CARE HOMES FOR OLDER PEOPLE
Edenside EPH Holme Street Appleby in Westmorland Cumbria CA16 6QU Lead Inspector
Paula Malaney Unannounced Inspection 17th March 2006 11:30 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 Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Edenside EPH Address Holme Street Appleby in Westmorland Cumbria CA16 6QU 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) 017683 51163 www.cumbriacare.org.uk Cumbria Care Position Vacant Care Home 26 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (26) of places Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 26 service users to include: up to 26 service users in the category OP (Old age, not falling within any other category) up to 3 service users in the category of DE(E) (Dementia over 65 years of age) When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 31st August 2005 3. Date of last inspection Brief Description of the Service: Edenside is a care home registered to provide personal care and accommodation for up to twenty-six people. The home is owned by Cumbria County Council and carried on by Cumbria Care which is a County Council business unit. Ms Debbie Byrne is employed as the manager of the home. Edenside is located near the centre of Appleby and has level access to the local shops, Health Centre, library and local churches. The property consists of a purpose built two storey building and is equipped with a passenger lift to assist residents to access accommodation on the first floor. Accommodation is provided in the form of twenty-four single bedrooms and one double room which two people can choose to share. Three bedrooms have ensuite toilet facilities and there are accessible toilet and bathing facilities close to all the accommodation used by residents. Shared space is provided in the form of one smoke free sitting room, a separate smoking lounge and three lounges with dining and kitchen areas. The home is set in pleasant gardens with seating for residents. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 17th March 2006. The inspection focussed on how well the service meets the needs of the people living in the home. This was assessed by speaking to residents, care staff and the manager, observing activity in the home and examining the records care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better:
Edenside continues to provide a high standard of care which meets the needs of the people living in the home. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 6 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. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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 Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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): 4 The home provides a high standard of care which meets residents’ needs. EVIDENCE: The standard of care provided in Edenside is very high. Residents’ needs are known to the care staff who support them. Care is provided as residents need and in a manner which takes into account their preferences. Care staff have developed positive relationships with residents and take time to talk to them as they carry out their duties in the home. Residents are comfortable and confident receiving support from the staff in the home. Edenside has a good reputation in the local area. Many residents said they knew about the home and made a positive choice to move there. The home provides day care and short-term respite care. These services give people a chance to become familiar with the home and can assist people to settle there if they need permanent residential care. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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): 8 and 10. Residents are provided with a high standard of care which meets their needs and maintains their privacy and dignity. Residents are treated with respect. EVIDENCE: Care staff are knowledgeable about residents’ needs and provide a high standard of care. Residents are treated with respect and care staff ensure their privacy and dignity are maintained. Residents are spoken to in a friendly and respectful manner. Residents receive health care from the local GP practice and District Nursing Team. Residents are supported to access routine health care from local chiropody, optician and dental services. Care staff monitor residents’ health and take appropriate advice and actions to maintain their well-being. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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): 13 and 14. Residents are supported to maintain control over their lives and the decisions they make are respected. EVIDENCE: Visitors are made welcome in the home and residents maintain contact with their families and friends as they wish. The location of the home makes it easily accessible to people living in the town and gives residents level access into the town centre and facilities provided there. Residents make choices about their lives including how and where to spend their time and whether to be with other people or on their own. Care staff support residents to maintain control over their lives and respect the choices they make. The home focuses on promoting residents’ rights. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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): 18. Residents are protected by the home’s procedures and staff knowledge. EVIDENCE: Care staff are knowledgeable about the action to take if they are concerned that a resident may be at risk of harm. The procedures in the home protect residents’ rights and interests. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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 and 22. Edenside provides residents with safe, comfortable and homely accommodation which is suitable to meet their needs. EVIDENCE: Edenside was purpose built as a residential care home for older people. The home has a range of adaptations to assist residents to maintain their independence including a passenger lift and adapted bathing and toilet facilities. The property is well maintained and provides a safe environment for residents to live in. Areas requiring repair or redecoration are identified and the work required carried out in a timely manner. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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): 28 and 29. Residents’ safety and welfare are protected by the home’s recruitment and training procedures. EVIDENCE: The home follows a thorough procedure when employing new staff to ensure they are suitable to work with residents and protect their safety and welfare. Checks are made on an applicant’s character and background including taking up of references and Criminal Record Bureau disclosures. New staff receive training before working with residents to give them the skills and knowledge to provide a high standard of care. The home has a programme to ensure all staff receive appropriate training including a National Vocational Qualification at level 2 or above in Care. Residents made many positive comments about the care staff working in the home and the standard of care provided. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 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, 36 and 38. The home is well run and residents’ rights, safety and well-being are protected. Care staff receive appropriate supervision and support to provide a high standard of care. EVIDENCE: Ms Debbie Byrne has recently been appointed manager of the home. Ms Byrne has the experience and skills to manage the home and to ensure residents receive a high standard of care. The management team in Edenside are committed to providing a high quality service which promotes residents’ rights and independence. Care staff receive formal supervision to ensure they have the skills and support to continue to provide a high standard of care. Staff receive ongoing informal supervision from members of the management team as they carry out their duties in the home. Systems are in place to ensure that Edenside provides a safe place for residents to live in. Care staff receive a
Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 15 range of training to ensure residents’ safety including fire training, infection control and moving and handling. Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 16 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 3 X X X X STAFFING Standard No Score 27 X 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X 3 X 3 Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Not applicable 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 Edenside EPH DS0000035019.V287192.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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