Inspection on 14/08/06 for Eden Cottage Residential Home

This inspection was carried out on 14th August 2006.

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

Eden Cottage Residential Home 11/12/08

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

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Eden Cottage Residential Home 37 Cobden Street Darlington Durham DL1 4JF Lead Inspector Mrs Tanya Newton Unannounced Inspection 10:30 14 and 29 August 2006 th th 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 Eden Cottage Residential Home DS0000000819.V306432.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. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eden Cottage Residential Home Address 37 Cobden Street Darlington Durham DL1 4JF 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) 01325 281061 01325 281077 maureenhorton@edencottage.fsnet.co.uk Mr Ralph Horton Mrs Maureen Doris Horton Mr Ralph Horton Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: 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; twelve of the bedrooms have en-suite facilities. Additional toilet and bathing facilities are available throughout the home. There are two shared lounges and a dining area. The home is surrounded by beautiful gardens and there is an allotment to the rear from which fresh produce is grown. Fees are £355.00 per week and do not include hairdressing, aromatherapy or personal newspapers and magazines. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The visit to the home took place on the 16th of August, between the hours of 10:30am and 3:30pm. The inspection was completed on the 29th August. All of the key national minimum standards were inspected. The inspector spoke to people who use the service, relatives, staff and the registered manager. A selection of records kept by the home was inspected. Prior to the inspection the home had completed a self-assessment document, which provided the Commission with information to aid the inspection. Some service users had also completed comment cards, saying what they thought about the service at the home. Following the inspection comment cards were received from relatives and other professionals who visit the home. Comments from the people consulted during the inspection are included throughout the report. What the service does well: What has improved since the last inspection? Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 6 Care plans are continually being reviewed and updated with input from residents and their relatives. The staff training files had been updated following a requirement made in the previous inspection report. Health and Safety records had also been updated. Standards of cleanliness have improved and the owners continue to make positive changes to the premises, which have included additional en-suite facilities. 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. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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): 3&6 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Assessments of need are provided before admission. This means that only service users whose needs can be met are admitted to the home. The home does not provide intermediate care. EVIDENCE: The home is piloting the single assessment scheme which is an assessment carried out by a district nurse and/or care manager before admission. The home also carries out its own assessments of need, meeting people either in hospital, their own homes or at Eden Cottage. Service users are invited to visit the home prior to admission. The assessments that were seen contained detailed information. The home does not admit service users whose needs cannot be met. Comments from residents included “I looked round prior to Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 9 moving in. I’m well settled, its home” and “I moved in earlier this year, I had a look round first and I’m settling in all right”. The home does not admit residents who require intermediate care. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Each resident has a care plan, which provides staff with the information they need to meet service user’s needs. There is some evidence of service user’s involvement within these plans. Resident’s health needs are well met, with support from other professionals being provided where this is required. There are good arrangements for the administration of medication. Residents are treated with respect and their privacy and dignity are promoted. EVIDENCE: Each resident living within Eden Cottage has a care plan. Care plans are much improved and provide staff with detailed information about resident’s health and social care needs. Care plans are reviewed regularly to reflect any changes in need. There is some evidence of resident’s involvement within the care planning process as service users sign some sections within them. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 11 All residents said that the standard of care within the home was good. The home has additional support from district nurses, G.Ps and physiotherapists where this is required. Comments from relatives and residents regarding the care included “In our view Eden Cottage achieves a high level of care mainly due to the owners operating very hands on involvement” and “the standard of care is very good, I wouldn’t move anywhere else”. A G.P said, “Very happy with the service to patients, staff give a high quality service”. The home has clear procedures for the administration of medication and the Primary Care Trust (PCT) had recently carried out an audit of the homes medication. A copy of this audit was given to the inspector. Some good practice recommendations had been made and the home is taking action to address these. One resident said, “the staff give me my medication but I am quite happy about that”. All residents said that their privacy was maintained. Staff knock on doors before entering rooms and staff were observed throughout the inspection to speak to service users in a respectful and caring manner. One resident commented, “When personal care is needed, they tell you what they are doing and are very respectful, the staff are very good”. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Residents and staff were positive about the activities being provided. Family and visitors feel welcome and can visit the home at any time. The routines of the home support the wishes and needs of residents. Menus are varied and comments regarding the food were positive. EVIDENCE: Eden Cottage provides a range of activities to its residents, which are based on their interests and wishes. Activities include bingo, singing, aromatherapy and quizzes. The home also employs someone to provide exercise sessions to residents twice a week. The owner takes residents out on day trips on the homes minibus. Residents made the following comments “I’ve been out to Barnard Castle on the bus and I play bingo a couple of times a week, we get lots of entertainment”, “the programme of activities is very good” and “there’s not much going on a weekend but during the week there’s plenty to entertain us”. The activity co-ordinator said that activities would start taking place on a weekend. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 13 The home has open visiting arrangements and residents know that they can entertain their visitors in their own room. If they prefer they can use community areas of the home to talk to visitors. Visitors said “we can visit the home at any time and are always made welcome”. Visitors can have a meal with service users. Residents were asked if they felt that they could make choices and their responses included, “I can make choices, I choose when to get up and go to bed” and “I choose when and what I want to eat”. Another resident said, “I like to do my own thing and there is no problem with that”. All residents said that the menus and food were good, residents are given a choice, the following are some of the comments made “the food is excellent we get a choice of menu everyday, I had a fry up today it was great” and “the food is good, there is always plenty and if you want something different you just ask”. The food is attractively served, tasty and is made from fresh produce, some of which is grown within the grounds of the home. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home has clear policies and procedures in place to protect residents. EVIDENCE: The home has clear policies for making complaints and all service users and relatives asked, said that they would have no hesitation in raising any concerns as they occurred. The home has not received any complaints since the last inspection. Any minor niggles are dealt with on a daily basis. One resident commented, “I’ve been here three years and I have never had a complaint”. Ault protection training has been provided for the majority of staff and staff said that they would feel confident in whistle blowing (telling someone) if they saw something untoward. Any allegation is dealt with in line with the homes procedure. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult list. This ensures that unsuitable people are not employed to care for vulnerable adults. New staff members go through comprehensive induction and foundation training, so that they have the right knowledge and skills to do their jobs competently. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 & 26 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Residents live in a safe, homely and comfortable environment, which is kept clean. EVIDENCE: Eden Cottage has nineteen bedrooms, twelve of which now have en-suite accommodation. The owners hope that a further six rooms will have en-suite facilities in the future. All rooms are individually furnished and decorated. There are communal lounge and dining areas for residents. The home is clean and in the main well maintained. However, the hall carpet is stained and should be replaced. The fan in the kitchen needs cleaning and the treatment room is very warm. The owners confirmed that an extractor fan was going to be fitted to solve this. The bath in the corridor next to the lounge has cracked panels, which need replacing. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 16 Residents made comments such as “its quite a nice place, I have a lovely room which is full of my own things” and “I’ve a comfortable bedroom with a nice bed”. A relative said “standards of cleanliness within the home are very high with bedding changed frequently”. Standards of cleanliness had improved since the last inspection. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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, 29 & 30 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Residents are supported by an effective and stable staff team who provide high standards of care to those who live at the home. The arrangements for the recruitment and induction of staff are good with staff demonstrating a clear understanding of their roles. Staff, are trained and competent to do their jobs maintaining the safety and well being of residents. EVIDENCE: It was obvious from direct observation that staff members relate well to the residents of the home as well as their visitors and family members. Staff members demonstrated a good knowledge of the needs of the residents living within Eden Cottage. The residents themselves determine the waking day within the home, there are 2 or 3 staff members on duty at key times during the day for residents. During the night 1 staff members is on waking night duty. The owners (who live on the adjacent property) are on call on an evening. The home also has its own support staff that carry out domestic, laundry and cooking tasks. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 18 Staff recruitment files were viewed as part of the inspection, all staff had a Criminal Record Bureau (CRB) check. New staff do not start work without the home accessing references and police checks this helps to protect residents. Staff training files have been updated and now contain a record of all training received. All staff members follow a thorough induction process and have the opportunity to participate in on-going training. Staff said that training is given a high priority. Out of the sixteen staff currently employed as carers, eight have NVQ level 2 and three have NVQ level 3, this exceeds the minimum of 50 of the care staff having an NVQ. Staff were positive about their roles and said, “there is a good atmosphere here, staff have lots of opportunities for training” and “morale is good in this home and there are good opportunities for staff to train”. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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, 33, 35 & 38 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Resident’s views are sought through regular meetings and where possible their views are taken into account by the owners when considering how to improve the running of the home. Financial systems are in place to protect residents. Records in general including Health and Safety were up to date. The Health and Safety of visitors, residents and staff are maintained. EVIDENCE: Residents said that meetings took place for them to raise any issues. A record of the minutes is held. Quality feedback questionnaires have been given to Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 20 service users, the information within these has been collated and the home has an action plan in place to address any areas of improvement. The home does not act as an appointee for any resident, in the main residents look after their own money with support from their relatives where this is required. The home maintains records of expenditure for items such as hairdressing and relatives are then billed. The care plan should contain a section on resident’s monies as part of the risk management. Health and safety records were examined. The home carries out regular checks on the building and these are recorded. The home should purchase an appropriate accident book, which complies with data protection legislation. The home have signed up for “safer food a better business” which is a course covering all aspects of food safety following a visit from their environmental health officer. One relative commented, “I am confident that at Eden Cottage my grandfather is well cared for in a safe environment”. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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 X X 3 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP19 Regulation 23(2) b Requirement The hall carpet is stained and should be replaced. The fan in the kitchen needs cleaning. The bath in the corridor next to the lounge has cracked panels, which need replacing. Timescale for action 30/12/06 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. 2. Refer to Standard OP35 OP38 Good Practice Recommendations The care plan should contain a section on resident’s finances. The home should purchase an accident book, which complies with data protection legislation. Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Eden Cottage Residential Home DS0000000819.V306432.R01.S.doc Version 5.2 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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