Inspection on 18/09/09 for Eboracum

This is the latest available inspection report for this service, carried out on 18th September 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eboracum 30/08/06

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for older people Name: Address: Eboracum 177 Park Grove Barnsley South Yorkshire S70 1QY     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: Ivan Barker     Date: 1 8 0 9 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 24 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 24 Information about the care home Name of care home: Address: Eboracum 177 Park Grove Barnsley South Yorkshire S70 1QY 01226203903 F/P01226203903 eboracumhouse@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Miss Susan Jane Leigh,Mr Stephen John Oldale care home 18 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 Eboracum House is a stone built residence with a purpose built extension on two levels providing personal care for 18 elderly people. It is situated in a residential area of Barnsley, on a main bus route, close to the M1 junction 37, local bus routes and shops. It stands in its own grounds with mature trees and shrubs. There is a car park to the side of the building. The home has a lounge, a conservatory and a dining room. There are 18 single bedrooms, some of which are on the ground floor. Two bedrooms have en suite facilities. The home has a passenger lift and is equipped with handrails and other adaptations to assist people living in the home. The fees were minimum £358.50 to a maximum £400 per week. 0 Over 65 18 Care Homes for Older People Page 4 of 24 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: A number of the National Minimum Standards were examined at this inspection (with emphasis on the key standards), and the previous requirements. The persons present at the inspection were J Featherstone manager and D Hunter senior carer. Within this site visit, which occurred just over a 4 hour period, we examined requirements relating to the previous inspection. We toured the building, case tracked 3 people (case tracked means looking at the care and service provided to specific people living at the home; checking records relating to their health and welfare; by talking to the specific people; viewing their personal accommodation as well as communal living areas). We spoke with other people, relatives and staff. We examined assessments, care Care Homes for Older People Page 5 of 24 plans, risk assessments, menus, complaints files, staff records and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality Assurance Assessment), a self assessment document, telephone contacts, letters and notifications. Care Homes for Older People Page 6 of 24 What the care home does well: What has improved since the last inspection? The service had acted positively upon the requirements made at the last inspection. The previous requirements relating to assessments, care plans, accidents, medications, Care Homes for Older People Page 7 of 24 procedures, employment and the provision of weighing scales had all been acted upon and resolved. Therefore all the requirements from the last inspection were met. 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 8 of 24 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 9 of 24 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. Peoples needs were known to the service prior to admission. The 2 assessments ensured that the service had sufficient information to assess if the service was able to meet the persons needs. Evidence: On examination of the care management assessments within 3 care plans, it was established that there were assessments. On discussing the assessments, we were advised that the service received copies of the assessments, mainly by post. The manager advised that she and a senior carer undertook the assessments of the people, prior to admission. These assessments fully detailed the persons needs. They also assisted in providing sufficient information for the staff to decide if the service could meet the persons needs. It also provided sufficient information for care plans to be drawn up. Care Homes for Older People Page 10 of 24 Evidence: The manager advised that intermediate care was not provided within the service. Care Homes for Older People Page 11 of 24 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. Accurate care plans will contribute to the delivery of care. The people and relatives were satisfied with the care. The safe keeping of medication needs to be relocated to provide a clean, safe storage area. Evidence: On examination of the care plans from 3 people, it was established that all 3 care plans were up-to-date, and had been evaluated on a monthly basis. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis. However the line spacing of the care plans was quite small. This led to staff having to squeeze their writing in between the lines, and made it difficult to read. It was agreed that the spacing should be increased. Comprehensive risk assessments were included within the care plans and included moving and handling, nutrition, skin integrity and other risk factors. Care Homes for Older People Page 12 of 24 Evidence: As part of the care plan, there was a section entitled Funeral Arrangements. Within this section it was recorded that a discussion had occurred regarding the persons funeral and what wishes they had. The information recorded the persons requests for burial or cremation, where the ashes were to be scattered, and the hymns/songs that the person wished to be sung at the funeral. It was recognised that this was often a difficult subject to approach, however this service clearly made the effort to obtain information to ensure that the persons wishes were taken into account. Whilst speaking with some of the people, it was found that they had mild forms of dementia. On reviewing the information in the care plans, it was established that some of the people had been residing in the service for some time and that dementia was not their primary need, on admission. On checking the last 2 admissions into the service, it was found that these 2 individuals had no dementia needs. It was discussed with the manager that she should keep the peoples needs under review as the service was not a registered to care for people with dementia, however they could apply for registration. The views of the people and relatives were obtained during this visit. Their opinions were: Its a very homely here. I looked around a few places before I chose this one. Yes the young man is very good, I am well looked after. We observed the giving out of medication. The senior carer gave out the medications in a safe manner checking the medication, the medication administration record and the person to whom the medication was being given. The medication administration records were all signed. When the carer returned the trolley to the medication room, we were able to review the medication storage. The medications were stored under the stairwell, in a small locked room. This room contained the electric power units to the service and several of the electrical wirings were loosely fitted to the sides and ceiling of the room. Also the floor was covered with plaster and dust. It was agreed that this was not an adequate environment to store drugs and may place the staff at risk with the electrical wiring. A new area for the storage of medication, was identified. However it did need to have a door fitted. The manager identified that a door would be fitted as soon as possible and the medication moved to this area. Care Homes for Older People Page 13 of 24 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised and provided stimulation. However it could not be established that people were able to exercise their rights of choice regarding meals. Evidence: The manager advised that the coordination of activities was undertaken by the care staff. There was a programme of activities displayed on the wall. The programme was in pictorial and written form. We observed the activities taking place in both the morning and afternoon sessions. It was also observed that staff spent one-to-one time sat with the people. Regarding the meals, it was difficult to assess if the people had been given a choice. On discussing the meals with the people, several identified that it was fish and chips for dinner. Other people were unable to state what was for the meal because of their mental state. People identified that they liked the meals, but could not confirm that they had a choice. There was a menu board in the dining room but this had not been completed. On speaking with the catering staff, regarding the availability of choice, they were only able to produce documents up to July 2009, which identified that a choice had been Care Homes for Older People Page 14 of 24 Evidence: offered. Therefore there was no evidence that a choice of meal was offered. Care Homes for Older People Page 15 of 24 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. The service had a complaints procedure and it was operating according to company policy. This should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Evidence: The complaints procedure was available within the Service User Guide. A copy of the procedure was displayed on the wall. However the information contained in the procedure identified that complaints should be forwarded to the CSCI. The manager agreed to amend the document. On examination of the complaints file, it was established that complaints and the action taken had been recorded. Regarding Safeguarding Adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adults training and the manager was able to evidence this by showing us the training records. Care Homes for Older People Page 16 of 24 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 lived in an environment that had been maintained to a high standard to provide a safe, homely and well maintained service. Evidence: On touring the old converted building and extension, it was observed that the decor had been maintained to a high standard within the area occupied by the people. However some areas only accessed by staff were showing some signs of wear. The service was compact and had limited areas for storage, hence the use of the small area under the stairs for the medication room. It was discussed that a small shed outside in the court yard area may help with the storage problems. The peoples rooms were decorated and furbished to a high standard. They had also been personalised and contained photographs, personal belongings and some items of furniture which individual or family had provided. Care Homes for Older People Page 17 of 24 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. There was evidence that staff had received all the necessary training which would reflect on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. Evidence: On examination of the staff rotas and examination of staff on duty, the following was established: AM shift: 1 senior carer and 1 carer. PM shift: 1 senior carer and 1 carer. N shift: 1 senior carer and 1 carer. Plus the manager, cook and domestic staff. Caring for a present occupancy of 17. A full assessment of the dependency levels of the people was not undertaken and compared with the indicated staffing levels. However the manager stated that she was Care Homes for Older People Page 18 of 24 Evidence: of the view that the dependency levels were low, as several people were able to wash and dress themselves. On examination of 3 staff files, these were found to contain all the required documentation, including the Criminal Records Bureau and Protection Of Vulnerable Adults checks. On examination of the staff training records it was established that all staff had received training. The moving and handling and fire training were due for renewal in October 2009. The manager advised us that in previous years she had used training videos but felt that a more practical hands-on training would be more beneficial. The benefits of making the training more specific to the care and service setting was discussed. Dementia training had been commenced because of the needs of some of the people. The benefits of establishing a matrix system to monitor the ongoing training was discussed. There was evidence in the training files that the senior care staff and care staff had undertaken various NVQ training. Some staff had NVQ levels 2 and 3 and one individual had NVQ level 4. The comments from people and relatives were: The staff are very good. They are very kind and caring. The young man is very helpful. They are very pleasant. Care Homes for Older People Page 19 of 24 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. There was an experienced management team in place and this contributed to the effective organisation and operation of the service. Evidence: There was a registered manager in post. She identified that she had 17 years experience in the provision of care and 4 years experience in management. She had achieved the Registered Manager Award. She identified that she was a trainer for safeguarding and part of the safeguarding subgroup for Barnsley social services. Regarding Quality Assurance, there was evidence that monthly auditing was undertaken by the manager. The areas covered were medication, complaints, care, emergency procedures, laundry, infection-control, health and safety and risk factors, equipment and staff training. Questionnaires had been sent to the people in March 2009 and to GPs, nurses and other professionals in May 2009. We were able to read the responses from the Care Homes for Older People Page 20 of 24 Evidence: surveys. All the responses were very positive. The service had a credit and debit system regarding personal monies, which were held for safekeeping. There was a monitoring system to ensure that there were correct amounts in each account. The manager advised that she had been previously advised to use a separate container for each individuals money. It was advised that the manager might wish to obtain a copy of the CSCI publication, Issue 6, May 2007, Social Care Policy and Practice titled In safe keeping. The information contained within this publication identifies areas of good practice and lessons which have been learned from inspections. The use of separate containers is an area that has been identified as having significant problems and errors. Another method of storing monies was discussed with the manager. Regulation 26 documentation, which were a record of the registered persons monthly visits were available at the service and up-to-date. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; had been received by the Care Quality Commission. The information contained in the AQAA confirmed that all the health and safety and maintenance have been undertaken. Care Homes for Older People Page 21 of 24 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 22 of 24 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 9 13 The service should make arrangements for the safekeeping of medications. Medicines are stored in safe and clean conditions. 29/10/2009 2 15 12 The service must ensure 29/10/2009 that each person are offered a choice of meal. Each person will be able to exercise their rights of choice. 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 23 of 24 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. 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