Care Home: Evaglades Residential Care Home

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What the care home does well The home provides a relaxed, homely atmosphere within a small group of residents, with staff who have some training and experience. The residents said that they could do what they want, and were seen to be given the opportunity to make decisions and act on them. The residents said they chose their activities and they talked about a holiday they had enjoyed in Blackpool. Staff work caringly alongside residents, to make the residents feel this is their home. The providers ensure the residents are happy with any new staff before the decision is made to employ them. Meals are home-cooked, varied, with well-balanced choices. The providers are aware of the need to clearly identify the diverse needs of the residents, in order to be able to give them the right care. We observed the staff speaking to the residents with a caring manner and making sure they are content in life. The providers listen to the advice we offer and act upon it to improve the service they offer ensuring people are content in the care they receive.The quality rating for this service is 2 star. This means the people who use this service this service experience good quality outcomes. What has improved since the last inspection? The advice offered during the inspection on 10/07/08 has been acted upon. Staff now receive formal supervision at least 6 times per year. Evidence of this was seen on the staff files. This ensures the staff are given the opportunity to discuss any issues and have their training needs identified. Any money held on behalf of the residents is accurately recorded. We looked at the record books and could see the record was thorough for each individual. The residents can now access their money at any time, giving them the flexibility to choose when and how to spend their money. Each resident has their own bank account and have their pensions etc paid into their bank account. Each resident pays their contribution to their fees for living at the home by a direct debit from their bank. Residents are now able to go to choose their own items of clothing with support provided as required. The advice offered in August regarding the use of Person Centred Planning has been acted upon in that some staff have already had training in this. There are plans for more staff to have the training. The providers and staff are enthusiastic about this. Person Centred Planning should improve the quality of life for the people living at Evaglades. We look forward to viewing the Person Centred Plans for the residents during a future inspection. The providers and staff have endeavoured to make sure the residents have a more fulfilling lifestyle. Activities are recorded and these included: Mencap club Car trips In-house activities are according to choice, such as knitting, Bingo, listening to music, sing-a-longs. One man enjoys entertaining his fellow residents by playing his mouthorgan. Holidays are enjoyed more than once a year. Residents spoke of the `Turkey and Tinsel` holiday they had just prior to Christmas and we looked at photos of the holiday. We could see the residents had clearly enjoyed themselves, indeed they said they want to go again next Christmas. The home has some new furnishings and looked homely. The dining table looked well presented at lunchtime, with tablecloth, napkins and condiments. What the care home could do better: Staff who administer medication have had in-house training, however this needs to be formalised with staff attending training in Medication Awareness. When developing the Person Centred Plans the possible hobbies and interests of people need further consideration, in line with people`s age and capabilities. For instance younger people often enjoy going out more often than some older people. CARE HOME ADULTS 18-65 Evaglades Residential Care Home 394 Marine Road East Morecambe LA4 5AN Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 4th January 2008 10:00 Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Evaglades Residential Care Home Address 394 Marine Road East Morecambe LA4 5AN 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) 01524 419684 Mrs Sheila Mavis Mecklenburgh Miss Mandy Rowlands Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must at all times employ a suitably qualified and experienced manager who is registered with the NCSC. 10th July 2007 Date of last inspection Brief Description of the Service: Evaglades is a three storey building situated on the promenade, and overlooking the bay, in Morecambe. There is no outside space at the back of the home, but there are seats at the front of the home, where residents can sit in the better weather and watch the world go by. Large windows at the front of the home display the views along the coastline. It has been adapted to meet the safety requirements of a care home, and only the lower two floors are for residents. There is no lift in the home, so residents need to have fairly good mobility. All except one of the rooms are single, and they all have ensuites facilities. There is sufficient communal space, with the lounge/dining area at the front of the home. There is easy car parking space in the road outside the home. Staffing is provided over 24 hours, every day of the year. Information about the service the home provides is available as a guide, which tries to cover everything a resident needs to know about daily life in the home. Commission for Social Care Inspection reports are readily available from the manager to anyone who asks to see them. As at 4th January 2008, the fee scale ranges from £563 to £811.50 a week, with additional charges for holidays, extra toiletries, magazines, transport and some activities. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This site visit was unannounced in that neither the residents nor the service providers and staff were aware the inspection was to take place on the 4th January 2008 The site visit is part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. The site visit involved; • • • • • Observations of care practices Discussions with the residents Interviews with the staff and the providers. Examination of records that are required to be maintained including plans of care. A tour of the premises This was the 2nd site visit to the home, to find out how the residents were being cared for. During the 1st site visit on 10th July 2007 there were a number of improvements that the providers were required to make. On the 10th August a random inspection was carried out to look at the progress the provider was making. During that visit there was evidence that the necessary requirements had been met. In this report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents during the site visit. All records relating to these individuals are examined. Residents are invited to discuss their experiences of the home with the inspector. This is not to the exclusion of the other residents who contributed in many ways. 3 care plans were viewed as part of the tracking process. The care plan is a document outlining the individual needs of the resident and how these are to be met. The current 5 residents have a respect and acceptance of each other, which has been nurtured by the providers over the years. Everyone was friendly and cooperative during the visit. In this report the term ‘we’ is used and refers to the Commission for Social Care Inspection. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 6 What the service does well: The home provides a relaxed, homely atmosphere within a small group of residents, with staff who have some training and experience. The residents said that they could do what they want, and were seen to be given the opportunity to make decisions and act on them. The residents said they chose their activities and they talked about a holiday they had enjoyed in Blackpool. Staff work caringly alongside residents, to make the residents feel this is their home. The providers ensure the residents are happy with any new staff before the decision is made to employ them. Meals are home-cooked, varied, with well-balanced choices. The providers are aware of the need to clearly identify the diverse needs of the residents, in order to be able to give them the right care. We observed the staff speaking to the residents with a caring manner and making sure they are content in life. The providers listen to the advice we offer and act upon it to improve the service they offer ensuring people are content in the care they receive. The quality rating for this service is 2 star. This means the people who use this service this service experience good quality outcomes. What has improved since the last inspection? The advice offered during the inspection on 10/07/08 has been acted upon. Staff now receive formal supervision at least 6 times per year. Evidence of this was seen on the staff files. This ensures the staff are given the opportunity to discuss any issues and have their training needs identified. Any money held on behalf of the residents is accurately recorded. We looked at the record books and could see the record was thorough for each individual. The residents can now access their money at any time, giving them the flexibility to choose when and how to spend their money. Each resident has their own bank account and have their pensions etc paid into their bank account. Each resident pays their contribution to their fees for living at the home by a direct debit from their bank. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 7 Residents are now able to go to choose their own items of clothing with support provided as required. The advice offered in August regarding the use of Person Centred Planning has been acted upon in that some staff have already had training in this. There are plans for more staff to have the training. The providers and staff are enthusiastic about this. Person Centred Planning should improve the quality of life for the people living at Evaglades. We look forward to viewing the Person Centred Plans for the residents during a future inspection. The providers and staff have endeavoured to make sure the residents have a more fulfilling lifestyle. Activities are recorded and these included: Mencap club Car trips In-house activities are according to choice, such as knitting, Bingo, listening to music, sing-a-longs. One man enjoys entertaining his fellow residents by playing his mouthorgan. Holidays are enjoyed more than once a year. Residents spoke of the ‘Turkey and Tinsel’ holiday they had just prior to Christmas and we looked at photos of the holiday. We could see the residents had clearly enjoyed themselves, indeed they said they want to go again next Christmas. The home has some new furnishings and looked homely. The dining table looked well presented at lunchtime, with tablecloth, napkins and condiments. 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. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. No one would move into the home before having their needs assessed and being assured that these will be met. EVIDENCE: There is detailed information available about the home for all residents, or possible residents, which has been developed over time into a very clear and easy to read description of the services provided, and who provides them. Individual records are kept for each resident, and although there have been no new residents for the last three years, the manager was able to discuss the way anyone new would be initially invited to visit the home and meet the residents. A social work assessment would be used to help the manager decide whether the home was the right place for the new person, that the staff were able to give the right care, and that the present residents were compatible with them. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 10 Assessments were seen for the long-term residents in this home, and care plans were available. Staff spoken with were aware of the care needs of all of the people in this small friendly home. Staff comments included, ‘It’s great working here’ and ‘the residents are like part of my family’ Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a system in place for identifying peoples needs. Residents can make decisions on what they want to do which results in them being content in the care they receive EVIDENCE: The care planning system is structured, with each individual’s plan telling staff how to look after them, giving information that includes areas covering their physical and mental health needs, dietary needs, and a personal profile. The information creates a mental picture of each person. Reviews and updates of the care plans take place. Person Centred Plans are to be developed in the near future and should have a positive impact upon the daily lives of the people receiving services at Evaglades. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 12 Some residents spoken to were aware that they had their own ‘papers’ (care plans) but due to the level of understanding, others did not. The providers and staff constantly talk to the residents, who clearly feel free to say or signal if they want something, then staff check straight away if there is anything they can do to help. We observed one resident gaining staff attention and then pointing at what she wanted, the staff member responded in an appropriate and positive manner. By gestures the resident was able to make her needs known. In this small family like environment the general needs and wishes of the individual residents are well known. In the future the residents will be encouraged and enabled to go shopping for their own clothes, which will give them choice a feeling of worth and have a greater presence in the community. The providers and staff are aware of the need identify risks in all situations and then ensure plans are in place to minimise risks. During the tracking process we saw evidence on the care plans of risk assessments having been carried out. For instance one persons care plan reflected the individual required food to be cut into small pieces to prevent choking. The staff spoken with were aware of each persons needs and how these should be met. The pleasant atmosphere reflected the mutual respect between the residents and staff. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents can choose from a variety of activities to help develop their skills. But for some people there is a need to broaden their experiences to ensure they have greater opportunity to be a part of the community. EVIDENCE: Two of the residents go to the local college two days a week and spoke of their enjoyment of this. One resident said, ‘I have enjoyed the Christmas holidays but now I am ready to go back to college to see my friends.’ Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 14 The providers stated they encouage family involvement where possible, one of the residents telephones her sister every other Sunday and is also assisted to write letters. Two of the residents have chosen to share a bedroom and have had their wishes respected. They use their spare room as a lounge area where the two of them can sit in private and enjoy each others company. This reflects a respect for their rights as adults. There are activities provided in-house and external of the home. People spoke about enjoying going out for a ride in the car, having meals out and of holidays they had enjoyed. The recent Turkey and Tinsel holiday had been enjoyed by them all and proudly showed photographs of the hotel and activities, such as discos. The residents said it wasn’t too far to travel to and that Blackpool is a good place to go. Some of our residents like to help with the cleaning, setting the tables and washing the dishes. One of them likes to go for a walk by herself around the block and sit outside to look at the sea.’ The development of Person Centred Plans may identify other activities that might be enjoyed on an individual basis. The lunchtime table was set appropriately with table cloth, napkins and condiments. The meal appeared appetising and was enjoyed by all. The menus reflected a balanced diet was offered. Menus were based on the known likes of the residents. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home where their health needs are clearly identified and met EVIDENCE: This small home is run as a family home, with a small staff group for the low numbers of residents. This means that both staff and residents know each other well, and so changing needs are easily noted by staff. Residents come and go to their rooms as they wish, some choosing to stay there for a while to watch television or play records. There were records on each of the residents’ files of contact with, for example, GP’s, Community Psychiatric Nurses, and hospital appointments. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 16 A ‘Health Records’ booklet was used for each person, which includes all of his or her health information in an easy to read and understand style, and would be taken by the resident to any appointment with a health professional. This records the visit, and what the result of that visit was. Staff complete these with the residents, and said they like to take time to make sure the resident is sure the information is right. One resident said, ‘I go to see the Dr or he comes here if I am really poorly, Mavis and Alan (service providers) look after us well’ None of the present residents are in charge of their own medication, and any new residents would have a risk assessment before it was decided whether it was safe for them to do so. Staff helping with the administration of medication had attended in-house training and advice was given on the need for them to attend a medication awareness course. Staff were aware of the need to maintain clear and correct records of medication and to ensure records are signed at the time medication is administered. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home where the providers and staff are aware of the resident’s vulnerability. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. Neither the home nor the Commission for Social Care Inspection have received any complaints about Evaglades in the last 12 months. Some residents are aware of the homes complaints procedure others lack capacity. One resident said “Alan (service providers husband) makes sure I am alright”. The residents showed a lot of confidence that they were safe with the people who were looking after them. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 18 Staff spoken to knew about the Safe Guarding Adults procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. All staff are enabled to attend abuse awareness training. In the small family like atmosphere the providers and staff quickly notice if something is wrong with a resident and take steps to find out what is the cause. For instance if someone was upset they would point to various parts of the body to find out if the person has any pain. The providers and staff talk to the residents on a daily basis to ensure they are content in the care they receive. Some people do need help to manage their money and support is given in a person centred and individual way so that the resident can be supported to access their money and decide how to spend it. The advice offered during the last Key inspection in July 2007 in relation to the residents finances has been fully acted upon, giving the residents greater control over their finances. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment that meets their individual and collective needs. EVIDENCE: The home is fairly well maintained, and the décor is kept to a good standard. The providers confirmed that the upkeep of decoration is the same as in any family home, and all of the rooms viewed were clean, tidy and attractive and comfortable. Double-glazing has been fitted in all of the bedroom windows. Residents said they like their room and had with photographs and pictures they had made proudly displayed on their wall. Personal belongings were evident all over the room, making it very individual and homely. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 20 One resident said she sometimes sits in her room and watches TV if she just wants to be on her own. Local shops and entertainments are within easy walking distance from the home, and some residents enjoy a walk along the promenade where the home is situated, overlooking the lovely view of the coastline. Fire and environmental health checks have been carried out. The laundry is away from where food is prepared and eaten, and is kept in order by the staff, who were aware of how to prevent possible infection. The residents spoke contentedly about their home. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The residents could benefit from living in a home where the recruitment practices are robust ensuring all necessary checks are carried out before staff commence employment. EVIDENCE: The staff files showed that most of the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available on most files. However three staff files were seen where the only Criminal Record Bureau check (police check) available were from their previous employer. There is a need to carry a new Criminal Record Bureau check for all staff before they are appointed. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 22 All staff receive induction training, and the provider uses a training book for staff, which names all of the areas to be addressed during the induction, such as communication, personal care, and continence. The subjects are covered by the new staff and signed when completed. The manager monitors the training of the small numbers of staff. Learning Disability Award Framework (LDAF) courses have been attended. First aid, food hygiene, moving and handling and fire marshal have also been attended. Some staff have completed a National Vocational Qualification in care. As discussed the staff would benefit from attending a Medication Awareness course to ensure best practices at all times when administering medication. Staff supervision has now been formalised giving staff the opportunity to raise any concerns and have their training needs addressed. We looked at some of the completed staff supervision records and these reflected good recordings of discussions that had taken place. The staff spoken with throughout this inspection had a good understanding of their role and spoke in a professional and positive manner about the people they care for. The residents made the following comments about the staff, ‘They are all very nice and look after us’ and ‘we have a good laugh with the staff, they are kind’ Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The residents have lived with the service provider and her husband for a large number of years and they talk contentedly about Alan and Sheila (service provider and husband), in many ways the home functions as one family. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 24 The residents are always included in discussions about the running of the home, for example the recruitment of new staff, and they would be involved in the admission of a new resident. “The new staff came to meet us first,” commented a resident. The provider stated she would invite prospective new residents to visit the home and to have tea with the residents, giving the opportunity for the residents to see if they liked the person and monitor compatibility. The annual holidays are a joint decision based on known previously enjoyed holidays. The provider is constantly looking at ways to improve and develop the service, so that it complies with the National Minimum standards and regulations. The advice offered to the provider during the inspection in July 2007 have all been acted upon with a positive outcome for the people who live at Evaglades. This prompt action reflects the providers determination tp provide a good quality of care and provide a homely environment for people to live in. Some people do need help to manage their money, but this does not override their right to access their money and decide how to spend it. Some residents explained how they chose what to buy and also save for the holidays, which they enjoy. The staff on duty stated that the home is well managed and that they all try to wotk together to meet the needs of the residents. Evaglades Residential Care Home DS0000045535.V354446.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19(1) Requirement The provider must ensure that all people working in the home are fit to do so. Including people receive Criminal Record Bureau clearance prior to commencing employment. Timescale for action 21/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations The introduction of Person Centred Plans could further enhance the quality of life for the people living at Evaglades. Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northwest Regional Contact Team Unit 1, 3rd Floor Tustin Court Portway Preston PR2 2YQ 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 Evaglades Residential Care Home DS0000045535.V354446.R01.S.doc Version 5.2 Page 28 - 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. 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