Inspection on 04/05/05 for Easterlea

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 21/09/05

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 4 May 2005 - 10:00am 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. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Easterlea Address Hambledon Road Denmead Hampshire PO7 6QG 023 9226 2551 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) David Mitchell Miss Carol Boyce-Flowers CRH 15 Category(ies) of OP - Old age (15) registration, with number of places Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 September 2004 Brief Description of the Service: Easterlea is registered with the Commission for Social Care Inspection (CSCI) to provide care and support for up to 15 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 11 single rooms, 8 of which are en-suite and 2 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 H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4.5 hours and was unannounced. During the inspection it was possible to speak with 8 of the 12 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 2 visitors. 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 were 3 requirements 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: Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 6 There were no major problems found on this inspection, however service users annual reviews would benefit from improved reports, which accurately reflect what is happening with individual service users. There are generic risk assessments in place with regard to uncovered radiators, however individual risk assessments for each service user is required. Staff would benefit from clear laid down procedures for the washing of commodes. It was acknowledged that there is room for improvement with regard to staffing levels and dedicated domestic staff would be beneficial. 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 H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 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 Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 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) 3, 4 & 6 Each service users has a needs assessment carried out before they move into the home and the admission process is well managed. The home meets the needs of individual service users. The home does not provide intermediate care. EVIDENCE: The manager caries out an individual needs assessment prior to service users moving into the home and care files contained completed assessment forms and service users spoken to confirmed that they were visited by the homes manager before they moved into the home so that their needs could be assessed. All of the service users spoken to confirmed that their needs were met by the home and that staff could not do enough for them. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 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 & 10 Service users health, personal and social care needs are set out in a plan of care and health care needs are generally met. Service users are treated with dignity and respect at all times and there right to privacy is upheld. There is a need for improvement in the recording of annual reviews and service users who are diabetic need to be informed of the availability of NHS podiatry services. EVIDENCE: All of the service users spoken to were entirely satisfied the care that they are receiving and stated that their health care needs are fully met. Care plans were seen for 5 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. A chiropodist visits every 6 weeks. Staff were observed interacting with service users and were seen to knock on service users doors and await an answer before entering. Service users were full of praise for the care staff and stated that there privacy and dignity was maintained at all times. Care plans are reviewed monthly and annual reviews are undertaken, however care plans Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 10 would benefit from the recording of annual reviews to be more thorough and service users or their representatives should sign review reports. One service user is diabetic and at present has foot care carried out by the visiting chiropodist. This service user must be informed of the entitlement of the free podiatry treatment available through the NHS and be supported for this to be arranged as required, a record of any decisions must be held on file. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 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 The routines of daily living are flexible and varied and these matched the expectations and preferences of service users. Social and recreational activities are provided to meet the interests and needs of service users. Visitors are always welcome and there are no set visiting times. Service users are able to exercise choice and control over their lives. EVIDENCE: The home had a list of regular activities, which take place and these were mainly provided by outside agencies. Service users confirmed that activities are provided on most days and these were enjoyable and included, bingo, arts and crafts, musical movement, board games, quizzes and singalongs. The home also arranges for entertainers visit on a regular basis. On the day of the inspection the mobile library visited. Service users spoken to confirmed that they are able to exercise control and choice in their day-to-day lives and made their own decisions on what, if any activities they wished to take part in and were happy with the variety of activities provided. The home is planning a day trip to Exbury Gardens in the near future and 9 of the 12 service users at the home have expressed a desire to go along with the other 3 making an informed choice to stay at the home. All visitors are required to sign the visitor’s book and it was possible to see that there is a regular stream of visitors to the home at varying times. 2 visitors were spoken to during the Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 12 inspection and they confirmed that they were always made to feel welcome and that there were no restrictions on visiting Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 13 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 There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. Service users legal rights are promoted and protected. 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 all of the required information and gave details of how to contact the CSCI. Staff members spoken to were aware of the complaints procedure. There were notices in the entrance lobby of the home with regard to legal advice and independent advocacy and all of the service users are on the electoral roll. Service users spoken to confirmed that they were going to exercise their right to vote at the forthcoming general election. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 14 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) 20, 21, 24, 25 & 26 Service users have access to safe and comfortable indoor and outdoor communal facilities and there are sufficient lavatories and washing facilities. Service users private accommodation is furnished and equipped to ensure comfort and privacy and meets their needs. The home was well maintained, clean, pleasant and free from offensive odours. Individual risk assessments are required with regard to radiators and there is a need for clear procedures to be available for the washing of commodes. EVIDENCE: A tour of the building was undertaken and communal areas were well lit and the lounge/dining area was well furnished. All of the service users individual rooms had been personalised and contained the required furniture and fittings, all had a TV and telephone point. Service users confirmed that they were able to bring in their own possessions. The home has 5 WC’s in addition to the ensuit facilities. There are 2 bathrooms, one of which is fitted with a hoist. Radiators at the home were not of low temperature surfaces and radiator covers were not fitted, however generic risk assessments were in place. It was Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 15 pointed out that individual risk assessments are required for each service user especially in relation to risks of hot water radiators and any identified action must be undertaken. The utility room at the home has been fitted with a new industrial washing machine, which has a sluice facility and also a new industrial tumble drier. There is a contract for dealing with clinical waste and suitable protective clothing is available for staff. The home was seen to be clean and well maintained and there were no offensive odours. Commodes are currently washed in the utility room, however there is no clear laid down procedure to give staff guidance with regard to the washing, drying and storage of commodes to prevent cross infection risks. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 16 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 & 30 Staff morale was good and service users benefit from well-trained staff that has had sufficient training to meet the needs of service users and are competent and qualified. It was acknowledged that staffing levels need to be kept under constant review to ensure appropriate numbers are on duty. EVIDENCE: The homes staffing rota showed that there are a minimum of 2 staff members on duty 24 hours per day, this is in addition to the homes manager who is at the home for 35 hours per week. The home employs one cleaner who works 10 hours per week. Service users stated that staffing levels met their needs and that if they called for staff they arrived promptly. Staff members spoken to stated that they were not rushed and had sufficient support to carry out their duties. At present only 12 service users were accommodated at the home and it was agreed with the homes manager that staffing levels should be kept under review. Of the 16 staff members employed at the home 6 have already obtained their NVQ3 qualification, with 3 staff members currently undertaking this qualification. Staff training records showed that staff has completed training in Health and Safety, fire, medication, equal opportunities, moving and handling, 1st aid, adult protection and food hygiene. Staff spoken to confirmed that they had received this training and stated that their induction training was comprehensive and they were confident that they could meet the needs of service users. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 17 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, 33, 35 & 38 The home is run in the best interests of service users and the homes manager is experienced, of good character and is able to effectively run the home. Service users financial interests are protected and they control their own money wherever possible. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is a qualified NVQ assessor and is currently undertaking the registered managers award. Regular staff meetings are held and service users are consulted on a one to one basis. Service user surveys have been held in the past and the manager advised that she intends to carry out a survey this year, regulation 26 visits are also carried out. Service users confirmed that they are able to control their own finances with the help of relatives and friends and the home keeps money for one service user and appropriate records and receipts are kept. Certificates were seen for annual tests of fire fighting equipment, fire alarms, boilers, and electrical equipment and for the Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 18 lift and these were all in date. The fire log was inspected and all relevant training and testing is carried out within the specified timescales. Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 19 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 x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION x 3 3 x x 3 2 2 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 x 3 x 3 x x 3 Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 20 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. 2. 8 13(1)(b) Service users who are diabetic must be supported to access the foot care treatment available from the NHS if required. Individual risk assessment must be carried out for all service users including risk of hot radiators at the home which are not covered. Clear procedures must be in place for the washing of commodes to prevent cross infection. 5/7/05 Standard Regulation Requirement Timescale for action 3. 25 13(4)(a) 5/7/05 4. 26 13(3) 5/6/05 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 7 Good Practice Recommendations It is recommended that detailed records of annual care reviews are made and that these records are signed by the individual service user or their representative Easterlea H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 21 Commission for Social Care Inspection 4 Floor, Overline House Blechynden Terrace Southampton Hampshire 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 H54 S11757 Easterlea V224601 040505 DRAFT 180505.doc Version 1.30 Page 22 - 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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