Inspection on 11/10/05 for Eothen Homes Limited

This inspection was carried out on 11th October 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 Homes Limited 04/04/07

Eothen Homes Limited 21/04/05

Eothen Homes Limited 09/08/04

Eothen Homes Limited 05/05/04

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 Homes Limited Park Gardens Whitley Bay Tyne & Wear NE26 2TX Lead Inspector Elaine Malloy Announced Inspection 11th October 2005 10:00 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 Eothen Homes Limited DS0000000365.V257542.R01.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. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eothen Homes Limited Address Park Gardens Whitley Bay Tyne & Wear NE26 2TX 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) 0191 2970707 0191 2510526 enquiries@eothenhomes.org.uk www.eothenhomes.org.uk Eothen Homes Limited Vacant Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st April 2005 Brief Description of the Service: Eothen is a purpose built that is situated in the town centre of Whitley Bay. It is close to a range of shops and other local amenities. The home provides personal care to 31 older people in single bedrooms. 29 bedrooms have ensuite facilities. The home has communal lounge and dining areas. There is a passenger lift and all parts of the building are accessible. There is car parking to the front and large, attractive gardens to the rear. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 6 hours. Management, staff, residents and visitors were spoken to. The recommendation that the home was asked to improve at the last inspection was checked. The building and a range of records were inspected. What the service does well: New residents have their needs thoroughly assessed before admission to the home. Residents gave positive feedback about the care and support they receive. They said staff treat them with respect and maintain their privacy and dignity. They are provided with choices and encouraged to make decisions in daily living. Plans showing how individuals care needs are to be met were well recorded. There are suitable medication practices and records. A variety of activities, outings and entertainment are provided for social stimulation. Any complaints received are properly investigated. Procedures are in place to protect residents from abuse and staff have relevant training. The building is clean, safe and comfortable and maintained to a high standard. The home has appropriate staffing levels. Residents have their personal finances safeguarded. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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 Homes Limited DS0000000365.V257542.R01.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 Eothen Homes Limited DS0000000365.V257542.R01.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. Residents care needs are properly assessed before admission to the home. EVIDENCE: A sample of resident care records was examined. There was evidence of preadmission assessment of care needs. General Practitioners are requested to complete medical information. Care Manager’s assessments are obtained where applicable. Eothen Homes Limited DS0000000365.V257542.R01.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 10. Care plans are well recorded and address residents current identified needs. Residents are protected by the home’s medication practices and recording systems. Residents feel that staff treat them with respect and maintain privacy and dignity. EVIDENCE: Assessment of needs is updated every three months. Care plans were recorded to a good standard and addressed a range of health, personal and social care needs. Plans are regularly evaluated. Individual reviews of care are conducted and it is the home’s practice to routinely invite residents and relatives. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 10 Risk assessments are documented for those residents who wish to selfadminister their medication. All staff who administer medication have undertaken training. The home uses a monitored dosage medication system. Photographs of residents are kept on medication records for identification purposes. Some printed directions for medication were unspecific. This issue was being taken up with the supplying pharmacist. Medication records and the Controlled Drugs Register were examined and found to be satisfactory. Residents spoken with confirmed they are treated well by staff. They said that personal care is carried out in private and in a dignified manner. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 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 and 14. Residents are provided with a range of social activities, events and outings. Residents are given choices and encouraged to make decisions in daily living. EVIDENCE: At the last inspection a Recommendation was made for staff to ensure that individual daily activities records reflect all activities provided/undertaken. This had been actioned. The standard of recording had improved and staff are designated to carry out daily activities from the programme. The programme is displayed on a notice board for resident information, along with photographs of events. There are regular visiting entertainers, outings and seasonal or themed events, for example Garden Party, Bonfire Party. Staff also accompany residents to go out locally on a one-to-one basis. The Inspector was informed that staff were currently working on putting into practice residents ideas for activities and preferred times. These had been discussed at a recent Resident Meeting. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 12 Residents spoken with verified that they are offered choices in daily living and are encouraged to make decisions. Many had brought personal possessions including furnishings to personalise their bedrooms. Residents with capacity handle their own financial affairs, and retain the services of solicitors. The home can provide contact details for external advocacy services if necessary. Relatives told the Inspector that they are consulted and kept up to date regarding individuals care. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 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 home has a clear complaints procedure and any complaints received are investigated. Systems are in place for protecting vulnerable adults and staff receive relevant training. EVIDENCE: Residents spoken with said that they were aware of the process for making a complaint. Complaints received in the period since the last inspection were appropriately investigated and recorded. There are policies and procedures for the protection of vulnerable adults, including prevention of abuse and whistle blowing (informing on bad practice). Staff are provided with relevant training and issues are also covered within NVQ courses. There have been no allegations of abuse. Residents indicated that they felt safe living at the home. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 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 and 26. The home is maintained to a high standard and kept clean and comfortable. EVIDENCE: All areas of the home seen were clean, comfortable and nicely decorated and furnished. Regular checks of the environment are carried out, including health and safety issues. In the period since the last inspection the office and one bedroom had been redecorated and new kitchen equipment was provided. A new front door is being fitted in the near future. There are still plans for a new passenger lift to be installed. Consideration is also being given to make better use of sitting areas on corridors, including relocation of the medication room. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 15 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 and 29. Appropriate staffing levels are maintained to meet residents needs. The recruitment process is to be further enhanced by ensuring good practice is followed when requesting references. EVIDENCE: The home continues to maintain suitable staffing levels of 4 care staff across the waking day and 2 care staff at night. There is capacity to increase these levels if needed. Weekly catering and domestic hours were satisfactory. Vacant posts for manager, care assistant, part time cook and kitchen assistant were in the process of being advertised. Some new staff had been appointed since the last inspection. A sample of personnel files was examined. These contained appropriate recruitment information. Advice was given to ensure that referees are contacted at previous employment addresses, as opposed to a home address. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 16 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): 33 and 35. An annual quality assurance plan needs to be developed. Management should follow up on negative feedback from CSCI surveys. Residents’ personal finances are safeguarded. EVIDENCE: The home has a variety of methods for monitoring the quality of the service provided. These include audits, surveys, meetings and staff training and supervision. The Inspector advised that an annual quality assurance plan be devised that incorporates these measures. Residents spoken with during the inspection gave mainly positive feedback on living in the home. Each described being well looked after and supported in meeting their care and health needs. They said staff were very nice, kind and helpful. Residents and relatives were happy with the accommodation. The good reputation of the home was commented upon. Varying comments were made Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 17 about the standard of the food. It was established that there have been changes to catering staff and new menus were being introduced. CSCI comment cards were made available to residents, their relatives/visitors, and visiting professionals to obtain their views on the quality of the service. 20 residents completed and returned CSCI comment cards: 16 said they liked living here and 4 said sometimes; 19 said they feel well cared for and 1 said sometimes; each said the staff treat them well; 18 said their privacy is respected and 2 said sometimes; 2 said they wished to be more involved in decision making within the home and 4 said sometimes; 14 said the home provides suitable activities and 6 said sometimes; 12 said they like the food, 7 said sometimes and 1 said they do not; 19 said they feel safe here and 1 said sometimes; 17 said if they were unhappy with their care they would know who to speak to and 3 did not. No additional comments were made. 10 relatives/visitors completed and returned CSCI comment cards: Each responded positively about being welcomed into the home, visiting in private, consultation about their relative’s care, and staffing levels. 9 said they are kept informed of important matters affecting their relative and 1 said ‘not always’. 2 said they were not aware of the home’s complaints procedure. 3 said they were not made aware of forthcoming inspections and 1 was not aware of access to inspection reports. It was established that the home displays a poster advertising announced inspections and copies of inspection reports are available beside the visitors signing in book. Each said they were satisfied with the overall care provided. Additional comments were made as follows: “Manager has changed and in the interim my mother is so very happy. Deputy staff are doing a very good job – hope a new manager continues the good atmosphere”. “My mother is extremely well cared for and is very happy. I do feel, however, there could be more opportunity for activity participation. There was a pottery class, which she loved but it has never happened again. I have asked on several occasions for it to be repeated – to no avail”. (The Inspector was informed that this activity is being organised). “My relative feels the food is not up to a reasonable standard”. 4 health care professionals completed and returned CSCI comment cards: Each said the home communicates clearly and works in partnership with them; there is always a senior member of staff to confer with; they were able to see their patients in private; that staff demonstrate a clear understanding of the care needs of residents; that any specialist advice given is incorporated into the care plan; medication is appropriately managed in the home; management/staff take appropriate decisions when they can no longer manage the care needs of the resident; and that the inspection report is available to them on request. One said they had received complaints from two residents regarding the quality of the food. Each said they were satisfied with the overall care provided to residents within the home. Additional comments were made as follows: Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 18 “Nice, friendly home. Always clean and a joy to go in”. “Regularly receive complaints from residents about the quality of meals. This is from residents I visit who have made separate comments regarding choice and lacking fresh choice in fruit and vegetables”. “Very good care staff and management. I have visited Eothen for a number of years and always found it a very good home with high standards”. The majority of feedback received was positive. Action should be taken by management, where possible, to address negative responses and comments. Resident personal finance records were examined. A file is maintained with individual sheets for each person’s transactions. Entries were suitably recorded and have two signatures, including signature of the resident where possible. There was plentiful evidence of personal spending. All residents have a telephone in their bedroom and are billed weekly for any calls made. Receipts are kept for purchases and numbered to cross-reference to transactions. Regular checks of balances and cash are carried out. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 20 N/A 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. 2. Refer to Standard OP29 OP33 Good Practice Recommendations References should be requested from previous employment addresses, as opposed to referee’s home address. (a) An annual quality assurance plan should be developed. (b) Management should address, where possible, negative responses/comments from CSCI surveys to residents, relatives and visiting professionals. Eothen Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office 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 Homes Limited DS0000000365.V257542.R01.S.doc Version 5.0 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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