Inspection on 07/11/05 for Elora House

This inspection was carried out on 7th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Elora House 29/04/08

Elora House 30/04/07

Elora House 15/08/05

Elora House 31/03/05

Elora House 08/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Elora House 48 Netherfield Gardens Barking Essex IG11 9TL Lead Inspector Helen Fontaine Unannounced Inspection 07 November 2005 15:00 Elora House DS0000027887.V264521.R01.S.doc Version 5.0 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 Elora House DS0000027887.V264521.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 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. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Elora House Address 48 Netherfield Gardens Barking Essex IG11 9TL 0208 591 2260 0208 591 2260 tilakasiri4@aol.com 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) Mr Dia Tilakasiri Mr Dia Tilakasiri Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2005 Brief Description of the Service: Elora House is a private owned care home, which is registered for three adults with a learning disability. The home is situated in a residential area of Barking. The home is well kept and maintained and is undistinguishable from other houses in the street. The house consists of one bedroom and an open plan kitchen, dining and sitting room on the ground floor. There is also a small conservatory where smoking is allowed. Upstairs there are another two bedrooms, a combined bathroom and toilet and a staff office/sleep-in room. The home is well situated for all local amenities, including shops, library and leisure centre. It is also close to Barking railway station and the bus terminus. The home is run as a family type home, which aims to promote independence and choice and to assist them with developing daily living skills. One of the residents attend specialist day services and another is in part time employment, the third chooses their own day time activities. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection of Elora House took place over two hours and was carried out as part of the yearly inspection programme. This was the second statutory inspection visit in the inspection programme for 2005/6. Over the course of the two visits, all core standards have now been assessed. Three Requirements was set at the previous inspection and the registered person has complied with all of the required action. The Inspector looked around all parts of the building and a number of records were inspected. All the Service Users and a member of staff were spoken to. The assistance of the Manager during the inspection was very much appreciated. 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. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 6 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 Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service Users moving into the home do have their individual aspirations and needs appropriately assessed. EVIDENCE: The home has not had anyone new move into the home for sometime and there is currently no plan for any of the existing residents to move on. The Manager does have an assessment form and this was looked at, the Manager said that the Social Workers assessment would be very much part of the process. The assessment form covers the areas of, basic information, statement of need, physical and mental health needs and GP details. The Manager felt that he would need to develop this form further, if they have a vacancy and were assessing a possible Service User. However the current form does meet the minimum standard as it is and as there are no planned vacancies, it is not an issue for this inspection. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 and 10 The Service Users have their assessed and changing needs reflected in their care plan. The home supports Service Users to take risks as part of an independent lifestyle. Information held at the home about Service Users are kept and handled appropriately and confidentially. EVIDENCE: Each of the Service Users has an individual care plan that they have been involved in drawing up and they are reviewed. The care plans are written very individually and covered the areas of personal hygiene, budgeting, cooking, household skills, and interpersonal skills. The care plan for one of the Residents had needs identified around personal hygiene, where the need for constant prompting was needed. In the section for household skills it is documented that they are quite able to carry these out independently. On the care plans it is documented that reviews occurred and they were signed by the Service User. Each of the Service Users has very different daytime activities, in addition to household tasks. One Service User has a part time job and travels independently. This Service User is out six days a week and when talking to this Resident they indicated they are keen to develop their skills around employment. Another Service User attends a day centre as well as two clubs Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 9 in the evening, they have been attending this day centre for some time and enjoy going. The third Resident has recently chosen not to attend the day centre, but is going out with staff for shopping and accompanies the Manager if he should go out for items for the home. The Service User has one day at home, when they have the house to themselves and can undertake personal activities with a member of staff. The Service Users showed the inspector their rooms and had a dialogue about music and their lives and daytime activities. They all very much appreciated the care and support they received and informed the inspector about the domestic duties they were responsible for. Information of a confidential nature is kept in the small office; the Residents are able to access their own information but not each others. Each of the Service Users has their own room; staff do not enter without knocking or asking their permission. It was noted that the Service Users respected each other space and did not enter each others room without permission or invitation. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 and 17 Service Users do take part in appropriate activities where they mix with their peer group. The home respects Service Users rights, which are recognised in their daily lives. The Service Users have a healthy diet and enjoy their meals and mealtimes. EVIDENCE: All the Service Users in the home have different activities, one goes out to work and is out six days a week. This Resident is employed part time and is keen to develop this; during their working time they mix with people in the community and the home support this Service User to continue to access work opportunities. Another Service User attends a day centre where they meet with other people they have known for a long time. This Resident also attends two clubs, again they meet others not resident in the home and enjoy recreational activities. The third Service User has recently decided they do not want to attend the day centre and the home are supporting them in making this decision. The Service Users spoken to during the inspection all said that they enjoyed their meals. The Residents are very much part of the planning, shopping and preparing the meals and can access the kitchen areas whenever they want for Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 11 snacks and drinks. As the eating area is part of the whole kitchen and lounge area, meals are social events where everyone in the home is involved. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 21 Service Users physical and emotional health needs are met. The home has a policy for dealing with the issue over illness and death. EVIDENCE: Service Users care plans record appointments with health professionals such as opticians, dentists, chiropody and GP. Staff support the Residents to attend their appointments, as well as supporting them with any health needs in the home. During the inspection, one of the Residents had a health issue and it was observed that both the members of staff and the Manager supported the Service User to attend to the problem. The previous inspection identified a requirement for the home to ensure that their policy and procedure covered all aspects of the standard around death and dying. This policy and procedure were looked at during the inspection and was found to meet the minimum standard. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The Residents do feel their views are listened to and acted on and the home protects the Service Users from abuse, neglect or self-harm. EVIDENCE: The Residents have not made any complaints since the last inspection and talking to them during the inspection, they were clear that if they had any concerns they would be listened to. The home has residents meetings, unfortunately as the Manager’s computer was not working and the minutes of the meeting were not available. All but the newest member of staff have received training on adult abuse and the member of staff on duty was very clear about the process. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home is clean and hygienic, comfortable and safe and provides the Service Users with a homely environment. EVIDENCE: During the inspection a tour of the home was undertaken and with the permission of the Service Users their rooms were seen. All the rooms in the home were furnished and well maintained to a good standard. There is an open plan kitchen, dining and sitting room area, which allowed an inclusive interaction with the member of staff. The home does offer the Service Users the unique chance to live in a way that is not institutional. The home from the outside is undistinguishable from the other residents in the street. The inspector on arrival at the home, was unsure that they had found the home as it is run in a way that gave no indication that it was a Residential home. All areas of the home were clean and hygienic, there were no areas that had any odours and gave no hint that Service Users smoked. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 36 The home protects the residents with their recruitment policies and practices and the staff are well supported and supervised. EVIDENCE: During the inspection staff files were looked at, one of the files being the newest member of staff and one other. The file contained personal details, application form two references, CRB and an induction checklist. The files both contained training certificates such as BTEC in 2 care, first aid, NVQ 2 and the Manager said that one member of staff is undertaking their Diploma in Social Work. In the files were the supervision notes for both the files looked at and they were dated and signed by the member of staff and the Manager. The staff are supported by the Manager and on the arrival at the home by the Inspector, the staff member phoned the Manager and he responded by returning to the home. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The views and opinions of the Service Users, underpin all developments in the home. The health and welfare of the Service Users are not being promoted due to opened foods not being labelled. EVIDENCE: The home does do a quality review with the Residents and the questionnaires were seen during the inspection. The questionnaires asked about issue like do you like household tasks; this had the response not much. All developments and day-to-day issues are very inclusive of the Residents wishes and ideas. During the tour of the home the fridge and freezer were looked at and it was noted that opened foods, although appropriately stored were not labelled with an expiry date. The Manager said that there are labels available, but as the food gets used very quickly, they forget to put the label on. Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Elora House Score X 3 X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 2 X DS0000027887.V264521.R01.S.doc Version 5.0 Page 18 NO 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 YA42 Regulation 16(2) Timescale for action The Registered Person must 30/11/05 provide safe preparation and storage of food. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Elora House DS0000027887.V264521.R01.S.doc Version 5.0 Page 20 - 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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