Care Home: Eirenikon Park

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What the care home does well People living at Eirenikon say that they are made to feel "very welcome" from their very first day living at the home. Important information is usually obtained about people prior to their moving to the home. This helps to reduce the risk of an inappropriate admission to the home and ensures that the team can meet people`s needs. The vast majority of care plans are well structured around what each person wants from the team. The team of staff have good links with professionals, which helps to improve the health of people living there. People who live at the home say that thestaff are "very attentive". Their relatives are very satisfied with the care and also say that their relations are happy living there. People are treated as individuals. A relative told us "staff are kind, caring and considerate towards the people who they look after". The home has an open feel. People living there say that they have the freedom to do what they want to, when they want to. At the same time, they are confident about the way staff protect their property for them. The also feel able to voice their concerns, if they have any, and know that these are taken seriously and looked into by the manager. Families and friends say that they are encouraged to visit whenever they wish to. The people living at the home get support to keep in touch with their families and friends if they need to. There is a good choice of appetising and well-balanced meals at Eirenikon. People say that the choice is good and meals are "tasty" and are "always of good quality and plentiful". Eirenikon is a comfortable place to live in a spectacular position. People who use wheelchairs or walking aids find it easy and safe to get around the home because it is all on one level. People living there say that they are encouraged to see it as their own home and that it is always clean and reasonably well maintained. Staff feel well supported and are encouraged to do training so that they care for people properly. What has improved since the last inspection? Since the last inspection more staff have completed a qualification in care. Currently, six carers (66%) hold NVQ level 2 in care, one has NVQ level 3 in care. The provider and her daughter hold the Registered Manager`s Award and NVQ level 4 in care management. This means that more staff have the appropriate experience, skills and knowledge to care for older people living in the home. CARE HOMES FOR OLDER PEOPLE Eirenikon Park Bossiney Road Tintagel Cornwall PL34 0AE Lead Inspector Susan Taylor Unannounced Inspection 11:00 22 February 2008 nd 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 Eirenikon Park DS0000009013.V359762.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. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eirenikon Park Address Bossiney Road Tintagel Cornwall PL34 0AE 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) 01840 770252 Mrs Frederika Wilhelmina Christina Bennett Mr Anton Leonard Bennett, Mrs Mathilde Louise Van Zyl-Lamb Mrs Frederika Wilhelmina Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To include one named person outside the registration category of the home. Total number of service users not to exceed a maximum of 12 Date of last inspection 17th October 2006 Brief Description of the Service: Eireniken Park provides care and accommodation for up to 12 elderly people. It is situated in the village of Tintagel very close to the medical centre. The home is a large bungalow and therefore accommodation and facilities are all on one level. Rooms are not en suite but there are sufficient bathrooms and toilets to meet current spatial standards. There are eight single rooms and two double rooms available. The home places great importance on maintaining each persons independence, dignity, choice and the psychological health of the service user. To this end staffs try to spend as much time as possible with service users. Contact with families and friends is maintained with trips out or visitors coming to the home being encouraged. The atmosphere in the home is relaxed and friendly. As at February 2008, the fees ranged between £356 and £392 per week for personal care. Extra charges are made for chiropody, hairdressing, newspapers and magazines and toiletries and these vary. A copy of the inspection report is available in the home. Eirenikon Park DS0000009013.V359762.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 two (2) stars. This means the people who use this service experience Good quality outcomes. This was the first key inspection of Eirenikon under the ‘Inspecting for better lives’ arrangements. We were at the home with people for 8.75 hours for one day. The purpose for the inspection was to look at key standards covering: choice of home; individual needs and choices; lifestyle; personal and healthcare support; concerns, complaints and protection; environment; staffing and conduct and management of the home. We looked at records, policies and procedures in the office. A tour of the home took place. We tracked the care of four people and met some of their relatives. We sent surveys to 12 people living in the home and received 7 back. The comments of these people and our observations are in the report. As at February 2008, the fees ranged between £356 and £392 per week for personal care. Extra charges are made for chiropody, hairdressing, newspapers and magazines and toiletries and these vary. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority or Primary Care Trust charges are determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk People living there described Eirenikon as being ‘excellent’ and that a ‘wide range of activities…: music, singing, painting, colouring, games, quizzes, story reading karaoke, piano playing and religious services’ is available for them. What the service does well: People living at Eirenikon say that they are made to feel “very welcome” from their very first day living at the home. Important information is usually obtained about people prior to their moving to the home. This helps to reduce the risk of an inappropriate admission to the home and ensures that the team can meet people’s needs. The vast majority of care plans are well structured around what each person wants from the team. The team of staff have good links with professionals, which helps to improve the health of people living there. People who live at the home say that the Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 6 staff are very attentive. Their relatives are very satisfied with the care and also say that their relations are happy living there. People are treated as individuals. A relative told us “staff are kind, caring and considerate towards the people who they look after”. The home has an open feel. People living there say that they have the freedom to do what they want to, when they want to. At the same time, they are confident about the way staff protect their property for them. The also feel able to voice their concerns, if they have any, and know that these are taken seriously and looked into by the manager. Families and friends say that they are encouraged to visit whenever they wish to. The people living at the home get support to keep in touch with their families and friends if they need to. There is a good choice of appetising and well-balanced meals at Eirenikon. People say that the choice is good and meals are “tasty” and are “always of good quality and plentiful. Eirenikon is a comfortable place to live in a spectacular position. People who use wheelchairs or walking aids find it easy and safe to get around the home because it is all on one level. People living there say that they are encouraged to see it as their own home and that it is always clean and reasonably well maintained. Staff feel well supported and are encouraged to do training so that they care for people properly. What has improved since the last inspection? What they could do better: Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 7 Some of the people living in the home have complex nutritional needs. The home does not use a recognised tool to assess this to ensure that people get the right foods to keep them healthy. Similarly, some people are at risk of falls. The home does not use a recognised assessment tool to understand the potential causes of this and what the team might do to prevent it from happening. People should only move into the home once background information such as assessments and a care plan has been obtained/written to ensure that the service is able to meet that individual’s needs. People need to have the right contact details for the Commission in the complaint procedure, so that if they wish to they can contact us. People are listened to. However, quality assurance needs to be implemented across all areas of the home, using recognised systems like Investors in People or Essence of Care, for the benefit of the people living there. 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. Eirenikon Park DS0000009013.V359762.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 Eirenikon Park DS0000009013.V359762.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): 1,2,3,6 Quality in this outcome area is good. Eirenikon generally establishes at the outset whether the team can meet a person’s needs. This could be improved further to ensure that people’s needs are assessed using a recognised tool to identify risks with regard to falls and nutrition. The home does not offer intermediate care; therefore no judgement has been made about this. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In a survey 100 of people living in the home verified that they had received a contract of residency. 85 of people had received sufficient information about the home that enabled them to make a decision about whether this was the right place for them. A relative responding in a survey wrote that they Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 10 also ‘came and talked with the provider’. A person living at the home wrote in a survey, ‘I was brought on a visit to see the home before I came and one of the owners visited where I was living to explain all about it’. We looked at four care files for people living in the home. Important information is obtained about people prior to them moving in to the home. Assessments were seen in three of the four files, which also identified some areas of risk that people might have with regard to the use of bedsides, tissue viability and manual handling. Assessments had been regularly reviewed in three files. A person who had moved into the home for emergency care did not have assessment information on file and the provider had been in contact with Cornwall Social Services trying to obtain this from them. The provider verified that this information had been obtained over the telephone and would be written up. Staff at handover verified that the individual concerned had dementia. On examination of another file of a person with complex nutritional needs had not been assessed. A tool such as the ‘Malnutrition Universal Screening Tool’ (available at from www.bapen.org.uk) can be used for this purpose and a recommendation is made. The individual concerned was, however receiving a diet suitable for a diabetic. Eirenikon Park DS0000009013.V359762.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 & 10 Quality in this outcome area is good. Eirenikon has a good care planning process that provides clear information about the needs of the people and how they are to be met. The provider must ensure that this is always followed. Care is delivered to people in a sensitive way that promotes their dignity and privacy and the healthcare needs of people are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In a survey of people living in the home, 100 of those who responded felt that they always received the care and support they needed and felt listened to by staff. We looked at four care files of people living in the home and tracked the outcomes of care for them. Desired outcomes were clearly stated, Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 12 providing achievable goals. We observed care being delivered to these people, which was good. One person whose care was tracked had dementia had moved into the home as an emergency on 7th February 2008 did not have a care plan. The provider had been in contact with Cornwall Social Services trying to obtain this document from them. Staff that we spoke to also verified that social services had failed to provide a care plan for the individual concerned. We told the provider that it is a regulatory requirement for people to have a care plan. The care files examined gave a good overview of the health needs of the individual’s concerned and, with the exception of one discussed above, acted as an indicator of change in health requirements. One person whose care we tracked was a diabetic on insulin, which was well controlled and monitored regularly by the healthcare team. The home has a professional relationship with the general practitioner with whom all the people living in the home are registered. In addition to this, we saw correspondence demonstrating that there are good links with the mental health and social services teams. Two relatives that we met said that they were “very satisfied” with the care their relative receives. Additionally, we were told that their relative’s health had greatly improved since moving into Eirenikon. Information that the provider sent to the Commission told us that none of the people living in the home have pressure sores. Additionally, the team have worked with people living there to improve their continence. Correspondence on files and daily records verified that healthcare specialists had been consulted and their advice implemented. These included a dietician, nutritionist, continence nurse specialist, and community psychiatric nurse. Equipment, such as walking aids, wheelchairs and pressure relieving mats/mattresses was seen being used by staff that were caring for the individuals concerned. People responding in a survey verified that they either always or usually received the medical support they needed. People living at the home or complimentary about the care that they received. A person responding in a survey wrote ‘I have been well looked after’. Information sent to the Commission verified that the staff and the providers had attended a course about the management of medication. Certificates were seen in staff files examined. Records accurately reflected what medication given to people whose needs we tracked. All the medication was kept in a secure place. We observed a carer giving out lunchtime medication. Staff told us that only people that had received training and were deemed competent were allowed to give out medication to people living in the home. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 13 Eirenikon Park DS0000009013.V359762.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 & 15 Quality in this outcome area is good. Routines and activities are flexible for people and they are listened to regarding the choice of daily activity. People are encouraged to maintain contact with friends and family in the community, which demonstrates a commitment to the principles of inclusion. The food in the home is of good quality, well presented and meets the dietary and cultural needs of people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people living in the home told us, ‘We hope we do have activities on some days but we can always find things to do’ and a ‘wide range of activities goes on here: music, singing, painting, colouring, games, quizzes, story reading karaoke, piano playing and religious services’ and ‘we have a service lasting and now on Sunday mornings for those who cannot get to church, also a weeknight service on Tuesdays and a local minister comes once a month Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 15 with communion’. Information sent to us by the provider demonstrated that they have listened to feedback from the people living in the home and more outings are being organised. Additionally, coffee mornings/evenings are being planned for people to invite their friends and relatives to. We observed a bell-ringing group during the afternoon, which people taking part enjoyed. People told us that the group does a concert every year. We looked at individualised records for four people whose needs we tracked. Assessments had been done to find out exactly what people wanted to do and what their capabilities were. There was a good range of activities for people. In the AQAA (Annual quality assurance assessment) the provider wrote that the home “celebrates the diversity of people…we respect different cultures and religious practices. Discrimination has no place in our home”. The majority of people living in the home are of Christian denomination are enabled to attend church locally or attend weekly services held in the home. We observed that people are treated as individuals. We joined people for lunch and also saw what they had for dinner in the evening. Lunch consisted of a main meal of fried fish, chips and peas or poached fish, mashed potato and peas. Staff knew individual likes and dislikes and served meals accordingly to people. Alternatives were given. In a survey all of the people who responded felt that the meals provided and activities were ‘always’ or ‘usually’ very good. Their comments included ‘the food at our home is very good and always enough’ and described the meals as being ‘good home cooking and healthy’. People who need special diets verified that the home does these well. During the day, we observed fresh fruit being offered twice to people that live in the home. People told us that this happens every day and that it is “very much appreciated”. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. Eirenikon’s arrangements for the protection of vulnerable adults, including dealing with complaints generally ensures that people are protected and able to voice their concerns. Minor amendments are required to the complaint procedure to ensure that people have up to date contact information about CSCI. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information that the provider sent to the Commission verified that no complaints had been received in the previous 12 months. Similarly, the Commission has not received any complaints about the service. 100 of people responding in a survey verified that staff ‘listened’ to them. Additionally, people knew who to complain to and how to make a complaint. We read the complaint procedure in the ‘service users guide’. The contact information for the Commission is out of date and needs to be amended. We saw a copy of the ‘Alerters guide’. The home also had a whistleblowing policy, which all of the staff we spoke to understood. Kind and caring Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 17 interactions were observed throughout the day between staff and people living in the home. Staff engaged positively with people who had dementia and demonstrated a high level of skill in engaging those individuals. A relative told us that the staff were “kind and caring”. Another visitor commented that their relative was contented. Information sent by the provider told us that six out of nine staff hold an NVQ in care, part of which is about safeguarding people. Additionally, staff told us that policies and procedures are discussed with them. The provider verified that no safeguarding or POVA referrals had been made in the last 12 months. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 18 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 & 20 Quality in this outcome area is good. People living at Eirenikon live in a safe, comfortable and clean environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: According to the AQAA (Annual quality assurance assessment) the provider verified that an annual development plan is in place. Additionally, the heating system had been completely overhauled. We toured the premises and saw that radiator guards were in place throughout the building. Fire exits were clear and accessible. All the bedrooms were inspected and found to be clean, individualised and comfortably furnished. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 19 100 of people responding in a survey verified that the home is always clean. Their comments included ‘the home is always fresh and clean and your personal clothes and your room are kept in excellent condition’ and ‘spotless everywhere’. A relative wrote ‘the cleaner is excellent’. All of the WCs and bathrooms had locks on the doors. Communal areas were comfortable and homely. Maintenance certificates were seen for the electrical installation, heating and fire alarm systems. The home has guidance on infection control that is accessible to staff. Protective clothing is accessible for staff to use and people are encouraged to regularly wash their hands as good infection control practice. In the AQAA the provider highlighted that twelve staff has done infection control training and further in house sessions are planned. We looked at the laundry, which has external access only. We met the member of staff responsible for doing laundry and saw that there is a good system in place that ensures clothes and linen and washed separately for infection control purposes. Similarly, linen and clothes are taken to the laundry in receptacles and clean clothing is returned to people the same day after being washed, dried and ironed. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is good. Recruitment practices at Eirenikon are protecting the people that live there. The home has a training and development culture that ensures competent and knowledgeable staff care for the people that live there. The number of staff holding care qualifications has improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home described the team as a wonderful carers, the owners are splendid and most caring for us all and “very attentive staff”. We looked at the duty rota that accurately reflected the number and skill mix of staff on duty during the inspection. Additional staff were on duty at busier times of the day. Currently at night there is one waking night staff member and the registered providers, who live on site are on call, contactable by telephone or pager. We observed good outcomes of care for people living in the home. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 21 There is a diverse staff team at Eirenikon, with a gender mix that is consistent with the people living there. We examined five personnel files. Appropriate written references [two] had been obtained including criminal records bureau certificates and POVA checks. Additionally, for some employees the provider had obtained certificates of good character and work permits. We spoke to staff about their experience and training opportunities in the home. All of the staff verified that they had had completed induction training. We saw certificates on individual files demonstrating that recent courses completed included manual handling training. Care staff verified that training was regularly offered to them. Staff records examined demonstrated that six carers (66 ) had completed NVQ level 2 in care. One person also had NVQ level 3 in care. Information that the provider sent to the Commission also verified that the turnover of staff is low. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is good. An experienced, qualified person manages the home. The views of people living and visiting the home are respected. However, this is an area that needs further development to ensure that quality assurance is implemented across all areas of the home for the benefit of the people living there. People living in the home are aware of safety arrangements and have confidence in the safe working practices of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 23 The Registered Providers have 10 years experience of managing Eirenikon and have obtained the Registered Manager’s Award and NVQ level 4 in care management. The provider gave the Commission a reasonable picture of the current situation in the service, in a document entitled AQAA (Annual Quality Assurance Assessment). However, there were areas when more supporting evidence would have been useful to illustrate what the service has done in the last year, and/or explicitly how it is planning to improve. Information within the AQAA verified that the home has a business plan. Throughout the inspection and the information provided demonstrated that the provider’s aim to constantly improve the service for people living in the home. We read minutes of meetings held with the people living in the home and staff and saw that people are consulted about changes and asked for feedback. People we spoke to had not been asked recently to complete a survey. The provider verified that these are used from time to time. In surveys we sent, all of the people responding told us that they are ‘always’ listened to and that staff act on this. A relative wrote ‘Eirenikon Park is a much-needed resource in an area that is very short on facilities’. Another wrote, ‘overall my mother appears to be more than happy with the care and support she receives’. People living in the homemade comments like ‘this home is excellent and after many years I would not wish to go anywhere else’. Information sent to us by the provider told us that they prefer not to manage money for people that live in the home. People we spoke that live in the home verified this and told us that either they managed their own money or relatives did this for them. We toured the building and observed that cleaning materials were stored securely. Data sheets were in place and staff spoken to understand the risks and strategies to minimise those risks from chemicals used in the building mainly for cleaning and infection control purposes. We observed hand sanitizer being used by staff to minimise the risk of cross infection. Records of accidents were kept and showed that appropriate action had been taken. The fire log was examined and demonstrated that fire drills, had taken place regularly. Similarly, the fire alarm had also been regularly checked. People living in the home, relatives and staff told us that the alarm was regularly checked and sounded. Certificates verified that an engineer had checked the hoists. First aid equipment was clearly labelled. Three staff on duty verified that they held a current first aid qualification. Good manual handling practice was observed as carers transferred a person from wheelchair to chair at lunchtime. Maintenance certificates were seen for the fire alarm system. The provider had verified in information sent to the Commission that a local electrician had inspected both the electrical system and appliances. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 24 Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 25 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 3 3 3 x x N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x N/A x x 3 Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP2 Good Practice Recommendations The nutritional needs of people living in the home should be known by being properly assessed with a tool such as the ‘Malnutrition Universal Screening Tool’ (available at www.bapen.org.uk). Similarly, the likelehood of falls should be assessed so that the risks can be reduced for people living in the home. People should only move into the home once background information such as assessments and a care plan has been obtained or written ensuring that the service is able to meet that individual’s needs. People need to have the right contact details for the Commission in the complaint procedure, so that if they wish to they can contact us. The procedure needs minor amendment. Quality assurance needs to be implemented across all areas of the home, using recognised systems like DS0000009013.V359762.R01.S.doc Version 5.2 Page 27 2. OP7 3. OP16 4. OP33 Eirenikon Park Investors in People or Essence of Care, for the benefit of the people living there. Eirenikon Park DS0000009013.V359762.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Eirenikon Park DS0000009013.V359762.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. 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