Inspection on 26/10/05 for Eden House

This inspection was carried out on 26th October 2005.

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 House 19/05/08

Eden House 16/08/06

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 Andy McGuckin Unannounced Inspection 26th October 2005 09:30 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.V260700.R01.S.doc Version 5.0 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.V260700.R01.S.doc Version 5.0 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.V260700.R01.S.doc Version 5.0 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 14th June 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. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on a mid-week afternoon. The inspector toured the building and had informal contact with the residents. The home is currently meeting the needs of three residents who have become bed bound. The inspector examined all residents’ care plans and associated documentation and found them to be satisfactory. 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 House DS0000013081.V260700.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Eden House DS0000013081.V260700.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5,6. The home provides sufficient information on which prospective residents can make an informed decision. EVIDENCE: All standards within this section were assessed as met at the last inspection. No changes have been made to these documents and therefore these standards remain met. A slight alteration has been made to the terms and conditions document to reflect a change in charging may occur if there is deterioration in a resident’s condition. This change has been assessed and is satisfactory. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10,11. The health and personal care needs of the residents are being met. EVIDENCE: Evidence was found at the inspection by reading residents’ files and in talking to residents that individual health, personal and social care needs are being met. This information was clearly presented and easily understood. Evidence was found that relatives’ representatives are reading and approving care plans. At present no residents manage their own medication. The proprietor assists residents in the management of medicines. The home has appropriate policies and procedures to manage this in a safe manner. A random selection of medication was checked against the medicines administration sheet. This was found to be satisfactory. At present the home is caring for three residents who are bed bound. The inspector was assured that the needs of these residents were being met and that the care plan had been agreed and approved by the G.P and D.N. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 9 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 The home provides appropriate social activities and involves residents in the daily life of the home. EVIDENCE: The home provides a range of activities appropriate to the needs of its current resident group. Much use is made of the local pub and residents go out with staff members or their friends and families. Residents are encouraged to maintain an active interest in their environment and local community. The home also provides a range of indoor activities including television and music. The main meal of the day is served at midday. Residents had just finished their dinner and agreed that the food is very good. Residents are enabled to have an alcoholic drink following lunch if they wish. A choice of hot or cold teatime meal is also provided. Feedback from one newly arrived resident, was very positive about the home and the food in particular. Snacks and cold drinks, tea and biscuits are freely available. A selection of past menus inspected showed a good range of fresh foods being used with personal choice very much in evidence. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 10 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): 16,17,18 The home has an appropriate complaints procedure, which is known to residents and their representatives. EVIDENCE: The size and management structure of the home ensures that complaints if any are dealt with at source and without delay. The home has a formal complaints procedure. The home ensures that residents’ legal and financial rights are upheld and that residents are protected from abuse. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 11 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): 19,20,21,22,23,24,25,26. The home is well maintained and is fit for purpose. EVIDENCE: The inspector was shown around the home and with residents’ permission was shown their bedrooms. All bedrooms were individually styled with residents’ personal possessions much in evidence. The home has sufficient toilet and bathroom facilities. The home has a lift and an assisted bath lift. The proprietor and staff are trained in the use of this equipment. On the day of the inspection the home was clean and mostly free from odour. Building work to provide a conservatory as an addition to the main building has been completed and provides useful extra space, which can be used for a variety of activities both in summer and winter. On the day of the inspection a loose plastic sheet had been placed in a resident’s room to protect the carpet. The inspector felt that this could present a health and safety hazard. The Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 12 inspector required this sheeting to be taken out and replaced with an acceptable form of permeable floor covering. The proprietor agreed to do this as soon as possible. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 13 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 The home employs sufficient staff to meet the care needs of the current resident group. EVIDENCE: All standards within this section were assessed as met at the last inspection. No changes have been made to these documents and therefore these standards remain met. Recent staff training has been limited and the inspector requires that this be reviewed and that staff receive training pertinent to the needs of the residents. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 14 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): 31,32,33,34,35,36,37,38. The home is run and managed in a professional manner. EVIDENCE: All standards within this section were assessed as met at the last inspection. No changes have been made to these documents and therefore these standards remain met. Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 15 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 16 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 OP30 Regulation 18 Requirement Staff are provided with updated training specific to the needs of the current resident group. Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Eden House DS0000013081.V260700.R01.S.doc Version 5.0 Page 17 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.V260700.R01.S.doc Version 5.0 Page 18 - 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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