Inspection on 20/12/05 for Eleri House

This inspection was carried out on 20th December 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

Eleri House 19/01/07

Eleri House 29/03/06

Eleri House 18/01/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Eleri House 15 Laburnum Walk Malvern Worcestershire WR14 1HD Lead Inspector R McGorman Unannounced Inspection 10:00 20 December 2005 th Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 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 Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 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 Adults 18-65. 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. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eleri House Address 15 Laburnum Walk Malvern Worcestershire WR14 1HD 01531 635845 01531 635845 bill@elerihouse.fsnet.co.uk 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) Mr Charles William Cole Mr Charles William Cole Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Eleri House is registered to provide residential care for up to three adults who have a learning disability. The Registered Provider is Mr H Casey, and the day-to-day running of the home is the responsibility of Mr Charles William Cole, who is the Registered Manager. The home is run as a non-profit making organisation. The premises is a converted town house situated in Malvern, within walking distance of the town centre, and in close proximity to local shops, public transport, and a range of amenities and facilities. The building has been well maintained, and provides suitable and pleasant accommodation for the three people who live there. There is ample communal space, which includes the garden areas that are accessible to service users, and also an adjacent building that provides a facility for activities, and, in addition, contains a snoezlen. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine unannounced inspection was to follow up previous requirements and recommendations, and to monitor the care provision at Eleri House. The inspection took approximately 3 hours, when some time was spent with service users, and also talking with staff. Everyone is very positive about living and working at the home. The documentation was checked with the assistance of the Registered Care Manager, and consideration given to the organisational arrangements at the home. The care records of residents were seen, together with some staff files, and records kept in respect of the maintenance of equipment and safe working practices were also checked. What the service does well: Eleri House revolves around the people who live there. The positive interactions observed during the course of the inspection between staff and service users, confirmed that staff are competent in the delivery of appropriate care, and are able to meet the differing needs of service users. Involvement in the community, both locally, and further afield. An extensive activities programme is also organized, which also includes fundraising projects. Appropriate documentation is in place, and records are well maintained. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&5 Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. EVIDENCE: These standards were not all inspected in detail on this occasion, although had been met previously. There has been no change in the resident group. A Statement of purpose has been produced, which together with the Service Users Guide provides information for residents and their families, on which to base decisions about their future care needs. The documentation can be produced in an appropriate format if needed. A statement of the terms and conditions of residence is provided for each service user, and the details of these documents are discussed with them, or their family, or representative. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 & 10 The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. Risk management strategies enable a responsible approach to the risks associated with the various activities of daily living. The well-documented views of service users are central to the delivery of the person centred care that is provided at the home. The policy on Confidentiality reassures service users that information about them is handled appropriately. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 10 EVIDENCE: An individual plan of care is produced for each service user, based on the initial assessment undertaken during the admission process. The plans detail the specific needs of service users and how these are to be met. The records of service users seen during the inspection, confirmed that this documentation is completed and maintained up to date, and to a satisfactory standard. Information recorded in respect of each service user is reviewed regularly, in discussion with them. The needs and individual preferences of every service user living at Eleri House are identified as far as possible, and their participation in the daily life of the home, is constantly encouraged. The Care Manager monitors changes over a period of time and amendments are made when necessary. A 6 monthly review is undertaken, and staff also liaise with the day centre. The key worker produces an action plan, which includes the goals to be aimed for, and the developmental process to be followed. Risk assessments are completed, in relation to the premises, to the activities undertaken, and any restrictions imposed, and also in respect of every aspect of the life of each service user. The policy on confidentiality is explained to service users, and staff are made aware of the issues surrounding confidentiality. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14 & 17 The opportunities made available to service users enable them to live as fulfilling a life as possible. The manner in which support is provided by staff ensures that the rights of service users are respected and their independence is promoted. There is a flexible approach to the provision of a healthy diet, and the involvement of service users ensures their preferences are respected. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 12 EVIDENCE: Service users living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range of leisure activities. Contact with the local community is maintained in various ways, and a wide variety of experiences are provided for service users. Social activities are available, and these may be undertaken in-house or in the community, and they may be group or individual arrangements, but they are varied and flexible, and reflect the preferences of each service user. Limitations preclude involvement in paid employment or educational opportunities, although one service user regularly attends a local day placement. Involvement with family and friends is actively encouraged, whenever possible. A part-time member of staff has taken on the responsibility for organizing activities, and this has increased flexibility within the team. There is a dedicated activities facility, separate from the living accommodation, which also includes a snoezlan. One service user has been doing rug-making, and has produced a beautiful cat shaped rug for her bedroom. A mosiac plaque, created by another service user, proudly adorns the archway gate to the property, informing visitors that they have arrived at number 15. Everyone enjoys a very physically active life, and a wonderful (ad)venture has almost been achieved. A fund-raising project was organized, to walk the Severn Way, which traces the course of the river from its source. The intention was to complete this marathon by the end of the year, but the weather was not permitting. There are just 46 miles left to do, which represents another 4 days walking. The arrangements regarding the provision of food reflect the preferences of each service user, and everyone is involved with the shopping and cooking. Healthy eating is encouraged, and a record maintained of the food provided. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Procedures are in place to ensure that the personal and health care needs of service users are appropriately met. Advice and guidance is available from the primary healthcare teams, and associated specialists, to ensure that the health needs of service users are fully understood, and that appropriate responses are made. The systems in place for the administration of medication ensure that the health of service users is promoted. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 14 EVIDENCE: The personal and healthcare needs of service users are well documented, and there is evidence to show how staff understand and respond to them in an appropriate way. Additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Positive comments have been received from a GP, about the provision of healthcare at the home. Service users attend the local medical centre for an annual health check, and chiropody, dental and optical care is arranged as needed. A Health Action Plan, which forms part of the national development framework for people with a learning disability, is to be developed for each service user living at the home, and training provided for staff regarding implementation. Medication arrangements at the home are satisfactory, and appropriate procedures are followed. The pharmacist visits every three months to check the process and to offer advice and support when required. Training is provided for staff. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The financial procedures, and the records maintained at the home, help to ensure that service users are protected from financial abuse EVIDENCE: There are policies and procedures in place for the protection of service users, and staff are given training in awareness of the many areas of abuse. Service users are involved as far as possible with all their financial transactions, and detailed records are maintained, which are regularly audited by an independent accountant. All service users have a building society account. A small amount of cash is held at the home for their individual daily needs. The personal financial records at the home are secure, and kept up to date, and in good order. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28 & 30 The premises are suitable for their purpose. They are well maintained, and nicely furnished, and clean, and ensure as far as possible that the safety and wellbeing of service users is promoted. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of service users. The standard of the accommodation is satisfactory, and provides service users with a comfortable and homely place to live, although the need for future consideration to be given to the areas of the home which do not meet the National Minimum Standards is identified. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 17 EVIDENCE: The premises at Eleri house is a large detached, double fronted house, which is maintained to a satisfactory standard, and is suitable for its purpose. The communal areas of the home are nicely decorated and comfortably furnished. There is a large lounge on two levels, and a kitchen/diner. There is a paved area to the side and rear of the property, and a pleasant garden area to the front, where meals are taken ‘al fresco’ during the summer months. There is also a small gazebo, which makes a pleasing garden feature. The activity room and snoezlan are located in a separate adjacent building. There are three single occupancy bedrooms for service users, which are furnished to reflect the personality of their occupants. The bedrooms have been redecorated recently, with the wallpaper and colour schemes chosen by the service user. The bedrooms do not comply with the National Minimum Standards with regard to washbasins, door locks and minimum space requirements. Consideration will need to be given to these matters in the event of a new service user moving into the home. There are no outstanding requirements following the last visit of the Environmental Health officer, earlier in the year. The home has not received a recent visit from the Fire Safety Officer. The Fire Log Book was seen, and appropriate checks have been undertaken with the required frequency. A Fire Risk Assessment for the home has been completed. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35 & 36 There is an experienced staff team at the home, with the knowledge and skills relative to the work they are doing, which ensures that the needs of service users are effectively met. The training available to staff provides them with the competencies necessary for them to be effective in their work. Supervision procedures ensure that all staff are given appropriate support. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 19 EVIDENCE: The manager confirmed that appropriate staffing levels are maintained to provide for the identified needs of service users. . There has been a recent increase in the staffing establishment, which has created greater flexibility in working individually with service users. The training needs of staff are reviewed regularly, and relevant training provided, which has included, induction, basic first aid, the protection of vulnerable adults, autism, portable appliance testing, computer technology and health and safety. The deputy manager has achieved NVQ Level 4 in management and care, and one senior carer has completed NVQ Level 3, while another has commenced the Level 3 Health and Social Care course. Staff confirmed they are well supported in their work. Supervision sessions are organised bi-monthly, with an appraisal every 6 months. In addition, monthly staff meetings are held. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,41 & 42 The management arrangements at the home are satisfactory, and staff and service users benefit from the positive leadership they receive. The health, safety and welfare of service users is promoted and protected in respect of all safe working practices. The policies, procedures, and records maintained at the home, comply with legislative requirements and therefore help to safeguard the best interests of service users. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 21 EVIDENCE: The Registered Manager, Mr Bill Cole, has many years experience working with this client group. Initially training as a nurse, he obtained the RNLD qualification. He also holds the Advanced Management in Care Award, and is an NVQ Assessor and Verifier. He has certificates in Youth and Community work, and also in mountain leadership. There is evidence of a clear sense of direction and strong leadership skills in the management approach within the home. The positive interactions observed between staff and service users were pleasing to observe. The records were not all checked in detail during the inspection, although those seen had been completed to a satisfactory standard. The Fire Log indicated that weekly checks of the fire alarm system are recorded. Regular maintenance and servicing of equipment is undertaken. Safe working practices are in place at the home, and staff are trained in all aspects of health and safety. . Risk assessments are completed for all safe working practices. Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 2 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eleri House Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 3 X DS0000061478.V262009.R01.S.doc Version 5.0 Page 23 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. 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 2 3 4 Refer to Standard YA19 YA25 YA26 YA26 Good Practice Recommendations Health Action Plans should be introduced for all service users Consideration should be given to improving the space available in the bedroom below the minimum standard of 10 square metres Future consideration should be given to fitting appropriate locks to the bedroom doors Future consideration should be given to the provision of wash hand basins in all bedrooms Eleri House DS0000061478.V262009.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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