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Inspection on 29/11/05 for Eastcliffe Hotel

Also see our care home review for Eastcliffe Hotel for more information

This inspection was carried out on 29th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Care and support for the people who live here is very good. Each person has a varied lifestyle that they live at their own pace, and each person gets the care and support they require. Four people said that the best thing about living at Eastcliffe is the staff and the mix of residents. The staff team know about the needs and preferences of the people they are supporting: the staff are well trained and supervised in order to deliver a good service. The Manager at Eastcliffe is very good at his job and makes sure that the people here come first, and that here is a good atmosphere in the home.

What has improved since the last inspection?

Care plans have been simplified and continue to focus on what is important to people. Routine maintenance of building and fittings is continual.

What the care home could do better:

None of the people who live here could identify what needed to be changed or improved. No requirements or recommendations have been made at thisinspection, but attention to large portion sizes at mealtimes needs to be addressed.

CARE HOME ADULTS 18-65 Eastcliffe Hotel 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ Lead Inspector Bill Middlemist Announced Inspection 29th November 2005 10:00 Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 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 Eastcliffe Hotel DS0000033193.V256165.R02.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 Adults 18-65. 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. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eastcliffe Hotel Address 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ 0191 2513630 0191 2513630 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) Lifestyles - Care & Support Ltd Mr Paul James Brown Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: Eastcliffe is small home that provides care and support for people who have a learning disability; it faces the sea front in Whitley Bay and is well placed for a good range of local places of interest and transport services. There is a significant sense of people living at Eastcliffe being really well supported by staff and management; there is a strong emphasis on encouraging and enabling people, a good approach to meeting healthcare needs, and a culture of focussing on good outcomes for people. Eastcliffe has developed an excellent reputation with Local Authorities and commissioners of services. Eastcliffe is part of the Lifestyles – Care and Support organisation. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Eastcliffe currently has two inspections each year, one that is announced and one that is unannounced. This was an announced inspection that lasted for 4 hours. Most key standards were inspected, and other standards that are important to the people who live here were also inspected. Several standards were assessed and commended at the previous inspection and did not need to be repeated. 5 of the people who live here offered comments on their experience of living at Eastcliffe. Care and support planning for 4 people were inspected. Staff were observed working with people and demonstrated their skills and abilities. The Manager was available throughout the inspection and each person’s care and support needs were discussed. An inspection of shared rooms such as the kitchen and bathrooms was carried out. What the service does well: What has improved since the last inspection? What they could do better: None of the people who live here could identify what needed to be changed or improved. No requirements or recommendations have been made at this Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 6 inspection, but attention to large portion sizes at mealtimes needs to be addressed. 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. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 4 were assessed and met at the previous inspection: standard 4 was commended. EVIDENCE: Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 People’s assessed and changing needs are recorded in their care and support plans: they get the support they need to make decisions about their lives, and taking risks is seen as part of having an independent life. People are consulted on all aspects of the home that are important to them. EVIDENCE: Care and support plans have been simplified in to really practical working documents, each has a focus on individual needs and goals that give staff a clear idea on what is important to people. People are assisted to make their own decisions through both staff support and through care planning. One person said that the staff are “very helpful when you have trouble making your mind up about something”. The Manager has ensured that people are involved in the day to day running of their home through offering information in a way that suits people. People are actively involved when new staff are being interviewed. 4 people said that they involved in what happens in the home: there are plans to move this service to another address in 2006 and each person has been consulted about this. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 10 People are supported by the home’s risk assessment and risk management strategies. The home recognises that taking risks is an essential part of people’s lives, and takes proper steps to ensure that new experiences and learning are combined with safety. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16, 17 Each person takes part in activities that suits their lifestyle. People’s rights and responsibilities are recognised and promoted. People enjoy their mealtimes but attention needs to be paid to portion sizes. EVIDENCE: Each person has their own routines and activities, some go to classes, some have work placements, and attend local halls and centres. Some people make their own activities and prefer not to take part in structured timetables. As an organisation, Lifestyles places a strong emphasis on people’s rights and responsibilities, and there is always evidence at this home that care and support practices bear this out. Staff are respectful of people and were observed communicating well throughout this inspection: 2 people said that they would not tolerate staff that did not respect them. The main meal of the day is now offered at lunchtime and people said that this was their collective choice: one person added, “This suits us much better”. Mince and dumplings was today’s choice, and was served with mashed potato, cauliflower, carrots, cabbage and peas: this was a hearty meal of very Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 12 generous portions. Two people did not finish their meal. The portion sizes were discussed with the Manager who agreed to keep an eye on this. The weekly menus are varied and there was evidence that people’s choices and suggestions are always included. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 This home’s procedures for dealing with medication protect the people who live there. Standards 19 and 21 were commended at the previous inspection. EVIDENCE: All records regarding medication were in order. Staff have received training to deal with medication in the right way. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, People’s views are listened to and acted on. Standard 23 was met at the previous inspection. EVIDENCE: This home performs very well in responding to what the people living here have to say: there is an active complaints policy that promotes people reporting anything that they are not happy with, for example, heating being too hot or cold. All complaints are well recorded with evidence of outcomes also recorded. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 People are living in a home that suits them. Eastcliffe is clean and hygienic. EVIDENCE: The people who live here all say that their home is comfortable and homely. An inspection was made of the homes kitchen and bathrooms which were satisfactory. Everywhere that was inspected was clean and hygienic. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 People who live at Eastcliffe are being supported by competent staff. EVIDENCE: Four people said very positive things about the staff that work at Eastcliffe: one said that “the staff are always there to talk to you”. Another person was asked what was good about living at Eastcliffe and they replied, “the staff”. Staff are motivated in carrying out the care and support of the people who live here, and have the attitudes such kindness, patience and consideration, that are important to people. Staff are aware of the varying needs of people and report having very good relationships with other professionals. Staff training is ongoing, and includes training required by the law, as well as training that relates to the needs of the people who live here. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 42 People benefit from a well run home. The health, safety and welfare of people is promoted. Standard 38 was commended at the previous inspection. EVIDENCE: Eastcliffe is well run: the Manager has ensured that systems, such as monitoring care practices, complying with standards and regulations, valuing equality and diversity, are in place to care for and support the people who live here, with the outcome that each person who lives here is leading a settled life. All matters relating to health and safety and the efficient running of the home were satisfactory. Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eastcliffe Hotel Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000033193.V256165.R02.S.doc Version 5.0 Page 19 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 Eastcliffe Hotel DS0000033193.V256165.R02.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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