Oxton House Residential Home For Older People Care Home Service

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1 Oxton House Residential Home For Older People Care Home Service Marywood Square Strathbungo Glasgow G41 2BJ Telephone: Type of inspection: Unannounced Inspection completed on: 9 March 2017 Service provided by: Oxton House Residential Home for Older People Service provider number: SP Care service number: CS

2 About the service we inspected Oxton House is registered to provide residential care for up to 34 older people (there were 27 residents living in the home at the point of inspection). The home was deemed registered with Social Care Social Work Improvement Scotland on 1 April The property consists of three victorian terrace houses, situated on the southside of Glasgow and consists of three floors with lift access which offers residents a choice of sitting rooms and dining areas. There are attractive accessible gardens to the rear of the property with garden furniture and is regularly used by residents when the weather permits. There are good public transport links and the home is located near local amenities including shops, cafes, public park and public houses. The stated aims of the service are to provide a safe and secure home for as long as is needed. Also to support residents to retain as much independence as possible within safe parameters. How we inspected the service We carried out an unannounced inspection to the service on 9 March 2017 to look at progress made by the service provider with the requirement and recommendations made at the previous inspection of 12 October Over the course of the inspection we carried out the following activities; - - Speaking with residents and observing staff interactions - Speaking with a visiting relative - Speaking with the registered manager/proprietor and care staff on duty - Looking at a range of documents including 5 care plans and associated assessments - Checking information on display including certificate of registration and insurance certificate - Examining registration status of staff with Scottish Social Services Council (SSSC) in advance of carrying out the inspection - Checking if any complaints had been received since the previous inspection - Examining electronic notifications submitted by the service. We shared our findings at the end of the inspection with both proprietors who agreed that this was an accurate reflection of current performance. We also shared areas of staff practice which could be improved upon and shall monitor these areas in future inspections. Taking the views of people using the service into account We spoke with six residents over the course of the inspection. We received a number of positive comments from residents in relation to their day experiences; - "I like living here, I know the local area and regularly go out for walks when the weather is nice." "There are parties and entertainers visit, I personally prefer my own company and tend not to join in." "The staff are very good". "Plenty of choice when comes to food. The food is good." "I like playing the music in my bedroom". page 2 of 8

3 We also observed interactions between residents and staff. Staff were good at using opportunities to engage positively with residents and evidently were familiar with the wishes and preferences of each. Taking carers' views into account We spoke with one visiting relative who shared a number of positive comments in relation to Oxton House; - "My relative's appearance is always good and staff assist with this." "I know the all the staff that work here- they are brilliant. They are always very pleasant when I visit. They know what my relative's needs are." "My relative appears to eat well, the food here is very good." "I know the manager, she always asks how I am when I visit." What the service has done to meet any requirements we made at or since the last inspection Previous requirements Requirement 1 The service provider must ensure that all care staff working within the service are registered with the regulatory body SSSC as a matter of priority and arrange staff cover for those staff who are not registered. This is to comply with The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI2011/210), Regulations 4 (1) Welfare of Users and regulation 9 (1) Fitness of Employees Timescale - The provider must meet this Requirement within 24 hours of receipt of this report This requirement was made on 28 November Action taken on previous requirement We checked the registration status of the staff through SSSC website in advance of carrying out the inspection. We also checked if individual staff are currently employed within the service with the manager and proprietors. Based upon our findings we were satisfied that the requirement has been met. Met - within timescales page 3 of 8

4 What the service has done to meet any recommendations we made at or since the last inspection Previous recommendations Recommendation 1 The service provider should ensure that there are regular evaluations of care plans in order to ensure they are up to date and reflective of the care needs of each resident. This is to comply with NCS; Care Homes for Older People, Standard 6 Support Arrangements. This recommendation was made on 28 November We examined five care plans and noted that the service has still to adopt a system to regularly evaluate the content of care plans. We would expect that these would be re-evaluated to check that measures and supports are still effective for meeting residents' needs for example, post falls. Based upon our findings we concluded that the recommendation is not met. Recommendation 2 The service provider should ensure that key assessments including MUST are completed accurately and a minimum of monthly. This is to comply with NCS; Care Homes for Older People, Standard 6 Support Arrangements. This recommendation was made on 28 November We looked at records relating to key assessments. The management team have introduced systems to give an overview of key areas including MUST scores however, these records do not reveal which individual residents they relate to. We found examples when MUST assessments were not always completed on a monthly basis by staff. Based upon our findings we concluded that the recommendation is not met. Recommendation 3 The service provider should ensure there is a clear assessment of the continence needs of each resident, through care planning identify how the individual's continence needs will be managed and detail which products are used with the individual. This is to comply with NCS; Care Homes for Older People, Standard 6 Support Arrangements. This recommendation was made on 23 July We found through examining care plans that continence assessments are now being used and there are plans to have these rolled out to other residents. Based upon our findings we have concluded that the recommendation has been met. page 4 of 8

5 Recommendation 4 The service provider should ensure that they carry out and record monthly checks to the nurse call system in order to identify any problems/repairs which may need to be addressed. This is to comply with NCS; - Care Homes for Older People, Standard 4 Your This recommendation was made on 28 November We checked and found that the service has recently produced a recording system to reflect the checks made to the nurse call system. We discussed how this could be developed further for example, record details of any remedial actions that need to be taken and include checks carried out to alternative equipment such as pressure mats. Based upon our findings we concluded that the recommendation has been met. Recommendation 5 The service provider should ensure that residents and other key people such as relatives are made aware of the Home's complaint procedure and the Care Inspectorate complaints procedure. This is to comply with NCS Care Homes for Older People, Standard 5.1 Management and Arrangements. This recommendation was made on 28 November We checked and found that there was no complaints procedure on display when we carried out an inspection of the environment. We heard from the manager that there were some amendments needed to be made to the complaints procedure and the service was currently working on this. We discussed other ways in which information relating to the complaints procedure could be shared and promoted as well as displaying this information for example, through a newsletter issued to residents and relatives. Based upon our findings we concluded that the recommendation is not met. Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Enforcement No enforcement action has been taken against this care service since the last inspection. page 5 of 8

6 Inspection and grading history Date Type Gradings 12 Oct 2016 Unannounced Care and support Management and leadership 18 Feb 2016 Unannounced Care and support Management and leadership 16 Mar 2016 Re-grade Care and support Management and leadership 23 Jul 2015 Unannounced Care and support 2 - Weak Management and leadership 25 Nov 2014 Unannounced Care and support Management and leadership 28 May 2014 Unannounced Care and support 2 - Weak Management and leadership 4 Feb 2014 Unannounced Care and support 2 - Weak 2 - Weak Management and leadership 17 Jul 2013 Unannounced Care and support page 6 of 8

7 Date Type Gradings Management and leadership 5 Apr 2012 Unannounced Care and support Management and leadership 12 Jan 2011 Unannounced Care and support Management and leadership 21 Jun 2010 Announced Care and support Management and leadership 31 Mar 2010 Unannounced Care and support Management and leadership 25 May 2009 Announced Care and support 5 - Very good Management and leadership 19 Nov 2008 Unannounced Care and support Management and leadership 18 Jun 2008 Announced Care and support Management and leadership page 7 of 8

8 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 8 of 8