Inspection on 07/07/05 for Eden Court Nursing Home

This inspection was carried out on 7th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 Court Nursing Home 11/03/09

Eden Court Nursing Home 19/02/07

Eden Court Nursing Home 08/11/05

Eden Court Nursing Home 22/12/04

Eden Court Nursing Home 23/06/04

Similar services:

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Snydale Care Home

Hawkhills

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Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Eden Court Ghyllroyd Drive Birkenshaw Bradford BD11 2ES Lead Inspector Bronwynn Bennett Stephen French Unannounced 7 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eden Court Address Ghyllroyd Drive Birkenshaw Bradford BD11 2ES 01274 652002 01274 689054 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Speciality Care (UK Lease Homes) Limited Mrs Linda Davis Care home with nursing 45 Category(ies) of Physical disability, over 65 years - 45 places registration, with number Old age, over 65 years - 45 places of places Terminally ill, over 65 years - 2 places Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 22nd December 2004 Brief Description of the Service: Eden Court is a care with nursing. The home provides care, nursing and accommodation for up to forty-five people. The home is purpose built. It has thirty-seven single rooms, four double rooms and ten of these bedrooms have en-suite facilities. There is a large lounge, one quiet lounge, a small smoking lounge and a quiet sitting area on the upstairs landing. There is a large garden at the home, where residents are able to sit in the better weather. The home is situated within close proximity of the A58 Leeds Road, with access to public transport links and local shops. Ample car parking is available at the home. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection lasting for approximately seven hours. Eight residents, two relatives and nine staff were spoken to throughout the day, and records were looked at. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Not assessed during this inspection. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9. Some residents healthcare needs are not fully met. The home’s policy and procedure for dealing with medication must be followed. EVIDENCE: The residents said they were satisfied with the care and support provided by staff. It was evident that residents have good relationships with staff. The care records were looked at for three residents. These plans of care did not give sufficient details to staff in order that healthcare needs can be met. One resident spoken to said they did not know they had a plan of care. This issue needs to be addressed by staff. Where assessed needs were identified for some residents, a separate care plan had not been completed. Two care plans did not refer to diabetes in either the nutritional assessment or the resident’s plan of care. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 9 A resident who had pressure sores did not have the appropriate care plan. Pressure sores, their treatment, and outcome, should be recorded in the plan of care for the residents concerned. The oral hygiene needs were not clear in the individual records kept. Generally care plans did not reflect the changing needs of the resident. When care plans are updated and reviewed any changes should be recorded in the residents care plan. The medication records for three residents were looked at. The home uses a monitored dose system and qualified staff administers all medication. All the medication checked could be reconciled with the records kept. The inspector noted that the medication room was left unlocked and unattended and this was discussed with the manager. Creams prescribed for the treatment of individuals must only be used for the person named on the prescription. They must not be left in other resident’s rooms as was seen during this inspection. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15. Residents are supported to experience their preferred lifestyle and are able to maintain relationships with their friends and family. Residents are offered a varied diet and specialist diets are catered for. EVIDENCE: The home has an activities co-ordinator who was observed interacting with residents during this inspection. Up to date information about activities offered in the home are clearly displayed. The home does consider activities for all residents with some residents having the opportunity for one to one stimulation. Some residents were observed as having chosen to spend time privately in their rooms. Residents are able to maintain contact with family and friends and choose who they do or do not see. A relative said that staff always made her feel welcome and that there are no restrictions on visiting the home. The information regarding visiting is written in the home’s statement of purpose. The home offers a flexible breakfast menu, a snack is served at lunchtime and the main meal of the day is served at teatime. The menu is varied and offers a choice. Drinks are served at regular intervals throughout the day. The home does cater for specialist diets, and currently caters for diabetic and vegetarian meals. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 11 During lunchtime the inspector saw residents being appropriately supported by staff. The residents spoken to said the food was nice and that they had a choice of food. There are records kept of some hot food temperatures, however some high risk foods are not probed and the dangers of this was discussed with the cook and the manager. The dining area is in need of new furniture. The kitchen was seen and is in need of new catering equipment, crockery and utensils to ensure environmental health requirements are adequate. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18. The home has a complaints policy in place, however steps need to be taken to ensure that residents and relatives are comfortable raise concerns or make a complaint. Staff have a good understanding of adult protection issues which protects residents from abuse. EVIDENCE: The home has a policy and procedure in place for complaints. One resident and a relative spoken to said they would not feel comfortable in making a complaint, the manager and staff need to address this matter. All staff spoken with had a good understanding of adult protection issues and the necessary action that needs to be taken should there be any allegation of abuse. Staff have undertaken adult protection training and are aware of the home’s whistle blowing policy. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21,24,26. The residents live in comfortable, safe and well maintained environment that is generally clean and tidy. EVIDENCE: On the day of this inspection the home was generally clean and tidy. The home has a handyperson who deals with the routine maintenance of the home. There is a maintenance record and a plan for ongoing works in the home. The grounds to the front of the building are well maintained and accessible to residents. In one of the small lounge areas the inspectors saw storage of items that pose a health and safety risk to residents. This was discussed with the manager who removed them immediately. There is sufficient toilet and washing facilities located close to resident’s rooms, lounge and dining areas. Some of the vanity units in resident’s en-suite facilities are in need of replacement. There was communal soap in all the Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 14 bathrooms and toilets. The use of communal soap should be discontinued in order to promote good hygiene and prevent cross infection. One bathroom was storing a pressure relief mattress; this was discussed with the manager. The home has experienced problems with the hot water temperatures. Staff have been collecting hot water from the shower room to heat up water for bathing. The practice of carrying hot water is potentially unsafe and the home should rectify any problems with the boiler to ensure water is delivered at the correct temperature. (See standard 38) During a tour of the building residents bedrooms were seen. Generally residents bedrooms were clean and residents have the opportunity to personalise their rooms. One room identified did have an odour this was discussed with the manager. Creams and dressings stored in one shared room were not for the resident occupying the room. This practice is not safe and was discussed with the manager. The laundry facilities were clean, tidy and well organised on the day of this inspection. The home has sluicing facilities and a sluicing washer to wash clothing at the required temperature. The home has the policy and procedure in place for handling and disposal of clinical waste and control of infection. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29. The home has sufficient qualified and experienced staff on duty to ensure that resident’s needs are met. The home’s recruitment procedures are not adequate to support and protect the resident’s. EVIDENCE: The home has a recorded rota showing all staff who work in the home. There is a qualified member of staff on each shift. There are four waking night staff, one of which is a qualified nurse. There are seven care staff with the NVQ certificate in care. Staff do receive induction training and some staff are undergoing foundation training. The records for three staff were looked at in detail. There were gaps in the employment history for all the files checked. The application forms for all staff should be completed in full and gaps in a person’s employment history explored. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,38. The home is run by a manager who is competent and of good character. Residents live is an environment where their health, safety and welfare is generally promoted. EVIDENCE: The registered manager is suitably competent and experienced to run the home. Staff spoke highly of the manager stating that she is supportive and approachable. During this inspection the inspector noted that the manager has a good relationship with residents and their relatives. Staff have undertaken fire safety training within the home. Fire alarm testing is conducted on a weekly basis and fire drills are undertaken. The handyperson is responsible for the general maintenance of the home; this includes both the premises and some of the home’s equipment. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 17 Hot and cold water temperatures are tested weekly. However, the home has experienced problems with the delivery of hot water at a temperature suitable for bathing the residents. This matter was discussed with the manager. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 x 2 x x 2 x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x x x x x x 2 Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7&8 Regulation 15(1) & 15(2) Requirement Timescale for action 30/8/05 2. 9 13(2) The registered person shall perpare a written plan for each individual resident in respect of meeting health and welfare needs. Where there is an assessed need, or a high risk is identified for a resident, a specific care plan for these issues must be devised, complete with measurable outcomes. The registered person shall make 7/8/05 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines into the care home. 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. Refer to Standard 15 Good Practice Recommendations The probing of all high risk foods should be undertaken and the temperature recorded. The home should consider the purchase of new dining furniture. The home should consider purchasing new cockery and J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 20 Eden Court 2. 16 3. 4. 5. 6. 7. 19 21 24 29 38 catering equipment. The complaints procedure should be reviewed and the manner in which complaints are received to ensure that residents feel comfortable to raise concerns, or make a complaint. Consideration needs to be given to to health and safety of residents before any items are stored in communal areas. To promote good hygiene and prevent the risk of cross infection, communal bars of soap should not be used. Prescribed creams and dressings should be stored in the lockable storage space provided where there are residents who share a room. Gaps in staffs employment history should be explored as part of the homes recruitment policy and practice. The hot water for bathing should be maintained at a suitable temperature. Eden Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 21 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse. HD6 4AB 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 Court J51J01_s1080_Eden Court_v236369_070705.doc Version 1.40 Page 22 - 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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