CARE HOMES FOR OLDER PEOPLE
Elm Cottage 108 Harepath Road Seaton Devon EX12 2AX Lead Inspector
Belinda Heginworth Announced 2 August 2005
nd 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. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Elm Cottage Address 108 Harepath Road, Seaton, Devon, EX12 2AX 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) 01297 23658 Mrs Shirley Ann Copp Care Home 3 Category(ies) of OP - Old Age (3) registration, with number of places Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 01/12/2004 Brief Description of the Service: Elm Cottage is a family run small residential home providing personal care for up to three older people. It is situated on the outskirts of Seaton. The home has a large lounge, kitchen / dining room. There is a small and level private garden with a paved area. There is outdoor seating and a large summer house which is accessible to residents. Each resident has their own room, one of which is on the ground floor and has en suite facilities. The other two rooms are on the first floor and have wash hand basins. There is a stair lift. Care is provided by the providers and their son, with one additional part time care assistant and a part time domestic worker. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place over two and a half hours. The three residents living in the home were consulted and their views on the home were discussed. The providers and their son, who is a carer, were present throughout the inspection. The inspector looked round the building and some records were inspected. What the service does well: What has improved since the last inspection? What they could do better:
The provider intends to complete training on “supplement foods” to ensure that residents who require this are protected by appropriately trained staff. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Residents benefit from good admission and assessment practice that ensures that the home is able to meet their needs. EVIDENCE: Residents were unable to remember the assessment process prior to their admission to the home but most remembered visiting. The manager completes a detailed assessment of needs to ensure the home is able to meet that person’s needs prior to admission. Residents are admitted to the home on a trial basis before making a decision to live there. Residents are given a contract or statement of terms and conditions on admission. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 Residents’ privacy and dignity are met and promoted by the staff. Care planning provides staff with the information they require to meet residents’ needs safely. EVIDENCE: Residents said that they felt the staff were kind and respectful and did everything they could to protect their privacy and dignity. The provider maintains excellent records for each resident. They provide detailed information about specific needs, health needs, risks and care. Care plans and information is reviewed regularly. The provider seeks advice from community professionals when necessary. Thus ensuring residents’ health and welfare is well protected and met. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 10 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) 0 Not inspected on this occasion. EVIDENCE: Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 11 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) 18 Arrangements for protecting residents from the risk of harm or abuse are good. EVIDENCE: Residents said that they felt safe in the home and staff were very caring. Staff and the provider have received training on abuse awareness. The necessary policies and procedures relating to the protection of vulnerable adults are in place and staff have read and understood them. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 12 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 & 26 Residents live in a safe, clean and comfortable environment. EVIDENCE: Residents were very happy with the environment and enjoyed the clean and homely atmosphere. One resident was enjoying sitting in the pleasant garden. Furniture, fittings and decoration are a high standard throughout the home. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 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 & 30 Residents are protected by good recruitment practices and their needs are met through the numbers and skills of staff on duty. EVIDENCE: The home provides two staff on duty during the day. The providers live at the property so are available at all times during the night. Residents said they felt there was always enough staff on duty to meet their needs. Residents felt reassured with the call bells that are provided. The home’s recruitment practices ensure the protection of residents. All necessary documentation was in place including police checks. Staff receive training in-house and attend courses to help them to meet residents needs. Recent training included palliative care and care of people with special dietary needs. The two care workers in the home have successfully completed NVQ level 2 and above. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 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) 38 The health, welfare and safety of residents are promoted and protected. EVIDENCE: The provider completes a questionnaire prior to the inspection. Part of the questionnaire provides details of policies and procedures the home has in relation to health and safety matters. The home has the necessary documentation to ensure residents’ safety and welfare is protected. Fire safety equipment is in place and staff receive regular fire safety training. Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 4 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 x x 3 x x x x x x x 3 Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 16 N/A 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 Regulation None 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. Refer to Standard None Good Practice Recommendations Elm Cottage D54-D06 S21931 Elm Cottage V234913 020805 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road EXETER, EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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