Inspection on 12/08/08 for Eastbury House

This inspection was carried out on 12th August 2008.

CSCI found this care home to be providing an Good service.

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

Eastbury House 30/07/07

Eastbury House 07/02/07

Eastbury House 31/07/06

Eastbury House 06/01/06

Eastbury House 14/09/05

Eastbury House 11/01/05

Eastbury House 01/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Eastbury House Long Street Sherborne Dorset DT9 3BZ Lead Inspector David Smith Key Unannounced Key Inspection 12th August 2008 09:40 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 Eastbury House DS0000048854.V366744.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. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbury House Address Long Street Sherborne Dorset DT9 3BZ 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) 01935 812132 01935 814164 eastburyhouse@btinternet.com Eastbury House (Sherborne) Ltd Miss Stacey Anne Witt Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 19. 30th July 2007 Date of last inspection Brief Description of the Service: Eastbury House is situated close to the centre of Sherborne within easy level walking distance of the town. The home is registered to provide care and accommodation to a maximum of 19 people over the age of 65 and offers long and short-term places. Mrs Appleyard is the previously registered owner of the home and the responsible individual on behalf of the limited company, Eastbury House (Sherborne) Ltd. Miss Stacey Witt manages the home. Parts of the building date back to the 17th century, in particular the hallway and main staircase, dining room and front lounge. These areas retain many of the original features such as oak wood panelling, stonework and leaded lights. Accommodation for residents is arranged over the ground and first floor of the home. Due to the age of the building and extensions to the house made many years ago there are a number of internal stairs and steps and changes of level, therefore some parts of the accommodation cannot be easily accessed by people who experience severe mobility problems. Stair-lifts are fitted to the back staircases to provide access to bedrooms situated on the first floor. Nine bedrooms are situated on the ground floor: two bed-sitting rooms are in a building close to, but separate from the main house. In addition to personal care and support the services provided include all meals, laundering and housekeeping. The home has mature private gardens where residents can sit and relax in the warmer weather. There is a small Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 5 parking area to the side of the house and a public car park is also situated a short walk from the home and close to the town centre. The home has a visiting hairdresser and chiropodist; there are additional charges for these services and also for private telephone lines and dry cleaning. Sundries such as personal luxury toiletries and newspapers are not included in the weekly fees. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced visit to the home as part of a Key Inspection of this service. We spent approximately 8 hours in the home on the day of our visit. The review of evidence and pre-inspection planning involved reviewing the report of the last Key Inspection carried out in July 2007 and the service history, which details all contact with the home. We (the CSCI) provided the home with their Annual Quality Assurance Assessment (known as an AQAA, pronounced as ‘aqua’). The AQAA is a selfassessment that focuses on how well outcomes are being met for people who live in the home. It also gives us some numerical information. The AQAA was completed in some detail and gave us all the information we asked for. A great deal of information was gathered for this report from discussions with a number of people who live in the home and we have directly reflected their views wherever possible. We spoke with them either separately or in small groups. We gathered additional information during our visit through informal discussions with Mrs Appleyard, Miss.Witt and other staff members who were working in the home. Interaction and communication between staff and the people who live in the home was also observed at various time during the day. Care plans and associated records were examined together with Risk Assessments, complaints procedures and compliments received by the home and staff personnel, supervision and training records. We also viewed all communal areas of the home and some of the resident’s own rooms. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? Each resident now has assessments for skin care, nutritional needs and bathing risks and methods, which are regularly reviewed. A copy of each resident’s ‘letter of offer’ to move to Eastbury House is now kept to improve the record keeping for each person. Residents’ records are now regularly reviewed and out of date information is removed. This ensures only current care and support needs are described in care plans. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 8 Staff now clearly sign records to provide a reliable audit trail. This promotes the welfare and safety of residents and improves record keeping within the home. 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. The summary of this inspection report can be made available in other formats on request. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 9 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 Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 10 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 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care, so Standard 6 does not apply. Residents are not currently provided with the information they need to enable them to decide if they wish to live in the home. Each resident has their needs assessed prior to moving to the home, to enable them to feel assured their needs will be met. EVIDENCE: The home has a Statement of Purpose and Resident’s Guide which sets out its aims and objectives, including the range of available facilities. However, these documents have not been fully reviewed for some time. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 11 The Manager explained that these are currently in the process of being reviewed and improved. When this process is completed, each resident will be provided with an updated guide and any person interested in moving to Eastbury House can be given up to date information. The residents spoken with said they did choose to move into this home. A number of residents said the home was recommended to them and they felt the home has matched their expectations. The care records for one resident who has recently moved into the home were examined. These show that a comprehensive assessment was carried out to determine whether the home could meet their needs. This included medical details, mobility, their hobbies and interests and family involvement. Any potential risks to this person were also identified. This person’s care plan has been regularly reviewed since they moved into the home. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 12 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each individual’s care needs are met and full details of these are now set out in an individual plan of care. Residents are protected by the home’s medication policies and procedures. Each resident is treated with respect and their privacy promoted. EVIDENCE: We examined two care plans in detail during this visit. The care-planning format within the home has been developed and improved since the last inspection and out of date information has been removed, as we suggested it should be. Care plans contain clear guidance for staff in relation to the care and support each person needs in relation to their health and personal care. Files contain Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 13 health care risk assessments such as assessments for the likelihood of a pressure sore developing, for the prevention of falls, how to move and transfer safely, nutritional assessments and mobility. These are now assessed for every resident, which we asked for following our last visit. Each of these assessments is regularly updated and takes into account the daily records for each person, for example if an individual has a fall this information is used in the review process. Each section of the care plan has a review sheet. This enables staff members to write about the effectiveness of the care plans and to note any changes which may require a particular section of the plan to be updated. This is good practice. Care plans are developed with the residents’ involvement where possible, but this can vary depending on the level of the person’s skills, ability and awareness. Each person is encouraged to sign an agreement which confirms their involvement in the care planning process and that their plan is up to date. Each care plan is supplemented by the daily records for each resident. These are divided between the care and support provided by the home’s staff and a separate record of other health care professionals, such as the GP and Chiropodist. The residents spoken with said they felt their care needs are well met. They are very well supported by staff and are able to discuss issues with staff who ‘always’ help them. One person said ‘we are treated with great kindness and efficiency. You can’t ask for more’. Other comments were ‘the care is wonderful’ and the home provides ‘marvellous’ care. Medicine handling is carried out by staff trained in this work. Medication administration records show that residents receive prescribed medicines at the correct times and in correct amounts. If any person wishes to manage their own medication, this is supported by the home. There are suitable facilities for storing medicines and for transporting them through the home. Our Pharmacy Inspector has agreed that any particular methods of taking medicines to residents in different parts of the home are acceptable. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s lifestyles match their expectations, and satisfy their social, cultural and recreational interests. Residents are supported to exercise choice and control over their lives, use community facilities and enjoy visits from family and friends. Healthy, varied and well-balanced meals are provided within the home and served in pleasant surroundings. EVIDENCE: Residents continue to have access to a wide range of activities and recreational pursuits, organised and co-ordinated by the ‘Residential Support Worker’. We spoke with this member of staff who discussed their role within the home and how they try to ensure a varied programme of activities for each resident both within the home and in the wider community. It is clear that time is spent Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 15 with residents to find out what their beliefs, interests and hobbies are and what type of places they enjoy visiting. Residents regularly go out on shopping trips, have lunches out of the home and days or evenings out. There are a number of regular planned events or visits, which are displayed in the home. Trips out are generally arranged either or a 1:1 basis, or in small groups. One the day of our visit, one person had arranged to go out shopping and another person was going out for coffee at a local café. Each person decided if they wished to go out and, if they wished the plans to be changed slightly, staff were happy to do this. The residents spoke very highly of the opportunities they have and the support the staff team provide. One person said ‘they take you out which is very important’. Other comments were ‘we go out regularly which I enjoy’ and ‘staff help us to go out often or arrange for people to come in’. The recent events, which residents said they have particularly enjoyed, included a firework display at Sherbourne Castle and a pianist who came into the home to entertain them. For some events, the home hires transport so that all residents have the opportunity to attend. On a day-to-day basis, some staff members use their own cars to transport people. The home does conduct an initial check on staff members’ Driving Licences and Insurance Certificates, however they may wish to improve these checks by ensuring they take a new copy of these each year. Each resident is supported to maintain contact with their families and friends. Visitors are welcome to the home at any time and residents are encouraged to invite friends and family members to visit and have a meal with them. In this way they are being supported to ‘entertain’ as they would have done when they lived in their own homes. The atmosphere within the home is relaxed. Staff spent time with residents and did not appear to be rushed in any way. The staff informed the residents but allowed them to make their own decisions, with appropriate levels of support. One resident said ‘there is lots of laughter in the house. We all get on, which is very important’. The meals for the home are freshly prepared in the kitchen and served in the large adjacent dining area. This area is arranged so that each person has their own private space, but they sit close enough should they wish to speak to other residents and this appears to work very well. Some people who live in the home choose to eat their meals in the kitchen or in their own rooms. Residents said they choose where they would like to eat Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 16 and this is always respected by staff. One person said ‘I much prefer to eat in the kitchen, it is the heart of any home’. Another person said ‘sometimes I eat in the kitchen and other times I don’t. I choose’. The home provides a nutritious and varied diet with fresh produce and home baking. Specialist diets are catered for. Each resident spoken with praised the quality of the food very highly. One person said ‘the food is lovely. You have three choices every day I don’t know how they do it’. Other comments were ‘there is an incredible choice of meals’, ‘the food is very good’ and ‘the food here is excellent’. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 17 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, their relatives and friends can be confident that all complaints will be listened to, taken seriously and acted upon. Each individual is protected from abuse. EVIDENCE: The home has a formal Complaints Policy, an Adult Protection Policy and a Whistle Blowing Policy, which staff can use in confidence to raise any issue or concern they have regarding the service. When the new Residents Guide is completed and given out to each person, this will include the home’s complaints procedure. They may also wish to discuss the process of making a complaint at one of the Residents Meetings in the future. The AQAA confirms that there have been no complaints made direct to the home in the last twelve months. We have not had any concerns or complaints regarding the service provided at Eastbury House. Each resident spoken with was very clear on the action they would take if they were unhappy or wished to make a complaint. They said they would speak to Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 18 the owner, manager or a member of staff and all would be happy and confident in doing this. Each member of staff spoken with described clearly their responsibility in providing a safe home for residents to live in. They have been provided with training in the Protection of Vulnerable Adults and described what action they would take if they felt a resident were being abused, they suspected abuse or felt they were not safe. All staff are subject to an enhanced Criminal Record Bureau disclosure (known as a ‘CRB’ check), prior to commencing their employment. Clear records are maintained of any accidents or incidents which occur in the home and they have a very good system to link these records to the review of residents’ care plans and risk assessments. We continue to be kept informed of significant events which occur. We note that the home continues to receive letters and comments from families, friends and other people involved with the home which are extremely complimentary regarding the high quality of the care and support provided and about the home and staff team more generally. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 19 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, 20, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, safe, comfortable, well-maintained and clean environment. EVIDENCE: Eastbury House is situated close to the centre of Sherborne within easy level walking distance of the town. Parts of the building date back to the 17th century, in particular the hallway and main staircase, dining room and front lounge. These areas retain many of the original features such as oak wood panelling, stonework and leaded lights. The accommodation for residents is arranged over the ground and first floor of the home. Due to the age of the building and extensions to the house made many years ago there are a number of internal stairs and steps and changes of Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 20 level, therefore people who have severe mobility problems cannot easily access some parts of the home. The home is not particularly suited to people who use a wheelchair; it would be necessary for them to leave the building and come in at another place to access the dining room, for example. Stair-lifts are fitted to the back staircases to provide access to bedrooms situated on the first floor. Nine bedrooms are situated on the ground floor: two bed-sitting rooms are in a building close to, but separate from the main house. The home is a listed building, which creates issues around making changes to the physical environment of the home. Consideration has been given to the residents’ needs and as many changes as reasonably possible have been made. The home provides equipment for residents such as adjustable beds, pressure relieving aids and aids to access baths. One person appears to be benefiting from a bathing aid, which is being used in the home on a trial basis. Residents spoken with said they feel Eastbury House is a homely place to live. They said the home is always clean and tidy. Several people said they liked the home as it wasn’t too big and didn’t have lots of people living here. They said they are encouraged to bring in any personal items they wish to, such as furniture, ornaments, pictures and photographs to help to personalise their own rooms and make them feel more ‘at home’. One person said ‘ we can put up our own pictures and photos. The staff helped me put mine up when I moved in’. Each person has a key to their bedroom door that they can lock from the inside for privacy. Staff can unlock the doors in the case of an emergency. We did view all communal areas of the home and a number of the residents’ own rooms. All areas of the home were clean, tidy and free from any unpleasant odours. The Manager is in the process of completing a thorough review of the home’s infection control measures, as we suggested. She is using the Department of Health guide, ‘Essential Steps’, to support this review. The home has mature private gardens where residents can sit and relax in the warmer weather. There is a small parking area to the side of the house and a public car park is also situated a short walk from the home and close to the town centre. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are in safe hands and their support needs are well met by the numbers of well-trained and competent staff. The home’s recruitment policy and practice supports and protects each person who lives in the home. EVIDENCE: Staffing levels continue to be provided in accordance with the assessed needs of residents to ensure that, at all times, sufficient staff are available to properly meet their needs. There is a clear staffing structure within the home, with staff having their own roles and responsibilities as part of the team. Each staff member’s role is clearly defined and staff spoken with are keen to provide a caring and responsive service to each resident. Each member of staff spoken with said they enjoyed working in the home, are well supported in their roles and feel there is an open atmosphere in the home. One member of staff said ‘this is the best job I have ever had’. Other comments were ‘I love working here and really enjoy coming to work’, ‘I Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 22 absolutely love my job’ and ‘it is a nice place to work, communication is good and the team is open and honest’. We viewed the personnel files of five members of staff. These contained copies of their application forms, at least two satisfactory references, interview questions and their answers, job descriptions, details of their Criminal Record Bureau enhanced disclosures and their photograph. The home has a comprehensive induction process for all new members of staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. Staff receive both mandatory and more specialist training to enable them to support residents appropriately. The home provides training in a variety of different styles to meet the different learning needs of staff, including computer based courses, practical and written assessments. There are records of staff attending training in First Aid, Fire Safety, Basic Food Hygiene, Manual Handling, Health and Safety, Infection Control and Protection of Vulnerable Adults. In addition to this, staff have also completed training in Dementia, Skin Care, Strokes, Equality and Diversity and Risk Assessments. The home uses a training matrix to record all training undertaken by staff and to help plan future training events. The Manager provided a copy during our visit, which shows that most staff are up to date with their training with other courses being planned. Staff are encouraged to work towards a National Vocational Qualification (known as an ‘NVQ’) and the home has made significant progress in this area. They have fifteen permanent staff members; ten have already attained an NVQ and two are currently working towards their awards. This represents 80 of the staff team and this is commended. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 23 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, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home which is well run, in their best interests, and they benefit from the ethos and management approach of the home. The home’s record keeping, policies and procedures safeguard residents’ rights and best interests. Each member of staff is appropriately supervised. The health, safety and welfare of residents and staff are promoted and protected. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 24 EVIDENCE: The manager, Miss.Witt, has now completed the registration process with us. She has extensive experience in this work and continues to maintain good professional awareness by developing links with other care providers, being a member of local learning hubs, use of CSCI and professional websites, reading of journals and magazines and by attending training in relevant subjects. We spoke with several members of staff during the course of our visit who said they like working at the home, felt very well supported by both the owner and the manager and said they found them easy to approach. Discussions with both Mrs.Appleyard and the Manager and the home’s AQAA confirms their commitment to the ongoing development and improvement of the service. This includes the plans to carry out further improvements to the environment, provide a wider range of staff training and encouraging residents to use e-mail and the Internet. The home conducts an annual quality review, where residents and other people with an interest in the home are invited to complete a questionnaire. These responses are collated and the home is in the process of producing an annual report. The home also holds both the ‘Investors In People’ and ‘Matrix’ Awards. The home’s AQAA confirms they do not currently look after any resident’s financial affairs. Those unable to do this for themselves have appointed relatives, friends or other representatives to act on their behalf. If this were to change in the future, the home has now developed a policy for the ‘Management of Residents Money’. All staff members are provided with regular formal supervision. Each staff member spoken with finds supervision useful and supportive and they felt able to talk about any issue with their supervisor. A clear record of each supervision session is kept, which both people sign. Miss.Witt has developed comprehensive policies for the home, which are designed to ensure it complies with the law and remains aware of good practice guidelines. Full details of each policy were provided by the Manager as part of the AQAA she completed for us as part of this Key Inspection process. The management systems and structures are efficient. The record keeping is of a good standard. Files and documentation are well-organised and easy to access. There are recording systems in place to support Health and Safety within the home, which are being used consistently. The tests on the safety of portable Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 25 electrical appliances used in the home, the stair lifts and the home’s heating system are all up to date. Dorset Fire Service visited the home in July 2008 and asked for some areas of fire safety within the home to be improved. Most of this work has been carried out, with the remaining work planned. Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 26 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 2 X 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 3 3 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 3 3 3 X 3 3 3 2 Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 27 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. 1. Standard OP1 Regulation 6(a) Requirement Prospective residents must be provided with up to date details of the home to enable them to make an informed decision of where they wish to live. Timescale for action 12/11/08 2. OP38 10(1) The Registered Provider and the Registered Manager must manage the care home with sufficient care, competence and skill to ensure residents are provided with a safe home to live in. This applies to completing the improvements in fire safety. 12/10/08 Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 28 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 OP1 Good Practice Recommendations The home should consider making the updated statement of purpose and residents guide available in a range of formats, which meet each person’s needs. Copies of staff members Driving Licences and Insurance Documents should be reviewed each year to better ensure residents welfare and safety. The review of the control of infection should be completed to promote the welfare and residents and the staff team. Criminal Record Bureau Disclosures should be updated every three to five years. This would ensure recruitment checks remain robust to promote the welfare of residents. 2. OP12 3. 4. OP26 OP29 Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Eastbury House DS0000048854.V366744.R01.S.doc Version 5.2 Page 30 - 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. 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