Inspection on 21/04/05 for Eothen Homes Limited

This inspection was carried out on 21st April 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 11/10/05

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 Unannounced 21 April 2005 12:50 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 Homes Limited Version 1.10 Page 3 SERVICE INFORMATION Name of service Eothen Homes Limited Address Park Gardens Whitley Bay TYne & Wear NE26 2TX 0191 297 0707 0191 251 0526 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) Vacant CRH 31 Category(ies) of OP Old age (31) registration, with number of places Eothen Homes Limited Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 9.8.04 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4½ hours. The general manager, other staff, residents and visitors were spoken to. The building and a range of records were also inspected. What the service does well: What has improved since the last inspection? Senior staff have been given extra responsibilities. They have kept the home running to a high standard since the manager left earlier in the year. A new manager is to be appointed in the near future. There are plans to replace the passenger lift. Eothen Homes Limited Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eothen Homes Limited Version 1.10 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 Homes Limited Version 1.10 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 and 5. Information on the home’s services and facilities is in place. People who are considering moving into the home have a thorough assessment of their needs. They are also given opportunities to visit before they make a decision. Residents care needs were being met. EVIDENCE: Information is available on the home’s services and facilities in the form of a Statement of Purpose and Service User Guide. These will be updated when a new manager is registered to include his/her details. Residents and relatives commented on how they had chosen the home. One lady said she had gone to another home first whilst waiting for a place to become available. Relatives said they had looked at other homes in the area. They were aware that Eothen had a good reputation and also had to wait for a vacancy for their mother. Any person considering moving into the home has their needs assessed. Evidence of this was seen in the care record of the last resident admitted. The Care Manager and a Deputy Manager had carried out assessments. Additional information was also provided by a health care professional. An admission Eothen Homes Limited Version 1.10 Page 9 checklist is used. Visits prior to admission were recorded and there was agreement of an admission date. The home, on occasions will offer short stay care. Residents described being very well looked after. One lady said she had settled in well and brought possessions in for her room. Staff were described as being good and patient. They were said to treat residents very nicely and speak politely to them. Relatives commented on the staff’s loyalty and said they maintained confidentiality. The fact that there is a familiar, stable staff team was also felt to be positive. Eothen Homes Limited Version 1.10 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. There is ongoing assessment of care needs and good standard care plans are recorded. Resident health care needs are addressed. EVIDENCE: A selection of care records was examined. A range of assessments were completed and updated every three months. These included physical care needs, moving and handling, nutrition and food preferences, social needs, and risk assessment. Care plans were drawn up according to assessed needs and these were recorded to a good standard. The plans were being evaluated at least monthly. Initial care plans were being devised for a newly admitted resident. There was also evidence that plans were updated to indicate a resident’s increasing frailty and care charts had been introduced. Visiting relatives said that they are invited to reviews and kept up to date with their mother’s care needs. Residents’ current and past medical history is documented. Arrangements are in place to access a range of health care services. There was evidence within care records of visits by medical professionals and hospital appointments. Weights are monitored and recorded on the nutritional assessment. The Eothen Homes Limited Version 1.10 Page 11 home’s representative described the steps being taken to ensure the safe storage and administration of oxygen for one resident. Residents and visitors gave comments on health care. One resident explained about a forthcoming hospital appointment. Relatives said their mother’s physical health had improved since coming to live at the home. They also described the progress of another resident who staff had persevered with to become more independently mobile. Eothen Homes Limited Version 1.10 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 and 15. The home offers a variety of activities for residents’ social stimulation. Contact with family, friends and the local community is encouraged and supported. Residents are provided with meals that they enjoy. EVIDENCE: Residents spoke positively about life in the home, flexible routines and making choices and decisions. Social assessments are completed which provide information on the resident’s background, social interests and preferred routines. Social care plans are also devised. There is a daily activities record in each resident’s care file. An example was queried where staff were only recording that the resident had received visitors. The home’s representative said staff were spending ‘one-toone’ time with the resident and she also had ‘talking books’. The Inspector recommended that staff should ensure they complete records to properly reflect activities. The home has an annual plan for outings and events. Since the last inspection there had been a Garden Party, Bonfire Party, visiting entertainers and trips out. An outing to a local theatre was planned for this month. Visitors said there were always activities going on. They get involved with events and had Eothen Homes Limited Version 1.10 Page 13 enjoyed the Garden Party, which they described as excellent. One relative also said she had helped out on a trip to the theatre. Social activities are provided daily and these are recorded. Recent examples included a film night, sing-a-long, manicures, various games, chair exercises, quiz, reminiscence and carpet bowls. There are weekly visits from an aromatherapist and an artist. The Blind Society also holds a ‘chatterbox club’. There is daily Bible Study. A service for all religious denominations is held on Sundays. Residents choose whether they wish to participate in any religious services. Some residents said they go out with relatives. There were a number of visitors on the day. People from the local community were said to support events held at the home. Residents confirmed that they are offered choice of meals and can have alternatives the menu. They also said the food is very good. As previously stated, nutritional assessments and food preferences are completed. Preference sheets are recorded daily, indicating each resident’s choice of meals. Lunch on the day was chicken and mushroom pie or gammon and pineapple, with potatoes and vegetables and followed by dessert of ‘spotted dick’ and custard. The meal at tea was sausage, chips and beans or spaghetti/boiled eggs and toast, bananas and teacakes. Supper was to be sandwiches, cake and milky drinks. Eothen Homes Limited Version 1.10 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. Complaints made about the service are dealt with appropriately. Residents are aware of how and to whom they can make complaints. The home has systems to protect residents from abuse. EVIDENCE: The home has a suitable complaints procedure in place. Four complaints had been recorded and investigated since the last inspection. Three of these were upheld and one was inconclusive. Residents and visitors were well aware of how to make a complaint and described how they would do so. The majority said they had never had reason to complain. One resident made comments to the Inspector that were passed on to a Deputy Manager to follow up. The home has policies and procedures for the protection of vulnerable adults and staff receive relevant training. There have been no allegations of abuse in the period since the last inspection. Residents said they felt safe and secure at the home. Eothen Homes Limited Version 1.10 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 environment continues to be maintained to a high standard, and was clean and comfortable. EVIDENCE: The General Manager stated that the passenger lift is to be replaced. Temporary arrangements for the duration of the installation were being considered. Proposals will be submitted to the Commission for Social Care Inspection. In the period since the last inspection a new assisted bath had been fitted and the staffroom was relocated. A larger office was also in the process of being created and refurbished. The Inspector conducted a short tour of the building. All areas seen were suitably decorated, furnished and equipped. Lids were needed for bins in the laundry and bathroom; the Deputy Manager agreed to action. Eothen Homes Limited Version 1.10 Page 16 Bedrooms were well personalised with resident’s possessions. Residents said they liked the comfortable communal areas and their bedrooms. Visitors commented that the home is always clean. They also said that thought is given to ‘finishing touches’ such as nice dining table linen. The home has attractive, well-maintained gardens to the rear of the building. Eothen Homes Limited Version 1.10 Page 17 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, 28, 29 and 30. The home maintains suitable care staffing to meet the needs for the number and dependency levels of residents. There is a stable staff team to provide continuity of care. Staff are supported to gain care qualifications. There is a robust recruitment procedure. Staff are provided with training opportunities. EVIDENCE: Appropriate care staffing levels are maintained. The home operates on 4 care staff across the waking day and 2 care staff at night. On occasions, numbers of staff have been increased, for example at times when resident(s) have been ill. Weekly catering and domestic hours were satisfactory. The home has minimal staff turnover. At present there was one carer and a weekend cook vacancies. Residents and visitors commented positively on the stability of the staff team. They were also aware that the organisation is looking to appoint a new manager for the home. A good ratio of staff has achieved care qualifications. Nine care staff have completed NVQ Level 2, one has Level 3 and one has Level 4. A further three staff are currently studying for NVQ qualifications, and one has enrolled. A thorough recruitment procedure is followed. The personnel file of a staff member recruited since the last inspection was examined. This contained appropriate information, including application form, health questionnaire, references, proof of identification, interview record and induction training. Eothen Homes Limited Version 1.10 Page 18 Arrangements are in place for all staff to have Criminal Records Bureau checks carried out, and these records were inspected. There is an annual staff training and development programme. Courses undertaken in the past year included updates of safe working practices, Control of Substances Hazardous to Health, Diabetes, Dementia, Parkinson’s Disease, Sensory Impairment, and Care of the Dying. There is a nominated staff member for Infection Control training. The home is linked to a training provider. Details of course provision are received throughout the year and added into the training programme. Eothen Homes Limited Version 1.10 Page 19 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, 36, 37 and 38. The home does not currently have a Registered Manager. All staff receive individual supervision. Records are accurate, up to date and held securely. Systems are in place to promote health and safety. EVIDENCE: The organisation is currently looking towards appointment of a manager for the home. The successful applicant will then need to be proposed to the Commission for Social Care Inspection to become registered. In the interim Mrs Jenny Hearl, General Manager has been managing the home 2-3 days per week. In her absence the two Deputies and an Acting Deputy are left in charge of the home, and have taken on additional responsibilities. A schedule is in place for staff of all grades to receive individual supervision sessions. These are carried out every two months and records are kept. There is also a system for staff appraisal. Eothen Homes Limited Version 1.10 Page 20 During the course of the inspection a range of records was examined. These were generally well maintained. Records relating to fire safety were examined. All tests, checks and instructions were being conducted at the required frequency. Accident reporting was suitably documented. Accident analysis is also carried out. An example was given of how this had lead to follow up, including health care input for a resident who was regularly having falls. Mrs Hearl agreed to include times and locations to the analysis. There was evidence of appropriate risk assessments in care records that addressed individual resident’s vulnerability. Examples included selfadministration of medication, risk of falls, and showering unsupervised. Eothen Homes Limited Version 1.10 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x x 3 3 3 Eothen Homes Limited Version 1.10 Page 22 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 12 Good Practice Recommendations Staff should ensure that individual daily activities records reflect all activities provided/undertaken. Eothen Homes Limited Version 1.10 Page 23 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 Homes Limited Version 1.10 Page 24 - 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. 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