Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Ellerslie Court 38 Westcliffe Road Southport Merseyside PR8 2BT The quality rating for this care home is: The rating was made on: two star good 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: Paul Kenyon Date: 1 7 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Ellerslie Court 38 Westcliffe Road Southport Merseyside PR8 2BT 01704568545 01704568545 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Vitalise care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability 14 Over 65 0 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD The maximum number of service users who can be accommodated is: 14 Date of last inspection Brief description of the care home Ellerslie Court is a Victorian House that as been converted into a Voluntary Care Home providing placement for 14 Adults with a physical disability. The registered provider is Vitalise with the service being currently managed by Mrs Susan Woods in an acting capacity. The home is situated in a residential area of Southport with easy access to public transport, the town centre, the sea front and amenities in Birkdale and Southport. The home provides accommodation over 4 floors with the use of a passenger lift. Recreational space is on the ground floor and consists of a dining room, two sitting rooms (1 sitting room is designated for smoking) and a conservatory. Care Homes for Adults (18-65 years) Page 2 of 8 Ellerslie Court has 14 single rooms, two of which have been recently registered with the Commission for Social Care Inspection both of which have en suite facilities. Manual Handling equipment and hoists are in place to suit the varying needs of the service users and a call system operates with an alarm facility. Ramps and handrails are provided at the front and rear of the premises and the enclosed garden has wide pathways. Hudson House is a separate building situated at the rear of garden and this has a kitchen, an activities hall, boardroom and clerical office. Hudson House is used by service users and can be accessed via ramps. Fees are currently at #580 to #700 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
Eight care plans were examined relating to those individuals who required assistance with toileting. Three of those care plans noted that individuals were able o communicate their wishes when they required support. For the other individuals, hoists are needed to transfer them to use the toilet. The service adopts a policy whereby two members of staff are required to assist with using the hoist and are therefore involved in the meeting of the continence needs of individuals. The care plans include the action needed by staff to meet the continence needs of individuals and these are reviewed on a monthly basis.The level of support needed with continence at night is also included within care plans. Routines are in place through key times of the day to enable individuals to be assisted with using the toilet and these routines are part of established practice within the service. The occurrence of these routines are monitored by the senior member of staff on duty, the deputy manager and the manager when they are on duty. Continence products were noted to be available during the visit and there were no offensive odours noted. The complaint noted that there had been a failure of the service to treat a leg ulcer on one individual who uses a caliper on their legs. This related to one individual. On the 20th April 2008, daily records indicated that a District Nurse had visited the individual and concluded that a leg ulcer coincided with where a caliper was in place and that the leg ulcer had been caused by this being too tight. Dressing were prescribed and the District Nurse attended to address this. By the 24th April 2008, the District Nurse (as evidence through daily records) was satisfied that this was almost healed. In June 2008, the individual attended an appointment in hospital where the caliper was adjusted to prevent further ulcers. Since then, records indicate that other ulcers have formed on the same leg and District Nurse treatment on these continue. It has been concluded that this is due to underlying circulation issues rather than the caliper in situ. Individuals receive chiropody visits on a regular basis. The most frequent visits by the chiropodist employed by the service were on the 20th May 2008, 1st August 2008 and 15 October 2008. It was stated by the deputy manager on duty that one individual had refused to receive chiropody treatment on the basis of cost. This could not be evidenced and was not recorded. The recording of occasions when treatment is refused is raised as a requirement in this report. Further records indicated that the individual was referred to a National Health Service chiropodist on 6th August 2008 by their Doctor. A visit by the chiropodist used by the service was undertaken on the 28th August 2008 and this was recorded in daily records. An initial visit was made by a National Health Service chiropodist on 18 September 2008. A further appointment was scheduled to be made within the next twelve weeks form that date. This is imminent. This individual has had their health needs met as evidence by health appointment records which suggest that this person has had forty two health appointments with various professionals since December 2007. Care Homes for Adults (18-65 years) Page 4 of 8 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 Adults (18-65 years) Page 5 of 8 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 Adults (18-65 years) Page 6 of 8 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 18 12 The service must ensure that 31/12/2008 in those instances where treatment is refused this is recorded so that those who use the service are enabled to make deicsions about their health and welfare Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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 © (2008) 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 Adults (18-65 years) Page 8 of 8 - 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!
