Please wait

Inspection on 07/12/09 for Elgin Rest Home

Also see our care home review for Elgin Rest Home for more information

This is the latest available inspection report for this service, carried out on 7th December 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Elgin Rest Home The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Carolyn Delaney Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 12-14 Manor Road Westcliff On Sea Essex SS0 7SS 01702340172 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Mr John Finlay Dickson,Mrs Yasmin Zalina Dickson Number of places (if applicable): Under 65 Over 65 0 17 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Elgin Rest Home is a small family run home, owned and managed by Mr and Mrs Dickson. The home is a detached property situated within close proximity of local amenities, public transport and the sea front. The home is decorated, furnished and maintained to a good standard through out. The home has three shared rooms and eleven single bedrooms. The home has a passenger shaft lift and electric stair lift and all bedrooms have a call alarm facility. There is a garden to the rear of the property and limited car parking is available to the front. A service Users Guide and Statement of Purpose are available. The most recent inspection report is displayed in the entrance hall. In December 2007 the range of fees was from #379.47 to #442.83 per week. Residents pay additionally for hairdressing, chiropody, newspapers and toiletries. If the need arises they may also have to pay for additional continence aids. None Annual Service Review Page 2 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We carry out an Annual Service Review for services which have 2 star good, or 3 star excellent ratings and who provide good outcomes for people they serve. In carrying out this review we looked at all of the information that we have received about the home, or asked for since the last key inspection. We last inspected the home on 11th December 2007. We carried out an Annual Service Review for the home on 24th November 2008. We reviewed the information in the homes Annual Quality Assurance Assessment (AQAA), which was returned to us on 19th October 2009. The AQAA is a self-assessment in which the manager is legally required to tell us how well outcomes are being met for people who live in the home. It also provided some numerical information about the service including numbers of staff who work there, the number of complaints received etc. We sent surveys to residents, staff and health care professionals to complete. At the time of completing the review we had received eight surveys from people who live in the home, two surveys from staff and two surveys from social and health care professionals. The comments made have been included in this final report. We also reviewed any information we have received about how the service has managed any complaints or safeguarding (protecting people) issues. We looked at the information that the manager told us about things that have happened in the home such as illness or injury or any other event which would affect people who live there. These are called notifications and the manager must legally inform us of them. What has this told us about the service? The manager told us in the Annual Quality Assurance Assessment about the ways in which they obtain the views of people who live in the home and use these to make changes and improvements to the service. They told us that they give questionnaires to residents and their relatives to complete and comment about the home. They told us that where any issues arise that these were acted upon promptly. The manager said that meetings are held, usually informally where people can discuss any issues. The manager told us that as a result of listening to residents that they had introduced more activities, which residents requested. The manager told us that they provide detailed information about the home so as to help people decide if it will be the right place for them to move in. They said that they assess the needs of people to determine that the home will be suitable and encourage people to visit before moving in. They told us that five people had moved into the home within the previous twelve months. There had been no discharges from the home and no breakdowns in placement (where a person would have to move out because their needs were not being met). The manager said that in the coming twelve months they planned to review and amend the pre- admission assessment documents so that it took into account the provisions of the Mental Capacity Act. Both social and health care professionals told us that the homes assessment arrangements always ensure that accurate information is gathered and that the right service is planned for people. Each of the eight residents who completed surveys told us that they had received Annual Service Review Page 3 of 7 enough information to help them decide if the home was the right place for them before they moved in. Seven people told us that they had received written information about the homes terms and conditions (contract). The manager told us in the Annual Quality Assurance Assessment that when a person moved into the home a care plan was developed with their input where this was possible. They said that care plans were reviewed on a regular basis to ensure that residents received good care. The manager said that where risks to a persons health and safety were identified that staff acted promptly to minimise these risks. They said that they liaised with district nurses and doctors to obtain assistance and appropriate equipment as needed. The manager said that they could improve the service provided to residents with better understanding of the Mental Capacity Act and that staff had received training around this. They told us that they had made improvements through the introduction of an end of life plan to support peoples wishes around death and dying. Both social and health care professionals who completed surveys told us that peoples social and health care needs were always properly monitored, reviewed and met by the home. They said that the manager always sough advice and acted on it to meet residents needs and improve their well being. Four residents told us that they always received the care and support they needed and the other four said that they usually did. Five residents told us that staff always listen and act on what they say and three said that usually did. We looked at notifications we had received about the home within the previous twelve months. We were informed of three expected deaths of residents. There had been no incidents of serious injury, outbreak of infectious diseases or other incidents, which affected the welfare of people who lived in the home. The manager told us in the Annual Quality Assurance Assessment that people living in the home were happy. They said that residents had a social plan developed when they moved into the home where they could say how they liked to spend their time. The manager said that regular activities including outings were provided. Five people told us that there were always activities arranged that they could participate in and three people said there usually were. Both social and health care professionals said that the service always supported people to live the life they chose where this was possible. They told us that residents were encouraged to keep in contact with relatives. They said that relatives were encouraged to take meals with residents, especially on special occasions. They told us that residents had a choice of meals and that snacks and refreshments were available at any time. Of the eight residents who completed surveys four said that they always liked the meals at the home and four said that they usually did. The manager told us of the arrangements in place to safeguard residents from harm or abuse and for receiving and responding to complaints. They said that staff received training around recognising and reporting abuse and were aware of the importance of reporting any concerns. The manager told us that there had been no complaints or concerns raised within the past few years and that the responses and feedback from residents and relatives were all positive. They told us that the open and relaxed way in which the home was managed allowed people to freely make comments should they need to. We had received no complaints, concerns or allegations about the home within the past twelve months. Each of the eight residents who completed surveys told us Annual Service Review Page 4 of 7 that they knew who to speak to informally if they were unhappy and how to make a complaint. Both health and social care professionals told us that they service had responded appropriately where concerns had been raised, and staff told us that they knew what to do if anyone made a complaint or raised concerns about the home. The manager told us in the Annual Quality Assurance Assessment how they provided suitable, safe and comfortable accommodation for people who live in the home. They said that the home is well maintained and all equipment necessary for supporting people is kept in good and safe working order. The manager said the home is clean and free from unpleasant odours. They told us of the improvements made within the past twelve months. These included the installation of a new boiler for heating and hot water, and the purchase of a new electric lifting hoist. Each of the eight residents who completed surveys told us that the home was always fresh and clean. The manager told us in the Annual Quality Assurance Assessment about the arrangements for recruiting, training and deploying staff in the home so as to meet the needs of people who live there. They told us that they carried out all of the necessary checks before a person commenced work at the home, including Criminal Records Bureau disclosures, PoVA First checks and references. They said that all staff completed a period of induction and received training to help them meet the needs of residents. The manager said that they had a core team of staff who had worked in the home for many years. They told us that staff were encouraged to spend time chatting with residents to get to know them better and understand their needs. Each member of staff had an individualised personal development plan and over 50 of staff had achieved National Vocational Qualification at level 2 in care. Residents told us that staff were always available for them when needed. Both social and health care professionals told us that the manager and staff had the right skills and experience to care for the needs of people in the home. Two members of staff completed surveys. They both told us that all of the appropriate checks including references and Criminal Records Bureau disclosures had been obtained before they started work in the home. They told us that their induction covered everything they needed to know about the job. They told us that they received training, which was relevant to their job, kept them up to date with new ways of working and helped them understand the individual needs of people. In the Annual Quality Assurance Assessment the manager told us about the way in which the home was managed and run to best serve the interests of the people who live there. From the information we had received we judged that the home continues to provide good outcomes for the people who live there. We asked people who completed surveys to tell us what they felt the home did well and to identify any areas for improvement. Health care professionals told us that Residents appeared happy and settled. One person told us the home Communicates service users needs and respect their wishes. Nobody identified any areas where they felt the service could be improved. After reviewing all of the available information we judge that the home continues to provide good outcomes and experiences for the people who live there. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 10th December 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. They told us that they had over twenty years of caring for elderly people. They said that staff were regularly supported, supervised and appraised so as to monitor their performance and the service provided to people living in the home. They told us that the comments of people who complete surveys about the home were positive and that they had improved the questionnaire so that it was more user friendly and easier for residents to use. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!