Inspection on 27/05/05 for Echelforde Resource Centre

This inspection was carried out on 27th May 2005.

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

Echelforde Resource Centre 12/06/06

Echelforde Resource Centre 20/09/05

Echelforde Resource Centre 19/08/04

Echelforde Resource Centre 10/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Echelforde Resource Centre College Way Ashford Middlesex TW15 2XG Lead Inspector Mr P Benthom Announced Inspection 27 May 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. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Echelforde Resource Centre Address College Way, Ashford, Middlesex, TW15 2XG 01784 255225 0178 442 3243 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) Care UK Community Partnerships Ltd. Mrs Linda Humphreys CRH (PC) 50 Category(ies) of Old age, not falling within any other category registration, with number (OP) 50. of places Dementia - over 65 years of age (DE(E)) 50. Sensory Impairment (SI) 3. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Not exceeding 50 persons within the categories OP, DE(E) and MD(E). Of the registered Service Users, 3 (three) named service users may be within the category SI. Date of last inspection 19 August 2004 Brief Description of the Service: Echelford Resource Centre is a large purpose built single story care home designed to accommodate fifty older people who have dementia. The home is organised in five units each with ten bedrooms. All accommodation is offered in single rooms. Each unit has its own lounge dining area and small auxiliary kitchen. The home is situated in its good-sized grounds with safe and well-maintained gardens. There is ample car parking facilities to the front and side of the home. It is conveniently located for all the local shops and community facilities. The home is part of Care UK, which is a private health care organisation that work with local authorities. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Home’s performance was measured against the National Minimum Standards for Care Homes for Older People. A tour of the premises took place and care, training and Health and Safety records were inspected. The home had a comprehensive statement of purpose, which accurately depicted the services provided by the home. However this is in need of some review particularly in terms of the respite care service that is available. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. The home provided a high level of personal support to service users. This was a commendable part of the home’s operation. The menus provided were appetising and well presented using a new system of ‘cook chill’ pre-prepared food.. Links with service users friends and family were well developed and maintained by the operation of the home. Service users’ health needs were well met. Senior staff are trained in the administration of medication. The home has a thorough complaints procedure. There have been seven complaints received by the service since the last inspection. Accurate details of the investigations were examined and found to contain appropriate action taken by the homes management. The home has a positive and supportive relationship with the local surgery. Senior staff are trained in the administration of medication. The home has a thorough complaints procedure. There have been seven complaints received by the service since the last inspection. Accurate details of the investigations were examined and found to contain appropriate action taken by the homes management. The home is reasonably well maintained but furnished to poor standard. It offers spacious but poorly -equipped accommodation to its service users. There is a commitment from the proprietors and manager to provide staff with continual training and development. What the service does well: The manager and her team have a good awareness of the needs of the Service Users in this home. All Service Users spoken with were very positive about the home and the way they are treated. Service users are admitted only following a full assessment undertaken by the manager who was able to demonstrate the homes capacity to meet the assessed needs. Each service user has a clearly set out care plan and all the service users are registered with a GP. There were satisfactory facilities and procedures available Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 6 for the safe reception, storage, disposal, administration and recording of medication. Arrangements are in place to meet service users care needs in a respectful way that affords both privacy and dignity. Staff are committed to encouraging service users to take part in activities offered in the home. Full support is provided to enable individual choice in daily living activities. There is a day centre in the home that resident Service Users are encouraged to participate in. Care plans, staff training records and medication procedures were examined and found to be in good order. What has improved since the last inspection? 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. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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) 1, 2,3, 4,5 and 6 Service users are admitted only following a full assessment undertaken by the manager who was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The Home has a Service User guide, which is informative and easy to read. Details of the practical provision the Home provides is included in the Statement of Purpose. All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Service users visit the home prior to moving in and visits are made to potential service users at their homes or in hospital. Service users are admitted on an initial month’s trial period and this information is reproduced in the contracts and the statement of purpose. However, the statement of purpose must be Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 9 specific in the type of respite care it is to offer in the future especially as one of the homes units caters solely for respite care Service Users. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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) Health, personal and social care needs are effectively met in this home. Service users’ health needs were well met and medication administration was accomplished satisfactorily. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. EVIDENCE: Care plans were reported to be drawn up in consultation with service users and with their relatives/representatives. Care plans sampled were comprehensive and up to date; there was evidence that regular reviews took place. Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities The manager stated that all service users were registered with the local GP practi12, 13,ce for the provision of general medical services. Medication is stored in a locked metal cabinet and all senior staff are trained in the administration of medication. There has been a recent pharmacy audit by the local supplier and the Boots Monitored Dosage system is in place. During the inspection the staff cared for Service Users in a respectful manner. Those Service Users requiring any assistance were helped sensitively. All Service Users have their own bedroom, thus providing the opportunity for Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 11 privacy when visitors arrive, whether family or professionals. The Homes’ policies and procedures placed particular emphasis on the core values of caring, such as independence, privacy and dignity. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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) 12, 13, 14 and 15 The systems in place for full Service User participation indicated that Service Users views are both sought and acted upon. EVIDENCE: Organised activities take place on a daily basis and are arranged by designated activities staff n the home’s day centre. Service Users choose to participate if they wish. The home has very good links with the local community. There are garden parties and Christmas Fairs arranged every year. Service Users on the whole do not handle their own financial affairs. If they are unable to manage their finances, relatives or advocates act on their behalf. The menu on the day of inspection was found to be wholesome and nutritious and is provided as a ‘cook chill’ method whereby it is cooked and appeared prior to delivery and then heated effectively in specially designed appliances. On the day of the inspection it was felt to be well presented and sufficient in quantity and content. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 standard(s) 16, 17 and 18 The home has a satisfactory complaints system that is made available to all Service Users and staff. EVIDENCE: There have been seven complaints since the last inspection and details were examined. The procedure for the managing complaints is good and ensures that all outcomes are recorded in a satisfactory manner. All Service Users and their relatives and representatives have access to the complaints procedure. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The standard of décor and equipment in this home is of a very poor standard with no satisfactory evidence of improvement through maintenance and refurbishment. EVIDENCE: The Home is situated in a large and well-maintained garden and is very close to Ashford Town centre. The Home was purpose built in 1988 and has been designed to meet the needs of older people. There are ample dining and lounge areas. This Home’s facilities for washing and toileting meets the minimum standards expected. All rooms were accessible to Service Users. The home has grab rails and adaptations in place to support Service Users to maintain their independence. However the interior standards of decoration and furnishings are of an unacceptably poor standard. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 15 • • • • • The beds in Sandringham unit are unsafe, broken in places and have stained and unhygienic mattresses on them The chairs in several of the units are very old and unsightly and do not provide a comfortable and safe sitting position for Service Users Bedroom furniture in the majority of the bedrooms is of poor quality and design. Carpets in all corridors are stained and worn and are in urgent need of replacement. Interior redecoration has been carried out in a haphazard fashion and as such is of poor quality and is institutional in appearance. Staff must be commended for providing a service in surroundings that are not favourable in terms of comfort and quality. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 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) 27, 28, 29 and 30 The staff had a good understanding of Service Users need. This was evident from the positive relationships that have been formed between staff and Service Users. EVIDENCE: The Home has a policy whereby all gaps in the staff rota are met by existing staff. The manager is very committed to staff training. There is a training room provided for staff where various courses are conducted. All staff have induction training for three days with a Care UK trainer, followed by three weeks hands on supervision. The home has a recruitment policy in place. Employment records seen on the day of the inspection were well maintained and included the relevant documentation required. Some staff files still require a photograph of the staff member to be included. All staff have a CRB disclosure in place. The Home has a continual programme of NVQ training for all staff and is committed to staff training. All staff have completed induction and foundation training and there is a good training package for all staff. The Home is working towards meeting this standard. 40 of staff are undertaking NVQ Level 2 training. Staffing levels comply with National Minimum Standards. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 17 Staff are very thorough in the submission of Regulation 37 (Notification of significant events) to CSCI. The manager has agreed to provide in house training to staff in order for appropriate notifications to e submitted in the future. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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, 32, 33, 34, 35, 36, 37 and 38 The manager is supported by senior staff in providing clear and consistent leadership in the home with staff on duty demonstrating an awareness of their roles and responsibilities EVIDENCE: The registered manager has completed her Registered Managers Award. She has considerable experience in the provision of residential care to older people. The manager operates an open and inclusive style of management approach in the home. This was evident throughout the day with several relatives, staff, and some service users confident to visit her office for help and support. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 19 There was a positive and relaxed atmosphere at the home during the inspection, staff spoken to stated that the manager was approachable and supportive. Records required for the protection of service users and sampled on the day of the inspection were well maintained, accurate, and up to date. The staff-training programme includes training in first aid, manual handling, infection control, fire safety, health and safety and basic food hygiene. Systems were in place to safeguard the health and safety and welfare of the service users. Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 2 3 2 2 1 2 2 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 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 OP1 Regulation 4(1)(a) Requirement It is required that the Statement of Purpose is reviewed to accurately reflect the specific respite care service that the home provides. It is required that all the beds in Sandringham unit are replaced as soon as possible. It is required that all old and worn out chairs and furniture are replaced as soon as possible. It is required that all worn and stained carpets are replaced as soon as possible. It is required that a programme of redecoration and refurbishment is commenced within one month. Timescale for action 31 July 2005 2. 3. 4. 5. OP22 OP22 OP22 OP22 16(1)(2) (C) & 23(2)a - p 16(1)(2) (C) & 23(2)a - p 16(1)(2) (C) & 23(2)a - p 16(1)(2) (C) & 23(2)a - p 31 August 2005 31 August 2005 31 August 2005 31 August 2005 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 Good Practice Recommendations Echelforde Resource Centre H58 H09 s13890 Echelforde v216465 270505 Stage 2 ann.doc Version 1.30 Page 22 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey. GU7 2QN 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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