Inspection on 16/11/06 for Eastbourne Care Home

This inspection was carried out on 16th November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Eastbourne Care Home 02/02/09

Eastbourne Care Home 28/11/05

Eastbourne Care Home 08/06/05

Eastbourne Care Home 14/03/05

Eastbourne Care Home 08/09/04

Eastbourne Care Home 09/03/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastbourne Care Home 5 Cobden Street Darlington Durham DL1 4JF Lead Inspector Bridgit Stockton Unannounced Inspection 16th November 2006 11:30 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 Eastbourne Care Home DS0000000713.V316385.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. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbourne Care Home Address 5 Cobden Street Darlington Durham DL1 4JF 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) 01325 384646 01325 354375 www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (15) of places Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical Disability: Physical disability (up to a maximum of 15 persons). Persons with a physical disability, aged 50 years and over, may be accommodated, commensurate with the home`s Statement of Purpose. Named Individual: The home may accommodate a named individual as set out in a letter to the registered person dated 21.06.05 which establishes the basis on which the individual`s needs will be met by the home. Where necessary the homes statement of purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else other than the named individual who fall outside the registered category. 28th November 2005 2. Date of last inspection Brief Description of the Service: Eastbourne Care home is a purpose built home located in a residential area in the east end of Darlington. It is within easy reach of the of the town centre via local public transport services. The home provides care for older persons offering 24 hr general nursing care, including physical disability and terminal illness for those service users who require this level of care. Residential care and respite care referred from the NHS is also offered within the home. The home offers single room accommodation with communal sitting/dining areas. There is a varied and active social and recreational programme available for those who wish to participate. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 4 hours on 28th November 2005. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with staff and the home’s management team; and to look at records. The manager supplied some information on a pre inspection questionnaire. Service users and relatives returned surveys to the Commission for Social Care Inspection (CSCI.) Some of this information has been used in the report. The inspection focussed on key standard outcomes for service users. What the service does well: What has improved since the last inspection? What they could do better: The home should continue to build on the good service it offers to service users. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 6 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. Eastbourne Care Home DS0000000713.V316385.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 Eastbourne Care Home DS0000000713.V316385.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): 1,3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contained all of the information that is required to enable people to make an informed choice about where to live. Evidence was seen in service users files that a contract had been signed by service users or their representatives. The contracts were detailed and included a breakdown of the fees and who was responsible for paying them Some service users are admitted from hospital for intermediate care. This service is provided for up to six weeks, while therapy, support and assessments are undertaken to enable the person to return home. The bedrooms used for intermediate care are located in a designated part of the Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 9 home. One of the service users spoken to during this inspection had just been admitted on the intermediate care scheme, and was full of praise for the home and the staff. She said ‘the staff are extremely caring, this is a brilliant service I know with their help I will be able to make it home’ Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that health care needs of the service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting service user’s needs. Staff were updating and recording in the daily evaluation sheet on a regular basis and the plans were reviewed and updated. . A comprehensive risk assessment is included with the care plan, which considers the care needs of service users balanced against their desire for independence and personal choice. During the inspection several doctors visited the home, and care plans indicated that residents had access to other health care professionals such as district nurses, opticians and chiropodists. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 11 From observation staff were treating service users with dignity, care was given discreetly and sensitively in order to maintain service users privacy. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Flexible visiting arrangements allow the residents to maintain good and regular contact with family and friends. Residents living at the home are supported to have choice and control over how they choose to live EVIDENCE: Service users confirmed that they could have as many visitors as they like and at any time they chose. People spoken to follow their own hobbies and participate in activities according to their wishes. There was a selection of library books available, and games such as skittles, bingo and board games were also available. The activities coordinator confirmed that residents liked participating in group activities, however some of her time was also set aside for individual sessions between her and some of the residents. Service users really enjoyed and appreciated the activities provided for them. One service user said ‘there is always something going on, even if you don’t join in, it’s okay to watch’. The lunchtime meal was being served during the inspection, it looked nice and service users were enjoying a relaxed lunch .One service user said the food Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 13 was ‘champion’. Another said the cooking was good and the food was ‘traditional like what you would cook at home’. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents concerns are dealt with and their interests are safeguarded. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirm they were aware of these. Staffs knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The staff team were clear and confident in the protection of vulnerable adult procedures. Eastbourne Care Home DS0000000713.V316385.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was clean, comfortable and well-maintained providing service users with a safe and pleasant environment. EVIDENCE: Individual bedrooms and communal areas were suitably furnished and decorated in a style liked by people living there. Residents spoken to said they liked being able to bring into the home small items of furniture along with pictures and photographs to make there own rooms more pleasant and feel more like home. The communal areas of the home were clean and residents confirmed that their bedrooms were also cleaned to a good standard. A visitor commented that the home was always nice and clean but some times the corridors were a ‘ bit cluttered’ with trolleys and equipment. Eastbourne Care Home DS0000000713.V316385.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The recruitment and training of staff is very good which contributes to the ongoing safety of service users. EVIDENCE: The duty rota supplied with the pre inspection questionnaire evidenced that sufficient staff are on duty and deployed appropriately in order to meet residents needs. Residents said that staff were around when they needed them, and if they rang the buzzer it was answered promptly. There is a commitment at the home to having a trained workforce and a variety of training courses are available to all staff. Staff said they found the training helpful in improving their day-to-day practice. The home had staff files in place which provided evidence that the appointment of a new staff member is made through proper recruitment processes. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 17 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): 31,33,35,&38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the home is well managed. Systems and safeguards are in place to ensure the health, safety and welfare of service users and staff is protected. EVIDENCE: There was an open, friendly culture between the management team and the staff at the home, and staff said they felt very well supported in their work. There was evidence is staff files that regular supervision of staff takes place and that staff are appraised. Service users said that the manager was very approachable and they would go to him if they had any concerns. Currently the manager is not registered with the commission. An application needs to be submitted so this matter can be dealt with. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 18 Some service users personal allowances are held at the home. Financial policy and procedures are in place to ensure that all transactions can be accounted for. Receipts are retained and signatures obtained for any financial transaction regarding service users money. There is a company policy in place to gain views of the users of the service. A report of which is fed back to the manager of the home, via the area manager who conducts regular quality assurance visits to the home. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. There are no outstanding issues from environmental health inspections or the fire and rescue services. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 3 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 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 3 3 X 3 X X 3 Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP31 Good Practice Recommendations It is recommended that the manager of the home submits an application to the Commission for Social Care and Inspection, to become the registered manager. Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Eastbourne Care Home DS0000000713.V316385.R01.S.doc Version 5.2 Page 22 - 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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