Inspection on 08/06/05 for Eastbourne Care Home

This inspection was carried out on 8th June 2005.

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

Eastbourne Care Home 02/02/09

Eastbourne Care Home 16/11/06

Eastbourne Care Home 28/11/05

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, County Durham, DL1 4JF Lead Inspector Sue Lowther Unannounced 8 June 2005 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 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 B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eastbourne Care Home Address 5 Cobden Street, Darlington, County Durham, DL1 4JF 01325 384646 01325 354375 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), of places Physical disability (4), Terminally ill (4) Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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 ndividual`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. Date of last inspection 14 March 2005 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 B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 9th June 2005 over a period of 6 hours. During the inspection some of the time was spent talking to the residents, staff and relatives. A selection of comment cards were given to service users with pre-paid envelopes provided. A tour of the building was also undertaken and a number of care plans were examined. Time was spent observing the care provided to residents in the home. What the service does well: What has improved since the last inspection? There was a redecoration programme in progress at the time of the inspection. Those areas that had been completed were found to be bright and cheerful. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 6 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. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 standard(s) 2,3,4&5 Sufficient information is given to prospective service users within the Statement of Purpose and Service User Guide to help them make an informed decision about moving into Devonshire House Care Home. Appropriate assessment procedures are in place. EVIDENCE: Copies of the Statement of Purpose and Service User Guide were available within the reception area of Eastbourne, along with copies of the home’s most recent inspection reports. There is still no statement of terms and conditions available to service users. The company are aware that this issue has been outstanding for some considerable time. Discussion with the manager indicated that all service users will be assessed before admission, to ensure that Eastbourne is able to meet their needs and that relatives and people who may wish to move into the home can visit prior to making that decision. Individual records are kept for each service user and those inspected contained care management assessment and an assessment carried out by the home. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 9 Examination of an assessment of a person who had recently been admitted to the home, confirmed that comprehensive assessments are undertaken and it was confirmed that he had been invited to visit the home prior to admission. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 &11 The care planning system is inconsistent, with some not providing the information that staff would need to satisfactorily meet the needs of service users. EVIDENCE: 6 care plans were reviewed during the course of the inspection process. 4 were found to be very comprehensive containing all of the information that would be required to meet the needs of the service users. However the other 2 did not contain plans to meet all of the needs identified in the assessment and had not been reviewed and evaluated on a regular basis. Where appropriate, plans contained some evidence of input from other health care professionals. Several staff have undertaken specialist training in the area palliative care. Company policies are available for staff to consult and specialist services are utilised when required. No concerns were raised during interviews with service users, staff or visitors and no adverse observations were made during the inspection process. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 &15 Service users are encouraged and assisted to make a choice about their care and how they wish to spend their day. Meals are nutritious and balanced, offering a varied diet for residents. EVIDENCE: There is a policy in place to assist service users so that they know where their records are kept and how they can access them. Discussion with the acting manager, staff, service users in addition to observation during the inspection process confirmed that there is a varied programme of activities organised by an extremely enthusiastic activities coordinator. A number of people living in the home and their relatives were spoken to throughout the inspection process and all confirmed that the food is excellent, with a varied choice offered. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 standard(s) 16 The home has a satisfactory complaints procedure in place, and some relatives confirmed that they are aware of the procedure to follow. EVIDENCE: A complaints policy and procedure is in place and can be viewed within the home. There has been one complaint over the last 12 months, which unfortunately could not be resolved to the satisfaction of the complainant. However there was evidence to confirm that several aspects within the home had been reviewed as a result of the issues raised. One relative confirmed that she was aware of the procedure and would feel confident and comfortable in approaching the acting manager should she have any concerns. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 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 standard(s) 19,20,25 &26 Eastbourne was purpose built and therefore meets the needs of the people who live there. Recent redecoration has improved the environment for the people who live there. EVIDENCE: The home was purpose built and meets the room sizes as stated in the National Minimum Standards. During the tour of the building and whilst talking to people in their bedrooms, the inspector saw that service users could bring in their own furniture and belongings should they wish to do so. There was a range of specialist equipment seen around the home and bathrooms were noted to be appropriately equipped. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 14 During the tour of the building, the inspector found the building to be part way through a redecoration programme and therefore some sitting areas were being used for storage. The acting manager advised that this was a temporary measure and plans were in place for more appropriate storage facilities. There were no offensive odours apparent. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection EVIDENCE: Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35 &38 The home does not currently have a registered manager in place. The acting manager is providing support and guidance to staff. EVIDENCE: The company have now written to service users advising them of the pooled banking arrangements currently operating within the home. Staff confirmed during discussion that staff supervision has now commenced and that the acting manager is providing support and guidance. Examination of records confirmed this. The acting manager was able to demonstrate that as far as possible the health and safety of the residents, staff and visitor’s to the home is maintained. He confirmed that thermostatic mixing valves had now been fitted to all relevant areas as required following the last inspection. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 17 Health and safety records inspected were up to date and the appropriate staff training had been carried out. Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 1 x x x 3 x x 3 Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 19 YES Are there any outstanding requirements from the last inspection? 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 OP 2 Regulation 5& Schedule 4 Requirement The home must ensure that each service user is provided with a statement of terms and conditions at the point of moving into the home (or a contract if purchasing their care privately). Comprehensive assessments must be undertaken upon admission and care plans formulated for all service users. These must be reviewed on a regular basis (at least monthly). The Registered Person must make appropriate arrangements to support the acting manager’s application to the commission. Timescale for action 31/08/05 2. OP 4, 7 & 8 14(1)(b), 15(1)&(2) 17 & Schedule 2 8&9 31/08/05 3. OP31 31/08/05 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 Good Practice Recommendations Eastbourne Care Home B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 © 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 B54 S713 Eastbourne V233562 080605 Stage 4.doc Version 1.40 Page 21 - 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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