Inspection on 22/06/05 for Eskdale House

This inspection was carried out on 22nd 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 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

Eskdale House 20/06/06

Eskdale House 12/12/05

Eskdale House 24/11/04

Eskdale House 21/04/04

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 Eskdale House Swan Street Longtown, Carlisle Cumbria CA6 5UZ Lead Inspector Paula Banham Unannounced 22 June 2005 12.15 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. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eskdale House Address Swan Street Longtown Carlisle Cumbria CA6 5UZ 01228 791366 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) Cumbria Care Geraldine Ann Watt Care Home 27 Category(ies) of Dementia - over 65 years of age (6), registration, with number Old age, not falling with any other category of places (27). Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) The home is registered for a maximum of 27 service users to include: - up to 27 service users in the category of OP (old age not falling within any other category) - up to 5 service users in the category of DE(E) (Dementia over 65 years of age) 2) One named service user in the category of DE(E) (Dementia over 65 years of age) may be accommodated within the overall number of registered places 3) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 4) When single rooms of less than 12sqm usable floor space become available, they must not be used by wheelchair users and where exisiting wheelchair users are in bedrooms of less than 12sqm they must be given the opportunity to move to a larger room when one becomes available 5) Two service users may share a bedroom of at least 16sqm usable floor space only when they have made a positive choice to do so and when a shared space becomes vacant the remaining service user has the opportunity to choose not to share, by moving into a different room if necessary 6) The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults Date of last inspection 24/11/04 Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Eskdale House is a residential care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to twenty-seven residents. The home is owned by Cumbria County Council and carried on by Cumbria Care which is a County Council business unit. Mrs Ann Watt is employed as the registered manager of the home. The home is located near to the centre of Longtown and is close to local shops, GPs’ surgeries and local churches. The property consists of a purpose built two storey building and is equipped with a passenger lift to assist residents to access accommodation on the first floor. Accommodation is provided in twenty-five single bedrooms and one double room which two people can choose to share. Three bedrooms have ensuite toilet facilities and there are accessible toilet and bathing facilities close to all the accommodation provided for residents. Shared space is provided in the form of two lounges with dining areas and a separate sitting room which residents can use to meet their visitors in private. Outdoor space is provided by an enclosed courtyard with flowerbeds and seating for residents and a garden area which is accessible to the people living in Eskdale House. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on 22nd June 2005. The inspection focussed on how the services provided in Eskdale House meet the needs of the people living there. This was assessed by speaking to residents, visitors and care staff, observing activity in the home and reading a sample of the records which care homes are required to hold. What the service does well: What has improved since the last inspection? Areas of the home have been redecorated which continues to provide a clean and pleasant environment for residents to live in. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 7 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. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 8 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 Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 9 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, 4, 5 and 6 The home has a good admissions procedure which ensures that residents know their needs will be met by the services provided. EVIDENCE: People are encouraged to visit Eskdale House so that they can assess whether the home is suitable for them. The home has a thorough admissions procedure which includes prospective residents’ needs being assessed to ensure that they will be met by the services provided. Appropriate action is taken when the home can no longer meet the needs of an individual to ensure that their welfare is protected. Eskdale House does not provide intermediate care. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui 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, 8, 9 and 10 Residents’ needs are known to the staff who support them and they receive the care they need to maintain their health and wellbeing. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: Residents’ needs are recorded in their individual plan of care. Care staff are knowledgeable about the needs and preferences of each individual in the home and people receive the care they need in the way they prefer. Residents receive health care from local health services, including specialist services and their health and well being are maintained. Medication is handled safely in the home. Residents are treated with respect and care staff take appropriate actions to protect their privacy and dignity. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui 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) 13, 14 and 15 Residents make choices about their lives and the decisions they make are respected. Visitors are made welcome in the home and residents benefit from maintaining contact with their friends and families. Meals are well planned and provide a nutritious and varied diet which takes into account the preferences of individuals living in the home. EVIDENCE: Residents make choices about their lives including how they spend their time and the visitors they receive. The home has a separate sitting room where residents can see people in a private and comfortable environment. Meals are varied and nutritious and residents enjoy the meals provided. Residents said, “the meals are very good” and “the food is lovely”. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui 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 Residents know how to make complaints about the home and know their complaints will be handled properly. EVIDENCE: Residents and care staff are knowledgeable about the home’s complaints procedure. Residents said they have raised concerns with staff in the home and they were satisfied with the response given. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui 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, 21, 22, 23 and 26 Eskdale House provides a safe, pleasant and comfortable environment for residents to live in which is suitable to meet their needs. EVIDENCE: Eskdale House provides a homely, comfortable and clean environment for residents to live in. Adaptations are in place to assist residents to maintain their independence including grab rails, a passenger lift and specialised toilet and bathing facilities. Residents said the accommodation in the home is “very good” and “the nicest I’ve stayed in”. Accommodation is arranged so that residents can choose whether to spend time with other people or on their own. Residents have brought their own possessions into their bedrooms and said the rooms are “very nice”. The premises are well maintained and provide a safe and hygienic place for people to live. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 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 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 and 30 Residents benefit from receiving support from staff who are well trained, experienced and competent. Staffing levels are well managed and ensure residents’ needs are met. EVIDENCE: Care staff have received appropriate training to give them the skills and knowledge to provide the care residents need. Staff are available to assist residents as they need and residents receive support in a timely manner. Staff and residents have developed positive relationships which contributes to the relaxed and friendly atmosphere in the home. Residents made many positive comments about the staff in the home and said, “I can’t speak highly enough about the carers”. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 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 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, 32, 35, and 38. The home is well managed and residents’ rights, heath and welfare are protected. EVIDENCE: The home has an effective management team which provides care staff with the support and supervision they need to provide a high standard of care. The atmosphere in the home is relaxed and open and residents know they can approach the supervisors or managers if they have any concerns or complaints. Residents said the atmosphere in the home is “lovely” and “very friendly”. Safe systems are in place for handling money held on behalf of residents which ensure their financial interests are protected. Care staff have received training to give them the skills and knowledge to carry out their duties safely. The premises are well maintained and provide a safe environment to live and work in. Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 16 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 x x 3 STAFFING Standard No Score 27 3 28 x 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 3 3 x x 3 x x 3 Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 17 NA 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 Good Practice Recommendations Eskdale House F58-F10 s36493 Esdale House v218678 220605 ui Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park, Gillan Way Penrith Cumbria, CA11 9BP 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. 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