Inspection on 02/08/05 for Eric Morecambe House

This inspection was carried out on 2nd August 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

Eric Morecambe House 08/12/06

Eric Morecambe House 16/11/05

Eric Morecambe House 19/10/04

Eric Morecambe House 04/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eric Morecambe House Harrow Grove Torrisholme, Morecambe Lancashire LA4 6ST Lead Inspector Ajam Auckburally Unannounced 2 August 2005 10:00am nd 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. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eric Morecambe House Address Harrow Grove, Torrisholme, Morecambe, Lancashire. LA4 6ST 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) 01524 831104 01524 831104 Anchor Trust Mrs Rosalyn Davis CRH Care Home 34 Category(ies) of OP Old Age 34 registration, with number of places Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The service is registered to accommodate a maximumof 34 service users in the category OP (older people 65 and over) Date of last inspection 19th October 2004 Brief Description of the Service: Eric Morecambe House is a home for elderly residents of both sexes who are 65 years old and over. The home is part of the Anchor group. The home took its name after the comedian Eric Morecambe.The home is situated on Harrow Grove in Morecambe and is built on 3 floors with accommodation for the residents being provided on the first and second floors. A passenger lift is available. Accommodation is provided in 30 single and 2 double flats. Each flat has its own kitchenette, sitting area, and a sleeping area. Every flat has its own front door which is fitted with a suitable lock. The postman delivers mails directly to each flat. All the flats are initially rented to the residents unfurnished giving them the opportunity to bring as much of their own belongings as they want. In the event that a new resident coming to the home without any furniture of his/her own, then a furnished flat can be provided. Staffing is provided around the clock to meet the needs of all the residents. There were thirty one residents residing at the home at the time of the inspection. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two statutory inspections to be carried out this year. The inspection was an unannounced one and took place on the 2nd August 2005 and lasted for 4.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a nice atmosphere and with the full cooperation of the manager, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. One resident said that “This is a nice home and having a flat makes it so much better. I feel like I am in my own home.” There were 31 residents living at the home at the time of the inspection and there were 3 care staff, 1 senior carer, 1 manager, and catering and domestic staff on duty. The staff were observed to be polite and kind when talking to the residents. A residents’ meeting was in progress at the time of the inspection and the inspector was invited to attend. The meeting was attended by about half of the residents and items discussed were about food, amenities fund and anything else residents wanted. What the service does well: The residents said that one good aspect of the home is that they each have a flat with a small kitchen, a sitting area and a sleeping area. Each flat has its own front door which is fitted with a suitable lock. The postman delivers residents’ letters to each flat. The residents can be as independent as they wish. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 6 The staff and the manager said that care is provided according to an Individual Lifestyle Agreement (ILA). This is a document which has written agreement about assessed needs and how they are met. There is always a good atmosphere in the home and all residents appeared to be well cared for. The home is always clean and does not smell of bad odours. 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. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The policies and procedures for the admission of new residents are good. The residents are assured that their needs will be met. EVIDENCE: The manager said that when an enquiry for an admission is received, some information is taken at this stage. This is followed up by a home visit from a member of the management team where possible. A more detailed assessment is carried out then. A pre admission visit to the home is arranged. The manager said in most instances, it is the family of the prospective resident who would visit. Written information such as the Service user Guide is provided to all prospective residents. The inspector examined several of the assessments made, and they include areas such as mobility, personal care and dependency. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 9 Admissions to the home is initially on a trial basis. This is usually for a period of 3 months. After this time a reassessment is done and if everyone, including the resident and the family is happy then a permanent place is allocated. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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 & 8 The home has clear written assessments and care plans for each resident. The arrangements for meeting all health care needs are good. The residents have detailed written information about their care and their health care needs are met. EVIDENCE: The case files of 3 residents were examined and they showed that they been assessed properly and that care provided is according to assessed needs. The format used is called the Individual Lifestyle Agreement. Residents or their families where appropriate, are involved in the writing of this document. After a care programme has been agreed, this document is signed by the resident and a member of staff. The records also show that care provided is recorded and that regular reviews take place. The residents spoken to said that they receive good care and that they want for nothing. They said that the staff are good and care for them with kindness. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 11 All the residents appeared to be relaxed and spoke freely. They said that as well as being to speak to a member of staff when they want, they also have the opportunity to raise issues during the regular residents’ meetings. Residents are able to have a doctor visit when they need or if they want they can visit the surgery. Similar arrangements are in place for other health professionals such as dentists, opticians. The district nurse will visit when required. She keeps her own records of the treatment she provides. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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 The practice in the home encourages residents to lead a lifestyle they choose and promotes freedom in religious and social practices. The arrangement for visiting is good. Residents benefit from being able to do what they want and by having their relatives visit them without restrictions. EVIDENCE: The residents spoken to said that they are free to do what they want. They can get up and go to bed when they want. Residents can use their flats freely. Some of them were in their flats when the inspector looked around the home. They said that they like the privacy of their flats and that all the staff respect their wishes. They added that the staff will bring them a cup of tea to their flats if they want. Although each flat has its own small kitchen with facilities for residents to make their own drinks, very few of them are able or willing to use these facilities. Some of the residents said that when their families visit, they use these facilities. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 13 The manager said that although no one is forced to have their meals in the dining room, they are encouraged to do so as part of a social activity. A couple of residents the inspector spoke to said that they preferred to have all their meals in the privacy of their flats. The manager said that the residents can practice their religions freely and priest and other religious leaders visit the home regularly. If any resident requires assistance to get to church, then arrangements would be made to ensure that the person gets there. The manager said that there are regular activities such as bingo, shopping, quiz night and entertainments. The notice board near the dining room had notices of future activities and other information displayed. The staff said that they will try and accommodate any reasonable activity the residents may wish to do. Several of the residents the inspector spoke to said that they do not like to join in the activities. They said that they prefer to watch television in their flats or do something else. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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 The policies and procedures to deal with complaints are good. Residents live in a safe environment and are able to speak their minds without fear of reprisals. EVIDENCE: The home has a detailed complaint procedure which explains what people should do if they have a complaint. It says that in the first instance, people should complain to a member of staff unless the complaint is about staff. The next step is to speak to the manager or one of the owners. If this does not resolve the complaint, then the complaint can be passed to the Commission for Social care Inspection (CSCI). All complaints are recorded in a complaint’s book. The home had received two minor internal complaints since the last inspection. These were dealt with promptly and to the satisfaction of the complainants The residents said that if they have any complaints, they would not hesitate to speak to someone about it. They said all the staff and the owners are very approachable and easy to speak to. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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) 26 The standard of cleanliness and hygiene is good. Residents live in a clean and pleasant environment. EVIDENCE: During the tour of the building, residents’ flats and communal areas were found to be clean and free from unpleasant smell such as urine. The residents said that the domestic staff clean their flats on a regular basis. One resident who spend most of her time in her flat said “ I do not have to leave my flat when the cleaner is cleaning it, we usually have a chat and she is very nice.” There are policies and procedures regarding the handling of cleaning materials and infection control. Some staff have attended courses on the control of infections. A team of 4 domestic staff is employed to do the cleaning and a handyman is also employed for maintenance. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 16 The home was found to be free form hazards and the residents said that they can get around the home safely. New doors have fitted to the rear and front of the home. The area in the main entrance of the home has been altered and residents and staff said it is much nicer now. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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 & 30 The number of staff at the home is at the recommended level and most of them have attended training courses to improve their knowledge and skills. Residents are cared for by a team of staff who are trained and skilled. EVIDENCE: Four of the care staff have obtained their NVQ (National Vocational Qualification) level 2, five are nearing completion and eight more have started the course. Other training courses attended by the staff include; Moving and Handling, First Aid, Medications, Food Hygiene and many more. There is still a need for the home to have 50 of its care staff achieve their NVQ level 2 by the end of 2005. All new staff are given an induction training when they start work at the home. A new member of staff confirmed that she had attended the induction training and is currently waiting to enrol for the NVQ course. There was an adequate number of care staff on duty during all the shifts. On the day of the inspection which was unannounced, the following staff were on duty; 3 care staff, 3 domestic staff, 1 handyman, the manager, 1 senior staff and the catering staff. The staff said that they can manage to do their jobs well and also find time to spend with the residents. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 18 The residents spoken to said that they are well cared by a team of good staff. They said there is always someone around if you need them. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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) 33 & 35 The policy and procedures to protect the finances of the residents are good. The home is run to serve the best interests of the residents. The residents’ finances are safeguarded and they feel that the home is run for their benefits. EVIDENCE: The manager said that residents and their families are encouraged to deal with their own finances if possible, and this seemed to be the preferred way for most of them. The home has good policies and procedures to protect the finances of the residents. The records of monies held on their behalf were examined and they were found to be accurate and current. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 20 Those residents who are able to deal with their finances said that they are free to use their money as they like and if they need help, the staff will provide assistance. The residents said that they are happy living at the home and that everyone has their best interest at heart. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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. 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 x x 3 x x N/A 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 x COMPLAINTS AND PROTECTION x x x 2 x x x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x x Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 22 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 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 22 28 Good Practice Recommendations The possibility of installing a second passenger lift should be considered. 50 0f acre staff should achieve NVQ level 2 by the end of 2005. Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston. PR2 2YQ 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 Eric Morecambe House F57 F09 S9710 Eric Morecambe House V227143 020805 Stage 4.doc Version 1.40 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. You have been warned!