manager was asked to provide three further files of her choice to evidence that this information was being kept up to date. The manager was unable to evidence this. The commission was however shown a new Initial Information Assessment that will be done on all guests which will capture all the required information. Regular users of the service will be done first and completed within three months. The manager informed the commission Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: that occasional and new users of the service will be completed within six months. The service does not have access to a modern reliable computer. Evidence was found that guests are being encouraged to make informed decisions about their life taking into account acceptable risk. The home has a confidentiality policy and staff sign a confidentiality agreement which if breeched may result in disciplinary action being taken. Care Homes for Adults (18-65 years) Page 13 of 25 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. The home will be able to maintain the guests activities that they have at home whilst in respite and experience new challenges. Evidence: The inspection took place on a weekday morning and on arrival one guest was still in the building and would be there for the day as he did not wish to go out. The other overnight guests had gone out for the day or returned home. Two other guests came and went during the inspection. The inspector was able to speak informally to one guest and observe positive interactions between staff, guests and visitors. The home are endeavouring to provide more activities outside of the home and are providing more one to one time to enable staff to take guests out. The home is able to provide a range of age appropriate activities in the home from board games to videos. The home has a pleasant garden which is well used in the better weather. The home is able to Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: offer services to those with a diverse needs. The home is fully equipped for those with a mobility problem. Guests are involved in the selection of meals and accompany staff to the supermarket. Food is bought fresh where possible and the kitchen becomes the centre of the home at mealtimes. One regular Muslim guest eats Halal meat only and his dietary and religious needs are met by the home. Guests wishing to attend other religious services or beliefs are encouraged to do so. Guests families are fully involved with the home and the home has to operate on mutual understanding and flexibility with families. Due to the short term nature of the home it does not tend to have a role in sexual preferences of its guests. The weekly menu indicated that guests were being given a healthy nutritious diet which provided variety and choice. The home are aiming to buy in the near future a WII system and a multi use games table. Care Homes for Adults (18-65 years) Page 15 of 25 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. Up to date written information is not available on file although the manager and staff have a good working knowledge of the needs of its guests. Evidence: As previously stated the records held on guests are not always up to date and do not contain a specific up to date health care plan. The manager and staff are able to inform the commission of the current health care routine for its regular guests but is open to missing important information on new or infrequent guests. The home is undertaking a review and implementing a new system of recording information and a large section of this new assessment form will be the collection of health care information which will be kept up to date. The manager has given herself three months to bring all regular guests files up to date. This will be reviewed at the next inspection. The home have good relations with the local community team who are able to provide additional training if required. The commission undertook a random check of the homes medication and administration process and found to be robust. No mistakes were found. The home ensures that where medication is administered it is checked by a second person this is good practise. Medication is stored in locked cabinets. For Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: those guests who self medicate the home obtains an agreement from their GP that they can continue to do so whilst in the home. The home provides all staff with initial training at induction. Further advanced and specialised training takes place throughout their employment. Information was not found on file as to the wishes and actions the home should take in the event of serious illness or death Care Homes for Adults (18-65 years) Page 17 of 25 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. The home enables the guests to express an opinion as to the quality of the service it provides. Evidence: The home has clear policies on complaints concerns and allegations and make sure that all guests are made aware of how to comment on the service. Where direct communication is not felt to effective then alternative forms of communicating this information are sought.. The home have had one complaint which was notified to C.S.C.I and which was dealt with in a timely and satisfactory manner. The home needs to add closure to the complaints process by adding how the complaint was resolved and if the complainant was satisfied with the outcome. The inspector was shown six of the homes quality monitoring forms with five being very complementary and one expressing concern about male care workers doing overnight stays. This matter was taken up by the manager, who met with the complainant, the outcome is that the home now run separate male and female weekends. This has proved very popular. The home provides all new staff with a basic understanding of adult protection issues which are in line with the Oxfordshire Multi-Agency code of practise. Further advanced and ongoing training in protection issues take place throughout their employment. Care Homes for Adults (18-65 years) Page 18 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a homely and safe environment for its guests. Evidence: Work has been ongoing to bring the home up to standard. All bedrooms have be revamped and are decorated in a appropriate manner with furnishings and bedding being of a good standard. An office / sleeping in room has been provided which has given up space for confidential keeping of records and private space for supervision. A fully converted bathroom has been decorated and designed by guests and is visually very relaxing an pleasant. All guests have their own room in which they can keep possessions safely and can take time out or entertain as they wish. The lounge is carpeted at the present time but this will be replaced with a wooded floor in the near future. A new kitchen has been identified and will be fitted this year. The home is able to provide ample communal space for guests to socialise or find space for being alone. The grounds of the home are well laid out and provide a pleasant environment in the good weather. The home has access to a wide range of specialist equipment to assist those with mobility or bathing needs. This equipment is regularly maintained by service contract. On the day of the inspection the home was clean and hygienic. Care Homes for Adults (18-65 years) Page 19 of 25 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. The home recruits staff in a safe manner and employs only staff capable of doing the job to a high standard. Staff are being supported to do their job. Evidence: At the last inspection the home were using a lot a agency staff. This practise has now ceased. This time is now covered by the organisations bank staff. The manager informed the commission that the home is fully staffed at the present time. The commission looked at two staff files for permanent staff and was able to evidence that staff had been appropriately recruited. References had been followed up and the necessary police and identity checks had been followed up. The homes training matrix evidenced that all staff had undertaken mandatory training and a wide range of allied specialist training. All staff participate in a Knowledge Skills Framework which tracks their training and identified needs and is used as a basis for supervision and annual appraisal. The home is able to provide NVQ assessors including the manager, which has resulted in more staff having undertaken this training. Evidence was found that staff are being supervised and supported. The commission viewed a recent staff meeting log which had an appropriate agenda and was well attended. Care Homes for Adults (18-65 years) Page 20 of 25 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 home is well managed and staff are being supported and trained to do their job. Evidence: The manager has attained NVQ 4 in Management and has 25 years experience in the care of people with a learning difficulty. The registered manager is therefore competent to run and manage the home. The organisation has a range of policies and procedures to assist the home in its day to day management. Support is available from senior managers to the homes manager. As part of a larger organisation the home has access to a wide range of professionals. The organisation is said to be financially viable. This was not inspected as part of this report. The organisation has accounts which are in the public domain should anyone wish to look at them. The home had a recent monitoring audit undertaken by the local authority as a purchaser of the services and it was awarded a good rating. The manager has acknowledged the lack of information contained in the guests files which would evidence that they are meeting needs, promoting health and have an up to date knowledge of the guest which could be passed onto to someone new to the service. The manager has given an undertaking Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: to address this issue as a matter of urgency. Care Homes for Adults (18-65 years) Page 22 of 25 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 Adults (18-65 years) Page 23 of 25 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 Care Homes for Adults (18-65 years) Page 24 of 25 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!