Inspection on 29/08/07 for Elsinor Residential Home

This inspection was carried out on 29th August 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.

Other inspections for this house

Elsinor Residential Home 18/08/09

Elsinor Residential Home 19/09/06

Elsinor Residential Home 31/08/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Elsinor Residential Home 5-6 Esplanade Gardens Scarborough North Yorkshire YO11 2AW Lead Inspector Rosalind Sanderson Unannounced Inspection 11:00 29 August 2007 th 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 Elsinor Residential Home DS0000064473.V345570.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 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. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elsinor Residential Home Address 5-6 Esplanade Gardens Scarborough North Yorkshire YO11 2AW 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) 01723 360736 01723 370558 Elsinor@tiscali.co.uk Ramond Limited Mr Terence James Bennett Care Home 35 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (35) of places Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2006 Brief Description of the Service: Elsinor is a large house situated on the south side of the town. The home provides accommodation for a maximum of 35 older persons. Some residents may suffer from dementia. The majority of the bedrooms have an en-suite facility. The home provides personal care including assistance with bathing, toileting, washing and dressing, where required. Activities are provided on a planned basis and the home has its own mini-bus which is used regularly for outings. Outside entertainers are occasionally employed and a hairdresser visits on a weekly basis. All service users are registered with local medical practitioners and have access to specialised health services through their GP. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. The weekly fees charged for personal care and accommodation are £359.00. Chiropody, hairdressing, personal toiletries and newspapers are not included in this fee and these are charged at cost. This information was provided on 29/8/07. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection has used information from different sources to provide evidence for the report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided on an Annual Quality Assurance Assessment completed by the registered manager. Comment cards returned from 5 service users, 8 relatives and 6 healthcare professionals including GP’s, care managers and community psychiatric nurses. A visit to the home carried out by one inspector that lasted for three and a half hours. During the visit to the home three service users, a visitor, and five staff were spoken with. Records relating to three service users, three staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Elsinor for the people living there. The manager was available to assist the inspector throughout the day. Feedback was given at the close of the inspection. What the service does well: People feel they receive enough information about what the home has to offer to help them decide to live there. Similarly staff are made aware of people’s needs and wishes before they arrive as a result of the pre admission procedures. This is reassuring for people wishing to live at the home and for their relatives. The staff are well liked and those spoken with demonstrated that they have a good understanding of people’s care needs. Comments received about staff include, ‘Good staff’, and ‘People are looked after carefully’. The staff at the home have developed good relationships with other professionals and this means that they have access to support and advice from them. Health care professionals including community psychiatric nurses and GP’s commented, ‘staff are extremely prompt to seek advice’, ‘excellent at following the care plans I devise for my clients’ and ‘staff link in well with other resources’. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 6 Staff were seen treating people respectfully and one staff member said, ‘‘I give people time to say what they want and make sure I am not rushing them. If they are happy then I am happy’. The staff at the home endeavour to meet people’s individual wishes about their day to day lifestyles and routines. The home has a minibus and outings are arranged up to three times a week, these are looked forward to by most people. Relatives commented, ‘all residents are treated as one big happy family’, ‘there is regular entertainment’ and ‘there is always a cup of tea on the go’. The manager is well liked and people living at the home, staff and visitors feel he is approachable. He listens to peoples views and acts upon them. This can be demonstrated by the effective quality assurance system that is in place at the home. Overall the home is well run and valued by those who live and work there. A relative said, ‘The home is clean, warm and comforting for all who stay there’. A GP said that the home is ‘excellent and well respected’. 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. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 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 Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 is not applicable. People who use the service experience good quality outcomes in this area. People receive sufficient information about the service and staff are aware of people’s assessed needs. This helps people to make the decision to live at Elsinor. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: People who wish to live at Elsinor receive an assessment of their care needs before they are admitted. This assessment is built upon during the first few weeks following admission so that care staff are fully aware of these needs and how the person wishes them to be met. Observation showed that staff had a good understanding of each person’s needs and wishes. People have the opportunity to visit the home before they move in. People are given a ‘service user guide’ when they first make enquiries to the home and once admitted there is a copy of this available in each bedroom. This document tells people Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 9 what is on offer at the home and about the manager and staff. The surveys returned indicate that people feel they receive enough information about what is available so that they can make the choice to live at Elsinor. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use the service experience good quality outcomes in this area. Peoples care needs are met, however, they may benefit from a more structured approach to the planning of care. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Care records were looked at including the records of one person receiving short term care. Although all the records contained a pre admission assessment, these had not been used to develop a record that tells staff how these care needs will be met. Daily entries into the records about how the person had been and what their routines have been had not been made regularly. Required risk assessments had not been completed and the care needs had not been reviewed. Having these records in place help to make sure that all staff are aware of how the person wishes these needs to be met and how they can be met in a safe way. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 11 Observation during the day, however, showed that staff have a good understanding of people’s needs and that people are treated well in a way that promotes their respect. A staff member said, ‘I give people time to say what they want and make sure I am not rushing them. If they are happy then I am happy’. A visiting nurse said that her instructions are always carried out. Staff explained how they would ask for specialist help should they need it. This is in relation to continence promotion, tissue damage and special diets. Comments from relatives include, ‘Good staff’, and ‘People are looked after carefully’. Health care professionals responded on survey forms saying, ‘Staff are extremely prompt to seek advice’, ‘Excellent at following the care plans I devise for my clients’ and ‘Staff link in well with other resources’. A relative said, ‘The staff are very good here and [my relative] always looks well looked after’. Medication is kept safely, recorded and administered, according to the home’s policy and procedure. All staff that deal with medication have received training to help them do this task safely. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use the service experience excellent quality outcomes in this area. People are helped to choose and continue with their preferred social activities in order that their social needs are met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: People’s preferences in relation to their daily life and activities are sought through conversations with them and their representatives and by the completion of surveys asking for their preferences. The home keeps a record of who takes part in planned activities. People are able to go out for drives in the home’s minibus that operates three times a week. The trips out are planned following discussions with people to see where they would like to go. On the day of the visit they had chosen to have a ride to Goathland. Questionnaires had been completed with people about future trips and other activities they would prefer to take part in. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 13 A non-denominational church service is held in the home once a month for people who wish to attend. People are given the opportunity, where possible, to have their say at resident’s meetings. If people wish to go out they are encouraged to do this independently or with somebody to accompany them. Visitors are welcome at any time and comments received from them include, ‘All residents are treated as one big happy family’ ‘There is regular entertainment’ and ‘There is always a cup of tea on the go’. These measures help people continue with their chosen routines for as long as possible and encourage people to become involved in activities they prefer. Menus showed a good choice of food on offer that provided a balanced diet. People were complimentary about the food. People who require assistance with their diet are given enough time to take meals without being rushed. At resident’s meeting and through survey forms twice a year, peoples views are sought on the food provided. Any changes suggested are incorporated into menus to ensure that people are getting the food that they like. Breakfast is served from 7.30 am until 11.30 am. This allows people to get up when they choose. A full breakfast menu is available throughout this time. There is also a choice at midday and teatime. The meal served on the day was well presented and looked appetising. The manager provided information that says that the chef can provide special diets if needed. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. People who use the service experience good quality outcomes in this area. People are protected and listened to. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home has a complaints policy and procedure to follow. Surveys returned indicated that people knew about this and would know who to speak with if they had a complaint. People felt confident they would be listened to and any concerns acted upon. People and their representatives are also given the forum to air any concerns they may have at the regular meetings that are arranged. There have been no complaints received by the Commission for Social Care Inspection since the last inspection. The manager at the home has dealt with one. All complaints are recorded with the outcome. Although staff have not received formal safeguarding adults training those spoken with were clear about what action they would take in the event of any abusive situation. There is a policy in place that directs staff and links to the Local Authority procedures. A relative said that they feel confident that [their relative] is always safe at the home. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. People who use the service experience good quality outcomes in this area. People live in a safe, comfortable environment. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home is well decorated and pleasant, there are no unpleasant odours. There is an ongoing renewal and redecoration programme. A relative said, ‘The home is clean, warm and comforting for all who stay there’. Since the last inspection new furniture has been provided for the lounge, a new carpet has been fitted to the ground floor communal area and some bedrooms have been decorated. A smoking area has been provided that meets the new legislative requirements and means that people who wish to continue smoking can do so without impacting on other people living at the home. 28 out of the Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 16 30 bedrooms have en suite facilities; there are four communal bathrooms two of which have assisted baths for those people that may require help to get in and out of the bath. Aids and adaptations around the home help people to maintain their independence. Visits from the fire authority and the environmental health department have shown that the home meets their requirements. The laundry service provided meets the needs of people. A relative said that the laundry is always done well and that people always look well presented. New laundry equipment has been purchased to assist staff to continue to provide a good service. Following the recent fitting of a new carpet it was noted that two fire doors were not closing correctly, this was pointed out and the handyman immediately rectified the problem. Similarly bed rails fitted to a bed were loose, again this was rectified immediately when it was pointed out. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. People who use the service experience good quality outcomes in this area. People are cared for by safe, well trained staff in sufficient numbers. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home is well staffed with a core staff group who have been employed at the home for a long period. This gives people confidence in the staff group as staff are familiar to them and fully aware of their needs and wishes. Over 50 of staff have achieved a qualification at NVQ level 2 or above. Two senior carers have achieved NVQ Level 4 in care and also the registered managers award. Staff files are well organised and contain all relevant information. The home recruits staff well; letting applicants know that it follows an equal opportunities policy, always obtaining two references and a Criminal Records Bureau check before deploying staff to work with people. The manager confirmed that staff received induction and foundation training that meets the Skills for Care standards. Staff said they are offered the opportunity to undertake training in areas that would help them meet the needs of the people that they care for. These include dementia awareness, first aid and palliative care. They are given the opportunity to discuss training during their supervision sessions when work issues are also discussed. People feel confident in the staff and felt that ‘staff are very good and supportive’. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. People who use the service experience good quality outcomes in this area. The home is well managed by a manger that is open and inclusive. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager, Mr Terence Bennett, has many years experience in the care profession. People living at the home, their relatives and staff all said they receive excellent support from him, and would feel happy to approach him about any issues they may have. A member of staff said that they feel very comfortable to discuss any work issues with him. A relative said that he was very approachable and went out of his way to speak with them when they visited. Mr Bennett is assisted in his role by the two senior carers who are Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 19 qualified to NVQ level 4 and hold a management qualification. A GP said that the home was ‘excellent and well respected’. The home has developed a quality assurance system. The views of service users and other interested parties are taken into consideration and used to develop the plan for the development of the service and to improve outcomes for people living there. People are told about the results of surveys during residents and staff meetings. The manager does not deal with any service users personal monies. An external company carries out health and safety audits within the home on a regular basis. A handyman is employed to attend to the day-to-day maintenance and fire checks in the home. Staff receive regular fire training and those spoken with felt they were familiar enough with procedures to feel confident of their actions in the event of a fire. These measures ensure the health, safety and well being of people living at the home, staff and visitors. Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 20 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP7 Regulation 15 Requirement To ensure that people’s care is planned and staff are fully aware of individuals care needs, plans must be in place to address needs identified during the Pre admission assessment. These should be developed and kept under review as needed to ensure that current care needs are planned for. Where possible the plans should be developed with the person they relate to. Timescale for action 25/09/07 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 Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Elsinor Residential Home DS0000064473.V345570.R01.S.doc Version 5.2 Page 23 - 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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