Inspection on 16/06/05 for Eynesbury House

This inspection was carried out on 16th June 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

Eynesbury House 15/05/07

Eynesbury House 19/09/06

Eynesbury House 15/11/05

Eynesbury House 11/02/05

Eynesbury House 16/06/04

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Eynesbury House Howitts Lane Eynesbury, St Neots Cambridgeshire PE19 2JA Lead Inspector Alan Buttery Unannounced 16th June 2005 @ 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eynesbury House Address Howitts Lane Eynesbury, St Neots, Cambridgeshire, PE19 2JA 01480 211983 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) Brookdale Healthcare Ltd Sarah Carbury Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11th February 2005 Brief Description of the Service: Eynesbury House is a new service established and registered in September 2003 to provide for six adults with a diagnosis of Autistic Spectrum disorder. There have been a number of management changes in the last few months, together with a reassessment needs of all service users living in homes owned by Brookdale, and subsequent movement of service users between the homes. The process of registration of a new home manager has been concluded since this inspection took place. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the current year, and an unannounced visit. As part of the inspection, a second visit took place, to meet with service users and gather their views of the service. The home was established in 2003, specifically to meet the needs of service users within the autistic spectrum range, and regular reviews of service user needs take place within the group, and as a result there have been a number of changes to the service user group in the home. The home currently has five service users living there, and in the light of some planned building works are unlikely to fill this vacancy in the short term What the service does well: What has improved since the last inspection? Since the last inspection, a number of service users new to the home have moved in, with the previous service users moving on to other services. This exercise followed a period of reassessment of all service users that the company help to look after, and a re-evaluation of their needs. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 6 Facilities in the home have also improved, and a new carpet was being fitted to the lounge on the day of the inspection. Staff working on the day of the inspection felt that maintenance issues are now dealt with sooner, and that the training available has improved although further improvements are planned. 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. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Individual service users needs are fully assessed and reviewed, ensuring the home is able to provide the desired service. EVIDENCE: As part of the inspection, the file of a service user who had moved in to the home the day before the inspection was seen. Although he had lived in Eynesbury House previously, a new detailed pre admission assessment had still been done, ensuring his current needs were identified and could be met. Other records examined indicated the detail, which the pre admission assessments contained, including psychological reports, health assessments and social needs, and these were all of a high standard. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Service users are supported in developing care plans that clearly show staff how their care is to be delivered, and how risks are managed to ensure service users have independence wherever possible. EVIDENCE: Service users each have a detailed individual plan of care, and examples were seen during the inspection, together with the risk assessments that are in place, both individual and for the home. These are kept under review at all times, with evidence of the reviews available on the files seen, and these showed reviews of care plans taking place at times monthly, and all well in excess of the required standard. In discussions with three of the service users living in the home, it was clear that they are supported in making decisions affecting their lives, and risk assessments are used to ensure their safety, but not in a restrictive manner. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 16 and 17 Service users are supported to take part in a variety of educational and leisure activities, ensuring they integrate into their local community. EVIDENCE: Again, from information contained in individual service users files, and from discussions with service users it was very apparent that they are all able to take part in appropriate activities, including a variety of educational as well as leisure pursuits, including specific college courses. They all enjoy involvement with their local community, one service user spoken to regularly visits the local pub, where he is well known and liked by the locals. This is managed through an appropriate risk assessment, which has identified the best time of day to go. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 11 Another service user take a very active role in the homes kitchen, enjoying planning and preparing food. Food preparation is shared between most of the service users with support from staff, and advice is obtained from dieticians to ensure that the meals are nutritional. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Personal care and support is provided following discussions with service users, and in accordance with care plans. EVIDENCE: Service users receive personal support of varying degrees, depending on their abilities, and in most cases this takes the form of prompting or supervision. Health needs, both physical and emotional are provided by the local GP service together with multi-disciplinary support from Brookdale Healthcare, who themselves employ a variety of professionals, including psychologists and psychiatrists. Service users are involved in the preparation and review of their personal care plans, and are therefore able to ensure they receive support in a manner suited to them. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Procedures are in place to ensure service users and their representatives know how to comment or complain, and that their views will be listened to, and any allegations of suspected abuse will be appropriately dealt with. EVIDENCE: The home has policies and procedures to manage complaints and any vulnerable adult issues. At the present time, no complaints have been received either by the home or the CSCI, and there have been no incidents involving possible vulnerable adult investigations. Staff all receive training in this area, to ensure that should an allegation be made, they are familiar with the actions required, and this has been discussed with the manager at some length. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 Eynesbury House offers a safe and comfortable environment for service users to live in. EVIDENCE: Eynesbury House is one of a number of homes operated by Brookdale Healthcare, and provides a very well decorated and furnished home for the five adults who live there. The home has one vacancy at present, but is planning a further extension, using existing garage space to provide facilities for two more service users, and to allow for the disruption that the work may create They do not intend filling this vacancy at the present time. Office and meeting facilities are limited in the home, and they may wish to consider how this can be addressed, especially the use of the conservatory/dining room for multi-disciplinary meetings, which may restrict its use by service users. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 15 The home is very clean and well decorated, and on the morning of the inspection, a new carpet was being fitted. The gardens are pleasant, and service users are encouraged to help with maintenance of the garden. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 Service users are supported by a well trained staff team, but supervision of staff must take place more often. EVIDENCE: A number of new staff have been recruited in the last few months, and during the inspection, two staff were spoken to. They felt that the company offered a good package for them, and that they enjoyed their role and the interaction with service users. Training is good, but the home are currently reviewing the training available and how it is delivered, to ensure that staff receive all the support needed. Although supervision is taking place, some is informal in nature, and not recorded. The home must therefore ensure that formal supervision does take place in accordance with the standards. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42 Service users receive a specialist service from the home, with care taken to ensure all health and safety issues are met. EVIDENCE: The homes ethos promotes the involvement of service users in all aspects of their day-to-day lives, and regular house meetings support this, involving staff and service users. Since the inspection began, the registration of the home’s manager has been concluded. Staff records examined contained details of recruitment processes followed, but did not contain all the required information specified in the regulations, and this must be addressed prior to the next inspection. The home has policies and procedures in place to ensure that health and safety matters are attended to, and the records kept will be viewed at the next inspection together with the training given to staff. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eynesbury House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 3 x I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 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. 2. Standard 36 41 Regulation 18(2) 19(1)(b) (i) Requirement The home must ensure all staff receive formal and recorded supervision. The home must have the staff records as defined in schedule 2 of the regulations Timescale for action 30/09/05 30/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 30 Good Practice Recommendations The home should consider using alternative meeting facilities, to ensure service users can access all parts of their home when they choose. Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 Page 20 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Eynesbury House I53_I03_S48527_EYNESBURY HOUSE_V224914_160605_STAGE 4.doc Version 1.30 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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