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Inspection on 14/12/05 for Easter Field Court

Also see our care home review for Easter Field Court for more information

This inspection was carried out on 14th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Each person`s care and support needs are well thought out. There are good strategies to secure each person`s wellbeing. People are encouraged to lead as independent a life as possible. Staff demonstrated an in depth knowledge of the people they care for and support. This home is well managed in a way that promotes good outcomes for each person.

What has improved since the last inspection?

Requirements made at the last inspection regarding bathroom floors have been met.

What the care home could do better:

Improvements are needed in certain parts of the buildings to make it more pleasant for the people living here.

CARE HOME ADULTS 18-65 Easter Field Court 1 - 5 Easter Field Court Morpeth Northumberland NE61 1JY Lead Inspector Bill Middlemist Announced Inspection 14th December 2005 10:00 Easter Field Court DS0000000515.V258111.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 Easter Field Court DS0000000515.V258111.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. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Easter Field Court Address 1 - 5 Easter Field Court Morpeth Northumberland NE61 1JY 01670 - 395820 01670 395874 anne.joseph@nmht.nhs.uk 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) Newcastle, North Tyneside & Northumberland Mental Health NHS Trust Mrs A Joseph Care Home 17 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (17) of places Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 15 beds to be used flexibly for service users aged 54 and over. 1 bed currently approved for the use of a specified service user aged 44. NCSC must be notified in the event of this service user`s discharge. 1 bed specifically to be used for planned respite care. Date of last inspection 3rd August 2005 Brief Description of the Service: Easter Field Court is located on the outskirts of Morpeth and comprises 5 purpose built bungalows set in attractive grounds, all of which are maintained by the Housing Association. Accommodation is provided for 17 adults with mental health problems. There are 4 bungalows in which people are able to live more independent lives, and the core bungalow which also houses the administrative office and assisted bathing facilities. All the bungalows have their own kitchens, but main meals are provided from the core bungalow kitchen. Peopleare able to move freely between the bungalows and can travel into Morpeth independently or with the assistance of staff. The home has it’s own car for transport purposes. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for five and a half hours. During the inspection, the views of 9 people who live here were taken into consideration. The Manager was available throughout, as were several members of staff: all made a positive contribution to the inspection. A tour of the buildings was made looking at decoration and health and safety. What the service does well: What has improved since the last inspection? What they could do better: Improvements are needed in certain parts of the buildings to make it more pleasant for the people living here. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 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. Easter Field Court DS0000000515.V258111.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 Easter Field Court DS0000000515.V258111.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): 2 Anyone wanting to live at this home will have their individual needs assessed before they move in. EVIDENCE: Several assessments were inspected including the one for the most recent person admitted to the home: pre-admission assessments were detailed and included evaluation of risk and a risk management strategy. The home further carries out its’ own assessment that includes the views of people being assessed, and develops service user plans based on this. Easter Field Court DS0000000515.V258111.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, 9 Each person has individual plans that detail their needs and goals. Each person is supported to take risks in their everyday life. EVIDENCE: Each person has a service user plan that describes their needs and how the home will meet them. The plans state what staff need to do to care and support people, and include indicators when people may have a relapse in their mental health. The plans are reviewed on a regular basis through the Care Programme Approach Plans are updated to reflect people’s changing needs. 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. The home has a missing person’s procedure should someone be where they not are meant to be. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 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 the following standard(s): 12, 15, 17 Each person is able to take part in activities that suit them. Each person is encouraged to have appropriate relationships. People are offered a healthy diet and mealtimes are enjoyable. EVIDENCE: People have been able to take part in activities that suit them, as well as take part in educational courses. Each person follows a lifestyle that suits them. Staff support people to keep in touch with the others, such as relatives and friends, who are important to them. People have opportunities to mix with people who do not have disabilities, through the use of what the local community has to offer. People are offered appropriate support to develop and maintain intimate personal relationships. There is a good choice of food available throughout the day. Each unit has its own kitchen where people can cook food independently if they want to. There is a main kitchen where the main meals are prepared by the home’s Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 11 housekeepers. The kitchen is well run with due diligence paid to good practice in food preparation and storage. Menus are varied and each person consulted said that the food was very good. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 12 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): 18, 19 People get the personal support they need in a way that suits them. Each person’s healthcare needs are carefully considered. EVIDENCE: All personal support is provided in private for those that need it. There are no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. There was evidence that people are encouraged to choose their own clothes and to take care of their appearance. People’s healthcare needs are met through the home’s systems making sure that they get to the right kind of help at the time that they need it. People are able to see their GP or other healthcare professionals on their own if they wish, and steps have been taken to share information on a need to know basis, or in line with the home’s duty of care. The home is very good at monitoring people’s conditions and making referrals to specialists before potential complications develop. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 13 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, 23 People are aware of the complaints procedure and to whom they could complain. Training is provided in the Protection Of Vulnerable Adults. EVIDENCE: Each person that was consulted knew who to make a complaint to should the need arise. The home has a clear complaints procedure: no complaints have been made. All staff have received training in the matters concerning the Protection Of Vulnerable Adults. The Manager is scheduled to take part in more in depth training on the Protection Of Vulnerable Adults. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 14 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 This home provides a comfortable, safe and clean place to live. EVIDENCE: Easterfield Court is made up from a number of individual bungalows on the same site: each bungalow has an ongoing programme of repairs and decoration. Each person that was consulted said their home was comfortable and that it suited them. In bungalow 1 the passage carpet is worn and needs to be replaced: the bathroom needs a new floor. In bungalow 4 the lounge needs a new carpet and should be redecorated: piping around the bathroom WC should be boxed in. In bungalow 5 the lounge should be redecorated. Everywhere that was inspected was clean and hygienic. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 15 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): 33 The people at Easterfield court are supported by an effective staff team EVIDENCE: All staff were aware of people’s needs and preferences and demonstrated an in depth knowledge of complex conditions: staff also demonstrated careful consideration of each person’s immediate day of events and planning activities. At the shift handover, effective strategies were discussed to secure the wellbeing and welfare of people. In all, the staff groups’ skills, knowledge and abilities were reflected in what the people living at this home said about them. The staff on duty during this inspection also demonstrated very good values and attitudes. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 16 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): 38, 42 Each person living here benefits from a well run home. The health, safety and welfare of each person is promoted. EVIDENCE: Several people said that the way the home is run suits them. The Manager’s skills, knowledge and experience have ensured that Easterfield Court is well run and that systems are in place to ensure continued good practice is carried out, and good outcomes for residents are achieved. All matters concerning health and safety that were inspected were satisfactory. Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 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 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X 3 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 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Easter Field Court Score 3 4 X X Standard No 37 38 39 40 41 42 43 Score X 3 X X X 3 X DS0000000515.V258111.R02.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 – (b) (d). Requirement The following repairs and refurbishment must be carried out. In bungalow 1 the passage carpet needs to be replaced: the bathroom needs a new floor. In bungalow 4 the lounge needs a new carpet and should be redecorated: piping around the bathroom WC must be boxed in. Timescale for action 28/02/06 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 YA24 Good Practice Recommendations In bungalow 4 and 5 the lounges should be redecorated: Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Easter Field Court DS0000000515.V258111.R02.S.doc Version 5.0 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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