Inspection on 01/12/06 for The Eyrie

This inspection was carried out on 1st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Eyrie 05/02/08

The Eyrie 24/02/06

The Eyrie 10/08/05

The Eyrie 19/01/05

The Eyrie 20/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Eyrie Moresby Park Whitehaven Cumbria CA28 8XG Lead Inspector Cath Wilson Unannounced Inspection 1st December 2006 10:00 The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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 The Eyrie DS0000022678.V314922.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 Adults 18-65. 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. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Eyrie Address Moresby Park Whitehaven Cumbria CA28 8XG 01946 599772 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) moresbyparks@walsingham.com Walsingham Mrs Susan Palmer Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 24th February 2006 Date of last inspection Brief Description of the Service: The services and care at The Eyrie are provided by Walsingham who have a number of homes in Cumbria and throughout the Country. The Eyrie can accommodate six people who have a learning disability. The Eyrie is a detached dormer style bungalow with car parking facilities to the side of the premises. There is an enclosed garden area and patio to the rear of the home. The home is situated in Moresby Parks, a village off the West Coast of Cumbria. Built on two floors the home has six single occupancy bedrooms, two of which are on the ground floor. The office is situated on the first floor. There are two toilets available on each floor, as well as a bathroom with specialist bathing facilities. The lounge, dining room, kitchen and utility room are on the ground floor. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to The Eyrie and took place during the morning period. During this time all the key standards of the National Minimum Standards were assessed. The registered manager and staff were met during this inspection. A pre-inspection questionnaire was completed by the registered manager and received prior to this visit and assisted in the inspection process. This visit included a look around the home and an assessment of the home’s administrative policies and procedures. What the service does well: What has improved since the last inspection? The home continues to ensure that the identified needs of people in the home are met. This involved the expertise and guidance of other personnel in order that the most appropriate outcomes are achieved for people and are diligent in doing this on an ongoing basis. The recording system used in the home continues to be improved so that outcomes are effectively recorded. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good procedures and paperwork in place to ensure appropriate referrals and that they accept people whose needs they can meet. EVIDENCE: The information available to prospective guests, their family or representatives is well documented. The manager is fully informed of the criteria for needs led assessments and incorporates this information comprehensively in meeting individual need. People are able to visit the home prior to their visit. People are provided with choice and being provided with opportunities to visit the home allows an informed and supported decision to be made. The Statement of Purpose and Service User Guide are appropriately updated. Both documents are accessible and available to family and representatives also. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff are very focussed on achieving the individual outcomes for people. This is carefully monitored. Risk taking is well managed and a good balance is achieved between promoting independence and ensuring the well-being and safety of people. EVIDENCE: There are individual care plans for people in the home. Individual ways of communicating are included and staff are constantly seeking ways of furthering people’s involvement in their daily lives. Information is kept up-to-date and the manager and staff are very well informed of individual needs, wishes and preferences. The information is regularly monitored and assessed and reviewed. In order to further strengthen the care planning used in the home staff continued to monitor the method of recording people’s individual outcomes in their records. The manager and senior staff are diligent in monitoring people’s individual care needs. Risk assessments had been undertaken and are integrated into the everyday life experiences of people. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 10 This allows people to be appropriately supported to be included in events in their lives in a safe, manageable and balanced manner. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s rights are very much promoted and their individuality respected. EVIDENCE: People’s leisure and community involvement are detailed in their records and staff are supportive in people attending these. Staff attended to these in a manner that respected people’s individuality and planned people’s inclusion with this in mind. Staff who met with me displayed a great interest and enthusiasm in encouraging people to have meaningful and enjoyable experiences. Seeking opportunities to further people’s choice and participation in everyday events. Family members are encouraged to have involvement. Mealtimes are arranged to meet individual need whether this be in the home or community. Staff encouraged people to make their own decisions and their rights and choices are recognised and promoted. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health care matters are well managed and documented. Medicines management is generally good and regularly monitored. EVIDENCE: The manager and staff are informed of people’s healthcare needs and records are kept of these. Staff work positively with local health care professionals when required to offer an attentive and supportive approach to ensure people’s health needs are met and planned for. There is access to specialist advice and guidance. Staff are continuing to assess the way they record this so that the support and attention provided accurately reflects their practices. There are policies and procedures for medicines management. All medicines were securely stored and staff are trained in medicines administration. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home safeguards people’s health, safety and welfare. The home has a satisfactory complaints system. EVIDENCE: Information is available regarding complaints and relatives or representatives have access to this. Staff are informed of the policies and procedures relating to adult protection matters and how to safeguard the health and welfare of people in the home. The manager and staff are familiar with the multidisciplinary guidance and this includes arrangements for training to be appropriately renewed. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Private rooms are comfortable, well maintained and very personalised. EVIDENCE: Arrangements are in place for the general health and safety of people in the home and for their environment. Guidelines are followed regarding environmental health and fire safety. The Environmental Health Officer had inspected the home on the 30 November 2006 and found the home to be satisfactory. Specialist equipment is regularly serviced and the home has access to advice and guidance regarding environmental matters. Each person has use of his or her own room and these are very personalised. Arrangements are in place to complete the redecoration of the staircase. The overall impression is one of a comfortable, relaxing and pleasant environment for people to live. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 15 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and regularly supervised and training needs are identified. EVIDENCE: Training matters in key subjects had been kept up-to-date along with staff involvement in NVQ qualifications. All new staff had undergone a period of induction and all appropriate checks and references had been undertaken prior to commencing work. There are good recruitment procedures in place. The home ensured appropriate levels of support are available for people in the home and this is constantly monitored. The manager and staff are well informed of the individual and comprehensive needs of residents. Staff are well supported in their work and had regular supervision. They meet regularly to discuss their provision and the quality of care they are providing. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 16 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in the home benefit from an organised and well ran home that places their care and overall welfare first. EVIDENCE: There are health and safety policies and procedures available in the home and staff are well informed of these matters. The records assessed on the day of the inspection were organised, up-to-date, accessible and confidentially stored. The deputy manager who was present during this inspection is very clear about her role and responsibilities and the systems that are organised in the home. Arrangements in the home were very focussed on meeting the needs and wishes of people who visit California House. It is evident that the manager and The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 17 staff are constantly seeking ways to improve the quality of people’s lives and enlist the help of fellow professionals and colleagues to do so. The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations The Eyrie DS0000022678.V314922.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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