Inspection on 07/10/05 for The Mount Eventide Home

This inspection was carried out on 7th October 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 Mount Eventide Home 13/12/06

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 Antonia Reynolds Unannounced Inspection 7th October 2005 10:30 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 The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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.V249582.R01.S.doc Version 5.0 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.V249582.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users over the age of 60. Date of last inspection 26/4/05 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.V249582.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, undertaken by two inspectors, and took place between 10.30am and 2.50pm. The Registered Manager, Mrs Margaret Barrett, was present throughout. A tour of the premises took place and records relating to care and the home were inspected. Six of the residents, a relative and five staff members were spoken with, and other residents were met and observed during the visit. 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. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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 The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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, 5 and 6 The home’s Statement of Purpose and Service User Guide provide prospective residents and their relatives/representatives with details of the services the home provides, enabling them to make an informed decision about admission to the home. EVIDENCE: The Statement of Purpose and Service User Guide were clearly written and contained all relevant information for people wanting to know more about the home. The Registered Manager confirmed that residents were given opportunities to visit and stay in the home prior to being admitted on a permanent basis. The Mount Eventide Home does not provide intermediate care. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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): 8, 9, 10 and 11 Residents can be confident that this care home is able to meet their health and personal care needs. EVIDENCE: Discussion with the residents and the Registered Manager, as well as observation, showed that personal and health care needs were being met 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 needs could be met by the staff team and 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 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. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 9 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 The lifestyle in this home reflects the Christian principles observed by staff and the residents who positively choose the home for this reason. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: Discussions with the residents confirmed that they participated in activities of their choice, including various religious services. Contact with families and friends was encouraged and residents valued having telephones in their rooms. Residents were encouraged to manage their own money or a relative/representative managed it on their behalf. Service users were able to bring personal possessions into their rooms with the agreement of the home’s management. The home employed catering staff who cooked the main meal at lunch time and care staff made tea in the evening. The residents confirmed that they liked the food, there was plenty of it, they had a choice of meals and snacks and likes/dislikes were respected. Hot and cold drinks and snacks were available at all times and offered regularly. Menus were available and details of the food provided to service users was documented. Residents also confirmed that they could eat their meals where they liked, for example, in The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 10 their bedrooms or the dining room. Observation and discussion with the staff showed that meals were unhurried and residents’ wishes were respected. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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 Residents can feel confident that any complaints they have will be taken seriously and that their views are listened to and acted on. EVIDENCE: Discussions with residents and relatives confirmed that they had no complaints about the care or services offered in the home. All those residents seen who were able to express their views were very complimentary about the home. People with dementia were observed relaxing and chatting to staff in a pleasant and calm atmosphere. The Registered Manager was well aware of adult protection procedures and documentation was available in the home. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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 The standard of the environment within and outside the home is very good providing the residents with an attractive, clean and comfortable place in which to live. EVIDENCE: The communal rooms were on the ground floor and consisted of two lounge rooms and a dining room. At the time of inspection, the smaller lounge room was being used as a temporary bedroom due to the needs of one of the residents and the Registered Manager said this had been agreed with the resident and her relatives/representatives, as this was a preferred option than having to move elsewhere for a short time. These rooms were well furnished and decorated to a high standard. Residents said that they could use the larger lounge room when they wanted to and some of them enjoyed playing the piano that was available for their use. The Registered Manager confirmed that redecoration and refurbishment is ongoing and it was evident that the home was well maintained. The home had a call alarm system that could be cancelled at the point of call. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 13 Bedrooms were individually decorated and furnished and contained many personal belongings. The Registered Manager confirmed that bedrooms were always redecorated when they became vacant. All the bedrooms had en suite facilities consisting of a bath or shower and a toilet and wash hand basin. Equipment in the en suite facilities showed that individual needs had been considered and addressed to the benefit of the residents. In addition to these, the home had a variety of aids and adaptations to meet the needs of the residents, including shaft and stair lifts. There were also communal bathrooms and toilets for residents to use if required. The laundry system was very up to date with disinfection, washing and sanitising programmes built in to highly technical washing machines which provided protection against cross infection. 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 residents could sit. The home had CCTV cameras inside the home that monitored all the external doors providing access. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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 and 30 Residents can be confident that the staff group will have a good understanding of their care needs. EVIDENCE: The Registered Manager confirmed that there were usually four care staff on duty between 7.30am 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 staff team. At night there were two waking members of staff. The residents said that staff respond quickly to call bells. The home also employed catering staff and cleaners and were looking for a maintenance person to replace someone who had retired earlier this year. When the Registered Manager was absent, there was a designated senior person on duty. The Registered Manager confirmed that all staff were expected to undertake training related to the care of the residents, health and safety issues and national vocational qualifications. She also confirmed that, when recruiting staff, the usual practice in the home was to obtain all the required information before new staff members were employed, including two written references and a Criminal Records Bureau check. However, discussion with a long standing staff member showed that she had not yet had a Criminal Records Bureau check carried out, but the Registered Manager confirmed this would be addressed immediately. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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): 32, 35 and 38 Residents benefit from an experienced and qualified Manager who is supported by a committed staff team who carry out their duties in the spirit and ethos of a Christian community. EVIDENCE: Residents were satisfied with the way the home was being managed and said they felt secure and safe. They felt confident to voice their opinions individually or in meetings with the manager, visiting members of the committee and other officers of the Key Change Charity. Residents and the Registered Manager confirmed that personal money was managed by the residents themselves or relatives/representatives. Where relatives/representatives passed money to the home to be administered on behalf of residents, the procedures described by the Registered Manager were satisfactory as were the written records. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 16 Overall the management of health and safety was satisfactory. Checks and tests of fire safety equipment had been carried out as required for most of the year although the records showed that there had been a short lapse. The Registered Manager agreed to resolve this immediately and has since confirmed to the Commission for Social Care Inspection that this has been addressed. The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 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 X 18 3 3 4 4 3 4 4 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X 3 X X 3 The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 18 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.V249582.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 The Mount Eventide Home DS0000003497.V249582.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!