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Inspection on 17/12/08 for Eagle House Nursing Home

Also see our care home review for Eagle House Nursing Home for more information

This inspection was carried out on 17th December 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

People felt the home provided individualised care when staff time allowed. Care plans were detailed and contained personal preferences and individual solutions. There were good links to other services such as health care, and people did feel that they received good care. People liked the staff and felt that they could talk to them with any concerns, and that staff would always try to help them. People also liked their rooms, the home cooked meals, and the activities and social events.

What has improved since the last inspection?

The service has met all four requirements from the previous inspection. This means that the providers representative visits at least monthly and writes a report about their findings. The manager has obtained a relevant management qualification, and more than 50% of staff are trained to NVQ or above. There are now lockable facilities in each bedroom and damaged furniture and carpets have been replaced.

What the care home could do better:

There are no requirements following this visit. Some recommendations have been made that could improve the quality of service for people living at the home, including more details to the care records, more attention to detail of how people are presented, more activities for those that would like them, attention to the slight mal odours in the dining room and ground floor corridor, and complete recruitment to improve staff numbers.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eagle House Nursing Home 43 Stalker Lees Road Sheffield South Yorkshire S11 8NP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephanie Kenning     Date: 1 7 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Eagle House Nursing Home 43 Stalker Lees Road Sheffield South Yorkshire S11 8NP 01142687001 01142685288 townendc@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Anchor Trust Name of registered manager (if applicable) Carole Elaine Townend Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: 16 beds are in the category PC, personal care only and are located in the bungalows. 25 beds are registered for nursing or personal care and are in one building. All 41 beds are for use by persons who are 55 years and over. Any of the 41 could be used alternatively in the category MD/E, Mental Disorder for persons 65 years and over. Date of last inspection Brief description of the care home Eagle house is a registered care home providing care for 41 service users over 55 years of age with a mental disorder. The home is situated in a relatively quiet area within easy reach of the lively social and shopping area of Ecclesall Road. It is also near a major bus route to the city centre. The home has been registered to provide nursing care for 25 service users and personal care for 16 service users. There is a pleasant garden at the rear of the building. Copies of the last Commission For Social care inspection report were available for Care Homes for Older People Page 4 of 25 care home 41 Over 65 0 41 Brief description of the care home service users and their families to read. The weekly fees are £421 to £694 per week. This information was provided on the 17th December 2008. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection carried out by Stephanie Kenning, Regulation Inspector. The site visit took place on 17th December 2008 between the hours of 8:45 am and 14:45 pm. The acting manager Maggie Eyre was not present during the visit, but nurse in charge, Louise, and other staff present were very helpful. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. A selection of questionnaires were sent out to service users and to visiting health Care Homes for Older People Page 6 of 25 professionals and eight were returned. Comments and feedback from these have been included in the report. On the day of the site visit opportunity was taken to make a tour of the premises, inspect a sample of care records, check records relating to the running of the home and check some of the policies and procedures. Time was spent observing and interacting with people living and working at the home and speaking with visitors. We inspected all the key standards and some additional standards. We have reviewed our practice when making requirements, to ensure national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this reports recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. The Inspector wishes to thank the people at the home for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed and assured that their needs can be met before they move in to the home. Intermediate Care is not provided at this home. Evidence: We wanted to understand peoples experiences when they decide whether to choose this care home, and what it is like for people if they did decide to move there. We spoke to ten people living in the large unit and five people in the bungalows, six members of staff, and two visiting health professionals. We also used feedback from questionnaires returned to us, and looked at the information the home gives to people and assess whether they can meet peoples needs. People are not admitted to the home without assurance that they can be supported. This is done following a pre-admission assessment by a nurse at the home, and involving the person and any relevant supporters. This information is used to Care Homes for Older People Page 10 of 25 Evidence: determine whether the home can meet their needs, and is added to following admission when staff find out as much as they can about the individual in order to plan their care thoroughly. Information for people considering moving in to the home was available and displayed in the entrance. This has been supplemented by some in pictorial format helping to explain what is available. Other formats are available through the Anchor Trust. People considering living at the home are encouraged to visit before making a decision, and to stay for a meal. People generally said that they came to live at the home for health reasons and that they were getting good support for those needs. One person said, I think it is very homely here and I feel so wanted by the staff. Another person said, I did the right thing coming here, Im happy here. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have their health and personal care needs met and receive medication safely. Evidence: We wanted to understand how people had their health and personal care needs met. We spoke to people in the home, observed practices in communal areas such as at mealtimes, and looked at records and medication systems. People were generally very happy with the care and support they received. One person said, the staff here always treat me well, they are top class. Another said, You can speak to any of the staff. They understand us and are compassionate and caring. Staff were observed to be respectful and kind to people, and were keen to uphold their rights and choices. Some people living in the home were not well presented, with crumpled, stained or ill fitting clothes early in the day. Staff members did eventually support people to improve this, but were very busy at times. One person living in the home confirmed that the staff were very busy at times, and said that she sometimes Care Homes for Older People Page 12 of 25 Evidence: had to wait when she wanted attention. People living at the home received Medication via safe procedures. The storage and administration of medicines was managed well, with clear records and staff trained appropriately. Health needs were considered and records showed that people attended other health care professionals. During the visit a General Practicioner visited the service to see a number of people, and the dementia visiting service were supporting an individual at the home. The support plans for people were varied in the amount of detail and appropriateness. Generally people using the service are involved in their creation and updating. Some elements were excellent such as a social history recorded for one person, showing that the staff take time to find out about the people in their care. The care plan actions were very detailed and personalised, so that people would get the right input for them. Some of the progress records did not always accurately reflect how that person was, for example, someone was recorded as having a settled mood, but this did not accurately describe what that persons behavior had been during the day. Some further development of the social and leisure recordings would also be useful in evaluating peoples care. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have some individual activities within their lifestyle and enjoy the meals provided. Evidence: We wanted to understand peoples daily experiences and opportunities for personal development and leisure. We observed routines and the activities taking place and spoke to some people living in the home, staff and visiting health professionals. We looked at the records of activities, routines and meals. The people living in the home enjoyed the activities provided and spoke of the parties and other social events. Some people enjoyed dominoes, reminiscence, reading or listening to music. However, although they liked the activities there was a general concensus that there was not enough going on. One person said, people need more fun and more laughter in their lives. Another said, Ive sat here all morning and all Ive done is watch tv and have drinks. Staff were interacting with people, and spending time with them, but were very busy at some parts of the day, and especially during the morning. During the afternoon some people attended a retirement party, and spoke of the good social events provided. Care Homes for Older People Page 14 of 25 Evidence: People living at the home enjoyed the meals and spoke very positively about them. There were choices at each meal and the menus showed a good variety of foods, with home cooked dishes and some healthy options. Specific requirements and preferences were recorded and catered for so that people could enjoy the meals, including cultural and religious needs. Some complaints on file referred to meals and meal choices, but these seem to have been addressed. The chef had done well by reaching the regional final of the Anchor Cook of the Year competition. Environmental Health had awarded them an excellent 5 star grading on the last inspection visit. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are protected by the policies and procedures in place. Evidence: We wanted to understand how people were protected from abuse or neglect and how the service responds to complaints. We looked at records, policies and procedures and spoke to people living and working in the home. Written procedures for making complaints and dealing with vulnerable people were available and displayed within the home. There had been a number of complaints since the last inspection and these appeared to have been dealt with well. There had also been two referrals to the safeguarding team that were still being investigated, showing that the staff at the home were diligent at identifying potential problems and using the correct procedures. All staff have had safeguarding training or training in adult protection. People living in the home felt safe and able to talk to staff about their concerns. One person said, you can speak to any of the staff, they understand us and are compassionate and caring. People also felt able to approach the managers of the home with any concerns. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is safe, comfortable and meets their needs. Evidence: We wanted to understand what it was like to live in the premises and whether they were appropriate for the lifestyles of the individuals living there. We were shown around the main part of the building including the rooms of some people who were willing to show them. We looked around one of the bungalows. We looked at records of routine checks and maintenance. People living in the home seemed to like their rooms and the homes facilities. People living in the bungalows were more independent and therefore were able to move between facilities better. The bungalows felt much more homely and comfortable, probably because they are smaller and like an ordinary house. People in the main part of the home did like their rooms and some people enjoyed spending a lot of time in them. Most people had personalised them with pictures and other personal items. There have been some improvements to the building such as a snoezelem and a summer house for the use of people in the home. These will provide quiet areas to spend time away from the busy and sometimes noisy main building. Other improvements have been new bedroom furniture including lockable facilities for people Care Homes for Older People Page 17 of 25 Evidence: to keep personal or valuable items, bedrooms have also been redecorated and have new carpets. Some redecoration of communal areas with new chairs and a new three piece suite help to improve the facilities. The buildings were clean and generally well maintained. Some slight mal-odours were present, on the ground floor and in the dining area, throughout the visit, despite the attempts of staff to freshen the home, and may require a more permanent solution for the comfort of people in the home. Some damage to the decor of doors and door frames has been caused by wheelchairs and needs to be repaired. Within the bathrooms were items of equipment and toiletries that should be stored in individual rooms or out of sight for the dignity of people in the home. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff who are recruited to thorough procedures and trained well, to protect and develop individuals. Evidence: We wanted to understand how staff were recruited and trained to ensure that they could carry out their jobs well. We talked to people living at the home, visitors and staff to find their views. We checked the recruitment files and the training records to see if procedures had been followed. We looked at the questionnaires returned and noted the comments they made. People living at the home and the visitors were very positive about the staff and the way they were treated by the staff. One visiting professional said that they liaised well with other agencies, which improved the lives of people at the home. Sometimes people living in the home felt that they had to wait for help and support , because the staff were so busy. The staff rota showed that some shifts were not covered due to staff vacancies, and the manager was in the process of recruiting to a number of posts. Recruitment files show that the procedures are followed and the company require references and checks to protect the people at the home. All staff have attended a number of training sessions including induction, health and safety and adult protection. Over 50 now have NVQ 2 or above with a further 20 commencing this Care Homes for Older People Page 19 of 25 Evidence: training, therefore meeting the required standard. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the people are protected by the systems put in place by management. Evidence: We wanted to understand how the home was managed and ensuring the quality of service for the people living there. We talked to people in the home, visitors and staff. We looked at some records and questionnaires from people about the home. The acting manager of the home is Maggie Eyre, who has a background in nursing as well as many qualifications in management. She has been at the home a number of years and was the deputy manager before being acting manager. She was said to be professional and approachable, and was well liked. Records show that the quality of the service is monitored by the manager and more senior managers. There are meetings for people living and working in the home so that their views are heard. Staff are supervised individually so that they have an opportunity to discuss the things Care Homes for Older People Page 21 of 25 Evidence: important to them. Peoples finances are managed either by families or the Financial Services Authority. The Responsible Individuals representative visits the home at least monthly and provides a report of the visit as required. The health and safety of people living at the home and the staff supporting them is promoted by having systems in place that check things are working, and by training staff in safe working practices. Records are kept that show these are being done. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Improve the recording of what people have been doing on a daily basis, including their behaviors and social and leisure activities. Review how people are presented so that they are more dignified. Consider improving the amount of activities for those who would like more. Provide a solution to the slight mal-odours present on the ground floor and dining room. Complete the recruitment to vacant posts so that there are sufficient staff to run and develop the service. 2 3 4 5 10 12 26 27 Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!