CARE HOMES FOR OLDER PEOPLE
47 - 49 Eastwood Lodge 47-49 Eastwood Road Goodmayes Ilford Essex IG3 8UT Lead Inspector
Helen Fontaine Unannounced Inspection 10:00 19 September 2005 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 47 - 49 Eastwood Lodge DS0000025897.V251149.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. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service 47 - 49 Eastwood Lodge Address 47-49 Eastwood Road Goodmayes Ilford Essex IG3 8UT 020 8599 2983 020 8270 1765 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) Mr Sukhraj Gill Mrs Kamaljit Gill Mrs Kamaljit Gill Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th April 2005 Brief Description of the Service: Eastwood Lodge is a 12 place care home for older people, situated in a residential area of Goodmayes, a short walk from local shops and public transport. The home is privately owned and one of the two owners is also the registered manager. The building is an adapted two-storey property in keeping with other houses in the locality. There are ten single and one double bedrooms, most of which are on the upper floor, which is accessed by both stairs and a lift. There is an open plan lounge/dining area on the ground floor, leading through to a conservatory, which overlooks a patio area. Care staff assist residents with personal care to the level that each person needs, whilst encouraging independence. Care staff ensure that all health care needs are met by arranging appointments with health professionals. A hairdresser visits the home weekly. Care staff arrange both individual and group activities, but respect the wishes of residents who choose not to take part. The home is currently being extended through to the adjacent house, which will increase the number of bedrooms and provide a second lounge and toilet on the ground floor. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two and a half hours and was part of the annual inspection programme. Seven requirements made at previous inspections were checked for progress, as well as key standards being looked at. Service Users were asked for their views and experience of living in the home. The Manager and a member of staff were also asked their views and a range of written records were looked at and a tour of the home was undertaken. What the service does well: What has improved since the last inspection?
Since the last inspection, the home has worked very hard to address all the Requirements from the last inspection. Staff are now very careful about the language that they use and write, when discussing Service Users. The Manager is also making sure that all staff views are taken into account. The Manager is now fully aware of the correct procedure in relation to the protection of vulnerable adults. The Manager now carefully reviews the numbers, and type of staff employed. There is now a cook and the home is in the process of employing another, to make sure holidays and sickness is covered. The Manager has forwarded to the Commission of Social Care Inspection, a copy of the Quality of Service and the Service User survey. All incidents and accidents are being reported to the Commission. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 47 - 49 Eastwood Lodge DS0000025897.V251149.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 47 - 49 Eastwood Lodge DS0000025897.V251149.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): 1, 2 and 3 Prospective Service Users do have information to make an informed choice about where they live. Each Service User has a written contract and statement of term and conditions with the home and no Service User moves into the home without their needs being appropriately assessed. EVIDENCE: During the inspection a Service User was spoken to and said that a relative was given information from the home, allowing them to make an informed choice. Records were looked at during the inspection and it was seen that each Service User had a contract. A copy of the statement of terms and conditions was also seen; the Manager said each Service Users has a copy. The file of a fairly new Service User was looked at and an in-depth assessment and an assessment from the Local Authority had been done prior to moving in. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Each Service User’s health, personal and social care needs are set out in a care plan. Service Users’ health care needs being met. Service Users do feel they are treated with respect and their privacy is upheld. EVIDENCE: During the inspection three Residents care plans were looked at and each care plan set out their personal, social and health needs. It was noted that one of the Service Users had a history of falls before moving to the home; there was no risk assessment for falls. The Manager said that the Service User did not have falls since they had been in the home and their mobility had actually improved. However, the Manager agreed that it would be advisable for this Resident to have a risk assessment due to their previous history. The documents looked at during the inspection had case notes which included a pre-admission assessment, care plans, review notes and daily logs as well as record of all contact with health professionals. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 10 Service Users spoken to during the inspection said that the staff were very kind and nothing was too much trouble. The Residents also said that there they are treated with respect and their right to privacy is upheld. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 and 15 The Service Users do maintain contact with family and friends, as well as being able to access facilities in the community. The Residents are able to exercise choice over their lives and receive wholesome and appealing meals at times that are convenient to them. EVIDENCE: One of the Service Users spoken to during the inspection said that their sister visits almost daily and their son came and takes them out. Another Service Users spoken to said that their family visit regularly and that they are still able to have contact with neighbours and friends. During the tour of the home, it was seen that Residents used various parts of the home. One Service Users spoken to liked to watch a particular programme on the television in their room before going down to the lounge. All the Residents spoken to commented on the good food, the fridges and freezers in the home were found to have a good variety of food. During the inspection a meal was being prepared by the cook and was seen to be wholesome and appealing. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 12 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): 17 and 18 The Home is protecting the Service Users from abuse and protecting their legal rights. EVIDENCE: During the inspection the Protection of Vulnerable Adults (POVA) policies and procedures were looked at and found to be appropriate and accessible to staff. The Manager said that staff had been on training and that they would be aware of any abuse. Discussion with the Manager and from the conversations with Service Users, that home does protect their legal rights. The Manager is now aware that The Commission for Social Care Inspection and the local Social Services Department responsible should be informed. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 13 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, 21, 24 and 26 The home is well maintained and safe, the home has recently increased the number and access to toilets and washing facilities. Each Service Users has their own rooms and each room is personalized. The home was very clean, homely and pleasant. EVIDENCE: Service Users live in a homely environment, which is decorated to a good standard and is well maintained. Service users have each of their rooms personalized and bring with them possessions and any furniture they want to. The home has had a number of improvements since the last inspection, which increases the number of toilets and their accessibility to the Service users. It was noted during the tour of the home that it was very clean and there was a pleasant atmosphere. During the inspection two Service Users were spoken to and both commented how pleasant the different areas of the home were. The home is planning to improve their laundry facilities and it is suggested that the home have a machine that has sluicing facilities.
47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 14 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, 29 and 30 The numbers and staff mix and the homes recruitment policy and practices support and protect the Service Users. All staff are trained and competent to do their jobs. EVIDENCE: Service Users were extremely complimentary about the skills and abilities of the staff and particularly commented on their commitment and warmth towards them. They were very appreciative of this and described the home as a lovely place to live. The home employ a cook and are in the process of employing a second cook to cover sickness and holidays. The Manager said that every effort is made to make sure that there are appropriate levels of staff at the home. During the inspection staff records were looked at and all staff had a CRB and two references before they were employed. On the staff records, a number of training certificates were seen as well as supervision and induction records. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 15 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): 33, 37 and 38 The home is well run and is run in the best interest of the Service Users. The Service Users rights and best interests are safeguarded by the records, policies and procedures. The home does have a hazard to staff, with the cupboard doors in the kitchen, but this does not affect the Service Users. The home is not storing food correctly; food containers were not labelled or dated- this poses a risk to service users. EVIDENCE: The Manager is committed and does run the home in the best interests of the Service Users. Residents spoken to said that every effort is made to make sure they are looked after very well. The Manager is keen to continue to develop the home, making improvements where they are needed. During the inspection a number of documents were looked at and were found to appropriately kept. There were a number of accessible policies and procedures, which safeguarded the rights and interests of the Service Users.
47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 16 It was noted during the tour of the home that in the kitchen a number of door on the kitchen units were hanging off and one had come off. This is a risk to the staff and these need to be either repaired or replaced. The lounge carpet has been re-laid but is becoming loose again and will quickly become a risk to the Service Users. During the tour of the home, fridges and freezers were inspected and it was found that food containers were not labelled or dated. Food must be appropriately labelled, to reduce the risk of accidental food poisoning. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 17 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 3 X 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X 3 2 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 18 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 2 Standard OP38 OP38 Regulation 13(4) (c) 23(2) (c) Requirement The registered person must ensure that stored food is labelled and dated The registered person must ensure that the home is well maintained and repair/replace faulty kitchen cupboard doors. Timescale for action 15/10/05 15/10/05 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 OP7 OP21 OP38 Good Practice Recommendations The home should make sure that they include risk assessments for Service Users who have a history of falls, even where they have not sustained any within the home. The home includes sluicing facilities when it develops its new laundry room. The home makes sure that the lounge carpet is re-laid again or replaced if it becomes loose again. 47 - 49 Eastwood Lodge DS0000025897.V251149.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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