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Inspection on 11/11/05 for Evaglades Residential Care Home

Also see our care home review for Evaglades Residential Care Home for more information

This inspection was carried out on 11th 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

What has improved since the last inspection?

The manager is now allocated specific time to carry out her management duties, which in turn means that staff training and development is better monitored, and residents records and daily planning are more efficient. The medication procedure has been further improved with the use of a printed Medication Administration Record obtained from the pharmacist, rather than a handwritten one being drawn up by the manager.

What the care home could do better:

The manager and deputy manager are aware that there is always room for improvement to the good quality service they provide, and are open to suggestions as to how they can continue to improve the quality of life for the residents.

CARE HOME ADULTS 18-65 Evaglades Residential Care Home 394 Marine Road East Morecambe LA4 5AN Lead Inspector Ms Jenny Hughes Unannounced Inspection 11th November 2005 10:00 Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 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 Evaglades Residential Care Home DS0000045535.V262022.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 Adults 18-65. 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. Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Evaglades Residential Care Home Address 394 Marine Road East Morecambe LA4 5AN 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) 01524 732593 Mrs Sheila Mavis Mecklenburgh Miss Mandy Rowlands Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must at all times employ a suitably qualified and experienced manager who is registered with the NCSC. 20th July 2005 Date of last inspection Brief Description of the Service: Evaglades is a three storey building situated on the promenade, and overlooking the bay, in Morecambe. There is no outside space at the back of the home, but there are seats at the front of the home, where residents can sit in the better weather and watch the world go by. Large windows at the front of the home display the views along the coastline. It has been adapted to meet the safety requirements of a care home, and only the lower two floors are for residents. There is no lift in the home, so residents need to have fairly good mobility. All except one of the rooms are single, and they are all ensuite. There is sufficient communal space, with the lounge/dining area at the front of the home. There is easy car parking space in the road outside the home. Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours, and was one of the two inspections, which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owners were not aware that the inspection was to take place. The registered manager was interviewed, and the deputy manager and five of the residents were spoken to. Staff and care records were inspected, and a tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: The manager and deputy manager are aware that there is always room for improvement to the good quality service they provide, and are open to suggestions as to how they can continue to improve the quality of life for the residents. Evaglades Residential Care Home DS0000045535.V262022.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. Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The standard of the décor in this home is good, giving the residents a pleasant, clean and comfortable environment to live in. EVIDENCE: The home is well maintained, and decorating was ongoing in the dining and kitchen areas during the visit. The manager confirmed that upkeep of the standard of decoration is the same as in any family home, and all of the rooms viewed were clean, tidy and very homely and comfortable. Double-glazing is gradually being fitted in all of the bedroom windows. Two of the residents who share a room were sat cosily on the sofa in their room, watching their own television. Personal photographs and belongings were around them. One of the residents proudly showed his record and book collection. Steps to the front door, and no lift inside the home, means that residents must have fairly good mobility to stay there, and the needs of all of the present residents are met. Local shops and entertainments are within easy walking distance from the home, and some residents enjoy a walk along the promenade the home is situated on, overlooking the lovely view of the coastline. One resident enthusiastically put her coat on for her short walk around the block that she Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 14 liked to do most days, while being tactfully monitored by staff. “I like to have a walk. It’s good”, she said. Fire and environmental health checks have been carried out. The laundry is away from where food is prepared and eaten, and is kept well in order by the staff, who were aware of how to prevent possible infection. Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Evaglades Residential Care Home DS0000045535.V262022.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Evaglades Residential Care Home Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000045535.V262022.R01.S.doc Version 5.0 Page 18 NO 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. 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. Refer to Standard Good Practice Recommendations Evaglades Residential Care Home DS0000045535.V262022.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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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