Inspection on 08/03/06 for Eastfield Care Home

This inspection was carried out on 8th March 2006.

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

Eastfield Care Home 28/07/08

Eastfield Care Home 14/03/07

Eastfield Care Home 11/01/06

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Eastfield Care Home Moss Road Askern Doncaster DN6 OJZ Lead Inspector Janet McBride Unannounced Inspection 8th March 2006 09:45 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 Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eastfield Care Home Address Moss Road Askern Doncaster DN6 OJZ 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) 01302 700810 01302 707009 eastfield.hall@ashbourne.co.uk Ashbourne (Eton) Limited Mrs Alison Nicholls Care Home 59 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (34), Physical disability over 65 of places years of age (34) Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit four persons 60 years of age and over. Date of last inspection 9th January 2006 Brief Description of the Service: Eastfield Care Home provides Nursing and Residential care to older people, the home is registered for 59 beds, 34 beds offer nursing and residential care this includes 4 beds to accommodate people aged 60 years, also separate unit with 25 beds offering residential EMI care. The home is situated in the village of Askern and is within walking distance of shops, churches and other community facilities. All the homes bedrooms are single and three new bedrooms have ensuite facility. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Eastfield Care Home, on the 8th March 2006, commencing at 9:45 and finished at 12:45. This was the home second Inspection since Ashbourne (Eaton) Ltd has become the proprietor of Eastfield Care Home, however the home as been taken over again by Southern Cross (but is still registered as Ashbourne Eaton) As this was the second sale of the service in a short time the Inspector was interested in how these changes affected the residents and relatives. Most of the key standards were assessed on the first Inspection, but it may be the case that some standards are covered twice within the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. During the Inspection we looked at a number of standards, a chosen number of documents, sampling of records, tour of the premises and direct and indirect observation of staff interaction with residents, this Inspection also included individual and group discussions with staff, residents, and comments from any visitors on the day. Any issues or concerns that were raised were discussed with the Manager during and at the end of the Inspection. What the service does well: In respect of the service and care delivery the home continues to provide a good quality provision, as they have a very stable staff group and the manager as been in post a number of years, who ensures the home is well managed and provides leadership, guidance and direction to staff. Residents spoken to confirm they were happy with care they received, and the staff at the home, other comments from residents about the changes in ownership, this does not appear to have had any impact on life within the home. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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 Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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 Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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): A number of these standards including key standards were assessed on the last inspection and met. EVIDENCE: Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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): 9 Resident’s health is monitored and staff can access all NHS health care facilities. Medication practice by staff ensures that Medicines in the custody of the home are handled according to the requirements of the Medicines Act; this ensures residents are protected by the homes policy and procedures. EVIDENCE: This standard was assessed at the last Inspection and issues were raised all have been addressed including the purchase of medicines fridge for both units. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 10 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): All these standards were assessed on the last inspection and met, however a good practice recommendation was to look at developing the activities role with an increase in hours, this was not addressed and will be carried forward, as this would be beneficial to most of the residents in the home especially in the EMI unit. EVIDENCE: Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 11 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): Key standards assessed on the last Inspection and met. EVIDENCE: The complaints procedure was discussed with the registered manager, which remains the same, and records checked, show that the home have had no complaints since the last Inspection. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 12 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 21 24 26 The company need to have a refurbishment plan for the home to upgrade the fabric of the premises and renew some fixture and fittings. EVIDENCE: Tour of communal area on both units within the home raised a number of issues regarding environmental standards. Nursing unit main entrance to the home is showing signs of wear and tear, carpet very worn and ready for a refurbishment. Corridor carpets are showing signs of long use, and furniture in the lounge looks worn in appearance, chairs are stained on the arms and look well worn. EMI unit was found the same with a number of carpets looking very worn and furniture showing signs of long useage. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 13 The EMI unit was discussed with the manager as a lot of the client group have deteriorated, the company need to re-assess some environmental areas, for example steep open staircase, ramp from the dining room to the lounge and it was noted that one residents was having difficulty using this, these issues may pose a risk to residents who have dementia problems. Bathrooms seen although most bathrooms had appropriate aids that meet resident’s needs the fixture and fitting require upgrading. Bedrooms on both unit were randomly selected and found that a number of these are looking very worn with carpet being old and stained, two were identified to the manager as being badly frayed and would have been safety risk to residents. Some of the bedding was thin, curtains worn and furniture mixed and matched. A number of bedrooms need upgrading with redecoration and refurnishing. Laundry service was being moved on the last Inspection, however this work as stopped re issue with ventilation and fire exits, therefore the laundry continues to remain in the old unit until these issues are addressed. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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): 30 The registered provider must provide appropriate training especially for new staff to ensure that they are equipped to meet the needs of resident group within the home. EVIDENCE: Training was discussed with the manager as in the past the home has always ensured that any new staff receives training and development programme that met the NTO specification, but since Ashbourne have taken over they have changed the way they deliver staff training, and this raises issues. Evidence was seen that new staff had an induction to the home that covered all mandatory training, but no evidence was found that staff receives induction and foundation training that meets NTO specification that equips staff to meet the needs of resident group within the home. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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): 36 38 The homes policies and practices promote and safeguard the health, safety and welfare of residents within the home. EVIDENCE: Supervision for both the manager and staff was discussed with the manager, an requirement issued on the last Inspection with regard to formal supervision not being regularly maintained, this was discussion with the manager, who stated that staff are now receiving supervision on a regular basis with records available, this was confirmed by staff members seen. Although the manager as contact with her line manager, and usually discusses development and performance issues, no evidence was seen that she receives formal supervision. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 16 Heath and safety was assessed on the last Inspection and met, therefore this was discussed with the manager who stated no changes have taken place and she ensures so far as is reasonably practicable the health, safety and welfare of residents and staff with records kept. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X 2 X X 2 X 2 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 2 X X Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 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 OP19 Regulation 23(2(b) Requirement Premises, 1) The registered provider must produce a programme of renewal for the fabric and decoration of the premises, to ensure that the home is well maintained with regard to the issues raised in this Inspection. Premises, 2) Ensure that the premises are suitable for its stated purpose to suit service users needs and must be accessible, safe and well maintained. Toilet and Bathroom facilities, Ensure that there is a programme of renewal to upgrade bathrooms and toilets facilities within the home. Bedrooms, Bedrooms occupied by service users must have bedding, curtains replaced as required. Timescale for action 01/05/06 2 OP19 23(2)(a) 01/05/06 3 OP21 23(2) 01/05/06 4 OP24 16(2)(c) 01/05/06 Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 19 5 OP24 16(2)(c) 6 OP30 18(1)(c) 7 OP36 18(2) Bedrooms, 2) Carpets that were identified on Inspection must replaced ASAP, and a renewal programme to replace bedroom carpets. Training; The Registered provider must ensure that new Staff receives induction and foundation training to NTO specification to equip them to fulfil the aims of the home, and meet service users needs. Supervision arrangement must be put into practice for the Registered manager. 01/04/06 31/05/06 01/05/06 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 OP12 Good Practice Recommendations Look at developing the activities role with an increase in hours. Eastfield Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Care Home DS0000065778.V285979.R01.S.doc Version 5.1 Page 21 - 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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