Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 18/10/05 for Eventide Residential Home

Also see our care home review for Eventide Residential Home for more information

This inspection was carried out on 18th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The home provides good care for the service users, encouraging independence and providing help, where needed, to maintain this. It has a team of carers most of whom have worked in the home for several years, thus providing continuity and stability for the service users.

What has improved since the last inspection?

There have been no significant changes, the home continues to provide a good service especially to more able people.

What the care home could do better:

The care plans do not reflect the care given. The format appears to have changed so that the records that were seen on this occasion did not correlate with other documents. Committee members visit the home in turn to carry out their duties under regulation 26 but the reports that are provided after the visits are very brief. The committee may wish to discuss whether their reports are sufficient to meet the criteria.

CARE HOMES FOR OLDER PEOPLE Eventide Residential Home 22 Downs View Bude Cornwall EX23 8RQ Lead Inspector Philippa Cutting Unannounced Inspection 18th October 2005 10:00 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 Eventide Residential Home DS0000009173.V251295.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. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eventide Residential Home Address 22 Downs View Bude Cornwall EX23 8RQ 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) 01288 352602 Bude-Stratton Aged Peoples Welfare Society Limited Mrs Ann Georgina Cousins Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2005 Brief Description of the Service: Eventide is an older property offering care and accommodation to 18 older people. It is run by a committee of local people in conjuncton with the registered manager. The home is near the beach and overlooks the golf course at the front. Accommodation is provided on three floors connected by a shaft lift, although a few rooms on the first and second floor have two addtitonal steps to reach them. Nine rooms are en suite. There are handrails and a variety of pieces of equipment to aid independence throughout the home. There is an assisted bath on the ground floor and a large shower on the first floor. Externally seating is provided in front of the home. This is a popular venue where residents sit in good weather and watch people, holiday makers and golfers passing by. There is also a small paved rear garden for peoples use. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an unannounced inspection that took place between 10.0am & 4.0pm. The inspector spent most of the time studying records as previous inspections have concentrated on service users and the environment. The deputy manager was in charge of the home on the day of the inspection and provided assistance as needed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eventide Residential Home DS0000009173.V251295.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 Eventide Residential Home DS0000009173.V251295.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): 2,3,4,5, Service users are provided with information about the home and the home seeks details about the care needed before a placement is agreed. EVIDENCE: Prospective service users are visited before a place is offered to ensure that their needs and the home’s capabilities are compatible. Service users receive a contract with the home’s terms and conditions. People are encouraged to visit the home before deciding whether or not to stay but if they are frail, relatives may undertake this on their behalf. The first month is a trial period on both sides. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 9 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): 7,8,9,10 Service users’ care plans do not reflect the service users’ needs clearly. EVIDENCE: The service users’ care plans need attention. Previously the basic plan has been in a notated form with the care plan referring to the care plan numbers and a daily entry. On this occasion the basic plan was not in evidence but the recording sheets were still in use. There was also a pen picture of the service user‘s needs. It was difficult to discern what each person’s needs were as the recording sheets gave the impression that care was only given in the morning. Also entries in the pen pictures said care needs remained the same but after several entries it was difficult to ascertain to what this was referring. Reading through notes there were entries that contradicted each other; also ‘independent’ was written for service users but it was apparent that independent did not mean the same thing for different service users. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 10 Risk assessments had been compiled in some instances but they were not always filed together so it was difficult to sort out which was current. Service users need care plans that clearly list their needs, physical, emotional and social etc. Reviews would then refer to this with sections being amended when & if necessary. From reading the daily entries and talking to staff it was apparent that they had a good knowledge of the service users’ needs which were met by the staff and other professionals, but this was not well reflected in their records. Medication is supplied in dosette boxes from the pharmacist and stored in a locked trolley when not in use. It is administered by senior staff. The medication administration record sheets were completed properly. Controlled drugs were stored and recorded correctly. It is recorded where service users who look after their own medication. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users are provided with opportunities to exercise choice in their lives. EVIDENCE: The records showed that service users are able to participate in local events and clubs etc if they wish. Visitors call regularly and service users are encouraged to visit families and friends as they choose. A choice is offered at meal times for service users; special diets can be prepared if necessary. Activities are arranged on a regular basis with outside organisers and all service users are encouraged to join in. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Service users can be confident that their concerns will be taken seriously. EVIDENCE: There is a copy of the complaints procedure displayed in the home. A record is kept of any complaints and the action taken. The home has policies alerting staff to the need to be aware of abuse issues. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 The premises were not inspected on this occasion. EVIDENCE: The premises were not inspected to any great extent apart from two bedrooms. It was noted that there were so many bags and parcels in one person’s room that it was becoming a hazard, as there was hardly room to get to the bed. The large hot water pipes (part of the central heating) are not covered. The risks associated with this must be assessed and reduced. If the pipes cannot be boxed in, some form of lagging should be considered. The home should seek advise from the Environmental Health Officer (Health & Safety). Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 27,28,29,30 Staff receive training to ensure that service users’ needs are met. EVIDENCE: Staff details are recorded in individual files. Written references and statutory checks are taken up for all staff before they start work. The files contain details of training that staff have undertaken. National Vocational Qualifications training is encouraged and taken up by staff. Regular supervision is on going. The home will need to address the new induction standards that are being introduced for staff. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31,32,33,34,36,37 The registered manager is supported by a committee who need to reflect on their responsibilities as described in the regulations. EVIDENCE: The registered manager works with a committee to manage the home. She is working towards her registered manager’s award. The committee share responsibilities between them and visit the home regularly. The committee should consider the requirements of Regulation 26 and the reports that they produce as some of these have contained very little detail. For instance there is little evidence that they sample records or question any possible discrepancies in accident reports. The records required by statute are maintained. The accident book accords with the requirements of the Data protection Act 1998. Entries were noted where a service user had fallen whilst being accompanied by a carer but there Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 16 did not appear to be any note to follow up how this had happened. It is also recommended that staff do not write that ‘Mrs X fell off the bed’ unless they witness this. ‘Mrs X was found on the floor’ or ‘Mrs X said she fell off the bed’ would be more accurate. Fire training had been arranged recently; alarm testing etc is undertaken weekly. Insurance and the registration certificate were seen. Eventide Residential Home DS0000009173.V251295.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 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X 2 2 X 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 2 3 3 X 3 3 x Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? yes 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 OP7 Regulation 12 Requirement The registered manager must prepare clear care plans for all service users which are comprehensive, clear and reviewed monthly. Timescale for action 02/01/06 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 3 Refer to Standard OP24 OP25 OP26 Good Practice Recommendations Service users should be encouraged to keep their rooms free from hazards. Hot water pipes in service users’ rooms must be covered or lagged in a way that will prevent burns or scalds. The committee should prepare reports, as per the requirements of Regulation 26 that contain more detail and demonstrates their overview of the home. Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Eventide Residential Home DS0000009173.V251295.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!