Inspection on 08/02/06 for Elm Cottage

This inspection was carried out on 8th February 2006.

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 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

Elm Cottage 19/02/08

Elm Cottage 16/11/06

Elm Cottage 02/08/05

Elm Cottage 01/12/04

Elm Cottage 05/05/04

Elm Cottage 08/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Elm Cottage 108 Harepath Road Seaton Devon EX12 2AX Lead Inspector Anita Sutcliffe Unannounced Inspection 8th February 2006 11:00 X10015.doc Version 1.40 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 Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 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 DS0000021931.V282327.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Elm Cottage Address 108 Harepath Road Seaton Devon EX12 2AX 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) 01297 23658 Mrs Shirley Ann Copp Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Elm Cottage is a family run small residential home situated on the outskirts of Seaton providing personal care for up to three older people. It 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 DS0000021931.V282327.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two hours. Several key standards were inspected. Each residents living in the home was consulted. The inspector looked round the building, inspected some records and the storage of medicines. The provider was present throughout the inspection. What the service does well: The home has a relaxed, friendly, open atmosphere. and meets residents’ needs. It is comfortable, clean A high level of staffing is provided each day. Residents spoke highly of the care and attention they received. The provider ensures that residents’ needs are met through good training and knowledge. Food is mostly home produced, special diets very well catered for, and all residents enjoy the meals provided. What has improved since the last inspection? What they could do better: None of the residents of staff could think of any way the home could be improved. Small adjustments to the complaints policy and recording of medicines have been recommended. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 DS0000021931.V282327.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 the following standard(s): Not inspected on this occasion. Standard 6 does not apply as the home does not provide Intermediate Care. EVIDENCE: Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 the following standard(s): 9 Medication at the home is well managed, but a small adjustment would further ensure safety. EVIDENCE: Medication storage is appropriate to the home. Staff who administer the medicines have received training in how to do so and are competent. Medication records were orderly. However, staff sign at the end of the day to record medicines given. If signed for immediately it would provide an additional safeguard. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 the following standard(s): Not inspected on this occasion. EVIDENCE: Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 & 15 Residents are supported to have a fulfilled life. Residents receive a nutritious varied diet, which meets individual choice and health care requirements. EVIDENCE: The high ratio of staff to residents and the care home also being the residential dwelling of the providers, provides a very homely and ordinary family setting. Residents benefit from regular contact with adults, children and pets, and their own family are regular visitors. Each resident spends their day in the routine and manner they prefer. Residents were very complimentary about the food. Specialist diets are well catered for and vegetables provided are home grown. One resident said: “The food is good, well cooked and nicely served”. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 the following standard(s): 16 Residents benefit from the way complaints to the home are managed. EVIDENCE: Residents feel confident that any complaint made would be dealt with promptly and properly. Each is given a copy of the complaints procedure on admission. It sets out how to make a complaint, but doesn’t make it clear that the CSCI may be contacted at any stage, and not only if a complaint isn’t resolved with the providers. No complaints have been received by the home or the CSCI. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Residents benefit from staff who are qualified and competent in providing personal care. EVIDENCE: The NVQ qualification in care provides an assurance the staff are competent in their work. All staff at Elm Cottage have achieved this. A resident said that she was very well cared for and had full confidence in the staff. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 35 The home is well managed and run in the bet interest of residents. EVIDENCE: The provider / manager has a lot of experience of caring for older people. Her qualifications include the Registered Manager’s Award and NVQ level 4 in care and she keeps herself very up to date in care and health matters through regular training. There is a six monthly resident and family/visitor satisfaction survey and staff have regular meetings, often through training events. Through these measures they identify where changes may be needed to improve the service the home provides and give residents the opportunity to influence how the home is run. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 15 No current resident looks after their own financial affairs, and the home does not keep an allowance for residents. Each resident has the option to keep valuables in a locked box, and family provide an allowance as required. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard OP9 OP16 Good Practice Recommendations On each occasion medication is administered this should be signed for. The registered person should ensure that written information, which is provided to service users says that a complaint may be made to the CSCI at any stage, should the complainant wish to do so. Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Exeter 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 © 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 Elm Cottage DS0000021931.V282327.R01.S.doc Version 5.1 Page 19 - 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. 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