Inspection on 02/03/07 for Essendene

This inspection was carried out on 2nd March 2007.

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

Essendene 25/10/05

Essendene 17/05/05

Essendene 06/01/05

Essendene 29/07/04

Essendene 10/02/04

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 Essendene 199 Runcorn Road Barnton Northwich Cheshire CW8 4HR Lead Inspector Sue Dolley Unannounced Inspection 10:05 2 March 2007 nd 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 Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Essendene Address 199 Runcorn Road Barnton Northwich Cheshire CW8 4HR 01606 781182 01606 871323 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) Mr Peter Brocklehurst Mrs Carol Brocklehurst Mrs Carol Brocklehurst Care Home 13 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (13) of places Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of thirteen service users to include: * Up to 13 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 the age of 65) The care plans and placements of service users in the category of DE(E) must be subject to at least quarterly review 25th October 2005 2. Date of last inspection Brief Description of the Service: Essendene is situated in the village of Barnton approximately three miles from Northwich on Runcorn Road just off the A49 and close to the M56 and M6 Motorways. The mature detached residence is set in half an acre of grounds and at the rear it overlooks the Weaver valley. It is situated close to the village centre and to amenities such as doctors, a chemist, and post office etc. and is on the main bus routes to Northwich and Warrington. The home was registered in 1991 and offers residential care to 13 older people. Within this number up to five service users with dementia and over the age of sixty-five may be accommodated. The home offers well-maintained and equipped accommodation in nine single bedrooms and two shared bedrooms. Service users receive individual, prompt and attentive care, in a friendly environment from a courteous staff team. The home provides care for older people. The fees for Essendene currently range from £344.00 to £417.00 per week. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 2nd March 2007 over a period of five hours to assess if the residents’ needs were being met at the home. A tour of the premises included all communal areas and communal bathroom and toilets. Several of the senior staff members were spoken to and discussions were held with three residents. What the service does well: What has improved since the last inspection? The premises are continuously refurbished to provide a very well maintained environment. Since the last site visit four bedrooms and the rear porch have been repainted. Improvements have been made to the lift area. New over bed tables and new commodes have been provided. Toilet areas have been fitted with mirrors and new light fittings and shades have been provided to the lounge and dining room. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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 Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The process of moving new residents into the home is well managed to ensure that residents, and their relatives, know what to expect and that their needs will be met at the home. EVIDENCE: The pre-admission documentation and initial assessments for four recently admitted residents were checked. All care needs had been identified and addressed. The reason for admission was stated and the manager and senior staff had liaised closely with the prospective residents, family supporters and social care professionals to gather information for initial assessments. This action had helped to determine individual needs and the level of support necessary. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 9 Residents spoken with confirmed that they, or their relatives had visited the home prior to them accepting a placement or that they had moved into the home following a personal recommendation. In separate discussions with two residents, both residents suggested that it would be helpful if staff could wear name badges. One of the residents also thought had they would be helped by having their name on their bedroom door to help them locate their room. Intermediate care is not provided at Essendene and therefore National Minimum Standard 6 does not apply and was not assessed. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their health and personal and social needs. Attentive staff members closely monitor the progress of residents. This ensures all care and health needs are met and regularly reviewed. EVIDENCE: The four plans of care checked detailed action to be taken by staff to ensure all aspects of health and personal care needs were met. Risk assessments were conducted appropriately and daily notes were extremely informative and provided evidence of attentive care and support. There was of a high level of satisfaction from residents and their supporters about the attentive care provided. One resident said that nothing was too much trouble for the staff. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 11 Three residents spoken with each said that they had prompt access to health care whenever necessary and several relatives of residents said that they were always kept informed of any changes in health and wellbeing. The manager and staff ensure that residents have appropriate health care support. A daily report book is used to record additional information so that staff members can provide continuity of care and familiarise themselves with any changes regarding care at handover of shifts. Care monitoring records are available to record all aspects of personal care given and a care plan review reminder is in place to ensure plans are reviewed at appropriate intervals. One care file checked included detailed notes regarding a recently noticed and increased level of confusion. Relative’s views regarding this had been recorded and the General Practitioner had been contacted and had been asked to visit, to determine the cause and to provide appropriate support. The care files seen provided evidence of residents being referred to specialist health care services as necessary. Detailed records were kept of the outcome of health care visits to ensure staff members were aware of changing needs and the action to be taken to provide appropriate care and support. Advice was given regarding the storage of information. Currently information regarding care plans, medical information, and daily notes are stored in collective files. To aid retrieval of information regarding each resident and to allow a complete picture of care and change to emerge for each individual, it could be useful and practical to store these items of information in one file for each resident. During the course of the site visit staff members were observed to have the skills and experience to deliver the services and care which the home offers to provide. Staff members were attentive, were seen to anticipate needs and to provide prompt and courteous care. There is a small and stable staff team and staff members are trained and experienced which enables them to offer high quality care and support to residents. A local pharmacy supplies medication and provides good liaison, advice and support. The medication procedures are comprehensive and are available alongside the medication administration records so that staff can refer to them. The registered manager and five members of staff have been trained and are responsible for administering medication. Within the Medication Administration Records the administration times were highlighted and any special instructions and allergies were clearly stated. Photographs of residents are included to ensure positive identification. Generally the medication is well managed and medication is carefully and accurately recorded. Despite the above areas of good practice three items of medication had been taken from their original packaging. These were found in the medication trolley and were not labelled with the resident names. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff members enable residents to participate in a wide variety of social activities inside the home and within the community. Food is of a high standard and meals are imaginative and varied with ample choice to satisfy resident’s preferences and dietary needs. EVIDENCE: Since the last site visit residents had participated in a wide variety of activities. At Christmas there had been a trip to Smithills coaching house for Christmas Lunch with entertainment. Throughout the site visit residents moved freely around the home, chatting to each other, staff and visitors. Some were quietly engaged in reading, completing crosswords and corresponding whilst others watched television. There was a steady stream of visitors, and all were warmly welcomed into the relaxed environment. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 13 During the site visit the minutes of the last residents meeting were read and residents reported that they had enjoyed previous trips to Blackpool illuminations, to Southport and to Norton Priory. Residents suggested future trips to Rhyl Sea life Centre and to Walton Park. The weekly in house activities, entertainment and outings log provided evidence of planned activities including shopping, dominoes, reminiscence sessions, visits by the hairdresser, religious services, craftwork, board games, chair based exercises, parties, coffee mornings, clothing sales, bingo and the use of story tapes etc. Every effort is made to ensure residents keep their interests and remain involved in activities important to them. Family involvement is encouraged and appreciated. Residents said that they were entirely satisfied with the level of activity organised and praised staff for their efforts in organising activities and for keeping them informed and aware of events locally and generally. Tea and coffee making facilities are available in the rear porch, to enable residents and visitors to make additional drinks when required. A cordless phone is available to residents to enable them to make and receive telephone calls at their convenience and in private. The senior staff members on duty, including the manager take responsibility for the catering. All staff members involved have completed training in food hygiene. The manager ensures that individual requests and preferences are accommodated and alternative meals are always available. Care is taken to compile menus with nutritionally balanced meal choices. Special therapeutic diets are provided when advised by health care professionals. Lunch is the main meal of the day and the daily menu is prominently displayed in the dining room. In conversation with residents, residents reported that the food provided was of a very good standard and meal times were seen to be unrushed social events enjoyed by all. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s interests are safeguarded and residents feel confident that any concerns raised would be taken seriously and acted upon. EVIDENCE: The statement of purpose clearly states residents’ rights and there is a clear and accessible complaints policy and procedure through which residents and relatives can address any issues important to them. The pre- inspection questionnaire stated that there had been no complaints during the last twelve months. In discussion with three residents they each said they had had no cause for complaint and that if they were unhappy about anything at all they would feel happy to speak with the staff or owners. The home is committed to ensuring that residents are consulted about matters, which are significant in the running of the home, which might affect their well being, or quality of life. Management and staff are always available to listen and respond to the views of residents and to provide advice and support. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 15 When residents lack capacity and are vulnerable, Essendene can direct residents and their relatives to advisory services from which they can gain support. All staff members receive training re Adult Abuse and Protection. They watch training videos and complete written work to support their learning to ensure they have sufficient understanding to help protect residents. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well- maintained clean and pleasant home, which is decorated and furnished to a good standard providing a comfortable and homely environment for residents. EVIDENCE: Service users are accommodated on the ground and first floors; the proprietors use the floor above. Access between the ground floor and first floors, is by stairs or lift. Each room is well furnished and decorated and fitted with a call bell system, wash basin and television point. There is one lounge and dining room at the front of the property. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 17 The house is a non-smoking environment except for the rear porch area. There are two bathrooms and five toilets within the house. Grab rails and handrails are provided to corridor, bathrooms and toilet areas and there is a hydraulic bath hoist and personal hoists and various other items of equipment to aid independence and mobility. During the course of the site visit all communal areas, communal bathrooms and toilets, the kitchen and laundry were checked. As on previous inspection visits, the home was cleaned to a high standard and was hygienic. Residents and visitors spoken with confirmed that high standards of cleanliness are always evident throughout the home and that the home is well maintained, pleasant bright comfortable and welcoming. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing is generous to ensure staff members have time to spend with residents. There is a well-chosen, loyal and well- trained staff group available to meet the needs of residents. EVIDENCE: Staffing levels are generous. The owners work within the home daily as management staff. There are two care supervisors a senior care assistant and 9 care assistants plus night care and domestic assistants. A vacancy for a night care assistant has been recently advertised. There is a small, stable staff team, who have been carefully selected and are experienced and committed to providing good quality of care to residents. In discussion with residents, they spoke highly of the attentive care and support provided by staff and two residents said that they felt very luckily to have such good care and support. 57 of staff have achieved NVQ Level 2 training or above. During the site visit four staff recruitment files were checked and provided evidence of thorough recruitment and selection procedures in place to safeguard residents. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 19 All necessary staff checks had been undertaken. Advice was given at feedback to the site visit to ensure evidence of Protection of Vulnerable Adult checks are made available for future inspection purposes. An example of a staff induction pack was seen and provided comprehensive information about the running of the home, health and safety guidance, policies and procedures to be followed and the philosophy of care within Essendene. There was well- recorded evidence of ongoing and continual training for staff. In addition there was much evidence of video based training, and of competence being assessed by oral questioning, observation and written work. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietors/ managers are competent and experienced and know residents and staff well. Consequently residents and staff feel safeguarded, supported and valued. EVIDENCE: Both proprietors have successfully run care homes for older people for over 17 years, and hold a range of qualifications. They maintain a high profile in the home, are approachable and work alongside staff getting to know residents and their relatives well. Feedback is sought and encouraged to ensure the home is run in the best interests of residents. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 21 The processes of managing the home are open and transparent and the owners communicate a clear sense of direction and leadership. The home is mainly populated as a result of personal recommendations within the local area. The home is small and staff work closely with residents to create an atmosphere in which residents and their relatives feel supported. Staff members are knowledgeable, alert to changes, cheerful and friendly. The staff team are confident in their delivery of care and were observed to relate well to residents and visitors. There is continual discussion with residents and family supporters to ascertain their views and to act upon suggestions. Residents are encouraged to attend residents meetings to air their views and discuss the running of the home. Meeting agendas are prepared in advance and minutes of the meetings are taken and provided to ensure everyone is kept informed. Records are kept of all transactions entered into by the registered person and suitable accounting and financial procedures are adopted to ensure there is effective and efficient management of the business. Appropriate Insurance cover was in place. Eight examples of resident’s personal money held for safekeeping were checked against the records kept. Five of eight balances and records were accurate with receipts provided for expenditure. There were minor anomalies on three records where balances exceeded the amounts shown on the records. The records and balances of service users money held for safekeeping should be regularly checked to ensure that they agree. The proprietors ensure so far as reasonably practicable the health, safety and welfare of residents and staff. A number of records were checked to indicate this. The Fire Precautions record book and accident record were well maintained. Cheshire Fire Brigade had undertaken a fire safety audit on 22/01/07 and at feedback to the inspection Essendene was asked to supply a copy of this report to the lead regulatory inspector for consideration. Advice was given regarding the completion of accident records to ensure that any action taken as a result of an accident is also thoroughly recorded. Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. 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 OP3 Good Practice Recommendations Consider with residents the use of name plates on bedroom doors help residents locate their rooms and also consider the use of name badges for staff to aid recognition. Make certain that medication is stored within its original packaging and labelled with the resident’s name. The records and balances of service users money held for safekeeping should be regularly checked to ensure that they agree and are accurate. 2. 3. OP9 OP35 Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Essendene DS0000006662.V315551.R01.S.doc Version 5.2 Page 25 - 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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