Inspection on 19/04/07 for Elpha Lodge Residential Care Home Limited

This inspection was carried out on 19th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Elpha Lodge Residential Care... 16/06/09

Elpha Lodge Residential Care... 17/01/06

Elpha Lodge Residential Care... 07/07/05

Elpha Lodge Residential Care... 09/12/04

Elpha Lodge Residential Care... 29/06/04

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

CARE HOME ADULTS 18-65 Elpha Lodge Residential Care Home Limited South Broomhill Morpeth Northumberland NE65 9RR Lead Inspector Elaine Charlton Key Unannounced Inspection 19th April and 1st May 2007 09:30 Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 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 Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 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. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elpha Lodge Residential Care Home Limited Address South Broomhill Morpeth Northumberland NE65 9RR 01670 - 760397 01670 761351 elsie@elpha.totalserve.co.uk 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) Mrs Elsie Hazel Dixon Mrs N Nicholson Care Home 24 Category(ies) of Physical disability (21), Physical disability over registration, with number 65 years of age (3) of places Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. (Main building) Physical disability (15) (Sydney House) Physical disability (9). A maximum of four service users living in either Elpha Lodge of Sydney House at any one time may be over the age of 65. 17th January 2006 Date of last inspection Brief Description of the Service: Elpha Lodge is in South Broomhill, near Morpeth. It is within walking distance of local shops and community facilities. The home is on a bus route and a short distance from Amble. Twenty-four adults with a physical disability or illness live at Elpha Lodge. The home is split between Elpha Lodge and the newer Sydney House. All the bedrooms in Sydney House have en-suite shower rooms. All bedrooms are at ground floor level except for three in the main house that are on the first floor. There are three double bedrooms in the main house. There is a mini bus that people who live in the home can use to go to college, social events and on outings. Nursing care is not provided but staff have been trained to carry out delegated nursing tasks. Fees range from £551 - £695 per week. The home’s Statement of Purpose and Service User Guide contain a lot of information to help people who may wish to use the service decide if their needs can be met. Copies of CSCI reports are displayed in the home for anyone who wishes to read them. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made on date the 19 April 2007. A follow up visit was made on the 1 May 2007. A Senior Carer was the person in charge for the first day of the inspection. The manager was present for the second day. The inspection lasted for 9 ½ hours. Before the visit we looked at: • • • • • Information we have received since the last visit on 17 January 2006; How the service dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of people who use the service, their relatives, staff and other professionals who visit the service. During the visit we: • • • • • • • • Talked with 9 people who use the service, 5 staff, the manager and visitors; Looked at information about the people who use the service and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Looked around the building/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since the last visit; Left “Have your say” questionnaires for service users to complete. Sent out questionnaires to healthcare professionals. We told the manager what we found. What the service does well: The manager and staff carry out full assessments to make sure they can meet the needs of anyone wishing to move into the home. All staff work well with healthcare professionals to promote the well being of people living in the home. People living in the home are helped and supported to be independent and to make choices about what they want to do. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 6 Relatives and friends are welcomed into the home and kept informed when necessary. Staff respect the privacy and dignity of people living in the home. A high level of training is promoted to make sure that staff have the right skills to provide care to people living in the home. CSCI is afforded a high level of co-operation by the manager and staff. The senior in charge and staff on duty coped well with the inspection in the absence of the manager and deputy. They spoke with confidence and were knowledgeable about the needs of people living in the home. People living in the home said: “I asked to move here”. “I usually do what I want to do but at the moment I am on bed-rest”. Health care professionals said: “My client has had lots of support with relationship difficulties and coping with family illness”. “They promote and maintain physical and posture abilities with clients”. “They ensure equipment is in good condition”. “They respond quickly to any problems which are physiotherapy related and ask for advice”. “They place the needs and dignity of clients at the centre of all that they do”. “They provide a homely, safe environment”. “They are enthusiastic about ensuring quality of life for patients”. “They monitor clients health needs and seek medical treatment”. “They provide clients with an active social life”. “they encourage clients to take part in further education”. “They keep the care manager and clients relatives informed of any concerns”. “They are aware of their residents needs and balance these with the safety and dignity of clients and the safety of staff”. “They don’t lose sight of the work that needs to be done to benefit the client (their resident)”. “They are proactive in problem solving”. “I use Elpha Lodge as an example of “good practice””. “I would regard Elpha Lodge as one of the best residential units that I have contact with”. “The feedback that I receive from my clients regarding Elpha”. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 7 “Lodge has always been positive. Their relatives have also been keen to praise the staff for the care given to their sons/daughters. The manager is very proactive and efficient and I would not hesitate to recommend the home”. “The staff and manager, in particular, definitely try extra hard and provide a service which consistently exceeds expectations”. 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. The summary of this inspection report can be made available in other formats on request. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 8 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 Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are given good information to help them decide about moving into the home. Their needs and wishes are assessed before they are given the chance to move in. EVIDENCE: People are only admitted to the home following a full assessment and they have usually had periods of planned respite care at the home. The manager and staff work with a range of healthcare professionals to make sure that the needs of people wishing to live in the home are identified and can be met. Questionnaires were sent to seven healthcare professionals. All said that assessments were comprehensive, accurate and up to date. Five also said that the manager and staff worked well with them. The assessments for the four people most recently admitted to the home were seen. These were of a very good quality. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 10 We were also able to talk to someone visiting the home to see if they would like to move in. They were able to spend time with other people living in the home, meet staff, have a look around the home, enjoy lunch and ask questions about what it would be like living in the home. This introduction of someone new into the home was dealt with sensitively. The persons care manager and two relatives also came to the home during the day. Fifteen people who sent back questionnaires said they had been given enough information before they moved into the home. One person also said “I asked to move here”. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are involved in planning their care, making choices and decisions about what they want to do, and are helped to be independent in their personal care and daily life. EVIDENCE: Nine people who live in the home spoke to the inspector as well as a visitor. Everyone who lives in the home had been sent an “Have your say about” questionnaire. Eighteen were returned. Fourteen people said they always made decisions about what they wanted to do, three said they usually or sometimes did. Seventeen people said they could do what they wanted during the day or evening. All eighteen said they could do what they wanted at the weekend. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 12 One person said “I usually do what I want to do but at the moment I am on bed-rest”. People living in the home were heard and seen making choices about having their hair done, not going to college and what they wanted to eat. Healthcare professionals who visit the home said: “They are enthusiastic about ensuring quality of life for patients”. “Keep the care manager and clients relatives informed of any concerns”. “Are aware of their residents needs and balance these with the safety and dignity of clients and the safety of staff”. Service user plans are in place for everyone living in the home. Care plans are regularly reviewed and evaluated. Risk assessments are very detailed and give clear guidance for staff. Evaluations are becoming more outcome focused. The manager is working towards evaluating care plans in outcome groups, for example, individual needs and choices, lifestyle, personal and healthcare. Care plans in place support privacy, dignity and self-esteem. Manual handling risk assessments were also seen. Four relatives who sent back questionnaires said the home met their relative’s needs and the needs of others living in the home. They also said people were supported to live the life they choose. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access educational and social opportunities within the home and the wider community. Choice and rights are promoted as well as healthy living. EVIDENCE: Care plans include arrangements for people to go on home visits and support maintaining relationships. One visitor was seen helping their Mum to have her lunch and arranging for her hair appointment. Four relatives returned questionnaires and they all said that staff helped people to keep in touch with them, made them welcome and kept them up to date. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 14 A large number of people living in the home attend college on a regular basis. They are supported to make choices about which subjects or skills they wish to take/improve. One person told the inspector they had started a cookery course which was making them put on weight as they brought everything home they made. Relationships between people who live in the home and staff are friendly, relaxed and appropriate. Whilst showing the inspector around the home the senior in charge knocked on closed doors and introduced the inspector even though she is quite well known. This is very good practice. Daily routines are flexible and only restricted by college attendance and appointments. A hairdresser comes into the home regularly and was seen chatting with people about hairstyles. Everyone who spoke to the inspector said that they were consulted about menus. They were complimentary about cooks. Hot and cold choices of food are available at each meal. The food store was well stocked with good range of small sized tinned products so that anyone not wanting to eat from the menu, or who would like a snack, has a good choice. One person likes to make their supper. They are able to use the main kitchen area for this. There are two small, domestic style kitchens in Sydney House. People who spoke to the inspector said that they had recently been to see several shows including Westlife, The Osmonds, Meatloaf and the Tap Dogs. Staff try to arrange the opportunity for people living in the home to go out to at least one show a month. Planned events include Fame, Riverdance, Footloose, and shopping trips to the Metro. An holistic therapist is visiting the home to provide Indian head massage, reiki and life coaching sessions. The inspector was told that the added bonus to these sessions was the therapist’s guide dog. The home maintains close links with local churches. The Catholic Church in Amble send transport to the home each week so that people can attend their services. Two other people living in the home are helped by care staff to go to their church each week. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 15 A communion service is held in the main building once a month. Visitors from local churches make ad hoc visits. The home has a pet cat and one resident takes responsibility for looking after him. Healthcare professionals said: “They provide clients with an active social life” “They encourage clients to take part in further education”. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are asked how they wish their personal care to be provided, and by whom. They are supported and helped to be independent with medication if they wish and can see health care professionals as their health needs dictate. EVIDENCE: Personal support is provided in a discrete and private way that meets the needs and wishes of people living in the home. Lots of equipment is available to support anyone who needs assistance with bathing/ transfers/ mobility/ or smoking. Excellent relationships exist between the manager, staff and healthcare professionals. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 17 People living in the home are well supported to maintain the highest level of well-being. The manager and staff are extremely knowledgeable and undertake a lot of training. Where appropriate this is updated annually. Medication storage systems and records were checked in Elpha Lodge and Sydney House. Medication is securely stored and records up to date. The treatment room has separate hand washing facilities. Staff have access to an up to date medication reference book. People are able and encouraged to look after their own medication where or when they wish. Staff are trained in the safe handling and dispensing of medication. The deputy manager carries out monthly medication audits. Healthcare professionals said: “They are aware of their residents needs and balance these with the safety and dignity of clients and the safety of staff”. “They don’t lose sight of the work that needs to be done to benefit the client (their resident)”. “My client has had lots of support with relationship difficulties and coping with family illness”. “Staff promote and maintain physical and posture abilities with clients”. “They place the needs and dignity of clients at the centre of all that they do”. “They monitor clients health needs and seek medical treatment”. The home has guidance in place to help staff who have to deal with the death of someone who lives in the home. The Care of the terminally ill guidance encourages compassion and the involvement of family in friends. The manager and staff have always dealt with a person’s death in a sensitive and dignified way. Other people living in the home are helped to talk about how they feel and to attend the funeral if they wish. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of people who live in the home are listened to. They are protected from harm through policies, procedures and staff training. EVIDENCE: Everyone who filled in a questionnaire said that they knew who to speak to if they were unhappy, and how to make a complaint. Four relatives said they knew how to make a complaint and that concerns were always dealt with. Healthcare professionals said: “They keep the care manager and clients relatives informed of any concerns”. “Are proactive in problem solving”. There is a complaints procedure in place and it is included in the service user guide. The procedure is displayed in the home. The complaints register was seen. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 19 One complaint had been received by the home. This had been fully investigated and the outcomes were recorded. All documentation was copied to CSCI who had also been contacted by the complainant. Staff are trained in adult protection and know how to react if a concern or allegation is made. The company secretary is responsible for the financial records of people living in the home. The personal money and records for four people living in the home were checked. People are able to keep a small amount of personal money in the home safe. There is a separate transactions book for each person and receipts must be obtained for any expenditure. Some people deal with their own finances and go to the bank when they need. All money and records checked were found to be up to date and correct. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely environment that promotes their independence and the chance to spend time privately. Everywhere is clean and tidy and hygiene routines are good. EVIDENCE: Eighteen people said that the home was always fresh and clean. One person added “apart from the smoking room”. The senior in charge showed the inspector around the main house and Sydney House. The premises are well maintained and a programme of re-decoration in on going. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 21 A new kitchen has been fitted in the main house. This provides a high quality domestic/commercial mix of equipment and work areas. The new gas cooker has been fitted with an emergency gas cut out button for the protection of people living in the home and staff. New carpets have been fitted in the hallways in the main house. Sydney House has taken on a very homely look. The laundry was clean/tidy and well organised. There are five washing machines and two dryers available. All washing machines can be programmed for hot washes and/or sluicing. The laundry assistant is well organised and always “on top” of her work. A healthcare professional said: “They provide a homely, safe environment”. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training to provide care to people in a way that meets their individual needs. EVIDENCE: Sixteen people living in the home said that staff always treated them well. Two said they were usually or sometimes treated well. Fifteen people said carers acted on what they said. Three said they usually or sometimes did. The records of the four most recently recruited members of staff were seen. A standard format has been adopted for staff files. These include evidence of interview questionnaires and assessment forms. Everyone was a contract of employment and signs a confidentiality statement. Each file contained evidence of the staff induction. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 23 Criminal Record Bureau (CRB) checks had been kept since the last inspection. The manager and inspector signed these off for destruction. Training during the last twelve months has included: • • • • • • • • • • • • • • • Moving and handling; Appointed person first aid; Food hygiene; POVA; Health and safety; Palliative care; Sexuality awareness; Rectal diazepam; Insulin awareness; Infection control; Epilepsy; Break away safety; Cognitive impact of head injuries; Challenging behaviour, and Nutritional awareness. Planned training includes: • • • • • • • • • Mandatory training and updates; Epilepsy; Mental Capacity Act – awareness; Competent fire person; National Vocational Qualifications (NVQ) 2/3; Catheter care; Tissue viability; Huntington’s disease, and MIDAS mini bus. The manager has a record of all staff training. The record is alphabetical and also includes details of training completed prior to someone being employed at Elpha Lodge. The deputy manager provides support as an NVQ assessor. An annual training programme is in place. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run which benefits the people who live there. They are consulted about what goes on in the home through surveys and meetings. Both people living in the home and staff are protected through good health and safety procedures, systems and training. EVIDENCE: Healthcare professionals who returned questionnaires said: “They ensure equipment is in good condition”. “They respond quickly to any problems which are physiotherapy related and ask for advice”. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 25 “The manager takes an active role in any care plan or interventions needed for residents with a learning disability”. “They are enthusiastic about ensuring quality of life for patients”. “They keep the care manager and clients relatives informed of any concerns”. “They are aware of their residents needs and balance these with the safety and dignity of clients and the safety of staff”. “They don’t lose sight of the work that needs to be done to benefit the client (their resident)”. “They are proactive in problem solving”. “I use Elpha Lodge as an example of “good practice””. “I have several patients resident at Elpha Lodge. I have always found the care provided to be excellent. The staff appropriately contact me and my service when necessary and I have trust in their judgement. I would regard Elpha Lodge as one of the best residential units that I have contact with”. “The feedback that I receive from my clients regarding Elpha Lodge has always been positive. Their relatives have also been keen to praise the staff for the care given to their sons/daughters. The manager is very proactive and efficient and I would not hesitate to recommend the home”. “The staff and manager, in particular, definitely try extra hard and provide a service which consistently exceeds expectations”. Service contracts and equipment checks are in place to make sure staff and people living in the home are safe. The manager has produced a new fire risk assessment that complies with Fire Safety Regulations. Policies and procedures promote safe working practices. Staff training in this area is up to date. Staff can see a complete set of policies, procedures and guidance. This is kept in the seniors’ office in the main building. There is also a senior’s file in both the main building and Sydney House. This contains information for staff relevant to each building. Staff and resident meetings take place regularly and notes are taken. People living in the home, their relatives and care managers are asked about the quality of service they receive. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 26 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 X 3 X X 3 x Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 27 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. Refer to Standard YA6 Good Practice Recommendations Care plan evaluations should be outcome focused. Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Elpha Lodge Residential Care Home Limited DS0000000631.V330164.R01.S.doc Version 5.2 Page 29 - 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. 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