Inspection on 11/05/05 for Eothen

This inspection was carried out on 11th May 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

Eothen 22/01/09

Eothen 24/01/07

Eothen 17/11/05

Eothen 18/10/04

Eothen 26/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Eothen 45 Elmfield Road Gosforth Newcastle upon Tyne NE3 4BB Lead Inspector Elaine Malloy Unannounced 11 May 2005 10:50 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. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eothen Address 45 Elmfield Road Gosforth Newcastle upon Tyne NE3 4BB 0191 213 0707 0191 213 0075 enquiries@eothenhomes.org.uk Eothen Homes Limited 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) Miss Julie Patricia Needham CRH 37 Category(ies) of OP - Old Age (37) registration, with number of places Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 18/10/04 Brief Description of the Service: Eothen is a purpose built care home that is situated in a residential area of Gosforth. It is close to a range of shops and other local amenities.The home provides personal care to 37 older people. It is equipped with a passenger lift. There are 35 single bedrooms and one double bedroom, all with en-suite facilities. Communal lounge and dining areas are provided. There are baths and showers, and separate toilets. The home has car parking space and accessible attractive gardens. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6 hours. The manager, staff and residents were spoken to. Each area that the home was asked to improve at the last inspection was checked. The building and a range of records were also inspected. What the service does well: What has improved since the last inspection? A variety of social events and outings were being planned. New items and floor coverings were provided to continue to improve the building and the grounds have been revamped. The manager has completed a recognised care and management qualification. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 6 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. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 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 Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 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, 2, 3 and 4. Potential new residents have their needs assessed before admission. The Manager will follow up on issues with Social Services, including a contract for a new resident. The home can meet the needs of older people and residents feel well cared for. EVIDENCE: There was a recommendation made following the last inspection for the Statement of Purpose and Service User Guide to be provided in a range of formats. The Manager reported this was not currently necessary. She said information on the home could be readily adapted to a resident’s preferred method of communication if needed. The care record of the last person admitted to the home was examined. There was a record of the home’s own pre-admission assessment of needs, and a medical report from the GP. The Manager was asked to follow up on the following matters with Social Services: 1. The Care Manager had not provided the Community Care Assessment to the home. 2. There was no contract in place from the funding authority. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 9 3. The additional social support agreed prior to admission was not being provided. Two residents spoken with confirmed that they had visited the home before moving in. A number of residents told the Inspector that they were aware the home has a good reputation. One lady said she had no regrets about moving here. Residents verified that they had brought in possessions from home for their bedrooms. The home can provide short-stay/respite care when vacant rooms are available. Admissions on an emergency basis were said to be rare. Residents spoke positively about how their care needs are met. One lady said she was ‘treated like a queen’ and was well looked after. Another resident said the staff treated him very well. Staff were described as very nice, polite and kind. One lady said they should be given ‘top marks’. Another resident said it would be difficult to improve the home. Each person spoken with said they receive all the help they need. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 10 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 and 8. Care plans were recorded to a good standard, however they must be kept up to date. Arrangements are in place to meet health care needs. EVIDENCE: The Inspector examined a sample of resident care files. A range of assessments tools was completed to identify needs, and included risk assessment. Care plans had been recorded for a new resident the day before admission. These were signed by the resident and evaluated a week later. This is evidence of good practice. The care plans for a resident whose dependency had increased were also viewed. These were originally drawn up in 2002 and required updating to reflect current needs and frailty. Reviews of individual’s care were scheduled. Continence management was discussed. An example of a care plan addressing this need was not specific about assistance to toilet. Associated toileting charts were not being consistently completed, and were not monitored to establish any patterns. It was advised that continence management plans cover the 24hour period and state frequency of toileting. Charts must be recorded properly to enable monitoring and any necessary changes to toileting regimes. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 11 Residents were currently using 8 GP practices. The District Nurse was visiting on a daily basis. There was evidence within care records of input from a variety of health care professionals. Arrangements are in place to ensure regular visits from podiatrists, dentist and optician. Referrals are made where needed to specialist medical services, for example Psychogeriatrician. Nutritional assessment is completed and weights are monitored monthly. Residents confirmed that their health care needs are addressed. There was a recommendation made following the last inspection for oxygen storage cylinders to be chained to a wall. This had been actioned. A senior carer agreed to locate the trolley for transporting oxygen, as it was not in the usual storage facility. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 12 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. Staff responsible for organising activities were forward planning events and outings. The provision of daily activities for residents’ social stimulation needs to be improved. Residents are provided with a choice of good food. EVIDENCE: Residents spoke positively about life in the home and how they make choices and decisions. They confirmed that contact with family and friends are supported. Religious and spiritual needs were well catered for. Spiritual care plans are devised. There is a weekly Bible Study Group. This was observed taking place on the day. The staff member leading the group was enthusiastic and residents were actively participating. Church services take place approximately twice weekly. Clergy visit the home and some residents continue to go out to Church. In the period since the last inspection there had been two visiting entertainers, a ‘clothes party’, visits from Brownies, the Salvation Army, Christmas lunch at a hotel, visit to a pantomime, and an Easter party. The home’s representatives Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 13 said use is made of local facilities, shops and park. A local community bus with tail-lift is hired for outings. The home does not have a forward planned programme of activities. The home’s representatives said activities should be offered daily. However the activities report was not being completed consistently and demonstrated little recorded evidence of active provision. Many residents said they kept themselves occupied with their personal interests and hobbies. However some residents said they were bored and there was not enough to do. They said there had been no social activity that day and could not recall any activities in previous days. One lady emphasised that staff should ask residents about what activities to provide. Residents’ social preferences must be established and information used to provide a daily programme of activities. Two senior staff were currently taking responsibility for organising activities, events, and outings. A file of relevant information and contact details is maintained. A variety of events and outings were being planned. These included a resident’s 100th Birthday Party with entertainment, a Garden Party, shopping trips, and outings to Tynemouth, the Fish Quay and Morpeth. Information was also being obtained from the Theatre Royal. All residents spoken with said that good food is provided, they are offered choice and enjoy the meals. One resident said they had previously discussed food preferences and issues with the Cook. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 14 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 and 18. The home deals with complaints appropriately. Residents are aware of how and to whom they can make complaints. There are systems to protect residents from abuse. EVIDENCE: The home has a suitable complaints procedure. Two complaints had been recorded since the last inspection. Action had been taken where necessary to address issues raised. No complaints were made to the Commission for Social Care Inspection. All residents spoken with were well aware of how and to whom they could make a complaint. One resident told the Inspector they had complained in the past and the matter had been dealt with quickly and resolved. There are policies and procedures for the protection of vulnerable adults. Staff receive relevant training. No allegations of abuse were made in the period since the last inspection. Residents told the Inspector they felt safe living at the home. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 15 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 and 26. The building is maintained to a high standard. All areas seen were clean and comfortable. Comprehensive audits of the environment are carried out. EVIDENCE: The Inspector conducted a short tour of the building. All areas seen were clean. Bedrooms were well personalised with resident’s possessions. Building audits are regularly conducted and repairs, redecoration and replacement are promptly followed up. In the period since the last inspection the following improvements were made to the home: redecoration of one bedroom, new flooring in en-suites, revamp of external grounds, some new kitchen equipment, crockery, bed-linen and dining room linen. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 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 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 28. The home maintains good staffing levels and there is minimal staff turnover. Care staff are supported to gain care qualifications. EVIDENCE: On the day of the inspection there was 29 residents and 2 residents in hospital. Good care staffing levels were maintained. The home operates on 5 carers a.m, 4 carers p.m and 2 carers at night. Cover for absence is provided by existing staff, relief carers and occasional use of agency staff. There is sufficient weekly domestic, catering, and laundry hours. There was currently one full time care assistant vacancy. 16 staff have completed NVQ care qualifications; one at Level 4, four at Level 3 and eleven at Level 2. Four staff were presently studying, one at Level 4 and three at Level 3. Three staff were undertaking T.O.P.S.S induction training. Two staff told the Inspector that they loved working at the home. They verified that there are training opportunities. The Manager was said to have an ‘open door policy’ and the manager and senior staff were described as very approachable. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 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 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 and 37. The home has a suitably experienced and qualified manager. The Registered Provider ensures thorough checks of the home are conducted. EVIDENCE: There was a recommendation made following the last inspection for the Manager to complete NVQ level 4 training by the end of 2005. Miss Needham reported that she had completed the course and would submit evidence of her qualification to the Commission for Social Care Inspection. Evidence was seen of thorough monthly ‘conduct of home’ reports. These were recorded in detail, covered a range of relevant issues and include a building audit. Reports conclude with a list of recommended actions with timescales, and specify responsibility for action. Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 18 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 2 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x 4 x 4 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x 3 x Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 19 No 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 7 Regulation 15 Requirement (a) Resident care plans must be updated where necessary to reflect current needs. (b) Continence management care plans must be specifically recorded (c) Continence charts must be properly completed and monitored. Residents’ social preferences must be established and information used to make provision of daily activities. Timescale for action 11.7.05 2. 12 16(2)(m) (n) 11.7.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Eothen B53-B03 S442 EothenNcle V222060 100505 Stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!