Latest Inspection
This is the latest available inspection report for this service, carried out on 10th May 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for East Dene Court.
What the care home does well The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person`s needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. Service user`s health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. Service users say that staff treat them well and treat them with respect. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions.Without exception, the service users were very complimentary about the care that they receive, they were very happy with the care and support they receive, all were very happy with the accommodation. The home is kept clean and hygienic and free from odours. The staff team had very good knowledge of the service users care needs. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the home`s policies and systems. What the care home could do better: As a result of this inspection visit, no requirements or recommendations were identified. Random inspection report
Care homes for adults (18-65 years)
Name: Address: East Dene Court Melbury Street Seaham County Durham SR7 7NF three star excellent 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: Jim Lamb Date: 1 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: East Dene Court Melbury Street Seaham County Durham SR7 7NF 01915815008 01915815009 clare.wheatley@espa.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Clare Wheatley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Education and Services for People with Autism Limited care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 9 East Dene Court is registered to provide care (but not nursing care) for 9 people with learning disabilities between the ages of 18 and 65 years. It is a specialised service for people with autism. The home is a large detached building on the outskirts of Seaham. It provides generous communal space, all the bedrooms are single and have ensuite bathrooms and there is a private garden. Ground floor accommodation is provided for a resident with physical disabilities. The home has advised CQC that the charges vary according to each residents needs, Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home these range from £1,230 to £2,038 per week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The quality rating for this service is 3 stars. This means that the people who use the service experience excellent quality outcomes. How the inspection was carried out. Before the visit we looked at information we have received since the last visit, any changes to how the home is run, the providers view of how well they care for people. During the visit we talked with people who use the service, staff, the deputy manager. looked at information about the people who use the service and how well their needs are met, looked at other records which must be kept, checked that staff had the knowledge, skills and training to meet the needs of the people they care for, looked around the building/parts of the building to make sure it was clean, safe and comfortable, and checked what improvements had been made since the last visit. The following areas were looked at in more detail: Service users are properly assessed prior to admission to the home, information is sought from a wide range of health and social care professionals. As part of the pre admission procedures, there is a multi-disciplinary panel including a consultant psychiatrist, and consultant psychologist, and all prospective service users are assessed individually. ESPA has a specific service user consultation policy that demonstrates their commitment to service users involvement in planning, decision making and empowerment. Prospective service users and their Representatives are fully involved through out this process. All are provided with detailed information about the service, (this is called a service users guide) and this helps them to decide if they wish to consider using the service. All service users are invited to visit the home and to move in on a trial basis, before they make a decision to stay. Each person has a written contract that fully explains their terms and conditions. Three staff were spoken to. It was evident that they were fully committed to helping people living at the home to live fulfilling lives as independently as possible. During the inspection, there was evidence that the people using the service made their own decisions about how they lived their lives. For example, two service users said that they are supported to make decisions about their day-to-day lives. The care records of two service users were examined. Their care plans had fully reflected
Care Homes for Adults (18-65 years) Page 4 of 10 the information contained in the pre admission assessments. Care plans are based around service users strengths and their preferences for how they wanted to be cared for. All care plans were easy to understand and written in plain English. Each plan accurately describe the service users needs/preferences and how staff will meet these needs. All plans are regularly reviewed. A key worker system was in operation and this allowed staff to work more closely with some people whilst also contributing to the care of all living at the home. In each persons care records, comprehensive risk assessment information was available. For example, risk assessments covering the following areas had been completed: nutrition, mobility, skin care and living independently. No limitations had been placed on service users right to make decisions and choices about how they lived their lives. Work has already commenced on implementing person centred care plans, and these will be completed for all service users within the next few months. People using the service are given sensitive personal support by the staff to promote each individuals health care needs, independence, dignity, privacy and choice. Each person has an individual assessment of his or her personal health needs, and has a care/goal plan in place to meet those needs. Health plans are monitored, reviewed, and amended as necessary, to reflect the progress made by the individual. Service users have a choice of local GP practices. There are arrangements for service users to access: optician, dentist and podiatrist. Service users also receive input, if required from mental health care professionals, physiotherapist and occupational therapists. All contact with health care professionals is well recorded. Each person has his or her own Personal Health Information file. This contains professional health assessments, correspondence, records of contacts with health professionals. It demonstrated that all aspects of a persons physical and mental health are taken seriously and are properly met. Medicines are delivered in blister packs. This is working well, and there are policies and procedures in place to minimise any risk of a medication error. The Medication Administration Records was checked. This was found to completed properly, with no gaps. Senior staff do a weekly audit of the prescribed and non-prescribed (homely medicines) medications. Medicines are safely stored. All staff have had training on how to use the medication system. They have also had external Safe Handling of Medicines training. The home was clean, well decorated and well maintained. The grounds were attractive, tidy, safe, and accessible. The home has an appropriate amount of sitting, recreational and dining space. There are
Care Homes for Adults (18-65 years) Page 5 of 10 enough rooms for a variety of activities to take place. All areas are nicely decorated and well furnished. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. All bedrooms have got en-suite facilities. All have been highly personalised by the service users. All doors have privacy locks and room sizes exceed the required standards. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. There are several attractive garden areas that have been landscaped, and service users have easy access to these areas. A garden conservation project has recently commenced, and all service users are involved. This includes various tasks such as: renovating garden furniture, building bird tables, and a rabbit run (for Happy the pet rabbit), planting cuttings, seeds and growing vegetables. The kitchen was spotlessly clean and very well organised. All service users have access to the kitchen, and they assist staff/cook to prepare meals, snacks and drinks. Water is stored at over 60C. Valves at water outlets ensure water is provided close to 43C to prevent scalding. The home was exceptionally clean, comfortable and very homely. The laundry facilities are very well organised. The washing machines have the specified programme to meet disinfection standards. What the care home does well:
The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a persons needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. Service users health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. Service users say that staff treat them well and treat them with respect. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Care Homes for Adults (18-65 years) Page 6 of 10 Without exception, the service users were very complimentary about the care that they receive, they were very happy with the care and support they receive, all were very happy with the accommodation. The home is kept clean and hygienic and free from odours. The staff team had very good knowledge of the service users care needs. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the homes policies and systems. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
