Inspection on 06/08/07 for Eagle Care Home

This inspection was carried out on 6th August 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eagle Care Home 09/08/06

Eagle Care Home 02/02/06

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 Key Unannounced Inspection 6th August 2007 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 Eagle Care Home DS0000059046.V342722.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. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 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 manager@eaglecarehome.wanadoo.co.uk None Eagle Care Homes Ltd Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2006 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. The weekly charge at the home is £339, additional charges are made for personal toiletries, hairdressing and chiropody. There is also a charge for escorting service users to routine medical appointments. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Eagle Care Home. This included an unannounced visit I made to the home on 6th August 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit I looked round all of the building, records were seen and I spoke to management, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Nine people living at the home, five relatives and three care managers completed a survey. The information received forms part of this report. An Annual Quality Assurance Assessment (AQAA) was sent to the home for completion. A reminder letter was also sent requesting this document be completed and returned. Despite these requests no Annual Quality Assurance Assessment has been received. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: All people have an assessment before moving into the home, and are encouraged to visit, several times if they wish, before making a decision to move in. This is to make sure that the home can meet their needs. The home has a lively and welcoming atmosphere, people who live at the home said that this was always the case. People told me that the home is well run and described the staff as “very kind” and “they can’t do enough for you”. One person living at the home said in their survey: “I have been here for four years and I love it”. The staff were seen to be working together as a team and meeting the needs of people in a sensitive and dignified manner, with appropriate use of informality and humour. The people living at the home said they were well treated and that the staff are kind and attend to their needs promptly. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 6 The staff team are well trained and people using the service are protected by the safe recruitment practices in the home. There is a range of activities for people living at the home to take part in if they wish to do so. People can also choose to spend time in their own rooms following their own interests and pursuits. The home is well maintained and people live in a safe and hygienic environment. People are encouraged to bring their own possessions with them to personalise their own rooms. People said that the meals served at the home were of a good standard and that they enjoyed their meals. 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. The summary of this inspection report can be made available in other formats on request. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5,6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a statement of purpose and service user guide. The document is freely available and details the services and facilities provided by the home. A copy of the service user guide in placed in each persons bedroom. All people are assessed before moving into the home to ensure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living in the home. All people have a contract which clearly states the rights and responsibilities of everyone and what is and is not included in the weekly charge. Intermediate care is not provided in the home. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met and care plans are detailed and clearly show how their support is to be given and by whom. EVIDENCE: Six people’s care records were looked at. All contained detailed information and had been written in conjunction with the people using the service and their families where this was appropriate. The care plans are reviewed monthly and clearly show how the care is to be given and the actions necessary to meet each assessed need. Very detailed daily records are completed which show how the person has spent their time and who has visited them. A social history is included in the care plans. This means that staff have information about people’s previous lifestyles and interests and hobbies. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 10 People said that their personal and health care needs were met in the way that they preferred, and that they felt that they were treated with dignity and their privacy respected. One person said “it’s a good place, they look after you very well”. All of the people living at the home who completed a survey said that they receive the care and support they need. One person made an additional comment: “Excellent care, health improving, efficient service and helpful staff”. One care manager made the following comment in their survey: “They provided excellent care to an extremely anxious and demanding gentleman”. Risk assessments are in place which are also reviewed monthly, to help ensure that the people using the service are kept safe. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff, responsible for handling medication, have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed and all MAR sheets contained a photograph of the person the medication is prescribed for. This ensures that the correct person receives their medication. Stocks of medication held reconciled with the records kept. Controlled drugs were appropriately stored and recorded. None of the people living at the home handle their own medication. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 11 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: The daily routines in the home are flexible to enable people to exercise choice as to how, where and with whom to spend their time. People confirmed that they choose when to get up and when to retire. There is a warm and welcoming atmosphere in the home and people said that this was always the case. Relatives/friends made the following comments in their surveys: “The home gives excellent care in a kind and friendly environment. Also serves good food”. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 12 “Mum has greatly improved since being here, she is eating much more and improving with the care she is getting”. “Generally the home is exactly what I hoped for. They do a fine job under sometimes difficult circumstances”. “They do try to keep people’s individual ‘personalities’ so they feel that they ‘belong’. A range of activities are available for the people to participate in if they choose to do so, the activities on offer are displayed on the notice board. The weekly activities include: arts and crafts, make up and nails, board games, bingo, sing a longs, Video and DVD films, and letter writing. Visiting entertainers also perform regularly. On the day of the visit some people were enjoying playing a game of dominoes and art and crafts. One person told me that they preferred to sit quietly or read rather than to join in, and said that the staff respect this. In addition to the social activities provided within the home people enjoy regular outings, a recent day out included a fish and chip lunch. Regular religious services are held at the home enabling people to fulfil their spiritual needs. Activities and outings are one of the topics discussed at the monthly residents meetings, the minutes of which are displayed on the notice board. Regular relatives and friends meetings are also held which makes sure the views of all are taken into account. Minutes of these meetings are also displayed on the notice board. A suggestion box is also provided for people to make their comments about the home. A regular newsletter is produced which keeps everybody informed of what is happening and is planned in the home. Mealtimes were seen to be relaxed and very much a social occasion. The main meal of the day is served at lunchtime and on the day of the visit was: asparagus soup, meat and potato pie or gammon and pineapple, served with turnip and carrot mash and boiled potatoes, followed by treacle sponge and custard. The meal appeared well presented and appetizing. People living at the home said they enjoyed their meals, one person said “I like my food, I really do, and it is very good”. People are encouraged to keep in touch with family and friends and visitors were seen to be warmly welcomed in to the home and said this was always the case. Two relatives spoken to during the visit said that they enjoy visiting the home and that they were very satisfied with everything and had “no complaints at all” about the care their relative receives. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 13 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): 16,18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the policies, procedures and practices in the home. EVIDENCE: The home has a complaints procedure which is given to people who live at the home and their relatives. The document clearly states the procedure to follow and the contact details of all the people to approach if they are unhappy about anything in the home. A complaints log is held which details any complaints received and the outcomes. All people who returned a survey said they knew who to speak to if they were unhappy about the care provided by the home. One relative said that they had raised three issues which had been dealt with promptly. All staff have received training in the Protection of Vulnerable Adults. Staff spoken to were aware of the procedure to follow if they suspect or witness that people are not being treated properly. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 14 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): 19,20,21,23,24,25,26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area close to the town centre of Elland and with easy access to the centre of Halifax. All areas of the home were seen to be clean and hygienic throughout and furnished and fitted to a good standard. Visiting relatives spoken to during the inspection confirmed that the standard of cleanliness is consistently high. People said in their surveys that the home is always fresh and clean. One relative made the following additional comment: “The home is kept clean to an always high standard with no offensive smells”. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 15 Individual bedrooms were seen to be well furnished and equipped and the majority were highly personalised reflecting their occupants’ interests and tastes. People said that they were satisfied with the facilities provided. All of the bedrooms have a lockable facility provided, however, the bedroom doors are not fitted with locks to make sure that people’s possessions are kept securely. Communal areas are spacious and comfortable with a range of quiet sitting areas provided. Safe and accessible outdoor seating areas are available and during the visit people were enjoying sitting out in the sunshine. One relative commented in their survey that they felt the décor and furnishings would benefit from updating. Infection control systems are in place with protective aprons and gloves freely available. The laundry facilities comply with regulations and are well equipped. The laundry floor is now finished with an impermeable surface for easy cleaning. Sufficient and appropriate washing, bathing and toilet facilities are provided. The bathrooms, although well equipped, are rather stark in appearance and would benefit from re-decoration. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are enough staff on duty at all times to meet the needs of the people living at the home. Staff rotas seen indicate that there are three care staff, plus the manager, on duty during the day. During the night there are two waking night staff. Staff said they felt that the staffing levels were sufficient with enough time to perform their tasks and chat to people. Staff were able to demonstrate awareness of people’s needs. They were seen to be providing support in a sensitive manner, and promoting the privacy and dignity of the people living in the home. They said that they work together as a team and that staff morale was high. People said that they were satisfied with the care given by the staff team. One person said “I can’t grumble at the staff they are very nice”, another person said “they are a nice set of girls, they treat you well”. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 17 People made the following comments in their surveys about the staff: “The care staff are looking after my mother’s every need, she rates them very highly”. “The staff give excellent quality care”. “Staff are very friendly towards the service users and do have a good rapport with them. The general care of the service users is very good and they are well looked after”. There is a commitment to training in the home. The manager is very proactive at identifying staff training needs and sourcing training to meet those needs. There is a programme of National Vocational Training (NVQ) in the home and all members of staff are currently undertaking the level 2 award. Over 50 of the staff are due to complete the award by the end of the month and meet the standard of 50 of the care staff being qualified to NVQ level 2 or equivalent. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 18 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): 31,32,33,35,36,38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and run in the best interests of the people who live there. EVIDENCE: The acting manager of the home was able to demonstrate that she is competent to run the home. She has not started the National Vocational Qualification level 4 in management and care. To make sure that the home continues to be managed effectively the course must be started as soon as possible. An application has not yet been made to the Commission for Social Care Inspection for the manager to be registered and an application must be made Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 19 as soon as possible to make sure the home complies with the Care Homes Regulations. There are clear policies and procedures for handling finances which means that people’s personal finances are held safely. A formal quality assurance system is in place. The last survey showed high satisfaction with the services provided in the home. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place which ensure the health and safety of the people living at the home is protected. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 20 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 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x 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 3 3 3 3 x 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 x X 3 Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP31 Regulation 9 Requirement To ensure effective management of the home the acting manager must register for and undertake the National Vocational Qualification level 4 in management and care. The acting manager of the home must submit an application to the Commission for Social Care Inspection be registered as manager of the home. This remains an outstanding requirement from the last inspection. Timescale of 30/10/06 not met. Timescale for action 30/10/07 2. OP31 9 30/09/07 Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 22 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. Refer to Standard OP26 OP21 OP28 Good Practice Recommendations Locks should be fitted to bedroom doors to make sure that people’s personal possessions are kept safely. Consideration should be given to re-decorating the bathrooms to make them more warm and welcoming. 50 of the care staff should be qualified to NVQ level 2 to make sure that care is given in a consistent manner. Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. Extracts may not be used or reproduced without the express permission of CSCI Eagle Care Home DS0000059046.V342722.R01.S.doc Version 5.2 Page 24 - 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. 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