Inspection on 17/10/06 for Eirenikon Park

This inspection was carried out on 17th October 2006.

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

Eirenikon Park 21/09/05

Eirenikon Park 27/04/05

Eirenikon Park 02/11/04

Eirenikon Park 05/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Eirenikon Park Bossiney Road Tintagel Cornwall PL34 0AE Lead Inspector Mike Dennis Key Unannounced Inspection 17th October 2006 09:30 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 Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 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. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eirenikon Park Address Bossiney Road Tintagel Cornwall PL34 0AE 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) 01840 770252 Mrs Frederika Wilhelmina Christina Bennett Mr Anton Leonard Bennett, Mrs Mathilde Louise Van Zyl-Lamb Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To include one named person outside the registration category of the home. Total number of service users not to exceed a maximum of 12 Date of last inspection 21st September 2005 Brief Description of the Service: Eireniken Park provides care and accommodation for up to 12 elderly people. It is situated in the village of Tintagel very close to the medical centre. The home is a large bungalow and therefore accommodation and facilities are all on one level. Rooms are not en suite but there are sufficient bathrooms and toilets to meet current spacial standards. There are eight single rooms and two double rooms available. The home places great importance on maintaining each persons independence, dignity, choice and the psychological health of the service user. To this end staff try to spend as much time as possible with service users. Contact with families and friends is maintained with trips out or visitors coming to the home being encouraged. The atmosphere in the home is relaxed and friendly. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 17th. October 2006 over a seven and half hour period. The inspector met with the Registered Providers, the 3 staff on duty and most of the service users having specific conversations with 6 service users. He also conversed with two relatives. During the course of the day the inspector observed the service users being attended to by staff. Service users informed the inspector that their expectations of being in a care home were being fully met by the dedicated staff team employed. Various records, policies and procedures were inspected and found to be satisfactory. The inspector visited all parts of the building and noted a satisfactory standard of hygiene. Service users expressed satisfaction with all aspects of the home What the service does well: What has improved since the last inspection? Management of the home have maintained a good standard of care as noted by the stated satisfaction levels of service users. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 6 A program of improving facilities is underway to the benefit of both staff and service users. 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. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 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 Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 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): 2, 3, 5 and 6 The inspector judged the home to provide a good level of service in the Choice of Home group of standards. Contracts/Statements of terms and conditions with the home are evident Service users are fully assessed prior to admission to the home. Pre-admission visits are encouraged. EVIDENCE: Each service user file was seen to contain a signed contract or statement of terms and conditions. All files held evidence that a pre-admission assessment had been conducted. This was confirmed by service users. Service users informed the inspector that they were given the opportunity to visit the home prior to making the decision to move in permanently. The home does not provide Intermediate Care. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 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 and 10 The inspector judged the home to provide an excellent level of service in the Health and Personal Care group of standards. The health care needs of service users are identified, planned for and met. Medication practices in the home are conducted appropriately EVIDENCE: Four Individual Plans of Care were inspected. They were seen to contain full and relevant information, to include Risk Assessments, pertaining to the health, personal and social care needs of that individual. Appropriate professionals from other disciplines frequently visit the home to provide for general health care, ie. G.P’s, Community Nurses, Opticians, Dentists etc. The administration of medicines within the home is conducted in accordance with the written procedures. All aspects of the processes concerned was inspected and found to be satisfactory. It is nevertheless recommended that staff attend a recognised training/refresher course regarding correct procedures to follow in the administration of medication. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 10 Service users and relatives were unanimous in their praise for the home and told the inspector that privacy and dignity issues could not be bettered. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 The inspector judged the home to provide a good level of service in the Daily Life and Social Activity group of standards. The routines of daily living and activities made available are flexible and varied. Service users receive visitors at any reasonable time throughout the day. Service users have choice and control over their lives commensurate with their physical capabilities. Food provided is of a high standard. EVIDENCE: The inspector spoke, in some depth with a group of six service users and two relatives. They expressed that they felt they were able to exercise control over their lives by partaking in interests, hobbies and activities of their choice. They also appreciated the limits of their expectations based on their individual capabilities. They stated that staff helped to support and assist them. A comprehensive daily record is kept, in respect of each service user, which when analysed will present a picture of that persons life style and interests within the home. The visitors book indicated that family and friends visit frequently at will. Service users and relatives commended the high standard of food which includes diabetic fare. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 12 The home has recently been inspected by the Health and Safety Executive and Environmental Health. Some recommendations were made but the overall outcome from these inspections was positive. Catering staff are now working to “Safer Food, Better Business “ programs. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 13 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 and 18 The inspector judged the home to provide a good level of service in the Concerns, Complaints and Protection group of standards. The complaints procedure is well publicised and would be used when required. The registered persons ensure that service users are protected from all forms of abuse with staff having knowledge through training of Adult Protection issues which helps to protect service users EVIDENCE: The home has a complaints policy that meets all the requirements of Regulation 22. A complaints log is available to ensure that a record of all complaints is recorded and kept. Details of the complaints policy are available in the statement of purpose and a full copy included within the service users guide The home has a policy in relation to adult protection, which includes information on whistle blowing. This policy references the Department of Health No Secrets guidelines and physical / verbal aggression by service users. Staff confirmed that they are made aware of this policy during induction and training sessions at staff meetings. Staff have signed to say they have read and understood the policies. Service users are aware of how to make a complaint and to whom. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 14 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 and 26 The inspector judged the home to provide an adequate level of service in the Environment group of standards. The location and layout of the home is suitable for it’s stated purpose and provides a safe environment. The home was clean, hygienic and free from offensive odours providing a homely place to live Bedrooms are comfortable and contain the personal possessions of the occupant but do not have en-suite facilities EVIDENCE: It was observed that the internal layout of the home is good with wide level passages and internally, all parts of the home are accessible to service users. The grounds were seen to be tidy, safe and accessible. Service users have sufficient and suitable lavatories and washing facilities. Toilets are available, for all service users, close to their private rooms and to the lounge area, which are clearly signed. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 15 Rails and raised seats are provided in lavatories to maintain independence. Bath hoists are available to assist people with reduced mobility Service users live in safe, comfortable bedrooms with their own possessions around them Rooms were seen to be well furnished, with a variety of styles of furniture adding to individuality of rooms. Service users expressed satisfaction with their surroundings The home was observed to be clean and hygienic Eight rooms are single rooms, two are double rooms and none have en-suite facilities. Improvements have been made in the past year to include: the installation of new boiler/pressurised water system, two bedrooms have been re-furbished, the kitchen has been up-graded and a large greenhouse is being rebuilt to provide gardening therapy. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 16 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 and 30 The inspector judged the home to provide a good level of service in the Staffing group of standards. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service user’s needs. Recruitment policies and procedures are followed. EVIDENCE: The home has a duty rota that accurately reflected the number and skill mix of staff on duty during the inspection. Additional staff are on duty at busier times of the day. Currently at night there is one waking night staff member. The registered providers, who live on site are on call, contactable by telephone or pager. Evidence that 58 of the staff team have now achieved NVQ level 2 or equivalent was presented at the inspection. The present staff team include 4 foreign nationals. Service users informed the inspector that they are well liked and respected. Staff training, induction and development programmes are undertaken. Individual staff files have been set up to record content of training and frequencies Staff are recruited following professional procedures. References, CRB/POVA checks etc. were all in order. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 17 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, 37 and 38 The inspector judged the home to provide a good level of service in the Management group of standards. The Registered Providers of Eirenikon Park strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare. EVIDENCE: The Registered Providers have 8/9 years experience of managing this home. Mrs. Bennett is qualified as a teacher and to NVQ level 4. She has obtained the Registered Managers award. The home’s record keeping, policies and procedures were inspected and found to be maintained in a positive way providing the required information. . The owners have a good awareness of the legislation regarding health and safety. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 18 Statutory checks are made by appropriate agencies as evidenced from various service contract documents. Staff are trained in health and safety, manual handling, fire safety, first aid, food hygiene and infection control Fire records are up to date. Regular supervision of staff is carried out by way of observing and commenting on performance. Annual appraisals are undertaken. This was evidenced by talking to staff and from the written records. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 19 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 3 3 X 3 N/A 3 3 2 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 11 STAFFING Standard No Score 27 3 28 3 29 30 4 X 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 3 3 Version 5.2 Page 20 Eirenikon Park DS0000009013.V314421.R01.S.doc 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. 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 OP9 Good Practice Recommendations It is recommended that staff attend a recognised training/refresher course regarding correct procedures to follow in the administration of medication. Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Eirenikon Park DS0000009013.V314421.R01.S.doc Version 5.2 Page 22 - 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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