Inspection on 28/01/09 for Ebor Lodge

This inspection was carried out on 28th January 2009.

CSCI found this care home to be providing an Good service.

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

Ebor Lodge 14/11/06

Ebor Lodge 24/11/05

Ebor Lodge 05/07/05

Ebor Lodge 02/11/04

Ebor Lodge 27/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ebor Lodge 92 Westbourne Avenue Hull East Yorkshire HU5 3HS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: George Skinn     Date: 2 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Ebor Lodge 92 Westbourne Avenue Hull East Yorkshire HU5 3HS 01482342099 01482342099 cazebor@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Rosina Clarke care home 13 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 13 Ebor Lodge is a large corner house situated in a residential area in the west of the city of Kingston Upon Hull. The house has three floors on which peoples bedrooms are located. There are sufficient bathrooms and toilets available as well as two lounges and a dining room. A patio area to the rear of the house is available for people to use. The home has a laundry and a kitchen and these services are provided. There are car park facilities for two cars. The home is close to shopping amenities in the local area and has access to bus routes to the rest of the city. Ebor Lodge is registered to provide personal care and accommodation for a maximum of thirteen people. The registration category allows the home to care for people with a mental disorder, excluding learning disability or dementia. Care Homes for Adults (18-65 years) Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. These sources include: Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment AQAA. Comment cards returned from people who live at the home relatives and staff. A visit to the home carried out by one inspector. Care Homes for Adults (18-65 years) Page 5 of 24 A site visit was carried out which lasted 5 hours. We spoke with the people who live at the home and staff. We also looked at records relating to the people who live at the home, staff and the management activities. During the visit care practices were observed where appropriate, and time was also spent watching the general activity within the home. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. Date of last inspection 13th November 2006. The manager told us that the current fees range from 316.50 GBP to 897.50 GBP The manager was available to assist throughout the day What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed prior to moving into the home. Evidence: We looked at a sample of files which belonged to the people who live at the home and we saw that these contained copies of assessments undertaken by the placing authority and the home. This assessment information is then used to write a care or support plan describing what staff need to do to look after each person. We saw that people who live at the home sign their own individual care programmes. People who might want to live at the home are invited to spend a day and have their meals with other people who live at the home. The home liaises closely with the care coordinators of the people who live at the home prior to admission. When we spoke with people who were newly admitted they confirmed that they had been involved in the admission process and were very satisfied with the admission procedure. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples changing needs are well managed. Taking risk is seen as peoples choice and how they wish to lead their lives. Evidence: We looked at 3 care plans which belonged to the people who live at the home. We saw that personal support is provided in accordance with the care plan; these contained risk assessments around the area of falls, tissue viability, nutrition and diet. We saw that the people who live at the home can access health care professionals like doctors and nurses when needed some people also have input from specialist nurses like community psychiatric nurses (CPN). Some people have involvement with psychiatrists and specialist social workers. Any restriction of peoples freedom of choice is included in the care plans. We saw that there was full involvement of all those who have an input into the peoples care with this process, along with the people who live at the home. Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: Care plans are reviewed every six months and are signed by the people who live at the home. We spoke with the people who live at the home and they told us that they were aware of their care plans and were fully involved with any reviews. People who live at the home are enabled to make decisions about their daily living patterns and they are encouraged to maintain their independence; both them and the staff view this positively. Many of the people who live at the homes handle their own finances, with the home being agents for collection of relevant benefits only. When we spoke with the staff they were clear about how to maintain someones dignity and uphold their rights. We saw that the staff were sensitive to peoples needs when undertaking any personal tasks and were sensitive and patient when dealing with people. At no time did we hear any of the staff using any derogatory language or belittling any one in any way. We looked at the way the home handles and stores medication. We saw that the way this was done ensures the safety of the people who live at the home. The medication was stored in the proper cabinets and secured. The staff make sure that correct medication has been supplied by the pharmacist when it is delivered and any mistakes are quickly rectified. The staff make sure that the recording of the medication is up to date and gives a clear indication that the medication has been administered. The recording also indicates when the medication has not been given and why. All of the staff who give out medication have had the proper accredited training and we saw certificates which confirmed this. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to maintain links with the local community and family and friends, they are enabled to participate in age appropriate activities. People are provided with a wholesome and nutritious diet which can be eaten at a time which suits them. Evidence: We saw that people who live at the home are provided with information about activities outside of the home; this is provided either verbally or by use of posters and leaflets. Information relating to public transport and church services is posted in the home for people to view. When we spoke with the people who live at the home they said they could make choices about activities, food, how to spend their time and when to get up and go to bed. Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: People who live at the home are assisted to exercise their political rights and are encouraged to register and cast their votes. People visit friends and relatives on a regular basis and they also visit the home. The home encourages people to maintain links with friends and family, however limited this may be. People who live at the home commented on being able to go out as they pleased. There are set meal times but people choose whether to eat or not at these times; food is made available or kept for them if they choose to eat at a different time. The home offers a choice of meals with likes and dislikes responded to. Menus seen were varied and compiled with healthy eating in mind. The meal provided on the day of the site visit looked well presented and wholesome. Whilst there continues to be no people who live at the home in employment attempts are made to motivate and encourage attendance at the local college for recreational courses. Some of the people who live at the home take up these options and details are held in their diary notes. The general routine and structure of the day was observed with staff interacting well with people and conversation flowed freely. Keys would be available for peoples bedroom doors if requested and risk assessment would be made if appropriate. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are support in way which they prefer and supported by the staff to access health care when needed. People are protected by the homes policy and practice for handling medication. Evidence: We saw that personal preferences are considered and respected when formulating care plans. We also saw that the home cares well for peoples health care needs with regular contact with General Practitioner (GPs) and Community Psychiatric Nurses (CPNs) being recorded in care plans. Staff recognise when people have a health problem and support them to maintain their healthcare needs. Everyone is registered with a GP of their choosing and receives appropriate health checks by dentists, opticians, audiologists, chiropodists, therapists and CPNs. Visits to people who live at the home from medical and healthcare practitioners take place in private in the peoples own rooms. The home continues to use the Nomad monitored dosage system for receipting storing and administering medication and have recently changed supplying pharmacist. Policies for staff handling medication and Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: for people who live at the home to self-medicate are available and are known by the staff. Facilities are provided for people wishing to self-medicate to lock away their medication safely in their own rooms. There are no controlled drugs held in the home at the moment but systems in place and facilities for storage are satisfactory should there be. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel their views are listened to and acted upon. People are protected from abuse by the homes policy and procedure. Evidence: We saw that no complaints have been received by the home since the last inspection. The CSCI have received no complaints about the home since the last inspection. The home are currently subject to one Safeguarding Adults investigation by the Local Authority, this is still on going. In discussion with the people who live at the home they were aware that they had the right to make complaints and told us that they would talk to their key worker or the manager. The home has a policy and procedure for Safeguarding Adults and the staff interviewed were aware of this. Staff were able to describe what they would do if they suspected any abuse was occurring with in the home. The manager needs to attend more safeguarding training as she was slow in reporting an incident between two people who live at the home to the Local Authority Adult Safeguarding team for investigation. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained clean environment. Evidence: The owners of the home have undertaken a lot of redecoration and refurbishment since the last site visit. The lounge has been redecorated and new furniture purchased. The manager told us that this area is much easier to keep clean since the law on smoking has changed and the environment is much better for every one. The home is currently in the process of redecorating the main hallway and stairs and we saw a refurbishment plan which showed us a genuine commitment to the up grading of the home. The manager told us that the owners had plans to create more single rooms affording people more choice. We saw that peoples rooms were generally well maintained and nicely decorated with people taking a pride in their own surroundings. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the homes recruitment and selection procedures. People are cared for by well trained staff who are provided in enough numbers to meet their needs. Evidence: There is a satisfactory staff rota in place that records the role of each member of staff. The staffing levels are based on the needs of the people who live at the home. There is a cook on duty each day as well as other ancillary staff. This enables care staff to concentrate on assisting people with personal and social care activities. Training records indicated that that more than 50 of the staff are trained to NVQ level 2 which includes training on equality and diversity and an awareness of abuse. The recruitment and selection procedures remain robust and all checks are undertaken prior to staff commencing work at the home. The staff files looked at contained references from previous employer, an application form which identified gaps in employment and a completed Criminal Record Bureau (CRB) check. There is a training and development plan in place that shows all staff have undertaken Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: core training and that some staff undertake more specialised training. We saw that staff records include information about individual training achievements and a copy of training certificates is kept on their file. Staff have refresher training as appropriate to ensure that their skills and knowledge are kept up to date. All staff have received mandatory training in Health and safety, Manual handling, Basic Food Hygiene, First Aid and Fire. Staff receive regular supervision and developmental opportunities are given for the staff to attend further training. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which run in their best interests. People have the opportunity to participate in running of the home. Peoples health, safety and welfare are protected as much as possible because the home have the proper procedures for staff to follow. Evidence: The manager is registered with the CSCI and has the relevant qualifications and experience for this role. People who live at the home told us that the management are approachable and they have confidence in them, Staff told us that the management is supportive and provides them with good leadership. From speaking to the manager and staff it is clear that the homes ethos is to promote participation and inclusion for the people who live at the home. The home continues to have a well has developed Quality Assurance system that involves the people who live at the home, family, staff and other professionals giving their views about the home. The home have achieved and retained both parts A and B of the Local Authorities Quality Assurance scheme. Surveys are completed throughout the year and an annual Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: report is produced explaining the outcome of the surveys and any relevant action to be taken. People who live at the homes and or their families continue manage their own financial affairs. The home has a fire policy and a fire risk assessment and the fire alarm is tested weekly. Tests on equipment are undertaken and fire drills are carried out on a monthly basis. All the equipment in the home is tested at the appropriate intervals and all maintenance certificates are up to date. The AQAA which was returned by the home prior to the site visit was well completed and told us about areas for improvement. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 23 The manager should attend more up to date training regarding Safeguarding Adults. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 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. 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