Inspection on 31/07/07 for Ellerslie Court

This inspection was carried out on 31st July 2007.

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

Ellerslie Court 17/12/08

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOME ADULTS 18-65 Ellerslie Court 38 Westcliffe Road Southport Merseyside PR8 2BT Lead Inspector Mr Paul Kenyon Key Unannounced Inspection 31st July 2007 09:30 Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 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 Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 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 Adults 18-65. 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. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ellerslie Court Address 38 Westcliffe Road Southport Merseyside PR8 2BT 01704 568545 01704 568545 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) Vitalise Mrs Susan Woods (Acting) Care Home 14 Category(ies) of Physical disability (14), Physical disability over registration, with number 65 years of age (14) of places Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include: *Up to 14 service users in the of PD (Physical Disability) *Up to 14 service users in the category of PD (E) (Physical Disability over the age of 65 years) Not Applicable Date of last inspection Brief Description of the Service: 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. 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. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this service since the registered provider took the service over earlier in 2007. The service has been inspected in the past when a previous provider was responsible for the home. This inspection was unannounced and national minimum standards for younger adults were used to measure the quality of care provided by this service. In total the inspection took four hours. The inspection included a tour of the building; an examination of records relating the care provided to residents and interviews with two staff members. One resident was interviewed. This person had come to live in Ellerslie Court during the past month and held lengthy discussions with the Inspector about their experiences to date about the support they had received. Comments are included within this report. What the service does well: The service is very good at ensuring that the needs of individuals who are new to the service have their needs identified prior to them coming to live at Ellerslie Court. Residents benefit from having their needs identified in a plan of care, which is very regularly reviewed. Residents are able to make decisions about their daily lives and have any risks associated with this identified and reviewed. The service encourages individuals to make decisions about their education or occupation and foster links with the community. Residents are able to continue to maintain links with families and friends and have their rights respected. The nutritional needs of residents are met. Residents are supported in a manner, which meets their needs, and have their health needs met. Medication systems are safe. Residents are provided with the information they need to make a complaint if they wish and are protected from abuse. Residents benefit from living in a well-maintained and home like environment which enables them to access all areas of the building. The home is clean and hygienic. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 6 Residents benefit from being supported by a staff team who are recruited appropriately and receive training to perform their roles. An individual who has worked in the home in a number of different capacities and is aware of her responsibilities and the actions needed to become the registered manager manages the service. Residents benefit from having their views taken into account through the quality assurance process and have their health and safety promoted. The service is good at identifying issues in respect of equality and diversity and takes the religious needs, gender and sexuality into account. Comments made during the inspection included: ‘I have had my care plan explained to me’ ‘I am looking to start voluntary work in a charity shop, I made that decision and I have done it before’ ‘I get out and about-I am hoping to go out today’ ‘Staff respect me –they are discreet ‘Up to now food has been wonderful’ ‘Staff are excellent and are supportive-they are much better that my past experiences-they are always there to support me’ ‘I feel well but I have now registered with a new Doctor’ ‘I have no complaints but the Manager has told me how to do this’ ‘I feel safe here’ ‘I had a trial visit and made the decision to come here-I have settled in brilliantly’ ‘The home has made arrangements to get a landline phone fitted in for me’ ‘They are responsive’ ‘This home has been an eye opener, the care is excellent, I have never known a place like it, and they are kind and exceptional’ What has improved since the last inspection? This is not applicable given that a new registered provider is now responsible for this service. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs thoroughly identified prior to them coming to live at Ellerslie Court. EVIDENCE: One resident was admitted in July 2007. A copy of a Local Authority assessment was obtained prior to the admission as well as the home’s own assessment covering issues in respect of health, communication, mobility, personal care, diet and other relevant issues. There was evidence of further meetings with manager of the home with the prospective resident and their family and this was confirmed with the resident during discussions with them. The resident also confirmed that the Acting manager had asked him whether he was making the right decision and believed that he had been given the choice to go to live at the home. The assessment of the needs of this person exceeds national minimum standards. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs identified in a plan of care that is subject to thorough review. Residents are able to make decisions about their lives and have any risks faced by them identified and reviewed. EVIDENCE: Care plans for four individuals were viewed. One care plan not signed by the individual but they confirmed through discussions that he had discussed the contents with his keyworker. There was further evidence during the inspection of him asking his keyworker about general access to his care plan and this was confirmed as his right by the keyworker. The care plan includes reference to needs they have such as personal hygiene, budgeting and mobility. The care plan has not been reviewed yet mainly because of the person only just being admitted into the home. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 11 Another care plan provided evidence that the resident had agreed his initial care plan and there was further evidence of review on a monthly basis, which exceeds national minimum standards. The review process consists of risk assessment review; health issues, activities and other issues and evidence suggested that this had been consistently reviewed in the recent past. The same frequency of care plan review was noted in two other care plans sampled. Interviews with two staff members confirmed that they are aware of the content and whereabouts of care plans. Discussions with Acting Manager noted that she was seeking to re-devise the care plan format to be more person centred. Some residents are independent in their finances and deal with these themselves. Some are under court of protection or power of attorney and have their finances dealt with by other independent people. A small minority of finances are handled by the home. It is recommended that these are made more independent and that the home no longer acts as appointee. Residents have had meetings in the past yet none have occurred since January 2007. It is recommended that these occur more frequently. One resident shows an interest in residents meetings and there was evidence that he was discussing this with the Acting Manager during the inspection. An advocate is in place in the home and there was evidence that this person visits on a frequent basis. A discussion with one resident confirmed that they had been asked whether he wanted to live in the home and made the decision to move. He considered that he had been given the opportunity to make that decision and also confirmed that it was his choice to move. Risk assessments for four residents were viewed. One risk assessment focuses on the mobility and independence in the wider community of one resident and was dated on the day of his admission. Another risk assessment was reviewed in June of 2007 and issues raised include reference to self-medication, mobility aids, manual handling, nutrition and pressure care. Other risk assessments focus on similar issues but had been assessed earlier in 2007. Reference is also made in risk assessments to the environment and local community. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to pursue education or occupation if they wish. Residents are able to have contact with the local community. Links between families and friends with residents are fostered. The rights of residents are upheld. Food provided meets the nutritional needs of residents EVIDENCE: There was evidence that one person continues to attend a local day service on a daily basis. Evidence was available to suggest that communication continues between the home and day centre. Another resident has decided to pursue voluntary work in a local charity shop and it was confirmed that it was their decision to do this. All activities pursued by residents are recorded. The home is located within a residential area of Southport and local bus links available. Any activities tend to involve leisure activities. Examples of these were included within records that suggested activities such as art and crafts Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 13 that were undertaken by an external group. Other activities included a big screen cinema and other entertainers. Activities are not confined indoors with records confirming that there were had trips out into the wider community for example with personal shopping at local shops. The home has a minibus that was being used during the inspection. Staff provide assistance with this. Some individuals are more independent than others although consideration is made to the safety of individuals through the risk assessment process. The minibus is not able to accommodate a great number of individuals yet the home does have access to another minibus based at another local service, which is operated by the same organisation as Ellerslie Court. Links with families and friends do occur and these are included within the visitor’s book. There was evidence from one resident that he had experienced difficulties in contacting friends through a mobile phone and efforts were made by the home to enable the person to use the home payphone although this person had also been enabled to have a landline fitted in their room with a phone line to maintain contact in privacy. Keys are available to some residents yet the physical disabilities of some do mean that some are unable to use these. The terms of address preferred by residents is included within their care plans. Staff were noted to interact with residents positively yet informally throughout the visit and not just interact among themselves. One resident commented, ‘Staff respect me –they are discreet’ The physical disability of residents is such that it is difficult for them to participate in any household routines and as a result they are reliant on the staff team to assist with this. Comments from one resident in respect of food provided were positive and included the view that ‘up to now food is very good’ The kitchen is a well-equipped and organised facility with catering staff on duty during the day. Information contained within the kitchen area included nutritional assessments, information about dietary requirements of individuals and a four-week menu. Choice is indicated on the menu and the same document indicated that all meals are cooked with lunch the main meal of the day. Care plans provide an indication of the level of support individuals need when eating as well any health issues that indicate that a softer diet is necessary. Additionally any dietary needs are indicated in care plans. For some Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 14 residents, there was evidence that speech therapists were involved especially for those individuals who had needs around eating and swallowing. The amount of involvement from these professionals was significant and had been facilitated by the staff team. The home has a large dining area that is accessible to all residents Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being supported appropriately. Residents have their health needs met and medication systems are safe. EVIDENCE: An interview with one resident who had been admitted since the last inspection was held. It was clear that he had been able to dress in the manner he wished and was able to maintain his preferred appearance in terms of hairstyle clothing and general appearance. He made the following comments about the support he received: ‘Ellerslie Court has been an eye opener, the care is excellent and staff are polite, they are excellent, full marks to the staff they are kind and I have never known a place like it for that’ The needs of residents at the home are focused on their physical disability and there was evidence through the building that there are sufficient aids and adaptations to achieve this. Residents, where possible, are able to be as Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 16 independent as possible in their mobility through walking frames, sticks or motorised wheelchairs. Health records for four residents were examined. One person confirmed that he had registered with a new doctor following his admission from another area. Health records maintained suggested that residents are reliant on the staff team to maintain appointments. There was evidence of recent involvement from speech therapy, district Nurses, General Practitioners. Care plan reviews include reference to ongoing health needs such as treatment for recent chest infections, blood tests, physiotherapy and chiropody. All showed evidence of appropriate referral to medical agencies. Medication is stored securely. There is use of blister pack system. One person has been prescribed controlled medication and as a result a controlled drug register is maintained. Evidence was available to suggest that staff have had training in medication awareness and a sample of staff signatures who administer medication is in place. Medication information on all drugs prescribed is retained in a separate file. Self administration is considered and subject to a risk assessment. No individual self-administers at the moment yet this is still taken into consideration as a possibility. All Medication Administration Records are signed appropriately and there is evidence of receipted medications being recorded. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with the information they need if they wish to make a complaint. Residents are protected from abuse. EVIDENCE: An interview with one new resident suggested that they were aware of the complaints procedure and that the Acting Manager had explained it to the individual. No complaints have been received by the service since the new organisation took the home over earlier in 2007. Earlier complaints records do exist and there was evidence that complaints have been recorded. No complaints or concerns received by Commission for Social Care Inspection since the takeover of the home. A Local authority procedure on abuse is available to the home and there was evidence through staff interviews that they had either had training in abuse training or were about to receive it. There was evidence also through training certificates on file. Staff interviews also involved an assessment of the extent to which they were aware of the whistle blowing procedure. It was noted that this procedure was not familiar to all. It is recommended that this be reinforced to staff. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well decorated, well maintained and hygienic environment. EVIDENCE: A tour of the building internally and externally was undertaken. The home externally is well decorated and blends in with the local community. Ramps are available to the front and the rear of the home enabling access to the home. Car parking is available to the front and to the rear there are well-maintained grounds, which are accessible to residents. The interior of the home is well decorated and maintained. The acting manager advised that a financial grant had been awarded for refurbishment to the lounge and dining room areas. A maintenance book is available indicating those repairs that need to be done on a weekly basis and maintenance staff are employed by the home. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 19 A laundry area is available to the basement area yet is not near to food preparation and storage areas. The floor is non-porous and the walls are washable. A sluice is available as well as an electric disinfector in another area. Industrial appliances are installed in the laundry and the facility is organised. A clinical waste system is in place with protective clothing available and hand wash facilities available throughout the home with soap and towels as well as guides on infection control and hand washing. No offensive odours were noted in the home and there is an adequate supply of continence products available. Domestic staff are employed in the home. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the recruitment procedure. A well-trained staff team supports residents. EVIDENCE: Two personnel files were viewed. These provided evidence of induction programmes, references, a Criminal Records check, initial protection of vulnerable adult checks, proof of identity, medical declaration, interview notes, application form and medical declaration. Inductions for staff were noted for two new staff. These included orientation of the building as well as issues relating to the care of individuals. Interviews with staff noted that they had undergone mandatory training as well as training in abuse awareness and the control of substances hazardous to health. Training records confirmed that training had occurred and certificates on file reinforced this. Future training in abuse awareness, infection control and health and safety has been identified for August and September 2007. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a service that is managed by an individual who is aware of their responsibilities under national minimum standards. Residents have their views listened to and have their health and safety promoted. EVIDENCE: Currently there is an Acting Manager in place. This person was previously the Deputy Manager of the service and she is currently undergoing the registration process with Commission for Social Care Inspection. The Acting Manager is currently seeking to recruit a Deputy Manager in the home and hopes that events such as the re-devising of care planning and residents meetings will be assisted once someone if appointed. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 22 In respect of Quality Assurance, the Inspector was able to conduct staff interviews and interviews with residents in private. Questionnaires have been sent by the home to residents, relatives and staff with new questionnaires due to be sent as part of this process. The Home is subject to visits by a representative of the organisation and reports are made available and were seen during the inspection and these occur on a monthly basis. The report covers areas such as staffing, resident issues, complaints, health and safety and the environment. Residents meetings have occurred but should be more frequent. This is raised as a recommendation. In respect of health and safety, training is in place for staff and this was confirmed through staff interviews and certificates. Fire alarms tested weekly and Fire drills were last completed in July 2007. Emergency lighting is tested monthly and fire extinguishers were last serviced in March 2007. Accidents are recorded and procedures are in place for the reporting of untoward incidents although none have occurred. The Control of hazardous substances is taken into account with the availability of data sheets on cleaning products. Testing on portable electrical appliances occurs and Gas and electric certificates are in place. The issuing of certificates extend to the passenger lifts and hoists in use. A Fire risk assessment was completed in November 2006 and the fire procedure takes the physical disabilities into account. Water temperatures are tested as well as Legionella tests. A monthly health and safety audit is completed and serves to identify any health and safety issues. Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 24 Not Applicable 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. 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. 3. Refer to Standard YA7 YA7 YA39 YA23 Good Practice Recommendations The home should seek to be more independent of residents’ finances. Residents meetings should occur more frequently. The whistle blowing procedure should be reinforced to staff Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 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 © 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 Ellerslie Court DS0000068644.V345775.R01.S.doc Version 5.2 Page 26 - 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!