Inspection on 16/08/06 for Eden House

This inspection was carried out on 16th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 House 19/05/08

Eden House 26/10/05

Eden House 14/06/05

Eden House 30/11/04

Eden House 29/07/04

Eden House 15/01/04

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

CARE HOMES FOR OLDER PEOPLE Eden House 50 Horspath Road Cowley Oxfordshire OX4 2QT Lead Inspector Philippa MacMahon Unannounced Inspection 16th August 2006 12.30 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 House DS0000013081.V304168.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 House DS0000013081.V304168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eden House Address 50 Horspath Road Cowley Oxfordshire OX4 2QT 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) 01865 776012 eden.house@ntlworld.com Mrs Marjorie Chungtuyco Mrs Deborah del Rosario Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8), Physical disability over 65 years of age (1) of places Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of persons that may be accommodated at any one time must not exceed 8. Admission of one named resident under the age of 65 years. Date of last inspection 26th October 2005 Brief Description of the Service: Eden House is the larger of two residential homes registered to take eight older residents. The home is privately owned and managed. It is a family run home with all family members having a role to play. The home is situated in a residential area on the outskirts of Oxford. Local amenities are available as is transport to Oxford and beyond. Accommodation is provided mainly in single rooms. The home is able to offer accommodation to those wishing to share. Assistance with bathing can be provided using a lifting bath chair. The home also has a shower room. The family also have accommodation within this building. The fees for this service range from £491 to £500 per week. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 12.30 pm and was in the service for 3 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Care plans were examined and followed through by meeting with the individuals to see if the documentation was giving a good reflection of their care needs and how these were being met. Examination of the medication system was undertaken. Discussion with a number of residents, staff, and the registered manager took place. Staff rosters, and personal files were examined, and discussion about training and development opportunities for staff took place. A tour of the premises took place, and staff observed assisting the residents in their daily activities. Records required by regulation were examined. What the service does well: The home provides a comfortable homely environment, and as most of the staff are family members and live in the vicinity, continuity of care and involvement in a large family atmosphere. All areas of the home are cleaned to a high standard. Excellent joint working with the GP surgery and community nurses to the benefit of the residents. Record keeping is of a high standard. Residents spoken to and who responded to the questionnaire provided by the Commission say that “care is very good, and the food is marvellous”. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 6 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 House DS0000013081.V304168.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 House DS0000013081.V304168.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Every resident has a pre-admission assessment of his or her care needs. Intermediate care is not provided at this home. EVIDENCE: Care plans were examined and found to have clear comprehensive preadmission assessments. The registered manager explained the process of assessment and admission within the home that includes the collection of information from care managers, and other health care professionals. One of the residents had completed the Commission’s “Have Your Say about Eden House” document and within this had said that sufficient information prior to admission had been given. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 9 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 judgement has been made using available evidence including a visit to this service. Every resident has a care plan in which their assessed needs are identified and the action required to meet those needs. The residents’ health care needs are being met. There is excellent joint working with the GP, District Nurses and staff for the benefit of the residents. The medication systems in place are in good order. Residents are treated with dignity and respect. EVIDENCE: A sample of care plans was examined and found to be clear and comprehensive and gave a good “picture” of the individual’s care needs and how they are being met. Care plans are regularly reviewed. Risk assessments are carried out and recorded. A nutritional tool is in the process of being implemented. One of the residents recently admitted needs to have a nutritional assessment carried out in order to monitor more closely his medical condition. It is recommended that a nutritional assessment should be completed for all residents in the home. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 10 There are excellent working relationships with the local GP surgery and the District Nursing service. Two of the residents require nursing care and this is being provided by the District Nurses with direction to the home’s staff for the 24-hour care needs in between visits. This has been a long-term arrangement and the residents are both very comfortable in a place that they know and staff who they have confidence in. There is a supporting letter from the GP and District Nurses saying that they believe this arrangement to be in the best interest of the residents. Residents spoken to said that they are very well cared for and enjoyed being part of “a big happy family”. The medication systems within the home were examined and found to be in good order. The dispensing pharmacist makes regular visits to the home to ensure the systems are working well. The inspector observed staff assisting the residents in a kindly and respectful manner. Those rooms that are shared have screening appropriately placed to maintain the resident’s dignity when care is carried out. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents enjoy being part of an extended family. Activities are limited by the resident’s wishes to be involved. There is some involvement in the local community. Meals and mealtimes are good. EVIDENCE: The majority of staff are family members living in the vicinity of the home and as a consequence of this the residents form part of an extended family with the advantage of being involved in the activities of daily living with younger people around them. The residents spoken to really appreciated the children being around and loved seeing them and engaging in conversation with them. Activities appropriate to the needs of the residents are provided, and residents are encouraged to go on visits to the pub, and join in any local community activity. One resident is a member of a local day centre and is able to maintain this whilst living in the home. The registered manager said that it is very difficult to engage the residents in any new activities, as they are content with just “being” most of the time. The inspector recommended that a record of activities undertaken by individual residents should be kept in their care plans in order to identify any changes in their lifestyle. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 12 Meals and mealtimes are an important part of the residents’ day and a group were having their lunch at the time of this inspection. The meal provided looked appealing and appetising and the residents said that it was very tasty and that the food is always good. A sample of menus was supplied to the inspector and show that a wholesome nutritious diet is always offered to the residents. One of the residents cared for is a foreign national who had different dietary needs and the home was able to provide appropriate food to meet those needs. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in the home that is accessible to the residents, relatives and visitors. Residents are protected from abuse. EVIDENCE: The complaints system was seen posted in the entrance hall, and contained within the Service Users Guide. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Discussion with staff showed that they are aware of the issues of the protection of vulnerable adults. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the home is clean and well maintained and provides a comfortable homely environment for the residents. EVIDENCE: All areas of the home are cleaned to a high standard, and the condition of the décor and furnishings is good. The communal rooms are comfortable and homely, and the residents’ individual rooms are personalised by the residents’ own possessions, and photographs. Two metal commodes were seen to be in need of refurbishment as the coating is beginning to peel away leaving a rusty surface that could place the residents at risk of injuring themselves. It is recommended that all of the commodes should be examined for any damage and repairs be made accordingly. The garden and patio area are accessible to the residents and one of the residents is enjoying watching the tomato plants as they ripen. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 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 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 adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient for the needs of the residents. Recruitment processes are supported by policies and procedures. Training and development needs to be further developed to ensure all staff have the knowledge and skills to meet the assessed needs of the residents. EVIDENCE: Staff rosters were examined and showed that sufficient numbers of staff are on duty at all times. The majority of the staff are family members who live in the vicinity of the home. This ensures good continuity of care for the residents and adds to the overall feeling of family and home. Staff files were examined and found to be in good order with all necessary checks having been carried out for the residents’ protection. Staff training appropriate to the needs of the residents is being developed. Mandatory training for moving and handling, fire safety, and food hygiene is undertaken, and the training plan for the coming year shows that appropriate training is being provided. None of the staff are qualified to National Vocational Qualification level 2 or registered on a programme. It is recommended that progress is made towards achieving the target of 50 of all care staff being qualified to National Vocational Qualification 2 in care. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 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 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 adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed with support from the whole family. The health, safety and welfare of the residents and staff are promoted and protected. EVIDENCE: The registered manager is undertaking the National Vocational Qualification Managers Award and still has some way to go in completing this. This is due to family circumstances and she is hoping to continue to completion early next year. The inspector spoke with other members of staff and from this realised how much they work as a team supporting each other in ensuring the residents have the best care possible. The views of residents and relatives are sought and a report is compiled. Copies of the report are given to those who have taken part in the questionnaire. It is recommended that a copy of this report should be sent to the Commission on completion. All staff receive mandatory Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 17 training in fire safety, moving and handling and food hygiene. The fire log was up to date and complete. The inspector examined the accident book, and the service documentation for the Hoist, boilers, and electrical devises. These were all found to be up to date. Insurance cover is in place and a copy is displayed in the entrance hall. The residents’ finances are safeguarded in that the staff do not deal with residents’ financial affairs, this is dealt with by the family or Social Services Money Management. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 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 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 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X X X 3 Eden House DS0000013081.V304168.R01.S.doc Version 5.2 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. 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. 1 2 3 4 3 Refer to Standard OP8 OP12 OP24 OP28 OP33 Good Practice Recommendations It is recommended that a nutritional assessment should be completed for all residents in the home. It is recommended that a record of activities undertaken by individual residents should be kept in their care plans in order to identify any changes in their lifestyle. It is recommended that all of the commodes should be examined for any damage and repairs be made accordingly. It is recommended that progress is made towards achieving the target of 50 of all care staff being qualified to National Vocational Qualification 2 in care. It is recommended that a copy of the outcome report of the residents’ satisfaction survey should be sent to the Commission on completion. Eden House DS0000013081.V304168.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South, Cowley Oxford OX4 2SU 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 House DS0000013081.V304168.R01.S.doc Version 5.2 Page 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!