Care Home: Eagle Life College

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What the care home does well What has improved since the last inspection? Not applicable as this is a new service. CARE HOME ADULTS 18-65 Eagle Life College Mill Road Banham Norwich Norfolk NR16 2HU Lead Inspector Debby Allen Unannounced Inspection 13th May 2008 10:00 Eagle Life College DS0000070871.V364859.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 Eagle Life College DS0000070871.V364859.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. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eagle Life College Address Mill Road Banham Norwich Norfolk NR16 2HU 01692 581758 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) Mr Michael Roy Conrathe Mr Paul Anthony Conrathe Miss Marion Jane Shipp Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home only - Code PC To service users of the following gender: Either Whose primary needs on admission to the home are within the following categories: Learning Disability - code LD of the following age range: 18 - 28 years The maximum number of service users who can be accommodated is 8 2. Date of last inspection: N/A – New Service Brief Description of the Service: Eagle Life College is registered to provide accommodation for up to eight people with a learning disability and provides a homely domestic style environment, which is designed to enhance and continue the development of each person’s independence. The premises are situated in a quiet cul-de-sac, integrated with other residential accommodation, resembling a village in a community environment on the outskirts of Banham Village (a rural location between Attleborough and Diss). All service users have single bedrooms, which are decorated to their choice as much as is possible. The weekly fee for Eagle Life College’s Walnut Lodge is currently £3,500 inclusive - additional costs will usually only be incurred if an individual requires more than 1:1 staffing. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This inspection commenced on 13th May and concluded on 20th May, over a period of five and a half hours. During this time discussions were held with the service manager and the head of care. A tour of the premises was also carried out. Care plans, staff files, health and safety information and other records required for regulation were also examined as part of the inspection process. An Annual Quality Assurance Audit (AQAA) document was completed by the manager and submitted to the Commission upon request, prior to the inspection. It should be recognised and acknowledged that, as a new service, with only one person having moved to Walnut Lodge in January 2008, some of the records and areas of inspection contain only limited information at this time. Two requirements and one recommendation have been made as a result of this inspection. What the service does well: Walnut Lodge is a well run home, which provides a homely, comfortable and safe environment, for people to live in. It is also clean and hygienic and people have the opportunity to personalise their rooms as they wish. Thorough needs assessments are carried out before people move to Eagle Life College/Walnut Lodge. Risk assessments are clear and detailed and included areas around the home and ‘off-site’. The person currently living at Eagle Life College/Walnut Lodge receives good ‘person centred’ support. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 6 Eagle Life College/Walnut Lodge supports the person who currently lives there to have lots of things to do – education, work and leisure. Eagle Life College/Walnut Lodge supports people to become more independent and improve their daily living skills. Personal care is provided in the way people want it and they are protected from abuse, neglect and self harm as much as is possible. The recruitment policies and practices of the organisation are robust, which helps to ensure service users are fully protected. 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 summary of this inspection report can be made available in other formats on request. Eagle Life College DS0000070871.V364859.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 Eagle Life College DS0000070871.V364859.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, 4 & 5 Quality in this outcome area is good. Prospective service users and/or their families are provided with the information they need to make an informed choice about the home and their needs are assessed before moving in to help ensure that the home is suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records looked at, in respect of the current service user, were found to contain a thorough needs assessment and personal profile, which had been completed prior to their moving into Walnut Lodge. The manager confirmed that the current service user had visited the home and had been actively involved in choosing the décor for their room, before living there full time. Copies of the Admissions Policy and the Statement of Purpose were also looked at, which confirmed that prospective service users have the information they need to make an informed choice about where to live. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 9 The Admissions Policy stated that prior to an offer of a place the College will: Ensure that it is able to meet the learning difficulties and disabilities of a prospective service user. Visit the prospective service user’s current placement or residential provision. Agree to meet the dietary and medical needs of the service user. And, prior to admission the College will: Send home an induction pack for the service user’s present carers to complete, including consent forms for medical treatment, off-site activities etc. Arrange an induction day visit to the College for the service user so that they can be helped, as appropriate, to choose a bedroom, meet key staff and become familiar with the physical environment and routines of the care home. Provide a social story for the service user to take home and use with their parents or carers prior to admission. Arrange for an overnight stay at the College to experience more of the normal routines, which are part of the life at the home. Provide a service user guide to the College in as accessible a format as possible for the service user. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 10 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, 8, 9 & 10 Quality in this outcome area is good. The person living at Walnut Lodge is involved in decisions about their life and has opportunities to be actively involved in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records looked at, in respect of the current service user, were seen to contain clear evidence that they are supported to make decisions about their life wherever possible. This was particularly noted from the entries in the person’s daily diary and minutes from the most recent review meeting. A statement was also seen in the care plan/personal file, which read: [name] is not able to express themselves verbally, but their presentation and behaviour would appear to reinforce the view that their identified needs are being met. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 11 The risk assessments that were looked at were found to be clear and detailed and included areas both around the home and off-site, such as cooking, ironing, using the kettle, swimming, walking to the shop, going to restaurants, going to the cinema and going to college. Although the care plan, as a whole, was seen to be very comprehensive and informative with regard to likes, dislikes, abilities and behaviours, it was noted that a large portion of information, in particular the pen picture, had been carried over from the previous residential placement/school and a recommendation has been made for this to be reviewed and updated as soon as possible to reflect the individual in their new/current environment. All personal records and personal information was seen to be stored securely, thereby ensuring confidentiality is maintained for the person living at Walnut Lodge. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. The person who currently uses the service is able to make choices about their lifestyle and they are supported to participate in various activities, which suit their individual needs and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records and care plan looked at during the inspection were seen to contain good evidence of ‘person centred’ support. In respect of personal development, the person living at Walnut Lodge is currently attending college one day per week, undertakes work experience in catering and office skills and has a comprehensive education programme. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 13 There is also a great deal of on-going support and encouragement, at the service, to enhance independence and living skills in areas such as house cleaning, cleaning shoes, laundry, ironing, preparing grocery shopping lists and grocery shopping. Some other activities noted included swimming, having meals out, pub visits, going to the cinema, trips to the garden centre, personal shopping, visiting family and friends, watching television, games, art, craft, cooking, fitness/exercises, gardening and listening to music. Although a mealtime was not observed, nor a formal menu seen during the inspection, a discussion with the manager and the records looked at supported the fact that the person living at Walnut Lodge is offered a healthy diet and enjoys their meals and mealtimes. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 14 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 & 20 Quality in this outcome area is good. The health and personal care that the person living at Walnut Lodge receives is based on their individual needs, to ensure the principles of dignity, respect and choice are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plan and other relevant records provided good evidence that the person living at Walnut Lodge receives personal care according to their individual needs and wishes and it was confirmed, within the Annual Quality Assurance Assessment (AQAA), that staff of the same gender provide personal care to help ensure dignity is maintained. Records were also seen, which confirmed visits to external healthcare professionals, such as the doctor and dentist. The person living at Walnut Lodge does not currently require any medication. However, the organisation does have comprehensive policies and procedures in place, which were looked at as part of the inspection, in order to ensure existing and prospective service users are protected in this area. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is good. The person living at Walnut Lodge has their views listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no formal complaints received by the Commission or by the service since it opened. Discussions with the manager and head of care confirmed that any internal issues were raised and discussed during staff meetings. Staff records and discussions with the manager also confirmed that staff have received training in child and adult protection and understanding abuse. A ‘physical intervention’ book was looked at, which contained information in respect of behaviour, incidents and any physical intervention. A behaviour chart was also seen to have been compiled in order to recognise, manage and monitor certain behaviours appropriately and safely for all concerned. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. Walnut Lodge provides a homely, comfortable and safe environment, for people to live in, which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises showed Walnut Lodge to be clean, hygienic and pleasantly decorated throughout. It also had a very comfortable and homely atmosphere. The one occupied bedroom was seen to be very personal and future service users will also have the opportunity to personalise their rooms as they wish. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 17 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 & 35 Quality in this outcome area is good. The person living at Walnut Lodge is supported by competent and qualified staff and the organisation’s recruitment policies and practices are robust, which helps to ensure service users are fully protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As Walnut Lodge currently only supports one service user, the staff team is not fully established or ‘service specific’. However, minutes of staff meetings and duty records were looked at and indicated consistency of care, together with a knowledge and understanding of the person being supported. Staff files relating to individuals providing care and support on a regular basis were also examined and these were found to contain evidence and confirmation of a robust recruitment procedure by the organisation, such as completed job application, references, identification, clear enhanced Criminal Records Bureau (CRB) disclosures and job offer/contract of employment. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 18 Evidence of training was also noted, and a number of certificates seen, in areas such as fire safety, food hygiene, autism awareness, medication management, first aid, COSHH, health & safety, COSHH, writing with symbols and principles of care. Discussions with the manager and head of care confirmed that a ‘service specific’ staff team is in the process of being implemented in preparation for future admissions and a training and induction programme is in place for new staff. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 19 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 & 42 Quality in this outcome area is good. Walnut Lodge is a well run home, in which the current service user’s views are taken into consideration and their overall health, safety and welfare is promoted and protected, although there are a couple of safety issues, which need to be addressed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager at Walnut Lodge is experienced and competent and confirmed that she completed her NVQ level 4 in management in March 2007. Although the service is very new with currently only one person using it, the manager and provider have worked hard to date to ensure the current service user is happy and settled and feedback is regularly sought in various forms from the person themself, their family and other relevant professionals such as Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 20 tutors and carers/support workers. Evidence of this was seen in the service user’s personal file, the AQAA and the monthly regulation 26, (provider visit), reports. The regulated health and safety checks were found to be mostly satisfactory and cleaning materials/hazardous chemicals were seen to be stored appropriately. However, on the day of inspection, two fire doors were seen to be wedged open and the hot water reached a temperature of 65°, which is much higher than considered safe. Two requirements have therefore been made in this respect. Eagle Life College DS0000070871.V364859.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 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 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 22 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 YA42 Regulation 23 Requirement Designated fire doors must not be wedged open. Fire doors must either be kept closed or held open using a mechanism approved by the fire authority. The hot water temperature must be regulated, and regularly monitored, in order to control the risk of scalding. Timescale for action 20/05/08 2. YA42 13 31/07/08 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 YA6 Good Practice Recommendations The care plan and pen picture for the current service user should be reviewed and updated, in order to reflect the individual and their needs in their new/current environment. Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Eagle Life College DS0000070871.V364859.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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