Inspection on 20/07/05 for Evaglades Residential Care Home

This inspection was carried out on 20th July 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

Evaglades Residential Care Home 10/07/07

Evaglades Residential Care Home 26/10/06

Evaglades Residential Care Home 11/11/05

Evaglades Residential Care Home 11/01/05

Evaglades Residential Care Home 13/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Evaglades Residential Care Home 394 Marine Road East Morecambe Lancs LA4 5AN Lead Inspector Jenny Hughes Announced 20 July 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 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 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 F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 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 CSCI. Date of last inspection 11 January 2005 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 F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours, and was one of the two inspections, which must be made each year. Additional inspections may be made if necessary. The inspection was announced, in that the owners were aware that the inspection was to take place. The registered manager was interviewed, the deputy manager, one care staff and all six of the residents were spoken to. Surveys were made available to residents, and G.P’s involved with the home, and all of their views were taken into account. Staff and care records were inspected, and policies and procedures were viewed. What the service does well: What has improved since the last inspection? Record keeping has very much developed over the last 12 months, and with its application to be placed on the social service’s Preferred Provider list further encouraging the home, a more efficient method of recording for each person is used. This makes sure all of the individual care which is needed and given is available for reference. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 6 The management of the home is more professional, and the training attended by all levels of staff has made them very much aware of what is expected from a good care home. 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. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 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 standard(s) 1 and 2 The homes Statement of Purpose and Service User Guide are very good, providing residents and prospective residents and their families with details of the service the home provides, enabling an informed decision about admission to the home. The home has a good assessment procedure that is carried out for all residents. This means that a service is provided that is tailored to the individuals needs and preferences. EVIDENCE: There is detailed information available about the home for all residents, or possible residents, which has been developed over time into a very clear and easy to read description of the services provided, and who provides them. Individual records are kept for each resident, and although there have been no new residents for the last three years, the manager was able to discuss the way anyone new would be initially invited to visit the home and meet the residents. A social work assessment would be used to help the manager decide whether the home was the right place for the new person, that the staff were able to give the right care, and that the present residents were compatible with them. Assessments were seen for the long term residents in this home, and a new care planning system was being used which was based on the regular reviews of the care each person needed. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 9 Staff spoken to were aware of the care needs of all of the people in this small friendly home. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6, 7 and 9 There is a system in place, carried out together with each individual, which produces up to date care plans showing how each person should be cared for to achieve the personal goals set. Generally, residents can make decisions on what they want to do. EVIDENCE: The new care planning system is more detailed and structured, with each individual’s plan telling staff how to best look after them, giving information which includes areas covering their physical and mental health needs, dietary needs, and a personal profile. The information creates a clear mental picture of each person. Regular reviews and updates of these take place. These plans are signed by the residents who are able to do so. Some residents spoken to were aware that they had their own ‘papers’, but due to the level of understanding, others did not. The manager and staff constantly talk to the residents, who clearly feel free to say or signal if they want something, when staff check straight away if there is anything they can do to help. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 11 Residents spoken to said that “We do what we want. I might go for a walk in a bit. I said I wanted to go to college and it’s good.” Another commented, “I like shopping.” The manager said that the residents were gently guided to help them make their own decisions. Each individual had daily notes made by staff, where records of decisions made by them were noted. Risk assessments are carried out on residents activities, for example some like to go out on their own for short walks. The manager guides the residents, and discreetly monitors the activity to make sure they are safe. The home itself is regularly checked for any hazards, with staff letting the manager know if there was a problem. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12,13,15, 16 and 17 Residents can choose from a variety of activities to help develop their skills. Their decisions are respected and daily routines promote independence. The meals in this home are good, offering both choice and variety. EVIDENCE: Most of the residents are looking forward to going to college a couple of times a week. One person has decided he does not want to go. They will be going to various classes, dependent on their abilities. A couple are attending a music orientated class which gives information on the wider community, one is attending a music appreciation and communication skills class, and a couple are attending cookery and sewing classes. “I like cooking. I bring it home and everyone likes it”, smiled one resident. The manager said that she tries to arrange the classes for different days, so that those left at home benefit from more attention from the staff. The residents discussed the music afternoons, when the visiting entertainer brings musical instruments for the residents to play along. Some of the Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 13 residents like to use their own instruments, with one bringing along a mouth organ and another a recorder. A craft instructor also visits regularly. The annual holiday has been arranged, and all of the residents were looking forward to it. “We go away soon you know”. One of the residents does not want to stay away from the home, so the owner is taking the individual to the resort every day to be with the group, and back home at night. Residents quietly tucked into their freshly cooked lunch time meal in the dining area, with staff offering more if they wanted. “That was good. I’m full now”, stated one resident. “We always get plenty to eat. I just ask if I want a drink”. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18, 19 and 20 The staff have a good understanding of the resident’s support needs. This is evident from the positive relationships which have been formed between the staff and the residents. The medication at this home is well managed, promoting good health. EVIDENCE: This small home is run as a family home, with a small staff group for the low numbers of residents. This means that both staff and residents know each other well, and so changing needs are easily noted by staff, and passed on by residents. Residents come and go to their rooms as they wish, some choosing to stay there for a while to watch television or play records. “They do knock before they come in” said one resident, of the staff. Staff tactfully suggested to one resident that they call in her room together in order to help her change and feel more comfortable. There were records on each of the files of contact with, for example, GP’s, Community Psychiatric Nurses, and hospital appointments. A new ‘Health Records’ booklet was used for each person, which includes all of their health information in an easy to read and understand style, and would be taken by the resident to any appointment with a health professional. This records the visit, and what the result of that visit was. Staff were in the middle Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 15 of completing these, as residents are involved in doing this with them, and staff said they liked to take time to make sure the resident was sure the information was right. None of the present residents are in charge of their own medication, and any new residents would have a risk assessment before it was decided whether it was safe for them to do so. Staff helping with the administration of medication had attended a medication awareness course. The records were all correct and up to date on forms devised by the manager. A printed medication administration record, listing all of the residents medication, should be obtained from the pharmacist. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 22 and 23 Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. No complaints have been received and recorded. One resident said “I tell Mandy (the manager) if I don’t like something”. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. Abuse awareness training is attended by all staff. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 17 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 standard(s) These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention EVIDENCE: The file of the one new staff member showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available, and notes of the interview were made. All staff receive induction training, and the manager uses a training book for staff, which names all of the areas to be addressed during the induction, such as communication, personal care, and continence. The subjects are covered by the new staff and signed when completed. The training of the small numbers of staff are monitored by the manager. One member of staff is attending the Learning Disability Award Framework (LDAF) course, while two are attending a health and safety course. First aid, food hygiene, moving and handling and fire marshall have also been attended. A new staff member said that “I had an induction when I was shown the way the home works, and what was expected of me. I’ve started National Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 19 Vocational Qualification (NVQ) training and that makes me feel a lot more confident. I really like working here. I am gradually getting to know the residents and their different personalities, and how to adapt yourself to their needs”. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The home reviews aspects of its performance through seeking service user’s views, and acting upon them. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The residents are long term, and the manager has always encouraged them to tell her whenever they feel unhappy about something, or if they would like something done differently in the home. The residents were all relaxed and choosing to do whatever they wanted, clearly telling or signalling the manager about what they did not want to do. This ongoing feedback is dealt with immediately, and recorded for future reference. The residents are always included in discussions about the running of the home, for example the recruitment of new staff, and they would be involved in the admission of a new resident. “The new staff came to meet us first” commented a resident. The annual holiday is also a joint decision, “We like going there. It’s good”. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 21 The manager knows she needs to monitor the service delivery, and has tried to involve visiting health professionals, as the present residents do not have a lot of family involvement, so it is difficult to set up formal systems. However, the manager has set up a system of daily diaries for each individual, which are a good record of events and choices in the residents lives. Any regular patterns can be noted and changes to the service made if necessary. All accidents are recorded on file. Appropriate fire precautions are taken with a fire alarm system, extinguishers and a fire blanket, all which are checked regularly. The manager and one senior staff have attended a fire marshall course, and all staff are instructed on what to do in case of fire, with a monthly fire drill. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 22 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Evaglades Residential Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 23 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. 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. 2. Refer to Standard 20 42 Good Practice Recommendations A printed Medication Administration Record should be obtained from the pharmacist dispensing the medication Specific hours for management tasks to be carried out should be provided. Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection North Lancs Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Evaglades Residential Care Home F57-F09 S45535 Evaglades V185252 200705 Stage 4.doc Version 1.40 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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