Care Home: The Everley Care Home

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What the care home does well The people who live at The Everley receive good quality care in a friendly and homely environment. The registered person lives on the premises. The people who live in the home are able to choose what they wish to do. The staffing levels have increased and staff have more time to spend with people daily. They have all been registered on a national qualification vocational course and the provider is looking at further training they can do. There are also volunteers to help people with their interests and hobbies. What has improved since the last inspection? This is the first inspection of this service. What the care home could do better: At this inspection there were several areas identified that would benefit from attention. Whilst everyone has a contract relating to their residence in The Everley the registered person should review these. This means the recent changes to the service can be recognised and clearly identified. The care plans and risk assessments seen also require updating and should also be reviewed on at least a monthly basis to ensure the information is pertinent to the individual it is about. People in the home enjoy the meals provided but due to the size of the home it is possible for the meals to change depending on preferences. It s recommended that a record of the meals actually provided rather than a set menu be provided this will allow for an accurate record of people`s dietary intake to be monitored. The complaints policy should be updated to ensure the information it provides is accurate. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Everley Care Home The Everley 86 Stepney Road Scarborough North Yorkshire YO12 5BS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 1 4 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: The Everley Care Home 86 Stepney Road The Everley Scarborough North Yorkshire YO12 5BS 01723369471 01723369471 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Janet Elizabeth Brooke Name of registered manager (if applicable) Janet Elizabeth Brooke Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of users who can be accommodated is 5 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 ar within the following categories: Olde age not falling within any other category - Code OP, maximum number of places, 5 Date of last inspection Brief description of the care home The Everley is a care home providing personal care and accommodation for up to 5 older people. It is situated on the main Scarborough to Pickering road, approximately one mile from the centre of Scarborough. It is within walking distance of local shops, pubs, post office and other amenities. The house is a detached two-storey building. Thereare two single bedrooms on the ground floor. The other three single rooms are on the first floor with access by stairs only. The home has extensive gardens and Care Homes for Older People Page 4 of 24 care home 5 Over 65 5 0 Brief description of the care home covered patio area to the rear. A copy of the service users guide to the home is given to people thinkng about moving in to the home and a visit is made to the home before a decision is made to move in for a trial period. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: Reviewing information that has been received about the home since the last inspection. Care Homes for Older People Page 6 of 24 Information provided by the registered person on an Annual Quality Assurance Assessment. A visit to the home by one inspector that lasted for five and a half hours. During the visit to the home the four people who live there, one member of staff and two visitors were spoken with. Care records relating to four people, three staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at The Everley for the people living there. The registered provider was available throughout the day. The charges as informed on the 14th January 2009 is three hundred and forty one pounds each week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who decide to use this service can be assured their needs will be met. Evidence: All of the case files were seen during the visit and each person had a contract with the home. As the registered provider has recently changed it is recommended that the contracts are reviewed and the changes to the providers included. There have been no new admissions to the home since the change in providers. A discussion with the new provider highlighted her intention to ensure anyone moving in to the home has a comprehensive assessment of need and is afforded the opportunity to visit and meet with the other people who live in the home. Those people currently resident in the home had an assessment of need in their case file. Intermediate care is not provided. Care Homes for Older People Page 10 of 24 Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst the health and personal care that people receive is based on their individual needs and promotes dignity, respect and privacy this needs to be reflected in the care plan documentation. Evidence: The case files seen each contained a care plan. These were simple documents but they contained information pertinent to each individual. These documents have not been reviewed on a regular basis and this needs to be implemented to ensure the care and support people receive remains upto date. There were risk assessments in place however they need to be reviewed to ensure they remain appropriate. Evidence was also available to show that people access appropriate health services when necessary. One person said I go out to the doctors and the opticians when I need to The medication is supplied in a monitored doseage system and the records seen were accurate and up to date. A medication round was observed and people were treated with respect. Staff who manage the medication have completed a distance learning Care Homes for Older People Page 12 of 24 Evidence: course in the safe handling of medication. People spoken with during the inspection said that the staff always treat us with respect they always take time with us and a relative said we are much happier now the new owner has settled in she listens to what we say and reacts in a positive way, she has a caring attitude Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good and varied diet. Evidence: The people spoken with said that they enjoyed the pace of life offered at The Everley. They can have their hair done each morning, they go out on trips on a regular basis and spend time with the staff chatting or doing crosswords. They can spend time in their rooms or in the communal areas as they wish and people moved easily around the home during the visit. Visitors are welcome at any time and visitors spoken with said that the home is always warm and clean and they can visit at any time. The meals provided are all home cooked, people spoken with said that the food was very good. There are planned menus but given the size of the home this can change on a daily basis and it is recommended that a record of what people actually have for their meals rather than the set choices is kept. This will allow for a greater flexibility in the meals provided. Care Homes for Older People Page 14 of 24 Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at The Everley and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected. Evidence: There is a complaints policy in place, this document requires updating to reflect changes in the contact details. People spoken with said they would raise any concerns they had with the registered provider. The proivder spends time chatting with the people in the home and this allows them to discuss any issues they may have before it becomes a complaint. Visitors spoken with also said they could discuss any issues with the provider and when they had rasied issues they had been dealt with in a positive way. There is a safeguarding policy in place and this is in line with local protocols and people spoken with were aware of their responsibilities if they suspected any form of abuse occuring. All staff and volunteers have a criminal records check prior to the commencement of their employment to ensure they were suitable to work with vulnerable people. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment within the home is good and provides an attractive and homely place in which to live. Evidence: The home is a large family home that is very homely and attractive with good furniture and fittings throughout. The bedrooms are individual and furnished and equipped to a high standard. People are encouraged to personalise their bedrooms and have their own possessions in their rooms. The registered provider is currently reconfiguring the rooms and is adapting the lounge on the ground floor in to a single bedroom. She also installed a shower room when a further ground floor room was altered. This means there will be two bedrooms on the ground floor and three bedrooms upstairs. The call bell system can currently be cancelled in the dining room, the registered provider is proposing to change this as part of a renewal and maintenance programme. People spoken to said they rarely had to use the call system and when they did staff responded quickly. There is a large lounge to the rear of the property and a dinning room adjacent to the kitchen. There is a large garden at the rear of the property where there is a covered patio area for people to sit. All areas of the home seen with the exception of the room being altered were clean, warm and odour free. The laundry is suitable for the needs Care Homes for Older People Page 17 of 24 Evidence: of the people living in the home. Care Homes for Older People Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home receive a good standard of care from the well-prepared and motivated staff. Evidence: The records for two staff were seen and these contained all the necessary documentation as required by the Care Home Regulations 2001. Four new staff have been employed since the change in providers. During the day there are two staff on duty and during the night someone is on call. There may be only one member of staff on duty for short periods during the day and this is when the provider has to go out to an appointment with someone from the home or to do the shopping. Staff spoken with were aware of who to call if there was an emergency during the short times when there was only one member of staff on duty. All the staff have been enrolled on an National Vocational Qualification levle two in care. The provider is looking at further training for the staff. There is also a team of volunteers to help provide different stimuli for people in the home. They have all had a criminal records bureau disclosure carried out. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the interests of the people living there. Evidence: The registered provider also manages the home on a day to day basis. She is a registered nurse with 34 years exerience within the NHS. People living in the home are adapting to the changes in the providers as they were used to the previous owners. They said she listens to us she cares and took us out for a meal at Christmas The registered provider intends to use the previous quality assurance system to monitor the quality of the service she provides. It will include external health and social care professionals who come in to the home as well as relatives and the people who live in the home. The monies for several people are held by the registered provider and the cash and records seen tallied. Care Homes for Older People Page 20 of 24 Evidence: The health and safety records were checked and all were found to be up to date. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 2 7 15 The registered provider should review the contracts issued to ensure they reflect the recent changes to the service. Care plans and risk assessments should be reviewed every month to ensure they remain appropriate. The registered provider should keep a record of what people eat so that an accurate record of what food is provided can be kept. The complaints policy should be updated to ensure the information it provides is accurate. 4 16 Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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