CARE HOMES FOR OLDER PEOPLE
Edenside Holme Street Appleby Cumbria CA16 6QU Lead Inspector
Paula Banham Unannounced 31 August 2005 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. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Edenside Address Holme Street Appleby Cumbria CA16 6QU 017683 51163 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) Cumbria Care Patrick Stephen William Raftery Care Home 26 Category(ies) of 26 OP - Old Age registration, with number 3 DE(E) - Demential, over 65 of places Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 2. 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). 3. 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. Date of last inspection 13 December 2004 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. Mr Patrick Raftery is the registered 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 F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on Wednesday 31st August 2005. The inspection focussed on how well the services provided in the home meet the needs of the people living there. This was assessed by speaking to residents and staff, observing activity in the home and examining the records which care homes are required to keep. What the service does well: What has improved since the last inspection? What they could do better:
All of the standards assessed at this inspection were met and there were no areas identified as needing action. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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, 3, 4, 5 and 6. Admissions to the home are well managed and residents and their families know that the services provided will meet their needs. EVIDENCE: Residents are provided with information about the home and have the opportunity to visit to assess the services before making a decision to live there. Residents’ needs are assessed by their social worker before they are offered accommodation in the home to ensure that the home is able to provide the support they require. Edenside does not provide intermediate care and Standard 6 is not applicable to the home. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 and 10. Residents receive a high standard of care which meets their needs and respects their rights and privacy. EVIDENCE: Residents’ personal and health care needs are identified and known to the staff who support them. Appropriate records are kept to ensure that residents receive a consistent service which takes into account their preferences and expectations. Residents benefit from receiving the health care they need from local and specialist health care services as they require. Residents are treated with respect and care is provided in a manner which respects their privacy and dignity. Medication is handled safely in the home and residents are supported to maintain control over their medication if they wish. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. Edenside is run in the best interests of the people who live there and residents maintain control of their lives. Activities and meals are well managed and are varied and take into account individual preferences. EVIDENCE: Residents make choices about their lives in the home including how they spend their time and the visitors they receive. Residents are supported to follow a range of activities in the home and local community. The atmosphere in the home is relaxed and welcoming and residents know they can see their friends and families as they wish. The location of the home allows residents to access the facilities in the local community, with support from care staff if they need. Meals are varied and provide choice and a nutritious diet. Residents said, “The meals are always very good”. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 standard(s) 16. The home has a clear procedure for handling complaints and residents know that complaints will be listened to and actions taken to resolve them. EVIDENCE: The home has a clear complaints procedure, a copy of which is included in the information given to residents when they move into the home. Staff and the management team in Edenside try to identify and resolve residents’ concerns before a formal complaint is needed and the home has received no complaints since the previous inspection. Residents made many positive comments about the home, the staff and the standard of care provided and said, “You’ll not find anything to complain about here”. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 21 and 26. Edenside provides safe and pleasant accommodation which is suitable to meet the needs of the people living there. EVIDENCE: The home is clean, well maintained and decorated and furnished to a high standard. Areas of the home have been redecorated and the environment is pleasant for residents to live in. Advice has been taken from the local fire and environmental health officers regarding maintaining residents’ safety in the home. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 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 and 30. Residents benefit from receiving support from staff who are skilled and competent and provide a high standard of care. EVIDENCE: Care staff are knowledgeable about the needs of the residents in Edenside and are skilled and experienced to provide the care individuals require. Care staff have developed positive relationships with the residents they support and residents are relaxed and comfortable with the staff in the home. Residents said the care staff are “all very nice” and said, “we’re well looked after”. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 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, 35,and 38. Residents benefit from living in a well run home where their interests and welfare are protected. EVIDENCE: Edenside is a well run home which focuses on providing a high standard of support to the residents living there. The home is run in the best interests of residents and systems are in place to obtain their views about the services provided. Residents know that their opinions are listened to and that they can affect what happens in the home. Good systems are in place to ensure that staff receive the training and support they need to continue to provide a high standard of service and to maintain residents’ safety and welfare. Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x 3 Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 Page 16 Not Applicable 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 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. 1. Refer to Standard Good Practice Recommendations Edenside F58 F10 s35019 edenside v235867 310805 ui stage 4.doc Version 1.40 Page 17 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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