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Inspection on 16/11/05 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 16th November 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.

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

There is a varied diet of good quality food available for the residents. All residents who met with the Inspector were very positive about the approach and quality of the staff employed by the home. The staff team are friendly and committed to their task. There was very good feedback given to the Inspector by both staff and residents about the approach of the manager and owner. The home was clean, tidy, warm and well maintained. The home regularly seeks feedback from both residents and their relatives via a questionnaire process.

What has improved since the last inspection?

The new extension has been completed to a good standard. The laundry floor has been replaced and new handrails installed to improve access to the garden. The premises have been assessed by an occupational therapist.

What the care home could do better:

Residents receiving respite care should have personalised risk assessments completed on them regarding their vulnerabilities. When medication is discontinued it should be recorded. Provide a better venue for smoking.

CARE HOMES FOR OLDER PEOPLE Eridge House 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN Lead Inspector Paul Taylor Unannounced Inspection 16th November 2005 10:30 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 Eridge House DS0000021097.V250170.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. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eridge House Address 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN 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) 01424 214500 Mrs Heidi Haddow Mrs Linda Jeanne Stevens Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum service users to be accommodated is thirty (30). Service users should be aged 65 years or over on admission. Date of last inspection 13th June 2005 Brief Description of the Service: Eridge House is a detached property registered to provide accommodation and personal care for up to 40 older people. Nursing care is not provided. The home is situated in a residential area of Bexhill-on-Sea close to the seafront and near to Collington railway station. The town and shops are a ten minute walk away. The home opened a new extension providing an extra 10 rooms which opened in September 2005. There was a brand new lift installed at this time. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place at Eridge House on 16/11/05 starting at 10.30 a.m. and finishing at 3 p.m. The Inspector met with the owner, five members of staff and five residents. The manager was not in the home on the day of the inspection as she had a prior appointment. A tour of the premises was undertaken and a number of records were examined. 35 residents were living in the home at the time of the inspection. A new extension had been opened shortly before the inspection and this had been completed to a good standard. What the service does well: What has improved since the last inspection? The new extension has been completed to a good standard. The laundry floor has been replaced and new handrails installed to improve access to the garden. The premises have been assessed by an occupational therapist. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eridge House DS0000021097.V250170.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 Eridge House DS0000021097.V250170.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 and 5. Whilst the needs of all permanent residents have been assessed, there is a need to ensure that those receiving respite care are subject to just as thorough assessments. The home is open and welcoming in the process of allowing prospective residents and their families to visit. EVIDENCE: The Inspector examined the home’s assessments of two residents who were at the home for periods of respite care. There was no record of their social needs or personal risk assessments being undertaken in these documents. These need to be completed in all cases. The home encourages both prospective residents and their families to visit the home. One resident told the Inspector that his three daughters had visited separately to ‘vet’ the home prior to his admission and that the staff in the home had been open and helpful during this process. Additionally the manager or proprietor visit prospective residents prior to their admission. Eridge House DS0000021097.V250170.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): 9 and 10. On the whole the recording of medication was up to date and accurate. The fact that a drug being discontinued for a resident following a hospital visit was not recorded is a ‘systemic’ fault and not down to an error by a member of staff. The medication procedure needs to be updated to include what to do when this type of incident occurs again. The home provides sensitive care to residents and their dignity is respected. EVIDENCE: There was a record of training given to members of staff with regards to medication administration and recording. There is also advice given to the home by a local pharmacist. The Inspector examined the records of medication administered. These were accurately recorded and up to date. There was one instance of a drug use being discontinued for a resident following a stay in hospital but the cessation of this drug had not been recorded. There was unanimous positive feedback from the five residents that met with Inspector about the quality of care and the sensitive approach of the staff in the home around issues of choice and dignity. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 10 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): 13, 14 and 15. Visitors to the home are made welcome. Activities are well managed. The quality and choice of food provided in the home is very good. EVIDENCE: All residents who met with the Inspector said that they are able to have visitors whenever they want and that they are made welcome by the staff. The home’s Statement of Purpose does give advice about the best times to visit residents. Residents told the Inspector that they were able to go out when they wished and that members of staff also took them out. Outings included visits to the pub, theatre, shops and local church. All residents who met the Inspector said that their preferences and choices were respected. They are able to get up when they want, have choices in their food and are able to go out when they wish and to participate in activities. The Inspector examined a record of menus prepared by the catering staff in the home. Members of staff who met the Inspector were of the view that the food served to residents is a strength of the home. Residents who met with the Inspector were unanimous in their praise of the quality and choice of food they receive. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 11 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 suitable complaints process in place. Members of staff are aware of what to do in the event of concerns about residents’ welfare and they have written guidance to refer to. EVIDENCE: The home has a complaints process and procedure in place. Residents who met the Inspector were aware of how to make a complaint. There is a policy and procedure in place for members of staff to follow in the event that they are concerned about the welfare of a resident. Members of staff who met the Inspector were aware of what procedures to follow if they are in any way concerned that a resident is being abused. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 12 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): 19,25 and 26. The home is clean, comfortable and warm. The fire exit signs need to be put in the correct places as a matter of urgency. The Inspector recommends that the possibility of a new smoking area is explored. Electronic doorstops would ensure that doors are not wedged open. EVIDENCE: All matters that needed to be addressed after the last inspection had been addressed. This has included new flooring put in the laundry and new handrails on the path leading to the garden. The home has opened a new extension this year, which has increased the numbers in the home to a maximum of 40 residents. There is a new lift in place. The premises have been assessed by an occupational therapist. The home was clean and hygienic. Furniture was in good condition and all residents who met with the Inspector said that they are warm in their rooms. Some residents prefer to have the doors to their rooms open during the day and so the Inspector recommends that electronic door closing devices are installed to prevent the temptation to wedge open doors. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 13 The laundry is also used as a smoking room. This is not ideal and the Inspector recommends that the home explores the possibility of setting up a smoking room in a more appropriate environment. Due to the very recent opening of the new extension and the layout of the building being affected the Inspector noticed that not all the fire exit signs were accurately placed. This needs to be done as a matter of urgency. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 14 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): 27,29 and 30. There is a varied programme of training available to the staff team. The staff team functions well. Residents have high regard for the calibre of staff who work in the home. The manager and owner ensure that all the correct checks are carried out on new members of staff before they work in the home. EVIDENCE: The Inspector spoke with five members of staff during the course of the inspection. There was very positive feedback about the teamwork and communication and the levels of support offered to each other and received from the manager and owner. The Inspector saw a record of training since received since the last inspection. First aid training is planned for January 2006; this was identified as needing to be carried out during the last inspection. There is an ongoing N.V.Q. training available to the staff team. There was unanimous feedback from the residents that the Inspector met, which was very positive about the approach, skills and quality of the staff team. The Inspector examined three staff files. These contained all the information required by Schedule 2. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 15 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): 32,35,36 and 38. Residents’ financial interests are safeguarded. Supervision is provided to all staff on a regular basis. The home is managed in an open and competent manner. There is a good system in place to monitor safety records and health and safety obligations. The seeking of feedback on the home’s performance via questionnaires sent to both residents and relatives is good practice. EVIDENCE: There was very positive feedback from members of staff who met with the Inspector about the open approach and level of support available from the manager and owner of the home. Records of supervision were examined. A member of staff collects the pensions for four residents. This process is subject to an auditing and endorsement process operated by the owner of the home. The Inspector examined a record of various health and safety measures such as fire detection equipment, electric and boiler checks, accident reports Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 16 and fire risk assessment. The manager and owner regularly seek feedback from residents and their relatives via questionnaires sent out when care plans are reviewed. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 17 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 2 X 3 x HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 3 X 3 Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 18 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 3 Standard OP3OP OP9 OP25 Regulation 14 (2) (b) 13 (2) 23 (4) (c) (v) Requirement Timescale for action 15/12/05 That assessments of residents receiving respite care are completed thoroughly. That there is a record maintained 17/11/05 of when medication has ceased. That the fire exit signs are 17/11/05 placed correctly. 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 OP25 OP25 OP30 Good Practice Recommendations That a more suitable room is found for smoking. That electronic door closing devices are provided. That first aid training is provided in January 2006. Eridge House DS0000021097.V250170.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office 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 DS0000021097.V250170.R01.S.doc Version 5.0 Page 20 - 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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