Inspection on 09/05/07 for Elmstead
Also see our care home review for Elmstead for more information
This inspection was carried out on 9th May 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
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
During a tour of the home it was evident that the staff spoke to the residents respectfully and that they respected their right to choose, their privacy and their independence. Residents confirmed that the staff were easy to talk to and would do anything for them, that they felt comfortable and trusted the staff with all aspects of their personal care and that they were confident that the staff had the necessary skills, competence and experience to care for them appropriately. It is evident that the home provides a good quality of care to the residents; the staff caring and sensitive to the needs of the residents in their care. When speaking to residents it was evident that there was a rapport between them; the residents were treated with respect and their wishes and preferences taken into account. Visitors said that they felt welcome in the home and that any concerns they raised were listened to and resolved quickly this was confirmed by the comments made in the surveys received for example:· My son visited the home and was impressed by the friendly staff and nice atmosphere. · The staff are very helpful and attentive which makes the home a happy place to be. · Since my mother has been a resident she has put on weight and I am sure this is because the food is excellent and the mealtimes appear to be a happy and social part of her day. · I am very impressed with the staff, I have not met one who does not have a smile or a caring word. · Staff have, in my experience, the right skills and experience to look after the residents properly. · Staff have a sense of humour, vitality and happiness; they work as a team. · The home meets the needs of my relative exceptionally well.·I visit my mother every day; the staff are always ready to discuss any concerns I have and keep me up to date with her progress. The home is maintained, decorated and furnished to a good standard with good communal space including a pub and café areas for the residents and their relatives to enjoy.
What has improved since the last inspection?
The organisation has introduced a new care planning system called QUEST, the documentation was developed in house with input from home managers and staff. The home is in the process of changing over to the new system and this process is due to be completed by the end of May 2007. The five care plans seen at the inspection, had the new documentation completed, the system is much improved and more personalised to the individual giving clear information relating to the residents` personal. health and social care needs and how those needs are to be met and what outcomes are to be achieved. It was evident from looking at the plans and discussions with the staff, that the new system gave a comprehensive picture of the resident and their specific care needs and that the staff felt more involved in providing the right level of support and encouragement to the resident, there was also evidence of discussions with the residents and with their relatives. The organisation has recently implemented the Personal Best Initiative as part of its quality assurance process; this initiative is about providing services designed to meet and exceed customer`s needs, choices and expectations; thereby developing an understanding of what individual customers want and how to provide it. The initiative was started in the care homes to help improve services to customers; and also to give greater job satisfaction to staff, this being achieved through the Personal Best Development Plan; staff said that they had commenced the programme and found it rewarding and looked upon it as a way to improve their care practices, to identify areas of strength and weakness enabling them to structure appropriate training; the organisation is to be commended on implementing such an initiative
What the care home could do better:
Since the last inspection the full time activities co-ordinator has left and the post has now been split into two providing activities from Monday to Sunday; there is an activities programme that is currently being revised, residents and relatives are being asked for their ideas and what they would like to do and what interests them. However some of the surveys returned felt that there were not enough activities or outings arranged for the residents, one relative said that the staff should be able to spend time with the residents; and another relative said that there should be more organised activities becausethere are not enough and that the staff are left to entertain the residents when they have the time. One relative stated that there was not enough stimulation for the residents in the dementia unit and that there should be activities tailored specifically to the needs of residents with dementia. (A requirement has been made relating to this issue). The rotas looked to reflect the needs of the service users making sure that the number of staff on duty at any time of the day were sufficient in number and that they had completed appropriate training enabling them to meet the assessed needs of the service users in their care. However it would be in the interests of the residents and their relatives to undertake a dependency assessment for the residents in the dementia unit to ascertain their level of need and thereby making sure that there are sufficient staff on duty, at all times, to meet their complex care needs (A requirement and a recommendation have been made relating to this issue). The issue of the Registered Manager of this home is still not resolved satisfactorily; a new manager was appointed seven months ago, she was not registered to the home and is to move to another home within the organisation, leaving the home without a registered manager; it is understood that the post is to be advertised and an appointment made as soon as possible. During the recruitment process the home will be managed by the Operations Manager assisted by the deputy manager, this management structure is still under review and needs to be regularised. The organisation must appoint a permanent manager to the home and subsequently apply to the commission for the appointed manager to be registered and the registration certificate to reflect the new structure. The Registered Manager must also undertake the Registered Managers Award and complete as soon as possible; and notify the Commission of a start date and a completion date. (Two requirements have been made relating to this issue).