Inspection on 18/08/05 for Elders (The)

This inspection was carried out on 18th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Elders (The) 25/09/08

Elders (The) 26/07/07

Elders (The) 21/11/06

Elders (The) 20/07/06

Elders (The) 15/12/05

Elders (The) 31/08/04

Elders (The) 29/04/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE The Elders Epsom Road Ewell Surrey KT17 1JT Lead Inspector Mr P Benthom Announced Inspection 18 August 2005 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 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. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Elders Address Epsom Road Ewell Surrey KT17 1JT 020 8393 9757 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Golden Hours Fellowship Ltd Mr R Taylor CRH (PC) 27 Category(ies) of 1. Old age, not falling within any other category registration, with number (OP) 27. of places 2. Dementia - over 65 years of age (DE(E)) 3. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 27 residents accommodated up to 3 service users may be within the category DE(E), Older people with Dementia. 2. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE. Date of last inspection 31 August 2004 Brief Description of the Service: The Elders is a care home providing personal care and accommodation for up to 27 older people, of whom a maximum of 3 may suffer from dementia. The home is a large detached converted property, close to the village of Ewell. Good transport links are nearby. The home is operated by a charity, the Golden Hours Fellowship and benefits from a well-established management structure. The manager has worked at the home for many years and lives on site. He is actively involved in the day-to-day running of the home. There has been considerable improvement to the premises in recent years, in order to comply with the National Minimum Standards for Older People. Bedroom accommodation is currently provided at ground and first floor level, with some rooms having en suite facilities. All rooms are single. The home has a lift and a stair lift for use by service users. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the first inspection of the Home by the Commission for Social Care Inspection within the regulatory framework of the Care Standards Act 2000 for the year 2005/6. The Home’s performance was measured against the National Minimum Standards for Care Homes for Older People. The inspection was announced and took place over three hours by one inspector. A tour of the premises took place and care, training and Health and Safety records were inspected. Staff and service users were spoken with and observation of practice was made. The CSCI would like to thank staff and service users for their hospitality throughout the inspection process. What the service does well: What has improved since the last inspection? The home is well maintained and furnished to good standard. It offers spacious and well-equipped accommodation to its service users. There is a commitment from the manager to offer as much opportunity as possible to staff to undertake appropriate training. 75 of current staff will eventually hold NVQ Level 2, 3 and 4 qualifications. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 6 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 Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 and 6 Service users are admitted only following a full assessment undertaken by people trained to do so. The registered person was able to demonstrate the homes capacity to meet the assessed needs. All service users have a written contract and care plan. The home is clear in the care it offers to service users. EVIDENCE: The Home has a Service User guide, which is informative and easy to read. Details of the practical provision the Home provides is included in the Statement of Purpose. All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Prospective service users would visit the home prior to moving in and visits are made to potential service users at their homes or in hospital. Prospective The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 9 service users would be admitted on an initial month’s trial period and this information is reproduced in the contracts and the statement of purpose. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11 Health, personal and social care needs are effectively met in this home. Service users’ health needs were well met and medication administration was accomplished satisfactorily. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. EVIDENCE: Care plans sampled were comprehensive and up to date; there was evidence that regular reviews took place. Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities The manager stated that all service users were registered with the local primary care trust for the provision of general medical services. A policy and procedure for the administration of medication was sampled as part of the inspection process. Evidence that Service Users’ optical, dental and chiropody needs are met and confirmed in the diary and other records. Where appropriate, occupational therapists, dieticians and speech therapists would be involved in Service Users’ The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 11 care. The records showed assessed medical needs were followed up properly and notes taken of the care given. Medication is stored in a locked metal cabinet and all senior staff are trained in the administration of medication. During the inspection the staff cared for Service Users in a respectful manner. Those Service Users requiring any assistance were helped sensitively. All Service Users have their own bedroom, thus providing the opportunity for privacy when visitors arrive, whether family or professionals. The Homes’ policies and procedures placed particular emphasis on the core values of caring, such as independence, privacy and dignity. Five members of staff have recently attended training in bereavement. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The systems in place for full Service User participation indicated that Service Users views are both sought and acted upon. EVIDENCE: Organised activities take place on a weekly basis and are arranged by the visiting occupational therapist. The activities take place in the lounge or dining room and Service Users choose to participate if they wish. The home has very good links with the local community and the Rotary Club. There are garden parties and regular events arranged every year. Service Users on the whole do not handle their own financial affairs. If they are unable to manage their finances, relatives or advocates act on their behalf. Service Users all reported positively about the meals. They were consulted at the beginning of the day about what they would like to have from the menu. The menu on the day of inspection was found to be wholesome, nutritious and very well presented. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 The home has a satisfactory complaints system that is made available to all Service Users and staff. EVIDENCE: The home has developed its complaints procedure to incorporate details of the Commission for Social Care Inspection. There have been no complaints to the service or to CSCI since the last inspection. The homes policies and procedures include a protection of vulnerable adults policy and a whistle blowing policy. Most senior staff have had recent protection of vulnerable adult training updates as an integral part of their ongoing training. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The standard of décor and equipment in this home is of a good standard with evidence of improvement through maintenance and refurbishment when necessary. EVIDENCE: The Home is situated in a large and well-maintained garden and is very close to Ewell village centre. The Home has been adapted from its previous use and has been designed to meet the needs of older people with ample usable facilities for service users. The Elders is accessible and well maintained. There are ample dining and lounge areas. This Home’s facilities for washing and toileting meets the minimum standards expected. All rooms were accessible to Service Users. The home has grab rails and adaptations in place to support Service Users to maintain their independence. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The staff had a good understanding of Service Users need. This was evident from the positive relationships that have been formed between staff and Service Users. Staff are aware of all aspects of protection of vulnerable people and appropriate up to date training is in place., and future training is planned. EVIDENCE: The home benefits from a stable staff team, many of who have worked at the home for some years. The Home has a policy whereby all gaps in the staff rota are met by using existing staff. This helps to promote consistency in care for Service Users. The Home has a continual programme of NVQ training for all staff and is committed to staff training. All staff have completed induction and foundation training and there is a good training package for all staff. Staffing levels comply with National Minimum Standards. There was evidence that the recruitment process had been followed and met the standards for protection of Service Users. There are arrangements to carry out CRB checks and two written references were in place for all staff. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 and 38 The manager is supported by staff in providing clear and consistent leadership in the home with all staff illustrating an awareness of their roles and responsibilities. Good appraisal arrangements are in place and all service users and staff are protected by the home’s record keeping and health and safety policies. EVIDENCE: The manager has completed NVQ Level 4 training and the Registered Managers Award Information from service users and staff confirmed that the management style in the home was open and that registered the providers are approachable at all times. Meetings were held for both staff and service users; all were encouraged to contribute to the development of the home. Records required for the protection of service users and sampled on the day of the inspection were well maintained, accurate, and up to date. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 17 The staff-training programme includes training in first aid, manual handling, infection control, fire safety, health and safety and basic food hygiene. Systems were in place to safeguard the health and safety and welfare of the service users. The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 19 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 Regulation Requirement There are to be no requirements from this inspection 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 Good Practice Recommendations There are to be no recommendations from this inspection The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 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 The Elders H58 H09 s13633 The Elders v232565 280705 Stage 4 ann.doc Version 1.30 Page 21 - 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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