Inspection on 27/04/05 for Eversleigh

This inspection was carried out on 27th April 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

Eversleigh 06/04/09

Eversleigh 13/04/07

Eversleigh 05/07/06

Eversleigh 30/11/05

Eversleigh 29/11/04

Eversleigh 10/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE EVERSLEIGH 13 SUNDRIDGE AVENUE BROMLEY KENT BR1 2PU Lead Inspector MONICA HANSCOMB UNANNOUNCED 27 APRIL 2005 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 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. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service EVERSLEIGH Address 13 SUNDRIDGE AVENUE, BROMLEY, KENT BR1 2PU 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) 0208-464-2998 0208-464-2998 C.N.V LIMITED MRS ELIZABETH DAVIES CARE HOME 24 Category(ies) of OLD AGE, NOT FALLING WITHIN ANY OTHER registration, with number CATEGORY of places EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: ELDERLY PERSONS OF EITHER SEX - IMPOSED 1 APRIL 2002. Date of last inspection 10 MAY 2004 Brief Description of the Service: Eversleigh is a large, three-storey.Victorian-style house,converted for residential living,providing care and accommadation for older people. The home is set in well- maintained gardens, with some off-road parking to the front. Residents accommodation is on the two lower floors accessed by a passenger lift and a stair lift. central heating is provided to all areas of the home. There are grab rails and hand rails on stairs, in passageways, toilets and showers.Bathrooms are fitted with specialist bathing and toilet equipment,lifting aids are aslo available. All bathrooms, toilets,showers and bedrooms are fitted with a lock which is accessible from the outside in case of an emergency.There is a telephone accessible and available to the residents, and several of the residents have one at their own expense. The home is maintained to a good standard. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours and was carried out as part of the statutory inspection programme. The inspection included a tour of the premises, inspection of some of the records, care plans and safety systems. Five staff spoke to the inspector and the inspector was able to observe staff interaction with seven of the residents present during the day. The inspector would like to thank all who participated with the inspection What the service does well: What has improved since the last inspection? Not applicable. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 6 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. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 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 standard(s) 1,2,3 The home provides all the information required to the prospective resident, to help them make the decision whether they wish to live in the home. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide. The registered manager now displays, on the entrance hall table a folder, which includes the Statement of Purpose and a Service Users Guide for prospective residents and their families to look during their initial visit. All residents are given a contract when moving into the home and a completed copy is kept on their file. All residents receive an assessment of their needs before living in the home and have a probationary period before deciding whether to stay. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 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 standard(s) 10,11 Staff show respect to the residents and make sure their privacy is upheld. The staffs are sensitive to the needs of the resident and their families as the resident as the resident nears death. EVIDENCE: All residents have their own bedroom and staff always knock on the bedroom door before entering the room, Residents have access to a telephone and some have their own telephone in the their rooms installed at their own cost. During their induction training all staff receive instruction on residents and their rights. Any medical treatment or examinations are proved in the residents, own bedroom. When residents are approaching death, the district nurse and, if necessary, Macmillan nurses work with carers to care for them, in agreement with their families. All the residents’ last wishes are recorded in their careplan. Unless residents need hospital treatment they stay in the home until their death. -Relatives are offered practical assistance and comfort during this period. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13,14 The social activities and meals are both well managed and provide daily variation and interest for residents living in the home EVIDENCE: During the inspection visitors of the residents were arriving and being greeted by the staff in a pleasant manner and offered a hot drink. The residents spoken with were very happy with their meals they receive and stated there was always a choice of home cooked food. The especially appreciated the homemade cakes. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 11 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 standard(s) 17 The residents and /or the families are given information about how to make a complaint and retain the right to vote if they so wish. EVIDENCE: The home has a complaints policy, which gives timescales for informing complainants about the investigations and the outcomes. Residents state they would know how to make a complaint if they needed. All residents had postal votes for the forthcoming elections should they wish to vote. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19,20,21,24. The home continues to carryout maintenance of the home on a regular basis a, which provides a safe environment for the residents. The home has a range of aides to promote the residents independence. The residents have comfortable and safe communal facilities both indoors and outdoors. EVIDENCE: There is a regular programme for maintenance and decoration. All the residents’ rooms reflect their own interests, as they are able to bring in some of their processions, such as, photographs, knick-knacks and a favourite piece of furniture, providing it meets the fire regulations. All rooms are carpeted and well decorated and the residents can choose the colour of their decorations. Each door has a lock, which can be opened from both sides in case of an emergency. Every resident has a lockable storage space for valuables. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The staff group are given every opportunity and support to undertake the NVQ levels 2 and 3, as well as induction and specialist training and they meet all the residents needs. EVIDENCE: No standards were not inspected, but the manager stated 7 of the staff are qualified to NVQ level 2 and three are qualified to NVQ level 3. Eight staff are undertaking NVQ level 2 and 2 are undertaking NVQ level 3. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35,37. The home is managed by the current registered manager Mrs Elizabeth Davies to a very high standard. The home was running effectively and the welfare of residents was not and issue. The manager is to update the policies and procedures annually. Recommendation 1 EVIDENCE: The home sends out surveys to residents, their families and professional people who visit the home, seeking their views about the care and activities in the home. When a suggestion is put forward, it is discussed and if it is beneficial to the residents it will be carried out. The homes policies and procedures are comprehensive and clear, however they have not been updated and the manager stated this would be done by the end of the month. The home has a business plan and the financial procedures are audited by Merryvale Accounting Services. The manager ensures the residents’ monies are kept individually in a secure place and a record of every transaction is recorded for those who are unable to manage their own monies. The records and money EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 15 are kept on an individual basis and not pooled. The home does not act as an appointee for any service user. All records required by the legislation for the protection of residents are kept up to date and all are audited. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x x x 2 3 3 x x x EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 17 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. Refer to Standard 33.9 Good Practice Recommendations Policies,procedures and practices are regularly reviewed in the light of changing legislation and of good practice advice from the Department of Health, local /health authorities and specialist/ professional organisations. EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection SIDCUP AREA OFFICE RIVER HOUSE 1 MAIDSTONE ROAD, SIDCUP KENT DA14 5RH 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 EVERSLEIGH G51-G01 Eversleigh V223270 27-04-05 Stage 4.doc Version 1.30 Page 19 - 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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