Inspection on 04/08/05 for Ebberly House

This inspection was carried out on 4th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Ebberly House 10/01/08

Ebberly House 07/12/06

Ebberly House 30/11/05

Ebberly House 11/01/05

Ebberly House 19/04/04

Ebberly House 14/01/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ebberly House 17/18 Ebberly Lawn Bear Street Barnstaple EX32 7DJ Lead Inspector Adele Adams Announced 04 August 2005 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. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Ebberly House Address 17/18 Ebberly Lawn, Bear Street, Barnstaple, Devon, EX32 7DJ 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) 01271 345684 01271 345684 ebberly@tiscali.co.uk Mr Peter Frederick George Allen Mrs Beverly Judith Watton Care Home 19 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (16) of places Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 11th January 2005 Brief Description of the Service: Ebberly House is a large, adapted Victorian property, situated in a residential area close to the centre of Barnstaple. The home is sited on the corner of a private residential square, which provides an attractive outlook from the home’s lounge. There is dedicated parking for visitors to Ebberly House in the square. Access to the house is on several levels, the main entrance being approached from Ebberly Lawn. Other entrances have ramped access for wheelchairs. There are stair lifts to facilitate access inside the home. Ebberly House provides long-term accommodation for up to 19 elderly people. There are 17 single bedrooms are of varying sizes and outlook and one double room, all are furnished individually. The communal rooms on the ground floor are spacious and comfortably furnished; the atmosphere is homely and relaxed. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has introduced “Key Standards “ to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that all reports written within an inspection year (1st April to 31st March) be taken into consideration. This inspection was announced and took place between 10:00 and 16:40. During the inspection, the inspector spent time speaking with residents, relatives, the manager and owner. The inspector was given a tour of the home by a resident and was invited into the rooms of three residents. The inspector ate lunch in the dining room with residents and spent time in the two lounges chatting to residents and two visitors and observing residents and staff. Time was also spent time reading documentation, which included, staff records, resident records, contractors and maintenance records and policies and procedures. What the service does well: What has improved since the last inspection? Since the last inspection several improvements have been made; these include; the writing of a new medication policy, the provision of a small medicines fridge to store medicines requiring cold storage and the monitoring of the temperature of the medicine storage cupboard. Some decorative changes have taken place, the ‘first’ lounge redecorated, new paintings have been hung and new armchairs provided, there is also a new carpet in the lounge and new flooring in all bathrooms and toilets. A new Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 6 cloakroom – toilet facility has been provided which is more convenient for residents in the ‘second’ lounge to access. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 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 Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 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) 3,4 and 5 Each prospective resident has a detailed assessment of their needs undertaken before moving to the home, this makes sure that the manager is confidant that individual needs can be met at the home. Residents and their families can be reassured that they can visit and spend the day at the home before making a decision that Ebberly House is the right choice of home for them, this demonstrates involvement in the decision making process. EVIDENCE: Three residents pre admission records - ‘Prospective resident admission portfolio’ were selected and read by the inspector, all had detailed preadmission assessments undertaken by the manager of the home, these include detailed sections on health, family, socialisation, night needs, orientation and supporting assessment information from agencies such as health and social services is also used as part of the process. The manager confirmed that each resident has an assessment of need prior to moving to the home and is invited to visit the home for the day - part of the assessment takes place in the during the visit – to establish how the prospective resident manages the environment and interacts with others. The manager will also go to visit the prospective resident in hospital if they are unable to visit the home at the point of referral. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 9 A relative described the preadmission process and how it gave them confidence in the home’s abilities to meet their relatives needs. Another relative described how their family had chosen Ebberly House for their relative. The manager confirmed there have been no changes to the Statement of Purpose and Service User Guide, which provide comprehensive information about the home and the services it provides to prospective residents and their families. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Residents are treated with respect and their need for privacy, dignity is recognised by staff at Ebberly House. The medication policies, procedures and systems in place at Ebberly ensure that residents if assessed as able to, continue to independently manage their medication but if not able, residents are supported with their medication needs. Staff skills need to be developed in the administering of medicines. EVIDENCE: Five residents were spoken with and talked to the inspector about the care they receive at Ebberly House and how they are treated by staff at the home. Each of the residents described the home as being a good home, with good staff and all feel they are well cared for, that their privacy and dignity is respected and that they are important. One resident explained how they receive treatment from District Nurses and of the progress being made as a result of this, this was also read in the residents care record and discussed with the manager; and during conversation, two other residents explained that District Nurses visit residents at the home if needed. The residents also discussed the care they receive from their G.P’s. and that they are able to be registered with a doctor of their choice – evidence of regular doctors visits was Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 11 read in the three residents records inspected. Each resident has an individual plan of care, which identifies their health, and social care needs and states how these needs are met. The Residents care records show access to health professionals such as opticians, doctors, chiropodist and district nurses. Each record is individualised and contains risk assessments such as orientation within the home, fire evacuation, moving and handling and danger of falling out of bed. The care records also demonstrate the involvement of each resident in the monthly review of their care, which is undertaken with their key worker – this was also discussed with the manager and residents. The inspector read the home’s new medication policies and procedures which are based upon the Royal Pharmaceutical Society Guidelines – these are clear and well written and include the procedures for the administration of medication, receipt of medicines, purchase of non – prescription medications, the administration of homely remedies and the safe disposal of medicines. At the time of inspection the inspector was advised that no resident was self medicating, however two residents had medication they administered themselves openly accessible in their rooms – this was discussed with the manager at the time of inspection. A dedicated medication fridge is now used to store medicines requiring cold storage and the temperature of the cupboard used to store medication is being monitored – the inspector read the records for this. The inspector discussed staff medication training with the manager and read two staff training records – many of the staff that administer medication have received ‘in –house’ training, the importance of staff receiving suitable training and medication training ‘update’ s was discussed with the manager. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 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) 13 and 14 Residents at Ebberly House do and if necessary are supported to exercise choice and control over their lives and are able to maintain contact with family, friends and the local community. EVIDENCE: The inspector spoke with five residents, two relatives and read three residents records and observed staff and residents in the home. The residents discussed their families, social likes and dislikes and hobbies with the inspector. The residents confirmed that visitors are welcome at Ebberly House and the inspector later spoke with two relatives who confirmed this. Residents told the inspector of the outing that had taken place the day before the inspection and how it had been enjoyed, another resident explained they are taken shopping by carers and another talked about going to the shops and another told the inspector of a regular social appointment they attend. Several residents enjoy a regular afternoon card game and bingo was being played on the day of inspection. The Residents records read by the inspector contain very good social and family information. Three of the residents spoken with have chosen to have private telephones in their rooms, and described the voting process available to them in the home, the residents explained they can chose where they eat their meals, what personal furnishings to have in their rooms and what clothes they wear, all felt that their views are important to staff. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 13 Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 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 The residents at Ebberly House feel safe and are protected from abuse by the measures that are in place. EVIDENCE: The inspector read the homes policy on abuse, which, is brief and clear – the manager showed the inspector evidence of attendance at an Adult Protection ‘train the trainer’ day and has a coy of the Alerter’s guide in the home. The manager is planning to make use of the course she attended and put in house training in place. Some care staff had previously attended Adult protection training. One of the residents spoken with said they feel safe at Ebberly House. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24 and 25. Residents at Ebberly House live in a clean, comfortable, well-maintained and safe environment. EVIDENCE: The inspector spent time with residents’ in the home’s two lounges, the manager advised that the first lounge has been redecorated and the carpet and armchairs have been replaced with new ones, a new toilet has been installed in close proximity to the second lounge the inspector saw this, it is spacious and easier for residents in the lounges to access, all bathrooms and toilets have had new non- slip flooring laid. The inspector was shown around the home by a resident and then later saw more of the home with the manager - the kitchen, dining room, bathrooms, toilets, en suite facilities and three residents rooms. Residents’ rooms all vary in size and their facilities such as en suite facilities. Each of the five residents spoken with like their rooms and the three rooms seen by the inspector each had evidence of the resident’s personal touch. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 16 Access to the upper floors is aided by stair lifts, which are regularly serviced. Hot water safety records were read by the inspector and the inspector was advised that thermostatically controlled valves are in place in all baths in the home as a safety precaution. Safety notices are posted at hand basins in both residents’ rooms and bathrooms to remind residents of the risk of the water being hot. The inspector noted that there is no hand washing facility in a bathroom with a toilet that is in use – this was brought to the attention of the manager who is to obtain advice about this. The inspector also read contractors records demonstrating that appropriate maintenance checks take place at the home. The inspector saw evidence of comprehensive risk assessments in relation to the environment, key holding, radiators and evacuation from room in the three residents records that were inspected. The manager and two residents confirmed window restrictors are in place, the inspector found restrictors in place in the three residents rooms visited during the inspection. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 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) 29 and 30 Residents at Ebberly House receive their care from staff that are supported to attend training. Not all staff at Ebberly House have had the necessary recruitment checks undertaken. EVIDENCE: There are 9 staff employed at Ebberly House, there are no dedicated domestic staff employed and there is one full time cook and one part time cook employed, the residents spoken with were extremely complimentary about the staff. Two staff records were inspected during the inspection, each demonstrated that there is access to training and that essential training such as first aid, manual handling and fire training is provided and attended. Inspection of these records also demonstrated that one member of staff requires the provision of a further reference and when asked about Criminal Record checks, the manager confirmed that one is outstanding and that this will be rectified. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,36 and 38 Ebberly House is a care home that is managed effectively, residents are cared for by staff that are supervised regularly and generally both staff and residents’ health and safety is protected. EVIDENCE: The inspector read two staff supervision records that clearly show that staff receive their supervision regularly on a two monthly basis. The manager talked to the inspector about some of the issued she has dealt with during the supervision of staff. During the inspection, the inspector toured the home and noted safety notices, the inspector saw evidence of good risk assessment in the residents care records inspected. The inspector was advised that an Environmental Health Inspection had taken place at the home and saw the report dated 26th February 2005 and saw the latest food hazard analysis that has been update and improved following that inspection. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 19 Further documentation was read including; fire checks, fire risk assessment, fire alarm servicing, accident book, legionella testing, boiler servicing record, and tumble dryer maintenance – all demonstrated regular testing, maintenance ad servicing as appropriate. Certificates are awaited for the following; hoists and stair lift servicing. The five yearly electrical testing at the home is overdue by six months. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 2 x 3 3 3 x STAFFING Standard No Score 27 x 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x x x x 3 x 1 Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13(2) Timescale for action The registered person shall make 31/12/05 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. All medication in the home must be securely stored - this relates to medicines in residents rooms. Staff should receive suitable training in the administration of medicines. The registered person shall not 30/09/05 employ a person to work at the care home unless - ( c ) he is satisfied on reasonable grounds as to the authenticity of the references referred to in paragraph 5 of 2 in respect of that person. Schedule 2 Paragraph 5 - Two written references relating to the person. This refers to only having one reference for one member of care staff and one member of staff not having had a CRB check. The registered person shall 30/09/05 ensure that unnecessary risks to the health or safety of service users are identified and so far as Version 1.20 Page 22 Requirement 2. 29 19(1) 3. 38 13(4)(a) Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc possible eliminated . This refers to the overdue testing of the electrical testing and lack of certificate for the maintainence of the hoists and stairlifts. 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 21 Good Practice Recommendations Suitable handwashing facilities should be available. Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Ebberly House D54-D07 S22086 Ebberly House V217025 040805 Stage 4.doc Version 1.20 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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