Inspection on 09/03/06 for Liskeard Eventide Home Limited

This inspection was carried out on 9th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 09/08/06

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 Kerensa Livingstone Announced Inspection 9th March 2006 09:30 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.V276821.R01.S.doc Version 5.1 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.V276821.R01.S.doc Version 5.1 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 Mrs Elizabeth Anne Wilkins 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.V276821.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 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 which is accessed by stairs or a through floor 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.V276821.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection was the Inspector’s first visit to the home. The Registered Manager provided comprehensive Pre Inspection information; comment cards were received from relatives and Service Users. The Inspector had the opportunity to fully observe the environment, meet Service Users, staff and inspect documentation. The Registered Manager and Chair Person were both in the home and fully available during the day. The Inspector was impressed by the welcoming, homely and organised atmosphere within the home. What the service does well: What has improved since the last inspection? What they could do better: The Service Users plan of care requires updating and developing. There should be evidence of Service User involvement. Individual Service User risk assessments must be developed as required. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 6 Training must include Protection of Vulnerable Adults, Infection Control and Health and Safety for all staff. 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.V276821.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 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 the following standard(s): 1&6 Prospective Service Users are provided with comprehensive information to enable them to make an informed choice about where they wish to live. EVIDENCE: The Statement of Purpose and Service Users Guide are well presented documents, which provide information about the services that the home offers. The Registered Manager and the Inspector discussed a couple of points that required reviewing within the Service Users Guide and Statement of Purpose e.g. frequency of Service User plan of care and involvement of family or representative depending on Service Users wishes, information that must be provided to Service Users on admission (NMS 5.3), information about how individual religious needs are met. The importance of including a copy of the most recent report in the Service Users Guide for prospective Service Users was discussed. 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 Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 9 Physiotherapist or Occupational Therapist input would be arranged on an individual basis. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 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): 7 & 10 Service Users health, social and personal needs are met within the home; the service users met during the inspection confirmed this. However the current recording requires updating and developing. There should be evidence of Service User involvement. Service Users feel their privacy and dignity is respected. EVIDENCE: Service users’ records were seen to include an initial assessment and plan of care. Most of the service users are still independent and only need limited help, it was noted at the last inspection that the care plans are brief, this remains so. Further development and updating of the documentation is required. There is evidence that the plan of care is reviewed monthly or earlier if required. It is recommended that there is evidence of Service User involvement or that the plan of care is agreed and signed by the Service User and/or representative. Risk assessments are being developed the Inspector was informed. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 11 The service users were very positive about the care that they received from the staff and said the help that they received was excellent. Individual wishes, routines and requests are respected. The Inspector was impressed with the degree of individual detail. Staff use preferred forms of address when speaking with the Service Users and their relatives. Private telephones are installed as requested. There are no shared rooms. All Service Users spoken with felt the staff could not do anymore to respect their privacy and dignity. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were not assessed at this inspection, they all met the minimum standard at the last inspection. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 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): 16 & 18 Service Users are listened to and their concerns acted upon. Staff are provided with clear information to ensure that Service Users are protected from abuse. The Policies and Procedures require are couple of additions to underpin practice. EVIDENCE: There is a complaints procedure and this is included with the Service User’s Guide. Since the last inspection this has been amended as recommended. This should state that the complainant could contact the Commission for Social Care Inspection at anytime. A record is kept of complaints. Service Users informed the Inspector if they had any concerns they were confident that prompt action would be taken and they were aware of whom to speak to. No concerns or complaints have been received by the Commission for Social Care Inspection or were expressed during the inspection. Eight staff have attended externally facilitated Protection of Vulnerable Adults training and two more places are booked for staff to attend. There are Policies and Procedures for Whistleblowing and the Protection of Vulnerable Adults. The Inspector and Registered Manager discussed the need for the contact numbers for local agencies such as the Care Manager for Social Services, the Commission for Social Care Inspection and the Police to be included. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not formally assessed during this inspection, however the home’s environment was observed. There were no odours within the home. It was observed to be clean and hygienic. The accommodation is furnished and decorated to a high standard and Service Users expressed how pleased they are with their home. This was the Inspector’s first visit to the home and they were impressed with the décor, homeliness and comfort offered to Service Users and their visitors. All rooms are single, thirteen are single and all have a lockable door. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 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 & 30 EVIDENCE: There are adequate staff on duty to meet the needs of the Service Users. There is a duty rota that reflects the staff on duty. The staff on duty were observed going about their duties. Service Users informed the Inspector that there were enough staff on duty to meet their needs. There are designated catering staff. Additional hours are provided for entertainment. One waking staff and one sleeper provide night cover. The Registered Manager lives next door to the home. No one under twenty one is left in charge of the home. The Committee are actively involved in the running of the home. Nine staff have completed their National Vocational Qualification Level 2, three are studying for it and two have their National Vocational Qualification Level 3 and one is studying for it. New staff are starting at the home the Registered Manager informed the Inspector that they would be completing their Skills for Care induction package. The recruitment and selection procedures are very thorough and organised. The administrator supports this process. Staff files were observed to include a Criminal Records Bureau check, two written references, health declaration and a completed application form. All staff are provided with a Job description and contract. A record must be kept of the interview questions and answers. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 16 There are no separate training records, however copies of certificates are kept. Staff reported that they are supported to attend training. There is a designated training budget. Service users were very complimentary about the staff and management of the home; the quality of care provided, their consideration and respect for the service users. Staff meetings are held. The Inspector was informed that all staff receive regular fire training, some staff had completed Health and Safety and Infection Control. It is recommended that this training be provided for all staff. Moving and Handling training is due to be arranged. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 17 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): 33, 34, 35, 36 & 38 There is clear leadership and organisation within this home. The Service users’ interests are at the heart of the home’s management. EVIDENCE: Service Users were informed about the Announced Inspection. Feedback is sought annually from the Service Users and their families on management, food, daily living, personal care and support and the premises. This information must be compiled into a report and made available to the Service Users and a copy forwarded to the Commission for Social Care Inspection. There is a suggestions box. Policies and Procedures are kept under review, staff sign to say they have read and understood them. Service Users meetings are not routinely held, however one is planned to talk to them about the findings of the survey. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 18 There is a business and financial plan. Employer’s Liability Insurance is in place. The most recent accounts were available at inspection and appeared to demonstrate that the home was financially viable. Each room is provided with a lockable space. Service Users are encouraged to control their own money and retain independence. Where monies are held the records inspected were accurate. A record is kept of monies received, paid out and the balance. There is a safe and when items deposited there a receipt is provided. All Service Users sign for allowances that are paid out. Supervision has been taking place and staff meetings held. The Registered Manager has an ‘open door’ policy and plans to increase their frequency to ensure that supervision takes place bimonthly and is due to do the annual appraisals. There is evidence that the home aims to ensure safe working practices. Fire training is undertaken on a regular basis by all staff. The Fire Officer visited the home on the 10.5.05. The lift, specialist equipment and call bell systems are all serviced annually the Inspector was informed. Moving and Handling training was last done eighteen months ago and the Registered Manager is in the process of arranging an update of this. It is recommended that staff be provided with health and safety and infection control training. There are health and safety related Policies and Procedures as required. All accidents are recorded in the Accident Book. All new staff receive an induction that complies with TOPSS. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 19 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 2 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 3 3 X 3 Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 20 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 OP1 Regulation 4, 5 Sch. 1 Requirement Timescale for action 01/06/06 2. OP7 15 3. OP33 24 The Registered Person must ensure that the Statement of Purpose and Service Users Guide includes the required information, these documents are kept under review and a copy forwarded to the Commission for Social Care Inspection. The Registered Manager must 01/06/06 develop the Service Users plan of care to incorporate health, personal and social care needs to enable it to inform and direct care. The Registered Person shall 01/06/06 supply a copy of the report for the annual survey that has been completed to the Commission for Social Care Inspection and this must be made available to Service Users. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 21 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. 2. 3. 4. Refer to Standard OP7 OP7 OP16 OP18 Good Practice Recommendations For there to be evidence that Service Users are involved in the planning and reviewing of their care and/or a representative if this is what they wish. Risk assessments should be undertaken for all Service Users, as required. For the Complaints procedure to state that the complainant can contact the Commission for Social Care Inspection at anytime. For the local contact details to be added to the Protection of Vulnerable Adults Procedure to ensure that all staff are aware of the action to take if abuse was alleged to have taken place. Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Liskeard Eventide Home Limited DS0000009187.V276821.R01.S.doc Version 5.1 Page 23 - 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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