Inspection on 09/08/05 for Abbeyfield 10 Eastfield Park

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Abbeyfield 10 Eastfield Park 29/01/09

Abbeyfield 10 Eastfield Park 30/01/07

Abbeyfield 10 Eastfield Park 16/03/06

Abbeyfield 10 Eastfield Park 17/03/05

Abbeyfield 10 Eastfield Park 14/07/04

Abbeyfield 10 Eastfield Park 23/02/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 10 Eastfield Park Weston Super Mare North Somerset BS23 2PE Lead Inspector Patricia Hellier Announced 9 August 2005 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 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. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 10 Eastfield Park Address Weston Super Mare BS23 2PE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01934 622144 01934 644532 The Abbeyfield (WSM) Society Sylvia Rose Furzeman Care Home - Pesonal Care Only 20 Category(ies) of Old Age - (20) registration, with number of places 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: MAy Accommodate up to 20 persons aged 65 years and over requiring personal care only Date of last inspection 17 March 2005 Brief Description of the Service: 10 Eastfield Park is a care home owned by The Abbeyfield (Weston-superMare) Society and offers 24-hour personal care and accommodation for up to 20 frail elderly people. The home is situated at the end of a quiet cul-de-sac in Weston-super-Mare and is in close proximity to a small private park. Regular transport is provided daily to take residents into the town and sea front, if they wish. Accommodation is available in single or one double room, many of which have ensuite facilities. Residents may bring in small items of furniture if they wish, after discussion with the manager. The home is on two floors linked by a lift. The home has extensive front gardens for residents to enjoy and garden furniture is provided. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over six and a half hours on 9 August 2005. The Registered Manager, Sylvia Furzeman, and the newly appointed manager who has applied for registration with the Commission were present during the inspection. All residents and members of staff on duty also took part in the inspection. Before the inspection the information about the home was received from the pre inspection questionnaire and comment cards from relatives and residents. 3 of the 3 residents who returned cards were happy with the home and care provided saying, “The care and staff here are excellent. “Of the 2 relatives cards returned all felt that their relatives were well looked after and said “staff always make us feel welcome”. The inspector looked around the whole of the building and inspected a number of records. The inspector spoke to 6 members of staff, 14 residents and 2 relatives. All residents and staff spoken with told the inspector that the home “is very friendly, we are like one family, and there is always some activity if you want to join in”. Residents were observed enjoying different activities both in the lounge and outside in the garden. What the service does well: What has improved since the last inspection? 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 6 The exterior woodwork of the house has been redecorated. Also the hall stairs and landing have been redecorated. What they could do better: 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. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 The Statement of Purpose and Residents’ guide is comprehensive and provides prospective residents with information to make an informed choice. The home’s assessment process is thorough and ensures that it is able to meet residents’ needs. EVIDENCE: Residents are provided with a comprehensive Residents’ booklet containing the Statement of Purpose and all the information required to ensure they or their relatives have access to the relevant information at all times. Care needs are well met through a full assessment process and the completion of a care plan from this information. The assessment includes all the elements listed in the standard. Social services care plans had been obtained where relevant. A comprehensive assessment was seen for a recent resident. The resident when spoken to said ‘I am well looked after they know what I need’. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Service users benefit from care plans that are well formulated and give clear information to enable staff to meet residents’ health and social care needs. Respect and dignity are well maintained by kind and caring staff. EVIDENCE: Individual records are kept for each of the residents and inspection of the records for three residents contained well-formulated risk assessments for Manual Handling and falls. Other personal and environmental risk assessments were present to ensure the safety of the resident while promoting independence as able. The care plans clearly identified health and social care needs and actions to meet these needs. Not all actions had been evaluated to ensure needs were being met. This is recommended. Residents spoken to confirmed the staff were well aware of their needs and did everything to meet them. For example one resident said ‘they notice when you are unwell and come and help you’. Another resident said ‘they are absolutely lovely and I would always recommend here.’ Staff interviewed clearly knew the residents and their needs. The interactions of the care staff observed demonstrated respect for individuals and their right to privacy. Residents spoken to said ‘the staff are very thoughtful and kind and treat you very well’ 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Social activities and meals are both well managed, creative and provide daily variation and interest for residents. Visitors are welcomed at any time and activities with the local community are enabled. Residents are offered opportunity to exercise choice whenever possible. EVIDENCE: A programme of activities is arranged weekly and residents said there was a good variety and freedom to join in or not as you wished. Residents said they particularly enjoy musical entertainments with the old songs and quizzes. 4 residents said they liked the regular transport service provided for them to get into town and the sea front. Staff were seen spending time talking with residents and assisting them to have an enjoyable time. One member of staff is trained in ‘Flexercise’ and provides sessions weekly for the residents, which they enjoy. During the inspection staff were observed offering choice and enabling residents to make choices in all aspects of daily living. Residents told the Inspector that they feel they are actively encouraged to follow their preferred routine and to remain as independent as possible. All the residents said that the ‘food is good’ and that they liked the daily choices offered. For example one resident said ’if you don’t like something they’ll change it’. Emphasis is placed on home cooking and the menus showed a varied, balanced and nutritious diet. The meal on the day of inspection reflected this. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents are confident that they are listened to and their requests acted upon. Residents are protected from abuse by knowledgeable and competent staff EVIDENCE: The home has a detailed complaints procedure that is well displayed and all residents have a copy of. The complaints policy does not include timescales for the complainant to know when to expect a reply. It is recommended that these are included. There have been no complaints and residents stated that if they were not happy about anything they would speak to the manager. Staff and residents spoken to, say the manager is new but seems very approachable and understanding. One service user said ‘I’ve nothing to complain about, it’s the best home in the area’. Records of previous complaints inspected were not signed and did not always record outcomes. These actions are recommended The home has a copy of the North Somerset ‘No Secrets’ guide. A procedure for responding to allegations of abuse is available. The home does not have Whislteblowing policy however staff rights are included in the homes abuse policy. Staff were fully aware of the policy and their rights and stated they would take action according to it if ever such a situation were to arise in the home. Staff said they had never seen any signs of abuse in the home and demonstrated a good understanding of what forms abuse can take. Nine residents said ‘the staff are very kind and take time, I can’t fault them’. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,22,26 Residents are provided with safe, homely and comfortable surroundings. The home has suitable equipment to maximise resident independence. Robust Infection control practices are followed. EVIDENCE: The property is well maintained, with homely and comfortable communal spaces. The living accommodation is well decorated and homely. Residents’ rooms are personalised and comfortable. Redecoration and refurbishment of the hall, stairs and landing has been completed. There are plans for redecoration that are not documented. A maintenance plan is recommended to evidence the ongoing routine maintenance and renewal of the fabric for the benefit of residents. Two radiators without covers were observed to pose potential risks to residents and no risk assessments were available. The radiators are in the ground floor bathroom above the bath and by the fire exit door in the extension where there is potential for a trip hazard due to the unevenness of the floor. The home has grab rails situated at relevant points, also a shaft lift that is easily used to assist resident mobility and aid independence within the home. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 13 A stair lift is also available for access to one level of the home. All resident rooms are provided with locks that are accessible to staff in an emergency. The home was clean and free from offensive odours throughout. The laundry facilities were well organised with impermeable and washable flooring and walls to maintain cleanliness and prevent the spread of infection. Staff interviewed and observed demonstrated good understanding of Infection control procedures and practices and maintained a clean and hygienic environment. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The numbers and skill mix of competent staff are sufficient to meet residents’ needs. The procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living in the home. EVIDENCE: Residents spoken to said that the staff were kind and caring and always there to help. During the visit staff were observed spending time with residents and call bells were answered quickly. The number of care staff on duty was adequate to meet the needs of those accommodated. They were supported by ancillary staff who prepared meals and undertook domestic duties. Personnel files for 3 relatively new members of staff inspected showed robust recruitment procedures thus ensuring all the safeguards to protect vulnerable residents had been provided. Evidence of induction programmes was seen and staff interviewed confirmed that they had been supervised in practice until police checks had been confirmed and they were competent to practice alone. All staff have received first aid and fire safety training recently. Staff spoken to said that there was lots of training and records seen showed attendance at a variety of relevant training sessions. Staff spoke of regular supervision and assistance in gaining NVQ qualifications. One resident told the inspector “the staff are all marvellous, they have been so understanding particularly at nights, they couldn’t have done more for me, I’m so much better”. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,38 The manager provides clear leadership and guidance to staff to ensure residents receive consistent care in a safe environment. There is a good system for residents’ consultation and residents feel their views are heard and acted upon. EVIDENCE: The manager has been in post just a month and is in the process of applying for registration with the Commission. Staff and residents feel that she is “finding her feet and think she will be good.” The previous manager who has a senior position in the company is continuing oversight of the home in this transition period. Quality assurance measures are in place to ensure the monitoring of standards and that the residents have a say in the running of the home. A recent residents survey shows that all of the residents felt the home is satisfactory. All resident responses praised the staff and said they liked living at the home. There is currently no formal method of completing the Quality assurance circle 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 16 with feedback to residents and relatives. This is recommended. Staff spoke of regular staff meetings and records were seen. Records inspected indicated regular safety and fire checks are carried out. Staff spoken to confirmed that regular fire instruction and drills had taken place. Some environmental risk assessments had not been completed to ensure the safety of residents at all times, particularly in relation to the two radiators mentioned in the section about the environment. The hot water from a tap in the ground floor bathroom was very hot and no sign stating very hot water. In some parts of the building there was no signs to the Fire exits. Advice from the local Fire Authority was recommended. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x x 2 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 18 NO Are there any outstanding requirements from the last inspection? 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. 1. Standard Regulation Requirement Timescale for action 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. 2. 3. 4. 5. 6. Refer to Standard 7 16 33 38 38 38 Good Practice Recommendations That care plans state all actions to meet identified needs and these are regularly evaluated The complaint policy includes timescales, and all cpomplaint investigations are sagned and the outcome documented.. The completion of the Quality assurance circle with feedback to residents and relatives following surveys. To risk assess unguarded radiators in the home To seek advice from the local Fire Authority regarding signs to Fire exits within some areas of the home. To ensure that all hot water outlet temperatures are recorded regularly adjusted to prevent potential scald injuries. 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 19 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 National Enquiry Line: 0845 015 0120 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. Extracts may not be used or reproduced without the express permission of CSCI 10 Eastfield Park D53-D02 s8110 10 Eastfield Park V230780 09.08.05 stage4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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