Inspection on 12/07/06 for Eagle View Care Home Ltd

This inspection was carried out on 12th July 2006.

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 View Care Home Ltd 11/06/07

Eagle View Care Home Ltd 08/12/05

Eagle View Care Home Ltd 13/05/05

Eagle View Care Home Ltd 04/10/04

Eagle View Care Home Ltd 05/05/04

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 View Care Home Ltd Phoenix Drive Scarborough North Yorkshire YO12 4AZ Lead Inspector Pauline O`Rourke Key Unannounced Inspection 12th July 2006 09:10 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 View Care Home Ltd DS0000046580.V303993.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 View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eagle View Care Home Ltd Address Phoenix Drive Scarborough North Yorkshire YO12 4AZ 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) 01723 366236 01723 369050 Eagle View Care Home Ltd *** Post Vacant *** Care Home 40 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (9) of places Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th December 2005 Brief Description of the Service: Eagle View is a care home providing personal care and accommodation for 31 older people who have a dementia, and 9 older people. Executive Care Management Limited owns the home. The home was purpose built in November 2003. It is situated on the outskirts of Scarborough. The accommodation is provided on three floors. All bedrooms provide ensuite facilities, and there is a passenger lift to each floor. The home has access to grounds. Due to the position of the building, some of the garden area is not suitably accessible. However, there are two areas of outdoor seating to a patio area. The fees for Eagle View range from £336 to £450, the amount charged is dependent on an assessment of need. This amount does not cover toiletries, chiropody, hairdressing or daily newspapers. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was carried over 6 hours as part of an annual inspection cycle. In preparation of this visit a pre-inspection questionnaire was sent to the home. 15 service user questionnaires were sent out along with 34 questionnaires for relatives as well as questionnaires for professionals. 22 service user representatives contacted responded to the questionnaires, along with one service user. No response was received from the associated professionals. The inspector looked at all parts of the building, and a number of records were inspected. 10 service users were spoken with and the inspector spent time observing interactions between service user and staff., five of the staff on duty and 1 visitor were spoken with. What the service does well: What has improved since the last inspection? Since the last inspection the information in the care plans is more detailed and allows the staff a full picture of the service users they are caring for. Activities take place during the day and staff keep a record of what activity they provided. This now allows staff to see which service user likes which activity and will prevent too much repetition. The keeping of a record of service users personal information in one book has now stopped. The staff have received training in Adult Protection issues, and those staff spoken with had a better understanding of their responsibilities. Staff now have regular fire training. New staff have a proper induction period and receive appropriate training. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 6 The bathrooms used by the service users are now kept warm before and during use. 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 View Care Home Ltd DS0000046580.V303993.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 View Care Home Ltd DS0000046580.V303993.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The service users can be assured their needs will be met. They have a contract of residence. EVIDENCE: 5 service user files were examined. The manager who carries out a preadmission assessment visits prospective service users either at home or in hospital. The pre-admission assessments are carried out by the manager for all service users irrespective of whether there is a care manager involved. Admissions are not made to the home if the service users needs cannot be met. Prospective service users are encouraged to visit the home prior to making any decision and where this is not possible or practical the families are encouraged to visit. All service user are given a contract outlining the terms and conditions of their residence. Several service users spoken with confirmed they had seen the manager prior to their admission and their relatives had visited the home prior to their admission. Eagle View Care Home Ltd DS0000046580.V303993.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The service users needs are clearly identified and they can access health services when necessary. Staff treat all service users with respect. EVIDENCE: Each of the service user files seen contained a care plan. This was a comprehensive document covering the service users life history, a psychological, social, manual handling, nutritional and pressure care assessment. The plans were pertinent to the individual concerned containing other assessments and information about communication needs, continence and preferences as to the gender of carer preferred. Each part of the plan was reviewed on a monthly basis. The service user files also contained details of visits by other professionals. Where possible the service user and/or their relatives were involved in these reviews. The service user spoken with said that they could access their own GP on request and visits could take place at he surgery or in private in the home. The service users files contained details of when the GP or other health professionals visited. These included the district nurse, dentist, chiropodist, Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 10 optician, hearing specialists, and community psychiatric nurses. The files also contained details of service users dietary needs and they are all weighed monthly. If a problem is identified then specialist advice would be sought by the manager. There is a policy for the handling of medication. Staff who administer medication are seniors, and have all completed the ‘Learning Distance Course in the Safe Handling of Medication’. The storage facilities are appropriate and there is separate lockable cupboard for controlled drugs. The medication fridge is monitored on a daily basis and a record is kept. The medication round at lunchtime was observed and the member of staff administered the medication in a safe and appropriate manner. The records seen were up to date and accurate. Evidence was available in the service user files to show that the medication is reviewed annually or more regularly if necessary. There are no service users at this time who self-medicate. Throughout the site visit the staff were observed treating the service users with dignity and respect at all times. When spoken with the staff were clear on how and why everyone’s privacy should be respected. Training is provided around the issues of privacy and respect in the induction period of the staff. Service users spoken with said that their visitors could see them in private and any health professional visiting would use either the service users bedroom or the treatment room for a visit. Service users said that they are always in their own clothes and visitors also said that when they visited their relatives they were appropriately dressed in their own clothes. There are occasions where clothing gets mixed up but staff are aware of this and try to ensure that laundry is returned to the right room. Eagle View Care Home Ltd DS0000046580.V303993.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The service users are encouraged to retain their own routine and enjoy a varied diet EVIDENCE: The service user files contained details of how individual service users like organise their day. Several service users spoken with said that they could choose where to take meals, when to get up and where they sit during the day. The service users unable to verbalise their wishes were observed making choices and the staff were supportive of these choices. There is a religious service once a month and one service user receive communion on a weekly basis and other goes out to church with her family. There is one service user who is from a different culture and the home are exploring ways that they can relate to her culture. Service users have a choice as to the gender of the carers and those whose preference is a female carer their choice is recorded and respected. Activities are planned on a daily and weekly basis and during the week of the site visit and the week previously the home had access to a mini bus and they had been having daily trips. On the day of the site visit about 10 service users were visiting a local tea room. The service users left at the home did not appear to have any other activities organised although staff were spending time on a one-to- one basis. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 12 Relatives spoken with and information received from the questionnaires sent out indicates that there is open visiting and there are no restrictions as to how many people visit at anyone time. Several visitors said that they whilst it is difficult visiting their relatives especially when they have no memory of them the staff are very supportive when they visit. During the site visit people were coming and going all day very often visiting for 10 minutes. There is information about visiting in the Service User Guide. Where possible service users are encouraged to manage their own affairs, however, many of the service users in the home do not have the capacity to manage their own affairs. There is information around the building about local support groups and advocacy. Several service user rooms seen contained personal possessions and the manager said that they encouraged the service users to bring personal items as it helps them orientate to their new surroundings The home has weekly menu and there are choices available at each meal. Staff support the service users in making their own choice as to what they want either by asking before the meal or directly when they are sat at the table. Service users spoken with said that the food was good and they always had a choice. If they did not like either of the available choices then alternatives would be offered. The mealtime observed was not rushed and staff assisted as necessary the service users who required help. There was specialist cutlery available and service user were able to choose to use a spoon rather than a knife and fork. The menu is traditional in content although they are introducing more modern food such as lasagne. The cook only has diabetic specialist diets to cater for and they receive the same meals as everyone else but without the sugar. As part of the admissions process food likes and dislikes are identified along with any allergies. Eagle View Care Home Ltd DS0000046580.V303993.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. Service users are protected from possible abuse through the employment process and staff training in adult protection issues. Service users have confidence in the complaints process. EVIDENCE: A complaints procedure is in place and contains all the elements required by the Care Homes Regulations 2001. It is contained in the Statement of Purpose and Service User Guide and is displayed in the front entrance hall. Questionnaires received as part of the inspection process indicated that the majority of relatives were aware of the complaints process and several had made a complaint. The complaints are all dealt with within the timescales identified in the policy. A record is kept of complaints received and of the outcome. The service users spoken with said they would take any concerns or complaints they had to the manager or their key worker. There have been no complaints reported to the Commission since the last inspection. Staff spoken with were aware of their responsibilities in respect of reporting possible abuse although they were less clear about the Whistle Blowing policy and training in this area needs to be on a regular basis to ensure that staff are fully conversant about adult protection issues. The service users spoken with said that they would be confident in reporting any concerns about inappropriate behaviour of staff or visitors they have to their key worker or the manger. Policies are in place to ensure that staff do not have any responsibility for service users finances or personal affairs. All staff are subject Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 14 to a POVAFIRST and/or a Criminal Records Bureau disclosure before they commence their employment. See Recommendation No 1. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 15 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 and 26 This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The home is suitable for the needs of the service users and all areas can be accessed by the service users. It is generally clean and well maintained with the exception of the garden. EVIDENCE: All areas of the home are accessible to all the service users. The bedrooms are all single ensuite rooms and service user can have a door key if they want one providing a risk assessment has been carried out. There is a maintenance man who manages the small repairs and replaces light bulbs etc and the manager has contact details for specialist firms who may be needed to repair the lift or washing machines. The home meets the approval of the fire officer and of the environmental health officer. There were several communal areas that require cleaning the carpet in the lounge on floor 1, and the corridor area outside sitting room 2. The manager agreed that specialist equipment would be required to ensure these areas were cleaned properly. All other areas of the home were clean, well maintained and odour free. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 16 The laundry is situated on the lower ground floor and has two washers both with sluicing facilities. At the last inspection there was a problem with cold bathrooms but the service users spoken with confirmed that the bathrooms are warm now and the manager said that heating had been installed in them. One service user spoken with wondered why the home had been built without air conditioning as he has been having problems coping with excessive heat within the building. The manager has acquired some portable air-con units but these offer a minimal solution. The grounds around the home have been partially developed. There are only two areas that can be used by the service users as the grounds to the rear of the property have not been developed. The home is built on a steep incline and the garden would need stepping, levelling and securing before it could be used by the service users. The lack of outside space detracts from the overall use of the building. See Recommendation No 2. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 17 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): 27, 28, 29 and 30. This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The service users are cared for by staff that received regular training and support. EVIDENCE: The staffing levels at Eagle View are consistently at the level agreed during the registration process. The care staff are supported by seniors who in turn are supported by the manager. All the staff have either a Criminal Records Bureau disclosure or a POVAFIRST check whilst waiting for a Criminal Records Bureau disclosure. The six staff files seen contained a completed application form, two written references unless they were employed before the current manager was employed and training and development notes. Training is offered on a rolling programme by a separate part of the company that owns Eagle View. This training covers, health and safety issues, first aid, infection control, fire safety, and manual handling. Evidence was also available that dementia care training is also provided on a regular basis. There is also a rolling programme for National Vocational qualification level 2 in care and the senior carers are encouraged to complete the National Vocational qualification 3 and if possible level 4. The staff spoken with said that they received informal supervision and this was confirmed by the manager who is in the process of introducing formal supervision. The service users spoken with said that the staff always took time to help them. Several recognised the difficulty of caring for people with a dementia and said that the staff were patient and this was observed during the site visit. Eagle View Care Home Ltd DS0000046580.V303993.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35,and 38. This outcome group is judged as good. The judgement has been made using available evidence including a visit to this service. The administration and management of the home ensures that the health and safety of the service users and staff is protected. EVIDENCE: The manager ahs been in post now for a year and the Commission still have not received an application to register. She has previously been a registered manager at another home in the same organisation. She receives support from the area and service managers within the organisation. She had a good understanding of the issues around older people and the aging process. The staff said that she operates an open door policy and often helps staff with their daily tasks. The feedback received said the manager was approachable. The service users spoken with said that she always takes time with them if they want to speak to her and interactions observed during the site visit confirmed this. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 19 There is a quality assurance system in place. This consist of monthly visits as required by regulation 36 of the Care Homes Regulations 2001, a three monthly audit carried out by someone from head office. There are also staff and service user meetings as well as questionnaires that go out to stakeholders ever three months. This information is then used to plan the day-to-day programme as well as an annual programme of development. The minutes of the meetings were seen and covered areas such as activities, food and entertainment. The home manages the personal allowances for several service users in the home. The records and cash checked were accurate and up to date. Service users spoken with said that they were happy that they did not have to handle their personal monies. They were given the opportunity to manage their own money and have a lockable storage facility to store the money but they choose for the manger to look after it. Relatives spoken with worked with the manager in ensuring that their relatives had money that they needed for incidentals in the home. There is a health and safety policy in place and staff are encouraged to read it every year. The equipment in the home is serviced at the necessary intervals for each one. The lift is serviced every three months although there have been problems with the engine overheating and the lift breaking down. The company have now installed cooling equipment in the engine room and there have been no further problems with the lift at the time of the site visit. The fire alarm systems are serviced annually and the alarms are tested weekly every Wednesday. The staff have received training in manual handling, first aid, infection control, health and safety and fire awareness. This is arranged in-house and staff confirmed they had been on the training and if they missed it they were aware of when it was due again. All accidents are recorded and where necessary reported to the Commission. The records are used in the care planning process. See Statutory Requirement No 1. Eagle View Care Home Ltd DS0000046580.V303993.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 X 3 3 X X 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 2 X X X X X X 3 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 X 3 X 3 X X 3 Eagle View Care Home Ltd DS0000046580.V303993.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 8 Requirement The manager must make application to the Commission for Social Care Inspection to become the registered manager of the home. The previous timescale of 30.06.05 and 31/01/06 not met. Timescale for action 30/08/06 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 Refer to Standard OP18 OP19 Good Practice Recommendations Training in whistle blowing and the adult protection policy should be carried out at regular intervals to ensure staff remain aware of them. The company should look at ways of making the outdoor space to the rear of the property usable by service users. Eagle View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 View Care Home Ltd DS0000046580.V303993.R01.S.doc Version 5.2 Page 23 - 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. 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