Inspection on 22/01/09 for Eventide Residential Home

This inspection was carried out on 22nd January 2009.

CSCI found this care home to be providing an Good service.

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

Eventide Residential Home 23/01/08

Eventide Residential Home 16/05/06

Eventide Residential Home 18/10/05

Eventide Residential Home 11/05/05

Eventide Residential Home 17/01/05

Eventide Residential Home 02/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eventide Residential Home 22 Downs View Bude Cornwall EX23 8RQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mandy Norton     Date: 2 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Eventide Residential Home 22 Downs View Bude Cornwall EX23 8RQ 01288352602 Telephone number: Fax number: Email address: Provider web address: enquiries@eventideresidentialhome.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Ann Georgina Cousins Type of registration: Number of places registered: Eventide Residential Home Limited care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The last inspection took place on 23rd January 2008. Eventide is an older property offering care and accommodation to 18 older people. A committee of local people run it with the registered manager as a registered charity. The home is near the beach and overlooks the golf course at the front. The local shops are nearby. Accommodation is provided on three floors connected by a shaft lift, although a few rooms on the first and second floor have two additional 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, holidaymakers and golfers passing by. There is also a patio area at the rear for peoples use. Care Homes for Older People Page 4 of 27 Over 65 18 0 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place from 10.45 am to 3pm on 22nd January 2009. The inspection was conducted with the manager. A tour of the home was carried out and people who live at the home were spoken to and observed. Care staff were also spoken to and observed during the inspection. This report also contains information taken from the completed Annual Quality Assessment (AQAA) document and Service User and staff surveys submitted to the Commission prior to the inspection. There were 17 people living at the home on the day of the inspection. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service have up to date information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that peoples diverse needs are identified and planned for before they move to the home. Evidence: The manager said that people are always assessed prior to moving into the home to ensure their needs can be met. If people are to be admitted they and their representatives are given as much up to date information about the service as possible, are invited to look around and spend some time at the home and ask any questions they may have. The home have a DVD with information about the service they offer and there is a Service Users Guide on display in the home and one in each persons room. Four of the five completed Service User surveys indicated that they had Care Homes for Older People Page 11 of 27 Evidence: enough information about the home prior to moving in, the fifth person was an emergency admission so did not have much time to make a choice. The current fee level ranges from 308.09 to 350 pounds per week (correct January 2009). Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The practice regarding the planning and delivery of care means that people can be sure that their health and personal care needs will always be fully met. Evidence: The care plans seen were up to date and contained a lot of relevant information about the person and their health, personal and social care needs. The care staff complete daily records about a persons welfare and detail what care has been provided. Information was included about visits made by or to health care professionals such as GPs, district nurses, opticians and dentists. People spoken to said that they talk over their needs with the care staff. A tour of the home showed that equipment necessary for the promotion of tissue viability and prevention of pressure sores is available to meet peoples current needs. The manager said that they have enough equipment and that most specialist equipment is provided by the community nursing services as required. Care Homes for Older People Page 13 of 27 Evidence: The home uses a blister pack system for administration of medicines. They are kept in a locked trolley in the dining room. Any medicines requiring refrigeration are kept in a sealed container in the general fridge the temperature of which is recorded daily. Staff files seen show that a number of staff have had.some training in medicine administration. The procedure for receipt, storage and disposal of unwanted medicines was explained and is in accordance with laid down legislation. Staff were heard and observed interacting with people appropriately throughout the day and providing care and support in a discreet manner. Staff were knocking on doors before entering and doors remained closed whilst personal care was taking place. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities within the home and the local community mean that people have opportunities to participate in stimulating and motivating activities. Meals and mealtimes are not rushed and staff are available to help make them an enjoyable and social occasion for people. Evidence: The manager said that people are encouraged to exercise choice in how they spend their time and activities are offered individually or in groups and are facilitated by the care staff. Outside entertainers are bought in and information about the next ones was seen displayed within the home during the inspection. Two of the five completed Service User Surveys indicated that there are always activities arranged by the home that they can take part in, one indicated there usually are and one that there sometimes are. People spoken to said that it is nice to be able to sit outside in the good weather and they enjoy chatting to people who are passing. A lot of work has taken place on the exterior of the house both front and back, since the last inspection, providing attractive areas for people to spend time outside when able. Care Homes for Older People Page 15 of 27 Evidence: The care plans are designed so that information about peoples interests and hobbies is recorded and can be used when trying to develop person centred care. Visitors are welcomed at anytime and some people regularly go out with friends or relatives. Most people have their meals in the dining room (10 on the day of the inspection) but they have the choice each day about where they would like their meal. People are asked on a weekly basis what they would like for their meal and there is always a choice. Fresh fruit is available and drinks and snacks are available 24 hours a day. A mealtime was observed and it was noted that people were given their vegetables and potatoes in individual serving dishes so they could help themselves to what they wanted, this applied to the gravy, condiments and sauces also. Trays that were laid up to be taken to peoples rooms also had condiments and sauces on them. This was noted as good practice. Care staff were available throughout the meal to give any help or support needed and were doing so in a discreet and appropriate manner. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Formal complaints and safeguarding policies and procedures are in place and are available to staff at all times. All staff undertake safeguarding training. This means that people who live at the home are safeguarded. Evidence: The complaints procedure was seen displayed in the home and is included in the Service Users Guide. It is comprehensive and gives options about who to contact and timescales for responses to be made. There have been no complaints made to the Commission or the home since the last inspection. The manager said that people are seen by senior staff daily and hopes that any issues or concerns would be bought up and dealt with then. All five completed Service User Surveys indicated they knew how to make a complaint and all eight completed Staff Surveys indicated that knew what to do if a resident or relative had concerns about the service. A number of staff files seen showed that they have attended safeguarding training, they also have information about safeguarding when doing National Vocational Qualification (NVQ) training and during induction training. Policies and procedures around complaints and safeguarding are available to staff at all times. Posters about recognition and reporting of abuse were seen displayed within the home. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a comfortable, homely and safe environment in which to live. Evidence: Eventide is currently registered to take up to 18 older people. On the day of the inspection 17 people were resident at the home. The manager explained that since the last inspection extensive work has been carried out on the car park and patio area at the back of the house. A pergola has been erected over the patio area to grow plants on and seating is provided for use by the residents. At the front of the house the area has been paved with seating provided. people spoken to particularly enjoy sitting outside at the front during good weather as people often stop and talk to them. There are good views over the golf course from the front garden and front rooms. A tour of the home showed that peoples rooms are personalised with furniture and momentos they bought in with them. People spoken to said they were happy with their current accommodation, the communal facilities and the improvements to the outdoor space. Communal space consists of one lounge/diner and a further lounge with a sun room attached. Most people use the dining room for at least their main meal, the room is big enough to comfortably accommodate everybody. There are assisted toilets and bathrooms throughout the home most of which have had Care Homes for Older People Page 19 of 27 Evidence: new flooring since the last inspection. Some of the radiators in the home are not covered or guaranteed low surface temperature. The manager was advised to ensure that they are covered or an ongoing risk assessment is carried out on all those that are not covered. On the day of the inspection the home was clean, tidy and generally hygienic. Polices and procedures around infection control are available to staff at all times. Training (provided by an outside agency who provides information and assessments to be completed, once the assessments have been completed they are sent for marking and a certificate is issued if the person has been successful) on the importance of infection control is routinely offered to staff. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels and skill mix are satisfactory meaning peoples needs are being met. The robust recruitment procedure means that people who live at the home are being looked after by appropriate staff and their welfare is not at risk. Evidence: The manager and care staff are supported by the Eventide Committee (who include administrative support), catering and domestic staff. The care staff do the washing and ironing but said that they can manage this as well as providing the required care and support to the residents. On the day of the inspection there were the manager and 3 care staff on duty during the day and overnight there are 2 care staff one of whom is a sleeper. This is seen as sufficient for the number of people who currently live at the home (17) and is based on their dependency levels. Of the eight completed Staff Surveys, six indicated that there are usually enough people to meet the individual needs of residents and two indicated that there are always enough staff. The manager said that new staff have an induction that covers health and safety, fire safety, safeguarding and individual care. Completed induction documentation was seen in some staff files examined. Six of the eight completed staff surveys indicated that Care Homes for Older People Page 21 of 27 Evidence: their induction covered everything they needed to know very well and two indicated that it mostly did. Training opportunities were seen displayed in the staff areas and office during the inspection. The home uses an assessment based outside training agency. Staff complete an assessment module based on the information the company provide. The completed assessment is sent to the trainer to be marked and a certificate is awarded if the candidate is successful. Copies of a number of certificates were seen in staff files examined. Eventide have a robust recruitment procedure that includes 2 written references and a CRB check. The staff files examined contained all of the required information. The manager and a member of the Committee interview prospective staff and use a standard set of questions to assess a persons suitability for the role. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The systems and procedures in place are designed to meet the needs of the service as they strive to improve the service the home offers to the people that live there. The attitude to health and safety shown by the providers, care and ancillary staff means that people live in a safe and well maintained environment. A number of bars of soap were seen in communal bathrooms despite there being pump dispensers on the walls with soap in them. The manager was reminded that bars of soap should not be used in a communal setting to reduce the risk of cross infection. Evidence: The registered manager has been at Eventide for many years and is very experienced in her role. She achieved a Registered Managers Award in 2006. Her staff file showed that she has undertaken periodic training to update her knowledge and skills whilst managing the home. Completed staff surveys indicated that the manager often meets with the staff. One comment was that support is given on an ongoing basis and the Care Homes for Older People Page 23 of 27 Evidence: manager is always happy to spend time if problems arise. Quality monitoring is done in a number of ways. A member of the Committee carries out a monthly visit (required by Regulation 26 of the Care Standards Act) to check the environment, speak to people living in the home and the staff following which a report is produced that identifies areas of good practice or in need of improvement. The manager sees residents regularly and discusses any concerns with them as they arise and are then able to act on them immediately. The manager documents any of these issues in the day book and any actions taken. This is noted as good practice. Some staff supervision records were seen in staff files examined. Individual sessions are complemented by group sessions either during staff meetings or at handover times when issues can be discussed and ideas put forward. Staff spoken to said that this is a good way to ensure staff get to know up to date information and changes that are required. The manager said that money held on behalf of the current residents is kept securely. Records are kept of income and outgoings and receipts are kept as evidence of the transactions. Residents have access to their money at all times. Records were not examined during this inspection. The manager and staff files seen show that staff have statutory training that includes health and safety, first aid, lifting and handling and food hygiene. A number of routine servicing and maintenance documents and the fire log book were examined and found to be up to date. The Environmental Health Officer carried out a routine assessment of the kitchen in August 2007 and found it to be satisfactory. The Committee arrange for routine maintenance tasks to be carried out and are currently having the radiators checked throughout the home to ensure they are all working effectively. The Committee and the manager take the responsibility of health and safety seriously and have general and individual risk assessments in place, which are reviewed as required. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 25 The manager should ensure that all radiators are covered or an ongoing risk assessment is carried out on those that remain uncovered to ensure the continued safety of the residents. The manager should ensure that all bars of soap are removed from communal toilets and bathrooms to reduce the risk of cross infection. 2 38 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. 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