Inspection on 14/11/05 for Elingfield House

This inspection was carried out on 14th November 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

Elingfield House 20/02/09

Elingfield House 07/03/08

Elingfield House 26/05/06

Elingfield House 03/06/05

Elingfield House 16/02/05

Elingfield House 20/08/04

Elingfield House 23/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Elingfield House 26 High Street Totton Hants SO40 9HN Lead Inspector Beverley Rand Unannounced Inspection 14th November 2005 10:10 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Elingfield House DS0000011861.V265125.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 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. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Elingfield House Address 26 High Street Totton Hants SO40 9HN 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) 023 8066 3363 Mrs Susan Hollingworth Mrs Susan Hollingworth Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd June 2005 Brief Description of the Service: Elingfield House is a care home providing personal care and accommodation for 14 older people. The home is not registered to take people with dementia or any other mental health diagnosis. Elingfield is located in the centre of Totton, a small town which is near the city of Southampton and the New Forest. The home was opened in 1992 and is an old building with character, extending over two floors. Accommodation is provided in a range of shared and single bedrooms. Shared space includes a lounge, a dining room and a terraced garden laid to lawn and flower beds, with a patio area. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year and took place over three hours. The inspector spoke with three residents, one visitor, staff and the manager. The inspector also looked at records such as rotas and assessments. What the service does well: What has improved since the last inspection? The manager has now started a supervision programme for care staff. This has not yet been every two months, but the manager said she has been catching up. All the staff can now use the telephone if they need to contact doctors, relatives, etc. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 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. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home ensures that residents move into the home after their needs have been assessed. EVIDENCE: The inspector saw the assessment for a new resident, which included personal preferences, such as what they liked to drink, what time they liked to get up, etc. The new resident visited the home for the day which was when the assessment was completed. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 8, 9 & 10 The home ensures that residents’ health care needs are met, that privacy and dignity is maintained, and that medication is administered correctly. EVIDENCE: GPs and district nurses visit the home when necessary, and residents attend outpatients appointments. A chiropodist also visits the home, and some residents like foot and leg massage. Medication is kept in a locked trolley which is locked to the wall. Medication procedures displayed on the wall showed how staff should administer drugs. The inspector studied the records of medication administered and found that on two occasions (different residents), the records had been left blank. The inspector spoke with staff: one was fairly new and did not administer medication, the other described the procedure which included signing records after the resident has taken the tablets. Staff have had two different training courses in medication: Medication in Care Homes and Administration of Medicines in Care Homes, and have been given an information folder. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 10 Staff gave the inspector examples of how they respected residents’ privacy and dignity. Examples included covering various parts of the body whilst using the toilet or having a bath, leaving the room if appropriate, the use of screens in shared rooms and knocking on doors before entering. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 13 & 15 The home has made progress with the activities programme, so that more activities are happening. The home ensures that visitors are welcome and that residents enjoy their meals. EVIDENCE: The manager and staff told the inspector that organised activities have increased since the last inspection. The day before the inspection, some residents had gone to a local concert, and a resident who was asked, said that they had enjoyed it. Other activities include arts and crafts, cooking (making the Christmas cake, mince pies etc.), music to movement, reminiscence, singing etc. Staff said that they now had more time to sit and chat with residents, on a one to one basis. They also do quizzes and have clothes parties. Residents can get up when they like, go to bed when they like, etc. Visitors are welcome to the home, and the inspector spoke with a visitor on the day of the inspection. The visitor spends regular days at the home, and has lunch there. Often, staff would take the visitor home at the end of the day. The inspector saw that the cook had made a home made chicken pie for lunch on the day of the inspection, and saw this being served with vegetables. Meals were appropriate to individual needs, for example, pureed. Staff were seen to Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 12 be feeding two residents who needed this level of support. Some residents choose to eat in the bedrooms. The lunch menu is posted on the notice board in the hall on a daily basis. The visitor said the food was good, and residents who were asked said that they had enjoyed their lunch. Staff said that the cook would make something different if someone did not want the main meal, and that there are always about three choices for tea. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 13 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 the following standard(s): These standards were not assessed. EVIDENCE: Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 14 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 the following standard(s): These standards were not assessed. EVIDENCE: Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 The home ensures that residents’ needs are met by adequate staffing, particularly at the busiest time of the day. The home is making progress in the number of staff qualified. The manager does not ensure that residents are protected by the recruitment procedures. EVIDENCE: The rotas showed that there were three staff on during the morning, until 11am, thereafter there were two staff. In addition to care staff, the home employs a cook seven days a week, and a cleaner during the week and one Saturday every two weeks. A resident said that the staff, ‘look after you well’ and a visitor to the home said that the staff were good. The home employs 12 care staff and three of these have NVQ2 in care, (one of these is studying for NVQ3 and one has already achieved NVQ3). A further two are currently studying for NVQ2. The manager said that she had employed two new staff, and the inspector asked to see the records. The manager said that for the newest one, she had one reference back, but that the Criminal Records Bureau, (CRB) check form had been sent to the staff member to complete. This means that the CRB has not been applied for, and that there has not been a check against the Protection of Vulnerable Adults, (POVA) list. Additionally, there was not a second reference in place. The staff member had worked two shifts and was on duty on the day of the inspection. The manager said that she had not actually Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 16 officially taken on the staff member, but the inspector advised that as she was working in the home, this was against the regulations. The inspector saw that second staff member’s file and this contained a verbal and written reference, and a note that the POVA list had been checked. However, there was not a date recorded for this, or one of the references. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 36 The home is run by an experienced manager, who ensures that resident’s financial interests are safeguarded and that staff are appropriately supervised. The lack of implementation of any formal quality assurance this year means that the home cannot demonstrate that it is run in the best interests of the residents. EVIDENCE: The manager has many years experience of owning and running Elingfield. The manager had enrolled on the Registered Managers Award, and has completed the college components of the course, but has not yet completed any assignments. The manager said this had been due to finding it difficult to find the time, particularly as she had been unwell earlier in the year. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 18 The manager has given out a residents’ satisfaction questionnaire in the past, but has not done so this year. The manager spends more time in the home now, and speaks with residents and visitors on a regular basis. The inspector looked at two residents’ personal money accounts and found that the amount matched the records. Staff told the inspector that they have started to receive supervision sessions. The manager said that the sessions had not been bi-monthly, but that she was catching up. Supervision was said to cover techniques such as bathing, and training issues, where staff feel they are at, if they are happy, etc. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x x X X X X X X X STAFFING Standard No Score 27 3 28 2 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X x Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 20 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 OP29 Regulation 19 (4) Requirement New staff must not be employed until two references and CRB/POVA checks are in place. Timescale for action 31/12/05 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 Refer to Standard OP28 OP33 OP36 Good Practice Recommendations The home should continue with the NVQ2 programme so that 50 of care staff have achieved this qualification by 31/12/05 The home should undertake a quality assurance review at least annually The manager should continue with the supervision programme to ensure that supervision is held at least every two months. Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Elingfield House DS0000011861.V265125.R01.S.doc Version 5.0 Page 22 - 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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