Inspection on 02/02/06 for Eagle Care Home

This inspection was carried out on 2nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Eagle Care Home 06/08/07

Eagle Care Home 09/08/06

Eagle Care Home 10/08/05

Eagle Care Home 05/01/05

Eagle Care Home 22/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Eagle Care Home 104 Victoria Road Elland West Yorkshire HX5 0QF Lead Inspector Cheryl Stovin Unannounced Inspection 2nd February 2006 11:50 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 Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 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. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eagle Care Home Address 104 Victoria Road Elland West Yorkshire HX5 0QF 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) 01422 373141 01422 373141 Eagle Care Homes Ltd Ms Victoria Anne Shepherd Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10th August 2005 Brief Description of the Service: Eagle Care Home is a privately owned care home registered to provide accommodation and care for up to 33 older people. The establishment is situated in a residential area close to the town centre of Elland. Halifax town centre is easily accessible by public transport. The property is generally well maintained throughout and provides accommodation comprising of 27 single rooms 16 of which have en-suite facilities, and 3 double rooms. Communal areas are spacious and comfortable with a safe and accessible patio area for service users to enjoy in the warmer weather. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 2nd February 2006. Over an inspection year from April until March, care homes have a minimum of two inspections a year. The last inspection was also unannounced and took place on 10th August 2005. During the course of this inspection several service users were consulted as to their views of the standard of care and facilities provided within Eagle Care Home, and all spoke very highly of the service provided. What the service does well: What has improved since the last inspection? 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. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 6 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 Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 1,3,6 Service users are provided with written information detailing the services and facilities provided within the home. EVIDENCE: The establishment has produced a statement of purpose and service user guide which is displayed in the entrance hall of the home. Service users are subject to a comprehensive assessment prior to being admitted into the home. Intermediate care is not provided within the establishment. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7,8,9, Service users needs are assessed and the home has a good approach to promoting the service users health care, however, medication recording practices need to be improved. EVIDENCE: New assessment and care planning documentation has recently been implemented within the home. And each service user has an individual plan of care generated from the comprehensive assessment process. The care plan is reviewed on a monthly basis and ensures that the service users physical and emotional needs are met. Daily recordings are detailed and clearly link to the needs identified in the care plan. All personal and health care tasks are performed in private with privacy and dignity promoted at all times. Service users health care needs are addressed at the initial assessment and form part of their plan of care. The establishment uses the Boots MDS (Monitored Dose System) for the administration of medication. The stocks of medication are securely and appropriately stored. All staff responsible for handling medication have received training. Medication was observed being administered during the Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 9 inspection, records were inspected which indicated that stocks of a controlled drug did not reconcile with the record held. The stocks of medication were in fact greater than the total on the record. This was investigated at the time of the inspection and it was identified that one box of the drug had not been recorded. Care must be taken to ensure that all medication received is appropriately recorded at the time of receipt. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 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 the following standard(s): 12,13, The lifestyles of the service users match their expectations and preferences. Service users are encouraged to maintain contact with family and friends, and they are made to feel welcome. EVIDENCE: Service users preferences regarding their daily living activities are assessed and flexible support given to enable them to follow their preferred routines. Residents were observed to be exercising choice in where and with whom to spend their time. A range of activities are available for the service users to participate in if they choose to do so, the activities on offer are displayed on the notice board, and on the day of the inspection some service users were enjoying playing a game of bingo. Regular religious services are held at the home enabling service users to fulfil their spiritual needs. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 A complaints procedure is in place and any complaints received are handled appropriately. Staff are trained in the protection of vulnerable adults. EVIDENCE: The establishments complaints procedure is made available to all service users and their representatives. All staff have received training in the protection of vulnerable adults. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 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 the following standard(s): 19,20,23,24,25,26 The accommodation is generally well maintained and bedrooms are well equipped with service users own possessions in evidence. EVIDENCE: The home is clean and hygienic throughout and furnished and fitted to a good standard. Individual bedrooms have a lockable facility provided, however, the bedroom doors are not fitted with locks. Communal areas are spacious and comfortable with a range of quiet sitting areas provided. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Service users are protected by the establishments recruitment practices. EVIDENCE: Staff files were examined which indicated that all the required checks are carried out prior to employment. The files seen all contained evidence of POVA and CRB disclosures, an application form, two written references, proof of identity and a statement of terms and conditions. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,38 The establishment is managed effectively, on a temporary basis, by the organisations Operations Director. EVIDENCE: Since the last inspection the acting manager of the establishment has resigned. The organisations Operations Director is standing in as manager until a new manager has been appointed. The post has been advertised and once an appointment has been made an application to register the manager will be made to the CSCI. There is a commitment within the home to promote health and safety at all times. Health and safety policies and procedures are in place and all members of staff have a copy of the employee’s responsibilities to promote safe working practices. Detailed risk assessments are in place which are reviewed regularly. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 15 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 3 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x 3 3 3 2 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 3 x x x x x 3 Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) Timescale for action The registered person shall make 02/02/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. An application be made to the 31/05/06 CSCI for registration of the manager when appointed. Requirement 2. OP31 9 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 OP26 Good Practice Recommendations Locks to be fitted to bedroom doors. Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Eagle Care Home DS0000059046.V283672.R01.S.doc Version 5.1 Page 18 - 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!