Edenholme Care Home Service

Transcription

1 Edenholme Care Home Service Edenholme Crescent Stonehaven AB39 2FT Telephone: Type of inspection: Unannounced Inspection completed on: 24 August 2017 Service provided by: Aberdeenshire Council Service provider number: SP Care service number: CS

2 About the service Edenholme Care Home is a purpose built premises that is situated in a quiet residential area of Stonehaven. It is registered as a care home to provide care for up to 60 people. Communal and private space is over two storeys and split into five separate units which are referred to as households. At the time of our visit there were 50 residents living in the home. The service was previously registered with the Care Commission and transferred its registration to the Care inspectorate on 1 April What people told us We sent out care standards questionnaires (CSQs) to 20 residents and their relatives and 17 were returned. A 100% either strongly agreed or agreed that they were happy with the quality of care they received. Some additional comments recorded on CSQ's included; "Changes in staff make people confused. There are some wonderful staff but too much agency". "My relative is very happy". "The home and my room are both nice and clean and the staff are very nice". "Staff are kind and caring and I get the support I need". "Very very good. Carers, nurses and managers are very good". "I receive excellent care". People we spoke with told us: "Staff are very visible". "Facilities are very good". "Lots of menu choice". "Staff are really good - when they have the time". "Staff respond quickly to buzzer". "Compassion is amazing". "They have gone above and beyond the call of duty". "The manager is very hands on". "I am well looked after". "Staff are good to me". "I can speak to anyone if I am unhappy". "I am very happy with the care my relative receives. I have no concerns". "Staff are always welcoming. We had good communication with the home prior to my relative moving in. There is an open door approach". "Agency nurses are not so good but that is because they don't know people so well. I am welcomed as a visitor. My relative is happy. Food is good. Staff are 'on it' if my relative is unwell". page 2 of 8

3 Self assessment The service had not been asked to complete a self- assessment in advance of the inspection. We looked at their own improvement plan and quality assurance paperwork. These demonstrated their priorities for development and how they were monitoring of the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed not assessed 5 - Very Good What the service does well We found the performance of the service for quality theme care and support and management and leadership to be very good. We reached this conclusion after we observed interactions between staff and residents. We also looked at a number of care and quality assurance records. Staff interactions with people were seen to be very warm and friendly. They demonstrated a genuine attention to detail and interest in how people were feeling. Those we spoke with had a very good understanding of people's needs. Feedback from people we spoke with included: "Staff are very nice", "they help me when needed", "some are more like friends", "the staff are very good" and "they are really good". People were being supported to remain active and opportunities to engage in social activities and events had been improved. Developments included building stronger links with the wider community. Resident and relatives' meetings were held frequently and these gave an opportunity for people to not only provide feedback, but also be included in how the service could be developed. People told us that there was: "lots going on". Medications were being managed in line with good practice guidance for the safe receipt, storage, administration and disposal of products. We saw that there had been a considerable focus on simplifying the systems in place. A review of practice and checking processes alone with additional staff training, which included an assessment of competency, had resulted in greater consistency in staff practice. People continued to live in an environment that was safe and well maintained. We viewed a number of technical checks and safety records and this demonstrated an ongoing process of maintenance and service of the premises and equipment in use. The individual units were seen to be comfortable, clean and tidy. We discussed with the manager how areas of the home could be further developed to take into account good practice guidance in relation to dementia friendly spaces. It was agreed this would be considered as part of the ongoing service development. page 3 of 8

4 The manager and staff team were very clear about the aims and objectives of the service. There continued to be culture of shared responsibility and accountability. Developing stronger communication between staff groups continued to be a focus. We saw that a number of methods were being used and these included team and house meetings, group supervision and workshops. The service was being managed in a way that ensured safe, positive and improving outcomes. A proactive approach was taken to the ongoing review and development of the service through the use of quality assurance systems. The focus was very clearly placed on ensuring people were being supported in a way that promoted excellent outcomes. What the service could do better A new care record system had been implemented and on review we saw that this included relevant systems of assessment, risk management, care planning and evaluation. Staff had received training to support the implementation. However, we saw that there needed to be consolidation of learning to allow greater consistency in practice. This was because we saw that: - Terminology being used was not always appropriate. - Not all protocols for 'as required medications' contained the appropriate level of detail to guide staff. - Daily entries did not always capture the level and type of care and support being given. - Some forms had not been fully completed. - Some plans of care needed more detail - particularly in those instances were more complex needs had been identified. We also saw that clearer understanding of the difference between accident and incidents was needed. The form used to record information was not appropriate for both functions. This had resulted in inconsistencies in the type and amount of information recorded and made it difficult to establish if the right actions had been taken. In discussion with the manager and senior nurse we were advised that a review of practice had already commenced prior to formal feedback. As a result of the findings the recommendation made at a previous inspection remains in place. (Recommendation 1). In order to continue to demonstrate clear and concise evaluation of the service there needed to be more focus on the collation of information gathered from numerous quality assurance audits. This would enable a more detailed, risk based approach to the overall service development plan. Requirements Number of requirements: 0 page 4 of 8

5 Recommendations Number of recommendations: 1 1. It is recommended that all staff are made aware of the need to have consistency in how assessment, risk assessment and care planning is undertaken. Particular attention needs to be around those individuals who have more complex needs or have been admitted for respite care. This is to ensure care is effective and based on best practice. National Care Standards care homes for older people. Standard 6: support arrangements. Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at page 5 of 8

6 Inspection and grading history Date Type Gradings 5 Dec 2016 Unannounced Care and support Management and leadership 16 May 2016 Unannounced Care and support Management and leadership 17 Dec 2015 Unannounced Care and support Management and leadership 12 Feb 2016 Re-grade Care and support 3 - Adequate 3 - Adequate Management and leadership 3 - Adequate 12 Aug 2015 Unannounced Care and support 1 - Unsatisfactory 3 - Adequate 2 - Weak Management and leadership 2 - Weak 8 Jan 2015 Unannounced Care and support 2 - Weak 3 - Adequate 3 - Adequate Management and leadership 2 - Weak 13 May 2014 Unannounced Care and support Management and leadership page 6 of 8

7 Date Type Gradings 26 Jun 2013 Unannounced Care and support Management and leadership 28 Jan 2013 Unannounced Care and support Management and leadership 19 Nov 2010 Unannounced Care and support Management and leadership 15 Jul 2010 Announced Care and support Management and leadership 22 Jul 2009 Announced Care and support Management and leadership 28 Jan 2010 Unannounced Care and support Management and leadership 23 Feb 2009 Unannounced Care and support Management and leadership 29 Sep 2008 Announced Care and support Management and leadership page 7 of 8

8 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 8 of 8