Inspection on 19/09/08 for Eden House

This inspection was carried out on 19th September 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

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eden House Eden Road Totland Isle Of Wight PO39 0EJ     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: Annie Kentfield     Date: 1 9 0 9 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 26 Information about the care home Name of care home: Address: Eden House Eden Road Totland Isle Of Wight PO39 0EJ 01983752312 01983752410 eden@stvincentcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Kelly Pointing Type of registration: Number of places registered: St Vincent Care Homes Ltd care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maxinum number of service users to be accommodated is 21. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Physical disability (PD). Date of last inspection Brief description of the care home Eden House is a period detached building standing in mature grounds and enjoys an outlook over the sea at Totland Bay. The home was purchased by the current owners; a family run company who have three other care homes, in April 2008. The home offers a range of single or double bedrooms with en-suite facilities and weekly charges vary, depending on the room occupied. There are some additional charges for Care Homes for Older People Page 4 of 26 0 0 0 Over 65 0 0 0 Brief description of the care home hairdresssing, chiropody etc. Residents have access to a communal sitting room and separate dining room and there are accessible gardens and outdoor seating areas. The building is accessible and there is a passenger lift to access the upper floors. Care Homes for Older People Page 5 of 26 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: This is the outcome of the first inspection of the service under the new ownership. We made an unannounced visit to the home on 19 September 2008. This visit lasted 7 hours, with one inspector (Annie Kentfield). During the visit we spoke to 8 of the residents in the privacy of their rooms. We also spent some time in discussion with the registered manager, one of the owners, and some of the staff. We looked at the communal areas of the home and the staff areas. We looked at a range of the homes records including care records, staff training records, supervision and recruitment records, and medication records. Before the visit we received the Annual Quality Assurance Assessment; a selfassessment that all services have to complete. This gave us numerical information Care Homes for Older People Page 6 of 26 about the service and where further improvements are planned. We sent surveys to 10 of the residents, 10 staff, and 3 health and social care professionals. We received completed surveys from 9 residents and 7 staff. All of the comments received were positive about the quality of care provided. 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 8 of 26 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 9 of 26 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. Residents do not move into the home unless their care needs have been thoroughly assessed and the manager is confident that the home can meet identified care needs. Information about the home and the facilities provided, must be kept up to date and made easily available to prospective residents in suitable formats (that meet the communication needs of people moving into the home). Evidence: We looked at some of the homes records and care assessments. We also spoke to a resident who had recently moved into the home and looked at the information about the home and the services provided. Records demonstrate that new residents do not move into the home until their care needs have been assessed and the manager is confident that the home can meet Care Homes for Older People Page 10 of 26 Evidence: identified care needs. The home is in the process of developing a new computerised care assessment and care planning system. Once this is fully implemented, the manager is confident that the process of assessing care needs and producing individual care plans will be fully person centred - recording each persons social, physical and emotional care needs in a holistic way. The new system will also ensure that care staff have comprehensive and written guidance on how individual care needs must be met. These developments need to be put into practice and the outcomes for residents will be assessed at further inspections of the service. The manager told us in the Annual Quality Assurance Assessment (AQAA) that they are in the process of updating the information about the home and there are plans to produce a new brochure about the home, and a new service user guide that includes the Statement of Purpose of the home. We were told that the home can produce information about the home in large print or braille, but they would consider other suitable formats, depending on individual communication needs. Prospective residents and their families are usually invited to visit the home and stay for a meal if they want to. We spoke to one resident who had recently moved into the home. They told us they had been helped to choose the care home, but had not been able to visit beforehand, for very good reasons. However, the resident told us that their specific requests for the type of room they wanted, had been met beforehand. The resident said that they were very happy in the home and they had everything they needed. Care Homes for Older People Page 11 of 26 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. The health care needs of the residents are met with regard for privacy and dignity. There are suitable arrangements in place for the safe storage and administration of medication to ensure that residents receive their medication as prescribed. Evidence: We looked at some of the care records and care plans. We spoke to some of the residents and also looked at what residents told us in the surveys. We looked at the arrangements for storing and dispensing residents medications. The home is in the process of introducing a new system that will provide detailed and comprehensive individual care plans for each resident and provide clear guidance for staff on how care is to be provided. This needs to be fully implemented in the coming months and staff will receive training in how to use it. The benefits to the residents of the new system will be assessed when the system is fully part of the homes care practice. Care Homes for Older People Page 12 of 26 Evidence: The care plans demonstrate that detailed records provide evidence of the care provided and there are communication systems in place to make sure that staff are aware of changing care needs and changes to care plans. Residents have access to a GP when required and access to other health services as needed. Residents told us that they are happy with the care provided and staff are polite and caring. Residents have a pendant alarm that is connected to pagers worn by the staff. Residents told us that staff are available when they need them. We observed that practice in the home promotes privacy and dignity and staff seek permission before entering bedrooms or bathrooms. Residents preferences about having care provided by a male or female carer are respected. Residents receive their medication as prescribed. Medication is safely stored and records are up to date. The manager told us that medication records are checked daily to ensure that all medication has been given and is recorded. Care Homes for Older People Page 13 of 26 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 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 committed to providing an environment that respects individual rights to dignity and privacy and offers residents opportunities for social and recreational activities that meet their preferences and choices. The home is also committed to providing wholesome and freshly cooked meals for the residents, in pleasant surroundings. Evidence: We looked at what residents have told us in the surveys. We spoke individually to some of the residents in the privacy of their own rooms. We also saw evidence of the homes social activity programme in a book of photographs that is available to look at in the entrance hallway. Some of the residents told us that there are always activities that they could take part in. Some of the residents told us that they prefer to stay in their room, and two residents told us that they would like more opportunity to go on outings. The manager told us that she is planning to appoint an activities co-ordinator and is keen to develop an activities programme that will offer greater choice for residents in the home and meet all levels of ability and preference. There is also some discussion about Care Homes for Older People Page 14 of 26 Evidence: purchasing a vehicle that is suitable for the residents to go out in, that will be shared with another care home. In the few months since the new owners purchased Eden House and appointed a new manager - the choice of activities has increased and the home has arranged visits from local community groups to do group and individual activities, including hand massage. The manager hopes that by having regular resident meetings, this will provide an opportunity for residents to make comments and suggestions about the things they would like to do. There are regular visits from a registered pet therapy dog, and a member of staff is offering singing and gentle exercise to residents who would like to do this. The home has a sunny garden area with seating that has level and suitable access for residents to sit outside when they want to. The manager told us that a longer term plan is to develop a raised garden area for those residents who would like to do some gardening. We spoke to some residents who prefer to spend time in their own rooms - one person told us that they are offered visits from a local community organisation for one to one social contact or activity of their choice and they enjoy this. The home has weekly visits from a hairdresser and one resident told us that they like having their hair done. The home aims to provide a relaxing environment for residents to enjoy their meals, either in the dining room, or in their own room if they prefer. The chef speaks to each resident every day with a menu card to record their meal choice. Comments from residents confirm satisfaction with the meals provided. One resident told us as I do not care very much for fish, I am always served an alternative and another person told us the food is very good. Care Homes for Older People Page 15 of 26 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. People using the service are protected and their views are listened to and action taken where appropriate. Evidence: We spoke to some of the residents and looked at what people have told us in the surveys. The home has a formal complaints procedure and would follow this if any complaints were received. Some residents told us that there has not been an occasion where they have needed to complain but would speak to the manager if they had any concerns. The management approach is to promptly address any concerns that may arise in the day-to-day running of the home. The manager plans to provide regular opportunities for residents to comment on their choices and preferences; as part of the regular monitoring of the quality of service provided. As a result of listening to people using the service; a number of changes have already been made, such as increasing the opportunities for social and recreational activities and improving the access to the garden. The staff training programme includes safeguarding/protection of vulnerable adults. The training offers staff knowledge and awareness of the different risks of abuse and Care Homes for Older People Page 16 of 26 Evidence: what they must do if there is an allegation or suspicion of abuse. Comments from staff confirm that they are aware of the policies and procedures they must follow. Care Homes for Older People Page 17 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Eden House offers residents a comfortable and homely environment in a sought after location close to the sea. The home is clean, tidy and safely maintained. The new owners are committed to improving and developing the building and the facilities offered to residents, with an ongoing programme of decoration and refurbishment. Evidence: We looked at all of the communal areas of the home and spoke to some of the residents in the privacy of their own rooms. We also spoke to the manager and the responsible person (who is part of the new ownership company) and looked at what the service told us in the annual quality assurance assessment. Since April of this year when the home changed ownership there have been immediate improvements to the fabric of the building and internal decoration and refurbishment. The owners have plans to make further improvements in the long term. The lounge and some of the bedrooms have been decorated and new carpets fitted. A sluice room has been installed and there are plans to upgrade the laundry facilities. Access to the patio and garden has been improved for the benefit of the residents. The bedrooms vary in size and residents we spoke to expressed satisfaction with their room and the facilities provided. Some of the rooms in the home offer residents fine Care Homes for Older People Page 18 of 26 Evidence: sea views that are greatly enjoyed. Residents have access to a large sitting room and separate dining room and there is easy access to a sunny patio area and mature gardens. Residents told us that bedrooms have new curtains and bed covers with the fabric and patterns chosen by each resident and made to measure by the homes owners. The owner told us that there are plans to install a new safety door lock system that will enable residents to lock their bedroom doors if they wish to but staff will be able to easily access bedrooms in the event of an emergency. Residents are provided with any specialist equipment that they need to support mobility or care needs and this is provided in consultation with relevant community health care professionals such as occupational therapists or physiotherapists. The home employs cleaning staff to ensure a clean and hygienic environment and there are policies and procedures in place that meet good practice for infection control. The service has sought advice from the nurse specialist for infection control and have installed a sluice room and a new sluice machine that will be in use in the very near future. Care Homes for Older People Page 19 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is committed to meeting residents care needs; ensuring that staff are skilled and competent to do their work. The service aims to recruit more staff so that they will not be reliant on employing temporary agency staff to cover any gaps in the staff rota. Residents are protected by the homes staff recruitment procedures, however, the manager must ensure that recruitment procedures meet current regulatory requirements, at all times. Evidence: We looked at staff training records and the recruitment records for a new member of staff. We received 7 staff surveys and spoke at length to one member of staff. The home has a comprehensive training programme; this ensures that staff have the skills and knowledge to meet the care needs of the residents. Comments from staff confirm that they receive sufficient training and supervision that is relevant to their job. The manager has previous experience in the area of staff training and is also an accredited trainer and assessor for NVQ (National Vocational Training) in care. New staff are recruited and start work following satisfactory checks on their suitability to work with residents. We looked at the recruitment records for a new member of staff; there were some gaps in the employment history and although two satisfactory Care Homes for Older People Page 20 of 26 Evidence: written references were in place - a reference needs to be requested from a previous employer in care. The manager confirmed that these gaps will be followed up. Comments from staff demonstrate that they are feeling confident that the new owners and manager of the home are making positive changes in the service following a period of anxiety when the home was in receivership. The home is actively advertising and recruiting new staff so that the staff team will be stable and permanent. Where possible, gaps in the staff rota due to training or staff leave are covered by existing staff, however, the home does employ agency staff when this is not possible. Care Homes for Older People Page 21 of 26 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 run and managed in the best interests of people using the service. The health and safety of the residents and staff is protected and promoted. Systems for monitoring the quality of the service provided are being developed and put into practice. Evidence: We spoke to some of the residents and staff and looked at what people have told us in the surveys. We also looked at some of the health and safety records. Comments from residents and staff confirm that the registered manager operates an open door approach to managing the home and is always available for residents, staff and visitors to speak to. Positive comments were received from staff and residents that demonstrate that the service has improved since the new owners and new manager have been in the home. One person told us since April of this year I have already seen positive changes due to the new management of the home. Care Homes for Older People Page 22 of 26 Evidence: Residents financial interests are protected by the homes policies and procedures; daily expenses such as hairdressing or chiropody are paid by the home and the residents are invoiced. The service does not hold appointeeship or power of attorney for any residents. The health and safety of the residents and staff is protected and promoted by regular health and safety audits based on a risk assessment process. A recent inspection by the fire safety officer found the homes fire safety arrangements to be satisfactory. The manager told us that they will be fitting more safety door closing mechanisms when a resident prefers to have their bedroom door left open; as part of their ongoing fire safety procedures. The home has a 4 star food hygiene rating. The service is aware of the importance of regularly monitoring the quality of the service provided and is in the process of developing a quality assurance system that will produce a summary quality assurance report. This needs to be put into practice and will be assessed at further inspections. In the annual quality assurance assessment completed by the service; recognition is made that the service is in the process of improving many areas of the service provided and this will take some time for improvements to be embedded into practice in the home. The service has policies in place to promote equality and diversity and are in the process of developing a person centred care assessment and care plan process that will further demonstrate how equality and diversity are incorporated into practice in the home. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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 © (2008) 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 26 of 26 - 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!