Inspection on 18/05/05 for Eastwood

This inspection was carried out on 18th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eastwood 20/06/07

Eastwood 14/12/05

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 NE10 0PY Lead Inspector Eileen Hulse Unannounced 18 May 2005 9:15am 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. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eastwood Address The Drive Felling Gateshead NE10 0PY 0191 4336464 Not Known Not Known Gateshead Council 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) Kim Richardson Care home only 25 Category(ies) of DE(E) Dementia - over 65 (5) registration, with number MD(E) Mental Disorder -over 65 (1) of places PD(E) Physical dis - over 65 (9) OP Old age (25) Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11/1/05 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, that has level access and is easy for service users to reach. All bedrooms are single and include ensuite 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 B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 8 hours was unannounced and was carried out as part of the annual inspection programme. The Inspector made a tour of the building and time was spent talking to service users, relatives and the staff on duty. Some of the time was spent with the Manager and samples of care plans, pre admission assessments, staffing rotas, quality assurance documentation, risk assessments and the systems used around the of Protection of Vulnerable Adults were examined. The Inspector attended a staff information sharing meeting with the team and lunch was taken with the service users. What the service does well: What has improved since the last inspection? What they could do better: The care plans need to be improved to include more detailed information that will assist and guide staff in their everyday practice that will make sure the needs of the service users are met at all times. In Eastwood the focus is to carry out individual activities decided on by service users as they would in their own homes. However, there was no evidence that individual activities are taking place. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 6 The home should think about employing an activities coordinator so that service users can become actively involved in activities of their choice during their stay. 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 B52 B02 S58661 Eastwood V219688 19 May 2005 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 Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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) 3 Good policies and procedures are used whenever an enquiry is made to the home regarding a prospective placement and because of this, the home are able to ensure they can meet all of the assessed needs prior to the service user’s admission into the home. The home has very good systems in place to ensure all assessments are carried out using all the information available to them. EVIDENCE: Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 9 Policies and procedures enable staff to implement a smooth admission process that ensures service users are admitted into the home on the basis of an assessment that has been completed by a Care Manager. This ensures that staff have the right information to support the person prior to admission and therefore an appropriate placement is made and care plans reflect this. From the initial enquiry to the home, a customer enquiry log is completed that keeps a record of the number of times a service user has used the home for short stays. this record gives the staff team the information that has been given to the home ensuring that it is up to date, such as the care manager’s care plan and details the amount of pre admission visits made to the home prior to admission. This ensures that everyone connected with the admission knows what has happened prior to the admission day. Arrangements are then made for the prospective service user to visit the home where a daily living needs assessment is completed to ensure the home can meet the identified needs. Once a date has been arranged for admission into the home, the service user is notified by letter to give them information about receiving a short stay placement. All this information was evident within the care plans. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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 and 8 All service users have an individual plan of care, however, they are not completed in sufficient detail to ensure that all of the identified care needs of service users are met at all times. The home has very good health arrangements that ensure that all of the health needs of service users are addressed during their stay in the home. EVIDENCE: The physiotherapist visits the home every Wednesday / Friday for service users that require these services. Following a referral from the home, the hospital ‘crop’ (Community Resource Older People) team spend allocated time with service users depending on their needs and a nurse specialist team is also involved to assess people who require health input if their own GP is out of the area and this takes place once a week unless further visits are requested by the home. The home also has a liaison social worker and the services of an occupational therapist so that the rehabilitation programme can be carried out in the home and assessments are carried out on the progress made in preparation for a return home and to ensure all the service needs have been addressed. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 11 A sample of care plans examined showed the care planning process is carried out but not in an organised way, some of the needs identified tends to be poorly recorded with little or no information to guide staff in their practice and some needs are not identified and therefore do not ensure that service users care needs are met on a daily basis. One service user stated: ‘The staff couldn’t be more helpful to me on a morning’ Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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 Although staff spend time talking to service users enough activities are not arranged for service users to take part in on a daily basis. . The mealtime was a pleasant experience with a choice of food offered to service users. The meal was hot, tasty and well cooked. EVIDENCE: Although Eastwood promotes activities on an individual basis, at the time of the inspection there was no evidence of planned activities or activities that are in place on a regular basis. There are no records that evidence which activities have taken place and if the service user has a choice to take part in the activities offered. Service users talked to the Inspector and some of their comments included: • • • • “Nothing to do all day just watch TV they are long days” “I like dominoes but nobody plays” “Sat in lounge all day it’s absolutely boring” “Absolutely desperate days, most times I just sleep” Service users confirmed that they are able to have visitors at any time and this ensures that no restrictions are imposed. There is a designated visitors room with television, magazines and information about the home or service users Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 13 may entertain visitors in the privacy of their own rooms or in the small sitting areas provided around the home. During the lunchtime time meal, observation showed service users who required support were given help sensitively and discreetly. Staff made sure food was cut up and prompts given where needed for service users. A choice of meal was offered to service users of chicken, quiche or omelette. However, service users were not asked about portions sizes or whether they wanted vegetables which can limit choice and decision making. Some service users made comments about the food which included: ‘Some of the meals I enjoy’ ‘The foods not bad’ ‘No choice at mealtimes’ Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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) 18 Good systems are in place to help protect service users from abuse. Good policies and procedures and the local authority’s manual are also available to staff to use as a reference guide. EVIDENCE: Records show that no incidents of abuse or suspected abuse have taken place in the home and twelve staff have recently received Gateshead Council’s Protection of Vulnerable Adults training. Further dates were identified for the remaining staff team to be trained in this area and receive appropriate guidance about alerting and preventing abusive situations and should help staff to recognise the signs should they suspect an abuse is taking place. This ensures that service users and their families feel protected and safe and that staff will know what to do in this situation. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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, 25 and 26 The home is clean, decorated to a high standard and well maintained and offers service users a comfortable stay. EVIDENCE: On a tour of the building lounges appeared comfortable and homely and during discussions with service users they stated: • • “It’s a very comfortable place” “All mod cons here I could stay for ever” 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 B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 16 Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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) 28 and 29 The numbers and skill mix of staff enable all the service users individual needs to be met. The home operates a thorough recruitment and selection procedure when employing new staff EVIDENCE: All staff currently employed apart from one person has achieved either an NVQ Level 1 or 2 qualification in care and the remaining staff member is currently working towards gaining Level 2 NVQ. This ensures that the staff team have the skills and knowledge to meet the needs of service users on a daily basis. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 18 All staff are employed using the Local Authority’s recruitment policy and procedures based on equal opportunities and all staff are employed in accordance with the code of conduct set by the General Social Care Council. This ensures that the home follows the recruitment process and that all the necessary checks are carried out that includes references and Criminal Records Bureau checks. The Manager has received training to become an approved appointing officer, this person has the responsibility to ensure all the policies and procedures have been followed and that this person is qualified to carry out staff interviews that will ensure the right person has been chosen to carry out the role. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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) 33 and 34 Effective quality assurance and monitoring systems are in place to monitor and measure the success of the service Eastwood provides. Homes which belong to Local Authorities do not have to demonstrate financial viability as they provide annual reports which reflect this for public view. EVIDENCE: Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 20 A discharge questionnaire is given to all service users or their representatives at the end of their stay in the home as part of the quality assurance monitoring, the home have also produced a business plan. A review of the questionnaires highlights if any changes are necessary or if any improvements can be made to the service the home provides to improve the service provided. A service evaluation providing details of the service over the last year is available to all stakeholders of the service detailing the homes objectives and outcomes and what has been achieved since the home was opened. This informs people how the service has performed and shows any shortfalls that need to be addressed. Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 4 STAFFING Standard No Score 27 x 28 4 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 4 N/A x x x x Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 22 yes 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. 2. 35 9 Money held for service users must be recorded in individual books following the guidelines of the Data Protection Act (Previous timescale of 1/4/05 not met) The home must make arrangements to implement a programme of activities 1/8/05 Standard Regulation Requirement Timescale for action 3. 12 16 1/8/05 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. 2. 3. Refer to Standard 15 7 12 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 Care plans should contain sufficient information to guide staff practice The home should consider empoying an activities coordinator Eastwood B52 B02 S58661 Eastwood V219688 19 May 2005 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 B52 B02 S58661 Eastwood V219688 19 May 2005 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. 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