Inspection on 11/12/08 for Eden Cottage Residential Home

This inspection was carried out on 11th December 2008.

CSCI found this care home to be providing an Good 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

Eden Cottage Residential Home 14/08/06

Eden Cottage Residential Home 28/11/05

Eden Cottage Residential Home 02/08/05

Eden Cottage Residential Home 05/11/04

Eden Cottage Residential Home 26/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eden Cottage Residential Home 37 Cobden Street Darlington Durham DL1 4JF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tanya Newton     Date: 1 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Eden Cottage Residential Home 37 Cobden Street Darlington Durham DL1 4JF 01325281061 01325281077 mhorton@assurebroadband.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Ralph Horton,Mrs Maureen Doris Horton care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Eden Cottage is a care home, which is registered to provide personal care and accommodation for up to twenty older people. The home is privately owned and run by Mr and Mrs Horton. The home is a single storey building, which has been extended. All of the twenty bedrooms have en-suite facilities. Additional toilet and bathing facilities are available throughout the home. There is a large shared lounge and a dining area. There is also a small conservatory overlooking the gardens. The home is surrounded by beautiful gardens and there is an allotment to the rear from which fresh produce is grown. Fees are £403.00 per week and do not include hairdressing, aromatherapy or personal newspapers and magazines. 0 Over 65 20 Care Homes for Older People Page 4 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was unannounced and took place between the hours of 9.30am and 3.30pm on the 11th of December 2008. All of the key national minimum standards were inspected.The inspector spent time talking to people living at the home, their relatives, staff and the owners. A selection of records held by the home were looked at and prior to the inspection the home completed their annual quality assurance assessment (AQAA) which provides the Commission with information about the home and which is used to support the inspection. Comments received from people during the inspection have been included within this report. Care Homes for Older People Page 5 of 21 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 6 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of need are provided before admission. This means that only those people whose needs can be met will move into the home. The home does not provide intermediate care. Evidence: The home carries out assessments prior to people being admitted to the home. People are invited to visit the home prior to them moving in. The assessments viewed contained detailed information. Comments from people living at the home included I have been here for a few months, my sister looked around before I moved in. The staff spent time asking me questions when I moved here and I have been here a while, I planned to move here as I knew of the home, I am very happy and settled. Care Homes for Older People Page 8 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had their health and social care needs met in a planned way based on individual choices and preferences. Evidence: Each person living within Eden Cottage has a care plan. Care plans provide staff with detailed information about peoples health and social care needs. Care plans are reviewed regularly to reflect any changes in need. People are encouraged to be involved within their plans of care where possible. All of the people spoken to said they were well cared for, comments include its like being a guest in a hotel but with your own family to support you and I am very well cared for , the staff are really good. There is clear evidence of support from other professionals being accessed, this includes G.Ps, physiotherapists, dieticians and district nurses. A visiting G.P said, The owners are very capable and the home rings for advice where needed. I recently observed staff dealing with end of life care and they were extremely competent. The home has clear procedures for the administration of medicines, people living at Care Homes for Older People Page 9 of 21 Evidence: the home are encouraged to manage their own medication where possible, although at present this tends to be for items such as paracetamol. All of the people spoken to said that they were treated with respect, comments included staff do a smashing job, we are all individuals with our own ways, but they respect that. They always knock before entering our room and are polite and friendly. Care Homes for Older People Page 10 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lead a lifestyle which meets their individual expectations and choice. Evidence: Eden Cottage provides a range of activities to the people living there. Activities include exercise, crafts, bingo, outings to the theatre or shopping. One of the people living there said, There is all sorts going on, I have a full social life, there is something on every day. The home is run with a family atmosphere and this was reflected in comments made by the people living there. There are regular group meetings and people are encouraged to be involved in decisions. The home has open visiting arrangements and people know that they can entertain people in their room. If they prefer they can use community areas of the home to talk to visitors. Comments from visitors included we would always recommend this home, the care is great. One of the people living at the home said my daughter visits weekly, its up to me where I see her. People were asked what they thought of the food, comments included the meals are nice and the food is excellent with plenty of variety, every meal is balanced and they give you an alternative. Meals are attractively served and made from fresh produce, Care Homes for Older People Page 11 of 21 Evidence: some of which is grown within the grounds of the home. The home are doing focus on food training which focuses on good nutrition for the elderly and they plan to implement what they have learnt within peoples individual care plans. Care Homes for Older People Page 12 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has clear policies and procedures in place to respond to complaints and protect people. Evidence: The home has clear policies for making complaints and people spoken to during the inspection said they would have no hesitation in raising any concerns. There have been no complaints since the last inspection and any minor issues are dealt with on a daily basis. All staff have received training in adult protection and staff spoken to said that they would have no hesitation in reporting anything untoward. Pre employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau. This ensures that unsuitable people are not employed to care for vulnerable adults. New staff go through comprehensive induction training so that they have the right knowledge and skills to do their job competently. Care Homes for Older People Page 13 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, homely and comfortable environment, which is kept clean. Evidence: Eden Cottage has been undergoing a planned refurbishment. All twenty bedrooms in the home now have en-suite facilities. All rooms are individually furnished and decorated. There is a large communal lounge and a small visitors lounge/conservatory. The home has also installed a gym and a physiotherapist carries out assessments on people who want to use it. The home is clean and well maintained. One of the people living there said, I have brought my own furniture with me to make it more homely. Care Homes for Older People Page 14 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are deployed in sufficient number and with sufficient skill to meet the needs of the people living at Eden cottage. Evidence: It was obvious from direct observation that staff working at the home relate well to the people living at the home as well as their visitors and relatives. One staff member said, I take great pride in my job, we all do, we want to provide great standards of care and improve the quality of life for people living here. The home is run very much around the needs of the people living there. Routines are flexible. There are usually two or three members of staff on duty during the day and one member of staff on waking night duty. The owners who live on the adjacent property are on call during the evening. The home also has its own support staff to carry out domestic, laundry and cooking tasks. Staff recruitment files were viewed, all contained the required information. New staff members do not start work without the home accessing references and police checks, this helps to protect people. All staff members follow a thorough induction programme and have the opportunity to participate in on-going training. Of the twenty staff employed nineteen now have an NVQ at level two or three. Some staff are now doing their NVQ at level four. There is a clear commitment to training and investment in staff. Training is based very Care Homes for Older People Page 15 of 21 Evidence: much around the needs of people living at the home or individual staff interests. Care Homes for Older People Page 16 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and ran in the interests of the people living there. Evidence: The home is well managed and run. The views of people living in the home are sought and the information gained through surveys is summarised with actions agreed. Regular meetings take place so that people living at the home can give their views. Staff meetings also take place. The home continue to develop their quality assurance systems and were able to demonstrate how by seeking peoples views they had made improvements to the service being provided. The home does not deal with peoples personal money, instead items are purchased and bills are sent out. There are clear records of any purchases maintained. Peoples ability to manage their own finances is included with their care plan. All staff receive regular supervision and an annual appraisal. Health and Safety records were looked at, the home carries out regular maintenance checks on the building and these are recorded. All the records looked at were up to Care Homes for Older People Page 17 of 21 Evidence: date. Care Homes for Older People Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 19 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 20 of 21 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!