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Inspection on 25/10/05 for Elizabeth House

Also see our care home review for Elizabeth House for more information

This inspection was carried out on 25th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Elizabeth House provides a good standard of care for the residents in pleasant surroundings. The home is maintained to a satisfactory standard of accommodation that has a pervading homely feel. The atmosphere is warm, and the staff are friendly, welcoming, caring and supportive to residents and their relatives. Comments received from five residents, visiting relative and the Community Nurse during the inspection were positive and demonstrated that they were satisfied with the standard of care provided. Care plans were satisfactory and ensure that each resident`s individual and specific needs are met. Residents are provided with a range of activities and outings to suit their choice of lifestyle. There is a good choice of meals with snacks and drinks are available throughout the day.

What has improved since the last inspection?

Since the last inspection the recommendations made have now been addressed. Dementia training has been identified and eight members of staff are due to commence the 14 weeks course. Two new carers have been appointed and following the pre-employment checks have commenced the mandatory induction training.

What the care home could do better:

This was a positive inspection. Good practice recommendations made are (i) should ensure that medication received in boxes and packets are booked in promptly, and (ii) ensure personal toiletries are removed from the bathroom after use.

CARE HOMES FOR OLDER PEOPLE Elizabeth House Perth Avenue New Parks Estate Leicester Leicestershire LE3 6QR Lead Inspector Rajshree Mistry Unannounced Inspection 25th October 2005 10:00 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 Elizabeth House DS0000037621.V261073.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. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Elizabeth House Address Perth Avenue New Parks Estate Leicester Leicestershire LE3 6QR 0116 2871031 0116 2871031 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) Leicester City Council Mr Philip John O`Dell Care Home 37 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (37), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (10) Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers DE(E) & MD(E) No one falling within category DE(E) or MD(E) may be admitted into the home when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the home Service User Numbers PD(E) No one falling within category PD(E) may be admitted into the home 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 the home where there are 10 persons of category SI(E) already accommodated within the home 25th May 2005 2. 3. Date of last inspection Brief Description of the Service: Elizabeth House Residential Home provides accommodation for thirty seven older people and is owned and run by the Leicester City Council. The home is located in a quiet residential area. Public transport service 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 modern and 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. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the morning of 25th October 2005 and lasted 3 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’. This involved selecting five residents and tracking the care they receive through a review of their records, discussion with the residents, their relative, the care staff and observation of care practices. There was an opportunity to speak with the visiting Community Nurse and receive views of the care provided to the residents. What the service does well: What has improved since the last inspection? What they could do better: This was a positive inspection. Good practice recommendations made are (i) should ensure that medication received in boxes and packets are booked in promptly, and (ii) ensure personal toiletries are removed from the bathroom after use. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 6 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. Elizabeth House DS0000037621.V261073.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 Elizabeth House DS0000037621.V261073.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, 6. Residents’ needs are assessed and individually tailored to ensure that these will be met when they live at the home. EVIDENCE: The pre-admission assessment process is satisfactory. Two new residents care files examined contained the assessments and information to promote residents independence covering mobility, self-care, network of support and interests amongst other headings. Residents spoken with indicate that they were consulted and agreed with the provision of care offered. The home does not provide intermediate care. Elizabeth House DS0000037621.V261073.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. Residents are well looked after having their choice of lifestyle, health and social care needs met. EVIDENCE: Observation during the inspection showed that staff have a good awareness of individual residents care needs, social and leisure interests and how these are met. Residents were observed being treated in a respectful, friendly and supportive manner. One residents’ relative spoken with felt the needs of the resident were met safely and on time, whilst encouraging resident’s rights to maintain their independence. Residents spoken with confirmed the home access the services of the health care professionals such as the GP or and the Community Nurse, when required. The Community Nurse, who visits the home regularly, said that she had no concerns regarding the residents’ care and staff seek advice appropriately and timely. Staff spoken with indicated that they have received training from the District Nurse team in relating to catheter care, stoma care, prescribed creams and essential bath oils. The home has a good working relationship with local health care professionals. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 10 Medication procedures and recording viewed were satisfactory. An omission in recording of medication received in boxes and packets for one resident was identified. This was raised with the Registered Manager and assurance was given that medication received would be recorded promptly. Elizabeth House DS0000037621.V261073.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): 13, 15. All residents are able to maintain contact with families and friends. The home offers a good choice of meals to suit any special dietary needs. EVIDENCE: Family and friends can visit at any time and are made welcome. Residents spoken with confirmed they are encouraged and supported to maintain contact with family and friends and can meet with them in private. One visiting relative spoken with said they were satisfied with the provisions and staff supported residents to continue enjoying their interests and choice of lifestyle, such as observing religious beliefs, leisure interests or watching sport and racing. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements. Residents spoken with were all satisfied with the variety and selection of meals offered with fresh vegetables and fruits. Meals are served in the dining rooms on the ground and first floor and residents can chose to have their meals in their rooms. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 12 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): 16 Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: Residents receive a copy of the home’s complaints procedure at the point of admission, which is in the ‘service user guide’. Residents spoken with were aware of whom to contact and speak with should they have any concerns. Residents and relative spoken with were aware of whom to contact and were confident that concerns and complaints made would be addressed promptly. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 13 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): 19, 26. Residents live in a safe, homely and well-maintained environment that is kept clean and tidy. EVIDENCE: The home is safe and well maintained with adaptations to suit residents’ specific needs. It is decorated and furnished to a good standard that creates a comfortable environment that is supported by the maintenance person. The home was clean and tidy. Residents spoken with were very satisfied with the cleanliness of the home. Comments received included “home is always clean . . . my clothes get clean and returned freshly pressed”. One bathroom viewed by the Inspector with two members of staff found residents personal toiletries (soaps) on the side of the bath. This was raised with the Registered Manager and assurance was given that all staff would be reminded to comply with health and safety procedures. Staff were observed wearing protective clothing when carrying out personal care tasks. The Inspector spoke with the laundry staff describing the procedures followed ensuring compliance with COSHH, health and safety and preventing the spread of infection. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 14 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): 29 Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Registered Manager receives confirmation checks carried out are satisfactory. Two staff training files examined contained evidence of the comprehensive induction and training undertaken. Eight members of staff have been identified and due to commence training ‘Dementia Awareness’ over a period of 14 weeks. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 15 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): 33 Residents’ views are sought to ensure the home is run in their best interest. EVIDENCE: The home has a residents’ charter of rights. The home is run in the best interest of the residents and they are consulted regularly, individually and at the Residents Meetings, held quarterly. The minutes of the last Residents Meeting held on 26th July 2005 were viewed, which contained details of the topics discussed such as planned barge trips, meals, staffing and the home environment. Residents are informed of the advocacy services or can make comments through family representatives. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 16 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 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 Refer to Standard OP9 OP26 Good Practice Recommendations The Registered Person should ensure medication received in boxes and packets are recorded promptly on receipt. The Registered Person should ensure that residents personal toiletries left in the bathroom are returned promptly. Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Elizabeth House DS0000037621.V261073.R01.S.doc Version 5.0 Page 19 - 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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