Inspection on 09/08/06 for Liskeard Eventide Home Limited

This inspection was carried out on 9th August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Liskeard Eventide Home Limited 09/03/06

Liskeard Eventide Home Limited 04/10/05

Liskeard Eventide Home Limited 02/11/04

Liskeard Eventide Home Limited 18/05/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Liskeard Eventide Home Limited 14 Castle Street Liskeard Cornwall PL14 3AU Lead Inspector Mike Stokes Unannounced Inspection 9th August 2006 1:00 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 Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 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. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Liskeard Eventide Home Limited Address 14 Castle Street Liskeard Cornwall PL14 3AU 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) 01579 342676 01579 340728 eventidehome@btconnect.com Liskeard Eventide Home Limited Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: Liskeard Eventide Home is a voluntary care home run by a committee with the care being overseen by a registered manager. It is situated near the centre of Liskeard within walking distance of the town’s facilities for anyone with reasonable mobility. Accommodation comprises all single rooms, half of which have en suite facilities of a toilet or a toilet and shower. Rooms are situated on the ground and first floor that is accessed by stairs or a passenger lift. There are communal rooms on the ground floor, which comprise a large sitting room, a smaller sitting room and a dining room. There is a sun lounge on the first floor, which is next to three bedrooms that are reached via two additional steps. At the rear of the property a patio/sitting area and car parking is provided. The gardens in the front of the house have rails and steps. The entrance to the home is sited at the rear of the property but is clearly signed. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection to review the standards of care provided at the home. The inspection was completed by 2 visits to the home on the 9th and 14th August 2006. An application to register the manager is currently being processed by this Commission and it was useful to meet the applicant during this inspection. The Chair of the management committee and manager were available during the inspection process and assisted me in discussing developments at the home and the inspection of various records regarding the welfare of service users. The case tracking of 3 service users in various areas of care was achieved. During the inspection I was able to observe daily routines, complete a tour of the home and meet service users and staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 6 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 Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 7 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): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, discussion and records. Service users have their needs assessed before moving into the home and receive information needed to choose a home that will meet their needs. EVIDENCE: The registered person has complied with a previous requirement and amended the statement of purpose and guide. The amended version of the service user guide is available in service users rooms. Amended copies have been supplied by the home to this Commission. The manager discussed the pre admission arrangements for a recent admission to the home. The records showed that the manager had completed a detailed assessment of need and that the social services care management records were also available. The manager understands the procedures required to ensure that the home could meet the assessed needs of the prospective service user. Intermediate care is not offered at this home; therefore this standard does not apply. The home does offer a short respite service for individuals who need a period of intensive support; specialist support services such as a Physiotherapist or Occupational Therapist input would be arranged on an individual basis. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service, discussion and records. The plans of care require development to demonstrate how the health, personal and social care needs of service users are being met. There is a stable, well trained and competent staff group providing continuity of care and supervision of service users needs. EVIDENCE: The Responsible Individual and the manager were available to discuss progress with the previous requirement to develop the service users plans of care. This requirement has not been met and an extended timescale is provided in this report. The recently appointed manager has begun to implement an appropriate system; a completed example of the service users plan of care was inspected and also other service users records. Although the previous system needs amending it does provide details of service users needs and communication procedures exist at the home to ensure service users receive appropriate care. Service users are registered with local surgeries and receive health care support services as required. There is a stable, well trained and competent staff group providing continuity of care and supervision of service users needs. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 9 The manager discussed plans to implement a key worker scheme, improve service user inclusion and review procedures to meet these standards. The medication procedures are appropriately maintained and the manager discussed plans to continue the development of these procedures and has organised staff training for the monitored dosage system. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, discussion and records. Service users are able to choose their lifestyle, social activity and maintain contact with family and friends. Service users receive a healthy, varied diet according to their assessed needs and choice. EVIDENCE: Service users were observed to exercise their choice to enjoy the privacy of their own rooms or join other service users in communal areas for company or meals. Service users stated that they access community facilities independently or with support and maintain contact with visiting relatives and friends at the home. The home will organise occasional visiting entertainers, group activities and church services at the home. A hairdresser was providing services at the home on the day of inspection. The meals provided in the home are good with special diets and choice catered for. A discussion occurred with the cook on duty regarding the catering facilities, equipment, records of menus and consultation with service users. A service users meeting has been organised to provide further consultation regarding services provided at the home. The manager is developing the quality assurance procedures at the home and a relatives meeting will also be organised. An Autumn Fair is planned to involve community visitors and relatives of service users. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, discussion and records. The procedures used at the home protect service users from abuse. EVIDENCE: The registered person has appropriate policy and procedures for the protection of vulnerable adults and these have been amended appropriately. The registered person has organised staff attendance to the ‘No Secrets’ adult protection training to be provided by the social services in September 2006. The registered person has ensured that a complaints procedure has been issued to service users in the guide and this is also available on the notice board in the entrance hall. There have been 2 internal complaints dealt with by the homes management. The records regarding service users that require assistance with their finances were inspected and are appropriately maintained. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, observation and records. The design, layout and facilities provided, enables service users to live in a safe and comfortable environment. EVIDENCE: The registered person provided the inspector with a tour of the home. The home is on 2 levels and a passenger lift is provided to assist service users access their rooms, patio areas and the car park at the rear of the home. A large communal lounge and a separate television lounge are provided. Bedrooms are individually furnished, decorated and service users have small items of furniture and possessions to personalise their room. All rooms are for single occupation and 13 have en suite facilities. A programme of improvement is maintained and one bedroom was seen to be in the process of a total refurbishment. A bedroom is provided for night staff that are providing the sleeping in duty. The kitchen facilities have been refurbished with non-slip flooring and equipment. Appropriate fire precautions are maintained and door Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 13 guards are provided to assist service users mobility. The home is providing a call bell system; pressure relieving equipment, grab rails, hoist, window restrictors, hot water regulators and radiator covers to provide a safe and comfortable home for service users. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is a good. This judgement has been made using available evidence including a visit to this service, discussion and records. Staffing at the home are trained, skilled and in sufficient numbers to provide for service users welfare. The recently appointed manager will develop the various records to demonstrate that the home can meet these standards. EVIDENCE: On arrival at the home there were appropriate staff numbers and skills mix available to provide for service users welfare. Care staff exhibited appropriate skills and attitudes in their interactions with service users. Service users stated their approval of staff and services received at the home. There is a stable staff group and the registered person has a commitment to provide staff training opportunities. Records inspected showed that training had been completed in first aid, moving and handling, infection control, food hygiene and 12 of 22 care staff have either completed, or are registered at NVQ level 2 or above. The manager is arranging medication training, protection of vulnerable adults and other staff training opportunities. The records regarding recruitment, induction and staff profiles were inspected and discussed with the registered person and manager. These records were not complete in all areas and require development to demonstrate that the home can meet these standards. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service, discussion and records. The management and administration of the home is based on openness and respect, it is developing a quality assurance system and monitoring process to provide a safe and comfortable home. EVIDENCE: The applicant to become the registered manager meets all requirements and arrangements have been made to conclude this process. The Chair of the management committee was working at the home and discussed the role of the committee in providing support and supervision to the manager. The management committee conduct monthly visits to the home and comply with regulation 26 inspections to report on the conduct of their home. A discussion occurred with the registered person regarding the need to develop robust selfassessment and development plans. The management committee oversee the home and the management of finances. An administrator is employed to Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 16 provide daily support in business functions at the home. The records detailed in schedules 3 and 4 were discussed with the manager and various records were inspected. A range of health and safety checks and maintenance procedures are conducted appropriately at the home. The arrangements to complete structured staff supervision and maintain records has not been complied with and a requirement is made to develop these procedures. A previous requirement to complete a quality assurance survey has been achieved and the conclusions distributed to service users. The manager discussed the intentions to develop these processes to consult with service users and visitors to the home. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X 3 Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Timescale for action 01/11/06 2. OP36 18 The Registered Manager must develop the Service Users plan of care to incorporate health, personal and social care needs to enable it to inform and direct care. NOT PREVIOUSLY MET. The registered manager must 01/11/06 ensure that the employment policies and procedures adopted by the home and its induction, training and supervision arrangements are put into practice. Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 19 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 OP29 Good Practice Recommendations The registered manager should maintain detailed records to demonstrate a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The registered manager should maintain staff profiles to demonstrate that there is a staff training and development programme that meets the National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. 2. OP30 Liskeard Eventide Home Limited DS0000009187.V299025.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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