Inspection on 05/07/05 for Elgin Rest Home

This inspection was carried out on 5th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Elgin Rest Home 11/12/07

Elgin Rest Home 15/01/07

Elgin Rest Home 03/01/06

Elgin Rest Home 16/03/05

Elgin Rest Home 21/12/04

Elgin Rest Home 21/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Elgin Rest Home 12-14 Manor Road Westcliff on Sea Essex SS0 7SS Lead Inspector Ron Reeves Unannounced 5th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Elgin Rest Home Address 12 - 14 Manor Road Westcliff on Sea Essex SS0 7SS 01702 340172 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Finlay Dickson Mrs Yasmin Zalina Dickson Mrs Yasmin Zalina Dickson 17 Category(ies) of OP Old Age (17) registration, with number of places Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate up to 17 persons of either sex who fall within the category of old age. Date of last inspection 16th March 2005 Brief Description of the Service: Elgin Rest Home is a small family run home, owned and managed by Mr and Mrs Dickson. The home is a detached property situated within close proximity of local amenities, public transport and the sea front. The home is decorated, furnished and maintained to a good standard throughout.The home has three shared rooms and eleven single bedrooms.The home has a passenger shaft lift and electric stair lift and all bedrooms have a call alarm facility. There is an attractive garden to the rear of the property and limited car parking is available to the front. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection combined with a complaint investigation, which lasted seven hours. During the inspection, there was a tour of the premises and records and documents looked at. Time was spent with the residents and twelve were spoken with about their life at Elgin Rest Home. Discussion took place with the proprietor/manager and two staff, thirty two of the thirty eight standards were inspected. What the service does well: 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. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The home’s admission process is well managed and residents are given clear verbal and written information regarding the home to enable informed choices. EVIDENCE: The home has an appropriate Statement of Purpose and service users guide. Each file contained a copy of the home’s Terms and Conditions of residence, signed by the relevant resident. Pre-admission assessments were evident for the two latest admissions. Both were seen to be detailed and informative. Prospective service users are encouraged to visit the home and spend an afternoon, wherever possible. However, relatives or residents representatives always visit the home. The manager has many years experience in caring for older people. Staff receive a wide range of relevant training and those spoken with demonstrated a wide knowledge of residents needs. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-10 Residents are well looked after in respect of their health and personal care needs. Appropriate administration of medication procedures are in place with clear arrangements to ensure resident’s medication needs are met. EVIDENCE: A random sample of three residents care plans evidenced good pre-admission assessments and comprehensive instructions for staff to meet residents’ assessed needs. In addition an “Assessment for good care planning” format was used. Both documents contained similar information which led to some to be partially completed. Medication administration procedures and practices were well maintained although minor improvements were required in the guidelines for medication administered as and when required. Care plans evidenced that service users health needs are being met. Observations throughout the day showed that staff have a good awareness of how to respect residents privacy and dignity. Residents confirmed that staff always speak to them in a respectful way. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Social activities and meals are both well managed, creative and provide daily variation for the people living in the home. EVIDENCE: Residents’ likes and dislikes are recorded in their care plans and are able to choose which daily activities they wish to participate in. Residents are taken out on a regular basis particularly throughout the summer months with visits to the sea front and other local attractions. Three staff are booked for training in “activities for older people” in September. The home operates an open visitors policy and residents confirmed that they could have visitors at any time. The home provides a wide range of nourishing and well balanced meals to meet individual needs. Menus are discussed in residents meetings. Further development of the home’s nutritional records is needed. All residents spoken with were complimentary regarding the quality of food provided. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Arrangements for protecting residents and responding to their concerns are appropriate. EVIDENCE: Home has an appropriate complaints procedure, leaflets are available for residents and their families. No complaints have been received by the home since the previous inspection although two have been received by the CSCI and were investigated during the inspection. The outcomes will be detailed in the next inspection report as investigations have not at the time of the report had not been fully completed. All staff apart from one have attended protection of vulnerable adults training and the home has appropriate protection of vulnerable adults policy and procedures. A copy of the Southend’s social service procedures was available in the home. Many compliments were seen to have been received by the home. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23-26 Elgin Rest Home was clean, bright and well maintained and provided a homely, comfortable environment for the residents. EVIDENCE: The home was found to be generally well maintained. It was decorated and furnished to a standard that creates a comfortable and homely environment for the residents. Communal space was adequate with two lounges and a dining room. A small visitors room is provided. One bathroom has been upgraded and now contains a walk in, sit down shower. Improvements to the second bathroom are planned and a ramp is to be provided at the entrance to the dining room. All bedrooms were seen to be well furnished and evidenced personal; items brought in by the residents. The home was found to be clean and tidy and odour free. A well maintained garden is provided to the rear of the property. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-29 Staffing levels and skills were appropriate to meet the needs of the residents. The vetting and recruitment of staff were appropriate to protect residents. EVIDENCE: Staff rotas indicated that agreed staffing levels were being maintained. However rotas should indicate when the manager is supernumerary. Files of two staff inspected detailed that the home had undertaken all the necessary recruitment checks. Six staff are currently undertaking training to achieve NVQ2. Residents spoken with said the staff were kind and caring and do find time to talk to you. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33, 36,38 The home is managed effectively and staff within the home are well supervised and supported by the manager. EVIDENCE: The manager/proprietor has owned and managed the home for 15 years and has recently achieved qualification at NVQ Level 4. There was evidence of good day to day contact between the manager and staff. The manager has hands on approach and frequently works alongside care staff. Regular staff and residents meetings are held and planned formal one to one supervision is maintained. Staff spoken with said the manager was approachable and supportive. The manager has adopted a proprietary quality assurance system and questionnaires have been completed by all the residents. Safety certificates were seen for services and equipment. Records were maintained for weekly and safety checks. Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 14 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 x 3 Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 15 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 27 Regulation 17(2) Requirement Staff rotas must indicate when the manager is supernumery. 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. Refer to Standard OP28 OP7 Good Practice Recommendations The home should achieve a ratio of 50 staff trained to NVQ or equivalent by 2005. Care plans should be simplified to avoid duplication Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex, SS2 6BG 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 Elgin Rest Home I56-I06 S15432 Elgin V236013 050705 Stage 4.doc Version 1.40 Page 17 - 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. 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