This inspection was carried out on 29th November 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.
CARE HOMES FOR OLDER PEOPLE
Edenhurst Care Home 11 Denmark Grove Alexandra Park Nottingham NG3 4JG Lead Inspector
lDee Shelvey Unannounced Inspection 29th November 2005 11:00 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 Edenhurst Care Home DS0000002197.V269847.R02.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. Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Edenhurst Care Home Address 11 Denmark Grove Alexandra Park Nottingham NG3 4JG 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) 0115 960 6595 0115 847 7160 Mrs Kerry Bradley Mr Russell Bradley Mrs Kerry Bradley Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Within the total number of beds one bed maybe used for a named individual with mental health needs in the category of MD(E). Please refer the Minor Variation application V8302 and dated 24/02/2004. In the event that the placement of the named individual is terminated, the registration will revert to Older People (24). 27th June 2005 2. Date of last inspection Brief Description of the Service: Edenhurst Rest Home is situated in Alexander Park approximately two miles from Nottingham city centre. It is registered to accept up to 23 people within the category of old age onlyand one named resident with dementia. The accommodation comprises of two separate houses that have been linked together. All areas of the home are accessible to all service users. The accommodation is on two floors and is serviced by a lift. The bedrooms are mainly single rooms, two of which have en-suite facilities. There are also two double rooms and a visitor’s room.There are three day rooms including one smoking lounge, two kitchens and two dining rooms. The gardens are well maintained and are also accessible to service users. There is on street car parking. Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place over three hours. It focused on checking the response to one requirement and two recommendations following the last inspection. In addition the core standards not inspected last time were assessed and two service users were “case tracked”; this involves reading their case files and ensuring that they are receiving the care necessary to meet their needs. What the service does well: What has improved since the last inspection? Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 6 Staff files now have all of the documents required to make sure that residents are properly protected from harm or abuse. Care plans and risk assessments had been made more detailed so the staff are clear about how to help the residents with their needs. Staff had been reminded of the proper procedure for helping residents to eat. Observations made during the inspection confirmed that this task is carried out appropriately. 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. Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4 Service users needs were fully assessed prior to admission and they can be sure when entering the home that these needs can be met. EVIDENCE: Two case files were examined in detail. They both contained comprehensive assessment of needs, appropriate risk assessments and care plans setting out how needs would be met. Both service users were spoken with and they confirmed that they had been assured that they would receive the care they needed before entering the home. Edenhurst Care Home DS0000002197.V269847.R02.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): 7,9 and 11. Service users have full care plans setting out all their needs and the homes policies on dealing with medication offer protection. EVIDENCE: The care plans examined set out all areas of care required for the individual, there was evidence of needs being monitored and when necessary appropriate referrals to health professionals were made. Service users spoken with said if they were ill nothing was too much trouble for the staff. One spoke of the care given to her husband before he died and said it was of immense consolation to her to know how sensitively and gently he was handled by all the staff. The home had satisfactory policies and procedures for the management of medication. It was properly stored and the records were up to date and accurate. Edenhurst Care Home DS0000002197.V269847.R02.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 and 15 Service users have a life style that suits them and receive a well balanced diet. EVIDENCE: Care plans covered personal needs and service users spoken with confirmed that they decided how to spend their days; the home had no set routines. People were encouraged to maintain their independence and staff worked with them to ensure this was possible. One resident described how she was helped to exercise and given assistance to improve her mobility after an operation. The meal served on the day of inspection looked appetising and was well presented. Service users spoken with said the food was “marvellous, always fresh, plentiful and varied”. Edenhurst Care Home DS0000002197.V269847.R02.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 These standards were met at the last inspection and were not assessed in detail however service users were confident that any concerns would be immediately addressed and resolved. EVIDENCE: Service users spoken with couldn’t imagine having to complain but knew how to if necessary. Edenhurst Care Home DS0000002197.V269847.R02.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): 19,23,24 and 26. The service users had a safe, well-maintained environment with rooms that met their needs. EVIDENCE: The parts of the home that were seen during this inspection were comfortable, clean and well maintained both to the interior and exterior. Service users said the home was always clean and fresh. The residents’ bedrooms were comfortable and had been personalised. The residents’ expressed complete satisfaction with the accommodation, one person had her own telephone connected. The home had satisfactory infection control policies and any soiled linen was separated out. Edenhurst Care Home DS0000002197.V269847.R02.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): 29 and 30. Service users are protected by the homes recruitment policy and staff receive the training they need to be competent at their jobs. EVIDENCE: The staff files of the two most recent employees were examined. They both contained all the information required by statute including checks from the criminal records bureaux. The training records showed that appropriate induction training is carried out followed by courses in core skills e.g. moving and handling and fire safety awareness. 6 members of staff were working towards the NVQ level 2 award and 5 have already completed an NVQ level 2 or above. The manager has attained an NVQ level 4. Edenhurst Care Home DS0000002197.V269847.R02.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 and 38. The home is well run in the interest of the residents by a very competent manager who also ensures the health and safety and welfare of service users and staff. EVIDENCE: All the records seen relating to health and safety were excellent; up to date and accurate they showed that all equipment was tested appropriately and all water tests were made to prevent legionella and scolding. It was clear from observations made during the inspection that the manager enjoys good working relationships with the staff and the service users could not find enough words to describe how much they liked and respected him. Edenhurst Care Home DS0000002197.V269847.R02.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 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X 3 3 X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X 3 Edenhurst Care Home DS0000002197.V269847.R02.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Edenhurst Care Home DS0000002197.V269847.R02.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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