This inspection was carried out on 28th November 2005.
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.
CARE HOMES FOR OLDER PEOPLE
Eastbourne Care Home 5 Cobden Street Darlington Durham DL1 4JF Lead Inspector
Mrs Bridgit Stockton Unannounced Inspection 28th November 2005 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.V251887.R01.S.doc Version 5.0 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.V251887.R01.S.doc Version 5.0 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 Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Mrs Jay Friel Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (4), Terminally ill (4) of places Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Physical Disability Physical disability (up to a maximum of 4 persons). Persons with a physical disability, aged 55 years and over, may be accommodated, commensurate with the home`s Statement of Purpose. 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. 2. Date of last inspection Brief Description of the Service: Eastbourne Care home is a purpose built home located in 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 for up to 6 people 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.V251887.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 3 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. What the service does well: What has improved since the last inspection? What they could do better:
Extensive work is being undertaken regarding the fabric of the building because of this there was only one assisted bathing facility available for all of the service users accommodated at the home. All of the communal areas were being used to store furniture or equipment, This made the communal lounges in the home look untidy and not a pleasant environment for service users to sit and relax in. The acting manager advised that this was a temporary measure and plans were in place for more appropriate storage facilities once the work was completed. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 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. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 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.V251887.R01.S.doc Version 5.0 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): 3&6 Assessments of new residents takes place prior to them moving into the care home. This is to ensure that individual care needs can be met within the service. EVIDENCE: The assessment documentation and recording of a new residents was good and in sufficient detail so as to make it possible for the care needs to be identified and from which a comprehensive care plan can be developed. The staff spoken to explained how they were able to meet the needs of the residents and spoke with individual knowledge of particular residents. Currently there is work ongoing in the home which will allow for service users to be admitted who require intermediate care. A team of health care professionals, such as a physiotherapist and an occupational therapist will provide intensive rehabilitation and assessment enabling some service users to return to there own home. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 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): 7,8,10 Good 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 a service user’s needs. The care plans of four residents were inspected they were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. Risk assessments on the use of bed rails, moving and handling of service users had been reviewed at least monthly. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse and physiotherapist.
Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 10 The residents spoken to felt that the staff “were wonderful” and that their particular needs and wishes were addressed in a kind and professional manner. Residents confirmed that their privacy is maintained and respected by staff. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 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): None of these outcomes were assessed on this occasion EVIDENCE: Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 12 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): None of these outcomes were assessed on this occasion EVIDENCE: Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 13 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): None of these outcomes were assessed on this occasion EVIDENCE: Due to the refurbishment and alterations taking place at the home during the inspection the environmental standards will be assessed at the next inspection. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 14 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 &30 The recruitment and training of staff is satisfactory which contributes to the ongoing safety of service users. EVIDENCE: Residents said that they never felt hurried by staff and that staff were always available to assist them. The duty rota evidenced that sufficient staff are on duty and deployed appropriately in order to meet residents needs. The home had staff files in place, which indicated 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. There is a commitment at the home to having a trained workforce and a variety of training courses are available to all staff. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 15 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 The home does not currently have a registered manager in place. The acting manager is providing good support and guidance to staff. EVIDENCE: The acting manager has submitted an application to the Commission for Social Care and Inspection to become the registered manager. Currently he is supporting service users and staff through a busy period of change in the home. One Service users said, “It a good bunch of folks who work here, they really look after us, he runs a tight ship” Staff said they felt well supported by the management team at the home. Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 16 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X 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 3 X 3 X X X X X Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 17 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. Refer to Standard Good Practice Recommendations Eastbourne Care Home DS0000000713.V251887.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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