Inspection on 29/03/06 for Eleri House

This inspection was carried out on 29th March 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eleri House 19/01/07

Eleri House 20/12/05

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 29th March 2006 17:00 Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 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.V288287.R01.S.doc Version 5.1 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.V288287.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eleri House Address 15 Laburnum Walk Malvern Worcestershire WR14 1HD 01684 899176 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) bill@elerihouse.fsnet.co.uk 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.V288287.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 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 Charles William Cole, who is also responsible for the day-to-day running of the home and is also registered as the Care 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.V288287.R01.S.doc Version 5.1 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 2 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. Documentation was checked, and consideration given to the organisational arrangements at the home, including information relating to the maintenance of equipment and safe working practices. What the service does well: What has improved since the last inspection? The property is maintained to a satisfactory standard. Internal decoration of some parts of the house has been undertaken, and the lounge/dining area recently decorated. Equipment is replaced when necessary, and has included: • a new fridge and microwave in the kitchen • the boiler has been replaced • a hand dryer has been provided in the staff toilet • soap dispensers have been fitted Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 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.V288287.R01.S.doc Version 5.1 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): 1,2 & 4 Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. The assessment and admission procedures should ensure that suitable placements are made for any prospective service users. EVIDENCE: A Statement of purpose has been produced, which together with the Service Users Guide provides detailed information for residents and their families, on which to base decisions about their future care needs. There have been no recent changes in the resident group at the home. Evidence seen, and discussion of appropriate assessment procedures to be used for any prospective admission, together with the information provided, should inform the service users if the home is able to meet their needs. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 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&8 The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. The well-documented views of service users are central to the delivery of the person centred care that is provided at the home. 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 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 involvement of service users in making decisions about their daily lives, is clearly evident, and was confirmed during conversations with both residents and staff. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 10 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): 14,15 & 16 The opportunities made available to service users enable them to live as fulfilling a life as possible. The involvement of each individual in planning their activities, both within and outside the home, means that they are able to choose what they wish to do. The involvement of family and friends is encouraged, and enables supportive relationships to be maintained. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 11 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, although some of the activities are quite ‘extraordinary’. A fund-raising project was organized, to walk the Severn Way, which traces the course of the River Severn from its source to the sea – a distance of 210 miles, and two service users and two staff, undertook this massive venture. A total of £2,000 was raised in aid of providing water filters for countries that lack clean water. 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. There is a dedicated activities facility, separate from the living accommodation, where various crafts are undertaken, including rug-making, mosaics and cardmaking. A snoezlan is also available for the use of service users. Visitors are made welcome and family and friends’ involvement is actively encouraged. Advocacy services can be accessed if appropriate. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 12 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): 19 & 21 Support and encouragement is provided to each service user, in order to promote independence in respect of their personal and healthcare needs. Procedures are in place for managing the ageing process and possible illness and death of service users, to ensure that dignity and respect is maintained. EVIDENCE: The personal and healthcare needs of service users are closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Consideration has been given to introducing Health Action Plans for each service user, but the advice received suggested they are not appropriate for the current service users. A policy relating to the ageing, illness and death of service users has been implemented at the home, and discussions held with service users and their families to determine their wishes concerning terminal illness and death. The outcome is recorded on their individual plan of care. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 13 Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 14 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): 22 & 23 A satisfactory complaints procedure is followed at the home, and service users are encouraged and enabled to express their views and opinions. The understanding by the manager and staff of the issues relating to the abuse of vulnerable adults, should ensure the protection of service users. EVIDENCE: A complaints procedure has been developed in a suitable format for service users, and a record is maintained, which should also include comments and compliments. There have been no complaints about the service, but neither have any comments or compliments been recorded. Policies and procedures for the protection of service users have been produced, and the care manager has undertaken the relevant training. Training on the Protection of Vulnerable Adults has also been passed to all staff. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 15 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): 24,27 & 29 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 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.V288287.R01.S.doc Version 5.1 Page 16 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, and the lounge & dining area, which is on two levels, has recently been redecorated to a high standard. Consideration is being given to providing a breakfast bar in the kitchen/diner. There are three single occupancy bedrooms for service users, which are furnished to reflect the personality of their occupants. The bedrooms do not all comply with the National Minimum Standards with regard to washbasins and door locks. Consideration will need to be given to these matters in the event of a new service user moving into the home. The provision of toilets, bathing and showering facilities are satisfactory. The service users living at the home do not have the need for any specialist equipment, although a snoezlan is available for their use. Consideration is being given to purchasing a new chair for one of the service users. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 17 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): 31 & 34 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. Recruitment and selection practices help to ensure that service users are supported and protected appropriately. EVIDENCE: The manager confirmed that appropriate staffing levels are maintained to provide for the identified needs of service users . The training needs of staff are reviewed regularly, and relevant training provided, which includes both core and care related courses. NVQ training is also undertaken. The staff files seen during the inspection confirmed that recruitment practices at Eleri House are satisfactory, with two references being sought and previous employment history explored, prior to an appointment being made. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 18 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): 37,39,40 & 43 The management arrangements at the home are satisfactory, and staff and service users benefit from the positive leadership they receive. The quality assurance system needs to be fully implemented, and the results of surveys audited, to confirm that the aims and objectives of the home are being met. The policies, procedures and records maintained at the home, comply with legislative requirements and therefore help to safeguard the rights of service users. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 19 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. Monthly visits to the home are undertaken by Mr. H. Casey, the Chairperson of the Management Support Group, and an annual report is produced. In addition, a formal system for measuring the home’s success in achieving the stated aims and objectives, should be developed, with the results audited and published annually, and a copy submitted to the Commission. The policies and procedures at Eleri House, are reviewed regularly, and updated when necessary. The financial viability of the business was confirmed verbally. Appropriate insurance arrangements are in place, and the certificate is available for inspection. The records 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, and the records and certificates are in order. Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 3 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 3 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 3 3 X 2 3 X X 3 Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 21 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. 1 Standard YA39 Regulation 24 Requirement A quality assurance system must be introduced in accordance with the requirements of Regulation 24 and Standard 39 Timescale for action 30/09/06 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. Refer to Standard YA26 YA26 Good Practice Recommendations 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.V288287.R01.S.doc Version 5.1 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Eleri House DS0000061478.V288287.R01.S.doc Version 5.1 Page 23 - 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!