Inspection on 21/09/05 for Easterlea

This inspection was carried out on 21st September 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

Easterlea 16/06/08

Easterlea 20/12/07

Easterlea 16/01/07

Easterlea 04/05/05

Easterlea 20/09/04

Easterlea 26/04/04

Easterlea 02/10/03

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

CARE HOMES FOR OLDER PEOPLE Easterlea Hambledon Road Denmead Hampshire PO7 6QG Lead Inspector Michael Gough Unannounced Inspection 21st September 2005 10:00 X10015.doc Version 1.40 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 Easterlea DS0000011757.V251290.R01.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 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. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Easterlea Address Hambledon Road Denmead Hampshire PO7 6QG 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) 023 9226 2551 Mr David Mitchell Miss Carol Boyce-Flowers Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A minimum of three care staff are on duty between the hours of 8.00am to 8.00pm whenever service users numbers exceed 15. These care hours must be in addition to any management hours. 4th May 2005 Date of last inspection Brief Description of the Service: Easterlea is registered with the Commission for Social Care Inspection (CSCI) to provide care and support for up to 19 Older People. The home is situated on the outskirts of the village of Denmead in Hampshire and is set back from the busy main road. Accommodation is provided over two floors, ground and first floor and a lift is provided. There are 13 single rooms, 8 of which are en-suite and 3 double rooms, with 1 en-suite. There is a large rear garden, which is accessible through the lounge and parking is available at the front of the home for up to 10 cars. The village centre is a short distance away where local shops, a post office and GP surgery are situated. The local bus stops a short distance from the home and there is also a local ring and ride bus service available. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours and was unannounced. During the inspection it was possible to speak with 10 of the 18 service users who are currently accommodated at the home and it was also possible to speak with 2 members of staff, the homes manager and the registered provider. The opportunity was also taken to read and inspect records and to tour the home. Requirements made at the last inspection have been addressed by the home and there was 1 requirement and 1 recommendation made as a result of this inspection What the service does well: What has improved since the last inspection? What they could do better: The report will make 1 requirement and 1 recommendation, which will help improve the service provided for residents. It is a requirement that regular checks are carried out within the laid down timescales, with regard to the fire procedures at the home and that these are recorded in the fire logbook at the home. It was also recommended that specimen signatures and initials be obtained for all staff who are authorised to administer medication in the home. Easterlea DS0000011757.V251290.R01.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. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 the following standard(s): 1, 2 & 5 Prospective service users have the information they need to make and informed choice about where to live and each service user has a written contract, which gives clear information about the terms and conditions with the home. Potential new service users and their representatives have the opportunity to visit the home prior to moving in. EVIDENCE: The inspector viewed the homes statement of purpose and service user guide and these give clear information to potential new service users. Contracts viewed contained details of the terms and conditions with the home and these are kept in service users files at the home and copies are made available to service users or their families on request. Potential new service users are able to visit the home prior to moving in to see if it meets their needs and service users spoken to confirmed that they were able to visit and stay for a meal before moving in. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 & 10 Service users health, personal and social care needs are set out in a plan of care and health care needs are met. Medication procedures at the home protect service users and there are appropriate policies and procedures in place. 1 recommendation was made with regard to medication. Service users are treated with dignity and respect at all times and there right to privacy is upheld. EVIDENCE: Care plans were seen for 3 service users and these were simple and gave information on personal and social care needs. Most of the service users are registered with a local GP practice, although they are free to choose their own doctor and service users confirmed this. Arrangements are made for dental checks to be carried out in the local community and an optician visits the home twice per year. A chiropodist visits every 6 weeks and service users who are diabetic are aware of the availability of free foot care from the NHS. Staff was observed interacting with service users and were seen to support service users appropriately and to knock on service users doors and await an answer before entering. Service users spoken to were full of praise for the care staff and stated that there privacy and dignity was maintained at all times. Care plans Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 10 are reviewed monthly and annual reviews are undertaken. The home uses the Boots monitored dose system for medication and there are appropriate policies and procedures in place. One service user self medicates and appropriate procedures are in place. It was recommended that a list of those staff members who are authorised to administer medication be drawn up together with a specimen signatures and initials. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 the following standard(s): 14 & 15 Service users at the home are able to exercise choice and control over their lives and mealtimes are a social occasion and service users benefit from an appealing and balanced diet. EVIDENCE: Service users spoken to confirmed that they were able to exercise choice in their day to day lives and staff at the home consult service users and respect their individual wishes. Service users are consulted about the menu at the home and all those spoken to stated that meals were good, there was always a choice at meal times and that there was always enough food available. One service users stated that if she gets hungry in the evening staff will make her a sandwich, she said that “there was always hot and cold drinks available, all you have to do is ask and the staff will make you a drink” Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 the following standard(s): 16 & 18 There is a simple, clear and accessible complaints procedure, and service users and their relatives and friends can be confident that their complaints will be listened to, taken seriously and acted upon. The home is committed to the protection of its service users. EVIDENCE: Service users spoken to were confident about raising any concerns they may have and stated that they were sure that the homes management would deal with any complaints fairly and promptly. The home has a policy and procedure for dealing with any complaints and this contained the required information and staff members spoken to were aware of the homes complaints procedure. Records showed that staff has received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspected any form of abuse had taken place. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 the following standard(s): 19, 23, 25 & 26 Service users have access to safe and comfortable indoor and outdoor communal facilities and live in a safe well-maintained environment. Service users own rooms suit their needs and the home is clean pleasant and hygienic. EVIDENCE: A tour of the building was undertaken and communal areas were well lit and all areas were well furnished. Service users spoken to enjoyed sitting in the lounge and spent their time chatting to each other. All of the service users individual rooms visited had been personalised and contained the required furniture and fittings, all had a TV and telephone point. Risk assessments have been carried out on all radiators that are not covered and water temperatures are regulated throughout the home. There is a clear laid down procedure for washing commodes and there is an industrial washing machine with a sluice facility. The home was clean throughout with no unpleasant odours. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 The home has a mix of skilled staff in sufficient numbers to meet the needs of the service users and the homes recruitment policies and procedures protect service users. EVIDENCE: The staff rota showed that there are 3 members of staff on duty from 0800 until 1800 with 2/3 staff members on duty from 1800 to 2200. 2 awake night staff are on duty from 2200 – 0800. The home is looking to recruit some new which will be used to back up the existing staff and provide cover in the event of sickness and holidays. Service users spoken to stated that there were enough staff around to meet their needs and confirmed that if they used their call system staff arrived promptly. The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 3 staff members and those seen contained all the required information including 2 references and a record of CRB checks. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 37 & 38 The home accounting and financial procedures safeguard service users and their best interests are protected by the homes record keeping, policies and procedures. The health, safety and welfare of service users and staff are generally promoted and protected, however 1 requirement was made with regard to the fire procedures at the home. EVIDENCE: There was a copy of the homes employers liability insurance displayed in the hall of the home and the home employs an accountant who audits the home accounts annually. Records seen were kept appropriately and held securely in the office at the home. The home fire log was inspected and the last entry was dated June 2005, the home manager informed the inspector that weekly checks were carried out on the homes fire alarm system and that fire fighting equipment was checked monthly, however there was no record of this in the Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 16 fire log. It is a requirement that the home carries out and records weekly checks of the homes alarm system and that monthly checks are carried out on the fire fighting equipment at the home and these checks must be recorded in the fire log at the home. The fire officer last visited the home 26 April 2005 and 3 recommendations were made. The inspector checked these during the inspection and appropriate action had been taken to rectify 2 of the 3 shortfalls, however the fire officer’s recommendation that an automatic door closure be fitted to room 10 has not yet been completed. Easterlea DS0000011757.V251290.R01.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X 3 X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X x 3 2 Easterlea DS0000011757.V251290.R01.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 38 Regulation 13 Requirement It is a requirement that the fire alarm system must be tested weekly and that fire fighting equipment must be visually inspected monthly. These must be recorded in the fire logbook at the home. Timescale for action 10/10/05 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 9 Good Practice Recommendations It is recommended that specimen signatures and initials be obtained for all staff who are authorised to administer medication in the home. Easterlea DS0000011757.V251290.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Easterlea DS0000011757.V251290.R01.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. 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. 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