Inspection on 17/03/09 for Eaton Court

This is the latest available inspection report for this service, carried out on 17th March 2009.

CSCI 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.

Other inspections for this house

Eaton Court 14/03/06

Eaton Court 05/01/06

Eaton Court 16/02/05

Eaton Court 02/06/04

Eaton Court 18/06/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eaton Court 128 - 130 Grove Road Wallasey Wirral CH45 0JF     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: Paul Ramsden     Date: 1 7 0 3 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 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 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 Older People Page 2 of 27 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Eaton Court 128 - 130 Grove Road Wallasey Wirral CH45 0JF 01516391093 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) : shadowsource@tiscali.co.uk Shadowsource Limited care home 34 Number of places (if applicable): Under 65 Over 65 34 old age, not falling within any other category Additional conditions: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 34 Date of last inspection Brief description of the care home Eaton Court is located in a residential area of Wirral, which is close to local shops and Liscard town centre. The local bus station provides access to other parts of the Wirral and Liverpool. The home is a large three-storey detached building that is set in its own grounds with a well-maintained garden to the rear. Accommodation is situated on three floors in both single and double rooms, six of which have en-suite facilities. Communal space within the home consists of two lounges and a large conservatory that is used as the dining area. Care Homes for Older People Page 4 of 27 Brief description of the care home The current scale of charges for residing at the home ranges from £360 to £550 per week. A copy of this inspection report can be made available upon request to the home or via the new Care Quality Commission [CQC] website [This is the new name for CSCI from 1st April 2009] Care Homes for Older People Page 5 of 27 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: This unannounced visit took place on the 17 March 2009 and lasted for a total of six hours. Paul Ramsden, Inspector, undertook the visit on behalf of the Commission for Social Care Inspection. Any references to us or we in the report refer to the Commission. Feedback on the findings of the inspection was given to the home manager as it progressed. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before the visit. Any other information received since the home was last inspected was also Care Homes for Older People Page 6 of 27 reviewed. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans]we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of residents and members and staff were spoken with; they gave their views about the home and the service provided. Some of these comments have been quoted in the report. 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.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 8 of 27 Care Homes for Older People Page 9 of 27 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 10 of 27 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. Information and opportunities to visit before moving in are available and residents are assessed before moving in to ensure their needs can be met at the home. Evidence: The home provides a range of information to prospective residents; these are presented in a combined service user guide and statement of purpose. This contains all of the information required and we think this document should provide sufficient information for anybody who is thinking of moving into the home. People generally visit the home before making the decision to live there; they can also stay for a meal and have a trial visit before deciding. If they have any queries they can contact the manager or senior staff members. A newly admitted resident who wanted to maintain as much independence as possible told us that she and her family had looked at other homes but chose Eaton Court because; I have the freedom to choose. Care Homes for Older People Page 11 of 27 Evidence: An assessment demonstrating that the residents individual needs could be met by the home had been undertaken prior to admission for the the three people whose files were looked at. The manager or senior usually carries out the assessments and will visit people in their own home, another care home or hospital to gather the necessary information before admitting someone. This provides an opportunity to make sure the home can accommodate the person and their individual needs. When someone is funded by the Local Authority they also provide an assessment of the persons needs prior to admission. This provides background information as to the reasons why a move to the home is needed and is very useful when combined with the homes own assessment. Intermediate care is not provided at Eaton Court. Care Homes for Older People Page 12 of 27 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. The residents care plans seen were well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. Evidence: The manager and senior staff members are responsible for drawing up a residents plan of care. The care plans seen during this visit provided the staff with sufficient information for them to be able to identify any assessed need and how it is to be met. The care plans seen were all up to date and were written in a style that would enable someone reading it to have a good idea of what help and assistance someone needed at that time. We felt that they provided staff members with all of the necessary information for them to look after a persons needs. Care plans were being reviewed and where necessary re-written on a regular basis. Staff members spoken with could show that they had a good understanding of the people they were supporting and they were able to meet their diverse needs. Care Homes for Older People Page 13 of 27 Evidence: Care staff work to a good standard in order to ensure that residents receive the care they need. They monitor a residents health and emotional needs daily and there was evidence to show that people were receiving the appropriate support from district nurses, GPs etc. The changing needs of individuals are discussed as and when required. We were able to see this in practice during the visit when information about an individual was passed onto the manager. It was seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. They were seen to be mixing with individuals in an appropriate way, knocking on bedroom doors before entering and addressing people according to their wishes. The residents spoken with made a number of positive comments about the home and the staff members supporting them. All personal care is carried out in the privacy of a residents bedroom or one of the bathrooms. Policies and procedures in relation to medication are in place. The majority of the medicines are administered using a blister pack system provided by a local pharmacist. The arrangements for the administration of medicines were considered to be good and people are being given their medication as prescribed. Care Homes for Older People Page 14 of 27 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. Residents using the service are able to maintain contact with family and friends and those spoken with were positive about the home and the support they received. Evidence: Residents were able to move freely around the home and a choice of sitting and dining areas were available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example, times of rising and retiring, whether or not to join in with planned activities and where to spend time and with whom. The home employs two activities co-ordinators [one person for sixteen hours a week and the other for four]. Their roles are to work with residents, both individually or in groups. The manager and other staff members are involved in activity/social planning and as a result a wide variety of events are organised. Information about these are on the notice board. We were told that; any excuse is used for a party. On the day of the visit everyone was celebrating St Patricks day; the home had been decorated, there was an Irish menu and in the afternoon drinks and dancing were organised. Everyone seemed to enjoy this. Residents spoken with all made positive comments Care Homes for Older People Page 15 of 27 Evidence: about the activities available. We think that the quality of the activities and other events available is of a very good standard. The home regularly organises fund raising events for local and other charities. Various religious denominations visit the home and residents are free to attend a local church if they wish to do so. Links with the local community are maintained and residents are free to go out with their families. Visitors are free to call into the home at any reasonable time and mail is given to residents unopened. Meals can be eaten in the main dining room or in the privacy of a residents own room. The menu is very flexible and different choices are readily available. Everything cooked is home made and fresh vegetables are always used. Residents spoke positively about the food provided to them and said they would go to the kitchen if they wanted anything different to eat. The cooks keep a book with individual likes and dislikes and they were very aware of what people enjoyed. Special diets can be provided if needed. The kitchen area was seen to be clean and well organised. Care Homes for Older People Page 16 of 27 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. Residents and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. Adult protection training is provided for staff in order to ensure the continued safety of residents. Evidence: There is a written complaints procedure for the home, this is displayed in the entrance area. Information about complaints is also included in the information that is given to all of the residents. The ethos of the home is that it will deal with any complaints/suggestions positively and will learn from them. Those residents that commented said they would inform the manager or another senior staff member of any issues. They also said that they felt confident that appropriate action would be taken. No complaints have been received by the home; we have not received any complaints either. The home has an adult protection [now referred to as safeguarding] procedure that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. The manager confirmed that no safeguarding issues have been identified in the previous year. Staff members undertake training in this area. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 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. The facilities and accommodation provide residents with a comfortable and homely place to live. Evidence: A tour of the premises was undertaken; this included communal [lounges/dining room]areas and a number of bedrooms. These were seen to be personalised and contained many personal items. All areas of the home were homely and comfortable and we think that Eaton Court can fully meet the needs of the residents that live there. The manager explained that following the previous inspection a maintenance routine had been implemented and some bedrooms had been redecorated and re-carpetted. Anti-slip flooring had been fitted in the bathrooms and new furniture had been provided for the lounge. She went on to explain that following a leak from the roof two of the bedrooms were not able to be used, they were going to be refurbished in the near future. The home provides adaptations for use by residents with mobility problems. These include a shaft lift to all floors, bathing and toilet aids, hoists, grab rails and other aids to help maintain independence. Safe and accessible garden areas are available for the residents to use. Care Homes for Older People Page 19 of 27 Evidence: The laundry within the home is well equipped and good systems are in place for the care of peoples clothes. We did not receive any negative comments about the quality of the laundry service. A new floor was being laid in the laundry at the time of the visit. Care Homes for Older People Page 20 of 27 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. Staff members work positively with residents and families to improve the quality of life of residents living in the home. Evidence: Care staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff was able to meet the needs of the residents within the home. The staff members were cheerful and friendly and the residents spoken with were complimentary about their attitude and competence. One resident said; The staff are excellent and I have told my daughter I am being well looked after. We saw that the staff team worked well together and relationships between them were relaxed and positive. The manager confirmed that all of the staff members are qualified to National Vocational Qualification [NVQ] level 2, a recognised qualification for people working in the care profession. Seven staff members are currently undertaking NVQ level 3. There have been no new staff members appointed since the previous inspection visit. The manager was however fully aware of the process that needs to be followed when appointing new staff. She was able to explain the recruitment process carried out and confirmed that all new staff are checked against the POVA list and that a satisfactory CRB disclosure must be obtained before employment commences. The current staff Care Homes for Older People Page 21 of 27 Evidence: team have the skills, knowledge and experience to meet the diverse needs of the people using the service. New staff members would undertake an appropriate induction. Eaton Court provides a range of training courses for staff members; the manager confirmed that all of the required mandatory training was up to date. Health and Safety had just been completed and medication training was due later this year. Staff members confirmed this. Training is provided by an external trainer. Care Homes for Older People Page 22 of 27 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. The home is being very well run and managed on a day to day basis, this helps to ensure that the needs of the residents are met and that there are appropriate procedures in place to maintain their safety. Evidence: The manager is very experienced and can show a clear sense of direction and best practice. She attends courses/training in order to keep her practice up to date and to fulfill her management responsibilities. She has completed her NVQ 4 and Registered Managers Award and can clearly demonstrate an awareness of the needs of the residents living in the home and how to manage the staff team. She is supported by very capable seniors and care staff who are all committed to providing a good service to the people living in the home. One of the staff members said; The home runs brilliantly. Eaton Court has an external quality assurance system in place in order to ascertain Care Homes for Older People Page 23 of 27 Evidence: whether residents and families are happy with the standards of care being provided. Residents personal allowances were being handled well and any monies were kept in a safe. Those looked at had accurate records, receipts and correct balances. Any accidents are recorded and any trends, for example, a resident having a number of falls are identified and addressed. The home has a range of policies and procedures to promote and protect both residents and staff members health and safety. The maintenance records seen demonstrated that the appropriate service contracts were in place. These included, the fire alarm system and the gas and electrical installations. The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals. All staff members are supervised on a continuous basis; in addition they all receive an annual appraisal. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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 Older People Page 27 of 27 - 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!