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Inspection on 01/04/07 for Eckington Court Nursing Home

Also see our care home review for Eckington Court Nursing Home for more information

This inspection was carried out on 1st April 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a good range of activities on offer for residents, with a mixture on internal and external activities arranged. Eckington Court has good links with relatives, with both a relatives committee, and a weekly surgery for relatives to meet with the manager.

What has improved since the last inspection?

At the last key inspection six statutory requirements were made relating to: * The secure storage of personal records * Medication administration records having accurate and complete details entered on to them. * Medication administration records being completed correctly when recording that medication had been administered. * A minimum of 50% of the staff team having a National Vocational Qualification (NVQ) in care. * A registered manager being appointed. * A system for recording resident`s financial dealings being put in place. All of these statutory requirements have been achieved since the last key inspection in April 2007. In addition two good practice recommendations were made at the last key inspection relating to: * Handwritten medication administration records being checked by two members of staff. * Internal written references for staff appointments should be fully documented. Again both of these good practice recommendations have been achieved.

What the care home could do better:

None of the residents spoken with said they had a copy of the Service User Guide. The manager said this was because it had only recently been updated. The new Service User Guide should be copied and a copy given to every resident at Eckington Court.

CARE HOMES FOR OLDER PEOPLE Eckington Court Nursing Home 7 Penny Engine Lane Eckington Sheffield Derbyshire S21 4BF Lead Inspector Rob Cooper Unannounced Inspection 1st April 2008 10:00 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 Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 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. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eckington Court Nursing Home Address 7 Penny Engine Lane Eckington Sheffield Derbyshire S21 4BF 01246 430066 01246 430077 eckingtoncourt@highfield-care.com www.schealthcare.co.uk Southern Cross Care Management Limited 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) Gresh Hardowar Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (2) of places Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To residents of the following gender: Either Whose primary care needs on admission to the home are within the following categories:Old age not falling within any other category - Code OP Physical disability - Code PD (2) The maximum number of residents who can be accommodated is 50. 2. Date of last inspection 2nd April 2007 Brief Description of the Service: The home is purpose built and located in the village of Eckington, which is on the Derbyshire and Sheffield boundaries. There is a conservatory and combined dining area on to the ground floor, with a further large lounge to the first floor and two separate quiet lounges - one to each floor. The home is registered for 50 places and offers both nursing and personal care in the category of Older persons with 2 of these places also registered to accept service users with a physical disability aged over 50 years. The fees charged at the home range from £350 - £425 (residential) and £450 £625 (nursing) with additional charges made for hairdressing and chiropody. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit as part of the key inspection process – so that no one at Eckington Court knew that the inspection visit was going to take place. The visit took approximately four hours through the middle of the day, with one inspector present. The methods used during this key inspection and visit were to visit Eckington Court, where a method called case tracking was used; this involved identifying four residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of Eckington Court, looking at the activities on offer, and talking to three residents, and three members of staff about the quality of the service, and their experiences of living and working at Eckington Court. During 2007 the Commission for Social care inspection introduced an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like Eckington Court to self assess their service. Information provided by Eckington Court helped to form the judgements in this report. We also sent out ten surveys asking for views and information to service users, ten to relatives and ten to staff. Of these we received five surveys from residents, six surveys from relatives and one from a member of staff, which also helped with the judgements that we made. The registered manager Gresh Hardowar provided much of the information during this key inspection visit. On the day of this inspection there were fortyeight residents in residence. Prospective residents can obtain information about Eckington Court direct from the care home, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. In addition information about Eckington Court and the services it provides can be found at the following web site: www.ashbournesl.co.uk. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. What the service does well: Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 6 There is a good range of activities on offer for residents, with a mixture on internal and external activities arranged. Eckington Court has good links with relatives, with both a relatives committee, and a weekly surgery for relatives to meet with the manager. What has improved since the last inspection? What they could do better: Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 7 None of the residents spoken with said they had a copy of the Service User Guide. The manager said this was because it had only recently been updated. The new Service User Guide should be copied and a copy given to every resident at Eckington Court. 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. The summary of this inspection report can be made available in other formats on request. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 8 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 Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12&3 Quality in this outcome area is good: this judgement has been made using available evidence including a visit to this service. Current and potential service users have access to detailed information about Eckington Court’s services. They have contracts or a service agreement and they receive a comprehensive assessment of their needs before the service is offered, which allows the service users or their families to make an informed decision about whether Eckington Court can meet their needs. EVIDENCE: Both the statement of purpose and service user guide for Eckington Court were seen. Both documents contained all of the information, which Care Homes Regulations say that they should, and provide residents and prospective residents with enough information to be able to make an informed choice about living at Eckington Court. Discussions with three residents showed that they had not been given copies of the service user guide. The manager said that the service user guide had recently been rewritten, and updated, and Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 10 copies would be distributed once they had been produced. The foyer at Eckington Court has a great deal of information on display, including the last inspection report, and notice boards for relatives and visitors. In addition residents and prospective residents can visit Eckington Court’s parent company’s web site at: www.ashbournesl.co.uk, which also gives details of the services on offer, and has a link to the latest inspection report. As part of the case tracking process four resident’s files were seen, each one contained a Social Services agreement to fund the placement, and the terms and conditions of residence were outlined in the service user guide, which adds to the importance of every resident having a copy. Each file seen contained a formal assessment of need. Two of the files contained assessments that had been completed by social workers; the other two contained internal assessments. The resident’s files showed evidence that care plans had been produced from the information within the assessments, and that resident’s needs were being reviewed on a regular basis. In their AQAA Eckington Court said: “Prior to admission we conduct a pre-admission assessment on service users to ensure we can deliver the needs of service users where elements of choice, likes and dislikes are incorporated in the plannned care.” Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 & 11 Quality in this outcome area is good: this judgement has been made using available evidence including a visit to this service. Service users, who live at Eckington Court, have their personal care given in a professional and caring manner by the staff, which means that their personal and healthcare needs are being met. EVIDENCE: Each of the four resident’s files that were seen contained a plan of care, which had been produced from the assessments and identified personal goals and needs and how to meet them. There was evidence that care plans were being reviewed regularly, and the files also contained risk assessments to accompany care plans for identified individual risks. In their AQAA Eckington Court stated: “All service users have care plans that are individualised taking their likes and dislikes to reflect their physical, social and emotional needs. Relatives are invited for reviews and that care plans are well understood by all including carers, service users and relatives alike.” Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 12 All of the files that were seen contained care plans related to resident’s health care needs, and these were clear and detailed. Three residents were asked about seeing the doctor, and they all said that there was not a problem, as staff would contact the doctor if they were unwell, and the doctor would come to see them at Eckington Court. In addition a company called ‘Vision Call’ visits on a regular basis to test the residents eyes, and sort out prescriptions for new spectacles, and a private chiropodist also calls to tend to any foot problems. Boots the chemist provides Eckington Court with their medication. An inspection of the storage, and booking in and out procedures showed that medication is handled safely and there is a clear audit trail for medication from the point of ordering to administration and/or disposal. Administration records were inspected and found to be complete. No resident at Eckington Court currently self-medicates. At the last key inspection a number of issues around medication were identified as needing attention, these issues had been addressed, and the whole medication process has been improved over the last twelve months. Discussions with three residents, and observation of the staff working with the residents in Eckington Court showed that the staff treated residents with respect and dignity. Among the comments received from relatives in the surveys were: “I ask for mum to be dealt with in various ways as suffering from dementia she cannot do this for herself. They do their best to carry out my wishes or if not, explain why it is not always appropriate.” “The patience and friendliness of the carers is amazing.” “As mum does not realize who people are, she is treat with care and as much as possible included in the day to day environment and help to live as much of a life as possible.” “The carers know her well and respond to her needs, especially the senior carers. They monitor her condition regularly and take appropriate action as needed. They keep me well informed.” “They always respond to my mothers needs, and she and I are happy with the home.” Each of the resident’s files contained a care plan outlining their wishes at the time of their death, and evidence of involvement from the resident’s families, and contact telephone numbers. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to this service. Residents living at Eckington Court have a lifestyle that reflects their cultural, social and religious interests, and needs, which means that their social care needs are being met. EVIDENCE: A weekly programme of activities is organised by the activity co-ordinator, and details were on display in the foyer, on the activities notice board. This also showed that there was a monthly religious service held at Eckington Court (on Tuesdays) by the rector from Eckington parish church, discussions with staff members indicated that other faiths were accommodated, with families taking people to different church’s when required. During the inspection visit a lively Bingo session was observed attended by thirteen residents in the upstairs lounge, the bingo cards were large print, and laminated for regular use. Eckington Court also has a small library with large print books and DVD’s, and evidence was seen of the Easter raffle and activities, which had recently taken place. Three residents were asked about activities: one said: “there’s lots to Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 14 do – I like the Bingo”, while another said: “I’m quite happy, as there’s usually something going on, that I can join in.” a third resident said they preferred to stay on their own and read or watch TV. Unfortunately no relatives were spoken with during this inspection visit, however two residents said that their families came often and the staff always made them welcome, and that there were open visiting times, so that relatives could visit at any time (within reason). Whilst talking to one resident, I was shown photographs taken of younger members of their family taken at Eckington Court, the resident talked about how much she enjoyed her family’s visits, and how the staff had helped to put photographs and drawings (done by a young grandson) on to the wall, so that she could see them from her bed. Evidence was seen that regular relatives meetings are held to discuss issues, and plans, and the manager has a weekly surgery for relatives, where they can come in and talk about any concerns. Some of the comments received from relatives in their returned surveys included: “The senior carer telephones me if there is any problem or emergency and keeps us informed at all times.” “We have been kept informed of a hospital appointment and my mum has been invited to be on the committee for relatives.” “I have attended relatives meetings and are in process of organising a small committee. Through this I keep on top of and help making decisions.” “If ever I have had to ask for help with my father the staff have always been there on hand.” “The patience and friendliness of the carers is amazing. It is clean and has a pleasant feel.” Observations of the staff showed that they were offering residents choices, particularly in relation to activities and refreshments. Two residents were asked about choice at Eckington Court, and both said they thought there was plenty of choice. I asked for some examples, and was told that there was always a choice at meal times, people chose what time they got up and went to bed, and what clothes to wear, also what activities they wanted to take part in through the day, as well as choices around drinks during the day. On the day of this inspection visit the choice of meal on offer was lamb, or cottage pie, with a vegetarian option as well if required. The food looked appetizing, and well presented, and the dining room was pleasantly laid out with tablecloths, matching napkins and flowers on the tables. The dining room is spacious, light and airy, and there were plenty of staff to offer assistance when and where needed. All of the residents spoken with spoke positively about the food on offer, saying things such as: “Excellent, we have very good food.” “It’s brilliant, no complaints.” Comments received from relatives included: “Food is well presented and of good quality.” And “Dad is happy with the food, the quality and quantity.” Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents living at Eckington Court are safe, as a result of the policies, procedures and systems that are in place, and residents and their relatives are confident that their complaints will be taken seriously and dealt with. EVIDENCE: Eckington Court has received nineteen complaints since the last key inspection in April 2007. A review of these complaints showed that they had been dealt with in line with Eckington Court’s complaints procedure. During the inspection visit an anonymous complaint was received, this was discussed with the manager, Eckington Court’s line manager, and a representative from the local social services office. This showed that complaints were taken seriously, and how Eckington Court dealt with them. Three residents were asked about making complaints; and they all said they had not felt the need, but knew how to, and who to complain to if they did. One relative commented in their survey: “I have spoken directly to a senior person at Southern Cross who dealt with my problems very quickly and was a pleasure to talk to.” Evidence was seen that staff receive training in safeguarding adults, and a review of the training records and statistics showed that 95 of the staff team had undertaken this training. The training is a mixture of DVD lectures Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 16 ‘Breaking the cycle of abuse’ and Safeguarding Adults training delivered by Derbyshire NHS Trust and the City Council. This training is aimed at raising staff awareness of abuse, and through raising the issues, offering residents greater protection against abusive practice, while also teaching the staff the correct policy and procedure to follow if abusive practice is found. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents living at Eckington Court live in a safe, clean, well maintained and comfortable home, with their personal possessions around them, which means that they are living in ‘homely’ surroundings that meet their needs. EVIDENCE: A partial tour of Eckington Court showed it to be comfortable and well maintained. All of the bedrooms are single bedrooms, with the majority having en-suite toilet facilities. Three residents were asked about the building, all three said that they had comfortable bedrooms, with everything that they needed and that they liked living there. In their AQAA Eckington Court said: ‘We strive to provide a homely atmospere conducive to both service users and relatives by personalising their rooms and even accommodating items of furniture and memorabilias to ensure their choice and comfort. Majority 90 of our rooms enjoy en-suite facilities and they are tastefully decorated. There Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 18 are spacious diners, lounges sunlounge extention and quiet areas or extra lounge for meetings and reviews. We have a quiet coffee/tea room for visitors.’ Staff were seen cleaning in various areas of Eckington Court during the inspection visit, and the building was found to be clean, and smelt fresh. In relation to cleaning Eckington Court said in their AQAA: ‘The rooms are cleaned daily particular attention given to policies and procedure for infection control and waste disposal to avoid cross infection. We have a COSHH policy for disinfecting toilets bath and showers thus minimising the risk of cross infection in the home environment.’ Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Staff at Eckington Court have been recruited professionally, and are competent and trained to do their jobs, which means that the residents are safe, and have staff who are able to meet their needs. EVIDENCE: A review of the staffing rota and staffing levels at Eckington Court showed that there were enough staff currently employed to meet the resident’s needs. Three residents were asked about staffing levels, and they all said that they thought there were enough staff employed to meet their needs. In their AQAA Eckington Court commented in relation to staffing: ‘We are in the process of team building and as we are in the early stage of formation it will take some time to gel together and perform as a unit. But at this stage the team is made up of staff with varying degrees of experience and ability and with the right attitude, motivation and leadership there is scope for the team to perform as a unit to meet the demands of service need. Bank staff are used to supplement regular staff and they all have the necessary training as any other staff personnel to perform their duties.’ The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 20 review of the training records showed that currently there are eighteen care staff on the Eckington Court team, of whom there are fourteen staff with NVQ level qualifications – twelve with level II and two with level III. This is in addition to four qualified nurses. It is recommended that a minimum of 50 of the care team are NVQ qualified, and the staff team at Eckington Court have achieved this figure. Four staff files were seen, to check if they contained all of the information that would show that staff had been recruited in a safe manner – in that applicants had to fill out an application form, provide two written references and undergo a Criminal Records Bureau check. A review of the documentation showed that the recruitment process had worked to protect residents. Discussions with three staff members about their recruitment evidenced that they had undergone pre-employment checks, and had not started working until those checks had been completed. A review of the staff training records showed that Eckington Court does have a training plan for its staff, and that there are staff training courses planned for the coming months. The records showed that staff were receiving the skills training to be able to do their jobs, and discussions with three members of staff supported this view, and provided evidence of the different training courses staff had attended, including training in the mandatory areas – fire, food hygiene etc. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Eckington Court is a safe, well-managed care home with good systems for ensuring it’s quality in place, which means that the quality of the care on offer at Eckington Court is improving. EVIDENCE: Eckington Court has a Registered Manager, Gresh Hardowar. He is suitably qualified and experienced, and has been judged by the Commission for Social Care Inspection to be a fit person to run a care home. Gresh took over as manager of Eckington Court approximately one year ago, shortly after the last key inspection. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 22 Eckington Court has a quality assurance system, which relies on questionnaires being filled in by residents and visitors. Copies of the questionnaires were seen together with evidence that the questionnaires had been evaluated, and an action plan produced. The results of the evaluation of the questionnaires are on display in the foyer. In addition Eckington Court hold regular resident’s meetings, and meetings for relatives, together with weekly ‘surgeries’ for relatives on a Wednesday afternoon, where relatives can meet with the manager to discuss any particular issues. The resident’s at Eckington Court have a system for their cash needs. This is operated on behalf of some of the residents by the staff (dependent on choice and ability to manage the money), and four resident’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of resident’s expenditure to be seen. Eckington Court has a system in place for supervising its staff. This relies on staff receiving formal supervision, either with the manager or with one of the other senior members of staff. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. In their AQAA Eckington Court said: ‘Training records and supervision are maintained’ and ‘Through supervision and appraisal their needs with training and support is noted and acted on.’ Many different health & safety records were seen, including the fire safety records – weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date, which evidenced that the residents and the staff are living and working in a safe environment. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 23 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 3 X 3 Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard NU1 Good Practice Recommendations Every resident at Eckington Court should be given a copy of the newly updated Service User Guide. Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Eckington Court Nursing Home DS0000002053.V361642.R01.S.doc Version 5.2 Page 26 - 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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