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Inspection on 02/02/09 for Elliott Residential Care Home

Also see our care home review for Elliott Residential Care Home for more information

This inspection was carried out on 2nd February 2009.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Service users have written information available about Elliot House. Practice in the home promotes individual rights and choices but also considers the protection of individuals in supporting them to make informed choices. Service users tell us they are listened to, and their views taken seriously. Service users told us, " If you have a concern you can tell the staff." " You can tell the staff, they will help you." Family and friends are encouraged and welcomed and can meet with people in their bedrooms or in any of the communal areas. Service users are just beginning to take it in turns to come into staff meetings, and can contribute to the running and life of the home. Service users will sometimes assist the registered provider with light maintenance jobs. Service users were seen helping with domestic tasks around the home. One service user said, "I help staff take the rubbish out."

What has improved since the last inspection?

The assessment process undertaken before service users come into the home has improved and continues to be developed by senior staff. Support plans have been agreed and signed by service users and their relatives and supporters. Daily record keeping is taking place and reflects the service users day and achievements. Medication administration and management is well organised, in particular for service users responsible for taking their own medication. One service user said, " The staff remind me to take my medicine. They really look after me."

What the care home could do better:

Support plans must include required information with regard for any guidance from other health care professionals. This will ensure service users assessed and changing health needs are met. Individual staff training programmes to be agreed and include Safeguarding Adults, alerter and referer (for managers only) training, food hygiene and other identified training. A training and development plan for the home should be produced ensuring service users` needs and the aims and objectives of the home are met.The complaints procedure needs updating to ensure it includes all the required information. Staff recruitment records to be checked ensuring all the required information is sought and in place. This will safeguard service users from harm. Staff to receive regular supervision and appraisals. This requirement has not been met twice upon previous visits to the home. This must be carried out as a priority to reconfirm service users are supported by a well trained and effective staff team. To ensure service users live in a comfortable environment a programme of redecoration to be undertaken to timescales. This requirement is still to meet from our last visit. Extra time has been given to achieve this.

CARE HOME ADULTS 18-65 Elliott Residential Care Home 46-48 Highfield Street Leicester LE2 1AD Lead Inspector Helen Abel Unannounced Inspection 2nd February 2009 05:00 Elliott Residential Care Home DS0000006423.V373993.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 Elliott Residential Care Home DS0000006423.V373993.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. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elliott Residential Care Home Address 46-48 Highfield Street Leicester LE2 1AD 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) 0116 254 4458 0116 254 4458 elliott4648@aol.com Mr M Elliott Mrs Elliott Manager post vacant Care Home 17 Category(ies) of Learning disability (17), Mental disorder, registration, with number excluding learning disability or dementia (17) of places Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person to be admitted to Elliott Residential Care Home in categories LD or MD when 17 persons in total of these categories/combined categories are already accommodated in this home. 3rd September 2008 Date of last inspection Brief Description of the Service: The home is situated on 46-48 Highfield Street just off London Road, and a short distance from Leicester city centre. The home has 17 places for people with learning disabilities and/or mental health needs. It is close to bus routes, a mainline train station, shops, and a variety of places to eat and drink. There is a quiet lounge, a smoking lounge, and a dining room. To the rear of the home is a secluded paved garden with plants and a fountain. The home has two cats. The weekly fees range from £303 to £391 per week - this information was provided on the inspection day. There are additional costs for expenditure such as hairdressing, private chiropody, toiletries, newspapers, A copy of the latest Commission for Social Care Inspection, inspection report is available from the home. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for younger adults. The Inspector spent time planning the areas to focus on based upon information gained from reviewing the homes service history, the last inspection report, surveys, correspondence from the service, and the Annual Quality Assurance Assessment. The people living at Elliot House prefer to be called service users. The primary method of inspection used was ‘case tracking’ that involved selecting three service users and reviewing the care/support that they received through inspection of the written information available on their care, such as the care and support plans. Discussions took place with service users, staff, and the acting manager and registered provider. The visit was unannounced and started at 5pm on a Monday evening and took place over a period of approximately four hours. In addition policies and procedures and records in relation to service users, staff recruitment, complaints, and general maintenance and upkeep of the home were viewed. Service users were seen taking an evening meal in the dining room. There were facilities to make a range hot drinks and people came and went, and were seen talking together with staff. Due to the service user’s personal capacities, we will not be providing the inspection report summary in an easy read format. The quality rating for this service is 1 Star. This means the residents who use this service experience Adequate quality outcomes. What the service does well: Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 6 Service users have written information available about Elliot House. Practice in the home promotes individual rights and choices but also considers the protection of individuals in supporting them to make informed choices. Service users tell us they are listened to, and their views taken seriously. Service users told us, “ If you have a concern you can tell the staff.” “ You can tell the staff, they will help you.” Family and friends are encouraged and welcomed and can meet with people in their bedrooms or in any of the communal areas. Service users are just beginning to take it in turns to come into staff meetings, and can contribute to the running and life of the home. Service users will sometimes assist the registered provider with light maintenance jobs. Service users were seen helping with domestic tasks around the home. One service user said, “I help staff take the rubbish out.” What has improved since the last inspection? What they could do better: Support plans must include required information with regard for any guidance from other health care professionals. This will ensure service users assessed and changing health needs are met. Individual staff training programmes to be agreed and include Safeguarding Adults, alerter and referer (for managers only) training, food hygiene and other identified training. A training and development plan for the home should be produced ensuring service users’ needs and the aims and objectives of the home are met. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 7 The complaints procedure needs updating to ensure it includes all the required information. Staff recruitment records to be checked ensuring all the required information is sought and in place. This will safeguard service users from harm. Staff to receive regular supervision and appraisals. This requirement has not been met twice upon previous visits to the home. This must be carried out as a priority to reconfirm service users are supported by a well trained and effective staff team. To ensure service users live in a comfortable environment a programme of redecoration to be undertaken to timescales. This requirement is still to meet from our last visit. Extra time has been given to achieve this. 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. Elliott Residential Care Home DS0000006423.V373993.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 Elliott Residential Care Home DS0000006423.V373993.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): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear information to help people when choosing a care home. Prospective service users have a needs assessment before they go into the home. EVIDENCE: The home offers a Service User Guide and Statement of Purpose. This has been recently been updated and includes sufficient and clear information about opportunities to consider, and different options for meeting people needs including, accommodation and support, size and location, staff and current service user group and services, and the home’s aims and objectives. Service users needs are assessed before coming into the home. A new assessment process is at being used and includes pictures and easy read text. Staff and service users reported this was helpful and allowed them to assess individual’s needs more fully and is more personalised to the individual. Contracts have been drawn up with service users and copies are held in their support plans. This sets out the delivery of promised services under a written contract between the care home and the service user. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 10 One new service user told the Inspector “ The home helps me, I am happy here. I can tell the staff stuff.” A service users survey said, “I wasn’t consulted before I came here.” The registered provider confirmed a service user had asked him about this question on the survey around moving into the home years previously. Service users were explained things had changed. They would now be consulted and given written information, before moving into the home. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 11 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): 6,7,9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The service involves individuals in the planning of care. Service users are encouraged to make their own decisions and choices. EVIDENCE: Service users have support plans in place. These were agreed and signed by the service users. Managers are currently going through each support plan and reviewing the entire plan with an updated summary produced for each person. This is being held in the kitchen in a locked area for staff to refer to. This enables staff to check the review and the personal goals reflected for the individual service user. Some risk assessments were still being reviewed and produced by managers. The registered provider Mr Elliot is overseeing this work to ensure service users assessed and changing needs are being met. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 12 The Inspector reminded the staff to refer to the Regulations. There are lists of all the records to be held in respect of each service user. This will ensure the plans reflect the needs, aspirations and goals of the individual and sets out the service to be provided. Daily records were sampled and records confirmed events that affect the individual on a day-to-day basis. Thirteen surveys from service users confirmed they could spend their time as they pleased and make their own decisions. A service user told the Inspector “Nice people here. Sometimes they ask me to help around the home. I can do what I want.” A service user was supported with decision making around mixing with local people that were undesirable. Staff supported him to think about options and alternatives to ensure his welfare. Service users can choose a staff member that they feel comfortable to support and work with them. The registered provider confirmed this works successfully to the benefit of the service users. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 13 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): 12-17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff practice promotes individual rights and choices but also consider the protection of individuals in supporting them to make informed choices. EVIDENCE: Service users were seen eating a hot two course meal in the dining room following by hot drinks. The food in the home is varied and well presented. A long list of people’s likes and dislikes is displayed in the kitchen with due care and attention given to meeting people’s dietary needs. A number of service users went into the smoking lounge after their meal and watched the television. They spoke with the Inspector and gave their views about the home: “We are all compatible and get on. Sometimes there are arguments but not often. Some people are quite and some people are noisy like me.” “We have 3 televisions and we can choose were we want to sit.” Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 14 “ It’s alright here. There is nothing else I need.” “ If you don’t like the food you can ask for something else.” “I had corned beef hash very nice, and tinned fruit.” Two service users commented on how nice the outdoor area is with garden furniture and plants. Some service users go to paid employment, and day centres in the local community or chose to stay at home. A number of service users spoke about going to local food outlets, pubs, and one service user goes regularly to a place of worship near to the home. Another service user goes to the local betting shop. One resident has a hobby for model planes and is encourage to pursue this. A service user has a relationship outside the home and visits their partner. Service users will sometimes assist the registered provider with light jobs around the home. Service users were seen helping with domestic tasks around the home. One service user said, “I help staff take the rubbish out.” Family and friends are encouraged and welcomed and can meet with people in their bedrooms or in any of the communal areas. A service user told the Inspector he didn’t want his family to visit. His support plan and staff confirmed this might place him at risk. Attention is given to how service users wish to be addressed and their preferred name used. An ex-service user visits regularly and was hoping to return to live at the home in the future. The service user group told staff they felt this would not work. Therefore this person may continue to visit their friends but will not be offered a place at the home. Elliott Residential Care Home DS0000006423.V373993.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): 18-20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users are happy with the way staff deliver care. Service users are administrating their medication safely. EVIDENCE: Service users have access to health care services both within the home and in the local community. One service user looks after their own medicine and a risk assessment in his support plan, reflect this. Staff are aware of the medicines he is taking and checks take place to ensure the service user is taking their medication and is kept safe. There is a controlled drugs cupboard for controlled drugs but the home currently does not hold any. Other medication record keeping looked up to date for service users case tracked. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 16 One service user said, “ The staff remind me to take my medicine. They really look after me.” Another service user said, “I have been to three homes, this one is the best.” One service user case tracked had health needs around the reduction of alcohol and how this was to be supported and facilitated by staff at the home. Although some information was in place from other health professionals this was not adequately reflected in his support plan. The service must seek clear guidance from specialist services around restricting alcohol. Agree support with the service user, and review support plan. This would ensure the service users’ physical and emotional health needs are met. The registered provider agreed this would be undertaken straight away. There were some gaps in service users health care information in support plans, but staff are able to think in a person centred way and give a verbal update. Elliott Residential Care Home DS0000006423.V373993.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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users tell us they are listened to, and their views taken seriously. EVIDENCE: A revised complaints procedure has been developed by the home and each service user case tracked, had this procedure explained to them, and signed the bottom of the procedure. A copy of this is held in their support plan. Service users told us, “ If you have a concern you can tell the staff.” “ You can tell the staff, they will help you.” “ I feel settled.” Thirteen service users surveys were returned to the Inspector. They all said they were treated well and had no complaints. Service users told the Inspector they were worried about the removal of the television from the smoking lounge due to recent visit from an outside agency. The registered provider Mr Elliot has kept service users informed of developments. One of the service users is planning to write directly to the agency himself to complain about this decision. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 18 No other complaints had been received by the home or have been received by the Commission for Social Care Inspection (CSCI) since the last key inspection. The complaints procedure in the Statement of Purpose and Service User Guide does not contain the full complaints procedure and information about how to contact the local CSCI office, and the local social services and health care authorities. This is important to ensure service users have the information they need to act on. The registered provider is still looking to arrange safeguarding adults training for all the staff. The Alerter training as recommended at our last visit should still be considered. The registered provider confirmed information had been passed to staff around Mental Capacity Act awareness and the protection of service users around money and financial affairs. All this staff training will ensure service users are protected from abuse, neglect and harm. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users live in a clean home that needs redecorating. EVIDENCE: The home was found to be in need of significant redecoration. For example the front lounge walls and furniture was very drab, marked and worn. The same general redecoration aspect was raised at our last visit in September 2008 with a completion deadline of 31st January 2009. The registered provider Mr Elliot has a new plan of maintenance that includes new television, easy chairs, repainting of walls, cleaning of carpets and curtains in communal and private bedrooms, and other works. He acknowledged redecoration work had not been a priority last year, but will be this year. The home appeared clean and free from odours. There is a dedicated laundry and service users were seen taking to the laundry. The laundry area is being considered for refurbishment with ceramic wall tiling. The registered provider Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 20 undertakes much of the maintenance work. Often service users will help with him with light tasks. Service users were seen cleaning tables in the dining room and helping staff to clear up. Service told us, “I share a room with another chap. It’s good.” “ My family come and see me. I go to my bedroom.” In the dining room there were facilities to make a range hot drinks and a fridge for cold drinks that service users could access. During the evening meal service users came and went and were seen talking together and with staff. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 21 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): 32, 34, 35,36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users do not benefit from a consistently trained and supervised workforce. Staff recruitment policies and practices are being developed to protect service users. EVIDENCE: The home has identified some staff training days from January onwards to train staff with competencies and qualities to meet service users needs; for example, Safeguarding Adults, food hygiene and National Vocational Qualifications (NVQ’s). A staff member had been in post for a year and had received one basic training opportunity and no supervision and support time with a manager. The service must draw up training plan. This should be based upon each staff member’s individual training and development plan for the benefit of service users and to inform future planning. Service users’ individual and joint needs must be met by appropriately trained staff. The registered provider confirmed training would Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 22 be made a priority and will be immediately contacting the training providers to push along the training. Another staff member has had two staff supervisions meetings with a senior since joining the home in August 2008. All staff should have regular and recorded supervisions at least six times a year with their senior /manager. Staff should have an annual appraisal with their line manager to review their performance. This will ensure service users benefit from well supported and supervised staff. This aspect was identified upon our last two visits to the home and has not been met. Staff recruitment files were sampled and were being reviewed and updated. There were some gaps in information but the registered provider confirmed information had been placed in different places in the office and confirmed was being brought together. This aspect was made a recommendation at our last visit. One of the senior staff is leading on this area and ensuring service users are supported and protected by the homes recruitment policies and practices. A service users survey told us: “I prefer to speak to female staff. “ One staff survey told us, “The staff look after the service users like their own sons. You could not ask for a better service from the boss, management or staff it’s a great home. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users benefit from a satisfactory run home. EVIDENCE: The registered manager left in December 2008. An acting manager is in post. The deputy manager is wishing to be considered for the registered managers position and is currently training with National Vocational Qualifications at level 3 & 4. The registered provider Mr Elliot is actively supporting the management team and is present in the home around 3 days a week. The registered provider has kept us informed off developments in the home since our last visit. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 24 Staff tell us they consult on a daily basis with service users, and at the review of care with other health and social care professionals. Service users are just starting to take it in turns to come into staff meetings, and can contribute to the running and life of the home. Advocates are available to service users and information around this is displayed on the service users notice board. Service users consistently tell us that they can talk to staff at any time and they will be supported. One service users only close family member moved away and this had the potential to greatly upset the service user. The staff in consultation with the service user, and family member agreed to move the service user to a bedroom nearer to the communal telephone on the ground floor. This would help the service user get to the telephone quickly when the family member rang each week, and maintain their wellbeing. It was noted that a staff member was not wearing protective clothing when preparing food. This issue was passed to the registered provider to raise with staff. He agreed this wasn’t in line with their safe food hygiene practices. A recommendation is made to establish regular food hygiene training for staff to ensure the heath and safety of service users are promoted and protected. First aid training has been organised and will be made available to staff soon. Staff confirmed training in fire alarm evacuation. The registered provider is in the process of responding to a recent visit from the local authority around safe working practices. All these measures will ensure services are safe for the health, safety and welfare of service users. The Commission for Social Care Inspection (CSCI) sent out fifteen service users surveys and thirteen were returned. They all gave very positive responses and were satisfied with the service with no concerns highlighted. Nine surveys were sent to staff and one was returned with all positive comments. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 x 4 x 5 3 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 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 2 33 x 34 2 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 2 2 x 2 x x 2 x Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 26 Yes 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. Standard YA 19 Regulation 12 Requirement Seek clear guidance from specialist services around restricting alcohol for the identified service user. Agree support with the service user and review support plan. This would ensure service user physical and emotional health needs are met. Timescale for action 20/02/09 2. YA22 22 3. YA24 23 The complaints procedure in the 31/03/09 Statement of Purpose and Service User Guide does not contain the full complaints procedure information about:how to contact the local CSCI offices, local social services and health care authorities. It is important to ensure service users have the information they need to act on. To ensure service users live in a 31/07/09 comfortable environment a revised programme of decoration to be undertaken to timescales, to the internal décor. Previous timescale for action had not expired 26/01/08 upon our visit. Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 27 4. YA34 7 To ensure service users are supported and protected. The staff recruitment records should be held together to include all the required information: Proof of a person identity including a recent photograph. Two written references obtained before making an appointment. A Protection of Vulnerable Adults (POVA) and Criminal Records Bureau Check (CRB). An application form. The registered person must draw up training plan. This should be based upon each staff member’s individual training and development plan for the benefit of service users, and to inform future planning. Service users will benefit from well supported and supervised staff. Individual staff should have regular and recorded supervisions at least six times a year with their senior /manager. Staff must have an annual appraisal with their line manager to review their performance. Two sets of timescales were set and have expired 26/01/08 and 03/10/08 following on our last two visits. 03/02/09 5. YA35 18 02/03/09 6. YA36 18 31/03/09 Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 28 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 YA6 Good Practice Recommendations Support plans should reflect the needs, aspirations and goals of the individual and set out the service to be provided. The registered person should refer to the Regulations. See Schedule 3. This lists all the records to be held in respect of each service user. Service users will be assured safety and protection where managers are kept up to date with good practice guidance. With Alerter training via the local adult protection team. To ensure the heath and safety of service users are always promoted and protected- maintain regular food hygiene training for staff. 2. YA23 3. YA42 Elliott Residential Care Home DS0000006423.V373993.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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