Inspection on 16/01/07 for Easthill Home For The Deaf

This inspection was carried out on 16th January 2007.

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

Easthill Home For The Deaf 29/10/08

Easthill Home For The Deaf 31/01/06

Easthill Home For The Deaf 13/07/05

Easthill Home For The Deaf 12/01/05

Easthill Home For The Deaf 08/09/04

Easthill Home For The Deaf 10/12/03

Similar services:

Heather House Nursing Home

Fairways

Fir Tree Lodge

Randell House Care Home

Cherwood House Care Centre

Madley Park House

Kilmory

The Oaks

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

CARE HOMES FOR OLDER PEOPLE Easthill Home For The Deaf Ashey Road Ryde Isle Of Wight PO33 3EB Lead Inspector Michael Gough Unannounced Inspection 16th January 2007 09:00 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 Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Easthill Home For The Deaf Address Ashey Road Ryde Isle Of Wight PO33 3EB 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) 01983 564068 01983 811857 The Hampshire, Isle of Wight and Channel Islands Association for the Deaf People Mrs Karen Melville Care Home 15 Category(ies) of Sensory impairment (15) registration, with number of places Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Easthill is a specialist home providing care and accommodation to 15 people with specific hearing difficulties under the category of sensory impairment. The home is a two storey detached property offering dining space, two lounges and an activities room. Access to all parts of the building is possible via a passenger lift and stair lift, although most service users are mobile independent individuals. The property is situated at the junction of Pitt Street and Ashey Road and is within half a mile of the towns shops and facilities. Whilst the distance might prevent most service users from walking into the town, the provision of a minibus means that the home is able to facilitate regular trips and outings for people. Fees at the home range from £539 to £716 per week and service users are responsible for paying for their own toiletries, chiropody and items of a personal nature. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at Easthill home for the deaf and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out on the 31 January 2006. The inspection took into account the homes pre inspection questionnaire; and comment cards received from 7 service users. Included in the inspection was an unannounced site visit to the home, which took place on the 16 January 2007 Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to gain the views of people living at the home through completed comment cards and from speaking with service users on the day of the visit. The inspector also had the opportunity to speak with 3 members of staff and the homes manager, who assisted the inspector throughout the visit. The home is registered to provide support for 15 service users but at the time of the inspection there were only 12 service users living at the home. What the service does well: What has improved since the last inspection? The homes arrangements for storing service users medication has been improved and details of the association’s medication policy have been made available to the staff. The home has improved its recruitment process for selecting new employees and ensures that all relevant checks have been completed before staff commences work at the home. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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 Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users have a needs assessment undertaken prior to moving into the home this allows both the home and the service users to see if the home can meet the service users needs. EVIDENCE: The home has an assessment form that is used to carry out initial assessments, which are carried out at the service users current address and this is completed prior to service users moving to the home. The assessment process then continues for the first 2-3 weeks at the home and this forms the basis of the individual care plan. Needs assessments from local authorities that fund service users at the home are also carried out. The home does not provide intermediate care. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of service users are set out in an individual plan of care, however these require updating. The home ensures that all service users have access to relevant health care professionals and that the health care needs of service users are met. Service users are protected by the home policies and procedures for dealing with medicines and service users at the home are treated with dignity and respect and their right to privacy is upheld. EVIDENCE: Care plans were inspected for 2 service users and these contained information for staff on service users ability, problems and needs, but these were not always in a simple format, which could be easily followed by someone who did not know the service user well. However the deputy manager at the home is in the process of updating all of the care plans for service users and therefore the care planning process will be fully inspected at the next visit to the home. Recording was clear and gave information on how the service user had been during the day. Risk assessment were included in care plans and these were clear and gave information on the risk and how this could be minimised. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 10 Service users at the home are registered with the same GP surgery and this has a number of different GPs who have different specialties and in the event of any problems service users see the most appropriate GP. The manager said that they had a good relationship with their GP’s who visit the home when needed. The home has a policy for the receipt, storage, return and administration of medication and medication records inspected were clear and up to date. The home operates a monitored dose system and the pharmacist carries out visits to the home. There are no service users who totally self administers their own medication, however one service user who is diabetic administers his own insulin and also monitors his own blood glucose levels. Staff support him to do this and there is a risk assessment in place. Currently the home has no controlled drugs however the manager is aware of her responsibilities in this area. All staff at the home that administer medication has received appropriate training. The atmosphere in the home was relaxed and friendly and service users stated in questionnaires that they were always treated with dignity and respect and said that they were happy at the home. Staff at the home interpreted for the inspector and service users were able to confirm that they were treated well and it was clear through observations made by the inspector that the staff know the service users very well and everyone gets on well together. Each service user has a light switch outside their room that staff can flash to inform the service user that there is someone at the door, also the home has a mini com and fax machine so that service users can communicate effectively with anyone outside the home, Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to exercise choice and control over their lives. The home provides a range of activities and this provided stimulation for service users and the recreational interests of service users at the home are provided for. Service users are able to maintain contact with family and friends and visitors are welcome at any time and service users benefit from the homes visiting policy. Service users are provided with a wholesome and balanced diet in pleasant surroundings at times convenient to them. EVIDENCE: Care plans for service users contained information on leisure activities and also hobbies and interests. The home provides a range of activities for service users and the home has a crafts room where service users can participate in a number of different activities. The home also organises days out, pub visits, films with subtitles, games, swimming, exercise classes, theatre trips, shopping and the home also has a beach hut, which service users visit regularly in the summer months. Comment cards received stated that service users were happy with the activities provided by the home. A record of all activities that take place is kept by the home and this also includes the names of those who took part. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 12 The home has a visiting policy and there are no restrictions on visitors. Service users are able to make informed choices and were able to control their own lives as much as possible, service users meetings are held on a regular basis and records of these meetings are kept. Staff spoken to said that they always ask service users what they want and respect there wishes and views. Staff were observed signing and talking to service users throughout the day and staff were also observed flashing the lights outside service users doors before entering. A number of service users had bought some of their own possessions into the home and rooms had been personalised. The home operates a four week rolling menu, which is changed seasonally. Care plans detailed service users likes and dislikes and preferences for meals and these are incorporated into the menu. Service users comment cards stated that the food was good and this was also confirmed by them on the day of the visit. The home uses fresh vegetables and the home employs 2 cooks who prepare the meals. Service users eat together in the dining room and lunchtime was seen as a social occasion. The environmental health officer last visited in May 2006 and no concerns were raised. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures protect service users from any form of abuse. EVIDENCE: There have been no complaints made to the home since the last inspection and the home has a simple complaints procedure and this is explained to service users when they move into the home. At previous inspections an interpreter has been used to gain service users views and this provided evidence that service users know how to make a complaint, comment cards received from service users prior to the inspection also informed the inspector that service users were aware of the homes complains procedure and knew how to make a complaint. Staff spoken with were aware of the homes complaints procedure and said that they would support any service users to make a complaint and access the homes complaints procedure. The home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure and staff have also received training on adult protection. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well maintained environment and have access to comfortable indoor and outdoor facilities and the home is clean pleasant and hygienic. EVIDENCE: The inspector toured the building and all areas of the home were clean and tidy and furniture was in a good state of repair. The home is over 4 floors and there is a stair lift and also a passenger lift to give easy access to all areas of the home. Decoration of the home is on a needs led basis and some service users rooms have been recently decorated. The home has a large enclosed rear garden, with a large patio area and lawn, which is accessible to all service users and this was tidy and attractive. The home has a laundry with 2 x industrial washing machines and these can wash clothing at appropriate temperatures and there is also an industrial tumble drier. Care staff at the home carry out laundry duties, although service Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 15 users can wash their own laundry if they wish and staff would provide assistance if required. All staff have received training with regard to infection control and all areas of the home were clean and there were no offensive odours. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff on duty to ensure service users receive the support they require. Staff were found to be well motivated and competent to do their jobs and service users are protected by the homes recruitment procedures. The home provides training for staff to enable them to carry out their roles effectively. EVIDENCE: On the day of the visit the inspector looked at the staffing levels for the day of the visit and this showed that there are three staff members on duty between 0800 and 1800 and 2 staff on duty between 1800 and 2200. Between 2200 and 0800 there are 2 staff on duty with one of these able to sleep. In addition the homes manager is available and there is an on call service. The home employs a total of 17 care staff and there are 9 members of staff who have NVQ level 2 or above and 3 staff members are in the process of obtaining a qualification. Recruitment records were seen for 2 members of staff and these contained all the required information. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 17 Staff training records were looked at and this showed that staff has received mandatory training in sign language level 1, first aid, moving and handling, fire, infection control, and adult protection. Additional training is also provided. There is a suitable induction programme in place with a booklet provided by a training organisation which covers induction and foundation training based on skills for care. Staff spoken to confirmed that they receive appropriate training to enable them to do their jobs effectively. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interest of service users and the homes manager is experienced and competent to run the home. Service users, relatives and other interested parties are consulted about the running of the home and how it is meeting its aims and objectives. There are suitable financial procedures in place and the health safety and welfare of service users and staff are generally promoted and protected, however the home needs to obtain a safety certificate for the homes fixed electrical wiring. EVIDENCE: Staff and service users comments were all positive about the homes manager and staff said the manager is available most days and that the manager seeks their views about any changes to the home. The manager has been in post since April 2006 and is currently completing the Registered Managers Award; Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 19 she was previously employed as the deputy manager and has worked at the home for over 10 years. The home holds regular service user meetings and service users are spoken with on a daily basis to see if there are any issues. The home also meets with relatives, has questionnaires, staff meetings, annual service user reviews and staff supervision and these are all used to measure the homes success in meeting its aims and objectives. The home does not directly manage any service users finances, however the manager does hold some monies for safekeeping and appropriate records and receipts are kept. Individual records are maintained and money is kept separately for each individual service user. The home has a fire risk assessment for the building and the fire log book was inspected and all required recording and testing had been carried out. Annual tests of equipment are carried out and the passenger lift & stair lifts were inspected in June 06 and the gas safety inspection was in September 06. The home did not have an up to date safety certificate for the homes electrical wiring. Therefore an approved electrical contractor must carry out a check of the fixed electrical wiring in the home and issue an appropriate safety certificate, a copy of the certificate must then be forwarded to the CSCI. Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 20 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 3 X X N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 3 X 3 X 3 X X 2 Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 21 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 OP38 Regulation 13 Requirement The home must obtain an up to date safety certificate for the fixed electrical wiring in the home and a copy of the certificate must be forwarded to the CSCI. Timescale for action 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Easthill Home For The Deaf DS0000012483.V321299.R01.S.doc Version 5.2 Page 23 - 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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