Inspection on 10/05/05 for Eastside House Rest Home

This inspection was carried out on 10th May 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

Eastside House Rest Home 10/07/06

Eastside House Rest Home 25/06/06

Eastside House Rest Home 08/11/05

Eastside House Rest Home 12/10/04

Eastside House Rest Home 07/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE EASTSIDE HOUSE REST HOME 22-24 Eastside Road Golders Green London NW11 0BA Lead Inspector Tola Akinde-Hummel Announced 10 May 2005 at 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. EASTSIDE HOUSE REST HOME Version 1.10 Page 3 SERVICE INFORMATION Name of service Eastside House Rest Home Address 22-24 Eastside Road, Golders Green, London NW11 0BA 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) 020 8455 4624 020 8458 0739 Mrs Rosalind Virasinghe Therese Moutou PC Care Home Only 16 Category(ies) of DE(E) Dementia over 65 years registration, with number OP Old Age of places EASTSIDE HOUSE REST HOME Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1 Limited to 16 people of either gender who fall into the category of old age (OP) and who may have dementia (DE(E)). Date of last inspection 12 October 2004 Brief Description of the Service: Eastside House Rest Home, is a privately owned care home which is registered to provide personal care and support for up to sixteen people of either gender. The home is located in a residential area close to Temple Fortune, Golders Green and Brent Cross Shopping Centre. There are very good public transport links and shops and amenities close by. The home consists of a two storey detached building, with a small car park at the front and a large attractive garden at the rear of the premises. Accommodation is provided in single rooms on the ground and first floor. None of the rooms have en-suite facilities, but each has a wash hand basin. There is a passenger lift available to the first floor. There are two bathrooms with toilets on both floors. Two toilets are provided for service users and one for staff. The toilet and bathroom facilities are of a high standard and tiled from floor to ceiling. The stated aims of the home are to provide care for people who are physically disabled or elderly and are unable through physical or mental frailty to care for themselves. EASTSIDE HOUSE REST HOME Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection at Eastside House Rest Home took place over 6 hours. The manager Ms Josie Moutou, and the provider Mrs Virasinghe were present and available throughout the inspection. The inspector was able to speak to six service users on the day of inspection. The inspector was also able to speak to all eight staff on duty as a group. The inspector received twenty-four comment cards from service users, relatives and GP’s. There is one service user in hospital at present. There are no current vacancies in the home. The inspector would like to thank all service users, staff and professionals who took part in this inspection. What the service does well: What has improved since the last inspection? The previous inspection highlighted four requirements. All these requirements have now been met or partially met. The care plans are now being reviewed on a monthly basis, the medication administration record is only being signed following staff administering the medicine, the recruitment practices of the home are now much more robust and comply with the standards. The quality assurance process is now near completion and only requires analysis. EASTSIDE HOUSE REST HOME Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. EASTSIDE HOUSE REST HOME Version 1.10 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 EASTSIDE HOUSE REST HOME Version 1.10 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. Service users are fully assessed and are able to visit the home prior to admission. All service users have a written contract/ statement of terms and conditions. EVIDENCE: The inspector was able to speak to six service users living in Eastside House all had been there for various amount of time. The newest service user advised the inspector that her daughter identified the home and that she was assessed in her own home. The service user added that her daughter had made all the necessary arrangements for her to move and had scrutinised the placement due to her visual impairment. The service users daughter signed the contract once she was satisfied that the service users needs could be met. Another service user advised the inspector that she had identified the placement many years ago for her mother who lived there to the age of 106. having visited regularly, when it came to the point that she was no longer able to care for herself, Eastside House was the obvious choice, she added “ There EASTSIDE HOUSE REST HOME Version 1.10 Page 9 can be no better publicity than that” Other service users confirmed that they or their relatives visited the home prior to moving in. EASTSIDE HOUSE REST HOME Version 1.10 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) 7,8,9,10,11 The service user plans have varying degrees of information. This needs to be standardised and properly completed to ensure nothing is overlooked. Dental checks must be offered to service users to ensure all their health needs are met. Despite this, service users are well supported by a caring competent staff team who have taken the time to get to know the service users. The medication policy and administration is satisfactory. EVIDENCE: The inspector spoke to a number of service users during the day. One service user said that friends chose her room. This service user is visually impaired and stated that she finds the staff very excellent. “ If you ring the bell, they come straight away and assist with the commode during the day and I have a bedpan at night, they do this very nicely” the service users needs are detailed in her care plan and also advise what time she likes to get up in the morning, when she likes to retire, when and where she likes to have her meals and her favourite drinks. The service user plan also details any hobbies and interests. Not all plans are as detailed as this particular plan. Not all plans had all the same but individualised information. It was clear when the inspector pointed this out to the manager and the proprietor, that there was the expectation that EASTSIDE HOUSE REST HOME Version 1.10 Page 11 this would be the case, but staff do not always properly complete this information. One service user has not had her dentures checked for some time. The feedback received from five GP’s who see service users in the home were complimentary about the standard of care provided by the home. The inspector looked at the medication policy and administration records. Medication is kept in a locked cabinet in the office and is placed in a locked trolley. The medication book has the names and signatures of all staff who administer medication. The medication inspected was found to be correct. The records for disposing medication were very clear and well documented. One service user added “the staff are very good and very careful with tablets, they give them in time” One service user stated that staff handle her very well in terms of her personal care, she explained that she is washed and bathed very well and is well looked after. The service user added that “ I can truthfully say that I have been here for two years and they have never caused me embarrassment and I have not had the feeling of resentment from them” Service users spoken to said that staff knock before entering their rooms or in the case of service users who are visually impaired also call out and ask to enter. The service user plans also varied in terms of detail relating to service users wishes in the event of their death but these were recorded. EASTSIDE HOUSE REST HOME Version 1.10 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) 12,13,14,15 Service users are encouraged to pursue hobbies they had prior to moving into Eastside House. Their choice to opt out of activities is respected. Service users visitors are welcomed into the home. The food storage, preparation and quality is of a high standard. EVIDENCE: Service users advised the inspector that there is entertainment available but most of them are not interested. Service users told the inspector that they like to maintain their independence by doing what they wish with their days. Most love to listen to the radio, watch T.V or videos in their rooms, or spend time talking to other service users in the large lounge. Service users also told the inspector that they could practice their religion in the home with church visitors or by going to the local churches. All service users said that their visitors are welcome and made to feel at ease in the home and any hobby that they enjoy they are encouraged to pursue. One service user is particularly interested in flower arranging and does this in her room. Another service user likes to type so has a typewriter in his room and also likes to play the violin in his room once a week. The inspector discussed the menu and variety of food on offer to them all service users said that they are asked their preferences for three meals in the day. The cook who does this says he enjoys this daily opportunity for discussion with service users. The service users said that they are very satisfied with the amount, variety and quality of food on offer. The cook keeps a detailed daily record of EASTSIDE HOUSE REST HOME Version 1.10 Page 13 service users meal choices. These books also contain their likes and dislikes in terms of food. The inspector was also able to examine the menus and the kitchen. The kitchen is domestic in size and new kitchen cupboards have recently been fitted. The cleanliness of the kitchen is to a high standard. However there is an area around the wall close to the cooker that requires re sealing. All opened food is correctly labelled and stored; all fridge and freezer temperatures are recorded on a daily basis and all meat cooked is tested daily to ensure it is cooked to the right temperature. The inspector was able to look at the food on offer and was satisfied with its presentation and positive comments from the service users. EASTSIDE HOUSE REST HOME Version 1.10 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 Eastside House has a well-publicised complaints procedure, which service users, and their relatives are confident to use. Service users legal rights are protected and promoted. EVIDENCE: The inspector received twenty- four comment cards from service users, relatives and four GP’s. The majority of relatives who responded were aware of the complaints procedure. The GP’s stated that they had never received a complaint about the home and believe that the care is of a high standard and that the home is well run. All service users knew who to speak to if they were unhappy with the care provided. The complaints procedure was clear and the complaints book registered one complaint, which was investigated and resolved. There is a whistle-blowing policy in place which is easy to understand. All service users who wished to voted in the last general election. The majority of service users opted for taking a trip to the polling station and others decided on a postal vote. EASTSIDE HOUSE REST HOME Version 1.10 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) 19,20,21,22,23,24,25,26 Service users benefit from living in a home that is well maintained clean and furnished to a high standard. EVIDENCE: The registered manager took the inspector on a tour of the building. All the service users rooms seen were personalised or left as they wished. There are four bathrooms, two with assisted baths. These were in a good state of repair and had been serviced. All bathrooms were professionally tiled, warm and clean. The lounge is large, bright and airy with a view of the garden. The dining area is adequate with matching dining furniture. The communal areas are well decorated with good quality furniture in good condition. The carpets were also clean and well maintained. The mature garden at the back of the house is well tended and welcoming with wooden garden furniture and shaded areas. . The home employs two cleaning staff and the home is very clean, well maintained and hygienic. EASTSIDE HOUSE REST HOME Version 1.10 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) 27,28,29,30 Eastside House’s recruitment, selection and induction policy has improved and is now robust. Staff are enthusiastic and open to training from their organisation and community specialists. EVIDENCE: The inspector was able to speak to the staff team as a group. All were very enthusiastic about their work in the home and were clear about their responsibilities. Some staff had been employed by the home for over 15 years others had only a few months experience. The general consensus was that Eastside House is a good environment to work in, as it is small enough to have good relationships with service users and work well as a staff team. Staff added that the manager on a supervisory basis and in team meetings supports them. Staff explained that they have good lectures provided by the district nurse. They are currently doing a series of five lectures on topics such as care of pressure areas, incontinence and first aid. These take place on Monday afternoons and staff have found this very useful. Staff added that team meetings have planned items such as fire drills, policy and procedure regulations and discussions on service users needs. All other items are placed on the agenda by staff or the manager. Staff advised that they had a large amount of training in the last year, which included the mandatory training. The team are on, have completed or are about to start NVQ training. Following a requirement form the last inspection, the inspector EASTSIDE HOUSE REST HOME Version 1.10 Page 17 looked at the paperwork of the most recently recruited members of staff. The staff paperwork included application forms, two written references, health declarations, photos, ID and up to date CRB’s. Where relevant staff had received or were awaiting Home Office certificates required under Ascension state workers registration scheme. EASTSIDE HOUSE REST HOME Version 1.10 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 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) 31,32,33,36,38. The home continues to operate at an acceptable standard. However more work needs to be done to ensure that the homes policies and procedures are regularly reviewed and revised where necessary. EVIDENCE: The inspector was able to speak to the manager Ms Josie Moutou at length who has over twenty years experience of working as a nurse and a home manager for this client group. The staff said that they feel they can go to the manager with any issues or personal problems. Staff all described their opinion of the home this ranged from enjoying working with service users, friendly staff and management and the size of the home. Staff receive regular supervision from the manager and believe the content of supervision meets their needs. The inspector looked at supervision records of staff and noted that the content outlined the core standards of the care home, work related issues, discussions, actions and outcomes. Both parties sign this record. EASTSIDE HOUSE REST HOME Version 1.10 Page 19 A number of policies and procedures relating to the home are due for review. The manager is aware of this and is doing this as an ongoing programme. The manager must ensure that these policies are reviewed prior to the next inspection. The manager is well on the way to completing the quality assurance survey and has already started to analyse the information with the assistance of an outside agency. This should be completed by the next inspection. The kitchen requires new sealant around the cooker area to ensure there is no water or dirt penetration close to food preparation. The inspector saw records relating to the health and safety requirements of the home. These included, fire equipment tests, fire emergency lighting, weekly alarm tests, portable appliance testing, lift, bath and hoist servicing records, and Legionella certificates. All relevant certificates were up to date. EASTSIDE HOUSE REST HOME Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 x x 3 3 2 EASTSIDE HOUSE REST HOME Version 1.10 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 OP7 Regulation 15 (1), (2),(a), (b), (c), (d). Requirement Timescale for action 31/07/05 2. OP8 12,(1)(a), (2). 3. OP33 17,(20), (3),(a), (b). 16,(2) (g) 4. OP38 The registered person must ensure that all service user plans are properly completed with detailed information on health, and personal care. These must be completed in consultation with service users. All care plans should include reviews that are signed and dated by the staff member, service users or their representatives The registered person must 30/06/05 ensure that service users are advised that they are able to seek dental treatment should they wish to do so. The registered person must 30/06/05 ensure that the policies and procedures of the home are reviewed at least annually. The registered person must 30/08/05 ensure that the wall around the cooker is resealed to prevent water and dirt penetration EASTSIDE HOUSE REST HOME Version 1.10 Page 22 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 38 Good Practice Recommendations The registered person should consider using liquid soap and paper towels in all toilets to minimise the risk of the spread of infection. EASTSIDE HOUSE REST HOME Version 1.10 Page 23 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 EASTSIDE HOUSE REST HOME Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!