Inspection on 14/02/07 for Elderwood Residential Home

This inspection was carried out on 14th February 2007.

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

Elderwood Residential Home 16/01/09

Elderwood Residential Home 05/12/05

Elderwood Residential Home 03/08/05

Elderwood Residential Home 26/01/05

Elderwood Residential Home 08/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Elderwood Residential Home Westmoreland Street Darlington Durham DL3 0FB Lead Inspector Mr Paul Emmerson Unannounced Inspection 10:00 14 February 2007 th X10015.doc Version 1.40 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 Elderwood Residential Home DS0000000816.V329186.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 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. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elderwood Residential Home Address Westmoreland Street Darlington Durham DL3 0FB 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) 01325 368256 01325 350801 jill.burt@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust Position Vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2006 Brief Description of the Service: Elderwood is a care home providing personal care and accommodation for up to 40 older people. The home is one of a number of homes, throughout the country, run by the Anchor Trust. Elderwood is situated off North Road in Darlington. It is a two-storey building, which was purpose built in 1991. The home is accessible throughout and there is a passenger lift between floors. All bedrooms are for single occupancy and have en-suite facilities. There is a dining room and a lounge on each floor. The home also has a garden room. Bath / shower rooms and separate WCs are also provided throughout the home. The weekly fees charged by the home range from £355 to £370. Additional charges are made for hairdressing, newspapers, private chiropody and toiletries. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours on the morning and afternoon of Wednesday 14th February and the afternoon of Monday 26th February 2007. In line with current CSCI policy on ‘Proportionality’, the inspection focused on a number of key standard outcomes for service users. The inspector looked around the building and a number of records were examined. The home’s manager, deputy manager, 2 team leaders, 11 staff members, 2 visitors (including a visiting nurse) and 10 people who use the service were interviewed. The inspector had also visited Elderwood for 4½ hours on Tuesday 19th & Wednesday 20th December 2006 to conduct a Thematic Inspection: a short, focused inspection that looks in detail at a specific theme. The thematic inspection considered the outcomes for service users under National Minimum Standards 1, 2, 3 and 16. In particular it looked at the quality of information given to people about the care home and whether people experience open and fair conditions of care. The findings of this thematic inspection, although available separately, have been incorporated into this report. They will also be used as part of a wider focussed investigation that CSCI is carrying out about the information that people get about care homes for older people. This report will be published later in 2007 and will be used to help us respond to the recommendations contained within the Office of Fair Trading’s market study, ‘Care homes for older people in the UK’. Further information on this, and thematic inspections, can be found on our website: www.csci.org.uk. What the service does well: Elderwood was purpose built and has been well-maintained and upgraded where necessary. It provides a very good standard of care to the people living there. Care is provided by a well-trained, settled, committed and well-led staff team. Care planning arrangements are to a good standard. Care plans are well written and document: assessed needs; actions required and being taken to meet them; ongoing evaluation; and reviews. The home is committed to putting residents first, in everything it does. Staff are encouraged to think about their actions and life in the home from the service users’ perspective. For example, in providing additional support at mealtimes to ensure people dine with dignity. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 6 Catering arrangements and food provided is of a commendable standard. Meals choices are offered to people whilst they are seated in the dining room. There is a commitment to obtaining feedback to ensure people’s preferences are catered for. One service user said, “You can’t fault the place it’s lovely”. Another person said, “I’m over the moon with it here and I get on well with all the staff”. A relative said, “It’s going well, she’s settled and happy here”. What has improved since the last inspection? What they could do better: 6 recommendations have been made as a result of this inspection. These are shown on pages 24 & 25 of this report. Some of these recommendations are made to improve administrative arrangements, such as completing contract documents on admission. Others are about management arrangements generally, for example staff training records. To improve the quality of care provided to service users it is also recommended that staffing levels at peak times should be reviewed. Care planning arrangements could be improved if mental health needs were better documented and incorporated into care plan documents used by the home. 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. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home are well-managed. EVIDENCE: 3 residents’ care plans and files were examined during the Thematic Inspection on 19 December 2006. The findings and evidence from this inspection is used here to report on these outcomes. 2 of these residents were self-funding, the other person being funded by the local authority. Each file contained evidence that the home had obtained and/or carried out an assessment of care needs to get information about each person prior to their admission to the home. These initial assessments are being used to inform and develop the delivery of care, and ‘Individual Lifestyle Agreements’, in the home. Service User’s Guide documents are available in each of the home’s 40 bedrooms, kept in wall-mounted document holders. They contain appropriate information about the home, including the range of fees charged. Anchor Trust has also prepared a number of colourful, easy to read brochures. These include a guide to Anchor’s range of facilities and services, which comes with a Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 9 DVD version of the guide attached to it. Another brochure is called a ‘Welcome to Elderwood’ and provides information about the home itself. This welcome brochure comes with an 8 page - ‘Is this home right for me? Checklist for choosing a care home’ - form to help people make an informed decision about moving into a care home. All these documents are available in other languages, formats and large print on request. Anchor Trust has prepared pre-printed ‘Residents’ Contract’ forms for people who are privately funded and ‘Conditions for living in an Anchor home’ forms for people funded by the local authority. These forms are detailed and informative and are written in a way that is fair to all parties concerned. Completed copies of ‘Contract / Conditions’ documents were seen on each of the 3 service users’ files examined. It is noted that since the last inspection, contract / terms & conditions documents have been revised and improved from the ‘Licence Agreement’ format previously used by the Anchor Trust. These new forms are being used for all new admissions. However they should also be given to people already living in the home when the new forms were introduced. Further, in the ‘Conditions for living in an Anchor home’ form there is a section to set out contributions to fees. However, this section is not always completed. This section should be completed when this information is known. Fees payable differ depending on how each resident is funded. For people funded by the local authority, the council assesses and collects any residents’ contributions to the fees. Elderwood does not charge any ‘third party top up’ payments. The 3 residents interviewed said they or their family were given the opportunity to visit the home prior to deciding if they wished to live there. Information was given at this time and care needs were discussed. 2 of the residents interviewed had previously stayed at Elderwood for short periods of ‘Respite Care’. Because they knew, and were satisfied about, the home they felt comfortable about moving in permanently. One person interviewed said, “You can’t fault the place it’s lovely, it was a good choice”. Another person said, “A good friend recommended Elderwood and said it was the best he’d seen; I then came in for respite and was very impressed”. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are met. Appropriate care plans are prepared. Any medicines required are dealt with correctly. EVIDENCE: The inspector spent time in the company of service users and saw that they are well cared for and comfortable in their home. Management and staff ensure that service users’ health care needs are met. Experienced and well-qualified staff provide care where it is required. Where more specialist intervention is required it is sought. Records checked confirm that contact with GPs and other health professionals is maintained. A CPN (Community Psychiatric Nurse) visiting the home provided positive feedback. The inspector observed, through their actions and responses, that staff respect service users’ privacy and dignity. For example, staff were seen to knock before entering service users’ bedrooms. Service users spoken to expressed their satisfaction with the manner and attitude of the staff. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 11 The inspector looked at 4 care plans - ‘Lifestyle Agreements’. These detail the action to be taken to ensure assessed needs are appropriately met. Risk assessments are undertaken. Staff review care plans on a monthly basis. Any changes in need and care required are documented and actioned. Care plans are drawn up with service users’ involvement and agreement. Formal review meetings are held every 6 months, prior to which a ‘Check List for Resident Review’ document is completed. The format of care plans has been revised. Staff training about the new care plans is being arranged. However, as highlighted in the previous inspection report, assessment and care plan documentation should be amended to better consider the mental health needs of older people. Issues relating to challenging behaviour should also be explored. Earlier this year pharmacists from the local PCT (Primary Care Trust) visited Elderwood and checked the home’s medication systems. Medication was also checked during this CSCI inspection. Elderwood uses a monitored dosage system and care staff who administer medicines have received training in its use. The home has appropriate policies, procedures and systems in place relating to the receipt, recording, storage, handling, administration and disposal of medicines. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social needs are recognised and provided for. The home has open visiting arrangements. Service users’ rights are respected and choice is provided. Meals and catering arrangements are of a commendable standard. EVIDENCE: Throughout the inspection, staff were seen to engage with service users in social interaction. A monthly and a weekly programme of activities has been drawn up. A copy is delivered to each service user and is also displayed in large print on notice boards. An activities co-ordinator is also employed, who arranges social events and activities. On the morning of the inspection, some service users were seen to enjoy an exercise / mobility class. Others were having their hair done. Elderwood has open visiting arrangements. The inspector spoke to a visitor who provided positive feedback. Communication in the home is good. One visitor said, “The staff are very good, very helpful”. Service users spoke about the friendliness of the staff. Observations made by the inspector confirmed that people are treated with respect. From discussions Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 13 with staff and management, there is a shared goal in the home to promote improvement. Catering arrangements and food provided within Elderwood are of a very good quality. Activity in this area is commended. Staff have completed ‘focus on food’ training courses. The home has received ‘Heartbeat Awards’ for its commitment to healthy food, food standards generally and food hygiene. Food is served in adequate quantity and meets service users’ nutritional needs. One service user said, “I’ve nothing to grumble about here. The food’s lovely mind”. When the inspector asked another service user if they had enjoyed their dinner the person said, “Dinner was nice”. Where necessary, specialist diets are provided and if a soft diet is required, food is pureed and reformed in appropriately shaped moulds for serving. Meals are served in the ground and first floor dining rooms or in service users’ rooms if they choose. Assistance is provided where it is required. The home’s staff have completed a ‘dining with dignity’ training programme. The inspector was present when the main meal was being served. It was noted that every member of staff made themselves available to provide assistance. This resulted in the mealtime being an unhurried and dignified social occasion. A choice of meals is provided from a four week rotating / seasonal menu. These menus include recipes provided by service users. Service users are provided with a choice of main meals whilst they are seated at the table and where vegetables are served from tureens. Service users’ meal choices are recorded and form a ‘record of food provided’ within the home. These records are used as an additional safeguard to monitor service users’ nutritional needs and, through close work between care and kitchen staff, link into the home’s nutritional needs assessments. The home has chair scales to record and monitor service users’ weight. Kitchen staff obtain feedback by visiting service users - any comments are recorded and are responded to accordingly. Feedback is also obtained from residents’ meetings. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided about complaints. Any complaints made are dealt with correctly. Systems in the home protect services users from abuse. EVIDENCE: Information about complaints is displayed on notice boards around Elderwood and in the home’s ‘Statement of Purpose’ and ‘Service Users Guide’. Anchor Trust has prepared ‘How are we doing? Compliments, Concerns & Complaints’ leaflets, which state Anchor Trust ‘Wants to hear what you think of us.’ The people spoken to by the inspector confirmed they were aware of how to raise any concerns or complaints. Although nobody spoken to had any cause for complaint, all expressed confidence that any complaints they might have would be taken seriously. Service users’ and families’ views are obtained through regular contact and an ‘open door policy’. Residents / Family Meetings are held, which provide an additional forum to discuss any concerns or potential difficulties. Staff meetings are also held. One person spoken to said, “I’ve never had to make a complaint, but if there is a problem I speak to the staff or the manager”. Another person said, “If anything is wrong they sort it out for me”. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 15 The parent organisation’s policy and procedure documents relating to adult protection provide information and guidance to staff. A copy of ‘Durham & Darlington Adult Protection Committee’s Inter-Agency Adult Protection Policy & Procedures’ on abuse and the protection of vulnerable adults is available in the home. Staff training in this area is also provided. However, not all staff have received such training. Additional staff training about abuse and the protection of vulnerable adults should be arranged – in particular for senior staff. Such training should also include the actions to be taken, things to do and not to do, if an allegation of abuse is received. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Elderwood is safe and wellmaintained. The home is clean, tidy and free from offensive odours. EVIDENCE: Elderwood was purpose built as a care home. Appropriate adaptations have also been made. For example, the home’s entrance foyer has been redesigned and refurbished to create a new entrance door and a new entrance / security surveillance system covering it. Since the last inspection the home’s bathrooms and shower rooms have been substantially upgraded and refitted. Many other areas have been redecorated. For example, the home’s dining rooms and adjoining serving / kitchenette areas, which have also been refitted. There is a lounge and separate dining room on each floor of the home. There is also a pleasant garden room on the ground floor and a seating area on the first floor landing area. Service users can thus spend time alone or in the Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 17 company of others. Service users’ needs are met in comfort and safety. The furnishings and lighting throughout the home are domestic in nature and create a homely atmosphere. The home and grounds are well-maintained and wheelchair accessible. The garden has seating provided. All bedrooms have en-suite facilities. Additional WCs are also appropriately located throughout the home. Bath / shower rooms within the home are suitably adapted, with additional equipment available, to meet the needs of the service users accommodated. The inspector had a good look around the building and saw that most people have personalised their rooms with their own furniture and personal belongings. Elderwood is clean, tidy and odour free. The premises are safe and well-maintained. The home has a well-equipped laundry room. There are sluice facilities on both floors. Appropriate hand-washing facilities are available throughout the home. Each service users’ laundry is washed separately. Activity in this area is commended. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed. The home has a settled, well-trained and well-led staff team. EVIDENCE: There is a settled staff team. Many of the staff spoken to have worked at Elderwood for a number of years, some since the home first opened. The staff know the service users well. More recently employed staff said they felt welcomed into the home when they first arrived. Excluding the manager and ancillary staff, current staffing levels for Elderwood are: a senior carer and 4 care assistants between 7:45 am – 10:00 pm, and a senior carer and 2 care assistants throughout the night. From discussions with management and staff, and from an examination of duty rosters, sufficient staff are generally employed and rostered to work within the home to meet the needs of the people accommodated. However, as occupancy levels have now increased, it is recommended that staffing levels should be reviewed and additional staff rostered to cover peak periods. For example, in the past when the home was fully occupied, an extra member of staff was rostered between 8:00 am – 11:00 am & 6:00 pm – 9:00 pm. These, or similar, shifts should be reintroduced. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 19 A member of staff interviewed said, “Morale is high, but it feels like we’re flogging to get things done, not getting breaks to cover the floor”. From staff files checked and people spoken to, recruitment procedures within the home, and through the parent organisation are safe. Records confirm that CRB (Criminal Records Bureau) disclosure checks are carried out for all staff. Applicants for employment complete an application form and 2 references are obtained. A reference from the last employer is requested, plus another; any gaps in employment are explored at interview. Each member of staff receives a contract of employment and a job description. All new staff undertake a TOPPS based induction programme. Staff training is given a high priority. 66 of care staff have an NVQ (National Vocational Qualification) at level 2 or above. 6 people have NVQ3. 5 people are currently working towards NVQ3. Auxiliary staff, for example the chef manager and administrator, have also completed NVQ training (NVQ3). Activity in this area is commended. Core training such as in First Aid and Moving and Handling is arranged, along with other courses such as continence and catheter care. Staff have recently received training about the care of people with dementia. However, although it is acknowledged that staff training needs are identified, and for most staff individual staff training records have been kept, as highlighted in the previous inspection report, benefit would be obtained from collating individual training needs into a document setting out the overall collective training needs of the whole staff team. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Elderwood is a well-run care home. Appropriate quality assurance systems are in place to identify and rectify any concerns. EVIDENCE: Elderwood is currently without a registered manager, the previous manager left in December 2006. However, a new appointment has recently been made. The new manager is currently undergoing a period of induction and is in the process of applying for registration with CSCI. In addition to the manager, a deputy manager and senior carers (team leaders) are also employed and provide ongoing and day-to-day support and supervision to the care and ancillary staff who work at Elderwood. Additional management support is also provided through The Anchor Trust. Elderwood continues to be a well-managed care home. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 21 Staff meetings are held and formal systems of staff supervision and appraisal are in place within the home. However, due to recent management changes, formal staff supervisions for some staff have not been held for some time. These should be reintroduced. Service users’ and families’ views are obtained through regular contact and an ‘open door policy’. Residents Meetings are held, which provide an additional forum to discuss any concerns or potential difficulties. The home has a recognisable quality assurance system, which serves to ensure that Elderwood is run in the best interests of the people who live there. Senior managers visit regularly and reports required under Regulation 26 of the Care Homes Regulations 2001 are completed. Records in the home are to a good standard. The home has a range of appropriate policies and procedures, and systems are in place to ensure service users’ health and safety is protected. For example, risk assessments are carried out within care planning arrangements and are regularly reviewed. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 2 3 Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. 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. Standard Regulation Requirement 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 OP2 Good Practice Recommendations As highlighted in the Thematic Inspection Report 19&20 December 2006, Anchor Trust has prepared pre-printed ‘Residents’ Contract’ forms for people who are privately funded and ‘Conditions for living in an Anchor home’ forms for people funded by the local authority. These new forms are being used for all new admissions. However they should also be given to people already living in the home when the new forms were introduced. In the ‘Conditions for living in an Anchor home’ form there is a section to set out contributions to fees. This section should be completed when this information is known. As highlighted in the previous inspection report, assessment and care plan documentation should be amended to better consider the mental health needs of older people. Issues relating to challenging behaviour should also be explored. DS0000000816.V329186.R01.S.doc Version 5.2 Page 24 2. OP7 Elderwood Residential Home 3. OP18 4. 5. OP27 OP30 6. OP36 Additional staff training about abuse and the protection of vulnerable adults should be arranged – in particular for senior staff. Such training should also include the actions to be taken, things to do and not to do, if an allegation of abuse is received. As occupancy levels have now increased, it is recommended that staffing levels should be reviewed and additional staff rostered to cover peak periods. As highlighted in the previous inspection report, although it is acknowledged that staff training needs are identified, and individual staff training records have been kept, benefit would be obtained from collating individual training needs into a document setting out the overall collective training needs of the whole staff team. Due to recent management changes, formal staff supervisions for some staff have not been held for some time. These should be reintroduced. Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Elderwood Residential Home DS0000000816.V329186.R01.S.doc Version 5.2 Page 26 - 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!