Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd March 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 The Oaks Care Home.
What the care home does well The service provides a detailed pre admission assessment for all people using the service. The pre admission assessment aims to ensure that the views, wishes and needs of the individual are taken into consideration. The pre admission assessment highlights a persons personal preferences and any arrangements in relation to end of life care and support management. Upon admission to the service, in addition to the internal initial assessment that is completed by a qualified competent person, a continuing care assessment is received and a nursing needs assessment received form the palliative care team. This information is used within the service and forms information detailed onto a collaborative care plan, where all professionals enter intervention provided to the individual. Where a person`s health deteriorates a referral is always made to the Essex Supportive and Palliative Network. It was directly observed that the collaborative care plan had identified that a person may require additional intervention with regards to the management of pain. This was swiftly addressed and the service, the general practitioner and the Macmillan team were part of the management process in the persons best interest. One professional from the palliative rehabilitation care team stated "they recognise where needs change and how they could improve the end of life care being provided". In addition to this the personcommented "the service is always working with us and in the persons best interest and always open to our suggestions and support". During the random inspection it was directly observed that positive administrative and management systems were in place for the reviewing of care plans and support plans. The care plan further expanded and included a document called "Thinking ahead". This formed an advanced care planning system to support people in the arrangements upon death and leading to death. It was noted that personal preferences, wishes, desires and requests were evident and considered as part of their end of life care. This evidenced a person centred approach to end of life care, tailored to meet individual needs as required. One relative commented "the staff are wonderful, they could have done enough for my X. Its wonderful, if we needed to be any where it would be here, they are so respectful and listened to my X`s needs always". In addition to this it was observed that the service is able to evidence positive management of pressure sores. Records and documentation in relation to the care and management of pressure sores evidenced that through sound management and liaisons with the Tissue Viability Nursing Team, that intervention is prompt and well managed. Detailed actions plans of care where held for each individual pressure area and or sore, with prescribed treatment and review details as required. Pictures were taken to ensure accurate and effective records for deterioration and or recovery. Training records reviewed, identified that nurses are participating in continued professional development, this includes management skills for palliative care and support and principles of palliative care. It was observed that care staff have received training in the Mental Capacity Act, Care for a dying person, Safeguarding of vulnerable Adults, Bereavement and Loss, Equal Opportunities and Equality, in relation the the care, support and management of end of life. What the care home could do better: No requirements were made as part of this random inspection. Random inspection report
Care homes for older people
Name: Address: The Oaks Care Home 15 - 25 Oaks Drive Lexden Colchester Essex CO3 3PR two star good service 05/08/2009 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: Louise Bushell Date: 2 3 0 3 2 0 1 0 Information about the care home
Name of care home: Address: The Oaks Care Home 15 - 25 Oaks Drive Lexden Colchester Essex CO3 3PR 01206764469 01206764468 theoaks@new-meronden.co.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) : New Century Care (Colchester) Limited care home 61 Number of places (if applicable): Under 65 Over 65 34 61 old age, not falling within any other category physical disability Conditions of registration: 0 4 All new staff to undertake training in palliative care by a recognised authority within three months of appointment. Details of training must be recorded on their individual training and development profile One person, aged 56 years of age, who requires care by reason of a physical disability, whose name was provided to the Commission in August 2006 Persons of either sex, aged 60 years and over, who require nursing care by reason of a physical disability (not to exceed 3 persons) Persons of either sex, aged 65 years and over, only falling within the category of old age (not to exceed 34 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 61 persons)
Care Homes for Older People Page 2 of 8 The total number of service users accommodated in the home must not exceed 61 persons Date of last inspection Brief description of the care home The Oaks Care Home provides nursing and personal care with accommodation for up to 61 older people, including 3 service users aged 60 years and over with a terminal illness. The Oaks is owned by a private organisation named New Century Care (Colchester) Limited. The home is located in a residential area within walking distance from the centre of Colchester. The home is a single -storey building that was purpose built and has been extended to accommodate a small second storey. There are 57 single en-suite bedrooms on the ground floor and a further 4 single ensuite bedrooms on the second floor that are accessible by stairs and a lift. The home offers large communal areas. The home has surrounding well-maintained gardens that are partially accessible to wheelchairs. The home is accessible by car and the nearest railway station is in Colchester a short bus drive away. Parking is available for staff and visitors in the adjacent car park. 0 5 0 8 2 0 0 9 Care Homes for Older People Page 3 of 8 What we found:
The focus of the inspections undertaken by the Care Quality Commission is based upon outcomes for the people who use the service and their views of the service provided. This random inspection focused upon the assessment, care planning and management of end of life care. The primary method of inspection used was case tracking which involved selecting a number of people and tracking the care they received through looking at their care records, discussion where possible with the people who use the service, the care staff, professionals, relatives and observation of care practices. We also reviewed the services admission procedures and documentation, training records including the content of the training, end of life care plans and support services available. Notifications were reviewed as part of the inspection process. Direct information was gathered from relatives and external professionals supporting in the end of life care. The last key inspection took place on the 5th August 2009. The visit was unannounced and planning for the visit included assessment of the notifications of significant events, which had been received from the service to the Care Quality Commission. We looked at the last Inspection Report and information on safeguarding and complaints since the last inspection. The visit took place between 10:30am and 14:00pm. This enabled the inspector to directly and indirectly observe the care practices and the day to day operations of the service. What the care home does well:
The service provides a detailed pre admission assessment for all people using the service. The pre admission assessment aims to ensure that the views, wishes and needs of the individual are taken into consideration. The pre admission assessment highlights a persons personal preferences and any arrangements in relation to end of life care and support management. Upon admission to the service, in addition to the internal initial assessment that is completed by a qualified competent person, a continuing care assessment is received and a nursing needs assessment received form the palliative care team. This information is used within the service and forms information detailed onto a collaborative care plan, where all professionals enter intervention provided to the individual. Where a persons health deteriorates a referral is always made to the Essex Supportive and Palliative Network. It was directly observed that the collaborative care plan had identified that a person may require additional intervention with regards to the management of pain. This was swiftly addressed and the service, the general practitioner and the Macmillan team were part of the management process in the persons best interest. One professional from the palliative rehabilitation care team stated they recognise where needs change and how they could improve the end of life care being provided. In addition to this the person
Care Homes for Older People Page 4 of 8 commented the service is always working with us and in the persons best interest and always open to our suggestions and support. During the random inspection it was directly observed that positive administrative and management systems were in place for the reviewing of care plans and support plans. The care plan further expanded and included a document called Thinking ahead. This formed an advanced care planning system to support people in the arrangements upon death and leading to death. It was noted that personal preferences, wishes, desires and requests were evident and considered as part of their end of life care. This evidenced a person centred approach to end of life care, tailored to meet individual needs as required. One relative commented the staff are wonderful, they could have done enough for my X. Its wonderful, if we needed to be any where it would be here, they are so respectful and listened to my Xs needs always. In addition to this it was observed that the service is able to evidence positive management of pressure sores. Records and documentation in relation to the care and management of pressure sores evidenced that through sound management and liaisons with the Tissue Viability Nursing Team, that intervention is prompt and well managed. Detailed actions plans of care where held for each individual pressure area and or sore, with prescribed treatment and review details as required. Pictures were taken to ensure accurate and effective records for deterioration and or recovery. Training records reviewed, identified that nurses are participating in continued professional development, this includes management skills for palliative care and support and principles of palliative care. It was observed that care staff have received training in the Mental Capacity Act, Care for a dying person, Safeguarding of vulnerable Adults, Bereavement and Loss, Equal Opportunities and Equality, in relation the the care, support and management of end of life. 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 Older People Page 5 of 8 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 Older People Page 6 of 8 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 Care Homes for Older People Page 7 of 8 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 Older People 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 Older People 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!
