Inspection on 05/01/06 for Eaton Court

This inspection was carried out on 5th January 2006.

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

Eaton Court 27/03/07

Eaton Court 14/03/06

Eaton Court 16/02/05

Eaton Court 02/06/04

Eaton Court 18/06/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eaton Court 128 - 130 Grove Road Wallasey Wirral CH45 OJF Lead Inspector Karen Barry Announced Inspection 09:30 5 January 2006 th 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 Eaton Court DS0000018883.V271070.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. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eaton Court Address 128 - 130 Grove Road Wallasey Wirral CH45 OJF 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) 0151 639 1093 Shadowsource Limited Janet Ann Wyn Jones Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2005 Brief Description of the Service: Eaton Court is located in a residential area of Wirral, which is close to local shops and Liscard town centre. The local bus station provides access to other parts of the Wirral and Liverpool. The home is a large three-storey detached building that is set in its own grounds with a well-maintained garden to the rear. Accommodation is situated on three floors in both single and double rooms, six of which have en-suite facilities. Communal space within the home consists of two lounges and a large conservatory that is used as the dining area. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection taking place the manager was asked to complete a questionnaire in order to assist the inspector with the auditing of the services offered and received. Commission for Social care and Inspection (CSCI) Comment cards requesting feedback from residents and relatives were also sent to the home prior to the inspection taking place and nine were received back. The manager & the staff welcomed the inspector on arrival at the home and were found to be both professional & friendly throughout this announced inspection, which took place over a period of six hours. A tour of the building was given, and with the permission of the residents, a number of bedrooms were seen. Various samples of records relating to residents care and the overall management of the home were seen. Residents were spoken with individually and privately alongside a number of general group discussions within the lounges and dining area. Two visiting relatives were also spoken with during the day. The views of the staff on duty during the inspection were listened to. This included the manager, deputy, care assistants, domestic staff and the cook. What the service does well: The residents living in Eaton Court appear very happy with the care they receive. Some comments they gave are as follows: • • “The staff are really nice, they’re always willing to help” “I am really pleased with the level of care my mother receives from Eaton Court. The girls are kind & caring and there is a good ‘family’ atmosphere with plenty of activities organised. “The food is good here”. • Comment cards received from residents and relatives were generally very positive. The staff team appear to work well together and those on duty stated they enjoy working in the home. There is a friendly, relaxed atmosphere in the home and communication between residents, staff and relatives was seen to be very good. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 6 Comfortable, homely accommodation is provided for the residents, in and outside the home. What has improved since the last inspection? An activities co-ordinator has been employed within the home to assist the care staff in providing the residents with a variety of activities such as: • • • • • • • Sing-a-longs Board and card games Armchair exercises Bingo Movie afternoons / evenings Pub lunches Day trips. Staff training has continued ensuring the staff are able to do their jobs as well as possible. The homes general appearance has been improved by the undertaking of redecoration in the following areas: • • • The outside of the property at the rear. The kitchen Downstairs bathroom & toilet. To prevent any cross contamination laundered bed lined is now stored in an upstairs storeroom until required. 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. Eaton Court DS0000018883.V271070.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 Eaton Court DS0000018883.V271070.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): 1,2,3,4 & 5 Residents needs are assessed before they move into the home to ensure they can be met. Information provided to residents before they move into the home ensures that residents and their families know that the home will be able to meet their needs. EVIDENCE: Prospective residents and their relatives are encouraged to visit the home so that they can judge services offered and the atmosphere for themselves. Alternatively arrangements are made for the manager or a member of the senior staff to visit any prospective resident in their own home or hospital so that they can carry out an assessment, to ensure their needs can be met at the home. Social worker or medical assessments are where appropriate also used as part of this process. When the resident moves into the home, this information is used to develop an individual care plan. Eaton Court DS0000018883.V271070.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, 9 and 10 Clear care planning system used within the home provide staff with the information they need in order to meet the needs of the residents. The medication system at the home is well managed. Personal support is provided in a way that ensures residents’ privacy, dignity and independence. EVIDENCE: Four residents care files were seen and each clearly showed what staff need to do to assist in meeting needs, whilst ensuring independence is promoted. All care plans seen were well written, up to date and reviewed on a regular basis. Documentation relating to reviews undertaken by the staff within the home clearly highlights when and why any changes to care plans maybe required. Senior staff in the home that give out medication have all attended medication training courses. The policies and procedures dealing with all areas of medication administration where in good order. The residents views of the care and support they receive at Eaton Court is very positive. Some comments received were: Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 10 • • • • “All the Staff are very kind, I think of them as family” “I feel so safe living here” “I’m feeling so much better since I came to live here” “ The staff respect my rights to come and go as I please” Staff were seen communicating with residents in a sensitive, caring way. Eaton Court DS0000018883.V271070.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): 12, 13, 14 and 15 Daily routines are flexible so residents are able to exercise choice and control over their lifestyles, whilst maintaining contact with family and friends. Social activities offered appear to meet the expectation of the residents. The dining room is pleasant and residents enjoy their meals in a leisurely and comfortable environment. EVIDENCE: The activities co-ordinator and the care staff arrange a variety of in-house activities and outings on a regular basis. Records & discussions with residents and staff relating to activities that have taken place recently indicate that a great deal of thought has been given to widening the expectations of residents regarding various forms of social stimulation. A number of examples of such activities are given below: • Wedding day memories: - whereby a staff member brought in her wedding dress and the staff performed a wedding service followed by discussion of how wedding services and traditions have remained the same or changed according to various residents experiences. Spanish day: - Staff decorated the dining room and areas of the home to reflect a sunny Spanish holiday environment. The day’s menu was DS0000018883.V271070.R01.S.doc Version 5.0 Page 12 • Eaton Court altered to offer traditional Spanish food paella along side a traditional English holiday meal of fish & chips. Residents gave a number of examples of the way in which they have choice and control over their lives. Some residents choose a relatively private lifestyle, living in their bedrooms for most of the time or going out and about independently within the local community. One resident told the inspector “I picked this home because it gives me easy access to the golf and sailing club that I’ve always gone to and it’s close to my house so I can still pop round and check things over”. Other residents said they have choices about meals, what time they got up and went to bed and whether or not they join in any activities in the home. The cook confirmed that she can be flexible with the menu and is able to meet the individual needs of residents. On the day of this inspection the food served for lunch looked appetising and was served in an unhurried manner to the residents and the inspector. On the day of this inspection the menu offered was as follows: Lunch Minestrone soup Or Grapefruit Homemade Chicken & Mushroom pie Cream potatoes Cabbage & peas Prunes & custard Or Ice cream. Tea Homemade soup Fruit loaf The inspector was told that tea, coffee, other hot or cold drinks and snack are made available throughout the day and night in accordance with residents needs and preferences. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 13 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): 16,17 & 18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: There is a clear complaints procedure in place within the home. A copy of this is on display in the hallway of the property. No complaints have been recorded since the previous inspection. Residents and visitors spoken with said that communication in the home is good, and they feel very comfortable talking to the staff about any concerns they may have. The manager confirmed that if and when necessary residents are encouraged to seek advice and guidance from independent advocates to ensure their views are heard correctly. Information leaflets seen within the hallway demonstrated that such services are made accessible. Staff receive training in adult protection during the induction process and as part of their NVQ training. This is updated by in-house training. During discussions, staff demonstrated an awareness of the issues surrounding adult protection and the actions to be taken if abuse was suspected. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 14 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): 19,20,21,22,23,24,25 & 26 Eaton Court offers a comfortable, clean and tidy environment for residents to live in, with fixtures and fittings of a good domestic standard. Bedrooms are bright and individualised. EVIDENCE: Eaton Court has two lounges and a large conservatory, which is used as the homes dining room. All communal areas were found to be free from any hazards and clutter. There are sufficient toilets and bathrooms available throughout the home to meet the needs of the residents. Specialist equipment to aid independence and safety for residents and staff was seen to be available within the home. Bedrooms are available on all three levels of the property. Rooms are allocated dependent upon the needs and choice of the individual resident. The fees charged reflect the differences in room allocation made. 19 rooms are designed for single occupancy, 6 of these offer en-suite facilities and the further 7 rooms offer twin beds for those who may wish to share. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 15 The home was found to be clean and tidy. Decoration is undertaken on an ongoing basis. The manager stated that the downstairs corridor by room 13 is due to have a new carpet fitted as the carpet tiles presently used have been found to be impractical in maintaining the generally high standards found within the rest of the property. The home has a well maintained garden that the resident’s state they enjoy in during the summer months. The window frames at the back of the house have been treated and re painted ensuring the property looks well maintained from all angles. Clarification has been sought regarding the height of the stair banisters on each of the landings and this confirms that they do meet with building regulations. Arrangements are also underway for a new control panel to be fitted to the homes walk in passenger lift. It is envisaged that this will aid resident’s independence when using this either with or without the support of staff members. Eaton Court DS0000018883.V271070.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, 29 & 30 Staff at the home appear well trained and employed in sufficient numbers to meet the needs of the residents. The procedures for the recruitment of staff are robust providing safeguards to offer protection to people living in the home. EVIDENCE: Since the previous inspection, there have not been many changes to the staff group. There is still a core group of staff that have worked at the home for a number of years, providing continuity of care for the residents. The management insists that all care staff at Eaton Court pursue National Vocational Qualification (NVQ) to at least level 2 to ensure residents consistently receive appropriate levels of support, care and attention from staff members who have a deep rooted understanding of their needs, experiences and aspirations. The staff spoken with said they had good opportunities to attend training courses relevant to their jobs and records seen confirmed that supervision is undertaken to aid individuals professional and personal development within the team. Residents and visitors described the staff group as a ‘very good team’. Staff files contained evidence of two references and the necessary CRB checks having been obtained before the staff member commenced duties. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 17 One visitor to the home said, “Staff are always very helpful and very caring to both residents and relatives”. Another stated “I’m always made welcome and kept up to date with how my mother doing, I’ve got my name down for the next bed ” The residents also praised the staff team, describing them as friendly and caring. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 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 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): 31,32,33, 36,37 and 38 The home appears well run by an experienced manager, ensuring the residents are safeguarded. Regular staff training in health and safety matters ensures the safety and welfare of residents and staff. EVIDENCE: The manager is continuing to pursue her Registered Managers award it’s envisaged that this will be completed later this year. She has a number of year’s experience of managing at a senior level, ensuring the home is run to meet it’s stated aims and objectives. Discussions indicated that staff receive day to day supervision and guidance regarding their roles and areas of responsibility from the senior staff team, which includes the manager, deputies and senior care staff. Records seen within individual staff files confirmed that arrangements are in place for formal one to one supervision session to take place at regular intervals to ensure each person has an understanding of the value their Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 19 individual roles has within the team, whilst also providing an opportunity to explore what areas of training and development maybe required or desired in developing their roles and career further. Service and safety checks are undertaken at regular intervals to promote and maintain the health, safety and welfare of the residents and staff. Various records where examined to confirm valid certificates of worthiness where in place to support the above statement. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 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. 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 3 3 N/A 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 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 3 3 3 X X 3 3 3 Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations It is strongly recommended that the home seek further clarification regarding the use of pre printed labels from the chemist upon Medication Administration Records (MAR) sheet. Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Eaton Court DS0000018883.V271070.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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