Inspection on 14/04/05 for Ecton Brook House

This inspection was carried out on 14th April 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.

Other inspections for this house

Ecton Brook House 07/07/08

Ecton Brook House 23/08/06

Ecton Brook House 13/10/05

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 NN3 5EN Lead Inspector Pat Harte Unannounced 14th April 2005 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. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Ecton Brook House Address Ecton Brook Road Ecton Brook Northampton NN3 5EN 01604 402455 01604 410890 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) Mr Philip Jones, Northants County Council Oxford House, West Villa Road, Wellingborough, Northants, NN8 4JR Emily Jane Dunkley Care Home 46 Category(ies) of DE(E) Dementia over 65yrs - 8 places registration, with number PD(E) Physical Disability over 65yrs - 12 places of places OP Old Age - 46 places PD Physical Disability - 1 place ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 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 22nd September 2004 Brief Description of the Service: Ecton Brook House is a purpose built home for older people that is currently owned and run 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. The premises consist of 6 self-contained units with lounge/dining/kitchenette, toilets and bathing facilities. 1 unit provides care for people with Dementia. The home has a central lounge area with bar and 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 C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place over 5 hours. Seven staff, 11 Residents and two visiting relatives were spoken with. Positive written comments were also received from 12 Residents and 3 visiting Professionals. A partial tour of the premises took place and care and other records were inspected. What the service does well: What has improved since the last inspection? What they could do better: Written guidance for staff on how to deal with the behaviours of Residents suffering from Dementia must be improved to give detailed instruction on the support and strategies needed. The toilet areas must be improved to allow a hoist to be used for disabled Residents. Improvements to the systems for the safekeeping of Residents moneys and valuables must be made to ensure Residents have are able to draw sufficient money at all times and that valuables held are fully recorded. Please contact the provider for advice of actions taken in response to this ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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 ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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) 1, 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 assessment tools were used to identify needs and risk and assessments were carefully documented. Contracts are provided to all Residents, these are currently being revised to give fuller information. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 9 ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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 standard(s) 7,8,9,10. Good progress has been made on documenting Residents care needs and providing detailed instructions for staff on how the care is to be provided. Further development of the care plans for Residents with Dementia is needed to provide guidance for staff on strategies for managing behaviours. EVIDENCE: Individual plans of care are available for all Residents. Health and personal care needs were clearly documented. The level of instruction provided to staff on how the care is to be carried through has been increased and was reflective of Residents wishes and preferred routines. Staff spoken with felt that the plans gave them good guidance and that they were kept informed of any changes in needs. The Home has a specific Dementia Care Unit with a dedicated staff team to provide continuity, consistency of care and supervision and monitoring. Progress has been made in the development of Dementia Care plans. Needs are identified and personal life histories are gathered to aid understanding of the individuals’ needs. Whilst broad instructions and guidance for staff were recorded it was not always clearly documented how the Carers are to respond to individual behaviours. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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, 14, 15. The meals in the Home are good, offering choice and variety and catering for special dietary needs and individual likes and dislikes. Residents preferred routines are respected and their social and recreational interests and needs are met. EVIDENCE: A number of Residents were spoken to and everyone who commented on the food said it was good, they had choice and their special dietary needs 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, nicely presented and of good quality. Staff helped Residents with their meals where necessary. Residents felt routines were relaxed and flexible and that their lifestyle preferences were respected. They felt that they were free to decide on how and where they wished to spend their time and that they were enabled to be as independent as possible. The Home has an activities programme for each of the Units. Currently meaningful activities are being further developed for Residents who have Dementia. Residents felt that staff made time to assist them in the pursuit of individual interests and to talk with them. The Home has an open visiting policy. Visiting Relatives commented that they were made welcome, extended hospitality and that staff made time to discuss ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 12 their Residents needs, health and progress with them. Residents confirmed that they were enabled to receive their visitors in private if they wished. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 13 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, 17, 18 Systems are in place to protect Residents from abuse and to ensure that complaints are listened to and acted upon. Resident’s rights are protected. 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. No complaints have been received by the CSCI in the last year. The Home has a procedure for the Protection of Vulnerable Adults. Staff spoken with had received training on Elder Abuse and showed that they would react quickly and appropriately to any allegations. Senior staff have responsibility for the reporting procedures to the Authorities. Residents are supported to vote and postal votes are obtained. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 14 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) 19-26. The Home was safely maintained, well kept, warm and comfortable. The Toilet areas are too small for the use of a hoist and therefore the choice and dignity of disabled Residents is compromised. EVIDENCE: Since the last Inspection there has been considerable renewal of furniture and carpets and some redecoration work, the Home is comfortably furnished to a good standard and is safely maintained. The fitting of replacement cupboards in the main Kitchen remains outstanding from the last Inspection. All the toilet areas in the Home are very cramped and a hoist cannot be used. Residents needing hoisting have no choice but to use commodes in their rooms. Residents are enabled to personalise their rooms as they wish and have their furniture and belongings around them. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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 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, 28, 30 Procedures for the recruitment of staff were robust and provided safeguards to offer protection to people living in the Home. The deployment of staff to individual units ensures continuity and consistency of care. EVIDENCE: Residents spoken with said that the staff were very kind, committed and caring. Relationships between staff and Residents were good. On daytime shifts 1 care staff member is deployed to each unit with responsibility for monitoring and supervision. 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. The sample of two staff members records inspected showed that the necessary checks and references had been obtained. The sample of two staff members records inspected showed that the necessary checks and references had been obtained. A sample of staff training records confirmed that staff receive induction and ongoing training and regular updates. Training on specialist areas is provided and staff are encouraged to undertake National Vocational Qualifications. Staff spoken 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 C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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 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) 31, 32, 33. 34 38. The Management of the Home is effective and accessible and responsive to the needs of both the Residents and staff. The systems for moneys and valuables held for safekeeping need further development to ensure Residents have access to their monies at all times and valuables are appropriately documented and receipted. EVIDENCE: Staff spoken with felt that the Manager was easily accessible to them and was willing to discuss any issues and guide them in practice. Supervisions systems were in place to ensure that staff receive guidance and support. Residents felt the Manager was readily available to them. They commented that regular Residents meetings were held and that the Manager also sought their individual views. Residents felt that their opinions were listened to, ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 17 valued and acted upon and that they had trust and confidence in the staff group as a whole. The system for safekeeping of Residents moneys must be reviewed, as staff do not have access to the system in the Manager and Administrators absence. At these times only small amounts of money can be withdrawn from the petty cash system. Items held for safekeeping, such as bankbooks were not documented or receipted. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 2 x 3 3 ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 19 Yes 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 19 Regulation 16(2)(g) Requirement Kitchen cupboards must be replaced and written confirmation that this had been completed forwarded to the Commission. This is an outstanding requirement from the Inspection Report of 22.9.2004 An action plan must be submitted detailing proposals to alter the Toilet facilities to enable the use of a hoist. The system for the safekeeping of Residents moneys must be reviewed to provide access for sufficient funds to be withdrawn at any time. Records must be maintained of all valuables held on behalf of Residents for safekeeping. Timescale for action 20.5.2005 2. 21 23(2)(a) &(j) 17 (2) Schedule 4, 9 17 (2) Schedule 4, 9 20.5.05 3. 35 20.5.05 4. 35 20.5.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 20 Refer to Standard Good Practice Recommendations ECTON BROOK HOUSE C51 S35693 Ecton Brook House V217165 140405.doc Version 1.20 Page 21 Commission for Social Care Inspection Newland House, First Floor Cambell 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. 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