Inspection on 25/04/05 for Eden House III

This inspection was carried out on 25th April 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 III 19/05/08

Eden House III 26/10/05

Eden House III 14/09/04

Eden House III 15/07/04

Eden House III 24/02/04

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 Oxford OX4 2QT Lead Inspector Andy McGuckin Announced 14 June 2005 09:30 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 House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eden House Address 50 Horspath Road, Cowley, Oxford, OX4 2QT 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) 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 registration, with number category(8), Physical disability over 65 years of of places age(1). Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30 November 2004 Brief Description of the Service: Eden House is the larger of two residental 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 home has one vacancy at the present time. The inspector was concious of the high level of care needs of many of the residents. The inspector was assured that the registered manager is admitting residents within the homes criteria and that there has been a gradual deterioration in some of the residents over a period of time. The home is in the process of adding a conservatory which will provide a dining area and additional communal space. This has been achieved with minimum disruption to the service users. The family also have accommodation within this building. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a morning and involved a tour of the building, discussion with the registered manager and informal discussion with two residents. Feedback was sought from residents, relatives and visiting professionals. No negative comments were received. Positive comments included “Staff are always friendly and helpful “ “Excellent level of care” “The staff were unfailingly kind and supportive “ “as a family we could not have wished for a more loving, caring environment “ The inspector was of the opinion that the home meets the needs of its residents. The home presents as being clean warm and run very much along family lines. The proprietors and their families are all involved in the day to day running. The family are experienced and trained to provide care to this resident group. The home provides a range of activities for those wishing to partake. Food is freshly prepared using fresh ingredients. An alternative choice to the main meal is available. On the day of the inspection finishing touches were being made to a recently built extension. This will provide residents with a separate dining area and additional communal space. The garden is being re-landscaped to provide disabled access. What the service does well: What has improved since the last inspection? Requirements, recommendations and comments made at the last inspection have been addressed. Improvements are being made to the building, which will have a positive effect on the running of the home. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 6 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 H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5. The home provides information in a clear and easily understood format. This information is presented in a way, which enables prospective residents to make informed decisions as to the suitability of the home. EVIDENCE: The home has recently reviewed and updated its Service Users Guide and its terms and conditions. Both documents were clearly written and easily understood. Documentation can be made available in large print if required. Both documents were inspected and found to be satisfactory. Each resident has a written contract/terms and conditions. Local authority funded residents are subject to a statutory yearly review. The registered manager assesses all prospective residents prior to admission. Admission is dependant on a mutual agreement that the home can meet the resident’s needs and all residents are reviewed after a month. An individual care plan is drawn up stating what the residents’ care needs are and stating how the home will meet them. Care plans inspected were comprehensive and clearly written. Residents are encouraged to visit the home prior to admission but this is not always possible. The home does not provide intermediate care. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10,11 Residents have good clear care plans drawn up with their involvement. These care plans enable carers to provide care in a manner acceptable to the resident. EVIDENCE: The registered manager assists residents in the management of medicines. The home has appropriate policies and procedures to manage this in a safe manner. On the day of the inspection during a random check of the medication the inspector found numerous entries erased by tip-ex. The proprietor informed the inspector that she had made a date entry error and had signed the wrong day. The inspector accepted that this was a genuine error but any future errors need to be documented on the rear of the medicines administration sheet. No alterations should be made to the administration section of the form. A random inspection of the medication and of previous recordings was found to be satisfactory. Service users’ files were very well presented and were easily read and understood. Care plans and service user’s progress are monitored and reviewed monthly. Two service users prefer to spend much of their time in their room. The choice to do this is respected by staff and other residents. Residents are encouraged to join in for social activities but without being Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 10 pressurised. The home has recently reviewed its activities and is able to offer a range of activities including; Outings, Games, Reminiscence, Knitting, Sewing and Flower Arranging. The registered manager is in the process of gathering information as to the wishes of residents in the event of health deterioration or death. This information will be held in the file. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 Residents are encouraged to maintain contact with family and friends. Residents are provided with an appropriate range of activities and are encouraged to maintain control over their own lives. EVIDENCE: The home endeavours to match the expectations and preferences of the residents where these have been stated. A range of activities and pastimes are available. Many residents just want peace and quiet and this is respected. Whilst most of the residents are white European, the home is able to meet the cultural needs of one resident of Afro-Caribbean origin. Service users are encouraged to have the same contacts within the home as they would if they were in their own home. Service users are encouraged to take as active a part in the control of their lives as they are wiling or able. On the day of the inspection food was being freshly prepared with evidence of fresh fruit and vegetables being used. The inspector observed the prepared meal, which was both appealing and wholesome. A choice of main meal is available and evening meal is always available. Due to the size of the home it is able to accommodate most needs. The kitchen has recently been redecorated and refitted and is of a good standard. This kitchen also supplies the food for the sister residential home which is located a few doors away. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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) 16,17,18 The home has a formal complaints procedure. Complaints are dealt with at the time they arise. Residents’ rights are being protected where required. All residents have relatives or representatives to ensure that residents are not being abused. 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. No complaints have been logged for some time. Feedback to the Commission from relatives, representatives and purchasers of the service were confident that if they had a concern or complaint that it would be dealt with quickly and appropriately. Postal voting was available to those wishing to use their vote at the last general election. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 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) 19,20,21,22,23,24,25,26 The home is a small family residence, which is able to meet the needs of the current resident group. The home provides a safe and comfortable environment for its residents. EVIDENCE: A recent inspection by the Environmental Health Officer made two minor recommendations regarding the kitchen, which have been addressed. The inspector toured the building and visited residents’ rooms. All rooms inspected were clean and showed evidence of individualisation. Two rooms are available for those wishing to share. The home has sufficient toileting and bathing facilities. Equipment required to ensure the safe handling of residents is regularly maintained. Staff have been trained in the use of this equipment. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 14 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) 27,28,29,30 The home employs staff in sufficient numbers to meet the needs of its residents. EVIDENCE: On the day of the inspection and by checking past rotas, the inspector was satisfied that the home provided staff in sufficient numbers to enable them to provide a high level of care to residents. Staff files showed evidence of a sound recruitment practice. Staff are being trained and supervised to a satisfactory standard. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 15 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) 31,32,33,34,35,36,37,38. The home is managed in a professional manner. The administration of the home was found to be satisfactory. EVIDENCE: The proprietor and her family are very experienced in the delivery and management of care services. The size of the home enables residents to have an active part in the running of the home. The proprietor informed the inspector that the business was financially sound. Residents all have relatives or advocates to assist in the management of their finances. Records inspected were produced with the residents’ best interests in mind and for the health and safety of the residents. All records with the exception of the accident book were found to be satisfactory. Not all accidents were being recorded in the accident book. The registered manager must ensure that where an accident Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 16 has occurred to either a staff member or a resident, it must be recorded in detail in the accident book. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 17 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 18 NO 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 Regulation 12 Requirement All accidents occuring within the home must be recorded. Timescale for action 14/6/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 11 Good Practice Recommendations Information regarding residents wishes following serious illness or death should be recorded as part of the care plan. Eden House H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 H57-H08 S13081 Eden House V221213 140605 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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