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Inspection on 20/11/08 for Eclipse Lodge

Also see our care home review for Eclipse Lodge for more information

This inspection was carried out on 20th November 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

The home provides a service that is focussed on the needs of people with dementia and their carers. The home currently provides a day care service and relative support meetings. There is also a `friends of Eclipse lodge`. Staff recieve training in caring for people with Dementia, and the home has recently provided two training events for local professionals, other carers and relatives about aspects of Dementia. The home is undergoing a programme of environmental improvement and a number of areas have been recarpeted and redecorated since the last inspection. The home are working hard to improve odour control, lighting and make the environment more homely. Care planning systems have been improved since the last inspection, and are being reviewed regularly. This helps to ensure that peoples needs are being communicted and addressed consistently. Staff are well supported including the provision of a counselling service which people can access if needed. A system for staff supervision and mentoring is in place. A training manager has been appointed for the company which helps to ensure that staff recieve consistent training when they need it.

What the care home could do better:

The quality assurance systen in place needs to provide an annual development plan for the home. This helps people to identify what is working well and plan for areas in which the home can improve.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Eclipse Lodge Rawlyn Road Torquay Devon TQ2 6PQ The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Finniear Date: 2 0 1 1 2 0 0 8 Information about the care home Name of care home: Address: Eclipse Lodge Rawlyn Road Torquay Devon TQ2 6PQ 01803607604 01803607604 clare@crocuscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Crocus Care Limited care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 0 0 Over 65 27 27 Conditions of registration: Date of last inspection Brief description of the care home Eclipse Lodge is a detached building in a residential part of Chelston, fairly close to local shops and Torquay sea front. It is registered to accommodate people aged 65 and over and principally cares for people with dementia. All but two of the bedrooms are single rooms and some have en suite facilities. There are several spacious communal areas, including three lounge areas and a dining room. Disability equipment includes stair lifts, assisted baths, mobile hoists, raised toilet seats, toilet frames and grab rails. There is a sophisticated call system. Residents are accommodated on three floors, and a new stair lift has been fitted to the top floor . There are a few steps down into the lower floor communal areas. There is a pleasant secluded garden and a sizeable car parking area, and residents are able to access outside areas fairly securely. Fees range Care Homes for Older People Page 2 of 8 between #350 to #400 per week dependant on needs. Information on the homes previous inspection reports is available on request within the home. Care Homes for Older People Page 3 of 8 What we found: This random Inspection was undertaken following the Annual Service review which identified that although there had been a number of concerns identified at the start of 2008 the home appearred to have resolved these and devloped the service. To complete the inspection a site visit was made to the home without notifying them of the exact date or time of the visit; a tour was made of the home and time spent looking at some of the changes the home has made to record keeping and management systems since the last inspection visit in February 2008. On the site visit discussion was held on the most recent admission to the home and the process that had been followed in relation to this. Time was also spent looking at the care plans that have been developed since the last inspection. Files contained information on peoples previous life histories and on strategies that the home has found have helped and supported the person if they have been distressed or comminicating through behaviours that challenge. The plans seen were clear and being regularly updated. The manager confirmed that weekly audits are being carried out on the medication systems in use, and that a recent inspection has been carried out by the supplying pharmacist. It was also confirmed that the requirements and recommendations following the CSCI pharmacist inspection of early 2008 have been complied with. The home has compiled a new complaints guide and copies of this were on display in the homes hallway. No complaints have been recieved since the Annual service review. The home now has a robust system for the management of complaints and concerns and evidence could be seen of the homes resoponse to complaints made earlier in the year. A tour was made of the home, looking in particular at areas that have improved in the environment and decor. The lower ground and ground level floors have been redecorated and some areas of nrew carpeting have been laid. This has improved the comfort and appearance of the home, made some areas feel considerably lighter and reduced some of the odour problems that were evident at the last inspection. In addition a number of bedrooms have also been redecorated. It is understood that the staffing levels have been increased at times and a new training system has been implemented to ensure that core training is updated regularly. It is also understood that supervision systems are in place and working well. The manager was able to demionstrate the system in use. Discussions were also held on quality assurance systems with the homes manager and the company training manager. The system in use comprises of a series of questionnaires to stakeholders, residents, relatives and staff. Results from these have been examined and compiled with other information from internal and external audits and will be used to form the annual development plan for the home.This is a cyclical proces that helps the home to decide what is working well and what could be Care Homes for Older People Page 4 of 8 improved. What the care home does well: 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 19 23 (2) (c) (d) The registered person shall, 28/02/2009 (f)(p) having regard to the number and needs of the service users ensure thatAll parts of the home are kept clean and reasonably decorated. This applies in particular to areas where there is poor odour control. The home must prepare a schedule of works to identify and prioritise the improvements required with timescales for their implementation. 2 31 8 The manager must make application for registration. Original Dates 31/03/08 and 24/04/08 not met. 30/01/2009 Care Homes for Older People Page 6 of 8 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 1 33 24 The registered person must 24/02/2009 establish and maintain a system for reviewing and improving the quality of care at the care home. This is so the home can be clear about what is working well and what can be improved. 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 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. 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