Inspection on 16/01/09 for Eastcliffe Hotel

This inspection was carried out on 16th January 2009.

CSCI found this care home to be providing an Excellent 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

Eastcliffe Hotel 16/01/07

Eastcliffe Hotel 29/11/05

Eastcliffe Hotel 06/07/05

Eastcliffe Hotel 03/11/04

Eastcliffe Hotel 13/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Eastcliffe Hotel 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Allan Helmrich     Date: 1 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Eastcliffe Hotel 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ 01912514107 01912513630 greynewbiggen@ic24.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lifestyles - Care & Support Ltd Name of registered manager (if applicable) Mr Paul James Brown Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Eastcliffe was originally a large family home converted into a guest house. It is now a three-storey home for up to 10 adults with a learning disability. There is a communal lounge. The kitchen is a good size with an area for dining attached. There are two bathrooms and a separate shower room. There are nine bedrooms of which one is registered for double occupancy. Bedrooms are not en-suite but have wash hand basins fitted. The home is near the seafront between Cullercoats and Whitley Bay and has excellent views from the front of the house over the promenade to St Marys Lighthouse. The home does not have a passenger lift and would therefore be unsuitable for anyone with a physical disability. The home is reasonably close to the centre of Whitley Bay and its local transport systems, shops, leisure amenities and the wider community. Eastcliffe is part of the Lifestyles - Care and Support organisation. Inspection reports and information about the home are readily available. The homes fees are in the range 374 - 713 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 27 care home 10 Over 65 0 10 Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was unannounced and was undertaken by the link inspector for the service. The inspection started at 10:15am and lasted 6hrs. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. During the visit we: Care Homes for Adults (18-65 years) Page 6 of 27 Talked with people who use the service and their visitors. Talked with the home manager and staff on duty. Looked at information about the people who use the service and how well their needs are met, Looked at case records for three residents and other records that must be kept, including medication. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to assess if it was clean, safe and comfortable. Checked what improvements had been made since the last visit. Also surveys were sent to residents and staff. Responses were received from six residents supported by relatives and two staff members. Information from these sources is used in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has sufficient information about the people who live there and has access to appropriate services to ensure their needs are well met. Evidence: The manager ensures the home can meet the needs of any referral before a placement is made. Although the home does accept emergency placements, full information is obtained about the person and relevant professionals are involved. Three case records were reviewed and each contained a good standard of information obtained before a place was made permanent. Each of the care plans seen contained an evaluation of the persons needs done since the last inspection of the home. There was up to date information on peoples interests and needs but historical information to enable the home to know the persons previous lifestyle and interests was week. Two new residents have been admitted since the last inspection, one came from another home in the group. This person said he was happy and had settled easily into Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: the home. Everyone who responded to a survey confirmed they had enough information about the home before moving in. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are involved in their own care planning and are consulted on their lives in the home. Evidence: Five people living in the home were spoken with. They all clearly enjoy living at Eastcliffe and gave information that demonstrated staff support very different lifestyles within the home. Two people in the home are hoping to form a partnership and they are being supported in this decision with advice from the manager and outside professionals. Another resident who was about to go shopping with a relative stated that she chooses what to do and where to go. The care plans dealt with complex social issues and where appropriate the homes staff are supported by necessary training and professional support. Each person is involved in developing their plan of care and these were clearly written, with good detail of each persons needs and procedures and guidelines for meeting those needs. For example, Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: one person has a plan for managing their behaviour. The plan describes the need to be met, staff actions required to meet this goal and the involvement of the person in a course designed to manage the behaviour. The plan is also agreed by professional supporters. Risk assessments are produced to support people and promote their independence. Risk assessments are currently in place to support one person on community outings. This instructs staff to be aware of the persons whereabouts at all times. Other risk assessments are in place for aggression to home visitors, epilepsy, bathing and smoking. Each of the responses to a survey from people who live in the home stated they could do the things they choose throughout the day. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are encouraged to make choices for daily living. Staff support them to develop skills for independence and support their lifestyle choices. Evidence: Each person who lives at Eastcliffe is very much part of the local community. People were seen coming and going throughout the day either alone of with staff of family support. Some people maintain friendships with people in other homes and in the community. Two people are supported each week by enablers and this time is used as they choose. One person is a regular church goer and another who enjoys crafts, attends a college. Three other people attend college regularly for; cooking, art and numeracy and literacy. One person spoken to said that he sees his mother regularly. He goes out unsupported and also uses public transport to get around. Another resident told me he enjoys living at Eastcliffe, he goes out alone and has many friends. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Some people visit a local pop in centre and one person who is capable of going out alone chooses to visit a friend in another group home with staff support and they all go to places of their choosing and have tea with each other in Eastcliffe. Residents have been supported to go on holiday previously, however last year only one resident holidayed with a relative. Other people went on a day trip in a mini bus organised for them by the manager. Healthy eating is encouraged and each person spoken to said they enjoy the meals provided. One person is supported to cook a meal for them self. The main meal of the day contains a range of vegetables. However each residents choice of meal is respected and everyone has access to the kitchen for snacks and drinks. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to maintain good personal and health care and to consult other medical professionals when necessary. Evidence: The care plans contained good detail of each persons care needs. The health care records seen included reference to hospital visits and contact with GPs and other health professionals to maintain peoples physical and emotional health. Everyone who has contact with psychiatric services has regular Care Planning Assessment (CPA) meetings and details were seen in care plans of staff following specific advice provided by professional people following these assessments. Two people currently have health issues and appropriate professional assistance has been obtained to ensure good health is promoted. The individual styles of dress were seen during the inspection and staff commented on how fashionable one person was who was about to go shopping. In conversation she said she buys her own clothes and chooses what to wear without reference to anyone Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: else. The home has systems in place to manage peoples medication safely. All staff providing support have been trained and have a certificate in safe handling of medicines. The medication records were checked and were free from errors with no gaps in signature. The storage was secure and staff have access to policies and medical reference books. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A good complaints process supports residents and they are protected from abuse by a staff team that are aware of vulnerable adult procedures. Evidence: Two residents were asked about the complaints procedure in the home and they both said that when they have concerns they speak to the manager or any staff. All the returned surveys from residents stated they know how to complain and who to speak to if they are unhappy The manager said that all complaints are recorded and addressed. Three complaints made since the last inspection were recorded in the homes log together with the resolution. Two staff spoken to were able to confidently state how they would deal with any adult protection issues. Every member of the staff team has received training related to the protection of vulnerable adults and refresher training is planned for this year. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable, homely and safe environment for the people who live there. Staff maintain a good standard of hygiene that protects people from the risks of the spread of infection. Improvements to the fabric of the home are ongoing to provide a better standard of accommodation. Evidence: Eastcliffe is a family style terrace house that looks no different to others in the street. It is within walking distance of local shops and services in the town centre. A part time cleaner is employed who together with care staff keep the home clean and well maintained. Since the last inspection new windows have been fitted and a programme of improvement works starting in the communal areas is in place. The kitchen has an area attached that is used for dining. These areas although well used by the residents throughout the inspection were clean and reasonably well maintained. The laundry is in the rear yard of the home. It contained domestic type washing and Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: drying equipment that met disinfection standards. The manager stated that all laundry is transported through the kitchen in sealed yellow bags. The lounge was clean and homely. It contained a dining table and chairs and comfortable seating. Residents bedrooms were individual in character and contained many personal items of the residents choosing. Residents spoken to are proud of there home and all survey responses confirmed the home meets their needs. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported by a stable staff team that have been provided with training that gives them with the skills to meet the needs of people who live there. Evidence: No care staff have been employed for over four years. Two care staff support residents during their waking day and extra support has been obtained to provide an enabling service for some residents where a specific need has been identified. Also two company homes are in close proximity and have residents and staff who are very close. The manager uses this closeness to be flexible with staffing to be able to meet individual needs of residents when they request joint activities or support. Six of the seven care staff employed have a National Vocational Qualification (NVQ) level 2 and they are all currently working towards level 3. The manager has a skills development programme in place and 1-1 sessions with the staff contain some in house training. Training provided since the last inspection has included; manual handling, food hygiene, health and safety, fire safety, stress management, sudden death, epilepsy and safeguarding vulnerable adults. Also the Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: staff team have been trained by the PCT to support one person who requires a specific medicine for their epilepsy. All of this training will improve the care provided. The manager stated that he always provides two training days to enable all staff to attend one course. Although no staff were employed since the last inspection, two files were reviewed and found to contain appropriate information to protect people living in the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a competent manager who promotes good practice and respects peoples lifestyle choices within a safe environment. Evidence: The manager who has been in charge of the home for over five years has the Registered Managers Award to demonstrate his ability to manage a home for vulnerable people. He clearly knows each person in the home very well and demonstrated throughout the inspection the high standards of support he maintains. He also is supported by managers who are well respected and also promote high standards of care. The manager received much praise from people living in the home and staff during the inspection. Improvement plans have been developed and work on the environment is ongoing. Regular visits are made to the home by the proprietors and the quality of care is Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: monitored on a regular basis. A fire risk assessment of the building has been done in the last year. Periodic fire checks are carried out. Each residents ability to understand fire procedures has been has been assessed and staff receive regular training, all to ensure people are safe in the home. Equipment in the home is regularly checked and serviced. The gas system was recently serviced and the homes wiring is certified safe. people are maintained in a safe environment by staff recently trained in health and safety procedures. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 To promote equality and diversity and better encourage person centred support a full life history should be requested from the people who live in the home. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!