Inspection on 13/10/05 for Ecton Brook House

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 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

Ecton Brook House 07/07/08

Ecton Brook House 23/08/06

Ecton Brook House 14/04/05

Ecton Brook House 22/09/04

Ecton Brook House 27/07/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Ecton Brook House Ecton Brook Road Ecton Brook Northampton Northants NN3 5EN Lead Inspector Mrs Pat Harte Unannounced Inspection 13 October 2005 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 Ecton Brook House DS0000035693.V253075.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. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ecton Brook House Address Ecton Brook Road Ecton Brook Northampton Northants NN3 5EN 01604 402455 01604 410890 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) www.northamptonshire.gov.uk Northamptonshire County Council Emily Jane Dunkley Care Home 46 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (46), of places Physical disability (1), Physical disability over 65 years of age (12) Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. No person falling within the OP category can be admitted where there are already 46 people of OP category already in the home No person falling within the DE(E) category can be admitted where there are already 8 people of DE(E) category in the home No person falling within the PD(E) category can be admitted where there are already 12 people of PD(E) category already in the home No person falling within the PD category can be admitted where there is already 1 person of PD category already in the home No person admitted within the PD category will be below the age of 50 The total number of service users within the PD(E) and the PD category must not exceed 12 Total number of service users in the home must not exceed 46 Date of last inspection 14/04/05 Brief Description of the Service: Ecton Brook House is a purpose built home for Older People that is owned by Northamptonshire County Council and managed by Mrs. E. Dunkley. The Home is registered to provide personal care for up to 46 Older People on a permanent basis. There are 8 places for People with Dementia and 12 places for People with a Physical Disability. The premises consist of 6 self-contained ground floor units with lounge/dining/kitchenette, toilet, bathing and bedroom facilities. 1 unit provides care for people with Dementia. The home has a central lounge area with bar. Main meals are provided from a central kitchen. There are garden areas for each unit and a central courtyard garden. The Home is situated in a residential area, close a post office and newsagents, mini-supermarkets, public house, chemist, and health centre. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for Service Users and their views of the service provided. Inspection planning took one hour and consisted of a review of the last inspection report and requirements, the Home’s service history including notifications and events. The primary method of inspection used was ‘case tracking’ which involved selecting three Residents and tracking the care they receive through review of their records, talking with them and the care staff. In addition six staff, two visiting Relatives and nine Residents were spoken with. A partial tour of the premises took place, a selection of records was inspected and observations made on care practices. Discussions were held with the Registered Manager. The Inspection took place during the late morning and afternoon over a period of five hours and was carried out on an unannounced basis What the service does well: The Home has a committed staff group. Residents spoken to felt that their relationships with staff were very good and that staff provided them with good care and support and valued and respected as individuals. Routines are relaxed and flexible and Residents confirmed that they are enabled to continue the routines they have followed through their lives. Staff ensure that Residents Health Care needs are closely monitored with prompt referral made to Medical Professionals where necessary. Meals are varied, well balanced, of good quality and nicely presented. Residents stated that they are given a good choice of options in the daily menu and account is taken of their likes and dislikes and special diets. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Ecton Brook House DS0000035693.V253075.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 Ecton Brook House DS0000035693.V253075.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): 1, 2, 3, 4, & 5 Prospective Residents are provided with information to enable them to make informed choice regarding their placement. The pre-admission assessment is thorough and effective in ensuring that the needs of people admitted to the home can be met. EVIDENCE: The admission process ensures that all prospective Residents are visited and assessed by staff from the Home to ensure their needs can be met. Residents and their relatives have opportunities to visit the Home and are given information on the services and facilities. Residents spoken with felt that staff were well briefed on their needs and the care to be provided. Staff spoken with felt that they were provided with good information on their Residents needs, routines and wishes. Individual records are kept for each of the Residents and inspection of the records showed that the assessment process was thorough, specific Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 9 assessment tools were used to identify needs and risk and assessments were carefully documented. Contracts are provided to all Residents with copies maintained on individual Residents files. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 10 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): 7, 8, 9, 10 & 11 Care plans clearly documented Residents needs and provided a good level of instruction and guidance for staff on how the care was to be carried through including guidance on how Resident’s with Dementia are to be supported. Management of received medication was not safe. EVIDENCE: Care plan formats have been reviewed and all existing care plans have been updated to the new format. Three Residents care plans were inspected. The plans showed a holistic approach and detailed guidance and instruction for staff on how the care was to be provided. Attention has been paid to ensuring that information is gathered on Residents’ Life Histories with specific attention given to the histories of Residents with Dementia. Staff commented that the information gave them a better understanding of needs and enabled them to communicate more effectively with their Residents. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 11 The care plans showed that account is taken of Residents wishes in relation to their preferred routines and how the care is to be provided. Plans detailed tasks that Residents’ could undertake for themselves showing that they were encouraged to maintain their independence as much as possible. Residents also stated that they felt respected and valued as individuals and encouraged to take control of their lives. Health care needs were clearly documented. Residents commented and records showed that staff responded quickly to any changes and made referrals to the appropriate Medical Professionals. Residents were enabled to see their General Practitioners quickly. Care plans gave clear instructions on how staff were to monitor health needs such as Diabetes. The care plans did not reflect the emotional support provided to new Residents although it was clear from discussions with staff that they were assisted in the settling in process and had opportunities to discuss any fears or concerns. Procedures were in place for the management of Medication. Storage was appropriate. The Medication records did not show that all medication was checked on receipt. It was clear that medication received in tablet form was checked but liquids, eye drops and creams were not recorded as checked on the MAR sheets. No administration records were maintained for prescribed creams. In one instance relating to a pain controlling medication the prescription was not administered according to the instruction. Action had not been taken to refer back to the General Practitioner for a change to PRN administration. Observations confirmed that Staff ensure the protection of Residents privacy and dignity when carrying through personal care. Records evidenced that the wishes of Residents had been sought concerning arrangements to be made after death. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 12 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): 12, 13, 14 & 15 Residents are enabled to maintain their independence as much as possible and exercise control and choice in the way they wish to lead their lives. The meals in the Home are good, offering choice and variety and catering for special dietary needs and individual likes and dislikes. EVIDENCE: Residents felt routines were relaxed and flexible and that their preferences on rising and going to bed times were respected. They felt that they were free to decide on how and where they wished to spend their time and that they were encouraged to maintain their independence. The Home has an open visiting policy and Residents confirmed that they were enabled to receive their visitors in private if they wished. Visiting Relatives commented that they were made welcome, extended hospitality and that staff made time to discuss their Residents needs, health and progress with them. They felt that they were kept well informed of any changes in need or of any concerns. The Home has a good approach to providing activities on either a group or individual basis. There is an activities programme for each of the Units and includes meaningful activities for Residents who have Dementia. Residents felt Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 13 that staff made time to assist them in the pursuit of individual interests and to talk with them. A number of Residents were spoken to and everyone who commented on the food said it was good, that they had choice and their special and likes and dislikes were catered for and respected. Residents are asked to comment and offer suggestions on the menu and changes are made accordingly. The midday meal was efficiently served and nicely presented. Staff helped Residents with their meals where necessary. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 14 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): 16 & 18 Systems are in place to protect Residents from abuse and to ensure that complaints are listened to and acted upon. EVIDENCE: Residents confirmed that they had been given the Home’s complaints procedure which is also displayed in the Home. Residents and visiting Relatives spoken with felt confident and able to raise any issues or concerns with staff. A complaints record is maintained, one complaint has received by the Home in the last year. Records showed the complaint was investigated and resolved. No complaints have been received by the CSCI. Robust procedures for the Protection of Vulnerable Adults are in place. Staff demonstrated, through discussions, their full understanding of the reporting procedures. Records and notifications received by the Commission confirm that any allegations are reported. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 15 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): 19, 20, 21, 22, 23, 24, 25 & 26 Residents are provided with a safe, well-maintained and homely environment. EVIDENCE: The premises were in good order, clean, warm, comfortable and well maintained. Since the last Inspection two track hoists have been fitted in two of the Units to safely and appropriately assist physically disabled Residents who need help with movement and handling. The Home’s security has been reviewed following an attempted break in. A security fence has been erected around the perimeter. Standards of domestic and hygiene maintenance were viewed as very good throughout the areas of the premises viewed. Residents stated that cleaning routines were carefully organised to ensure no disruption to their routines. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 16 Residents are enabled to personalise their rooms as they wish and have their furnishings and belongings around them. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 17 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): 27, 28 & 30 Sufficient numbers of care staff are deployed to meet the needs of current Residents. EVIDENCE: Residents spoken with said that the staff were very kind, committed and caring. Relationships between staff and Residents were good. On daytime shifts one dedicated care staff member is deployed to each unit with responsibility for monitoring and supervision. This deployment also provides Residents with a continuity and consistency of care. Currently the Home has two vacant units so additional care staff act as “floaters” and help out in all Units as necessary. Staff responded quickly to call bells and Residents requests for assistance. During the afternoon staff devoted time to conversing with their residents, both on a group and individual basis. A sample of staff training records confirmed that staff receive induction and ongoing training and regular updates. Training on specialist areas is provided. Out of 26 Care staff 8 have attained a National Vocational Qualification at level 2 or above and a further 9 staff are currently undertaking the qualification with an anticipated completion date of December 2005. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 18 Staff spoke with showed a commitment to the well being of their Residents and knowledge of the Home’s aims and objectives and policies and procedures. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 19 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): 31, 32, 33, 35, 36 & 38 The Management of the Home is effective and the home is run in the best interests of the Residents. The systems for the management of Residents monies and items held for safekeeping are safely maintained. EVIDENCE: Staff spoken with felt that the Manager was easily accessible to them and was willing to discuss any issues, guide them in practice and offer support. They confirmed that systems for informal as well as formal supervision were in place. Residents felt the Manager was readily available to them. They commented that regular Residents meetings were held and that the Manager consulted with them and sought their individual views and opinions. Residents felt that they had trust and confidence in both the Manager and the staff group as a whole, relationships were observed to be very good. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 20 The systems for safekeeping and management, where necessary, of Residents moneys have been reviewed and the records were well maintained. The Manager and the Administrator carry out a monthly audit of the records to ensure accuracy. Receipts for any items or services purchased on behalf of Residents were maintained. Residents’ involvement in the systems is encouraged as much as possible. Residents’ valuables held for safekeeping were appropriately recorded alongside receipts for deposits and withdrawals. Staff training records showed that staff receive training and regular updates in Health and Safety areas such as movement and handling. There are systems for reporting and resolving any identified risks. The Home was safely maintained. Records showed that care is taken to test the Home’s fire systems, instruct staff in fire safety and carry through fire drills on a regular basis. Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 22 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 Standard OP9 Regulation 12(1)a & b 13(2) Requirement The record of incoming medication must be maintained to show that all prescribed medication has been checked on receipt. Timescale for action 31/10/05 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 Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Ecton Brook House DS0000035693.V253075.R01.S.doc Version 5.0 Page 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. 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