Inspection on 06/09/05 for Eastfield

This inspection was carried out on 6th 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

Eastfield 08/05/07

Eastfield 17/05/05

Eastfield 09/03/05

Eastfield 02/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Eastfield 76 Sittingbourne Road Maidstone Kent ME14 5HY Lead Inspector Debbie Sullivan Unannounced 6 September 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. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eastfield Address 76 Sittingbourne Road Maidstone Kent ME14 5HY 01622 755153 01622 755153 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) Bureaucom Limited Mr David John Titherington CRH Care Home 43 Category(ies) of OP Old Age (43) registration, with number of places Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17 May 2005 Brief Description of the Service: Eastfield is a large detached property situated on the outskirts of Maidstone. The home is near to public transport services and a Junction of the M20. Shops and other services and facilities are located in the town centre. The property provides accomodation for 43 residents on the ground and first floor, there is a shaft lift. Seven of the bedrooms offer double accomodation. There is a pleasant, safe and secluded garden and patio area with easy access for residents. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.45 hours, the Manager of the home, Resources Manager and Head of Care provided verbal information and documentation was read. Time was spent speaking to residents and a tour of the premises took place that included a number of the bedrooms. The lunchtime meal was partially observed and evidence was also gained from direct observation of the daily routines of the home. What the service does well: What has improved since the last inspection? Prospective residents now receive a letter of confirmation that they are offered a place in the home. Care plans are sectioned so that information can easily be accessed. CRB checks are undertaken for all staff applying to work at the home even if they already had a recent check completed. The responses of applicants at interview are recorded. New furniture has been provided in the lounge and dining room areas. A checklist of tasks for staff to complete at the end of shifts has been introduced. Eastfield H56-H06 S23932 Eastfield V242202 080905 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. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.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 Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.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) 1,3,4,5 and 6. Prospective residents and their relatives have access to information to enable them to make an informed choice. Needs are fully assessed before a place is offered. EVIDENCE: Prospective residents and their relatives have access to the homes’ Statement of Purpose and Service User’s Guide. Following an assessment a letter is sent formally offering a place if the needs of the prospective resident can be met. Visits to view the home are welcomed and one resident said that a relative visited several homes on her behalf before deciding that Eastfield could best meet her needs. All the residents spoken with during the inspection felt that their needs were well met. Eastfield offers respite care when there are vacancies and examples were given of people who returned several times; rooms provided for respite are made homely with fresh flowers to welcome the resident. Periods of respite are very flexible and timescales for residents to return home can be reviewed. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.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) 7,8,10 and 11. Comprehensive care plans are in place. Residents are afforded dignity and respect at all times. EVIDENCE: Care plans are in the same format for permanent and respite residents and are now sectioned and indexed so that information is easily found. Care plans of new, established and respite residents were sampled and contained information on health, personal and social care needs. Entries included reference to contact with specialist support such as a CPN; reviews are held recorded with family involvement when possible. An optician was due to visit on the afternoon of the inspection and a chiropodist the next day; if possible residents keep their GP on admission. The option to self medicate is available subject to a risk assessment; only one resident was self-medicating. Residents spoken with said that they were well cared for and staff attending to personal care needs during the inspection did so discreetly and privacy was respected. Residents are encouraged to be as independent as possible. Care staff had recently received training on caring for those at the end of their lives provided by a local hospice, terminally ill residents are able to remain at Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 10 the home if needs can continue to be met in liaison with healthcare professionals. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.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) 12,13,14,15 and 16. Residents are able to exercise a high level of control and choice over their daily lives. Meals are well cooked and presented with choice available. EVIDENCE: Residents are encouraged to maintain contact with friends and family and enabled to access the community as far as possible. The home employs an activities coordinator and a varied programme of activities is available, one resident spoke of especially enjoying the crossword and bingo sessions. Another said that the need for more activities had been raised at a residents meeting with a positive outcome. Several outings to the coast had taken place this summer and wheelchair accessible transport had been booked especially for two residents to go to on a trip to Hastings. One resident had recently started going out independently to meet friends in the town and is learning Braille. Information on forthcoming events and general information for residents is clearly displayed on a notice board these included a clothing party and coffee morning. Residents keep up individual interests, one resident who has a piano in her room and another who likes to sing were providing an enjoyable musical accompaniment to the mornings’ routines very professionally. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 12 Individual rooms reflected individual interests and residents remain in their rooms or socialise as they wish. The midday meal was well cooked and presented with appropriate sized portions; the mealtime was unhurried. Choice of meal is offered and comments regarding meals were positive. The dining room is attractively furnished. Aprons used to protect the clothing of residents need replacing as they are rather worn. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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 and 18. Residents can be confident that concerns and complaints will be listened to and taken seriously and that they are protected from abuse. EVIDENCE: The home has an established complaints procedure, which is displayed on a notice board near the entrance and included in the Statement of purpose and Service users’ guide. Residents spoken with during the inspection had not had cause to make any complaints but those asked would be happy to refer any concerns to staff. Staff receive Adult Protection training and POVA training had been held in August 2005. Adult Protection training is provided during induction and those on NVQ courses gain additional input on the topic. CRB checks are now undertaken on all new staff even if they had a recent disclosure in respect of another employer. Evidence was seen of a satisfactory check on the file of a member of staff fairly recently recruited. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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) 19,20,21,22,23,24,25 and 26. The home provides residents with an attractive, safe, clean and comfortable environment in which to live. EVIDENCE: The home is well decorated throughout with plenty of space and light. Two lounge areas adjoin the dining room providing a choice of environment to sit in. Some lounge and dining room furniture has been replaced and there is suitable garden furniture on the patio so that residents can sit outside. The garden and patio are accessed by a ramp and well maintained, residents look after an attractive raised flowerbed. Bedrooms are of varying sizes, residents can furnish them with their own possessions and many are very individualised. Ensuite facilities are available in 30 bedrooms and there are sufficient bathrooms and lavatories on both floors. Evidence of personal specialist equipment was seen and the home is looking into arranging an independent occupational therapy environmental assessment. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 15 The home has three cleaners, the standard of cleanliness and hygiene in all areas was high and there were no odours. Residents who commented on their rooms were all happy with them and a resident who had chosen to move rooms said he was happy with the new accommodation and it was “light and airy”. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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) 27,28,29 and 30. Residents can feel confident that a well-trained and competent staff group meets their needs. EVIDENCE: The home was fully staffed at the time of the inspection, existing staff members cover any shortfalls and no agency cover has been used for a number of years. The staffing rota has been adapted so that the full names of most staff can be shown and a new rota format is being developed. CRB checks are now undertaken on all new staff even if they have an existing one. Interview procedures now include interviewees’ responses to questions. Staff receive induction training and the home is on track to meet the target of 50 of care staff NVQ trained in 2005. Evidence of training was seen on staffing files, 16 care staff had recently completed medication training, POVA and Adult protection training had also recently been provided. Residents were complimentary about the staff, one said that “the staff are lovely”. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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) 31,32,33,37 and 38. The home is well managed and run in the best interests of residents. Staff are well supervised and supported. EVIDENCE: The registered manager is experienced in the provision of care and is qualified to run a care home. The atmosphere in the home is open, relaxed and friendly and residents benefit from the inclusive approach. Comments from residents regarding the home included “we do very well here” and “they would have a job to do better”. Regular residents’ meetings are held and suggestions are acted upon. Staff receive regular supervision and well attended staff meetings are held, notes from a staff meeting and meeting of senior staff both held the day before the inspection were seen. Records are stored safely and securely in the manager’s office and in a double locked cabinet nearby, the homes’ computer is registered in accordance with the Data Protection Act. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 18 Throughout the inspection evidence could be seen of safe working practices in operation. Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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 3 x 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 4 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 4 3 x x 3 3 3 Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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. 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 OP 22 Good Practice Recommendations It is recommended that work continue to secure an environmental assessment by a qualified Occupational therapist. This is a recommendation from the last inspection. It is recommended that the staffing rota show the full names of each staff member. This is a recommendation from the last inspection. It is recommended that the lights on the mirror in the hairdressing room be covered to avoid injury to residents or staff. It is recommended that aprons used to protect residents clothing at mealtimes be replaced if they are worn. 2. 3. 4. OP27.2 OP 38.1 OP 15 Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT 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 Eastfield H56-H06 S23932 Eastfield V242202 080905 Stage 4.doc Version 1.40 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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