Latest Inspection
This is the latest available inspection report for this service, carried out on 15th April 2010. CQC 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 Paks Trust Oaston Lodge.
What the care home does well The home provides a good standard of care and support to a diverse group of people with differing needs and aspirations depending on what stage of their life they are at. Staff are supported with meeting these needs through the use of clear and comprehensive care plans. The home is clean, comfortable and homely with care taken to ensure that all equipment or adaptations are in place to ensure that peoples` needs are met. The organisation invests in it`s staff and values them as a resource by ensuring that theyare well trained in order to be able to support the people using the service effectively. The home presents as well managed, with people`s best interests being seen as of paramount importance to both the manager and staff team. What the care home could do better: We have not made any requirements as a result of this inspection. The following good practice recommendations are made. The manager needs to take steps to ensure that individual manual handling assessments and risk assessments regarding the use of hoists are available where people have been assessed as needing support in this area. This will ensure that staff have the information they need to ensure that equipment is used safey and people are not put at unnecessary risk. Staff training records need to be brought up to date in relation to moving and handling. This will ensure that staff have received trianing in moving and handling and are deemed to have the skills necessary to support people in line with their assessed needs. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Paks Trust Oaston Lodge Oaston Lodge 82 Oaston Road Nuneaton Warwickshire CV11 6LA two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Justine Poulton Date: 1 5 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Paks Trust Oaston Lodge Oaston Lodge 82 Oaston Road Nuneaton Warwickshire CV11 6LA 02476742204 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) : PAKS Trust care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home Only (Code 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) 7 Date of last inspection Brief description of the care home Oaston Lodge is a domestic style detached house in a residential area of Nuneaton and close to the towns shops and leisure facilities. Ground floor accommodation comprises of a lounge, kitchen, dining room, shower room with toilet and two single bedrooms. Five further bedrooms and a small office are situated on the first floor of the house. There is a mature garden that is wheelchair accessible with some raised beds and a barbecue and parking to the front of the property.
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This inspection was a random inspection visit that took place on one day by one inspector. It was unannounced which means that the home did not know we were going. Prior to the visit we looked at information we have about the home. This included any complaints we have received, the homes annual quality assurance assessment and any completed surveys that we received. The service sent us their annual quality assurance assessment (AQAA) when requested. The information in the AQAA was clear and provided us with all of the information we asked for. We also received eleven completed surveys from people living in and working at the home. During the visit we spoke to people who live at the home, staff who work at the home and the manager. We sampled peoples care plans and healthcare records and we looked at staff training and recruitment records. We did this to check that staff have information necessary to meet individuals care and support needs, to check that people are supported by staff who have been recruited approriately and to check that staff have the knowledge, skills and training that they need to carry out their roles. We also looked around the home to ensure that it was comfortable, clean and safe. The home is registered for seven people. Currently there is one vacancy. The home caters for a diverse group of people with ages ranging from 47 to 92. A staff team of eight plus the manager are employed to provide care and support on a seven day, 24 hour basis. Three staff were on duty when we arrived. Four people were at home and two had gone out. The manager arrived during the visit. The home was clean, homely and comfortable for people. The lounge and dining room were decorated nicely and furnished with qood quality furniture and soft furnishings. Art and crafts made by people living in the home were on display, and photo boards with pictures of activites and events that people had been to were on the walls. We looked at peoples bedrooms and saw that they were all decorated to individual tastes, with personal effects around. We also saw that specialist equipment such as hoists, bedrails and hi/low beds had been provided for people as necessary. We saw that everything in one persons bedroom had been provided at a low level to accomodate their particular needs. We spoke to one person who told us that she was looking forward to having her bedroom decorated and had chosen her favourite colour of cherry red for one wall. The AQAA tells us that the home promotes equality and diversity through the organisations equal opportunities policy and staff training. One person we spoke to told us that she likes working with the client group as the wide age range means that they are continuously supporting people with a diverse and changing range of needs. Care Homes for Adults (18-65 years) Page 4 of 10 The AQAA tells us that each person has an up to date and working care plan. These are reviewed every six months or earlier if there are any changes. The manager told us that the organisation has begun the process of standardising the care plan format across all of the services. We looked through two peoples care plans. They contained pertinent information relating to peoples assessed needs along with any risk assessments deemed necessary. There was also evidence to confirm that they are reviewed on a six monthly basis as stated in the AQAA. In one persons care plan we saw some eating and drinking guidelines provided by speech and language therapy services. We were able to cross reference this within the relevant care plan, which stated that Xs food has to be blended and their drinks thickened as X was diagnosed with a slow swallowing action. We saw a member of staff support this person with a drink which was thickened. We asked the staff member why the drink had been thickened and were told that it was because the person concerned had been diagnosed with dysphagia and thus swallowed slowly. As noted previously, people have been provided with specialist manual handling equipment as necessary. We saw a staff member using a hoist with one person. She appeared competent in what she was doing, and the person concerned appeared relaxed during the procedure. We did not see a manual handling assessment for this person or a risk assessment for the use of the hoist within this persons care plan however. Similarly there was no record to confirm that staff have received any training in manual handling within the last two years, although staff spoken to told us that they had. It is therefore strongly recommended that the manager take steps to ensure that individual manual handling assessments and risk assessments regarding the use of hoists are available where people have been assessed as needing support in this area and that staff training records be brought up to date. We did see a completed risk assessment for the use of bedrails and protectors which ensures that these are used safely for people. Three of the people at home during the visit were unable to communicate verbally. Our observations of staff interactions with people demonstrated that the staff know them well, and that they seemed at ease and comfortable with staff. We spoke to one person who told us that the staff support me well, and help me whenever I ask for it, I like living here. Medication is supplied to the home by a local pharmacist in blister packs that are accompanied by medication administration record (MAR) charts. The AQAA tells us that all staff who administer medication are fully trained and have completed a course on Safe Handling and Administration of Medicines. Training records we looked at confirmed that staff have completed this training within the last two years. Staff we spoke to told us that they are not allowed to administer medication until they have completed the training. Medication is stored safely in a locked wall mounted cupboard. Although we did not check the medication records as part of this inspection we did observe medication being given to people. This was done discreetly by one member of staff who brought the medication to the person concerned, explained what they were being given, waited until it had been taken and then returned to the cupboard to sign the MAR chart. The AQAA tells us that the complaints procedure is in large print and pictorial format. We asked one person if they had been provided with a copy of the complaints procedure and were told that they had. We also asked if they knew how to make a complaint. This person told us that she would talk to the manager or my keyworker. This person also
Care Homes for Adults (18-65 years) Page 5 of 10 told us that they had had to make a complaint in the past, and were happy with the way it had been dealt with. We saw a record of the complaint, the investigation and subsequent outcome in this persons care plan file. The AQAA records that the home has received one complaint in the previous twelve months. We saw the paperwork relating to this which demonstrated that the home manages complaints well. We have not received any complaints about this home in the last twelve months. We spoke to one member of staff about his recruitment experience. He told us that he had to go through an interview process, provide two referees and have a criminal records bureau check before he was able to start work. We looked at the recruitment files of two staff members. These confirmed that all of the necessary checks and processes which ensures a robust recruitment procedure were in place which in turn safeguards the people living in the home. Staff spoken with were able to explain about safeguarding and protecting vulnerable adults from abuse. Although training records looked at did not confirm that staff have received training, all of the staff members spoken with said that they had completed work books provided by Warwickshire Local Authority, in July of last year and were just waiting for their certificates. The manager undertook to update the training records accordingly. The AQAA told us that seven staff have completed their NVQ 2 or above in health and social care. Two of the staff on duty during the visit told us that they have completed their NVQ 3 qualification, whilst the third told us that he had completed his NVQ 2 in December 2009. As stated previously we received eleven completed surveys comprising of five from people living in the home and six from staff. All of the surveys indicated that the home is well run and people are happy living and working there. Comments in the surveys included the home does everything well; cant think of anything(the home could do better) at the moment; the home makes cups of tea well; we undertake to make Oaston Lodge a homely environment whereby residents needs, choices and aspirations are of paramount importance, the home could have a lovely back garden where the clients in the summer could sit out or do a bit of gardening, It is a calm place to be. The AQAA provided us with information that confirms that all of the necessary health and safety checks and tests have been carried out within the last twelve months and are up to date. What the care home does well:
The home provides a good standard of care and support to a diverse group of people with differing needs and aspirations depending on what stage of their life they are at. Staff are supported with meeting these needs through the use of clear and comprehensive care plans. The home is clean, comfortable and homely with care taken to ensure that all equipment or adaptations are in place to ensure that peoples needs are met. The organisation invests in its staff and values them as a resource by ensuring that they
Care Homes for Adults (18-65 years) Page 6 of 10 are well trained in order to be able to support the people using the service effectively. The home presents as well managed, with peoples best interests being seen as of paramount importance to both the manager and staff team. 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 9 The manager needs to take steps to ensure that individual manual handling assessments and risk assessments regarding the use of hoists are available where people have been assessed as needing support in this area. This will ensure that staff have the information they need to ensure that equipment is used safey and people are not put at unnecessary risk. Staff training records need to be brought up to date in relation to moving and handling. This will ensure that staff have received training in moving and handling and are deemed to have the skills necessary to support people in line with their assessed needs. 2 35 Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
