Inspection on 20/10/05 for Eversfield

This inspection was carried out on 20th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Eversfield 13/06/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Eversfield 56 Reigate Road Reigate Surrey RH2 0QP Lead Inspector Mavis Clahar Announced Inspection 20th October 2005 09:00 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 Eversfield DS0000064751.V250066.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. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eversfield Address 56 Reigate Road Reigate Surrey RH2 0QP 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) 020 7396 6700 020 7396 6739 Elizabeth Finn Homes Ltd Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2005. Brief Description of the Service: The home is a large converted house situated in Reigate, Surrey that accommodates 32 service users in single bedrooms, which offer en-suite facilities. The home is managed by the Elizabeth Finn Homes Ltd. and is one of a number of care homes managed by the organisation. The home is registered as a care home in the category “old age” over 65 years of age and not falling within any other category. The service provides a homely and comfortable environment where service users are treated with dignity and respect. The service users have access to well-maintained grounds and gardens with appropriate seating. Car parking is available within the grounds. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This announced inspection took place on the 20th October 2005. The home received an unannounced inspection on the 11th August 2005. All service users and care staff were aware of the inspection. Notices were observed posted around the home, so that relatives and visitors to the home were made aware of the inspection, with an invitation to speak with the inspector on the day. On the day of inspection, many visitors were at the home and quite a few took the opportunity to speak with the inspector, all reiterating the good comments made in the relatives pre inspection questionnaires received by CSCI about the care and support their relatives received at the home. It was noticed on approaching the home that the front of the home was being painted. The inspector was informed that this is the last bit to be done and that all the wooden windows and doors of the original building have already been completed. The building looked very clean and comforting. The first part of the inspection was spent touring the home and speaking with service users and care staff. Service users were complimentary in their discussions regarding the care and support they receive from the manager and carers at the home. Service users had a lot to say regarding the food some of their comments are listed here. “We have never had such a good Chef here since Richard left”. “Splendid meals over the weekend”. “AN excellent buffet supper the nicest we’ve ever had”. “The Lamb at lunch time was the lamb’s great grand mother couldn’t cut it or chew it. I have never had such poor quality meat until I came here”. The dining room as usual is very regally laid for lunch with spotless linen, napkins and cutleries. The second part of the inspection was spent reviewing service users files, and care workers files, and discussing the requirements from the last inspection with the manager. This was followed by feedback to the manager about the findings of the inspection. What the service does well: Regular staff training and updating for care workers and strict induction programme for all new care workers. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 6 The home uses the “Co-worker” system, which is similar to the key worker system whereby a care worker is responsible for the care of a number of service users. Co-workers are changed every three months, to enable service users and staff to get to know each other. What has improved since the last inspection? What they could do better: Supervision of care workers must be carried out at least six times per year. Please contact the provider for advice of actions taken in response to this Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 8 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 Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 9 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): Standard 6 does not apply to this home. EVIDENCE: Standard 3 was assessed at the last inspection. For information on this standard please refer to the report of 11th August 2005. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Care workers have a good understanding of the needs of service users. This is evident from the positive relationships observed between service users and care workers. EVIDENCE: Service users spoken to on the day of inspection all said how happy they were in the home. The care workers are assigned to each service user so that they feel comfortable with their carer. The inspector noted that staff knocked on service users doors and asked permission to enter. The inspector spoke with a number of service users who were having a stroll along the corridors, or on their way out for the day. Eversfield DS0000064751.V250066.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): 13 14 15 Dietary needs of the service users are well catered for with a balanced and varied selection of food available Service users in this home are mostly mobile and they all maintain close contact with their families and friends. EVIDENCE: One service user spoken to was waiting to see her great grand daughter for the first time. The baby is newborn. She was very excited and although the expected arrival was 11:00am this lady was on her way to the lounge at 10:00 as she says she wants to spend as much time as possible with her great grand daughter. Another service user was on her way out with her daughter, and she informed the inspector she would be having lunch out today. The Vicar was on her way out of the home having visited a member of her church. The inspector formed the opinion that service users are in touch with their families and the local community. Service users are encouraged and enabled to exercise choice and control over their daily lives. Some of the service users at this home are extremely active. They play golf; visit other nursing homes, the inspector actually met one who was on a visit to another nursing home some miles away from Reigate. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 12 The comments of some of the service users regarding the meals can be seen in the summary section of this report. The inspector has tasted the food and can report that the food is tasty, attractively presented and nutritious. The dining room as usual is superbly laid with crisp linen, sparkling cutleries and glasses off set by a small vase of flowers. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Staff spoken to demonstrate they had knowledge of and understanding of adult protection issues, which protects service users from abuse. EVIDENCE: Review of staff files revealed that staff are trained in recognising and reporting any suspected incidents of adult abuse. The dates for updating staff are booked for January 2006. Care workers spoken to are aware of the homes complaints procedures. Service users spoken to are aware of how to make a complaint. They said the manager is always available if they have any concerns and they usually discuss it with her, and it is usually rectified as soon as possible so there is no need to complain. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The standard of décor in this home continues to be of a good standard. There is evidence of continued improvements through regular maintenance. The home presents as a very comfortable and homely place to live and visit. EVIDENCE: Some bedrooms have recently been redecorated. Communal spaces are plentiful, well maintained clean and tidy. Generally the home is clean and tidy with no offensive odours. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 15 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 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve and maintain their whole quality of life. EVIDENCE: Evidence gathered demonstrated that eight care workers have completed their NVQ L2 and another four are waiting to have their work signed off as completed. One care worker has completed NVQ L3 and two other care workers are waiting to have their work signed off in November 2005 as completed. All care workers are up to date with their mandatory training. Each service user is allocated a key worker who works closely with the service user. The home recruits staff based on the company’s equal opportunity policy and procedure. Although at the time of inspection there are no male care workers the home has had male care workers in the past. The manager informed the inspector that just recently no male care workers have applied for caring positions. The manager further informed the inspector that all prospective care workers are asked the same questions at interview. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 16 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 33 35 36 The manager is supported well by senior care workers in providing clear leadership throughout the home with staff spoken to on the day of inspection demonstrating an awareness of their roles and responsibilities. EVIDENCE: The registered manager of the home has obtained her Registered Managers Award, and has many years experience in managing care homes for older people. The inspector observed that the manager knew the service users by sight and name and that conversation flowed easily between the manager, service user and visitor to the service user. The manager informed the inspector that she operates an open door policy whereby service users, staff visitors to the home are free to wonder into her office for a chat at any time. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 17 The manager informed the inspector that the home does not get involved with service users finance. Review of staff files revealed that supervision of care workers are not being done on a formal basis. Full discussion was entered into regarding the manager’s responsibility in this area. A requirement was issued on this standard. Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 18 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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X X Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 19 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 OP36 Regulation 18 Requirement The manager to ensure that staff supervision is implemented in accordance with statutory requirements. Timescale for action 20/12/05 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 Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Eversfield DS0000064751.V250066.R01.S.doc Version 5.0 Page 21 - 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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