Inspection on 05/01/06 for East View Residential Home

This inspection was carried out on 5th January 2006.

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

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

Other inspections for this house

East View Residential Home 22/08/07

East View Residential Home 23/08/06

East View Residential Home 27/09/05

East View Residential Home 14/07/04

East View Residential Home 03/11/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE East View Residential Home 406 London Road South Lowestoft Suffolk NR33 0BH Lead Inspector Alan Clare Unannounced Inspection 5th January 2006 10:00 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 East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service East View Residential Home Address 406 London Road South Lowestoft Suffolk NR33 0BH 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) 01502 565442 01502 565442 eastview@fsmail.net Mr Dennis Jarvis Mr Dennis Jarvis Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: East View Residential Home is a residential property in South Lowestoft. The current owner/manager took over the home in 1989 as a going concern. Since then it has had a number of extensions and environmental upgrading and is now registered to provide personal care for 14 older people. Six residents individual rooms are on the ground floor and the others are on the first floor. Rooms are either available with en-suite or a wash hand basin. The home provides 11 single bedrooms and 2 double bedrooms. There are two stair lifts to the first floor. There is a small garden around the property. There is parking available in the streets close to the home. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 11.50am. The owner and deputy manger and senior care staff were available to assist with the inspection throughout the visit. Whilst the inspector focused on the requirements and recommendations from the previous announced inspection, time was spent on a tour of the premises; a number of resident’s records were examined including those relating to their care and a selection of those relating to the home’s policies and procedures. All the residents were seen, four spoken to separately as well as two relatives who were visiting the home. A local authority social worker was spoken to by telephone. What the service does well: What has improved since the last inspection? The Homes statement of purpose and service users guide has been changed and a copy sent to CSCI. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 6 Information recording on aspects of residents health and well-being has been improved, especially weight and nutrition records. All but one resident have been registered with a local dentist who is willing to provide a domiciliary service to residents who are unable to visit. The manager informed the inspector that staff files now include photos and all staff have been issued with ID cards. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 8 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 East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5, Residents and prospective resident’s can expect that they will be provided with an updated statement of purpose and Service user guide. Residents and relatives can be assured that resident’s needs will be assessed and that they will be assured that the home can meet those needs. Perspective residents and relatives are invited to visit the home prior to deciding to move in. EVIDENCE: The Service Users Guide has now been updated since the last unannounced inspection. A relative visiting on the day of the visit informed the inspector “plenty of information about the home had been given to the family”. On the day of the visit the homes manager and deputy manager had an arranged appointment to meet a prospective resident and family in order to assess the person’s level of need. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 10 During the visit the inspector took time to speak with the relative of a prospective resident who told the inspector before viewing the premises that “ this home has been recommended to me on more than two or three occasions”. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 11 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): 8,9,10, Residents can expect that their health and social care needs are set out in an individual care plan. They cannot always be assured that care plans are always signed and dated and that all their needs are clearly stated at each review. Residents can expect that their medicines are stored and protected by the home’s medicines policy. They cannot be assured that the MAR recording for items of prescribed medicine used ‘as needed’ will be up to date or that the reason for heir not taking a medicine will always be recorded. Custody and storage in the possession of the home of ‘over the counter medicines’ are not recorded in MAR system or in care plans. Residents and their relatives can be assured that staff will uphold residents right to respect, dignity and privacy. EVIDENCE: Care plans were seen to be detailed and provided comprehensive information. However the monthly reviews of resident’s needs were seen not to be always dated and signed or on occasions identify the specific need of residents. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 12 Except for two exceptions resident’s MAR (Medication Administration Record) sheets were seen to be completed according to the home’s policy. Two MAR sheets did not record the reason for non-administration of medicines and the administration of one ‘as required’ medicine was not recorded at all. Over the counter medicines given at residents requests were stored in the medicine cupboard without any reference to their use in the MAR or care plans of the residents. Throughout the visit staff were seen to interact with individual residents and go about assisting them in a respectful and courteous manner. On resident was assisted to manage eating her lunch, another served lunch on a tray in her room, one resident was assisted privately in her room to get dressed and another was assisted to the bathroom. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 13 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): 12,13,15 Residents and relatives can expect that the home will offer opportunities, which match their lifestyle expectations and preferences. Relatives can be assured that the home will support residents in maintaining contacts as they wish. Residents and relatives can expect that the home will provide a wholesome and appetising meal in a calm and sociable setting. EVIDENCE: A number of residents spoken to told the inspector of the “ lovely time we had at Christmas”, “ we had two parties” and “ children came to visit us”. Three residents were seen moving about the home at will and tow chose to retire to their own rooms to watch television. One resident chooses to remain in their room all the time. During the visit the inspector was aware of four groups of relatives visiting. One relative told the inspector “the family feel very welcome”. “ We sometimes go to mother’s own room if we wish”. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 14 During a well cooked and presented lunch the inspector noted that those residents “ who take longer “ were allowed to do so. Residents commented on the plentiful portions and how they were looking forward to pudding of rhubarb pie and ice cream. “ We had so much to eat at Christmas, I could still be full” remarked one resident. Unfortunately it was a dull day and the dining room did not look as bright or pleasant as it might otherwise. Staff who “ have their meal with residents” where present in the dining room sat together on a separate table. One resident was seen to be assisted with lunch individually and in a sensitive manner. After the meal concluded those residents who required assistance with mobility were assisted in their own time by staff to return to their sitting room or bedrooms. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 15 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): 18 Residents and relatives can expect that the home has policies and procedures to protect them. However, they cannot always be assured that full checks are completed on non-employed staff at the home. EVIDENCE: A new Hairdresser who was recommended by another home has recently started at the home without a CRB disclosure being checked. Refer to Standard 29. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 16 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, 24,26 Residents can expect that they live in a home, which with some exceptions is generally well maintained. EVIDENCE: Toilet holders have not been repaired or replaced as previously required, tiles in the kitchen remain cracked and unrepaired and plastering in room 6 en-suite has not been attended to. One resident had previously declined to have a bed in their room. This resident in has now agreed for a bed to be provided in their room. Whilst the home have offered to “take them out to choose one” this has not yet happened. Cleaning has improved the offensive odour in one bedroom, which was identified to staff at the time of inspection. However further negotiation with the resident is needed for this progress to be maintained. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 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): 27,29,30 Residents and relatives can be assured that the numbers and skill mix of the staff will meet their needs and that staff are trained and competent to do their jobs. The home does not use agency or relief staff. Residents and their relatives can expect that the homes policy for recruitment of employees will protect them however, they cannot always be assured that non employed ‘staff’ will have had the necessary criminal records checks completed before being present in the home. EVIDENCE: On the day of the visit the inspector noted that number of staff on duty exceeded the minimal staffing ratios of the home. The home informed the inspector that one day each week a supernumerary member comes in to the home to carry out additional tasks such as sorting resident’s toiletries and tidying their drawers. Throughout the visit the staff group were seen to work as ‘a team’ each member acting in a confident and co coordinated manner. Training records were not seen, but the home informed the inspector that staff are undergoing NVQ training at level 2 and 3 and that the deputy manager is undertaking a course in management. The home has not completed CRB checks on the newly started hairdresser. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 18 East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 19 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): 31,38 Residents and relatives can expect that the home is managed by a person who is fit to be in charge and of good character. Residents and relatives can be assured that home promotes the health and safety of residents and staff with the exception of management of 3 fire doors, which residents prefer to remain, propped open. EVIDENCE: Throughout the visit residents commented very positively about the way the home was managed. Referring to the manager, one resident commented of the manager “he is a darling”, others referring to the staff said “ the girls are very good, they will do anything for you” and “ they have had to put up with me for many years with no complaints!” Staff spoken to indicated the open, friendly and supportive approach that the manager upholds in the home. “ He would be East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 20 available when you want him” and “ his own mother was cared for here, what more can you say?” Three fire doors were seen to be propped open. The registered manager informed the inspector that the fire officer had visited and given advice. A record of that advice was not available at inspection. The manager informed the inspector that the home has sought a costing for the installation of automatic door closures on each of the three doors. East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 2 East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 22 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 8 Regulation 17,1,a Requirement Care plans must contain all information relating to residents health and must be fully completed, signed and dated. Medication Administration Records must be fully completed and the reason for nonadministration recorded. The arrangement for residents own ‘over the counter’ medicines administered by the home must be authenticated in records. Timescale for action 31/01/06 2. 9 13,2 05/01/06 4 19 23,2,b Minor repairs must be carried out 31/01/06 to: toilet roll holders, tiles on kitchen floor, plaster around ensuite in room 6. This is a repeated requirement. Bedrooms must be provided with minimum furniture stated. This must include a bed suitable for the individual. This is a repeated requirement. Further negotiation must take place with the resident of one bedroom identified to staff to DS0000024378.V276670.R01.S.doc 4. 24 16,2,c 21/01/06 5. 26 13,2 31/01/06 East View Residential Home Version 5.1 Page 23 allow continued sufficient cleaning of the room to eliminate the offensive odour or replacement of the carpet. 6. 18 & 29 19 ,1,b,I, Sch2 23(4)(a) Ancillary ‘staff’ must not be 05/01/06 employed in the home without appropriate CRB disclosures being undertaken. All fire precautions must be 05/01/06 maintained. This includes not wedging open fire doors with pieces of wood. The registered manager must confirm in writing to CSCI the assessment of the Fire Officer together with the homes action plan on how it intends to meet with this standard. The home must have appropriate 05/01/06 facilities for communication by facsimile transmission. This is a repeated requirement. 7. 38 8. *RQN 16,2,a,i 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 7 9 15 Good Practice Recommendations Senior Care staff should fully complete the new care plan format chosen by the home. Resident’s wishes to take ‘over the counter’ medicines should be discussed with the responsible medical practitioner. It would enhance the dining experience for residents if the home ensured lighting in the dining room was switched on during periods of poor daylight. The homely ambience of staff eating with residents would be enhanced if staff did not sit collectively on a separate table. DS0000024378.V276670.R01.S.doc Version 5.1 Page 24 East View Residential Home East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 East View Residential Home DS0000024378.V276670.R01.S.doc Version 5.1 Page 26 - 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!