Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Elizabeth House Perth Avenue New Parks Estate Leicester LE3 6QR The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Linda Clarke Date: 1 2 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Elizabeth House Perth Avenue New Parks Estate Leicester LE3 6QR 01162871031 01162871031 elizabeth-house@leicester.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Leicester City Council care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment 0 0 0 0 0 Over 65 20 20 37 8 10 Conditions of registration: Service User Numbers PD(E) No one falling within category PD(E) may be admitted into Elizabeth House when there are 8 persons of category PD(E) already accommodated within the home Service User Numbers SI(E) No one falling within the category SI(E) may be admitted into Elizabeth House where there are 10 persons of category SI(E) already accommodated within the home Service User Numbers DE(E) & MD(E) No one falling within category DE(E) or MD(E) may be admitted into Elizabeth House when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the Care Homes for Older People
Page 2 of 9 home Date of last inspection Brief description of the care home Elizabeth House Residential Home provides accommodation for thirty-seven older people and is owned by the Adult and Community Services Department of Leicester City Council. The Home is located in a quiet residential area. Public transport services can be accessed near to the Home. The Home is ten minutes car ride from the city centre, Fosse Park and the M1 motorway. Elizabeth House is a large purpose built property. Accommodation is offered on ground and first floor level, which can be accessed by a passenger lift. Bath/shower and toilet facilities are located throughout the Home. Car parking space is located to the front of the Home. There is a large patio area to the centre of the building. All areas of the Home are accessible to people using mobility support, aids and equipment. Information is located on site detailing the range of services offered, which includes the Statement of Purpose. Elizabeth House has copies of the Commission of Social Care Inspections (CSCI), Inspection Reports, are located in the foyer along with the displayed registration certificate. The maximum weekly fee is available by contacted the Registered Manager and an individuals financial contribution to their care is dependent upon a financial assessment. There are additional individual expenditure such as hairdresser, chiropodist, newspapers, magazines and personal toiletries and the fee will depend on the services received. Inspection reports regarding the home are available and can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Care Homes for Older People Page 3 of 9 What we found:
We undertook a Random Inspection of Elizabeth House to follow up on issues discussed at a meeting attended by representatives of Social Services, relatives of a service user and a representative of the Commission for Social Care Inspection. The meeting was held as a result of information received by the Commission for Social Care Inspection from a relative of someone who had stayed at the home for respite care. This resulted in a safeguarding alert being made to the Social Services Department of Leicester City Council. We also followed up on requirements which were made at the key Inspection that took place in June 2008. We viewed the records of the service user who had stayed at the home for respite care, who had been the subject of the safeguarding alert. We found that the person had been admitted into the home, as a result of planned respite care. A comprehensive Community Care Assessment had been carried out prior to the persons admission into the home. The assessment identified areas of care and support the person would require but did not detail how these needs were to be met by the staff of Elizabeth House, nor did it provide information as to how potential risks identified were to be managed and minimised. No care plan was in place to provide guidance for staff as to how the persons individual care needs were to be met, and no risk assessment detailing how identified risks were to be managed and minimised. Records we looked at showed that areas of risk identified within the Community Care Assessment had occurred during the persons stay at Elizabeth House. On the day of the Random Inspection five people were currently receiving respite care, three people had been admitted on an emergency basis. Service users admitted on an emergency basis all had a Community Care Assessment in place, but this was not supported by a care plan. We spoke with the Registered Manager who since the meeting has developed a system for contacting the service user or their relative prior to accessing planned respite care, to gain additional information about the persons specific requirements, including if and when relatives wish to be contacted about issues affecting a service user whilst staying at the home. The Registered Manager has also had a meeting with relevant staff to discuss the importance of accurate and detailed record keeping. On the day of the Random Inspection, at 08:00am there were five care staff on duty supported by a Senior Carer, in addition the Assistant and Registered Manager were working in the home. Our observations were that there were sufficient staff on duty to meet the needs of service users, and that service users were being assisted to get up and have breakfast at a time of their choosing. Call bells were responded to promptly. We discussed with the Registered Manager the requirements made at the previous Key Inspection. They advised us that copies of the homes Service User Guide were available and were given to people when they moved into the home, we noted that Care Homes for Older People Page 4 of 9 copies of the Service Users Guide were located in the hallway next to the offices. A new care plan format has been developed which if completed well, will provide greater information about the care and support service users require, along with their wishes and expectations of care. The Registered Manager advised that he had ascertained that the cabinet for storing Controlled Drugs complies with current legislation. The Registered Manager told us that their are now copies of the homes Complaints Procedure available, and we noted these were kept in the corridor next to the offices, along with information about Advocacy services on the notice board. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 The registered person to 13/02/2009 ensure that all service users, at the point of admission into the home, have a care plan, which provides staff with information as to how they are to support and meet the needs of service users as identified within the assessment, and that the care plan is kept under review. Service users needs are identified within a care plan. 2 38 12 The registered person to 13/01/2009 ensure that potential areas of risk identified within the assessment result in risk assessments being undertaken at the point of the service users admission into the home, and that the risk assesment is kept under review. Service users health and safety is promoted. Recommendations These recommendations are taken from the best practice described in the National Care Homes for Older People
Page 7 of 9 Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 2 7 37 Staff receive training and guidance on the completion and reviewing of care plans and risk assessments. Staff receive training and guidance on the importance and significance of accurate and comprehensive record keeping. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
