Inspection on 14/12/05 for Eastwood

This inspection was carried out on 14th December 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

Eastwood 20/06/07

Eastwood 18/05/05

Eastwood 11/01/05

Eastwood 08/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastwood The Drive Felling Gateshead Tyne and Wear NE10 0PY Lead Inspector Mrs Eileen Hulse Announced Inspection 14th December 2005 09:30 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 Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eastwood Address The Drive Felling Gateshead Tyne and Wear NE10 0PY 0191 4336464 0191 4336465 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) Gateshead Council Kim Richardson Care Home 25 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (25), Physical disability over 65 years of age (9) Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To allow for respite care for one service user who has learning disabilities (35 days per year) The home may from time-to-time admit person(s) who are under the age of 65, but who fall within the currently registered service user categories 18th May 2005 Date of last inspection Brief Description of the Service: Eastwood is a Local Authority run home that can provide short stay respite and rehabilitation for 25 older people. The home cannot provide nursing care. The home is a large purpose built establishment situated between Sunderland Road and The Drive in the Heworth area of Gateshead, close to main roads, the metro interchange and bus routes. The grounds are extensive with many grassed areas and two car parks, one at the front of the home and the other to the rear. The front of the home has a paved sitting area and it has level access and is easy for service users to reach. All bedrooms are single and include en-suite facilities, each bedroom has satellite television and a telephone for personal use. There are three assessment kitchens and a large number of lounges and small sitting areas throughout the home. The home is easy to get around and there is a lift to take service users to and from the first floor. All the necessary facilities are provided including an emergency call system and bathrooms that are suitable for frail or disabled people. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 14th December 2005 by two inspectors Eileen Hulse Lead Inspector and Gillian McCabe. The date and time of the inspection was announced to people who use the service including the Manager and staff and was carried out as part of the annual inspection programme. Prior to the inspection, questionnaires were sent out to all of the service users currently receiving a service in Eastwood and their families. No completed questionnaires were received, however, the inspectors were able to gain peoples views of the service during the inspection process. Service users and visitors to the home were complimentary about the service and comments made by service users included: • • • • • ‘I like the unit it’s cosy’ ‘It’s very easy going here we go to bed whenever we want’ ‘I wish I could stay here for good, the staff are great’ ‘The girls are really good to us’ ‘Couldn’t fault the place’ The inspection took 9hrs to complete that included 2hrs to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by people using the service. Time was spent with service users, observing the practice of staff throughout the inspection and talking with the Manager and staff who were on duty. Some records were inspected including care plans, community activities, staff qualifications, service users financial records and quality assurance systems. A tour was made of the communal and personal areas of the premises and a lunchtime meal was shared with the service users. What the service does well: Eastwood is a well managed home and provides a good quality of care and provides a service that helps people to regain skills or to develop new skills to live independently in their own homes following a short stay of respite or rehabilitative care. The home has a staff team that are committed and keen to ensure that service users are involved in making decisions about their lives. Plans that are developed with service users make sure they have sufficient support when they move back into their own homes. Staff are well trained with good programmes in place and they all hold a care qualification. The staff team are very caring and committed and this was observed throughout the inspection as staff at all times promoted the dignity and respect of service users. All records inspected were found to be up to date and well maintained Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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): 6 The home is equipped with good facilities and detailed procedures are used that enable service users to work with support staff to meet individual goals. This enables service users to improve their independence and enables them to return to their own homes. EVIDENCE: The home has a number of specialised facilities. Some of the bedrooms have hoists attached to walls to demonstrate they can be used in service users own homes. One bedroom has ‘Smart’ equipment installed by Tunstall, this includes a flood sensor in position and the door sensor can be programmed to know when a service user is leaving a room. The home has other equipment e.g. fall sensors and pressure mats. The staff team have all received training in the use of specialised equipment from the various manufacturers installing the specialist equipment. All the support staff working in the home hold a qualification and have received training to use techniques for rehabilitation and a care manager is attached to the service. It was observed throughout the inspection that people are supported to live independently and until the service user is competent and Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 9 confident to return home. No person is admitted to the home that requires long-term care. Records evidenced that regular reviews are held. Five days after admission a review is held to agree a programme of care with the service user and depending on the programme in place, further review dates are set at fourweek intervals and involve other professionals such as physiotherapists, occupational therapists and the district nursing service. During the inspection, discussions were held with a staff member of the specialist team attached to the home. She was very positive about the service and comments made included: • • • • • • ‘The staff will very much work with us’ ‘Very fair management and a very good staff team’ ‘99 of comments from service users we work with are positive’ ‘Great environment to work in’ ‘Staff work well with the occupational therapy team and actively promote and participate in any plans made’ ‘Management of the home is very straight down the line and very fair’ Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 the following standard(s): 7, 9 and 10 All service users have an individual plan of care and the content of the care plans have improved and record more information since the last inspection. Detailed care plans help to guide staff to ensure that all of the identified care needs of service users are met. The medication arrangements in the home are good. Staff who are responsible for the handling of medicines have received accredited training and this helps staff to ensure medication is handled safely. Staff are supportive, respectful and sensitive in their care of the service users and this evidences that the rights of service users is protected. EVIDENCE: The individual care plans cover a wide range of needs / wishes, goals to be achieved and guidance is given to staff on the action they need to take to help to support service users to live independently in preparation for their discharge. This ensures that the needs of service users are adequately identified and met and that the service user is competent and confident to resume living in their own home at a specified time. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 11 The individual care plans are reviewed at regular meetings with the service user, relatives, key worker and other professionals involved in the programme of care designed for that person. This ensures that the information is evaluated and all progress is discussed and any changes to the programme can be made with the consent of the service user. The home follows a detailed policy and procedure on the administration of medication. Medicine administration records in place for individual service users are well maintained and up to date and a medicine audit confirmed the records medication stock in place were correct. Medication is held securely within a locked cupboard in a locked room. Care practices were observed throughout the day and these provided evidence of service users being treat with dignity and respect at all times such as calling service users by their preferred name and staff knocking on doors prior to entering bedrooms. In discussions with some of the service users, they spoke positively about the service they receive and about the staff team. Comments they made included: • • • ‘All the staff are great, they are very kind to me’ ‘Staff are helping me to get home, its great’ ‘I wish I could stay here and not go home its lovely and the girls are lovely’ Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15 Daily living is flexible in the home and although the home have an activities programme in place, the home would benefit from having an activity coordinator employed who would organise structured activities leaving the care staff to carry out other roles. The practice of staff during the midday meal was good but mealtime arrangements need to be reviewed so that service users have more choice and control at mealtimes. EVIDENCE: The home has a daily diary activities programme in place that is carried out by the care staff on duty. It includes everyday activities such as bingo, exercises, crafts, story tapes and local events. Good links have been formed with the local schools for the children to visit the home and chat with the service users. However, there are no records to suggest that individual or external activities take place, an activities co-ordinator should be employed that would address these issues. Both inspectors shared a lunchtime meal with service users. Tables were set with condiments, serviettes and a teapot on each table, however, the tables looked bare and uninviting with no tablecloths or place settings. It was a two Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 13 course meal comprising of a choice of either quiche with chopped salad that included celery, peppers and radishes with chips or baked potato and beans with fruit and ice cream or yogurt for sweet. The meal was tasty with good sized portions, however, it was felt the meals should be more suited to older people, observation showed service users were having difficulty chewing celery and peppers. Service users chatted with each other throughout the meal and were given sufficient time to sit and enjoy their meal without being hurried. Service users spoken with during the meal had mixed views about the mealtime arrangements and comments they made were as follows: • • • ‘You get what you are given we don’t get a choice’ ‘Some of the meals are nice’ ‘There is too much food on the plates’ Some service users who required help with their meal was given this by staff in a sensitive and dignified way for the service user. Staff made sure food was cut up and prompts given where needed for service users. However, service users were not asked about portions sizes or what they wanted on their plates and this can limit choice and decision making. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 the following standard(s): 16 The home have a detailed complaints procedure that is made available to each service user and their representative. This ensures service users have the information they need to make a complaint should they be dissatisfied with the service. EVIDENCE: The complaints procedure is included within an information pack that is located within each bedroom. It details how to make a complaint and who to, how the complaint will be dealt with and the timescales it will take to address the issue. It gives details of other agencies where a complaint can be made and this includes The Commission for Social Care Inspection, a named person at The Civic Centre and the name and address of the advocate team at Age Concern. The procedure also informs service users and their representatives that they will receive a written reply regarding the findings of the investigation. Records evidenced that complaints made in the past are dealt with in accordance with the procedures and they are well recorded for future reference. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 the following standard(s): 19 The home is clean, decorated to a high standard and well maintained and offers service users a comfortable stay. EVIDENCE: One of the inspectors made a tour of the building. Lounges appeared comfortable and homely and during discussions with service users they stated: • • • ‘Everything is lovely here we are very lucky’ ‘I have a lovely room’ I have no complaints its lovely here’ There is a large reception area, which is extremely popular with service users and appears to be the centre point of the home. There is one large well decorated dining room on the ground floor, which also acts as an activities room if required. The three fully equipped kitchens have domestic style seating arrangements where service users have their breakfast and tea at a time of their choosing. Bedrooms are pleasant and equipped with satellite television and telephones to make service users more comfortable during their stay. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30 The staff rota is service user needs led and the staffing numbers are over and above the Department of Health recommended guidelines, this ensures that there are enough staff to support service users at all times. EVIDENCE: The home have worked hard and achieved 100 of the staff team with a care qualification, this ensures the service users are cared for by a competent and qualified team of staff and the Manager and staff should be complimented on this achievement. The staff rota shows there are good staffing levels on duty at all times. There are at least six members of care staff on duty at any one time during the day. All staff have an individual training manual that details the dates and names of courses they have attended, training needs that have been identified within supervision and copies of certificates and courses attended. All staff have achieved an NVQ qualification in care and higher levels of NVQ are being undertaken by some of the staff team. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31, 35 and 38 The manager is qualified and well experienced to manage the home and meet its stated purpose. This helps to ensure the service is managed in the best interests of the service users. Records relating to money held in safekeeping for service users was inspected and found to be correct. Fire records inspected are up to date and well maintained. EVIDENCE: The Manager has worked in several care services since 1979 working with children, adults and older people. She has held management positions since 1988 working within two local authorities and holds a number of qualifications that includes the Registered Mental Nurse (RMN) qualification, the Chartered Institute of Management level 5 and has achieved the Registers Managers Award. She was able to demonstrate in her personal training plan that she has periodically accessed training to update her knowledge and has an HNC Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 18 qualification in Management of Social Care. Clear lines of accountability are in place and good contact with external management is evident. An audit of money held by the home for safekeeping was correct and the records kept were up to date and well maintained. Money is stored safely and securely and records showed there are two signatures entered whenever a financial transaction takes place and records follow the guidelines of the Data Protection Act. The fire records are detailed and show that fire tests are carried out at the stated times. Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 X X X X X X x STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 20 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 OP15 Regulation 16 Requirement The dining arrangements must be reviewed to address issues that are written within the report Timescale for action 31/03/06 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. 2. Refer to Standard OP15 OP12 Good Practice Recommendations The use of tureens on the dining tables should be reviewed to enable service users a degree of choice around what they want to eat The home should consider empoying an activities coordinator Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Eastwood DS0000058661.V256354.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!