Care Home: Eagle House Care Home

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What the care home does well This random inspection visit was carried out on 21st April 2010 and lasted 6.5 hours. The service was not told in advance when it would take place. The manager was available throughout the period of our visit and as well as speaking to her, we talked to the owner of the home and staff who were on duty, together with people who live in the home and relatives and professionals who were visiting. Comments from them are included in this report. We looked round the service, including bedrooms and shared areas and inspected the records of people`s care, staff files, health and safety documents and other records kept by the service. Choice of Home: The case files of people living in the file contained assessments of their needs carried out by the manager or the Local Authority to ensure the service is able to meet their needs appropriately. Since the last time we visited the home the manager told us she had updated information about the service to ensure people who are thinking about using it can make an informed decision about the home. Relatives and people living in the home told us they had made an active choice about using the service and were quite happy with the service provided. Health and Personal Care: People using the service told us they were happy with the way their health and personal care needs were met and confirmed staff respected their wishes for the way these are delivered and that they were treated with dignity. We were told how "Caring" staff were and we observed friendly and positive interactions between them and people that use the service. Relatives told us how happy they were with the service received and one told us she "Couldn`t ask for more" whilst another indicated she had utmost confidence in the home. Since the last time we visited the service the manager told us that care plans belonging to people using the service had been further developed to ensure staff have more information about their personal interests and we saw evidence that they and their relatives were included in the development of these and in agreement with the way support is provided. There was evidence of daily recording and regular monitoring in thecare plans inspected to ensure support provided is appropriate and meets identified changes in needs. We saw evidence of regular liaison and close involvement with community health and social care professionals and were told the service continues to maintain very good working relationships with them. A visiting District Nurse told us she had "No concerns" and was confident in the service and indicated staff acted on her advice and asked for assistance when this was needed. Staff files contained evidence of training to ensure the needs of people living in the home are appropriately met and we saw evidence that since the last time we visited this had included additional dementia related courses, to enable staff to better support and maximise potential for increased wellbeing. A senior member of staff was observed carrying out a medication round in an appropriate and professional manner and we saw evidence of training on this to ensure people using the service are safeguarded from potential harm. There was evidence the manager carries out monthly checks of the medication records to ensure they are accurately maintained. The atmosphere in the home continues to be very supportive and friendly and visiting relatives told us how staff worked closely with them, to ensure they can be involved in the care provided and that their wishes for this can be respected. Daily Life and Social Activities: There was evidence that a variety of activities are provided that include visits from outside entertainers, singers and monthly church visitors and we observed some people taking part in a game of group skittles. Since the last time we visited two staff had attended training on the provision of activities and we were told that another was currently taking a course on chair based activities. Whilst we were told that all of the care and ancillary staff have received dementia training as previously recommended, there was some evidence this aspect of the service could still be further developed as we observed some people looking listless or bored. A recommendation about this is made. The service continues to operate an open visiting policy and the involvement of and friends and family is encouraged. Relatives told us they are welcomed to take part in the life of the home and invited to attend activities and parties held. Relative comments continue to be very positive about the service and confirmed they are included in decisions and very confident that any concerns they might have would be taken seriously and acted upon. People living in the home told us they enjoyed their food and relatives indicated that this was of good quality. Case files contained evidence of aspects of monitoring of diet and we saw evidence of use of dietary supplements to ensure nutritional needs are appropriately met. A four star rating had recently been awarded to the home by the Local Authority Environment Health Department for the standard of cleanliness and hygiene of the kitchen facilities. Complaints and protection: A complaints policy is in place and people using the service and their relatives told usthey continue to be very happy and confident in the home and were generally extremely satisfied with the service they received. One relative told us she "Couldn`t ask for more" whilst another confirmed that her views were always taken seriously and acted upon. A copy of the complaints policy was on display in the reception area of the home along with numerous letters and cards of thanks and there was evidence of a proactive approach to resolving any concerns and neither we nor the provider had received any formal complaints over the past year. Staff records identified appropriate training on the protection of vulnerable adults to ensure people using the service are protected from potential harm and no safeguarding concerns had been made to the Local Authority since our last visit to the home. Environment The last time we visited the service, we made requirements to and ensure the home is kept free from unpleasant smells and that wheelchairs are stored appropriately. We saw evidence of good work to implement this requirement with more easy to clean flooring laid and a training programme to ensure staff have the correct skills to deal with and minimise cross infection. The service had sign What the care home could do better: Staff should be further encouraged to engage with people living with dementia to ensure individual needs and wellbeing are promoted and that people using the service can be involved in meaningful activities of their own choice and interests. The induction programme for new staff should be further developed to ensure it meets the standards recommended by Skills for Care . The service should have a manager who is formally registered under the Care Standards Act with the Care Quality Commission. Random inspection report Care homes for older people Name: Address: Eagle House Care Home Fleetgate Barton On Humber North Lincolnshire DN18 5QD two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rob Padwick Date: 2 1 0 4 2 0 1 0 Information about the care home Name of care home: Address: Eagle House Care Home Fleetgate Barton On Humber North Lincolnshire DN18 5QD 01652635440 01652635440 eaglehousech@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Debbie Lisa Stephenson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Kumar Thakerar care home 40 Number of places (if applicable): Under 65 Over 65 40 29 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Eagle House is situated in the town of Barton upon Humber close to all of the local amenities. The home provides care and support for up to forty service users within the categories of older people, and older people with dementia. The home is registered to support forty service users with complex needs associated with dementia. The accommodation is provided over two floors that are accessed by stairs and a passenger lift. There are thirteen shared rooms and three single rooms on the first floor and a lounge and dining room on the ground floor. The home has a pleasant garden to the rear and side of the building with mature fruit trees and a small pond. There is ample Care Homes for Older People Page 2 of 10 Brief description of the care home car parking space. The atmosphere and setting of Eagle House is homely and is domestic in character. Information about the current level of fees charged are available from the manager of the home. Care Homes for Older People Page 3 of 10 What we found: This random inspection visit was carried out on 21st April 2010 and lasted 6.5 hours. The service was not told in advance when it would take place. The manager was available throughout the period of our visit and as well as speaking to her, we talked to the owner of the home and staff who were on duty, together with people who live in the home and relatives and professionals who were visiting at the time of our visit. Comments from them are included in this report. We looked round the service, including bedrooms and shared areas and inspected the records of peoples care, staff files, health and safety documents and other records kept by the service. What the care home does well: This random inspection visit was carried out on 21st April 2010 and lasted 6.5 hours. The service was not told in advance when it would take place. The manager was available throughout the period of our visit and as well as speaking to her, we talked to the owner of the home and staff who were on duty, together with people who live in the home and relatives and professionals who were visiting. Comments from them are included in this report. We looked round the service, including bedrooms and shared areas and inspected the records of peoples care, staff files, health and safety documents and other records kept by the service. Choice of Home: The case files of people living in the file contained assessments of their needs carried out by the manager or the Local Authority to ensure the service is able to meet their needs appropriately. Since the last time we visited the home the manager told us she had updated information about the service to ensure people who are thinking about using it can make an informed decision about the home. Relatives and people living in the home told us they had made an active choice about using the service and were quite happy with the service provided. Health and Personal Care: People using the service told us they were happy with the way their health and personal care needs were met and confirmed staff respected their wishes for the way these are delivered and that they were treated with dignity. We were told how Caring staff were and we observed friendly and positive interactions between them and people that use the service. Relatives told us how happy they were with the service received and one told us she Couldnt ask for more whilst another indicated she had utmost confidence in the home. Since the last time we visited the service the manager told us that care plans belonging to people using the service had been further developed to ensure staff have more information about their personal interests and we saw evidence that they and their relatives were included in the development of these and in agreement with the way support is provided. There was evidence of daily recording and regular monitoring in the Care Homes for Older People Page 4 of 10 care plans inspected to ensure support provided is appropriate and meets identified changes in needs. We saw evidence of regular liaison and close involvement with community health and social care professionals and were told the service continues to maintain very good working relationships with them. A visiting District Nurse told us she had No concerns and was confident in the service and indicated staff acted on her advice and asked for assistance when this was needed. Staff files contained evidence of training to ensure the needs of people living in the home are appropriately met and we saw evidence that since the last time we visited this had included additional dementia related courses, to enable staff to better support and maximise potential for increased wellbeing. A senior member of staff was observed carrying out a medication round in an appropriate and professional manner and we saw evidence of training on this to ensure people using the service are safeguarded from potential harm. There was evidence the manager carries out monthly checks of the medication records to ensure they are accurately maintained. The atmosphere in the home continues to be very supportive and friendly and visiting relatives told us how staff worked closely with them, to ensure they can be involved in the care provided and that their wishes for this can be respected. Daily Life and Social Activities: There was evidence that a variety of activities are provided that include visits from outside entertainers, singers and monthly church visitors and we observed some people taking part in a game of group skittles. Since the last time we visited two staff had attended training on the provision of activities and we were told that another was currently taking a course on chair based activities. Whilst we were told that all of the care and ancillary staff have received dementia training as previously recommended, there was some evidence this aspect of the service could still be further developed as we observed some people looking listless or bored. A recommendation about this is made. The service continues to operate an open visiting policy and the involvement of and friends and family is encouraged. Relatives told us they are welcomed to take part in the life of the home and invited to attend activities and parties held. Relative comments continue to be very positive about the service and confirmed they are included in decisions and very confident that any concerns they might have would be taken seriously and acted upon. People living in the home told us they enjoyed their food and relatives indicated that this was of good quality. Case files contained evidence of aspects of monitoring of diet and we saw evidence of use of dietary supplements to ensure nutritional needs are appropriately met. A four star rating had recently been awarded to the home by the Local Authority Environment Health Department for the standard of cleanliness and hygiene of the kitchen facilities. Complaints and protection: A complaints policy is in place and people using the service and their relatives told us Care Homes for Older People Page 5 of 10 they continue to be very happy and confident in the home and were generally extremely satisfied with the service they received. One relative told us she Couldnt ask for more whilst another confirmed that her views were always taken seriously and acted upon. A copy of the complaints policy was on display in the reception area of the home along with numerous letters and cards of thanks and there was evidence of a proactive approach to resolving any concerns and neither we nor the provider had received any formal complaints over the past year. Staff records identified appropriate training on the protection of vulnerable adults to ensure people using the service are protected from potential harm and no safeguarding concerns had been made to the Local Authority since our last visit to the home. Environment The last time we visited the service, we made requirements to and ensure the home is kept free from unpleasant smells and that wheelchairs are stored appropriately. We saw evidence of good work to implement this requirement with more easy to clean flooring laid and a training programme to ensure staff have the correct skills to deal with and minimise cross infection. The service had signed up to a Local Authority programme on infection control and antiseptic hand washing facilities were in place throughout the building. Some relative comments we received since our last visit indicated that new chairing and covers had been needed and we saw evidence that this had been appropriately actioned and observed ancilliary staff working hard to ensure the home was kept clean and smelt fresh. The manager told us that wheelchairs were now stored in bedrooms to ensure they do not impede access around the building and as previously noted, we saw evidence of a recent four star rating for the cleanliness and hygiene of the kitchen facilities awarded by the Local Authority Environment Health Department. The provider had continued to upgrade the building since our last visit and there was evidence that further bedrooms had been re decorated with doorways re painted in different colours, to help people using the servce have more control over their lives and to help them to orientate themselves around the building. Staffing: Staff were observed interacting with people using the service in a friendly and sensitive way and people living in the home and their relatives told us their needs were generally well met and that call bells were answered promptly. The manager told us that since the last time we visited staffing levels had been reviewed as previously recommended, to ensure there are sufficient staff to meet the changing needs of the people who use the service. We were told that during the day there are four care staff plus a senior and ancillary staff available and that three care staff are on duty at nights for the thirty people who were living in the home. Comments we received indicated that people who use the service and their relatives trust the staff well and continue to have great confidence in the home. We saw evidence of a training and development programme that continues to in place to ensure staff are able do their jobs and that new staff follow an induction process for the home. The manager regularly monitors staff training to ensure refresher training is Care Homes for Older People Page 6 of 10 provided, however whilst staff files provided evidence of regular staff supervision and professional development, a recommendation is made that manager ensures the induction process meets the standards recommended by Skills for Care. Staff files continued to show evidence of an appropriate recruitment and selection process to ensure people using the service are protected from potential harm. Those we inspected contained the required documentation including checks of identity and references, together with Criminal Records Bureau and Protection of Vulnerable Adults checks carried out. Management and Administration: People using the service and their relatives told us they continue to be happy with the service received and that any concerns that they had were taken seriously and acted upon. The acting manager has considerable experience of working with the group of people using the service and since the last time we visited has obtained a recognised qualification in Leadership and Management as previously recommended. The acting manager told us she was aware of the need to be formally registered with the Care Quality Commission and we saw evidence she takes an open approach with regular meetings and close consultation to ensure both staff and people using the service can influence the way the home is run. Additional support has now been provided to her with the appointment of a part time administrator, in order to help with the smooth running of the home. Record keeping systems were clear, well organised and well maintained, with evidence of regular checks and surveys to ensure the service can monitor its effectiveness in meeting its aims and objectives. Fire and maintenance records were up to date with regular checks of the building and equipment to ensure the health; safety and welfare of people using the service are properly promoted and protected. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 28 The Registered Person should ensure the home has an induction programme that meets the recommended standards for Skills for Care . The Registered Person should ensure staff are encouraged to engage further with people living with dementia to ensure their individual needs and wellbeing are further promoted and they are enabled to be involved in meaningful activities of their own choice and interests. The Registered Person should ensure the service has a manager who is registered with the Care Quality Commission. 2 30 3 31 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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