Inspection on 24/08/05 for Eastcroft

This inspection was carried out on 24th August 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.

Other inspections for this house

Eastcroft 20/03/07

Eastcroft 17/11/05

Eastcroft 27/10/04

Eastcroft 30/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Eastcroft Woodmansterne Lane Banstead Surrey SM7 3EX Lead Inspector Mr P Benthom Unannounced Inspection 24 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eastcroft Address Woodmansterne Lane Banstead Surrey SM7 3EX 01737 357962 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 Ioannis Andreou & Mrs Soteroula Andreou Mr Ioannis Andreou CRH (N) 20 Category(ies) of Old age, not falling within any other category registration, with number (OP) 20. of places Dementia - over 65 years of age (DE(E)) 20. Physical Disability over 65 years of age (PD(E)) 8. Sensory Impairment over 65 years of age (SI(E)) 3. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 20 (twenty) service users accommodated, up to 20 (twenty) may fall within the category DE(E) - dementia over 65 years of age. 2. Of the 20 (twenty) service users accommodated within categories DE(E) or OP, up to 8 (eight) service users may also fall within category PD(E) - Physical Disability over 65 years of age. 3. Of the 20 (twenty) service users accommodated within categories DE(E) or OP, up to 3 (three) service users may also fall within category SI(E) - Sensory Impairment over 65 years of age. Date of last inspection 27 October 2004 Brief Description of the Service: Eastcroft is a large detached property located in a quiet residential area, the home is near to a wide range of shops and other community amenities in the village of Banstead, which is within walking distance. The Home is a privately owed care home with nursing and is registered for up to 20 Older People. Service provision includes dementia care. The communal facilities are spacious and comfortable. Bedroom accommodation is arranged on the ground and first floor accessible by shaft lift. There are 16 single bedrooms and two shared bedrooms with en-suite facilities. There is an attractive enclosed garden to the rear of the property and ample parking to the front. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first of the year 2005/6 and was conducted by an inspector from CSCI. The manager is has been registered for some considerable time and was present for the inspection. The proprietor is also the registered manager and as such is involved in the running of the home on a daily basis. The home had a comprehensive statement of purpose, which accurately depicted the services provided by the home. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. The home provided a high level of individualised support to service users. The inspection included a tour of the premises and discussion with both Service Users and staff. What the service does well: What has improved since the last inspection? There is a commitment from the proprietors to offer as much opportunity as possible to staff to undertake appropriate training. As a consequence All care staff have achieved NVQ Level 2 or 3 in care. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, and 5 Service users are admitted only following a full assessment undertaken by the manager and proprietor who is able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The home had a comprehensive statement of purpose, which accurately depicted the services provided by the home. All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care plan and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Health, personal and social care needs are effectively met in this home. Service users’ health needs were well met and medication administration was accomplished satisfactorily. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. EVIDENCE: Care plans sampled were comprehensive and up to date; there was evidence that regular reviews took place. Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 10 The care plan is preceded by the full assessment of health and personal care needs, which is undertaken by the manager /proprietor. The assessment is carried out in full co-operation with the care manager and/or the referring agency. If the service user is privately funded, a full assessment also takes place. The assessment is ongoing when the Service User is admitted to the home. Service Users’ care plans are drawn up from the perspective of the Service User and showed their individual preferences, likes and dislikes. Evidence that Service Users’ optical, dental and chiropody needs are met. Where appropriate, occupational therapists, dieticians and speech therapists would be involved in Service Users’ care. The records showed assessed medical needs were followed up properly and notes taken of the care given. Medication is stored in a locked metal trolley and all senior staff are trained in the administration of medication. During the inspection the staff cared for Service Users in a respectful manner. Those Service Users requiring any assistance were helped sensitively. All Service Users have their own bedroom, thus providing the opportunity for privacy when visitors arrive, whether family or professionals. The Homes’ policies and procedures placed particular emphasis on the core values of caring, such as independence, privacy and dignity. Care plans sampled were comprehensive and up to date; there was evidence that regular reviews took place. Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities The manager stated that all service users were registered with the adjacent medical centre for the provision of general medical services. A policy and procedure for the administration of medication was sampled as part of the inspection process. Evidence that Service Users’ optical, dental and chiropody needs are met and confirmed in the diary and other records. Where appropriate, occupational therapists, dieticians and speech therapists would be involved in Service Users’ care. The records showed assessed medical needs were followed up properly and notes taken of the care given. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The systems in place for full Service User participation indicated that Service Users views are both sought and acted upon. EVIDENCE: Organised activities take place on a daily basis and are arranged by the employed activities organiser. The activities take place in the lounge or dining room and Service Users choose to participate if they wish. The home has very good links with the local community and the Rotary Club. There are garden parties and regular events arranged every year. Service Users do not handle their own financial affairs. If they are unable to manage their finances, relatives or advocates act on their behalf. The menu on the day of inspection was found to be wholesome, nutritious and very well presented. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 The home has a satisfactory complaints system that is made available to all Service Users and their relatives and staff of the home. EVIDENCE: The home has developed its complaints procedure to incorporate details of the Commission for Social Care Inspection. The main complaints procedure makes reference to the details of how to contact the Commission. There have been no complaints to the service or to CSCI since the last inspection. The majority of senior staff have had recent protection of vulnerable adult training updates as an integral part of their ongoing training. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,. 20, 21, 22, 23, 24, 25 and 26 The standard of décor and equipment in this home is of a very high standard with evidence of improvement through maintenance and refurbishment when necessary. EVIDENCE: The Home is situated in a large and well-maintained garden and is close to Banstead town centre. The Home has been tastefully adapted from its previous use and has been designed to meet the needs of older people. Eastcroft is accessible and well maintained. There are ample dining and lounge areas. This Home’s facilities for washing and toileting meets the minimum standards expected. All rooms were accessible to Service Users. The home has grab rails and adaptations in place to support Service Users to maintain their independence. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Service Users are supported by competent and trained staff who have a good awareness of their needs. EVIDENCE: The Home has a policy whereby all gaps in the staff rota are met by using existing staff. This helps to promote consistency in care for Service Users. The Home has a continual programme of NVQ training for all staff and is committed to staff training. All staff have completed induction and foundation training and there is a good training package for all staff. The Home is working towards meeting this standard. Staffing levels comply with National Minimum Standards. There was evidence that the recruitment process had been followed and met the standards for protection of Service Users. There are arrangements to carry out CRB checks and two written references were in place for all staff. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 and 38 The manager is supported by staff in providing clear and consistent leadership in the home with all staff illustrating an awareness of their roles and responsibilities. All service users and staff are protected by the home’s record keeping and health and safety policies. EVIDENCE: The manager has completed NVQ Level 4 training and the Registered Managers Award. Information from service users and staff confirmed that the management style in the home was open and that the registered proprietor/manager is approachable at all times. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 16 Monthly meetings were held for staff and all were encouraged to contribute to the development of the home. Records required for the protection of service users and sampled on the day of the inspection were well maintained, accurate, and up to date. The staff-training programme includes training in first aid, manual handling, infection control, fire safety, health and safety and basic food hygiene. Systems were in place to safeguard the health and safety and welfare of the service users. Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 18 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 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 Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 Page 19 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Eastcroft H58 H09 s13317 Eastcroft v239782 110805 Stage 4 unn.doc Version 1.40 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. 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!