Inspection on 06/07/05 for Eastcliffe Hotel

This inspection was carried out on 6th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

Other inspections for this house

Eastcliffe Hotel 16/01/09

Eastcliffe Hotel 16/01/07

Eastcliffe Hotel 29/11/05

Eastcliffe Hotel 03/11/04

Eastcliffe Hotel 13/05/04

Similar services:

22 Sandown Road

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Dilston College Of Further Education

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Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Eastcliffe Hotel 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ Lead Inspector Bill Middlemist Unannounced 6 July 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eastcliffe Hotel Address 1 Eastcliffe Whitley Bay Tyne & Wear NE26 2BQ 0191 251 3630 0191 251 3630 n/a Lifestyles Care & Support Limited 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) Mr Paul Brown CRH 10 Category(ies) of LD Learning Disability (10) registration, with number of places Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13/5/04 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 is part of the Lifestyles – Care and Support organisation. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection lasted for four hours and is one of two inspections to be carried out this year. Eastcliffe has developed a very good reputation for meeting the needs of the people who live there, and has achieved excellent outcomes with people whose behaviours may challenge services. During this inspection, five residents’ views of life at Eastcliffe were heard by the inspector and two members of staff were spoken to. The manager was available throughout, and one of the Directors was available for a short period of time. A number of documents were inspected and these confirmed that matters relating to assessment, care planning and Health and Safety are well managed. What the service does well: What has improved since the last inspection? What they could do better: All residents spoken with could not think of anything that this home could do better or differently. The Inspector could not identify any major things that need to improve; the Manager is very good at highlighting any matters to do with people’s care and support that need to be done better or in different ways. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 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 standard(s) 2, 4 Anyone considering Eastcliffe as a place to live will have their needs properly assessed before they move in. If an emergency admission is made, the Manager will ensure that information is gathered to ensure basic health and safety. Prospective residents are usually offered trial periods that exceed National Minimum Standards. EVIDENCE: The home’s statement of purpose has recently been revised. Eastcliffe have recently admitted someone on an emergency basis; all basic information had been gathered from the right places in order for staff to have a good understanding of that person’s needs. A prospective resident was due to visit on the day of this inspection and will be offered trial visits at a pace that suits them. Established residents are usually involved when a prospective resident visits the home. The needs of all other residents have been assessed by a range of professionals prior to moving in to the home, and assessments are ongoing where new or changing needs are identified. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 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 standard(s) 6, 8, 9 Anyone living at Eastcliffe will have their ambitions and needs written in an individual plan that will be used by staff as a basis for delivering good care and support. The Manager and staff are very good at supporting people to make informed decisions about their lives. Taking risks is seen as an essential part of life, and the team at Eastcliffe are very good at managing those risks. EVIDENCE: Each person living at Eastcliffe has a plan that is very much written in their own words; the plans detail each person’s likes and dislikes and are good working documents to guide staff in offering care and support. 3 residents knew exactly what was in their own care plan and how important it was for staff to take notice of them. Staff confirmed that they read care plans and use them as a basis for working with residents. The home uses a range of different ways in order to assist people make informed decisions, from verbal advice through to well thought out risk assessment and risk management plans – this ensures, as far as possible, that people’s preferred routines and activities are not stopped by disability or changing needs. Residents confirmed that they are regularly asked about things in the home that could be changed, done differently or made better. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,14, 15, 17 All residents are encouraged to develop their skills and abilities. There are good opportunities for people to enjoy leisure time both inside and outside of the home. Choices in personal relationships are appropriately supported, and there are good working arrangements between relatives and staff at the home. Meals are chosen by residents, menus are varied and mealtimes are an enjoyable experience. EVIDENCE: Each resident has an individual lifestyle; some people choose to have a more leisurely lifestyle while others are happy to be busier with a range of clubs and day services, or activities within the home. Staff assist people to maintain friendships and contact with family members; very good evidence has been provided that people receive appropriate support if they wish to develop more intimate relationships. The Manager demonstrated that there are effective working relationships with relatives. All residents were looking forward to their lunch during this inspection, and said they really enjoyed it afterwards. Menus are varied and there is much evidence that people are consulted when menus are prepared, and that they assist in shopping for food. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 18, 19, 21 Eastcliffe performs very strongly in these standards; anyone living at this home will receive care and support in a way that suits them and in a way that reflects individual personalities. Staff are very good at making sure that each person’s physical and mental health receive proper attention. When people are ill they are treated with dignity and respect. EVIDENCE: Each person’s personal support requirements are carefully recorded so staff can work with residents in a way that they prefer. Very good evidence is available to demonstrate how some residents have gone through some difficult times and have sorted out problems with the assistance of management and staff – this evidence will not be detailed in this report in order to maintain confidentiality and resident’s privacy. Eastcliffe is extremely good at identifying people’s health problems and make sure that they get to see the best person, for example, a Doctor or another healthcare professional, as quickly as possible. The home is also very good at working with a range of other professionals in order to meet people’s needs. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 22,23 There is very strong impression that resident’s views are listened to and acted upon. The protection of residents is taken very seriously and training for staff in this subject is provided at staff induction level through to more in-depth training. EVIDENCE: Each resident clearly knew whom he or she could make a complaint to if they were not happy with something within the home. The complaints procedure is used as a positive thing at Eastcliffe and is used for matters ranging from poor heating through to complaints that might be much more serious; however, no complaints have been logged recently. Training for identifying and dealing with the Protection Of Vulnerable Adults is provided at both Induction level and at more formal training sessions. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 13 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 standard(s) 24, 30 Eastcliffe provides a homely place to live. Consideration is always given to the comfort and safety of residents. The home is kept clean and staff observe proper routines regarding hygiene. EVIDENCE: Each resident spoken to said they were happy living at Eastcliffe; they said the home is comfortable and suits the way they want to live their lives. A full inspection of the building was not carried out during this inspection; the kitchen was inspected and was satisfactory in terms of hygiene, Health and Safety. Staff were observed carrying out appropriate hygiene procedures. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, 35, 36 The staff team at Eastcliffe are good at their jobs, they have opportunities for training, studying for qualifications and are well supervised. There are good recruitment procedures that seek to protect residents. EVIDENCE: All of the residents consulted thought that staff were great and helpful; one said that she had started to do the things she used to do as a result of staff support. Good relationships and interactions were observed between residents and staff. Two people who used to live at Eastcliffe have moved out to try a more independent lifestyle; this is a good example of the staff team identifying the need for people to move on rather than remain in residential care. The records for two new members of staff were inspected and each had gone through the required checks that promote protection for residents: there is a good induction package for staff when they start work at Lifestyles. Other staff training is ongoing and includes LDAF induction, the Protection Of Vulnerable Adults and NVQ at level 3. Supervision records were also inspected and provided good evidence that care and support practice within the home is monitored in a formal manner and lead to good outcomes for residents. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 42 The people who live at Eastcliffe clearly benefit from a management style that is open, forward thinking and up to date on a variety of specialist areas relating to learning disabilities. Residents are regularly consulted about life in the home and action is taken to improve or change things that they are not happy with. Eastcliffe has developed a very good reputation with professionals such as Social Workers and Behavioural Nurses from specialist teams. All matters relating to Health and Safety of residents and staff that were inspected were satisfactory. EVIDENCE: The Manager at Eastcliffe has recently undergone the Commission’s Fit Person procedure with success; this, along with evidence from previous inspections, means that anyone living at Eastcliffe can be assured they will benefit from a management style that is open and willing to learn, as well as one that already has a good knowledge on a range of specialist subjects relating to people who have learning disabilities. The values and attitudes of the Management Team are very strong; this means that the equality and diversity of each resident is properly addressed. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 16 Residents confirmed that the Manager and Directors are easily approachable and really listen to their concerns or problems. Recent resident questionnaires provided evidence that people’s views are considered in a more formal way. Excellent written and verbal feedback has been received from professionals who are involved with people who live at Eastcliffe. All paperwork related to promoting the Health and Safety of residents and staff that were inspected were well kept and up to date, and included Fire Log, Maintenance records for utility services such as gas, electric and water and Risk Assessments. Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 17 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 3 x 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eastcliffe Hotel Score 3 4 x 4 Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 18 No 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 Regulation Requirement There are no requirements arising from this inspection 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. 1. Refer to Standard Good Practice Recommendations There are no recommendations arising from this inspection Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Eastcliffe Hotel B53-B03 S33193 Eastcliffe V233581 060705 Stage 4.doc Version 1.30 Page 20 - 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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