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Inspection on 23/01/08 for Eskdale House

Also see our care home review for Eskdale House for more information

This is the latest available inspection report for this service, carried out on 23rd January 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Eskdale House is good at only taking new residents they know they can care for and who they know will fit into the existing group of people. We judged that the way people receive personal and medical care is very good and that staff do this in a caring and sensitive way. We also had evidence to show that staff are good at caring for people in the last days of life. Residents and visitors told us that people could spend their days as they wanted and that there were no strict `rules and regulations`. Residents said there were things to do and that they could choose whether to join in or whether to spend time on their own. The staff fundraise and help residents to organise activities and entertainments.Residents told us that the food was good and they had plenty of choice. The manager and staff encourage residents to speak up and tell them what they want. No-one had any complaints on the day but they knew how to complain. We had evidence to show that staff were committed to keeping residents safe and protecting them from abuse. The home has enough staff both by day and night to make sure the home is clean and tidy, that meals are made properly, that paperwork is up to date and most importantly that residents get the right level of care. We judged that the right management systems are in place but these need to be taken forward by the new manager.

What has improved since the last inspection?

What the care home could do better:

The staff team need to give more attention to how they do the planning for people who find maintaining a normal weight difficult. Cumbria Care needs to make sure that all the staff in the home have up to date information and training so that each of them is confident about how to protect people from abuse.Cumbria Care needs to get their new manager in post and have her registered with us. We think that the home needs a specific person in charge who can take forward this home that has the promise of being a very good home indeed. We understand that any new manager will need time and support to do this and we look forward to getting updates on quality matters and future planning.

CARE HOMES FOR OLDER PEOPLE Eskdale House Swan Street Longtown Carlisle Cumbria CA6 5UZ Lead Inspector Nancy Saich Unannounced Inspection 23rd January 2008 11:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eskdale House Address Swan Street Longtown Carlisle Cumbria CA6 5UZ 01228 791366 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) eskdale.house@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care Vacant Care Home 27 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (27) of places Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 27 service users to include: up to 27 service users in the category of OP (Old age not falling within any other category); up to 5 service users in the category of DE(E) (Dementia over 65 years of age) One named service user in the category of DE(E) (Dementia over 65 years of age) may be accommodated within the overall number of registered places. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. When single rooms of less than 12 sqm usable floor space become available, they must not be used by wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Two service users may share a bedroom of at least 16 sqm usable floor space only when they have made a positive choice to do so, and when a shared space becomes vacant the remaining service user has the opportujity to choose not to share, by moving into a different room if necessary. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 20th June 2006 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Eskdale House is situated in a residential area of Longtown and is near to all the amenities of this small border town. Cumbria Care, which is part of Cumbria County Council, operates the home. They run homes and ‘care at home’ services around the county. Currently the registered manager’s post is vacant but a new person is starting shortly. The home can take up to twenty-seven older people. The accommodation is mainly in single rooms but one room may be used as a double. Three rooms have en-suite toilet and sink. The home is arranged so that people live in small groups with a lounge and dining room near to their bedrooms. Charges range from £373 to £434 per week. Further information can be obtained from the home or directly from Cumbria Care. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was the main or ‘key’ inspection for the year. The lead inspector, Nancy Saich, asked the acting manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly with plenty of detail. We then sent out postal surveys to people who live in the home and their relatives and friends and to the staff group. We had a good response to these surveys and we quote from them in the report. The responses were fairly positive and gave us a good picture of what its like to live and work in Eskdale House. The lead inspector visited the home unannounced. The visit started around 11 in the morning and lasted until after tea-time. We spoke to all of the residents – some in groups and others individually. We spoke to a group of staff and to individuals. We also spoke to relatives who were visiting on the day. We met the acting manager and two of the senior staff. We toured the building, sat in lounges and shared a meal with residents. We also looked and files and documents that backed up what was said and what was seen. What the service does well: Eskdale House is good at only taking new residents they know they can care for and who they know will fit into the existing group of people. We judged that the way people receive personal and medical care is very good and that staff do this in a caring and sensitive way. We also had evidence to show that staff are good at caring for people in the last days of life. Residents and visitors told us that people could spend their days as they wanted and that there were no strict ‘rules and regulations’. Residents said there were things to do and that they could choose whether to join in or whether to spend time on their own. The staff fundraise and help residents to organise activities and entertainments. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 6 Residents told us that the food was good and they had plenty of choice. The manager and staff encourage residents to speak up and tell them what they want. No-one had any complaints on the day but they knew how to complain. We had evidence to show that staff were committed to keeping residents safe and protecting them from abuse. The home has enough staff both by day and night to make sure the home is clean and tidy, that meals are made properly, that paperwork is up to date and most importantly that residents get the right level of care. We judged that the right management systems are in place but these need to be taken forward by the new manager. What has improved since the last inspection? What they could do better: The staff team need to give more attention to how they do the planning for people who find maintaining a normal weight difficult. Cumbria Care needs to make sure that all the staff in the home have up to date information and training so that each of them is confident about how to protect people from abuse. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 7 Cumbria Care needs to get their new manager in post and have her registered with us. We think that the home needs a specific person in charge who can take forward this home that has the promise of being a very good home indeed. We understand that any new manager will need time and support to do this and we look forward to getting updates on quality matters and future planning. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. This home makes sure they only take new people they know they can care for and who will fit in with the people already living in the house. EVIDENCE: We saw the document called the ‘Statement of Purpose’ that explains what the home aims to do and gives details of the care and services provided. This was at the front door for people to read. We thought it gave good information but will need updating by the new manager. We are happy to wait for her to do this after she starts in the job. The AQAA told us that the staff go out to see new residents to make sure they can give them the right kind of care. It also told us that people come to the home and stay for a meal so they begin to get a ‘feel’ for life in the house. We saw files that backed this up. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 10 The acting manager also told us that after six weeks they have a meeting to make sure that people have settled in and want to make the house their permananent home. Residents and relatives said that this had been done and one person said they were ‘amazed’ at how well their relative had settled, due to the attention of staff when she was admitted. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The team give residents good standards of care that only needs some finetuning to make it even better. EVIDENCE: Everyone in the home has a written plan that helps them describe to the staff what they need from the care and services on offer. We read a selection of these in depth and spoke to staff and residents about them. All of the plans were up to date and most contained a lot of detail of residents needs. We judged that some of the plans need a little more in them so that staff know exactly how to tackle problems and difficulties. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 12 We were however told that Cumbria Care is in the process of improving these written plans so they are more individualised. We do feel that the staff group are very keen to get care right for each individual and we want to see this training and improvement happening as soon as possible. Residents said they saw the doctor or nurse as soon as anything was wrong. They also told us that staff were good at supporting them in any kind of health care treatment. Daily notes and care plans show they are good at this. We did notice that there were some health care records – mainly those to do with nutrition and weight that weren’t always filled in properly and although staff had successes getting people back to normal weight, the process wasn’t written down. The staff team may need to review how they manage people’s nutritional needs. We checked on the medicines kept on behalf of residents and we watched as staff gave them out. We found that this was being done correctly and that the supervisors keep a close check on all the medicines. Residents looked very well. They were nicely dressed and groomed, they looked well fed and healthy. They said they had: • • “Marvellous care.” “Well looked after – you take no harm here. They do all they can for us” The surveys we received from residents and their relatives showed that the group are happy in the home. • • • • “Did not think she would be happy here, but she is! Says the home is run to perfection.” “Everything is lovely.” “Provides comfortable, warm, caring accommodation with good home made meals and friendly staff”. “Residents are always clean and tidy and are always treated with respect”. During the visit we saw nothing but respectful, sensitive and caring treatment from staff. The residents said that both day and night staff treated them with dignity. We spoke to staff and they showed very good values and attitudes to their residents. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 13 We noted from care plans and talking to residents that staff team share lots of information with families and that this is much appreciated. We think that it would improve the approach to care if staff always checked out if residents are happy with this. We advised staff that they need to think about this in light of the new law about assessing people’s capacity to act for themselves. We talk about this again under the ‘Staffing’ section below. We also looked at how the care of people in their last days is managed. We read the notes of someone who had just died and spoke to staff. We were also allowed to read a card from this person’s family. From this we judged that the team are very good at giving people this very important care in a dignified way. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents in this home have the kind of fulfilling lifestyle we all want as we age and are able to plan and look forward to new activities. EVIDENCE: Residents said that they could get up and go to bed as they wanted; could sit in any of the three lounges or stay in their own room. Everyone spoken to was happy with the arrangements in place for daily life. The AQAA told us that the acting manager had set up an ‘activities team’. This means that staff who are interested help residents to plan the kind of activities they would like to do. Residents told us that they have meetings every Sunday where they look at how they want to spend their time. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 15 Staff have involved people in things like baking and light household tasks. They also fundraise and provide outings and entertainments. One person told us about trips to Carlisle and into Scotland, about quizzes and parties and her favourite, which was a trip to the local beauty parlour for a bit of “pampering” One or two of the surveys told us that residents would like more trips out. The staff team were aware of this and they are trying to plan more outings. Residents and their relatives said the staff always made them very welcome. The visitors’ book showed all sorts of people came to share in the life of the home. One person said: • “This is my home, my house and I can entertain my visitors the way I want”. We shared a very pleasant meal with residents and the staff looked after everyone well and made sure people had just what they wanted and needed. The AQAA told us that the staff are encouraging residents to look at the times of meals so that they suit residents needs rather than staff convenience. We think that this shows staff are really thinking hard about what makes a good life for residents. As one survey said: • “Residents are well nourished. They are stimulated by activities and visits to other places when possible”. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents in this home know they can rely on the current staff team to listen to them and to keep them free from harm. EVIDENCE: Neither the home nor the inspector had received any complaints about the home. The residents on the day said there was nothing to complain about but that if there were they would talk to the manager or to a member of Cumbria Care’s senior management team who visits regularly. They had a lot of confidence in the acting manager and the shift leaders and felt they could talk to them in confidence and that their problem would be dealt with. There was a copy of the complaints procedure in the hallway. There had been an incident in the home that the supervisors in the team had reported to Cumbria Care. This issue had been dealt with properly and as quickly as possible. We judged that this matter shows that the staff team understand that anything untoward needs to be dealt with as a matter of urgency. We think this is a home where staff are not afraid to ‘blow the whistle’ if someone is doing something wrong. Residents said there was nothing worrying happening in the home and they knew how to report anything that was troubling them. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 17 We checked through staff training records and found that only two people had received recent training in how to safeguard and protect vulnerable adults. We want to see staff at all levels having up to date training so that they feel really confident about how anything abusive needs to be handled. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. This house gives residents a safe, clean and comfortable home where they can feel relaxed. EVIDENCE: Eskdale House was purpose built in the 1960’s and the County Council completely refurbished and updated the home in 1994. They have continued to maintain it since then. The home is set out with two large lounges and one small lounge. There are bedrooms on the ground and first floor and a passenger lift. It has pleasant, secure garden areas for residents to use in good weather. However, the building does have some small bedrooms and only three rooms have en-suite facilities. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 19 As one relative says: • “The best is done with the building available. Ideally en-suite rooms should be available to all.” Cumbria Care is aware that their buildings don’t always meet current standards and they have long-term plans for dealing with this. Staff keep the house as clean and comfortable as possible. They showed a good knowledge of how to control infections. Notes showed that staff dealt with these things under the correct guidelines. Residents and relatives spoken to and in surveys were very happy with their home. On the day of the visit the downstairs corridors were being redecorated and several bedrooms had new furniture and linens and had been papered and painted. Lounges were comfortable and clean. There were suitable bathrooms and toilets with special adaptations for people who have problems with mobility. Residents clothes and household linens were clean and pressed and residents said that staff looked after personal clothing properly and that their beds were always ‘lovely and fresh’. We walked around and saw a warm, clean, comfortable and homely house that met the needs of the residents. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The staff need some updates to their training so that they can be supported in their commitment to giving residents the best and most up to date care. EVIDENCE: On the day of the visit we judged that the numbers of staff on duty suited the residents’ needs. More importantly, both residents and staff thought there were enough staff around to deliver good care and services. We took copies of four weeks’ rosters and we judged the staffing levels in the home to be good. Around ten of the staff have complete a National Vocational Qualification in care with more people planning to do this qualification. The supervisors in the team were keen to help and support people in gaining qualifications in care. We checked on how new staff are recruited and we found that this was done correctly. Staff have thorough checks before they have access to residents. This includes police checks and employment references. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 21 The home has been without a manager for some time but the acting manager has tried to keep on supporting, training and developing staff. We saw from the AQAA and from records on the day that staff get good training right at the start so they understand what is expected of them. One person told us how they thought this ‘induction’ training helped them understand how it felt to be older as they had some days when they experienced how it felt to be immobile or to have poor sight. They also do all the basic training (things like helping people with moving, fire training, food hygiene and how to control infection) very well. We judged that there are some things that staff may need refresher or up to date training on. Some residents in the home have dementia and we judged that this very highly motivated staff group would benefit from updated training on how to help and support people with dementia to have a fuller and more settled life. We also think that this staff team is on its way to really giving high levels of personal care. We were told that Cumbria Care is going to introduce training on what is called ‘Person Centred Planning’. We want to see specific dates in place for any staff who are involved in care planning. We also judged that staff at all levels needed to be fully aware of the implications of the new Mental Capacity Act and would like to see more practical application of this in the home. The new manager needs to look at both individual needs of staff and for the group. We look forward to getting a new training plan when she is settled in the post. We did however have plenty of evidence to show that the staff team are caring, competent and skilled. They told us that they wanted to be settled and were looking forward to having a new manager who would help them update their practice. One survey said: • “The staff always try to help my relative in any way she needs. They are always pleasant and cheerful. Everyone at Eskdale House do a splendid job. Thank you!” Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The acting manager has done a very good job of keeping up the standards of care and services the residents get. EVIDENCE: This home does not have a manager in post. An acting manager from another home has been doing the job since the summer. We spoke to her before the inspection and on the day of the visit. We judged that she had done a very good job of running the home during what had been a difficult time for residents and staff alike. We were told that a new manager was taking up her post in mid March. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 23 We had evidence to show that the acting manager and Cumbria Care had tried their best to maintain a good quality service at a time when there was no manager in post. We saw systems in place (things like staff supervision, residents meetings and regular checks on safety) that were working well but we realised that some of the things that need taking forward can only be done once a permanent manager is in place. We would like to see a full quality monitoring exercise taking place one she is established. We asked that the audit of this and a new business plan be sent to us once that has happened. We checked on some of the residents’ personal monies accounts and these were in order with receipts and correct balances. We did not do more than this, as there had been a full County Council Audit that checked on how money and the budget had been managed. A number of changes had taken place and we judged that residents’ money and financial matters were well looked after. The acting manager has a special interest in health and safety. Staff told us she had worked on a number of systems and they felt that this had improved things in the home. We saw a good range of documents that showed us that things like fire safety, food hygiene, risk management and infection control were all in place. Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations We recommend that the staff team look again at how they help people to maintain a healthy weight and good nutrition. The records kept about this need to be more precise. We recommend that Cumbria Care arrange for all staff to have updates to their safeguarding of vulnerable adult training so that everyone feels confident about their role reporting or managing in this. It is recommended that staff have new or updated training in the following areas – supporting people with dementia, managing challenging behaviour, person centred planning and understanding the implications of the Mental Capacity Act. We would like to see a new training plan for all levels of staff. We recommend that a full quality audit is completed once the new manager is in post and that she prepares a business plan for the home. These things need to be shared with residents, other people who are involved in the home and copy sent to CSCI. 2 OP18 3 OP30 4 OP33 Eskdale House DS0000036493.V353144.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Unit 1 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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