Inspection on 13/02/09 for Eckling Grange

This inspection was carried out on 13th February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Eckling Grange 01/11/06

Eckling Grange 03/11/05

Eckling Grange 30/06/05

Eckling Grange 15/03/05

Eckling Grange 10/01/05

Eckling Grange 25/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eckling Grange Norwich Road Dereham Norfolk NR20 3BB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Don Traylen     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Eckling Grange Norwich Road Dereham Norfolk NR20 3BB 01362692520 01362690278 eckling.grange5@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Eckling Grange Limited care home 62 Number of places (if applicable): Under 65 Over 65 20 42 dementia old age, not falling within any other category Additional conditions: 0 0 Forty two (42) older people, not falling into any other category, may be accommodated. Twenty (20) service users who are over the age of 65 years and have a diagnosis of dementia may be accommodated. Date of last inspection Brief description of the care home Eckling Grange is a large, two storey, Christian care home providing personal care and accommodation for up to 62 older people and is sited on the outskirts of the town of East Dereham. The service comprises of a large period house with extensions and has a complex of sheltered housing bungalows sited in the grounds that are not part of this registration. The home has two passenger lifts to the first floor, 60 bedrooms, 38 of which have en suite facilities, 58 are single rooms and a further two rooms that are registered as double rooms and made available to married couples, if required, or as single rooms. The home has communal toilet and bathroom facilities on each floor and service users have communal use of a large dining room, two lounge/dining rooms, 5 small sitting areas, a TV lounge and a large lounge. The home stands in its own Care Homes for Older People Page 4 of 24 Brief description of the care home grounds, the gardens are well maintained with the new addition this year of a summerhouse and there is ample parking to the front and the back of the premises. The service has a management committee with overall responsibility for the home. The range of fees is 349 to 549 pounds per week. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection of this service was carried out on the 1/11/2006. This inspection started at 11.20 am and ended at 6pm. The environment was assessed by touring the building. Two peoples care records were read. Two staff files were assessed and the training arrangements for all staff was determined. The overall management approach was assessed and observed, as was the staff interaction. Twelve people were spoken to and two visiting relatives were asked for their views about the home. Four care assistants were asked about their training and their knowledge of safeguarding. The home completed an Annual Quality Assurance Assessment prior to this inspection. Several surveys were completed by people using the service. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured their needs are known by the home before they agree to live there. Evidence: Two peoples assessment details were read and these showed the home had received full and comprehensive assessments prior to agreeing to admit the people into the home. Four people who were spoken to said they had visited the home before they moved there and had been provided with sufficient information about the home. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured their care is provided respectfully and is planned. Evidence: Care plans were read for two people. These plans contained extensive detail. The plans were were kept as three different folders that included the main care plan, accidents and risks. Daily reports and risks assessments for some elements of risks had been recorded. One person who had been admitted to hospital did not have this recorded in her plan and her current needs had not been fully reviewed to include her dietary needs and her bedside-assisted care for preventing pressure on her skin. The manager said these needs were in the process of being reviewed. Community Health Service visit by District nurse were recorded in the communications part of people care plans. Four people told us their care was generally good./ One person said this is the best. He said the home has,the best staff and everything is tip-top. Two visiting relatives were spoken to one is a regularly daily visitor. She said, staff are good and the home have been very welcoming. Care Homes for Older People Page 11 of 24 Evidence: The management of medication was assessed. Specific staff had been trained by a District Nurse in giving insulin injections. The Medication Administration Record did not show the amounts of one medication that had been prescribed, or when new prescriptions had been started. Another persons medication record was checked as being accurate. The medication policy was read. There was no reference to managing medication prescribed as required, or PRN. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured of living the life theychoose and of being offered suitable and nutritious meals. Evidence: An activities noticeboard is used to announce forthcoming events and activities in the home. Examples of items people have made in their activity sessions are shown and some are offered for sale. A large roll up screen to show films of the excursions or events has been set up in the main lounge. Visitors can arrive at the home at any time and two visitors spoke to us and told us they were made welcome by the home whenever they visit. Meals were shown to be planned and there were alternatives given as well as two choices available at all mealtimes. The meals consist of fresh vegetables each day Meat is bought from local butchers. People told us they liked their food and had plenty to each and drink. Tables are laid with clean tablecloths that appeared homely. Salt and pepper and sauces were available on the tables. It was observed that most people had eaten all their food and several people told us they were offered sufficient drinks Care Homes for Older People Page 13 of 24 Evidence: throughout the day. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured by staff attitudes that they will be protected from harm. Evidence: The home has a complaint policy and an abuse policy. Four staff said they would always report any concern that people may be at harm to the manager. The abuse policy did not include the role and responsibility or the guidelines issued by the Local Authority and how people should report abuse to them. The four staff were asked how they might report an allegation of abuse and three staff each stated the manager would be informed. Staff and two visitors were not aware of the role of the local authority or to the Police in such events. Contact details for these two agencies were not available to staff, or within eyesight at any part of the home. The staff and manager confirmed the home did not have any information about safeguarding for visitors, or for people living at the home. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home provides them with a well maintained, comfortable and safe environment in which to live. Evidence: Several people told us they were very pleased with the accommodation provided. The home has replaced all of the windows with modern UPVC double glazing units. Two bathrooms have been totally refurbished since the last inspection in November 2006. These bathroom are equipped to a high standard. The home has an attractive and well maintained large garden and patio area with seats and tables that can be accessed from the home by two doorways that have ramps for wheelchair use. The home is spacious and has been well maintained and is redecorated systematically. The home was well lit and bright. Throughout the home there were plenty of seats. There are dining areas and lounges of generous proportion. People were spoken to whilst they were relaxing in the lounge after lunch and two visors were talking to their relatives in this room. In addition to the daily cleaners and domestic staff the home has a weekly contract with an industrial cleaner. The sluice room was clean and the kitchens were routinely cleaned. The laundry room was well ordered, clean and spacious. Peoples rooms were personalised. Care Homes for Older People Page 16 of 24 Evidence: The home had good signage showing the day and date and had many framed pictures. The home has a dedicated areas for the managers office and the administrative office, a staff room and training/meeting room, separate staff toilet facilities and good sized storage areas for hoists,standing aids and wheelchairs and a locked area for hazardous substances. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured they received care from trained staff who have been safely recruited. Evidence: The recruitment records for two staff showed they had satisfactory Criminal Record Bureau (CRB) disclosures, two references and a work history. The training records showed staff receive training in an extensive range of subjects. Some staff have been given training in English language. One care assistant said she had not received any training in safeguarding/abuse or in Dementia Care which was a subject that she said she would like. Another care assistant said he had received training in Induction, Dementia, Moving and Handling and Fire Safety, but not for Safeguarding. Much of the training is arranged by the manager and delivered by her. It was discussed with her that additional training from the Primary Care Trust would benefit staff and people living at the home. Topics such as managing medication, safeguarding from abuse and Dementia care were topics some staff reported they had not received. At the time of the inspection the home showed that 19 staff have NVQ level 2 awards Care Homes for Older People Page 18 of 24 Evidence: in care whilst 13 have NVQ level 3 awards and 20 staff are without these qualifications. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home is run in their best interests. Evidence: The registered manager has been in post for approximately fourteen years. The home operate a formal annual survey to ascertain the views of people living at the home and their relatives aaand of staff and this was last conducted on 27/11/2008. The analyses was extensive and the opinions that were expressed were published. The home has an adequate quality assurance process that plans training. The cohort of staff is quite large and is the responsibility of the manager. The manager demonstrated she keeps the interests of people living at the home at the forefront of the service and this attitude was seen to be practised by staff. Records of regular staff supervision had been kept. Care Homes for Older People Page 20 of 24 Evidence: The home has a satisfactory fire policy and has an comprehensive fire evacuation plan. There were records of the weekly fire alarm tests and of the emergency lighting. A current fire certificate was in place and there were records of satisfactory water temperatures. All radiators were had heat protective covers. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 The medication policy should be reviewed to show how the home manage medication prescribed as required, or PRN. Medication Administration Record charts should show the amounts of medication at the start of the period shown on the chart and include any further amounts of medication are received by the home. The home should promote safeguarding so that people are more comprehensively protected and have the information necessary and the opportunity to independently report a concern or allegation, should they choose to. The home should be prepared to provide training in Dementia Care to all staff. All staff should receive refresher training in safeguarding/protecting vulnerable adults. All staff who administer medication should received refresher training to ensure they are familiar with managing medication prescribed, as required, or PRN. 2 9 3 18 4 5 6 30 30 30 Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!