Inspection on 17/11/05 for Elmbank Care Home

This inspection was carried out on 17th November 2005.

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

Elmbank Care Home 26/09/07

Elmbank Care Home 06/02/07

Elmbank Care Home 21/07/05

Elmbank Care Home 08/03/05

Elmbank Care Home 14/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Elmbank Care Home 35 Robinson Road Mapperley Nottingham NG3 6BB Lead Inspector Meryl Bailey Unannounced Inspection 17th November 2005 09:30 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 Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 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. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Elmbank Care Home Address 35 Robinson Road Mapperley Nottingham NG3 6BB 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) 0115 9621262 0115 9523726 Elmbank Nursing Home Limited Ms Karen Day Care Home 35 Category(ies) of Learning disability (4), Old age, not falling registration, with number within any other category (35), Physical of places disability (2) Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Within the total number of beds a maximum of 2 bed maybe used for the category Physical Disability (PD 50 ) Within the total number of beds a maximum of 4 beds maybe used for the category Learning Disability (LD 50 ) One bed may be used in the category LD(E) to specifically accommodate a named person referred to in Variation application dated 29.06.04. This person is aged 67 years on admission. One bed may be used in the category Learning Disability to accommodate the named person referred to in the variation application dated 23/09/05. This person was aged 47 years on admission. (LD 1 named) The maximum number registered should remain at 35. 4. 5. Date of last inspection 21st July 2005 Brief Description of the Service: Elmbank is registered to provide a service for up to 35 service users in single and shared rooms, some with ensuite facilities. The premises are an extended residential house in Mapperley, close to a shopping area and four miles from Nottingham city centre. Both nursing and care staff are provided. The home is accessible for wheelchair users and there are accessible gardens. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by one inspector during one day. 24 current residents were at home and the conditions of registration were met. Many of the bedrooms previously shared are now used as single so the number of residents is lower than the possible maximum registered. One registered nurse and four other staff were seen on duty in addition to the manager. Some residents and a visitor gave their views about the care provided. Only the communal areas of the home were seen and this included the garden. Most of the National Minimum Standards are met, but some recommendations for good practice are made. What the service does well: What has improved since the last inspection? 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. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 6 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 Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 7 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): 3 and 4 Appropriate assessments are carried out prior to admission. The home has the capacity to meet the needs of older people with nursing. Further materials are still needed to meet the needs of those with learning disabilities. EVIDENCE: Appropriate assessment information was clear on service users’ files. The main service user group in this home is older people with nursing needs and there was a clear demonstration through staffing ratios and training that the home had the capacity to meet these needs. There were three service users with learning disabilities and a fourth was to be admitted. Three staff had undertaken further training with respect to working with service users with Learning Disability, but there were still no pictorial representations around the environment to meet the needs of those with learning disabilities. The manager had been researching appropriate suppliers for suitable materials. Two of the service users attend day centre on a part time basis, but were at home during this inspection. Another was being cared for in bed and was comfortable (see standards 7 and 8). Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 8 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): 7 and 10 Care is planned and reviewed, but some information needs clarifying. Service users are satisfied with the care they receive. EVIDENCE: Three care plans were examined and found to contain action plans for various needs leading from areas identified in assessments. There was evidence that plans were regularly reviewed and plans were amended as a result of changes, but there was some confusing information. It is recommended that plans be re written where needs, and actions required to meet those needs, have changed completely. Original plans, no longer applicable, should be removed from files and archived. Service users spoken with felt respected by staff, who were described as very caring. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 9 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): 12, 13 and 15 Some appropriate activities are available and relationships with relatives and friends are encouraged. A varied, balanced diet is offered. EVIDENCE: An activities worker was employed on three days each week, but was not present during this inspection. In her absence care staff provide some activities. Appropriate sing-along 40’s music was playing in the lounge and most service users were joining in with this. Two service users attended a day centre on some days. Relatives were welcome to visit at all times and they were welcome to have meals. Details of friends and family were included on service users files. Most meals were taken in the dining room, though some service users were served individually in lounge areas or bedrooms. Menus had been revised since the last inspection. Service users were served with chicken casserole, but the menu displayed in the dining room was not for the current day. A set of four weeks’ menus was available in the kitchen and these showed a varied balanced diet being offered. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 10 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): 16 and 18 Complaints information is clear and procedures are in place to protect service users from abuse. EVIDENCE: There was a clear complaints procedure displayed in the reception area and within the Service User Guide. No complaints have been received since the last inspection. A copy of the Nottinghamshire Protection of Vulnerable Adults procedure was available with the appropriate amendments. The manager was aware of how to implement the procedures. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 11 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): 19 A well maintained environment is provided and suits the needs of service users. EVIDENCE: The home was found clean, well maintained and comfortable with assorted seating in a choice of sitting areas. All internal areas were accessible to wheelchair users. There was further space in the garden for service users and their visitors to sit. Since the previous inspection several areas had been decorated and new steps had been constructed in the rear garden with handrails provided. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 12 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): 27, 28 and 30 Staffing levels are adequate to meet the current needs of the service users. Trained nurses and care staff are always available. Staff are supported to train and develop their skills. EVIDENCE: There were currently 24 service users in residence, 21 of whom had some nursing needs. The staffing rota showed there were four care staff and one trained nurse during the day and one care staff with one trained nurse at night, with a further person on call at home. Since the last inspection the adjacent premises had been allocated for staff residence and there was one trained nurse and two care assistants living there who could be called in an emergency during the night. The manager’s hours were in addition to this and a part time activities worker and domestic staff were also employed. An induction training programme was in operation for all staff and over 50 care staff have completed National Vocational Qualification training at level 2. There were plans for staff to pursue further training in relation to Dementia care. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 13 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 and 38 There is a registered manager and health and safety around the home is well monitored EVIDENCE: The manager is registered with the Commission and is a Registered Nurse. She previously commenced a National Vocational Qualification Level 4 course in management. However, this was discontinued and it is strongly recommended that she enrol again onto a suitable management course. Accidents were appropriately recorded and risk assessments were in place. Regular health and safety checks were carried out with records kept of these. The fire log was up to date, showing regular training and drills. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 14 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 3 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 15 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. 3. Refer to Standard OP4 OP7 OP31 Good Practice Recommendations Use pictorial representations around the environment to meet the needs of those with Learning Disability. Rewrite plans where needs, and actions required to meet those needs, have changed completely. The manager should enrol again onto a suitable management course. Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Elmbank Care Home DS0000026433.V263082.R01.S.doc Version 5.0 Page 17 - 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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