Inspection on 27/08/09 for Bethesda Eventide Homes

This is the latest available inspection report for this service, carried out on 27th August 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bethesda Eventide Homes 09/09/05

Bethesda Eventide Homes 20/04/05

Bethesda Eventide Homes 22/09/04

Bethesda Eventide Homes 05/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Key inspection report Care homes for older people Name: Address: Bethesda Eventide Homes 59a Henley Road Ipswich Suffolk IP1 3SN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Jenny Elliott     Date: 2 7 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Bethesda Eventide Homes 59a Henley Road Ipswich Suffolk IP1 3SN 01473211431 F/P01473211431 barbara.eventide@btconnect.com Noneavailable. Bethesda Eventide Homes care home 22 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) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Bethesda Eventide Homes is a care home providing personal care and accommodation to 22 older people with Christian beliefs. It is owned by the registered charity, Bethesda Eventide Homes, Ipswich and is managed by trustees who are associated with Bethesda Baptist Church in Ipswich. The home is located in a residential area of Ipswich near to the town centre and other amenities, such as Christchurch Park, and is on a bus route. The building is a two storey converted domestic dwelling, with 21 bedrooms (referred to as homes by the management to make them more personal), which all have en-suite toilet and wash basin facilities. The home is registered for 22 people, so that should any resident be admitted who wished to share a bedroom they could be accommodated in one of the larger rooms, (none were sharing at the time of this inspection). Access to both floors is via a shaft lift and a stair lift. There are 2 assisted bathrooms and communal areas comprising dining room, lounge and a conservatory. The home has a well-maintained garden that is accessible through the lounge and conservatory. Care Homes for Older People Page 4 of 23 Over 65 22 0 Brief description of the care home At the time of this inspection the fees ranged from £494 to £550 per week. Care Homes for Older People Page 5 of 23 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The information for this report was gathered from a range of sources including a visit to the home. Seven hours were spent at the home, during the visit the inspector spoke to people who live and work at the home. In addition the inspector looked at records belonging to people who live at the home, and records relating to staff and the safety of the home. We also looked at information we have received, or asked for, since the last key inspection. This included the Annual Quality Assurance Assessment (AQAA), this a self-assessment form that services are required to complete on an annual basis. It provides information about the service, plans for the future and some statistical information. Care Homes for Older People Page 6 of 23 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. People who come to live at the home can expect to have their needs fully assessed. Evidence: The homes Statement of Purpose says that the manager and a trustee visit prospective service users at their current home as part of the assessment process. This was supported by documentation inspected on the day. There were assessments made by the home before a person moved in. The assessments included information from the person themselves as well as information from relatives or other significant people. In addition the home received copies of assessments from social services where these had been carried out. This is important because it means the home can make an informed decision about whether or not it can meet the needs of people who want to move into the home. Completed surveys were received from four people who live at the home, all of these people said that they had received enough information about the home before they Care Homes for Older People Page 9 of 23 Evidence: moved in. The home does not provide intermediate care. Care Homes for Older People Page 10 of 23 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. People who live at the home can expect their personal and health care needs to be fully met. Evidence: Records belonging to three people who live at the home were inspected in detail. Each of these included a care plan. The care plan was made up of a number of different elements called, assessed need, daily profile and risk assessments. The assessed need sheet contained a summary of the persons identified needs and action to be taken. This was not always consistent or easy to follow and did not provide specific guidance for staff about how to help a person. Clearer information was provided in the daily profile. This gave information about when a person liked to get up and go to bed and how they liked to spend their day. It also included information about what help they needed from staff. This supports the statement made by the home in their AQAA, under the section how we have improved in the last 12 months it states Reviewing of residents care needs and adjusting the daily routine of assisting according to the changing needs of the residents. Care Homes for Older People Page 11 of 23 Evidence: Each person also had a moving and handling risk assessment on file. These provided very good information about how their communication, physical and mental health impacted on their mobility and what support staff should provide to maximise a persons independence. This is important because it ensures people receive the help they need in the way that suits them best. Four people who live at the home returned completed questionnaires. They all said that they receive the care and support they need and that staff listen and act upon what they say. During the inspection one person said Staff always make sure you have understood them and another Staff are very good. All care staff working during the day have time at the beginning of their shift to sit in on a handover meeting. This is important because it means they are aware how everyone is that day, and in particular key changes or incidents. Each record also included details of health appointments and this demonstrated that people had seen their GP, dentist, optician and chiropodist when needed. The records for one person showed that the home was working closely with a local hospital to meet the persons specific needs. The completed questionnaires ask Do you receive the medical support you need?, three people responded always and one usually. A completed survey was also received from a health professional, this included the question are individuals health care needs met by the care service?, they had selected usually and added I have been very impressed over the last 7 years. Part of the morning medication round was observed during the inspection. One person was left their medication and then the medication administration record (known as a MAR sheet) was signed. An inspection of the risk assessment for this person showed that they had been assessed as Capable of taking medication left with them. This shows that the home operates in a manner that promotes the independence and dignity of the people who live there. Staff described with sensitivity how some people found it difficult to accept personal care, and how they had supported those people whilst maintaining their dignity. There were some very good examples of daily notes that were written in a manner that promoted dignity, with entries made about the person and their interests rather than the care task that was being carried out. The service refers to peoples rooms as their home, this can help people who live there to have some real ownership of the room and remind staff of the importance of privacy. Care Homes for Older People Page 12 of 23 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. People living in the home can expect the lifestyle to reflect the aims and objectives of the service. Evidence: The homes statement of purpose describes the service as providing much needed accommodation for many elderly Christians associated with a number of local churches. The lifestyle within the home and the approach of staff supports this aspiration. One of the people living in the home told me that they were reading a book that described the life of a founding member of their church, and the activities schedule lists devotional twice a week. The assessments of peoples needs and interests reflected the importance people placed on their religious beliefs. I arrived at the home to undertake this inspection just before 9am. One person was in the dining room eating their breakfast. It was clear that some people had already finished theirs and other people were having breakfast in their rooms. There was no sense that people were rushed in the mornings, and the daily care needs described a range of getting up times and routines. Staff showed that they were aware of how people liked to be woken in the morning. Care Homes for Older People Page 13 of 23 Evidence: One member of staff described how they accommodated one persons preferred routines in the morning, by being flexible with the tasks to be undertaken. On the day of the inspection one person had a visitor in the morning, and one of the trustees was visiting the home. One person told me how much they enjoyed visits from their family. The activities schedule shows that a range of people lead the twice weekly devotionals. The manager explained that this provides a range of views and means that people who live in the home have contact with a wider range of people from the community. Planned activities also included, board games, keep fit and music sessions as well as trips outside of the home. Three of the people who completed surveys said there were usually activities at the home that they could take part in, one person said it was too soon for them to say. In the homes AQAA, they have stated, under plans for improvement Afternnon social and devotional events to be implemented including activity sessions. One member of staff had started a course called The provision of activities in a care setting. They explained that they had plans to develop activities, with the involvement of interested staff and that they had already begun improving the information available about peoples lives before they came to live at Bethesda. There was evidence in peoples records that families had contributed to this. This will enable the service to develop activities on an individual and group basis in line with the specific interests of people who live there. Lunch time was a very social affair, most people had their lunch in the main dining room. The food was very well presented, vegetables were served separately which again gives people independece and choice. Three of the people who completed surveys said they always like the food and one person said they usually liked the food. One person told me during the inspection that the food was very good. Care Homes for Older People Page 14 of 23 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. People who live at the service can expect to be listened to and to be protected by the homes training and recruitment of staff. Evidence: The home has a complaints policy that is provided to everyone interested in going to live there. No complaints or concerns had been received by the Commission or the service since the last review of the service. All of the people living at the home, who returned a completed questionnaire said they knew how to make a complaint, one person added But I have never had to complain about anything at Bethesda. During the inspection two people confirmed that they would feel comfortable raising issues with staff or the manager. Seven staff completed and returned questionnaires, six said they knew what to do if someone living at the home or a friend or relative raised a concern. Training records showed that all staff had received training about safeguarding vulnerable adults. Two staff working at the home on the day of the inspection discussed safeguarding and who they would speak to if they had concerns, both identified appropriate people. Care Homes for Older People Page 15 of 23 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, 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. 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. People who live in the home benefit from safe and pleasant surroundings. Evidence: Bethesda has a very homely atmosphere, it is decorated and furnished in a suitable style for the people who live there. The home was clean and fresh on the day of the inspection and people living in the home who completed questionnaires said it was always or usually fresh and clean. The service has dedicated domestic staff to keep the home clean. The parts of the garden that are accessible to people who live there are well maintained, include a seating area and provide a pleasant view. One of the people living at the home described the range of animals they could see from their window. There were records available to show that the service keeps fire fighting and alarm equipment in good working order and that hot water temperatures are checked regularly to ensure that people are not at risk of scalds. The laundry room and equipment are suitable for the needs of the service. Care Homes for Older People Page 16 of 23 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. People who live at the home can expect to be cared for by well trained staff. Evidence: Completed questionnaires were received from seven staff in February 2009. Three members of staff said that communication was sometimes an issue adding comments such as Sometimes the communication does not work so well. Two people felt that the increasing needs of people living at the home could put a strain on the staffing levels. One person commented As the residents needs increase I feel staffing levels do not meet these needs. There were also a number of very positive comments such as ... Bethesda is a very good residential home. It is a good place to work and has a good atmosphere and [The Service] provides a caring Christian environment in lovely, well kept, accommodation. An inspection of the rota showed that three care staff and one senior were on duty during the day, and two care staff with a named on-call senior at night. In addition dedicated domestic, kitchen and administration staff are employed. Service users who completed questionnaires said that staff were always or usually available when needed. Call bells that rang during the inspection were answered promptly. The issues of concern raised by staff in questionnaires were raised with the manager. The manager acknowledged that there had been a number of changes to employment Care Homes for Older People Page 17 of 23 Evidence: contracts and shift patterns and that some people had found this difficult. The manager said that the introduction of breakfast meetings and the involvement of care staff in handover meetings had helped to address some communication issues. The manager had also advised us in their AQAA that the trustees had met with staff at the end of February 2009 to receive feedback about the changes. The level of training offered to staff by the home was good. In addition to mandatory training, some staff had undertaken training that had a specific relevance for the service or the particular needs of people living in the home. This included dementia training, activities, Ethical issues at the end of live and the art of spiritual care. Fifty percent of staff have achieved a National Vocational Qualification in Care to at least level 2, which meets the National Minimum Standard in this area. The records relating to the recruitment of two staff employed since the last inspection were looked at in detail. They showed that the home had taken all reasonable steps, in line with the requirements of regulation and good practice, to ensure that staff were suitable to work with vulnerable people. Care Homes for Older People Page 18 of 23 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. People who live at the home can be confident that it will be run in their best interests. Evidence: The manager of the home has the experience and skills required of a person registered by the Commission. There was evidence during the inspection that they have kept up to date with legislative changes that may affect people who live in the home. There are clear lines of accountability between the manager and the trustees of the service, and this was confirmed by a member of the board of trustees who was visiting on the day of the inspection. The manager and trustees carry out a number of checks on the service provided. These include monthly checks on care plans by the manager, and monthly visits to people who live in the home to see if they have any concerns. The trustees visit to home on a monthly basis to check records and also speak to people who live and work in the home. A more integrated quality assurance monitoring and reporting programme would identify how well the service is meeting its stated aims and Care Homes for Older People Page 19 of 23 Evidence: objectives, as well as levels of satisfaction from people who live in the home, and provide staff with a formal opportunity to raise areas of concern. The service does look after the personal allowance of some people who live at the home. The records belonging to three people were checked on the day of the inspection. The records were clear, easy to follow and included receipts for expenditure. The recorded balance tallied with the actual balance held in each case. The health and safety records were also well ordered and easy to find. The records included a front sheet for each section that stated when the next check or service was required. A number of safety and service certificates were inspected and all were found to be in date. This is important because it demonstrates that the service is taking all reasonable steps to ensure that the equipment and services in place are safe. Care Homes for Older People Page 20 of 23 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 Older People Page 21 of 23 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 1 33 24 The service should develop an effective quality assurance monitoring and reporting system. This is so that it can be confident it is meeting the needs of people who live at the home as well as its own aims and objectives. 30/11/2009 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 22 of 23 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. 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. Care Homes for Older People Page 23 of 23 - 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!