Inspection on 10/08/05 for The Eyrie

This inspection was carried out on 10th August 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

The Eyrie 05/02/08

The Eyrie 01/12/06

The Eyrie 24/02/06

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 10 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Eyrie Address Moresby Park Whitehaven Cumbria CA28 8XG 01946 599772 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) Walsingham Susan Palmer Care Home 6 Category(ies) of LD - Learning Disability registration, with number of places The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19 January 2005 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 F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place in the morning when residents and two members of staff were present. People were met at different times throughout the inspection and a number of records were assessed and the premises inside and out were looked at. What the service does well: What has improved since the last inspection? What they could do better: Complete the review of care plans. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 6 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 Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 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 The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 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, 3, 4 and 5 Detailed information is provided about the services the home provides enabling people to make an informed decision about admission to the home. EVIDENCE: Detailed information is available to the manager and staff for them to assess and plan individual admissions into the home. The process for this includes current resident’s views and opinions. Staff on duty at the time of this inspection are informed of people’s needs and wishes and sensitive to people’s individuality. People are provided with written contracts in a format that is accessible. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 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) 7, 8, 9 and 10 It is evident from the positive relationships, which have been formed between staff and service users, that staff had a good understanding of people’s support needs. EVIDENCE: People are fully involved in their personal lifestyles and their individual needs are recorded in their plan of care. Arrangements have been made for these documents to be reviewed and updated so that people’s current needs are accurately detailed. Risk assessments had been undertaken and these enabled people to be appropriately supported to live their lives in a measured and safe manner. People are enabled to be involved in their personal interests and social lives and can do so in either the home or local community. Personal details are managed in a confidential and sensitive manner. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 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 15 and 16 People are supported and encouraged to have fulfilling lives and links with the community provide them with valuable social and educational experiences. EVIDENCE: People’s personal schedules about their individual interests and hobbies are recorded and known to staff. Holidays and visits away from the home happen regularly and local amenities are visited on a regular basis. Arrangements are in place for people to maintain contact with family and friends. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 11 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, 19 and 20 The health care needs of service users are well met with evidence of multi disciplinary working taking place on a very regular basis. EVIDENCE: Medication is securely stored and administered and staff are following the home’s policy and procedure for this. The local pharmacist also checks these systems. The home has designated staff who are trained in these matters. Records seen by the inspector confirmed that people had a full range of access to general health care services and more specialised services when required. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 12 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) These standards were not assessed on this unannounced visit. EVIDENCE: The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 13 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, 25, 26, 27, 28 and 30 The standard of décor within this home is very good and there is evidence the home being maintained to a good standard of decoration. The home presents as a homely and comfortable place for people to live and work. EVIDENCE: People are comfortable within their home and pleased with the personal way they can keep their private rooms. People are very well supported to have these. There is a programme in place to maintain the furnishings and fittings in both the private and communal rooms. Contact is appropriately maintained with other professional personnel regarding the environment. This makes sure people have appropriate support and assistance with the provision of specialised aids and adaptations. The home is maintained in a clean and pleasant manner The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 14 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) 31, 32, 34, 35 and 36 People benefit from an experienced and trained staff group who are fully informed of people’s needs and wishes. The home follows the Walsingham procedures for the recruitment of staff and are an organisation with much experience of working with people with a learning disability. EVIDENCE: Staff are clear about their roles and responsibilities and committed to providing very positive life experiences for people in the home. Supervision is now to be arranged regularly with the full complement of staff present. There is a programme for in-house training as well as people’s involvement with NVQ Qualifications. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 15 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) 37, 40, 41, and 42 Although the registered manager was not present at this unannounced inspection it was apparent that service users continue to benefit from a well run home that safeguards their rights and best interests. EVIDENCE: Staff have very informative and detailed information regarding people’s personal matters and the home’s policies, practices and procedures. The home, although organised and orderly is arranged in a homely and relaxing manner with people’s individuality respected. The records assessed during the inspection ensure that people are respected and their dignity respected. Health and safety matters are appropriately recorded and dealt with and records also indicated that fire drills and instructions had taken place regularly. The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 16 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 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Eyrie Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 3 x F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The Eyrie F58 F10 s22678 the eyrie v235911 100805 ui stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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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