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Inspection on 03/08/05 for Easter Field Court

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

This inspection was carried out on 3rd August 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.

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

Easterfield Court provides good care and support to the people who live there. Assessments are detailed and Care Planning ensures that people`s needs, including changing needs, are well addressed. The delivery of care is sensitive and focussed. The Manager and staff are knowledgeable about Mental Health problems and the range of conditions associated with Mental Health.

What has improved since the last inspection?

There is a continuous programme of repairs and decoration to each part of the buildings.

What the care home could do better:

Certain parts of the building are looking worn and should be redecorated. The floors to two bathrooms need to be replaced. Some furniture should be re covered or replaced. Requirements and recommendations have made to address these points.

CARE HOME ADULTS 18-65 Easter Field Court 1-5 Easter Field Court Morpeth Northumberland NE61 1JY Lead Inspector Bill Middlemist Unannounced 03 August 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. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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 Newcastle, North Tyneside & Northumberland Mental Health NHS Trust A. Joseph CRH 17 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) Category(ies) of MD(E) - Mental Disorder over 65 (17) registration, with number of places Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 15 beds to be used flexibly for service users aged 54 and over. 2. 1 bed currently approved for the use of a specified service user aged 44. CSCI must be notified inn the event of this service users discharge. 3. 1 bed specifically to be used for planned respite care. Date of last inspection 21/2/05 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 v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and is one of two inspections that Easterfield Court will receive this year. The inspection took place over 4 hours. 7 residents gave their views on what it is like to live at Easterfield Court. The manager was available throughout the inspection. All kitchens, bathrooms and some living areas were inspected. Documents relating to Health and Safety were inspected. What the service does well: What has improved since the last inspection? There is a continuous programme of repairs and decoration to each part of the buildings. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.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. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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 Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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) These standards were not assessed because the home has no new residents. EVIDENCE: Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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, 7, 9 Each resident’s assessed and changing needs are well considered. Risk assessments and risk management plans support residents to be safe as well as independent as possible. EVIDENCE: The files of 3 residents were inspected, each had care and support plans that were detailed and focussed on individual needs and interventions, the manager also gave several more examples of highly individual planning for residents care and support needs. Residents are assisted to make decisions in a number of formal and informal ways; care planning and outcomes provide evidence of formal decisionmaking, and staff were observed offering residents choices throughout the inspection. Any risks for people living at Easterfield Court are well documented; risk management plans are particularly good and support people to lead their chosen lifestyle. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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) 13, 16, 17 The people who live at Easterfield are part of the local community if they prefer. The home’s planning and support systems promote individual rights and responsibilities. People are offered a varied and healthy diet. EVIDENCE: Several residents described how they got out and about in the local community; some require support from staff to do this and some go out independently. The home is achieving a good balance between people’s rights and responsibilities by the way care and support is delivered, and the way risk assessment and risk management plans are devised. Each resident can choose from a varied menu at mealtimes, and can have alternatives if they wish; several residents said that the food was tasty. The kitchen was well stocked with lots of choices of food and snacks. The home’s Housekeepers have ensured that the kitchen is very well run. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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) 19 Easterfield Court is very good at making sure people receive personal support in a way that suits them; the home is also excellent at ensuring that people’s physical and emotional health needs are met. EVIDENCE: Easterfield Court takes an integrated approach to supporting people and ensuring that their physical and emotional needs are met; each strand of care planning looks at the person as a whole and highlights areas where people may need extra support. The home works closely with a range of other professionals to ensure that any specialist needs are met. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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 Most residents were aware of the complaints procedure and to whom they could complain. Training is provided in the Protection Of Vulnerable Adults. EVIDENCE: Most residents were aware of the complaints procedure and to whom they could complain. No complaints have been made since the last inspection. 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 v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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 Most parts of Easterfield Court are homely and comfortable. Certain parts of the building are looking worn. EVIDENCE: All people spoken with were satisfied with the rooms and shared spaces that Easterfield Court provides. There is a rolling programme of redecoration throughout the site. The The The The and following was noted: suite in the no smoking sitting room could be re-covered or replaced. lounges in bungalows 1 and 4 are looking tired and should be redecorated. bathroom floors in bungalows 1 and 4 are worn and difficult to keep clean hygienic – these floors must be replaced. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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) 33, 36 An effective staff team care and support the people who live at Easterfield Court; the team is also well trained and regularly supervised. EVIDENCE: Those staff observed on duty during this inspection displayed respect for residents and also demonstrated good values and attitudes. The team is stable with very little turnover of staff over several years. There is a good staff training programme that includes all statutory training, as well as training in subjects that relate directly to the needs of residents; there are also opportunities for staff in continuing professional development. The Manager reported that all staff supervision is up to date. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 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 Easterfield Court is well managed. Proper care is taken to promote the Health and Safety of residents and staff. EVIDENCE: 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. A number of resident’s questionnaires were inspected and cover a wide range of subjects that are important to residents. These take place periodically and offer an indication of how satisfied people are with the service they receive. 9 residents returned questionnaires sent out by the Commission; each indicated that they enjoyed living in this home and were satisfied with the care and support that was provided. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 Page 16 There are unannounced visits made every month by a Responsible Individual from the 3 NNN’s Trust, and a report of findings from these visits, including resident’s views, contribute to Quality Assurance systems. All matters relating to Health and Safety that were inspected were satisfactory, including the Fire Log, Risk Assessments for safe working practices, resident’s monies, accident book, gas safety records, and complaints. The home has “due diligence” documents, covering cleanliness, hygiene, fridge and water temperatures – these were satisfactory and provided evidence for the standards achieved in Health and Safety. Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.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 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Easter Field Court Score x 4 x x Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x v237627 b53-b03 s515 easter field court v237627 030805 stage 4.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 24 Regulation 23 Requirement The bathroom floors in Bungalows 1 and 4 must be replaced Timescale for action 30th October 2005 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. 2. Refer to Standard 24 24 Good Practice Recommendations The living rooms in Bungalows 1 and 4 should be redecorated The suite in the non smoking sitting room should be recovered or replaced Easter Field Court v237627 b53-b03 s515 easter field court v237627 030805 stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northumberland 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 v237627 b53-b03 s515 easter field court v237627 030805 stage 4.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. 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