Inspection on 13/12/06 for The Mount Eventide Home

This inspection was carried out on 13th December 2006.

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 Mount Eventide Home 07/10/05

The Mount Eventide Home 26/04/05

The Mount Eventide Home 16/12/04

The Mount Eventide Home 17/08/04

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 The Mount Eventide Home 7 Lipson Terrace Lipson Plymouth Devon PL4 7PR Lead Inspector Tina Maddison Unannounced Inspection 13th December 2006 10:00 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 The Mount Eventide Home DS0000003497.V320814.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. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mount Eventide Home Address 7 Lipson Terrace Lipson Plymouth Devon PL4 7PR 01752 665222 01752 672777 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) Plymouth & District Free Church Women`s Council Eventide Home Mrs Margaret Barrett Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users over the age of 60. Date of last inspection 7th October 2005 Brief Description of the Service: The Mount Eventide is a care home providing accommodation and personal care for 28 people, aged over 60, who may also have dementia. It is owned by a voluntary organisation, and is part of the Key Change Christian based charity, which is a national organisation providing residential and nursing homes following Christian principles. The home is situated in the residential area of Lipson and is close to Plymouth city centre. The home has been a care home for many years and was first registered in 1985. It is comprised of a three storey end of terrace house. Bedrooms are on all three floors and are single rooms with en suite facilities. The 1st and 2nd floors are accessed by a shaft lift or stair lifts, as well as stairs. On the ground floor there is a large lounge, with doors opening onto the garden, a smaller lounge situated on the ground floor of the Kate Ford Wing and a dining room. There is a call bell system throughout the home. There is a large back garden, that has been attractively landscaped with a patio, lawn and flower beds, and all areas are accessible to the residents. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, and took place over one day. The Registered manager, Mrs Margaret Barrett, was present throughout. A tour of the premises took place, and all bedrooms were seen. Nine residents, a visitor to a resident and five staff members were spoken with at length, and other residents were spoken with during the course of the inspection. The Manager had not returned the pre inspection questionnaire prior to the inspection, but agreed to return it to the Inspector as soon as possible. Five residents survey forms were sent out prior to the inspection, and two were returned to the Inspector. What the service does well: What has improved since the last inspection? There were no recommendations or requirements made in the previous inspection, and the high standards of care and accommodation continues to be maintained. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 6 The redecoration and maintenance of the home is an ongoing programmed that is well managed. 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 Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 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 The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good because residents have the information that they need prior to admission to make an informed decision about whether the home is able to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service users guide were clearly written and contained all the relevant information for people who were considering moving to the home or required information about the homes services after moving in. The recently admitted residents said that these had been given to them when visiting the home prior to being admitted. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 9 Residents are able to have a trial stay in the home prior to moving in permanently, and the home offers the opportunity of respite stays for people who are considering moving to the home. Prospective residents care needs are assessed by the Manager prior to moving to the home and documented to ensure that the residents care needs are able to be fully met at the home. The Mount Eventide does not provide intermediate care. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good because residents can be confident that staff at the Mount Eventide will meet their health and social care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the residents, and the Registered Manager and staff at the home, in conjunction with the examination of records and documents, evidenced that personal and health care needs were being met at the home and that residents were treated with dignity and privacy was respected. Health and social care professionals were consulted when required, and provided regular input to the home. Residents were able to receive professional or personal visitors in private within their rooms, or socially in communal areas. The Registered Manager confirmed that service users could remain living in the home as long as their The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 11 care needs could be met by the staff team with the support from community health professionals. Medication was safely stored and administrative procedures were well managed. The Registered Manager confirmed that medication is checked regularly and any discontinued or expired medication was recorded as being returned to the pharmacy. Residents were given the opportunity to handle their own medication if they were assessed as being safe to do so. Secure storage was provided for the medication in residents rooms as appropriate, and a risk assessment had been completed. Care plans were clearly written and agreed by the residents who sign the records. Residents said that their care needs were being met in every way. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good because the lifestyle in this home reflects the Christian principles observed by most of the staff and most of the residents who positively choose this home for this reason. Food is of a good quality and a balanced diet is offered with a varied selection of meals available that meets residents tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with the residents confirmed that they participated in activities of their choice, including various religious services. Many of the residents had chosen the home because of its Christian principles, but other residents said that they did not observe any religion and did not feel pressured to conform to any particular religious beliefs. Currently there are three non practicing Christians in the home. Residents confirmed that families and friends were encouraged to visit and residents valued having telephones in their rooms. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 13 Residents confirmed that they were encouraged to manage their own money, or a member of their family or a representative managed it on their behalf. Service users were able to bring personal possessions into their rooms with the agreement of the homes management, and these possessions were documented. The home employed catering staff who cooked the main meal at lunch time and the care staff made tea in the evening. Most of the residents confirmed that they liked the food, and confirmed that there was plenty of it, and residents confirmed that hot and cold drinks and snacks were available at all times and offered regularly. One resident commented that they thought that the food was not of a good quality and the portions were not big enough. Menus were displayed, and details of food provided was documented. It was observed that residents could eat their meals in a room that suited them, for example, in the dining room, quiet room or their bedrooms. A lunch time meal was observed during the inspection, and was a relaxed and unhurried occasion. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good because the home has a clear complaints procedure that residents felt able to use. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with residents and one visitor, and from the two residents comment cards that were returned, residents indicated that they had no complaints about the care or the services offered in the home. The nine residents who were interviewed during the inspection commented that they were sure that if they had a complaint then the Manager would resolve it. The nine residents spoken with during the inspection were very complimentary about the home, and were observed chatting in a relaxed manner to the staff and the Manager. Any minor concerns are recorded along with actions taken by the Manager and staff to resolve the concern. The Registered Manager and staff were aware of adult protection procedures and documentation was available in the home that will assist in the protection of the residents. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good because the standard of the environment inside and outside of the home is very good, providing the residents with an attractive, clean and comfortable place in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the bedrooms are of a good size and have en suite bathrooms. All nine residents spoken with on the day of the inspection expressed complete satisfaction with their rooms. All rooms were personalised and residents had brought their own furniture in with them. The home offers a large communal lounge and two smaller quiet lounges on the first floor. The dining room is a large pleasant room. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 16 Over the years extensions have been added to the original older house in a sympathetic manner. On the day of the inspection the whole house was found to be well maintained and in a good state of decoration. The home was very clean and free from any offensive odours. The home employs a handy man, and there is a plan of redecoration and renewal that is ongoing. The Manager confirmed that bedrooms are always redecorated when they become vacant. The home has a variety of aids and adaptations to meet the needs of the residents, including shaft and stair lifts. The garden was well maintained by local contractors and was easily accessible to the residents. It was well laid out with lawn, flower beds and a patio where the residents could sit. Many of the bedrooms have extensive views across Plymouth. The laundry system is very up to date, with disinfection, washing and sanitising programmes built in to highly technical washing machines. This system affords protection against cross infections. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good because the staff team are skilled, well trained, caring and committed, and therefore provide a good level of care to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager confirmed, and rotas evidenced, that there were usually four care staff on duty between 7.30pm and 1.30pm and three care staff between 1.30pm and 7.30pm every day. In addition, the Registered Manager was usually available during the day on weekdays, but there were occasions when she was working shifts as part of the care team. At nights there were two members of staff on waking duty. Domestic staff are also employed, along with two morning cooks, and a handyperson. Residents said that staff responded quickly to call bells, and their requests for attention were met with kindness and consideration. Four staff files were examined, and evidenced that all necessary checks, including two references, CRB checks, and proof of identification . The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 18 All new staff had records in their files that stated that they had undertaken an induction period, and staff confirmed that this was the case. Staff also confirmed that they are able to undertake regular training, and this included food handling, health and safety, emergency first aid, manual handling and fire safety training. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 Quality in this outcome area is good because the Mount is run by a well qualified and experienced Manager who is supported by a committed staff team who carry out their duties in the spirit and ethos of a Christian community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with said that they were satisfied with way the home is run, and said that they felt secure and safe. They felt confident to voice their opinions, and confirmed that they were able to voice their opinions at the regular residents meetings. Once a month a member of the Key Change The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 20 Charity that owns the home, visits and residents are able to voice opinions and suggestions to them. Health and safety records and systems were scrutinised by the Inspector. These records included the accident book, fire safety records, and gas and electrical systems records. The Registered Manager has managed the home for a number of years and is skilled and experienced. The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 4 4 3 4 4 3 3 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 3 4 3 3 3 3 3 3 The Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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 Mount Eventide Home DS0000003497.V320814.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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