Care Home: Eighton Lodge Residential Care Home

Similar services:

• The Highlands
• Turret Villa Retirement Home
• Blenheim House
• 1 Lanark Close
• Mendip House
• Beaconsfield Court Care Home
• Ann Charlton Lodge

What the care home does well What has improved since the last inspection? Training has been given regarding care plans, and standards are improving, with more detail as to the actual care to be given by staff. Improvements have taken place in some important areas of medication records, making the residents even safer. Arrangements for checking bath hot water safety have improved. An annual development plan is being drawn up to show the improvements to the service that are being planned. The records of money held on behalf of residents have been improved and made clearer and more detailed. Training to meet residents` dietary needs has been organised. What the care home could do better: Draw up individual social care plans that reflect the hobbies and interests of the individual residents. Give every resident written confirmation that the home can meet their assessed needs when coming into the home. CARE HOMES FOR OLDER PEOPLE Eighton Lodge Residential Care Home Low Eighton Gateshead Tyne & Wear NE9 7UB Lead Inspector Alan Baxter Key Unannounced Inspection 10:00 19 -21st August 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eighton Lodge Residential Care Home DS0000007380.V371247.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eighton Lodge Residential Care Home Address Low Eighton Gateshead Tyne & Wear NE9 7UB 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) 0191 410 3665 0191 492 1006 Wellburn Care Homes Limited Kelly Sarah Watt Care Home 47 Category(ies) of Dementia (14), Old age, not falling within any registration, with number other category (47), Physical disability (5), of places Sensory impairment (2) Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 47 Dementia - Code DE, maximum number of places: 14 Physical disability - Code PD, maximum number of places: 5 2. Sensory Impairment - Code SI, maximum number of places: 2 The maximum number of service users who can be accommodated is: 47 21st August 2007 Date of last inspection Brief Description of the Service: Eighton Lodge is a large home in Low Eighton set back from the road in its own extensive grounds. It is a listed building of historical interest and is directly opposite the Angel of the North, which can be seen from many of the bedrooms. The home currently provides personal care for up to 47 older people, some of whom have dementia care needs and a smaller number who have physical needs. The home does not provide nursing care. There are bedrooms on both floors of the home, which are served by a central passenger lift. There is level access into the home from the driveway, and around the ground floor where the communal lounges and bathrooms are located. The home is situated on a main bus route, and it is a couple of miles to the nearest local facilities. The weekly fees range from £384 - £560. Eighton Lodge Residential Care Home DS0000007380.V371247.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 star. This means the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 21st August 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 19th August 2008, with a second visit on 21st August 2008. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit We told the manager and area manager what we found. What the service does well: Residents and relatives spoke very highly of the manager and her staff, and about the care they are receiving. Comments included, “Marvellous – like a hotel!” Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 6 “Very friendly and nice service”; “They don’t fuss you, but they are there when you need them” “Mary [the manager] is perfect!” The manager is careful only to admit someone if a full assessment of his or her needs has been carried. This is so she can be sure that the home can meet all those needs, and staff can then draw up a detailed plan of how they are going to meet those needs. Health care needs, including the giving of any prescribed medications, are also fully met. Residents are treated with respect and dignity by the staff, and there is a calm and relaxed feel to the home. The home has an excellent commitment to providing regular, varied group activities, and provides transport for trips out. Families and friends are encouraged to keep in regular contact with the residents, and residents are helped to keep in contact with their local community. They have a good degree of choice as to how they spend their time. Residents are offered and enjoy a very good diet, with plenty of choice, in very pleasant surroundings. The home takes all concerns or complaints very seriously, and looks into them carefully. It also gives staff good quality training in how to protect residents from abuse or harm. The home is kept in a good physical and decorative condition, and is well maintained, as well as being kept in a clean and attractive condition. There are good levels of staff and more than half the staff are qualified. The home selects its staff carefully and gives them a very good level of training. The manager is very experienced in the management of care. She is new in post, having been previously the deputy, but is obviously held in high esteem by residents, relatives and staff. She makes sure that staff are properly supervised and that the health and safety of both residents and staff are protected. There are systems in place to ask the opinions of those who use the service and their views are taken seriously and are acted upon. What has improved since the last inspection? Training has been given regarding care plans, and standards are improving, with more detail as to the actual care to be given by staff. Improvements have taken place in some important areas of medication records, making the residents even safer. Arrangements for checking bath hot water safety have improved. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 7 An annual development plan is being drawn up to show the improvements to the service that are being planned. The records of money held on behalf of residents have been improved and made clearer and more detailed. Training to meet residents’ dietary needs has been organised. 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. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4. People who use the service experience good quality in this area. The admissions process ensures that residents’ needs are properly assessed before they are admitted to the home. This means that residents know that their needs will be met at Eighton Lodge. We have made this judgement using available evidence including a visit to this service. EVIDENCE: No admission is made to the home until a full needs assessment has been undertaken. For people funded by a Local Authority, this assessment will be provided by the referring social worker or care manager. For people who are self funding and without a care management assessment the manager always visits the prospective resident in order to complete her own assessment documentation. The assessment involves the individual and his or her family or representative. Areas included in this assessment are dietary needs, risk assessments, moving and handling needs, and behavioural needs. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 10 Prospective residents are always invited to spend at least a day at the home so that they can “test” the service, and see if it will meet their needs. It was a recommendation of the last inspection report that a copy of the letter sent to residents, confirming with them that the home can meet their health and personal care needs, should be maintained in the home. This has been carried out for some, but not all, residents. This recommendation is repeated in this report. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality in this area. The health and personal care needs of the people who live in the home are being properly met, through improving care planning and better recording of health issues. We have made this judgement using available evidence including a visit to this service. EVIDENCE: It was a requirement of the last inspection report that residents care plans must be in sufficient detail to guide staff on the action they must take to meet the residents care needs. This is to ensure that residents receive continuity of care. This is still in the process of being carried out. Some care plans seen had improved, and now give appropriately detailed guidance to staff. Others still need more work. However, the company was able to demonstrate that further care plan training Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 12 was planned. It was agreed to bring this training forward, and it was confirmed in writing that senior staff have now received this training. Nine of the ten residents who returned surveys said that they always receive the care and support they need; one said “usually”. It was a recommendation of the last inspection report that the daily reports should describe the care being delivered so that this information can be effectively used to evaluate the care plans. This has not been carried out. This recommendation is repeated in this report. It was further advised to cross-reference daily recordings to each resident’s care plans, to improve the quality of the evidence for such evaluations. Health care needs are being assessed in good detail. Individual care plans are drawn up to meet assessed needs. Clear records are kept of visits to and from the usual range of community-based health professionals. There was evidence of referrals to specialists, where necessary. It was a requirement of the last inspection report that systems must be in place, where this has been assessed as a need, to monitor the resident’s food and fluid intake. This is to ensure the resident’s care needs are fully addressed. This is in the process of being carried out. The processes for recording nutritional intake are being tightened up, and further training for staff has been arranged with a Dietician. It was a requirement of the last inspection report that the home must develop a policy in relation to the safe administration of Warfarin, which reflects best practice. This has been carried out. Current practice is to ask for and receive the required dose and administration instructions in writing from the Pharmacy Coagulant Service, or from the local Warfarin Clinic. It was also a requirement of the last inspection report that the instruction on the pharmaceutical container and medication administration record must reflect what is happening in practise; and that the date of opening on eye gels and drops must be recorded on the pharmaceutical container. This has been carried out. The Medication Administration Records (MAR) was studied. A photograph of each resident is kept in the MAR to prevent mistakes in administration. Two staff tick off and initial the quantities of each drug received. No unexplained gaps were found in the MAR. There is an internal monthly drugs audit, and occasional external audits. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 13 There are two medication trolleys; these are secured when not in use. Controlled Drugs are kept in a locked cabinet in a locked room. The home’s line manager is currently checking that this arrangement meets the current legislation. Appropriate records are kept of Controlled Drugs. It was a recommendation of the last inspection report that the manager should see the original prescription issued by the GP. This has been carried out. The home now uses a different Pharmacist, who is happy to send the original prescriptions to the home, for copies to be taken and kept. These are then checked against the drugs received. In a survey, all ten residents who responded said that they always receive the medical support they need. Residents said that the staff always treated them with dignity and respect. This was confirmed by a visiting relative, who spoke very highly of the staff and the manager. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent quality in this area. Arrangements to provide activities, stimulation and community contact are excellent with lots of opportunities being provided for residents to maintain contact with their family and friends and to exercise choice and control over their lives. This ensures that residents lead fulfilling lifestyles. Residents are provided with a good, varied and well presented choice-based menu which helps to promote their general health and wellbeing. We have made this judgement using available evidence including a visit to this service. EVIDENCE: There is a good activities programme available to the people who live in the home. There is a good variety of activities, and at least two activities are offered every day, including weekends. This is good practice. Activities include sing-a-longs, crafts, quizzes, sherry afternoons, aromatherapy, manicures, visiting entertainers, reminiscence sessions, and exercises. A dog is brought to visit the residents every weekend. There are trips out, with Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 15 transport paid for by the company. Although some activities are funded by staff fund-raising, the company pays for any extras. Activities are recorded in very good detail, with plenty of photographs to evidence the residents’ enjoyment. Individual social care plans are drawn up for each resident. These are currently used to identify what each individual resident likes from the group activities programme. They should be further developed to also reflect individual hobbies and interests, perhaps making better use of the home’s ‘Getting to Know You’ files. A Recommendation is made regarding this issue in this report. All ten residents who returned surveys said that there are activities that they can take part in. A priest visits the home every week to give Holy Communion to Catholic residents. Residents are able to continue their own preferred daily routines and to make their own choices about how they spend their day. Residents said they can choose when to get up in the morning and when to go to bed. During the day some residents chose to spend time in the communal lounges whilst others preferred to spend time sitting in the entrance foyer watching the busy comings and goings of the home. Residents are encouraged to take part in activities around the home such as folding the washing, helping the gardener and making their own beds. Relatives are able to visit them at any time in the home and this was observed on the day of the inspection. Good contact is maintained with relatives and with the local facilities, such as the Allerdene social club, so that residents still feel that they are part of the local community. Residents said that the food was very good. One commented, “ Good choice of meals – very well presented and served”. A cooked breakfast is always provided and a choice of main meal and pudding is always offered. This choice is offered at the actual mealtime, as in a restaurant, rather than hours beforehand, which can be confusing to some residents. It was also noted that there is plenty of food, and, when a resident changed his mind about his choice, this was accepted as perfectly acceptable. A lunchtime meal was shared with three residents. Staff were observed to be courteous, encouraging the residents’ independence throughout. A choice of juice or water was offered with the meal followed by tea or coffee. The dining tables were immaculately presented with linen tableclothes, napkins and condiments so that residents could help themselves. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 16 The menu is regularly reviewed, in consultation with the residents. It was noted that the company puts no limit on the food budget, and that the manager has been told to “buy the residents whatever they want, regardless of the cost”. This is excellent practice. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality in this area. The home has a satisfactory complaints system. Complaints are handled appropriately and the outcomes used to improve the service. Policies, procedures and staff training ensure that the residents are protected from abuse and potential harm. We have made this judgement using available evidence including a visit to this service. EVIDENCE: There is a clear and positive complaints policy and procedure in place. The recordings of complaints were in good detail, with an appropriate format that includes recording whether a complainant is satisfied with the outcome of the investigation. Two complaints have been received by the home in the past year. One was from a resident, complaining about the conduct of another resident. This was resolved sensitively. The second complaint was about care practices. This was being looked into by the home’s line manager at the time of the inspection. Another complaint was received by the CSCI on 24th July regarding the investigation of a previous complaint made to the home. The manager was unaware of this complaint and the home’s line manager said that she would investigate it immediately. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 18 All the ten residents who returned surveys said that they knew who to speak to if they are unhappy about anything, and they all said they know how to make a complaint. The home has its own policy and procedure documents relating to safeguarding adults, which are available to staff to guide them if they have any concerns in this area. The manager has also obtained a copy of Gateshead local authority’s safeguarding adult procedure. The majority of staff working in the home are trained in safeguarding adults. Arrangements are in place for new staff to receive this training. There have been no safeguarding adult referrals made since the last inspection. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience excellent quality in this area. Eighton Lodge offers residents a clean, homely, well maintained place to live with fixtures and fittings throughout of an excellent standard. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The building was found to be very clean. Relatives commented that there were never any odours in the home. One said, “We are very impressed with the way it is kept very clean and fresh”. There are two communal lounges located on the ground floor. These areas are bright, airy comfortable places in which to sit and chat with friends and relatives. Since the last inspection, additional seats for visitors have been provided. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 20 Carpets and other flooring were clean and decoration throughout is of an excellent standard. A number of bedrooms have been upgraded to include new curtains, carpets, bedroom furniture and new vanity units. The sun lounge has been completely refurbished, as have the dining rooms. Laminate floor coverings have been fitted in some areas. The spacious grounds are immaculate with beautiful well-maintained hanging baskets and potted plans. The new gardener has further improved the grounds, especially the front garden. People with dementia are not accommodated in a separate “unit” or “wing” of the home, sharing the same communal facilities as those people who do not have dementia. This works really well in this home with a quiet therapeutic relaxed environment being provided. Signs have been placed on doors to help people with dementia find their way around the home. Those bedrooms viewed were found to be clean and well personalised reflecting each individual’s likes and tastes. The possibility of making the bedrooms even more personalised by offering new residents wallpaper of their choice was discussed with the manager. Staff are provided with training in relation to infection control as part of their induction and all staff are soon to attend a distance learning course in this subject. Throughout the inspection staff demonstrated an awareness of good care practice in relation to this issue with the appropriate use of protective gloves and aprons. There is a separate laundry facility which was found to be well organised. It is evident from the high quality of furniture, fixtures and fittings that the company spend money on the environment in the best possible way so that outcomes are improved as much as possible for the people living in the home. The home has recently improved its systems for checking that bathwater at a safe temperature, and now checks the temperature before every bath. All ten residents who retuned surveys said that the home is always clean and fresh. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience excellent quality in this area. Residents are well protected by the good staffing levels, excellent commitment to staff training, and the care taken in recruiting new staff. We have made this judgement using available evidence including a visit to this service. EVIDENCE: Staffing levels are maintained at six staff during the day and evening and three night staff. The company keeps staffing levels under review to reflect the needs of the residents, and has demonstrated in the past that it will increase staffing levels, if residents’ dependency warrants this. There has been a low turnover of staff, which is excellent in terms of promoting continuity of care. Staff said that they felt valued by the company. Residents spoke very positively about the staff. Staff were seen to be very respectful of the residents. There was an atmosphere of calmness in the home, and staff moved quietly and efficiently about their business. Thirteen of the 25 care staff have completed either the NVQ level 2 or NVQ level 3 qualification in care. This just exceeds the required minimum of 50 of care staff. Several more staff are currently studying to achieve their NVQ. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 22 Staff files examined were easy to follow and well organised. All contained application forms, an interview record and references. Two references are always sought, one from the last employer. Criminal Record Bureau clearance and Protection of Vulnerable Adults (POVA) first checks are also obtained for all staff. In a survey, staff said that their recruitment had been thorough and fair. All new staff receive suitable Induction training in line with Skills for Care standards. Staff said that they have good opportunities for training, and training records confirmed this. Records show that all staff have training in statutory health and safety matters. An excellent aspect of the training is the on-going in house training provided by management. This includes discussing a selection of the home’s policies and procedures with staff on a monthly basis, as well as role play as a way of raising staff awareness of those everyday difficulties older people with disabilities encounter. The manager completes a training audit that shows training completed and training that is required for all staff. Certificates for all training completed by staff are kept in their personal file. These records showed that staff have had (or are booked to receive) the required mandatory training in fire safety, first aid, health & safety, food handling, and ‘Safeguarding’ of adults. Other training given to all staff include working with persons with Dementia. Staff have their training needs looked at in their annual appraisal, and there was evidence of staff’s individual development needs also being met. In a survey, staff confirmed that they are given training that is relevant, that helps them understand and meet the needs of the residents, and that keeps them up to date with new ways of working. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience good quality in this area. The residents’ welfare is promoted by the home being well managed, with systems in place for protecting people’s finances and for ensuring a quality service is being given. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The home has a new manager, Mrs Mary Hardy, who was previously the deputy manager. She has great experience in managerial roles, and holds National Vocational Qualification (NVQ) level 3 in care. She is aware she will need to achieve NVQ level 4 in care, and also the Registered Manager Award. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 24 The manager is supported and supervised by an area manager, and there are clear lines of accountability within the organisation. The area manager regularly visits the home. She makes herself known to residents and visitors and asks for their views about the service. She also completes a thorough monthly audit of the service. It was a requirement of the last inspection report that the home should produce an annual development plan. This so that information is available as to whether or not the service has met its stated aims and objectives. This is in the process of being carried out, and will be sent through, shortly. There is an annual survey of residents’ views. The results are collated, and there was evidence that the results are taken seriously and are acted upon. Other methods of getting feedback about the service being provided include the systems for reviewing the care of residents, and the meetings held for staff and for residents. Again, there was evidence that the views of those involved are listened to and taken seriously. It was a recommendation of the last inspection report that details of expenditure should be maintained and receipt books should be numbered. This is to fully safeguard the resident’s finances. This has been carried out. Details are now recorded, and entries are cross-referenced to numbered receipts. The home’s Area Manager was present during part of this inspection and she was observed carrying out an audit of residents’ money, which forms part of her regular monthly checks of the home. There was evidence of formal auditing by head office, also. Staff are given supervision on an appropriate bi-monthly basis. The manager supervises senior staff, and team leaders supervise care staff. There is a set agenda, covering achievements, area for improvement, agreed actions etc. It was a requirement of the last inspection report that hot water temperatures of showers must be maintained at a safe maximum temperature of 43 degrees centigrade. It was not clear that this had been carried out, but, after discussion with the manager and area manager, a new and more rigorous system of checking has now been introduced. There are appropriate policies and procedures for maintaining the health and safety of both residents and staff. There is a named health and safety officer in the home, and this person is being given specific health and safety training. Records show that staff are given in-house fire safety training and fire drills at the expected frequency. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 25 Accidents are recorded in good detail, and there is a regular analysis of falls in the home, with appropriate referrals, where necessary. The manager is arranging falls prevention training. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP4 OP7 OP7 Good Practice Recommendations A copy of the letter sent to residents, confirming with them that the home can meet their health and personal care needs, should be maintained in the home. The daily reports should describe the care being delivered so that this information can be effectively used to evaluate the care plans. Individual social care plans should be further developed to also reflect individual hobbies and interests, making use of the home’s ‘Getting to Know You’ files. Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Eighton Lodge Residential Care Home DS0000007380.V371247.R01.S.doc Version 5.2 Page 29 - 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!