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Inspection on 13/10/05 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 13th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Full assessments should ensure that the home is aware of the service users needs prior to admission. Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. These activities consisted of group activities, visits by entertainers, and outings. Service users were given the opportunity to exercise their right of choice, and with the provision of meals. An alternative choice of meal was available to the service users. Quality assurance systems were in place. These systems will assist the manager`s and company to measure the home against expected outcomes.

What has improved since the last inspection?

The company has complied with the majority of requirements.

What the care home could do better:

The registered person should comply with the previous requirements and those listed as new requirements from this inspection. The requirements include the need for attention to staff files, environmental issues, and the training of staff.

CARE HOMES FOR OLDER PEOPLE Eckington Court Nursing Home Penny Engine Lane Off Church Street Eckington Derbyshire S21 4BF Lead Inspector Ivan Barker Unannounced Inspection 13th October 2005 09:30 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.V258845.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. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eckington Court Nursing Home Address Penny Engine Lane Off Church Street Eckington Derbyshire S21 4BF 01246 430066 01246 430077 eckingtoncourt@highfield-care.com 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) Southern Cross Care Management Limited Mrs Ann Elizabeth Barlow Ayodele Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 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 large lounge 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 person. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on several of the ‘key standards’), and the previous requirements. The persons present at the inspection were: Mrs T McArdle, Acting manager. Mrs L Fearn, Regional manager. Within this inspection, which occurred over a six hours period, the inspector toured the building, spoke with some staff and examined some documentation. Unfortunately towards the end of the inspection there was a medical emergency. Therefore the inspector did not have the opportunity to speak with other staff and service users, as he deemed it appropriate to terminate the inspection, and allow the staff to concentrate on the emergency. As the inspector left the building, he observed that the staff, GP and ambulance staff were performing their roles professionally and proficiently in delivering the care to the service user. No relatives were visiting at the time of the inspection. What the service does well: What has improved since the last inspection? The company has complied with the majority of requirements. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 6 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. Eckington Court Nursing Home DS0000002053.V258845.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 Eckington Court Nursing Home DS0000002053.V258845.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): Standard 3. Accurate assessments will ensure that the home has sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: The home received service user assessments from the Social Services Care managers. The acting manager or senior staff prior to admission to the home assessed all service users. The new company was introducing new assessment documents which the acting manager identified were more comprehensive than the previous document. Although she was yet to use the new document she was positive about it implementation as she was of the opinion that more information could be gained during the assessment process. Eckington Court Nursing Home DS0000002053.V258845.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): Standard 10. Service users were able to exercise their rights of choice and to privacy and dignity, as far as issues monitored by the inspector. EVIDENCE: Standard 10 was discussed with the acting manager. Through observation and discussions with managers and staff it was established that these standards were being met. Service users were able to wear their own clothes and to make a choice of the items to wear each morning. Service users were addressed by their preferred name. Members of staff were observed to knock on the bedroom doors before entering. Visitors were allowed to visit the service user in the communal areas or in the privacy of their own room. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 10 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): Standards 12, 13, 14,15. Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. An alternative choice of meal was available to the service users. Service users were given the opportunity to exercise their right of choice regarding the provision of meals, and the activities. EVIDENCE: The services user’s interests were recorded within the care plan documentation. There was an Activities co-ordinator who was employed for 16 hours per week. The inspector was shown evidence that there was a programme of activities and outings were planned. The Activities Co-ordinator kept a record of the service users participation in the activities and outings. The service users had the opportunity to influence the choice of activities and outings. Service users were able to access the local village, being accompanied by staff or their relative or visitor. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 11 A minibus was available to service users. This vehicle was shared by several of the homes within the company. Regarding the meals, the acting manager informed the inspector that there was a hot meal available at lunchtime and in the evening. She also explained that during breakfast the service users were asked for their lunchtime meal choice and during the afternoon tea, the service users were asked for their evening meal choice. She identified that the system was working very well and she had received positive comments from the service users. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 12 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): Standards 16 and 18 As far as could be established the home took complaints seriously and acted upon the issues. The staff received training, which should make them more aware of Adult Protection. EVIDENCE: The complaints procedure was displayed, and contained the necessary information. The complaint book was examined and no complaints were outstanding. No one during the inspection asked to see the inspector to voice any complaints, also it should be recognised that due to unforeseen circumstances, the inspector did not obtain the views of the service users. The inspector was shown evidence, by the provision of training records that training in Adult Protection did occur. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 13 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): None There had been compliance to the majority of requirements relating to environmental issues. EVIDENCE: These Standards were not assessed at this inspection, as they had been assessed on the previous inspection. The previous requirements relating to this section were assessed, and further requirements produced. At the previous inspection, the registered manager had identified that the home required 4 additional adjustable beds to meet the needs of the service users. The region manager informed the inspector that 2 beds had been purchased. The acting manager informed the inspector that as the dependency needs of the service user had changed the home had sufficient adjustable beds to meet the service users’ needs. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 14 Regarding the locks to the bedroom doors, the region manager informed the inspector that the locks were on site and that the maintenance man had begun fitting the locks. It was recognised that there were 39 locks to be fitted and a final timescale of the 18th November was agreed. Within Rooms 9, 17, 18, 39, 40, 44 there was redecoration required to the walls. On discussing the requirement, the acting manager informed the inspector that the work had been completed. However on examination of the rooms the inspector established that rooms 9, 18, 39 and 40 had not received attention. The acting manager apologised to the inspector and advised him that she had been informed by the maintenance man that the work had been completed. The acting manager was to take the issue up with the maintenance man, following the inspection. A further timescale of one month was offered to the inspector, which he accepted. The ‘fire damaged’ room was still not completed. The room had been decorated and required a new carpet and some attention to the window. Again a timescale of one month was offered and accepted. The other remaining issues, which were a considerable list and were raised within the environment section, had all been acted upon and resolved. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 15 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): Standards 29 and 30. The necessary documentation designed to protect the service users was not in the staff files. The delivery of care may be compromised due to the staff not being up to date with their moving and handling practice. EVIDENCE: On the examination of 4 staff files, 3 contained the information required within Schedule 2 and 4. However within one file, which related to an ‘overseas’ qualified nurse, there was no evidence of any references. The region manager informed the inspector that person had been ‘inherited by the company’ as part of the change in ownership of the home. The region manager then sought advise from the administrator, who provided a list of staff files that had omissions. Clearly the administrator was aware of the shortfall and was chasing up these omissions. Unfortunately although the issue was being acted upon, a shortfall has been recorded, because the files did not contain the expected documentation. On examination of the staff training records the inspector established that the staff had not received their annual Moving and Handling training. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 16 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): Standards 31, 33, 35, 38. The management of the home does not comply with the requirements of the Care Homes Act. Quality assurance systems will assist the manager’s and company to measure the home against expected outcomes. EVIDENCE: During the inspection the inspector was given a letter that informed him that the registered manager stated on page 4 of the report was no longer the manager of the home, and that a new manager was in post. The inspector informed the region manager that the manager within the home was not the registered manager and as such would be deemed only as the Acting manager in the absence of the registered manager. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 17 The region manager informed the inspector that the present manager had been deemed ‘fit’ by the Commission for Social Care Inspection in Nottinghamshire, therefore in her opinion the exchange of managers between homes was acceptable practice, and when the inspector questioned this, the region manager inform the inspector that she would seek further advice on the matter. The company had quality assurance systems, which were implemented by both the acting manager and the region manager. Regarding the service users’ personal monies the home operated a basic credit and debit system. On examination of the system the inspector observed that some account were accumulating considerable sums of money. The reasons for holding such monies were discussed and it was raised that the particular service users could spend some of the monies on personal items, outings etc which would enhanced their quality of life. As far as could be established there were no health and safety issues except if any were raised with the previous section of the report. Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 18 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 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? yes 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 OP23 Regulation 12 Requirement The registered person must provide locks and keys to bedroom doors, so as top afford the service user with privacy, dignity and security. (Previous requirement) The registered person must ensure the home is kept in a good state of repair and kept adequately decorated. (Previous requirement) The registered person must ensure that the staff files contain the required documentation. The registered person must ensure that the staff received the required training to meet the needs of service users. The registered person must ensure that a registered manager for this particular establishment is in post. Timescale for action 18/11/05 2 OP19 23 13/11/05 3 4 OP29 OP30 18 18 13/12/05 13/12/05 5 OP31 8 13/01/05 Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 20 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 Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eckington Court Nursing Home DS0000002053.V258845.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!