Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/06/05 for Eridge House Rest Home

Also see our care home review for Eridge House Rest Home for more information

This inspection was carried out on 13th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Those residents and a relative spoken with said how much they appreciate the care given and services received in the home. Residents spoke particularly of the helpfulness and attentiveness of staff and the quality of the food. Staff have considerable experience in caring and presented as motivated. They said that the home is a good place in which to work. The manager has considerable experience and holds the recommended qualifications. She seeks opinions both informally and through questionnaires as to how the service is perceived. She is seen as approachable by staff and residents. The home is generally well maintained, furnished and equipped. Records policies and procedures are generally well kept.

What has improved since the last inspection?

Staff now receive regular formal documented supervision at least six times a year. Fire doors are no longer in general wedged open.

What the care home could do better:

External pathways and handrails have not yet been repaired. A full assessment of the premises by a suitably qualified person in relation to environmental adaptations remains to be carried out once building work has been completed. The laundry floor still has not been renewed. A drug cassette holding a resident`s medication had had drugs due for administering in several days time removed. Remedial action and instruction to staff is required. Some staff are in need of first aid refresher training. Some physical items need to be dealt with. Self-closing fire doors should be fitted as needed. 50% of care staff should have NVQ 2 by 2005.

CARE HOMES FOR OLDER PEOPLE Eridge House 12 Richmond Road Bexhill-on-Sea East Sussex TN39 3DN Lead Inspector James Houston Unannounced 13 June 2005 09:00 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. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eridge House Address 12 Richmond Road Bexhill-on-Sea East Sussex TN39 3DN 01424 214500 None None Mrs Heidi Haddow (Person) 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) Mrs Linda Jeanne Stevens Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (OP), 30. of places Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum service users to be accommodated is thirty (30). 2. Service users should be aged 65 years or over on admission. Date of last inspection 19 January 2005 Brief Description of the Service: Eridge House is a detached property registered to provide accomodation and personal care for up to 30 older people. Nursing care is not provided. The home is situated in a residential area of Bexhill-on Sea close to the seafront and Collington railway halt. It is a ten minute walk from the town and main shopping area. The home is currntly undergoing extensive building works to provide ten more single rooms, more communal space and an extra bathroom. There are also plans to build a flat for staff and to install a passenger lift. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and afternoon of the thirteenth of June 2005. Before the inspection papers held by the Commission for Social Care Inspection were read, and those sections of the standards to be inspected prepared. The inspection in the home took six hours. A tour of the whole home was made and the owner, manager, 12 residents, a relative, three staff and a visiting community nurse were spoken with. A range of records, policies and procedures were read. Twenty-four residents were living in the home during the inspection. Since the last inspection an inspector has visited the home to review progress on the extension with the owner and manager. Completion is expected later in the summer of 2005. What the service does well: What has improved since the last inspection? What they could do better: External pathways and handrails have not yet been repaired. A full assessment of the premises by a suitably qualified person in relation to environmental adaptations remains to be carried out once building work has been completed. The laundry floor still has not been renewed. A drug cassette holding a resident’s medication had had drugs due for administering in several days time removed. Remedial action and instruction to staff is required. Some staff are in need of first aid refresher training. Some physical items need to be dealt with. Self-closing fire doors should be fitted as needed. 50 of care staff should have NVQ 2 by 2005. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 6 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. Eridge House H59-H10 S21097 Eridge House V227865 130605 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 Eridge House H59-H10 S21097 Eridge House V227865 130605 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) 2,3,4 and 5. Residents are given terms and conditions of residence. The home fully assesses prospective new residents. The home meets the needs of the current resident group. Prospective residents are able to visit the home before they come in order to assist with the decision about admission. EVIDENCE: The home has a comprehensive document regarding terms and conditions of residence. A copy is given to residents before admission and records inspected showed that residents sign them. Records inspected showed that the home obtains a copy of a care management assessment form from a placing authority where this exists, and that the manager also conducts the home’s own detailed needs assessment. Discussions with the provider, a manager, residents, a relative, staff and a visiting community nurse and the reading of a range of records indicate that staff individually and collectively have the skills and experience to meet the needs of residents. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 9 Residents said that they or their family had visited the home before the resident moved in. The manager said that she visits prospective residents in their own home or where they then are (eg in hospital) before they come in. Admission is for a trial period. Emergency admissions are made on occasion. Eridge House H59-H10 S21097 Eridge House V227865 130605 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 9. The plans of care are detailed and suitable. Medicine administration needs an urgent review. EVIDENCE: The home undertakes detailed needs assessments and then draws up a plan of care. Residents confirmed that they and their families are involved in this process. Risk assessments are undertaken and plans are reviewed monthly with the resident and where possible residents sign the monthly reviews. Staff confirmed that they write updates as needed. These were inspected and found to be up to date and well constructed. Staff said that they have had guidance in recording. The home uses a monitored dosage system for residents whose drugs it administers. The home has regular advice from a visiting pharmacist. It was noted during the inspection that there had been an error in drug administration. The manager investigated during the inspection. The manager undertook to fully check practice and give guidance to staff as needed. The manager said that currently no residents have controlled drugs. Two residents self medicate. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 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 standard(s) 12 and 13. Social activities are well managed and residents choose what they do. Visitors to the home are made welcome. EVIDENCE: Residents said that they are free to rise and go to bed at times of their choosing and to eat in their own rooms and in the communal area. Residents and staff said that a range of activities such as quizzes and scrabble are organised in the home. Residents said that they feel free to participate or not as they wish. Residents said that the home offers regular trips out and mentioned enjoying, amongst others, trips to the theatre and a local supermarket. Some residents journey out alone, and many are taken out by family and friends. Residents said that their visitors to the home are always made welcome by staff. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 12 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 home has a suitable complaints procedure. EVIDENCE: The complaints process is clear and available in the home. Residents said that they are aware of it. The home has a clear system for investigating any complaints made to it. One complaint has been received by the home since the last inspection and records inspected showed that it has properly investigated and resolved. The Commission for Social Care Inspection has received no complaints about the home. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 13 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) 19,20,22,24 and 26. The home provides a good standard of accommodation. The garden area has not been made safe. Some physical aspects of the home need attention. The home needs an assessment by a suitably qualified person in relation to environmental adaptations. The laundry floor is still uneven. Communal areas and bedrooms are well appointed. The home is clean and tidy. EVIDENCE: The home is generally maintained to a high standard. Some attention is required to some guttering, an outside window, a bathroom, and tiling in one toilet. The home meets the requirements of the fire brigade and the local environmental health officer. The garden remains inaccessible due to the current building work and paths and handrails will need to be refurbished after the current building work has been finished. Residents said that they had had as much consideration as possible during the current dislocation, and one said that they were looking forward to the completion. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 14 Communal areas are to a good standard and well furnished. Lighting is domestic in character. Disability equipment is provided for residents eg a stair lift, and walking frames. The home has not had an assessment carried out by a qualified occupational therapist, and a requirement has been repeated that a suitably qualified person carries out a full assessment of the premises once building work has been completed. The extension will incorporate a shaft lift. Residents said that they like their bedrooms, and have been able to bring in their own furniture. Records inspected showed that an inventory of furniture brought in to the home by residents is kept and signed by them. Residents can have a key to their lock and a lockable storage space in their room if they so wish. A record is kept in their care plan re this. One record not filled in was completed during the inspection. The laundry floor still needs replacing with an impermeable finish. Residents said that the laundry service provided by the home works well. The home is kept clean, hygienic and free from odours. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 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 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 and 29. A competent staff team meets residents’ needs. The home has a commitment to staff training. More staff need to undertake NVQ level 2 in care. Recruitment procedures are robust. EVIDENCE: A current rota was made available for inspection. This showed that additional staff are on duty at peak times of activity during the day. Residents said that there are enough staff to meet their needs. They said that staff respond rapidly and helpfully when they use the call system. Residents and staff said that staff turnover is low. The manager said that staff left in charge are always aged at least 21 years. The manager said that the staff structure includes three senior carers, and that she or the owner is always on call to staff. The manager gave a commitment that the levels of staffing will be increased appropriately when registered numbers increase with the completion of the extension. The home encourages staff to take NVQ qualifications. A staff member has NVQ 4 from a previous post and is checking its ongoing validity. Another staff member has NVQ level 3. One staff member is doing NVQ level 3 and one NVQ level 2. Recruitment records of recently joined staff contained the required detail. Staff said that they are given terms and conditions of employment and records inspected confirmed this. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 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 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) 32.33,36,37 and 38. The management approach of the home creates an open approach for residents. The home has developed suitable quality assurance mechanisms. Staff receive regular supervision. Records are generally well kept. The home arranges as far as possible to promote the safety and welfare of residents. Some staff need refresher training in first aid. EVIDENCE: Residents said that they feel able to raise matters with staff and the manager, who are approachable. Staff said that they have regular contact with the manager and provider and that the approach of the home is open and that their ideas are listened to. Staff said that regular minuted staff meetings are held and the minutes of these were made available to the inspector. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 17 The home has in the past conducted regular questionnaire surveys of residents and visitors including relatives, care managers and nurses. The responses to the most recent consultation are now being received and will be included in the service user’s guide. A necessary minor amendment to the home’s quality assurance policy was made during the inspection. Staff said that they receive regular supervision, and records inspected confirm that this is at the recommended frequency. Records inspected were found to be securely kept. Recording was to a good standard. Residents are aware that they can have access to their records if they wish. Staff have received training in infection control, fire safety and moving and handling. Some staff need refresher training in first aid. The manager removed a door wedge found during the inspection. It is recommended that self-closing fire doors be fitted where possible throughout the home. The home has completed a fire risk assessment. The home’s accident book is well maintained. and incidents reported regularly to the Commission for Social Care Inspection. The home’s gas and electrical systems are inspected regularly. Eridge House H59-H10 S21097 Eridge House V227865 130605 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 x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x 2 x 3 x 2 STAFFING Standard No Score 27 3 28 3 29 3 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 x 3 3 x x 3 3 2 Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 19 YES 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. 2. Standard 9 19 Regulation 13(2) 23(1) 23(2)(b) Requirement Ensure that drugs are suitably administered. Ensure that all external pathways and handrails are repaired in order to ensure the safety of service users (Requirement from last inspection). Ensure that a full assessment is carried out by a suitably qualified person in relation to environmentl adaptations once building work is completed.(Requirement from last inspection). Replace the laundry floor with a covering that is impermeable.(Timescale of 1/5/05 not met). Provide refresher training in first aid for staff as needed. Timescale for action Immediate As part of the current building work. As part of the current building work. 3. 22 16(1) 23(2)(n) 4. 26 12(1) 16(2)(j) 13(4)(c) 13(4) 31October 2005. 31 October 2005. 5. 38 Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 20 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. 3. Refer to Standard 19 28 38 Good Practice Recommendations That physical items raised at the inspection are attended to. That 50 of care staff achieve NVQ level2 by 2005. That self-closing fire doors are fitted where possible. Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Eridge House H59-H10 S21097 Eridge House V227865 130605 Stage 4.doc Version 1.30 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. 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!