Inspection on 09/08/05 for Eastleigh (Residential) Care Home

This inspection was carried out on 9th August 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

Eastleigh (Residential) Care Home 30/10/08

Eastleigh (Residential) Care Home 12/12/07

Eastleigh (Residential) Care Home 24/01/06

Eastleigh (Residential) Care Home 14/02/05

Eastleigh (Residential) Care Home 11/05/04

Eastleigh (Residential) Care Home 20/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastleigh Periton Road Minehead Somerset TA24 8DT Lead Inspector Shelagh Laver Announced 9th August 2005 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. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eastleigh Address Periton Road Minehead Somerset TA24 8DT 01643 702907 01643 707649 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) Mr Garry John Wilson Mr Richard Mackie Personal Care Home Only 21 Category(ies) of Old Age (21) registration, with number of places Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A management structure for an additional 51 hours per week to be provided by the Registered Provider and Registered Manager from Eastleigh Care Home, South Molton. 2. Service users accommodated in category DE(E) to remain in the home providing the home continues to meet the assessed needs of each person. 3. No further service users in the DE(E) category to be admitted as from the date of registration. 4. The Registered Provider to provide a minimum of 50 hours per week to support the Registered Manager. 5. The Registered Manager to have a minimum of 7.5 supernumery hours each week. 6. In the event of a new service user being admitted to bedroom 1, measuring 7.92 sq. metres, the ensuite facility will be removed. Date of last inspection 14th February 2005 Brief Description of the Service: Eastleigh is registered with the National Care Standards Commission to provide personal care to twenty-one people over the age of 65 years. The Proprietor is Mr Gary Wilson and the Registered Manager is Mr Richard Mackie. Mr Wilson took over the home (previously known as Boyd House) on 1st June 2003. Eastleigh is situated on the outskirts of Minehead and enjoys views over the sea. Accommodation is provided over two floors, with a passenger lift to the first floor. There are some rooms only accessible by stairs and these are kept for service users who are independently mobile. The home is set in three acres of paddock and gardens. Mr Wilson has received planning permission to add a forty one bedded nursing wing to the home. It is estimated that this work will be completed within the next 12-18 months. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on one day over six hours and was conducted by one inspector. The Manager, Richard Mackie, and Matron, Pauline Alford, were present. A tour of the premises took place where the bedrooms, bathrooms and all communal areas were seen. Seven service users returned comment cards completed by themselves or a named relative. The responses indicated that all felt well cared for and safe. Few made comments but one card said, “I am very happy and love living here”. A relative commented that staff are “always helpful”. Twelve service users were spoken with individually. The inspector met the Company Training Manager and staff on duty. Records relating to care, staff and health and safety were examined. The building of the 41-bedded nursing home is underway and the management team are considering staffing needs and the implementation of systems in the home. There were no complaints about the building although one service user missed “the peace and quiet of the garden”. It is hoped that the building will be complete early in 2006. What the service does well: Service users confirmed they were well cared for at Eastleigh. There were many very positive comments. For example one service user said, “I am very happy here.” Another said she “couldn’t find better…”. Several service users commented on staff kindness. Service users benefit from the contributions made by all members of the support staff. Service users enjoy a wholesome and varied menu that takes into account the needs and preferences of people in the home in a very individual way. The home environment is well maintained. It is safe, clean and comfortable. The home is in an enviable position and the views of the hills and the sea from some bedrooms provide a source of great pleasure to service users. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 6 Service users are actively supported in the development of a variety of lifestyles and daily routines that suit them individually. There are also opportunities for service users to spend their days as quietly as they wish. The home has good support from the local GP and district nurses. There is continuing investment in the home to upgrade the facilities and create a smart but homely environment. 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. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.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 Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.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) 1, 2, 3, 4, 5. The home does not provide intermediate care. The Manager and Matron ensure that the home can fully meet the assessed needs of prospective service users prior to making a decision about admission. The pre-admission process is detailed and well managed. The Manager ensures that prospective service users are provided with appropriate information, which will assist them in making a decision about admission. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which is made available to service users, prospective service users and their representatives. The home’s current fee range is dependant upon the room to be occupied and the assessed needs of the service user. Current fees are £380- £410, with the higher fee being for en-suite rooms. The Manager ensures that prospective service users are fully assessed prior to admission. A letter from a relative confirmed that the initial visit, information Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 9 received and moving in process had been conducted efficiently and helpfully by the staff. The Manager stated that a service user is visited, if possible, and information from other health professionals and for example hospital care notes are taken into account. Service users are invited to visit the home whenever this is possible. The assessment period extends to a one month and service users are issued with a contract at the end of this period. Documentation relating to pre-admission assessments was seen in the three care plans examined. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 10 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, 9 and 10, The home takes appropriate action to ensure the health care needs of service users are met. The home’s procedure for the management and administration of medication was found to be satisfactory. Service users are treated with respect. Care practices support privacy and dignity. Care plans are completed in a methodical way using an appropriate format. EVIDENCE: All service users have care plans maintained. Three were examined and were found to be up to date and well-maintained overall. There were monthly reviews. Care plans are compiled from appropriate assessments, which include preadmission assessment, prevention of pressure sores, moving and handling needs and nutrition. All entries in care plans must be signed. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 11 There are details of service users’ past times and previous history. The planning of individual care was noted to be thorough. There was evidence of attention to health needs and appropriate treatment from health professionals including chiropodists and dentists. Care plans could be developed further, for example there is evidence in the daily records that urinary and chest infections are identified and appropriate care and treatment is provided. These short term care needs and interventions should be recorded in the care plan. This was discussed with the company trainer. Community nurses attend regularly. One service user commented particularly on the assistance given to enable her to attend a series of hospital appointments. All staff attended to and addressed service users with respect and in a dignified manner. All service users asked confirmed that they are well cared for at Eastleigh. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 12 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 and 15. Service users are able to choose a variety lifestyle patterns in the home. The home provides a wholesome and varied menu which takes into account the needs and preferences of service users. Arrangements for service users to maintain contact with family and friends is good. The home could develop the range of activities and entertainments to further enrich the service users lives. EVIDENCE: Staff were observed to encourage and support service users to maintain independence and mobility. Service users choose how they spend their day. Some were in the sitting rooms others prefer to spend time in their rooms. The home menu is wholesome and appetising, varied and takes in to account the needs and preferences of service users. The inspector observed the homemade steak pie and fresh vegetables being prepared for lunch. Other menus indicated home cooked main dishes and fresh vegetables. Tea includes “cake of the day”. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 13 The menu does not indicate a choice of main meal each day although there is a list of likes and dislikes on the kitchen notice board. Service users confirmed that if they did not want a meal an alternative was available. All service users were pleased with the standard of food in the home. The dining room is pleasant and tables are set smartly. Visitors are made welcome at any reasonable time in accordance with the wishes of the service user. There is a choice of sitting rooms ensuring there is always “a quiet spot”. Some service users prefer to meet visitors in their rooms that were seen to contain sufficient seating. Social interaction between member of staff and the service users was polite and friendly. Service users were smartly dressed and have the regular services of a hairdresser. Service users clothes appeared well cared for. There is a list of activities that has included dominoes, reminiscence and trips out to local places of interest. It is planned to increase the social activities in the home with further staff appointments. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 14 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) 16,17,18. The complaints procedure in this home is good with evidence that the views of service users/visitors are listened to and acted upon. Procedures and policies aim to protect service users from abuse. EVIDENCE: There had been no complaints. Service users spoken to knew whom they were able to speak to if they wished to complain. Service users were encouraged to vote in the last election. Staff recruitment procedures, training, supervision contribute to the protection of service users from abuse. The inspector observed systems of administering service users’ finances that included detailed and accurate records. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 15 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 Service users live in a comfortable, safe and clean environment and are able to personalise their own bedrooms. The home’s environment is able to meet the assessed needs of service users. The home provides specialist equipment to ensure the needs of service users are met. EVIDENCE: All communal areas and most bedrooms were seen at this inspection. Bedrooms were pleasant and comfortable and it was evident that service users were encouraged to bring personal possessions into their rooms. Bathrooms, toilets and en-suites were very clean. There are plans to up-grade one assisted bathroom. Specialist beds and pressure relieving equipment were seen to be in place where there was an assessed need. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 16 Service users informed the inspectors that they were very satisfied with their rooms. There is a choice of sitting areas and the standard of decoration and furnishing is good and in keeping with the building. The home has two lounges and a dining room overlooking the hills. Tables are set out smartly. Service users have a choice of where to spend the day. Some prefer to spend a great deal of their time in their bedroom although all are encouraged to come to the dining room for lunch if they are well. Overall the home is very pleasantly decorated and well maintained. The standard of cleanliness was very good. Domestic staff on duty were satisfied with the time provided to care for the home and the equipment provided. There are very attractive gardens surrounding the home. Inevitably there have been some restrictions on outdoor activities during the building programme. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 17 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. The home ensures that there are sufficient staff on duty to meet the service users’ needs. The home’s recruitment practices are robust and designed to protect the service users. Staff are well trained and have access to a range of mandatory and developmental training opportunities. Staff supervision should be formalised. EVIDENCE: On the day of inspection there were sufficient care staff on duty. Also on duty were the cook and kitchen assistant and two domestic staff. The duty rota showed permanent staff working in numbers to meet the needs of service users. Staff spoken to confirmed they had received manual handling up-dates and fire training. The inspector saw records of training and staff confirmed training was regular and organised to meet their needs. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 18 The in-house trainer is able to address specific training needs and has produced an annual training plan. Topics included prevention of pressure sores, communication and catheter and stoma care. Two recruitment files were observed. Both contained evidence of a thorough recruitment process. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 19 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, 34. 35, 36, 37 and 38. The home is effectively managed by the Registered Manager who promotes a clear and inclusive style of management. Measures are taken which ensure the needs and well being of service users takes priority and that staff are appropriately supported and supervised. The home’s systems for ensuring the health, safety and welfare of service users and staff are structured and well managed. EVIDENCE: There are systems in place to manage the care of service users. Key staff are identified to review care plans. The Manager demonstrated through discussion with the inspector a commitment to service users’ well being. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 20 Staff benefit from regular meetings. While staff confirmed that support was available from management supervision it is currently informal. This will be developed over the next year. At the time of this inspection, the home was taking appropriate steps to ensure the health & safety of service users, staff and visitors to the home. The following records were examined: FIRE – Records indicated that appropriate checks were being carried out on the home’s fire detection and fire fighting equipment. Regular training is conducted for all staff. SERVICING – Servicing schedules indicated that hoists are serviced according to LOLER. Some were due this month. There are planned dates for all servicing. ACCIDENT – The home maintains appropriate records relating to accidents at the home. The accident records include action to be taken and evidence of analysis. HOT WATER/SURFACES – Bath hot water outlets are thermostatically controlled to reduce the risk of scalding. Those checked at this inspection were found to be within the acceptable limits. First aid training is provided for staff. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 3 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 3 3 3 3 3 3 3 1 3 3 Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 22 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 OP 36 Regulation 18 (2) Requirement A formal system of staff supervision must be implemented. Timescale for action 31/12/05 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 OP 7 Good Practice Recommendations Care plans must be further developed to include psychological needs and should reflect short term care needs. Staff should be provided with additional training in care planning as discussed during the inspection. Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Eastleigh D53 - D02 S44220 Eastleigh V234816 090805 Stage 4.doc Version 1.30 Page 24 - 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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