Inspection on 27/06/05 for Elizabeth Welsh House

This inspection was carried out on 27th June 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

Elizabeth Welsh House 24/08/06

Elizabeth Welsh House 17/11/05

Elizabeth Welsh House 16/09/04

Elizabeth Welsh House 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Elizabeth Welsh House Pennine Way Harraby Carlisle Cumbria CA1 3QD Lead Inspector Paula Banham Unannounced 27 June 2005 08:45 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. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Elizabeth Welsh House Address Pennine Way Harraby Carlisle Cumbria CA1 3QD 01228 606394 01228 606401 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) Cumbria Care Evelyn Marion Nelson Care Home 40 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission.for Social Care Inspection. 2. A maximum of forty (OP40) older people may be accommodated, Eight (8) of whom may have dementia (DE/E). 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Date of last inspection 16 September 2004 Brief Description of the Service: Elizabeth Welsh House is a care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to forty residents. The home is owned and carried on by Cumbria Care which is a Cumbria County Council business unit. Mrs Evelyn Nelson is employed as the registered manager of the home. The home is located in a residential area on the outskirts of Carlisle. The home is close to local shops and services and on transport routes into the city centre. The property consists of a purpose built two storey building set in its own grounds. Accommodation is provided as forty single bedrooms, four of which have ensuite facilities. There are accessible toilet and bathing facilities close to all the accommodation used by residents. Shared space is provided in the form of three sitting/dining rooms, a separate smoking room and a large, comfortable entrance hall. The layout of the home meets the needs of the residents living there. The home provides pleasant outdoor areas with seating for residents. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on 27th June 2005. The inspection focussed on how well the home meets the needs of the people living there. This was assessed by speaking to residents, visitors, care staff and the manager, observing activity in the home and reading a sample of the records which care homes are required to hold. 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. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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 Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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) 3, 4, 5 and 6 Admissions to the home are well managed and residents know their needs will be met in Elizabeth Welsh House. Residents admitted for intermediate care receive specialised support to maintain their independence and to enable them to return to their homes. EVIDENCE: Residents’ needs are assessed, known to the staff who support them and are met by the services provided in the home. Residents are invited to visit the home before deciding to move there so that they can assess whether the services provided are suitable for them. Residents receiving intermediate care are admitted to the home for short periods and receive intensive support from a team of health care professionals to enable them to retain their independence and return to their homes. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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, 8, 9 and 10 Residents’ health and personal care needs are identified, clearly recorded and are met by the services provided in Elizabeth Welsh House. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: Residents’ health and personal care needs are identified in their individual plan of care and care staff provide the support that individuals require. Residents benefit from receiving health care from local and specialist health services. Medication is handled safely and residents are able to maintain responsibility for their own medication. Care staff treat residents with respect and take appropriate actions to protect their privacy and dignity. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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, 13, 14 and 15 Residents make choices about their lives and the decisions they make are respected. Meals are varied and provide an enjoyable and nutritious diet. EVIDENCE: Residents choose how to spend their time in the home and whether to take part in the activities provided. Residents receive visitors as they wish and choose where to see the people who visit them. The decisions residents make are respected by care staff in the home. Residents have a choice of meal and are provided with snacks and drinks as they want them. Residents said the meals in the home are “excellent”. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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 and 18 Residents know how to complain and that their complaints will be looked into and appropriate actions taken to resolve them. Residents are protected from abuse by staff awareness and procedures in the home. EVIDENCE: Residents are aware of how they can make complaints about the care provided. Residents said they have “no complaints at all” about the services provided and said, “Evelyn would look into anything if you ask”. Care staff are aware of the procedures to follow to protect residents’ safety and welfare. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 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, 22 and 26 Residents live in safe and comfortable accommodation which is suitable to meet their needs. Renovation of the home is ongoing and will, when completed, provide a pleasant and well-maintained environment for residents to live in. EVIDENCE: Elizabeth Welsh House has a programme for maintenance and refurbishment which was ongoing at the time of this inspection. Two lounges on the ground floor have been renovated to form one large, pleasant room which residents said is “lovely”. The home has attractive outdoor areas with seating for residents which they enjoy using during good weather. The home has a range of adaptations and equipment to maintain residents’ independence including a passenger lift to the first floor accommodation, grab rails, a call bell system and specialised toilet and bathing facilities. The smoking room is unhygienic and in need of redecoration. This work has been identified in the home’s refurbishment plan and is awaiting completion. A requirement that the Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 12 smoking room be made comfortable and hygienic by 27th September 2005 is included at the end of this report. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 13 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 and 30 Residents benefit from receiving support from care staff who are competent, well trained and recruited using safe procedures. EVIDENCE: Care staff are knowledgeable about the needs of the residents living in the home and provide a high standard of care. Care staff have received training to give them the skills to meet the needs of residents and to carry out their duties safely. The home uses good recruitment procedures which ensure appropriate checks are carried out on new employees to safeguard residents in the home. Residents made many positive comments about the staff working in Elizabeth Welsh House and the standard of care provided. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 14 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, 32, 33, 35, 36, 37 and 38 The home is well managed and residents know their views are listened to. Care staff receive appropriate supervision which supports them to provide a high standard of care. Although procedures are in place to protect residents, a dangerous chemical was not stored safely and residents were placed at risk. EVIDENCE: Procedures are in place to gather the views of residents about the services provided and residents are confident that their views are listened to. Care staff receive regular formal and informal supervision which supports them to continue to provide a high standard of care. The home has a good procedure for handling money held on behalf of residents which protects their financial interests. The procedure for storing dangerous chemicals had not been followed and residents were placed at risk. The risk to residents was removed before the end of the inspection. Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 15 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 x x 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 x 3 x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x 3 x 3 x x 2 Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 16 NA 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. 2. Standard 19 38 Regulation 23 13 Requirement The smoking room must be made hygienic and comfortable for residents to use. All substances which may place residents at risk must be stored safely. Timescale for action 27/09/05 28/06/05 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. Refer to Standard Good Practice Recommendations Elizabeth Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Welsh House F58 F10 s35205 elizabeth welsh v234592 270605 ui stage 4.doc Version 1.30 Page 18 - 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. 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