Inspection on 26/10/05 for Eden House III

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 III 19/05/08

Eden House III 25/04/05

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 III 38 Horspath Road Cowley Oxfordshire OX4 2QT Lead Inspector Andy McGuckin Unannounced Inspection 26th October 2005 02:30 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 III DS0000013168.V260703.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 III DS0000013168.V260703.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eden House III Address 38 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 439723 eden.house@ntlworld.com Mrs Marjorie Chungtuyco Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Eden House III DS0000013168.V260703.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: Eden House 111 is a small residential home registered to take three 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 family own a second larger home a few doors away. 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 in single rooms. A stair lift is available to enable access to the first floor. Assistance with bathing can be provided using a lifting bath seat. Staff have been trained in the use of this equipment. One bedroom is available on the ground floor. There is also a sitting room, conservatory and kitchen at ground level. The kitchen is used for snacks and drinks with main meals being cooked and sent over from the main house. The home also uses the main house for its laundry requirements. The home has a manager, senior carer and sleeping night staff. The home would be of particular interest to a resident who was looking for a small family home environment. Eden House III DS0000013168.V260703.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is the second inspection of this home this year. The inspection took place on a midweek afternoon. The inspector toured the building, had informal conversations with the residents, and read core documentation relating to the care of the residents. No concerns were found at this inspection. 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 III DS0000013168.V260703.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 III DS0000013168.V260703.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): All standards met at the last inspection. The home provides sufficient information on which prospective residents can make an informed decision. EVIDENCE: At the last inspection the inspector was shown the home’s brochure, which outlines what the home can and cannot provide. It was written in plain English and was easily understood. Each resident has a written contract/terms and conditions. Local authority funded residents are subject to a statutory yearly review. The proprietor assesses all prospective residents prior to admission. Admission is dependent on a mutual agreement that the home can meet the resident’s needs. An individual care plan is drawn up stating what the resident’s care needs are and stating how the home will meet them. Care plans inspected were comprehensive and clearly written. This documentation remains the same with Eden House III DS0000013168.V260703.R01.S.doc Version 5.0 Page 8 the exception of an additional clause in the residents’ terms and conditions regarding charging. This is an appropriate addition. The home does not offer an intermediate care service. Eden House III DS0000013168.V260703.R01.S.doc Version 5.0 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. Residents’ health and social care needs 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. 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. Eden House III DS0000013168.V260703.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The home provides its residents with the opportunities to be fully involved in daily life and social activities to the full extent of their ability or willingness. 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. Meals are cooked off the premises in the family’s other care home. The food is then transported a very short distance to the home. The main meal of the day is served at midday. A choice of hot or cold teatime meal is also provided. Feedback from one resident was very positive about the food. Snacks and drinks are made on the premises and 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 III DS0000013168.V260703.R01.S.doc Version 5.0 Page 11 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. Residents’ rights are protected and they are made aware of how to make a complaint. 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 III DS0000013168.V260703.R01.S.doc Version 5.0 Page 12 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 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 stair 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. An Occupational Therapist’s assessment was carried out in March last year. The home is not suitable for wheelchair users. Eden House III DS0000013168.V260703.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 is staffed in an appropriate manner. EVIDENCE: Staff are available at all times to provide care on a rotational basis. The manager and senior staff are available during the main body of the day. Two members of staff provide a sleeping night service. Residents have hand bells in their rooms for use in an emergency. The layout of the home is such that this system is rarely needed. Staff files showed that training had not been taking place as often as previously. The inspector requires that a forward plan of future staff training be placed in the staff file. Eden House III DS0000013168.V260703.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): All standards met at the last inspection. The home is run and managed in a professional manner. The organisation has appropriate documentation to assist its staff to carry out their duties in an informed way. 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 III DS0000013168.V260703.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 X X X X X N/A 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 III DS0000013168.V260703.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? NO 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 to be provided with updated training specific to the current resident group. Timescale for action 01/11/05 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 III DS0000013168.V260703.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 III DS0000013168.V260703.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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