Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd January 2009. CSCI found this care home to be providing an Good 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 Eastwood Lodge.
What the care home does well The residents live in a homely, clean, comfortable environment which is as they wish and suits their needs. People feel able to make choices in their lives such as where they spend their days, when to get up or go to bed, where to eat their meals and what activities they want to do during the day. Visitors feel welcome and say that their loved ones receive the care and attention of the staff in a friendly and helpful manner. Everyone enjoys the food, saying that it is plentiful and varied with lots of fresh fruit and vegetables. What has improved since the last inspection? The statement of purpose and service user guide have been updated to give more accurate information to interested people about what the home has to offer and how it is run. The owners have employed a deputy manager who has worked as an effective team with the manager. Together, they have improved the format of the care plans, instigated plans for more efficient monitoring and supply of staff training and made the staff one-to-one supervision meetings more formal. They have also put in place better quality assurance, to find out people`s views and provide care more safely and knowledgeably for the residents. A new `wet-room` shower room has been created and decorated in a homely way, to give more choice for people`s personal hygiene. Things that were found to be a risk or hygiene hazard at the previous inspection have been removed or placed in locked cupboards, as required. Many areas have been re-decorated in bright, light colours that the residents liked and wanted. A person now organises and arranges activities for people in discussion with them and understanding what they want and are able to do. What the care home could do better: It was not necessary to make any requirements or recommendations at this inspection visit. The manager and staff are meeting the key elements of the National Minimum Standards. Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Eastwood Lodge Stanhope Avenue Woodhall Spa Lincs LN10 6SP The quality rating for this care home is:
two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Vanessa Gent
Date: 2 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home
Name of care home: Address: Eastwood Lodge Stanhope Avenue Woodhall Spa Lincs LN10 6SP 01526352188 Telephone number: Fax number: Email address: Provider web address: eastwood@heathcotes.net Name of registered provider(s): Name of registered manager (if applicable) Ms Yvonne Margaret Lovely Type of registration: Number of places registered: Mr S J Cobb,Mr J A Hill care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Eastwood Lodge is a former Edwardian family home, with an established extension, which has been upgraded over the years. It provides personal care for up to nineteen people of both sexes over 65 years of age. The home is situated in a residential district, within a short walking distance of the centre of Woodhall Spa. In the village are various shops and leisure activities including pubs, churches, library, village hall, post office, restaurants and tearooms. There is a famous golf course near the village and a kinema in the woods, with picnic areas for locals and visitors to enjoy. The village has a regular train service and buses run throughout the day, every day to the surrounding towns. The accommodation, on two floors, consists of all single bedrooms, seven downstairs and twelve upstairs. Three are ensuite with a toilet and wash basin. Rooms upstairs are reached by a chair/stair-lift. Communally there are two lounges and a small conservatory, two dining rooms, two bathrooms, a wet-room shower room with toilet and three other toilets. Outside the front of the home is a gravel car parking Care Homes for Older People Page 4 of 26 0 Over 65 19 Brief description of the care home area and at the side and rear, a garden with patio area, where people can sit and relax, and a fish pond. The building and garden are on level ground, accessible for wheelchair users. The owners philosophy of care is that people should be treated with respect and dignity and given choice, with support, in their daily lives. The fees charged are £400 per week. People pay separately for their own hairdressing and chiropody charges, personal newspapers, magazines and toiletry items. Information about the costs, as well as the day-to-day running of the home, can be found in the statement of purpose and service user guide. These documents and a copy of the last inspection report are available to the fourteen people who live there and for those interested in coming to live at the home. Care Homes for Older People Page 5 of 26 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. An unannounced visit was made to the home as part of our key inspection. It started at 12.15 and lasted just over six hours. Throughout this report, the terms we and us refer to The Commission for Social Care Inspection (CSCI). As part of our review and assessment of the service, the owner was asked to complete a self-assessment questionnaire called the Annual Quality Assurance Assessment (AQAA). The information we received, as well as that which we hold about the service, was used to plan the visit and produce this report. Care Homes for Older People
Page 6 of 26 The main method of inspection we used was called case-tracking. This involved choosing three residents, and checking the care they receive through looking at their records, chatting with them, the care staff, any visitors and observing care practices. Our visit to the home focused on whether key standards had been met and how people feel about the service provided. The care received by three people was followed in detail to check that their health, safety and welfare needs were fully met and that they were supported to maintain their dignity, autonomy and choice. We spoke with the manager, staff on duty, several people in the lounge and their own rooms, including those whose care we were following closely, and visitors. People talked about their experience of living at the home. Any comments we received are mentioned in the main body of this report. Personal records, known as care plans, general house records and staff records were looked at, and the way care was given to the people was noticed. We saw some areas of the home and watched the lunch and evening meal being served to and taken by the people who live there. The manager or her deputy were present throughout our inspection visit. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given enough information for them to choose if they want to live at the home. The first assessment process helps the care team to meet each new persons individual needs. Evidence: We saw the statement of purpose and service user guide. They were last updated in July 2008 and are continually monitored as change occurs, to provide all the information required. They, along with a copy of the latest inspection report, are given to all people interested in moving into the home. People told us that they had been visited by a member of staff in their previous home and were given enough information to believe
Care Homes for Older People Page 11 of 26 Evidence: they would feel comfortable to live there. They were invited to spend time at the home and introduced to others already living there. The care plans we looked at showed that pre-admission assessments are completed with anyone intending to come to live at the home. We spoke with people who confirmed this during our visit. The owners and manager of Eastwood Lodge Care Home do not provide an intermediate care service although people can and do stay for respite or short breaks. Care Homes for Older People Page 12 of 26 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for safely, with dignity and as they wish. Their needs are met by clear care plans, appropriate liaison with other professionals and safe medication practice. Evidence: We looked at the care plans of three people. They contained assessments of risk to people and explained how the peoples health and personal needs were to be managed. Care staff told us and showed that they provide the appropriate care and support for the residents by knowing what is in the care plans. Information in the care plans showed that the staff review peoples plans regularly, together with the person where they indicate they wanted to be involved. Several people told us they knew what their care plans were about and that they help to review them as they want. The manager told us, in her self-assessment form, that the format of the care plans is new and is more in depth. People told us that staff call the right professional needed if and when residents become poorly and the family is told straight away. They said the care and support
Care Homes for Older People Page 13 of 26 Evidence: given is wonderful. Most of those living at the home at the time of our visit needed help with their medications. One person who sees to their own medicines has an assessment in their care plans for this and is supported to manage them safely. In their room, they have safe storage space for their medicines. Staff said they are trained to give medicines safely. This was confirmed in the staff files we looked at. Records showed that the supplying pharmacist audits the medication practices regularly and reports back to the manager. They also supply training for the staff who administer the medicines to ensure they keep up with safe medication practices. People said they are treated with respect. We saw the staff behaving in a considerate, friendly way with people when giving support. There was a positive rapport between staff and people throughout the visit time at the home. One person said,Theyre very kind, helpful, polite and pleasant. The philosophy of the home is to support people to live as independently as possible, and help them make their own choices at every opportunity. When a visitor was asked if the care given meets the needs of their relative, they said, Theyre very good, the staff. They are very caring. They do everything they can. Care Homes for Older People Page 14 of 26 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to enjoy activities, choices and a lifestyle which is flexible and what they want. Meals provided are nutritious, well-balanced and appetising. Evidence: The activities that are offered and taken part in are recorded in each persons care plans and the activity book by the person in charge of organising activities. The range of activities is advertised for the month ahead. People get one-to-one attention as well as group sessions. Staff help the activities organiser with keeping people occupied and happy. People say that when the weather is fine, they enjoy visiting the village centre with a member of staff. The manager is keen to join the charity, NAPA, National Association of the Provision of Activities for Older People, to help them find even more ways to give the residents more choice. Activities in the community are limited at present but with the employment of a specific activities person, they said they are planning for more community communication involvement.
Care Homes for Older People Page 15 of 26 Evidence: Visitors to the home said they felt welcomed by the manager and staff. They said the manager always had a word with them and they felt that her door is always open. The food was reported by residents to be good, wholesome and tasty. They told us there are always fruits and vegetables at each main meal. We saw that there were plenty of fresh fruit and vegetables in the stock larder, and vegetables were seen on the residents meals at lunch. Care Homes for Older People Page 16 of 26 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel able to speak out, are taken notice of and are protected by staff trained in safeguarding people and who are committed and caring in their roles. Evidence: The manager received one complaint within the past twelve months. We saw that it was dealt with and resolved quickly and to the persons satisfaction. The manager said, in the AQAA, that it was their aim to prevent/deal with any issues before reaching complaint point. People told us they have nothing to complain about and that the manager and staff look after them very well. Staff told us that they are trained in how to protect people and would do so at all times. This was confirmed in their staff records. People told us they are very pleased with how the staff treat them. A visitor said, Theyre very good, the staff. Theyre very caring. Care Homes for Older People Page 17 of 26 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and well-maintained environment, which means they are cared for safely, as they wish and makes them feel at home. Evidence: Residents and visitors told us that the home is always clean, tidy, homely, pleasant and smells fresh, as we confirmed at the inspection visit. There has been re-decoration of many areas of the home and some refurbishment of carpets and furniture. A new wetroom, shower room has been installed to provide people with more choice for their personal hygiene. The Environmental Health and Fire Safety officers have given satisfactory reports for the home and any issues have been dealt with by the manager and maintenance person. We saw, in the maintenance log book, that repairs are carried out immediately they are reported. We saw that all the checks on maintaining the home in a hygienic and safe state are in order. Staff told us that they would like the owners to concentrate on decorating and renovating the outside as somehow it lets the inside down. It doesnt do the home justice. After our visit, we spoke with the home-owners who told us they would review this
Care Homes for Older People Page 18 of 26 Evidence: aspect of the home. Care Homes for Older People Page 19 of 26 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are cared for by carefully-recruited and well-trained staff, to ensure their health and welfare is maintained. Enough staff are on duty to enable them to give people ample opportunity to engage with them and receive the attention they need. Evidence: A visitor who comes to the home very often said she always notices a nice atmosphere about the place and the staff are helpful, friendly and pleasant. She said they maintain an air of calm. They are all very nice. Staff told us that they get on very well together, there is good team-work and they complement each other in their work. The manager said about the staff, Theyre a good bunch; always get on and work well together. People told us they do not have to wait for staff if they ring their call bell and that the staff spend time chatting to them and not being impatient. The duty rotas show that there are enough staff, with a varied skill mix, to meet the needs of the residents. Staff told us of the nationally-recognised qualifications they are taking, two of them taking level two, two level three and one level three in management training, to enable them to care even better for the people who live there.
Care Homes for Older People Page 20 of 26 Evidence: Recently-employed staff told us that their induction was thorough and lasted as long as it took for them to feel confident to care safely for each of the residents, in effect at least four to six weeks or longer. We saw in the staff file, and staff confirmed, that the training programme was supporting them in their caring roles. The deputy manager has created a training matrix so that the manager can audit and monitor that the training is appropriate for the staffs needs. Care Homes for Older People Page 21 of 26 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to express their views about the quality of their care, in a supportive and responsive atmosphere. They are protected by good record keeping and effective management. Residents feel safe and enjoy living at the home whilst staff are happy with their jobs, feel well-supported and enjoy coming to work. Evidence: The manager has been in post for five years. She achieved her Registered Managers Award to help her manage the staff and service more efficiently. Everyone at the home agreed that she has an open-door policy for people who want to discuss personal matters. In her self-assessment, she said she wanted to make sure that she was able to communicate well enough with people to enable her to deal with any issues that arise before they become complaints, and so maintain a close, family-style atmosphere at the home. The owners visit regularly and monitor the service provided by doing unannounced,
Care Homes for Older People Page 22 of 26 Evidence: monthly visits and writing a report each time. The manager has produced a questionnaire that is given to people once a year to ask for their opinion on the running of the home. They are also in the process of producing a survey for other professional people involved in the home. Residents and their relatives hold their own meetings to share their thoughts and wishes. These are documented. The manager will then collate all the material received and write a summary of how the service can be refined and improved. The staff are also preparing to produce a regular newsletter. People and/or their families take care of their own monies. The manager does not have responsibility for any residents personal allowances. Staff meet individually on a regular, two monthly basis with the manager or the deputy to discuss personal issues, progress at work and training needs. They said they felt it helped and encouraged them to progress and learn more about the work they do. We saw, in the records, files and the policies and procedures in place, all measures are in place to monitor and maintain the health and safety standards in the home, such as testing the electrical, water and fire safety, to protect the people who live in the home and maintain their health, welfare and safety at all times. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 Older People Page 25 of 26 Helpline: 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 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!
