Inspection on 25/10/05 for Essendene

This inspection was carried out on 25th October 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

Essendene 02/03/07

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 Announced Inspection 25th October 2005 09:05 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.V254193.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. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 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 (3), Old age, registration, with number not falling within any other category (13) of places Essendene DS0000006662.V254193.R01.S.doc Version 5.0 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 3 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 3rd May 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 three service users with dementia and over the age of sixty-five may be accomodated. Service users are accomodated 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. The home offers accommodtion in nine single bedrooms and two shared bedrooms. 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. The house is a non-smoking evironment 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.Service users receive individual, prompt and attentive care in a friendly environment from a courteous staff team. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 25th October 2005 over a period of six and a half hours to assess if the residents’ needs were being met at the home. A tour of the premises included all communal areas, communal bathrooms and toilets and all bedrooms except one. Several members of the management and staff team were spoken to and discussions were held with 4 residents. What the service does well: What has improved since the last inspection? What they could do better: Greater care could be taken when recording the administration of medication to residents. Some information to existing and prospective residents could be updated. Some refresher training is necessary regarding food hygiene, emergency aid and safer handling. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 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. Essendene DS0000006662.V254193.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 Essendene DS0000006662.V254193.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): 1,2 4, and 5 A statement of purpose and service user guide provides useful information for residents and provides a description of the service. The process of moving new residents into the home is well managed to ensure that people moving in, and their relatives, know what to expect and that their needs will be met at the home. EVIDENCE: The statement of purpose was re written earlier in the year. This is an informative document and provides a description of the home and the physical environment. It outlines the aims and objectives of the home, the quality policy and provides other pertinent information regarding service users rights, the staffing, facilities and services provided. Advice was given at feedback to the inspection, as the information in the statement of purpose did not reflect the changes to the registration categories. Three registered places now exist for people over 65 years of age with dementia. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 9 A service user guide has been made available for potential and existing residents. It includes a full description of the services provided. This also needs to be updated with the same information regarding changes to the registration categories. Each resident is given a contract or statement of terms and conditions of residence when they move into the home. This states their room number, what services are covered by the fee, and outlines their rights and obligations as well as those of the registered provider. Two recent examples of statements of terms and conditions were seen and these were clear and explicit. Three care files were checked and showed that there are positive working relationships between staff at Essendene and care professionals including general practitioners and community nursing staff. Two health professionals provided positive comments on pre-inspection questionnaires regarding Essendene. The home was described as very well run and one of the best in the Northwich area. It was also described as having a warm, friendly and homely environment and with efficient and very caring staff. Residents have access to health care support whenever necessary. 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. The daily care notes accurately recorded the care provided and identified changing needs. Residents had been referred to specialist health care services as necessary and detailed records were kept of the outcome of health care visits to ensure staff members were aware of changing needs and could provide appropriate care and support. During the course of the inspection 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 seen to anticipate needs and to provide, prompt courteous care and attention. Several residents provided positive comments regarding the individual and attentive care provided and described staff members as kind and friendly. There is a small and stable staff team and staff members are trained and experienced and to enable them to offer high quality care and support to residents. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 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 the following standard(s): 9 and 11 Minor improvements are needed to maintaining medication administration records to ensure that residents receive medication as prescribed. Policies and procedures for handling death and dying are in place and observed by staff. Residents and their families have been approached to ensure residents wishes regarding death and dying are known and recorded and respected. EVIDENCE: The medication procedures are comprehensive and generally the medication is well managed. Some improvements to the standard of the recording of medication administration have been noted since the last inspection. Photographs of residents are available alongside medication administration records to aid identification and medication guidelines and medication policies and procedures are also contained within the medication administration file for staff to refer to. All the medication administration records were checked and contained specific information and special instructions. Any allergies were clearly stated and administration times were highlighted and colour coded to aid staff. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 11 Despite the above areas of good practice two unexplained gaps were found in the recording of administration and two items of medication had been taken from their original packaging and were not labelled with the residents names. See Recommendation 1. Essendene have policies and procedures regarding Dying and Death and ensure residents wishes regarding terminal care and arrangements after death are discussed and recorded. Staff members are familiar with NVQ module 10 relating to specific health problems, changes related to ageing and dealing with dying. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None Standards 12 to 15 inclusive were assessed at the last inspection on 3rd May 2005. EVIDENCE: Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 13 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): 17 Arrangements for protecting residents’ legal rights are in place and residents and their family members can be advised of helpful advocacy services when necessary. EVIDENCE: Residents are enabled to take part in elections by postal voting. When residents lack capacity and are vulnerable, Essendene can direct residents and their relatives to advisory services from which they can gain support. Essendene intends to obtain literature to pass to residents and relatives regarding local advocacy services. 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. 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. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 14 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): 20,21,22,23,24 and 25 Essendene is very well maintained, clean and hygienic. It is decorated and furnished to a good standard and provides a bright, comfortable and welcoming environment for residents. EVIDENCE: Essendene is located on the edge of the village within its own grounds and is separated from the road by its car parking area. The grounds are tidy, safe, attractive and accessible to residents. Indoors the communal areas are well maintained and furnished providing a comfortable, and homely environment for residents. As on previous inspection visits, the home was cleaned to a high standard and was welcoming, pleasant and hygienic. Resident and relatives confirmed that high standards of cleanliness are always evident throughout the home. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 15 During the inspection all communal areas, communal bathrooms and toilets and all bedrooms except one were checked and all were well maintained and fresh. There are nine single and two shared rooms. In the shared rooms residents have made a positive choice to share. There are sufficient toilets throughout the home. One of the two bathrooms on the first floor includes a toilet, with an additional toilet on the first floor and two toilets on the ground floor. Staff members regularly check the toilet and bathroom facilities to ensure that they are clean. The bathrooms and toilets contain liquid soap and paper towels for hand washing to reduce the risk of cross infection. One bath is specially adapted for the less able and a shower is also available for use. Residents are individually referred and assessed for equipment to aid mobility. Call alarm points are available in bedrooms. There is a hydraulic bath hoist, personal hoists and a five –person passenger lift available. Residents’ bedrooms are well decorated and carpeted. The bedrooms are comfortable and personalised with residents’ own belongings and furniture is positioned to suit individual needs. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 16 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): None Standards 27 to 30 inclusive were assessed at the previous inspection on 3rd May 2005. EVIDENCE: Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 17 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): 31,32,34,37 and 38 Both proprietors have successfully run care homes for older people for over 16 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. There are suitable accounting and financial procedures and good organisation and recording systems in the home to safeguard residents. Staff are closely monitored and supervised and health and safety matters are carefully considered and acted upon to promote the health, safety and welfare of residents and staff. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 18 EVIDENCE: Essendene is committed to delivering quality services to residents, providing caring, competent and well- trained staff in a homely atmosphere. The registered manager is experienced and leads by example. There is a low staff turnover and care is taken when recruiting and selecting staff to ensure high quality care is provided and standards are maintained. The home continues to improve its services and to respond to changing needs. It has recently and successfully undergone a reassessment to retain the Investors in People Award and continues to encourage and support staff with training and qualification. Key management responsibilities are divided between the registered manager and care manager. All the senior care staff members have been allocated additional responsibilities and special duties to ensure the smooth running of the home. A staff member is responsible for health and safety issues, care planning and medication. Another staff member attends to social care, whilst other staff members have different responsibilities including first aid, quality and personal care. Specific training is cascaded through managers, care supervisors and senior carers. Shift- planning records and checklists ensure staff complete all domestic tasks and necessary records during each shift. This system prevents various responsibilities from being overlooked and is an example of good practice. Residents are safeguarded by the accounting and financial procedures of the home. A copy of the un-audited financial statement for the year ended 31 March 2005 was seen and provided evidence of appropriate accounting and financial procedures for the home. A current certificate of employers liability insurance was on display in the home alongside a membership certificate for The National Care Homes Association. When necessary Essendene can request and receive guidance regarding best practice from The National Care Homes Association. The homes policies and procedures are available to all staff. Individual and home records are up to date and securely kept. 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 an inspection of the home on 1st July 2005. Equipment safety checks and servicing was up to date and all risk assessment documentation was in place as appropriate. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 19 Advice was given at feedback to the inspection, as some refresher training is necessary regarding food hygiene, emergency aid and safer handling. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 20 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 3 3 X 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X X 3 3 Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 21 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 OP9 Good Practice Recommendations Ensure care is taken when recording the administration of medication. Make certain that all administration is accurately and fully recorded, that medication is stored within its original packaging and labelled with the resident’s name. Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Essendene DS0000006662.V254193.R01.S.doc Version 5.0 Page 23 - 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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