Inspection on 30/08/05 for Eclipse Lodge

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Eclipse Lodge 20/11/08

Eclipse Lodge 03/10/07

Eclipse Lodge 24/01/07

Eclipse Lodge 27/01/06

Eclipse Lodge 27/01/05

Eclipse Lodge 10/08/04

Eclipse Lodge 18/03/04

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

CARE HOMES FOR OLDER PEOPLE Eclipse Lodge Rawlyn Road Torquay Devon TQ2 6PQ Lead Inspector Mark Sharman Announced 30 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eclipse Lodge Address Rawlyn Road, Torquay, Devon, TQ2 6PQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 607604 01803 606532 Crocus Care Limited Claire Emma Hunter Susan Mary Wright Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Old age, registration, with number not falling within any other category (27) of places Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No. Date of last inspection 27/1/05 Brief Description of the Service: 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, but the top floor is not accessed by a stair lift and there are a few steps down into the dining area. There is a pleasant secluded garden and a sizeable car parking area, and residents are able to access outside areas fairly securely. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and about eight and a half hours were spent at the home. A pre-inspection questionnaire completed by the manager was received before the inspection, and two comment cards completed by residents’ relatives were also received. No comment cards were received from residents, most of whom are confused. Several of the residents were spoken to during the inspection (including the very few not significantly confused), and six of the staff. A sample of the home’s records was examined. The home owner was present at the inspection, in the absence of the manager. What the service does well: What has improved since the last inspection? No requirements were made at the last inspection. One minor recommendation made then relating to the home’s complaint procedure has been adopted, making it clear that a complaint about the home can be passed to the Commission for Social Care Inspection. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 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. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Standard 6 is inapplicable. A satisfactory assessment of need is carried out for every prospective new resident in order to decide if the home will be suitable for her/him. EVIDENCE: A pre-admission assessment form is in use which covers the aspects of care specified in the Standard, and this form is used in respect of all prospective residents. A sample of residents’ files was inspected, and there was a completed form in each file. In some files there was also a written assessment which had been completed by health staff, in cases where the resident had come to Eclipse Lodge from hospital. The home owner said that the manager visits any prospective resident prior to admission to the home (whenever practicable) to carry out an assessment of needs. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 9. The residents’ health care and social care needs are set out in individual care plans, and these needs are being met satisfactorily. There is a safe system for handling residents’ medication. EVIDENCE: There is a written care plan for all residents, and a sample was inspected. They detailed actions to be taken by staff to ensure that health care and social care needs are met, and each included a mobility assessment and a falls risk assessment. In each case there was a written review for the month of August, but there was no evidence of previous monthly reviews. The care plans seen had not been signed by a representative of the resident, which would show that there had been input from someone who knows her/him well. The care plans contained evidence of the monitoring of residents health, including a record of visits by health professionals in each case. A visiting dentist, optician and chiropodist provide services, and equipment for skin care is obtained as necessary. One resident was using a special mattress for the prevention of pressure sores. A specialist exercise session takes place weekly (bought in) to try to maintain residents’ mobility. There was evidence of contact with members of the mental health team for older people in respect of certain residents. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 10 The medication cupboard was looked at, and a sample of medication administration recording sheets. Staffs who administer medication have had appropriate training, and some training certificates were seen. The staff also confirmed that training has taken place. The supplying pharmacist’s last report (18/7/05) was satisfactory. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14. Residents are offered a range of appropriate activities and some entertainment, and are able to maintain contact with relatives and friends. EVIDENCE: Two ladies are employed part-time specifically to provide activities which are suitable for confused residents, and those who are capable are encouraged to join in. These activities are available for a time on most days of the week, although unfortunately the time devoted to activities in the afternoons has been reduced recently. Music (popular with many confused people) is played frequently, and a professional musician is employed to entertain residents each month. His programme was displayed on a notice board. An exercise session is run professionally each week. Other occasional events take place, for example a summer fete was held recently and a potter ran a pottery class for some of the residents. Residents are able to have visitors at any reasonable time, and there are a number of lounge areas which are suitable for meeting relatives. A relatives’ support group meets at the home two monthly, and a six monthly news letter is now produced and sent to relatives. Some relatives/friends visited residents during the inspection. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 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 standard(s) 16 and 18. Complaints will be listened to and taken seriously, and there are satisfactory arrangements to ensure that residents are protected from abuse. EVIDENCE: The few residents able to express an opinion said they were confident that any complaint they had would be taken seriously by the home’s management. The home has an appropriate complaint policy, a copy of which was on display. In addition there is a feedback form available to complainants to comment on how well their complaint was handled. The home has adult protection policies, and the staff spoken to said they were aware of these. CRB checks are applied for in respect of all staff, although the staff files were not checked at this inspection. Some staff have received training in the care of people with dementia, and some of these training certificates were seen. The home owner said that staff are also currently attending vulnerable adult alerter’s training being offered by Torbay Council. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 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 standard(s) 19 and 26. Residents are provided with comfortable accommodation, but the building is not easily accessible throughout for those with impaired mobility. Overall the cleanliness was good, but an odour was detectable in two of the bedrooms. EVIDENCE: The home was not designed as a care home and there are some steps within it which make access to some parts difficult. However there is level access into the garden and a good level of disability equipment. A part-time maintenance person is employed. With regard to health and safety, the radiators are covered and thermostatic valves are fitted to the baths and wash basins. Some of the upstairs windows were found to open rather wide and an immediate requirement was made to rectify this. A few bedrooms have been redecorated recently, but it was pointed out that the washbasin surround in one of the bedrooms is in need of repair or replacement. The parts of the home which were seen were clean, and the laundry is well equipped. Both washing machines have a sluicing function. A relative commented (via a comment card) that the home has not been as clean and tidy as previously, and the owner confirmed that one of the cleaning staff proved to be unsatisfactory and has now been replaced. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30. The staffing levels deployed are generally adequate, but should be reviewed at tea time and in the evenings due to the increased dependency of many of the residents. The staff team is committed and well motivated, and there is a good training programme. EVIDENCE: The staff observed were kind, caring and competent, and residents were complimentary about them. The staff spoken to said they enjoyed working at the home and that there is a good team spirit among the staff group. The owner reported difficulty in recruiting new staff for some time, and agency workers have had to be used regularly (although the same few have been used to ensure continuity of care). The consensus among the staff was that they are often rushed at tea time and in the early evening, and this view was also expressed by a relative (via a comment card) who visits the home. A good percentage of the staff have attained NVQs. Four have achieved NVQ level 3, three have level 2, and three more are doing level 2. The staff spoken to said that training opportunities are good, and there were numerous certificates in the training file which was inspected. Core training includes training in dementia and challenging behaviour, and further training sessions on this were being arranged on the day of the inspection. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38. There are effective methods for monitoring the quality of the service provided. There are satisfactory arrangements for ensuring the health and safety of the residents, although a risk was identified in respect of certain upstairs windows which opened wide. EVIDENCE: Satisfaction questionnaires are sent out to residents’ relatives regularly, and the results of the last such survey were available. A separate questionnaire is also sent to other regular visitors to the home such as health professionals. There are regular staff meetings, and the minutes of the last were seen. The home owner produces an annual quality audit report (also seen) on the home, including areas for action. She also produces a monthly report on the conduct of the home, a copy of which is sent to the Commission for Social Care Inspection. A sample of the records relating to residents’ personal money was checked, including receipts for expenditure made on their behalf. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 16 With regard to health and safety, the staff receive core training which includes manual handling, fire safety, first aid, food hygiene and training in dementia care. Certificates for staff attending recent fire safety training (1/8/05) were seen. The temperature of the hot water supply to baths and washbasins is regulated, and the radiators are covered. However it was found that some of the upstairs windows opened too wide for safety, and an immediate requirement was made in respect of this. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 x 3 x x 4 x 3 x x 2 Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 18 NA Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 19 38 26 Regulation 23 13 23 Requirement The sink surround in room 8 must be replaced. All upstairs windows accessible to residents must have openings restricted to six inches. All parts of the home must be kept clean and free from unpleasant odour. Timescale for action 30/11/05 With immediate effect. With immediate effect. 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 27 Good Practice Recommendations Staffing levels should be reviewed for the period each day from 1700 hours to 2000 hours. Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Eclipse Lodge D54-D07 S18350 Eclipse Lodge V231729 300805 Stage 4.doc Version 1.40 Page 20 - 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. 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