Inspection on 11/03/06 for Ecclesholme

This inspection was carried out on 11th March 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

Ecclesholme 13/11/06

Ecclesholme 12/08/05

Ecclesholme 25/02/05

Ecclesholme 11/08/04

Ecclesholme 29/02/04

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 Ecclesholme Vicars Street Eccles Manchester M30 0DG Lead Inspector Christopher Bond Unannounced Inspection 10:00 11 March 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 Ecclesholme DS0000006708.V270367.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. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ecclesholme Address Vicars Street Eccles Manchester M30 0DG 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) 0161 788 9517 0161 707 8296 eccleshm@rmbl.org.uk arichards@rmbi.org.uk Royal Masonic Benevolent Institution Julie Deakin Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users who may be accommodated is 46. That care staffing levels do not fall below the minimum levels specified in the Residential Forum Guidance for Staffing in Care Homes for Older People That dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum Guidance for Staffing in Care Homes for Older People. One named service user under the age of 65 is currently accommodated. When this person leaves the category will revert to service users over 65 years of age (OP). One named service user under the age of 65 is currently accommodated for regular periods of respite. Should this person no longer require the service the category will revert to service users over 65 years of age (OP). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 12th August 2005 4. 5. 6. Date of last inspection Brief Description of the Service: Ecclesholme is a care home that is registered under the Care Standards Act 2000 to provide residential accommodation for residents who require personal care only. The home is situated in a residential area of Eccles and is close to public transport and services. Ecclesholme is owned by the Royal Masonic Benevolent Institution. Places in the home are offered to older Freemasons and dependent females over the age of 65. All prospective residents are invited to complete an application form and to provide information about their Masonic eligibility. The home offers numerous communal areas that are furnished to a high standard and are pleasantly decorated. Residents spoke positively of the service that they received whilst living at the home. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over four hours. Care records and plans were looked at, along with medication records and safety certificates. Staff records and recruitment procedures were also examined. The inspector spoke to the deputy manager, and a tour of the home was undertaken. Three residents were also spoken to, and two visitors were also asked about their experiences of the home. What the service does well: What has improved since the last inspection? Procedures regarding medication had improved and staff were taking more care regarding the administration of tablets and medicines. This meant that the residents were not put at risk. Areas of risk within the home were documented and each resident’s had good risk assessments on file. This made the home a safer place to live. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 6 All of the records kept at the home were stored confidentially and appropriately. This meant that records could be seen only by those who were involved in caring for people living in the home. All of the policies and procedures that were essential for guiding the managers and staff in running the home were appropriate and current. 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. Ecclesholme DS0000006708.V270367.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 Ecclesholme DS0000006708.V270367.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): EVIDENCE: This section was not assessed during this inspection. Ecclesholme DS0000006708.V270367.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, 9 and 10 Health and care needs were addressed correctly through good care planning, ensuring that the residents were looked after properly. Residents were treated with respect and their dignity was well maintained by understanding care staff. EVIDENCE: All of the residents living at the home had a plan of care where important information was recorded, and where the health of the residents is monitored. The District Nurse or the Doctor, which showed that individual health care needs were met, kept notes of the outcome of any visits. There was lots of information about the general care needs of each resident. All of the plans were reviewed on a regular basis to make sure that the information was always current and that the care staff knew the latest condition of a resident. A number of residents were spoken to and they all felt that they were treated with respect by the care staff, and that their dignity was maintained. None of the residents within the home were able to handle their own medication. There were good procedures and policies for the staff to follow when they were Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 10 administering prescriptions and the medication was stored safely and appropriately. Care staff were writing down when they gave medication on the record sheet, there were no gaps. This helped to ensure that residents were not put at any risk when medication was being given out. It was good to see that residents were assessed as to what risks they might come across when they were in the home. This made the home safer. There were lots of good examples seen by the inspector of care staff being polite, courteous and caring when attending to residents’ needs. The visitors that were spoken to during the inspection also said that they were really pleased with the way that the staff cared for their relatives and friends. Ecclesholme DS0000006708.V270367.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 and 15. Residents are motivated by regular and stimulating activities. Visitors are welcome at any time ensuring personal relationships are maintained. EVIDENCE: There was a comprehensive programme of activities and events for the residents of the home. The home had an enthusiastic and positive activities coordinator who researched activities well to ensure that they were appropriate and fulfilling. Activities took place both inside the home and within the local community, ensuring that the residents went out as often as possible. The home had a mini-bus which made travelling to activities easier. Those residents who had dementia had specific activities such as reminiscence sessions. There were numerous visitors to the home during the inspection and those visitors who were spoken to said that they were always made to feel welcome and valued. Lunch was being served during the inspection. The meal was appealing and wholesome and there was plenty of choice should a resident dislike what was being prepared. The menu’s confirmed that a nutritious and healthy diet was Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 12 being offered. The care plans also had details of what the residents’ likes and dislikes were regarding food. There were also details of special diets in the care plans. The home had a large dining room where the residents spent mealtimes and had drinks. Those residents that were spoken to said that the food was good and that they looked forward to mealtimes. Ecclesholme DS0000006708.V270367.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 and 18. The residents are protected from harm by well- trained care staff. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The complaints procedure was available in the Service User Guide and Statement of Purpose and the procedure was available to residents and visitors in the main part of the home. The residents that were spoken to were all aware of where the procedure was and were all confident that, should they wish to complain, there concerns would be handled well and taken seriously by the home owners. Training had been accessed regarding the recognition of abuse, and staff were aware of what action to take should abuse be suspected. The home had good procedures and guidance for staff, as well as a ‘whistle blowing’ policy that protected staff when voicing their worries. There were no concerns regarding care practices within the home. Ecclesholme DS0000006708.V270367.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 and 26 Residents live in a clean, well-maintained home. Residents’ bedrooms are attractive and homely. EVIDENCE: The home was attractively set in its own grounds and there were areas where the residents could enjoy the gardens around the house. It was clear that the residents had the specialist equipment that they needed to make their stay within the home more comfortable. There were hoists available for people who found it difficult to get around. This meant that they could be helped by the care staff to get around safely. There was a lift to help people get to their rooms on the first floor. There were several bathrooms within the home. All of them were in easy reach of the rooms and communal areas. There were aids to help people to get in and out of the bath. One bath was able to rise up and down so that the residents were more comfortable and the carers did not have to bend over when helping someone to bathe. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 15 All of the rooms were quite large and there were lots of personal possessions around that made them more homely. All of the residents that were spoken to said that they liked their rooms. The home was very clean and there were no unpleasant smells. One resident commented, “That’s why I like it so much here, its always clean and spotless, and there aren’t any bad smells.” Ecclesholme DS0000006708.V270367.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 and 30 Good training and proper recruitment ensures that the home provides a good quality of care. This also helps to ensure that residents are safer. EVIDENCE: There were lots of staff on duty during the inspection. The residents and their visitors confirmed that there was always plenty of care staff to look after the needs of the people who lived there. The rota confirmed that there was enough staff to make sure that the assessed needs of the residents was being attended to. There had been several training events since the last inspection to help ensure that skills were being improved and updated. Over half of the care staff had a nationally recognised qualification in care (National Vocational Qualification Level 2 or 3). This was good because it meant that the staff were better qualified to do their jobs correctly. Some of the care staff files were looked at and it was clear that proper recruitment practices were being used and staff were being checked correctly before starting their jobs. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 17 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, 34, 35, 36 and 38. Service users benefit from a well run home. EVIDENCE: Care staff had been trained in ensuring the safety of residents. This included learning how to move people safely and ensuring that food was prepared and served hygienically. Good records were being kept of safety checks within the home. These showed that tradesmen were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. All of the records seen were being stored properly and confidentially. Residents’ money was being looked after properly and good records were made of transactions. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 18 There was a list to show how often staff were being regularly supported individually to do their jobs. Care staff were shortly to have their yearly appraisal. This will help to assess their skills and show where training should be aimed. Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 19 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 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 X 3 3 3 3 3 Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Ecclesholme DS0000006708.V270367.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. 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