Inspection on 07/07/08 for Ecton Brook House

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Excellent 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

Ecton Brook House 23/08/06

Ecton Brook House 13/10/05

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 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Ecton Brook House Ecton Brook Road Ecton Brook Northampton Northants NN3 5EN Lead Inspector Irene Miller Unannounced Inspection 7th July 2008 10:15 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.V368109.R01.S.doc Version 5.2 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.V368109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ecton Brook House Address Ecton Brook Road Ecton Brook Northampton Northants NN3 5EN 01604 402455 01604 410890 edunkley@northamptonshire.gov.uk www.northamptonshire.gov.uk Northamptonshire County Council 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) Emily Jane Dunkley Care Home 46 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (15), Old age, not falling within any other category (46), Physical disability over 65 years of age (5) Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No one falling within category DE(E) may be admitted into Ecton Brook House where there are 18 persons of category DE(E) already accommodated within this home. No one falling within category PD (E) may be admitted into Ecton Brook House where there are 5 persons of category PD (E) already accommodated within this home. No one falling within MD (E) may be admitted into Ecton Brook House where there are 15 persons of category MD (E) already accommodated within this home. No one falling within category OP may be admitted into Ecton Brook House where there are 46 persons of category OP already accommodated within this home. No person to be admitted to Ecton Brook House in categories DE (E), PD (E), MD (E), or OP when 46 persons in total of these categories/combined categories are already accommodated in this home. 23rd August 2006 Date of last inspection 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 long stay basis. There are up to 24 places for People with Dementia, 5 places for People with a Physical Disabilities and 7 places for People who suffer from a Mental Disorder. The premises consist of 6 self-contained ground floor units with lounge/dining/kitchenette, toilet, bathing and bedroom facilities. Main meals are provided from a central kitchen however Residents who are able may make drinks and snacks in their units. The Home has a central lounge area with bar and shop. There are garden areas for each unit and a central courtyard garden. The Home is situated in the Ecton Brook area, a suburb of Northampton. Ample parking is nearby and the Home is easily accessible by public transport. There are nearby shops including a post office and newsagents and a minisupermarket, there is also a public house, Chemist, and Health Centre close by. The charges for the Home are up to £388 per week, Northamptonshire County Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 5 Councils carries through a financial assessment to determine individual weekly fees, which are dependent upon dependency needs. The Home’s charges do not include services such as Hairdressing and Chiropody and Residents are also responsible for paying for toiletries and newspapers. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The focus of all inspections undertaken by the Commission for Social Care Inspection (CSCI) are based upon seeking the outcomes for Service Users and their views of the service provided. This visit was unannounced and focused on the ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. The care records of three people using the service were sample checked this involved looking through written information available on their care, such as their individual care plans (a care plan sets out how the home aims to meet the individual service users personal, healthcare, social and spiritual needs). During the course of the visit people using the service were consulted on how they view the care provided at the home, and discussions with staff gave an insight into the support and training provided at the home. Observations made during the visit gave an indication on the quality of staff interactions with people using the service. Records in relation to the homes management and administration systems, quality assurance, staffing and general policies and procedures were viewed. Prior to this visit the Commission for Social Care Inspection sent out to the provider an Annual Quality Assurance Assessment (AQAA) this document allows the provider to supply us with information on how they view their own performance, such as what they do well, what they could do better and plans for future improvements. The information provided within the AQAA was very detailed and demonstrated that there is a pro-active approach to the management of the home. The Commission for Social care Inspection sent out to the home a selection of surveys for people using the service, relatives and staff to complete, feedback received from the responses indicated that in the main people were happy with the care they received at the home a comment received from a service users was ‘I am happy and well cared for, I can’t ask for anything more’. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 7 Feedback received from one relatives survey indicated that the home could do more in the way of providing more stimulating day-to-day activities for people with dementia. What the service does well: All efforts are made to ensure that people using the service are given full information about the range of services available at the home, the daily routines and staffing arrangements, this is through the homes statement of purpose and service users guides being available for all people to access. Residents, staff and visitors qulity assurance surveys are made available in large print, brail, pictorial and in other languages as required. This ensures that all people using the service have the opprtunity to be fully informed of the findings of the surveys and actions to be taken to improve on the quality of the service. The health and personal care needs of people using the service are regularly reviewed and updated as necessary and the involvement of specialists from the mental healthcare field are consulted in the care of the people using the service. This ensures that the needs of people using the service are continually met. There is a pro-active approach to risk management; accidents and incidents such as falls are closely monitored this aids in identifying control measures to reduce the risks to an acceptable level and enable individuals to take risks within a safe environment. Observations made of the staff interaction with the people using the service showed that the staff are skilled in reading and responded to the body language and the non-verbal communication of people who are unable to fully converse verbally. There is a high commitment to staff training, which is matched to the client group for which the staff works directly with, training has been provided in activities for people living with dementia and mental health training. Staff were observed during the visit helping supporting people using the service to maintain their independence this included carrying out normal day to day activities such as light housework, setting up dining tables, and helping with the washing and drying up in the kitchen areas attached to the communal lounges. The views of people using the service, staff and visitors are sought through regular meetings and annual quality assurance surveys being carried out. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 8 Records are kept of all concerns, complaints and safeguarding issues and the outcome of investigations, which ensures that people using the service are protceted from abuse. People using the service are enabled to be involved in the interview process and selecting staff to work at the home. The staff recruitment and selection procedures ensure that staff are fully vetted prior to taking up employment at the home. Staff training and support is taken seriously, all staff receives regular one to one supervision with a named supervisor to ensure their individual development needs are met. Comments from people using the service were all positive and complimentary of the staff. Comments such as ‘the staff are really helpful’, ‘they listen to what I have to say’, ‘they always have time for us’ and ‘we have lots of fun and laughs’. All of the people spoken with were satisfied with the quality of the meals and confirmed that visitors are welcome at anytime. What has improved since the last inspection? Some improvements to the environment have taken place such as the redecoration of some of the lounge diners and new carpets in the lounges and corridors. Some of the staff that administer medication have achieved the Northamptonshire College of Further Education (NCFE) Certificate in Safe Handling of Medicines. Some staff have attended Managing Challenging Behaviour training. The staff handover period has been improved to ensure that staff are available on the floor at all times (this was in direct response to a complaint that was made). A sensory garden has been created in the central courtyard, which was funded by a Dignity in Care grant from the Department of Health. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 9 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. The summary of this inspection report can be made available in other formats on request. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 10 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.V368109.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (standard 6 is not applicable to this service) Quality in this outcome area is excellent. People planning to use the service can be assured that they will be provided with full information on the range of services available at the home. They can be assured that admission into the home will only take place once it has been established that their needs can be fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the care plans there was evidence of pre assessments having been carried out prior to admission a senior representative from the home and the nominated social worker had carried out the assessments. In discussion with people using the service many could not remember what information had been provided prior to them moving into the home, however Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 12 they said that their families had been given information, which had helped them to choose the home. In discussion with the registered manager she confirmed that where possible people are encouraged to visit the home prior to moving in, and that recently it had been possible to arrange for a person to have a trial stay for 24 hours. The information provided through the Annual Quality Assurance Assessment (AQAA) verified that prospective servcie users are encouraged to visit the home prior to admission, and that visits will usually take place over a meal time, this gives people the chance to see the home for themselves, meet other people using the service, the staff and to test the quality of the meals provided. However it is recognised that the high demand for long term residential care means that many people are increasingly being admitted into the home direct from hospital and in this situation the home does their best to involve the next of kin to make the admission run as smoothly as possible. Within the front entrance of the home there was information on display such as a copy of the homes statement of purpose and service users guide, these documents set out the range of services available at the home, the daily routines and staffing arrangements and there was a copy of the latest inspection report was on display. The minutes from the latest residents meeting was made available to people using the service, and there was information on the scale of charges for hairdressing, visiting hours and planned activities within the home. A copy of the results of the most recent satisfaction survey were on display within the front entrance this helps to give an insight of the views of the people that use the service, and assists anyone visiting the home to assess the quality of service provided, the survey results are also made available in large print, brail, pictorial and in other languages as required. Information on the pre admission assessment procedures were provided within the Annual Quality Assurance Assessment this verified that the admission procedure is thorough and that healthcare professionals are fully invoved as necessary. The home recognises the need to ensure all areas of care can be met including ethnic and diversity needs and the current level of dependency within the home. This is to ensure that the staff have the appropriate experience and Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 13 skill to meet care needs and areas of further training required to ensure needs can be met. In the event of an emergency admission, staff ensure the Care Management assessment, nursing report and mental health assessment if appropriate are received before any admission. A senior member of staff can then determine from the paperwork whether we have the relevant category and can meet the Service Users needs. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9& 10 Quality in this outcome area is good. The health and personal care needs of people using the service are met, although greater attention to individualising the care plans would ensure they fully address the emotional needs of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care of three people using the service were more closely looked at, which included a person who was being cared for in bed and required the staff to pay close attention to pressure area care. There was evidence of the person having regular visits from the district nurse and of pressure relieving equipment being in use, to prevent the risk of developing pressure ulcers. In addition a nutritional assessment had been carried out and weight gains and losses were closely monitored. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 15 Risk assessments were in place for the use of bedside rails (cot sides) and from the assessments viewed which the person requiring this equipment had signed. The person for whom this equipment was in use said that they ‘felt much safer having the bedside rails in place, and that the staff call in regularly to check they are safe and sound’. The care plan of a person with dementia and associated communication problems and whose first language was not English was closely looked at. Observations made of the staff interaction with this person showed that they were good at reading and responded to the person’s body language and the non-verbal communication. It was evident that this person had a good relationship with the staff and was very well supported. When asked if they were happy living at the home the person smiled and nodding their head and gestured towards the staff member with a smile indicating that they liked the member of staff. There was evidence within the care plans of the involvement of family members in setting up the care plan and the ongoing care plan reviews. There were records of dependency assessments having been carried out and falls risk assessments being regularly reviewed and updated as and when necessary. Within the care plans there was records of when people using the service had been seen by their general practitioner and that general medication reviews where taking place response to their changing health care needs, in discussion with the staff this again was verified. There were records of people having access to dental, optical and chiropody services. Records of daily notes were looked at in conjunction with the care plans, and within the daily notes for one person there was records made that the person had been refusing to allow the staff to help in providing personal care. Within the persons care plan there was information on the personal care requirements, however the plan did not state that the person may refuse the assistance from staff. Also within the daily notes there was a record of the person ‘arguing’ with the carer about wanting to go home. The term ‘arguing’ having been used to describe this event was shared with the registered manager who stated that she would follow this up to ensure that staff were made fully aware of the Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 16 importance of using the appropriate terminology when writing up the daily reports. More information within the care plan on the emotional needs and support required would provide an individualised plan which may assist the staff in easing the anxiety for this person at times when personal care is needed. In discussion with the registered manager she confirmed that the help of a specialist psycho geriatrician had been sought in an effort to continue to meet the persons emotional needs. Time was spent observing people receiving their lunchtime medication, the staff followed correct procedures for the administration of medicines, and in discussion with the staff they were knowledgeable of the prescribed medications for the residents in their care. Accredited medication training is provided for all senior staff and this training is also available for care staff who wish to further their development, this involves undertaking medication training with a member of the senior team, familiarising themselves with the homes medication policy, and once deemed competent and signed off they may then take on the task of administering medication. Some of the staff who administer medication have achieved the Northampton College of Further Education (NFCE) certificate in Safe Handling of Medicines. Lockable storage is available in every bedroom for people using the service who wish to continue to self administer their own medication. In discussion with residents they said that the staff were very caring, friendly and helpful, observations of the staff interactions with the people using the service demonstrated that the people using the service were at ease with the staff and there was good relationships in place. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good. People using the service can be assured that their personal preferences needs and wishes can be accommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records on the life histories of the people using the service are sought within the life history of one person it had information on their interests and beliefs, past and present relationships and important people in their lives. This information enables the staff to provide individualised (person centred) care. There was evidence within the care plans that families were involved in providing information, particularly for people using the service with dementia. In addition to family and friends visiting there is also the provision for people to receive visits from representatives from the local church if they wish. The needs of people using the service from differing religious beliefs are accommodated on an individual basis Religion. One person said she attends Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 18 the church services at the home, and in discussion with the staff they confirmed that a Roman Catholic priest visits the home each month and that arrangements can be made for any person wishing to attend a different place of worship. Feedback received from one relatives survey indicated that the home could do more in the way of providing more stimulating day to day activities for the people with dementia there was some concern over the length of time a person was left sitting in a chair in front of the television and that walking to and from the toilet was not adequate exercise. The relative commented that they had approached the management on several occasions over their concerns and the effect this was having on their relatives well being. ‘The response they had received from the management was that the home does not have sufficient funding for activities’. The provision of one to one activities for people with advancing dementia and communication problems needs to be into staffing hours if the home is to provide quality dementia care. During the visit the staff were observed to encourage the people in their care to exercise their right to independence as much as possible and to take risks, make choices and decisions dependent upon their level of capability. People spoken with throughout the visit were very complimentary of the activities provided at the home, one person said she liked reading her books, that she enjoyed spending time in her room and said that her family visit regularly. People spoke highly of the food provide at the home, saying it was good quality, one person spoke of the recent water contamination problem in Northampton and said that the staff had coped really well, and had made sure there was plenty of bottled water available for people during this difficult time. One person was observed helping in the small kitchen of one of the groups with the washing, drying up, putting crockery away and helping to lay the tables for lunch. The staff were observed to work in partnership with this person and to encourage their independence as much as possible. Where capacity is questioned the Mental Capacity Act is followed to ensure that people can exercise as much indpenedence and control over their lives as possible. Planned activities include on a weekly basis a visit from the local Pets for Active Therapy Service (PAT dog) scheme.There is a licensed bar and a small shop available within the home and there is the provision for people who are Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 19 unable to visit the shop to buy items from a ‘mobile shop’ People were observed receiving their lunctime meal which was a choice of Bacon and Onion Roll or Cornish Pasties mixed vegetables and potatoes, the meals were served in generous potions. Specialist cutlery and other equipment was use to help maintain independence. Within the small kitchennettes there was the provision of a microwave oven and a conventional oven, this provides the felxibility for people to receive their meals at different times to main meals if required. Over the lunch time the staff were observed to offer additional support and assistance during the lunchtime and this was done unhurried and relaxed with help provided in a discreet and sensative manner. Comments on the quality of food provided at the home were received via one relatives satisfaction questionnaire the comments were, ‘the home needs to take into consideration the lack of activity of some people and the type of foods provided’, ‘ the daily diet appears high in carbohydrates’, there is a lot of bread, pastry and cakes, together with large portions’, ‘each individual’s diet needs to be considered’, ‘need to introduce more fresh fruit and vegetables’. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. People using the service can be assured that any concerns or complaints they may have will be taken seriously, listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection visit one formal complaint had been received at the service which had been responded to following the home own complaints procedure. Four referrals have been made under safeguarding which demonstrate that the home has an open culture and that any concerns, complaints and safeguarding issues are dealt with quickly and following agreed referral procedures. Within the front entrance to the home there is a suggestion boxes, and within the concerns, complaints and compliments book there was evidence of suggestions and concerns being addressed and acted upon. There was information available within the front entrance for people to access on the Northamptonshire County Councils procedure, and copies were avialable within the bedrooms of people using the service. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 21 There were records of staff having received training on Safeguarding Adults and there was a Safeguarding Adults procedure in place which was in the process of being reviewed. In discussion with staff they confirmedthat they had attended training on safeguarding. Feedback from the section in the service users questionnaire on whether they know how to complain had a comment ‘I would leave it to my daughter’ Within the homes Annual Quality Assurance Assessment there was comprehensive information available that demonstarted that there is a commitment to ensuring that safeguarding issues are fully investigated following the local safegaurding adults procedures, which ensures that peple using the service are protceted. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. People using the service are provided with a well-maintained, clean and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the building was conducted during which a sample of bedrooms were viewed and communal areas and kitchen and laundry facilities. All areas seen were in good decorative order, clean and bedrooms were personalised to include small items of furniture, soft furnishings, ornaments and pictures. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 23 The communal areas within the home are comprised of six individual groups each group having a lounge and dining area which incorporates an open plan kitchen. Since the last inspection visit some redecoration work has taken place to three of the communal groups, and new carpets have been fitted. The toilets and bathrooms viewed were clean and specialist bathing equipment was available to maximise independence, that comprised of hoists and a walk in shower room. Within the main kitchen there was evidence of daily food hygiene safety checks being carried out and within the and laundry areas infection control practices were followed. In order to keep cross infection to a minimum hand sanitisers were available within the home for staff and visitors use and staff were seen to use personal protective equipment, such as aprons and gloves. During the visit people were observed to independently access the central courtyard garden that had outdoor seating available, a sensory garden had been created with raised flowerbeds that were filled with aromatic and fragrant plants, this feature provides a pleasant focal point to the outdoor area. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is excellent. The staff are aware of the needs of the people in their care and take their roles and responsibilities seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff recruitment files were sample checked and there was evidence of the staff having checks with the criminal records bureau (CRB), the register for the protection of vulnerable adults (POVA first), references had been obtained prior to staff taking up appointment. There is a comprehensive induction programme in place and records were available of when staff have one to one supervision with their supervisor to follow up on training and staff development needs. Staff spoken with said that there was lots of training opportunities at the home and confirmed that they had attended numerous training sessions. The training records seen evidenced that staff are provided with training opportunities and that mandatory training is carried out to include health and Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 25 safety, moving and handling to include use of the hoists, fire safety, food hygiene and medication training. There were records of training to meet the specific needs of the people using the service such as dementia care, mental health, sensory impairment and person centred care planning. Minutes of staff meetings were available and staff spoken with confirmed that the meetings take place on a regular basis and that communication within the staff team is very good. The information provided within the Annual Quality Assurance Assessment confirmed that training is provide for staff to achieve a National Vocational Qualifification Levels 2, 3 & 4. and that six staff who work directly with service users with dementia have achieved the Northamptonshire College of Further Education (NCFE) certificate in dementia care Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 26 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 & 38 Quality in this outcome area is excellent. The health, safety and welfare of the people using the service is protected, through having a proactive approach to the management of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has 14 years experience in residential care and 4 years experience of managing services for older people. She has achieved an NVQ Level 4, Registered Managers Award and to ensure that current good care models of care are in practice iwthin the home she attends regular training to ensure her knowledge is kept up to date. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 27 Regular staff meetings are carried out and annualy staff satisfaction surveys are carried. Residents and relatives meetings take place on a regular basis and quality assurance questionnaires are carried out annualy. The information gathered from the surveys identifies areas for improvements to the service and the results from the last survey carried out were on display within the front entrance of the home and within the Statement of Purpose and Service User guide. The people using the service are encouraged to manage their own finances, however for individuals who are unable to do this, small amounts of cash is held in safe keeping. Records of money held at the home belonging to people using the service were sample checked, there was records of monthly checks being carried out by the registered manager and and administartion assistant. all transactions were supported with receipts. To continually assess the care provided at the home-unannounced quality visits (under Regulation 26 of the Care Standards Act) are conducted monthly, during which another manager from within the organisation carries out these visits. This helps and promotes an open and transparent culture. There is a comprehensive staff induction programme in place and there is a high commitment to staff training and personal development. A member of staff takes on the role of the health and safety coordinator and attends regular training and updates, monthly and quarterly Health and Safety inspections are carried out and an annual audit of health and safety is carried out. Risk assessments were in place for all areas of identified risk to individuals and these had been regularly reviewed. A Falls Prevention checklist is used to identify possible hazards and consider strategies to reduce falls and records of falls and incidents are regularly reviewed in an effort to identify patterns or causes and preventative action to be taken to reduce the falls and incidents to a minimum. The registered manager and the senior team have attended Health and Safety Management training including Fire Management, Food management, First Aid and Risk Assessment. Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 28 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 X X 4 X X 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 4 X X 4 Ecton Brook House DS0000035693.V368109.R01.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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.V368109.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Eastern Regional Office CPC1 Capital Business Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 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 © 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.V368109.R01.S.doc Version 5.2 Page 31 - 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. 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