Inspection on 16/01/09 for Elderwood Residential Home

This inspection was carried out on 16th January 2009.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Elderwood Residential Home 14/02/07

Elderwood Residential Home 05/12/05

Elderwood Residential Home 03/08/05

Elderwood Residential Home 26/01/05

Elderwood Residential Home 08/07/04

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Turret Villa Retirement Home

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Little Sisters Of The Poor

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Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Elderwood Residential Home Westmoreland Street Darlington Durham DL3 0FB     The quality rating for this care home is:   one star adequate 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: Tanya Newton     Date: 1 6 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 25 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 25 Information about the care home Name of care home: Address: Elderwood Residential Home Westmoreland Street Darlington Durham DL3 0FB 01325368256 01325350801 christine.papprill@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Anchor Trust care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 40 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 are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 40 Date of last inspection Brief description of the care home 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. Care Homes for Older People Page 4 of 25 Brief description of the care home The weekly fees charged by the home range from £355 to £403. Additional charges are made for hairdressing, newspapers, private chiropody and toiletries. Care Homes for Older People Page 5 of 25 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: one star adequate 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 inspection was unannounced and carried out between the hours of 10:30am and 4:30pm. In line with current CSCI policy on proportionality the inspection focused on a number of key standard outcomes for people. The inspector looked around the building and looked at a number of records. Prior to the inspection the home were asked to completed an annual quality assurance assessment (AQAA) which provides CSCI with information about the service being provided. Feedback was also sought from people living at the home, staff and visitors. Comments from which have been included throughout the report. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 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 25 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 25 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. Admissions to the home are well managed. Evidence: Each person living at the home is provided with a contract which sets out the terms and conditions of residence within the home. Three assessments were looked at. Each file contained a detailed assessment which then goes on to inform and develop the delivery of care and lifestyle agreements which are the care plans within the home. The home assesses people prior to moving into the home. This can be be done at Elderwood or at the place where the person is residing at that time. Assessments from the local placing authority were also in place. The admission assessments viewed contained comprehensive information. Care Homes for Older People Page 10 of 25 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. Peoples health, personal and social care needs are set out within their plan of care. medication systems are appropriately managed. Evidence: Care plans were looked at during the inspection. Care plans detail the way in which peoples health, social and personal care needs should be met by staff. Care plans were well written and reflected the views and wishes of the person being supported. There was also clear evidence of the input from other health care professionals where this was required and from relatives where this was appropriate. One relative commented, the improvement in my mothers personal care has been marked since she has been living at Elderwood, I always find her well groomed and smartly dressed whenever I visit. The staff encourage her to do as much for herself as possible and her mobility has improved since admission due to staff encouragement and the care home staff are very attentive the needs of my relative, especially in relation to his health and comfort. They speak kindly and affectionately to him, whilst according him respect. Medication systems were viewed. The home uses the Boots Monitored Care Homes for Older People Page 11 of 25 Evidence: Dosage System (MDS). The home has appropriate policies, procedures and systems in place relating to the storage, recording, handling, administration and disposal of medicines. In the main feedback in relation to the way in which peoples privacy and dignity were maintained was positive. Some people living at the home said that they would like the opportunity to be bathed more often and on a day of their choosing. The manager and staff said that people could change their bath day and that the home would try to be flexible about this and that if people wanted to be bathed more frequently then this would not be a problem. Care Homes for Older People Page 12 of 25 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 offered a range of social activities, visiting arrangements are open and food is of a high quality and standard. Evidence: During the inspection staff were observed to be interacting with people living at the home. The home has an activities co-ordibnator who devises a weekly and monthly programme of activity. Comments about the social activities provided by the home include, Elderwoods particular strengths are related to the activities and the way in which the home maintains the privacy and dignity of my mother. Staff make a particular effort to support and include my mother in the homes activities, the home has an excellent activities co-ordinator who has provided a range of stimulating activities and is able to offer additional time and support to those who are unable to join in and efforts to provide stimulating activities are excellent and I understand that religeous services are also carried out at the home. Comments from people living at the home include, I have my own key, activites are provided morning and afternoon, I join in sometimes. I sit outside if its warm and if I want to go clothes shopping then one of the staff will take me into town. I am treated with dignity and respect. I get home visits from the choir and from the church and I attend residents Care Homes for Older People Page 13 of 25 Evidence: meetings as they do listen to what you say. Visiting arrangements were flexible and people spoken to during the inspection said that they could call in at any time. This was confirmed by people living at the home. Catering arrangements and the food provided within the home are of a high standard. kitchen staff were observed speaking to people living at the home to find out what meals they would like. Choices are offered and specialist diets are provided for. Any person who is assessed at being at risk of malnutrition has input from the manager and chef and their diet is altered to ensure it is more calorific. Comments about the food include, My mother tells me that the food is very good, she enjoys her meals and mealtimes very much and the food is appreciated by all. Comments from people living at the home include, dinner was lovely, we had fish and chips followed by a lovely fruit pudding and we are offered a choice, the cook comes in and asks us what we would like, the food is lovely. Care Homes for Older People Page 14 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to respond too and deal with complaints. Policies to respond to any allegations of abuse need updating. Evidence: The complaints procedure is displayed in prominent areas around the home. It is also included within the homes Statement of Purpose and Service Users Guide. The home also has Anchors How are we doing? Compliments, Concerns and Complaints leaflets. The home operates an open door policy so that relatives and people living at the home can raise issues. Meetings are also held to provide an additional forum for people to raise any issues they may have. People were asked if they would feel confident in raising issues about the home and all confirmed that they would. One relative commented, this has been explained to me, so yes I know who to contact and how to complain although this has not been necessary. Although the home has a copy of Darlington and Durhams, inter agency policy on adult protection, it was out of date and an up to date version needs to be accessed. Staff did not demonstrate a clear awareness of who to make a referral to if an allegation of abuse was made, although all said they would have no hesitation in whistle blowing to the homes manager if they observed poor practice taking place. The home must ensure that its policies are up to date and that staff are clear of how to action them, should the need arise. The majority of staff have been trained in the Care Homes for Older People Page 15 of 25 Evidence: Protection Of Vulnerable Adults (POVA), additional training should be provided so that all staff are clear of the referral process should an allegation be made. Care Homes for Older People Page 16 of 25 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. People living at the home live in safe, comfortable and clean surroundings which are well maintained. Evidence: Elderwood was purpose built as a care home. It is set on two levels and can be accessed via the stairs or by lift. There is a lounge and separate dining room on each floor of the home. There is a pleasant garden room on the ground floor and a seating area on the first floor landing area. All bedrooms have en-suite facilities. Additional WCs are also appropriately located throughout the home. Adapted bath and shower rooms are also available to support people. Bedrooms are personalised with peoples furniture and personal belongings. Laundry facilities are well equipped and peoples laundry is washed individually. The home is clean, free from any unpleasant odours safe and well maintained. Garden areas are well maintained and wheelchair accessible. Care Homes for Older People Page 17 of 25 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 home has a settled, well trained and well led staff team in sufficient numbers to meet the assessed needs of people living at the home. Evidence: Elderwood has a settled staff team with many of the staff having worked at the home for a number of years. Comments about the staff included, Its so friendly, as soon as you walk through the door everyone greets you and the staff genuinely care about people, I have always found the staff to be friendly, polite and very welcoming. they are very accommodating and always go that extra yard to oblige. Staff recruitment files were looked at, of the six files viewed, three did not contain all of the information required to safeguard people living and working at the home. All files should include an application for employment, a police check (CRB) and two references, one of which should be from the last employer. It is however, acknowledged that some of the missing information was from files belonging to staff who were recruited when the home opened ten years ago, and that the information was not required at that time. Supervision records were checked, although the majority of day staff had up to date supervisions the supervisions for night staff were not up to date. Care Homes for Older People Page 18 of 25 Care Homes for Older People Page 19 of 25 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. Elderwood is a well run home, with appropriate quality assurance systems in place to identify and rectify and concerns. Evidence: The home has a registered manager who is now registered with CSCI. The homes manager is enrolled on the combined NVQ and registered managers award. In addition to the manager, a deputy manager and senior carers are also employed. Elderwood continues to be a well managed home. Staff meetings are held and formal systems of staff supervision and appraisal are in place. However, although these were in the main up to date for the day staff, a number of the night staff supervisions had not been held for some time, these need to be updated. The home has a recogniseable quality assurance system, which serves to ensure that Care Homes for Older People Page 20 of 25 Evidence: Elderwood is run in the best interests of the people living there. Systems include Regulation 26 visits from senior managers, questionnaires to seek the views of people living at the home, as well as relatives and other stakeholders. Meetings are held for those living at the home, the staff and for relatives to express their views. Financial systems were viewed. Financial records are held securely and there are clear policies and procedures to support the financial interests of people living at the home. Accurate records are maintained and an audit system is in place. Records in the home were of a good standard. The home has a range of policies and procedures in place. health and Safety records include risk assessments to minimise risks to people living and working in the home. Care Homes for Older People Page 21 of 25 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 25 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 1 18 13 The home needs to get a copy of the local authorities safeguarding adults procedure and needs to ensure that staff know and understand the procedure. Staff must know how to make a referral to the local authority and know who to make it too. 31/03/2009 2 29 19 Staff recruitment files must 31/03/2009 contain all of the information listed in Schedule 2 of the Care Homes Regulations. People must not be employed without relevant checks being made. This must include 2 references and a CRB. 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 Care Homes for Older People Page 23 of 25 1 36 Supervision should be provided for all staff at least six times each year. Care Homes for Older People Page 24 of 25 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. Care Homes for Older People Page 25 of 25 - 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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