Inspection on 02/08/06 for Elstow House

This inspection was carried out on 2nd August 2006.

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

Elstow House 17/12/08

Elstow House 27/10/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Elstow House Elstow House 25 Marriott Street Northampton Northants NN2 6AW Lead Inspector Irene Miller Unannounced Inspection 2nd August 2006 15:45 DS0000063135.V306242.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 DS0000063135.V306242.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. DS0000063135.V306242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elstow House Address Elstow House 25 Marriott Street Northampton Northants NN2 6AW 01604 461 292 01604 461 292 genesishomes2003@yahoo.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) Adenike Adenuga Adetayo Olajide Adenuga Care Home 9 Category(ies) of Learning disability (9) registration, with number of places DS0000063135.V306242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That the home limits its services to the following Service User category: Learning Disability - LD A total of 9 Service Users No person under 30 years of age or above 55 years who falls within categories LD may be admitted to the home 27th October 2005 Date of last inspection Brief Description of the Service: Elstow House care home providing long-term care for nine adults with a learning disability. The home is an established care home, which has recently changed ownership. and is now owned by Genesis Homes Ltd. Elstow House is close to Northampton town centre and has easy access to the local facilities and services. The home is a three-story town house. Accommodation is provided in single rooms. There is a communal lounge and dining/kitchen on the ground floor and a kitchenette and seating area on the lower ground floor available to the two residents who have bedrooms on that floor. The fees range from £400 to £700 per week DS0000063135.V306242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. It was established during the inspection visit that the individuals living at the home prefer to be called clients; therefore throughout the body of the report the term client is used when referring to individuals living at the home The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for clients and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for adults aged 18-65 years of age. Prior to the inspection taking place the Commission for Social Care Inspection sent out to the home a pre-inspection questionnaire for completion by the registered manager and comment cards for completion by the clients, visitors/relatives, and health and social care professional in contact with the home. The pre-inspection questionnaire, and eight client feedback cards, four relative/visitor cards and five health and social care professionals feedback cards were returned to the Commission for Social Care Inspection. The comments received assisted the inspector in gaining a wider view of the general satisfaction of clients living at the home, and of those who visit on a personal and professional level Information gained from the pre inspection questionnaire provided the inspector with specific information on the management systems in place within the home. The principal method of inspection used was ‘case tracking’ that involved selecting two clients and following the care they receive through review of their individual care plans (the care plan sets out in detail, the personal, healthcare, social and spiritual needs of the client and how the home aims to meet the needs identified). Policies, procedures and records in relation to health and safety, staff recruitment, complaints, medication and general maintenance and upkeep of the home were viewed. Discussions took place with clients, staff, and visitors and general observations of care practices were made. The registered manager Adenike Adenuga was not available at the home throughout the inspection, however he was available over the telephone. DS0000063135.V306242.R01.S.doc Version 5.2 Page 6 The inspector spent three hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history, the last two inspection reports and information from the pre inspection data collection systems. The inspection took place over a period of approximately four hours What the service does well: What has improved since the last inspection? DS0000063135.V306242.R01.S.doc Version 5.2 Page 7 The fire evacuation procedure is available within the kitchen, staff spoken with were aware of their responsibilities should there be a fire emergency. 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. DS0000063135.V306242.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 DS0000063135.V306242.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. Prospective clients can be reassured that their needs will be assessed prior to admission and regularly reviewed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new clients have moved into the home under the current ownership and there are no vacancies at the present time. Within the care plans viewed there was evidence of needs being assessed and of ongoing assessment and reviews to the care plans taking place. DS0000063135.V306242.R01.S.doc Version 5.2 Page 10 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): 6.7 & 9 Quality in this outcome area is good. Clients are provided with opportunities to make everyday choices and are supported in living as independent a lifestyle as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans were detailed and identified the client’s individual gaols and the staff support required to enable the clients to achieve their individual aspirations. There was records of care plan reviews taking place they had been signed by the clients and demonstrated that with the support of their keyworker and other health and social care professionals, that they were in control of their own care plans DS0000063135.V306242.R01.S.doc Version 5.2 Page 11 Some of the clients are on an independent living programme with the aim of building on life skills to increase their independence, such as money management, shopping, food preparation and cooking. An additional lounge/kitchenette had been created in the basement of the house to facilitate the clients on the independent living programme to exercise their independence, however clients could choose where they wished to spend their time within the home. A sample check on the records of clients meetings, evidenced that meetings take place regularly and that they were chaired by clients, in one of the meetings it was recorded that a client had asked whether the group could save some money so that they could all go out for a Chinese meal, this suggestion this was discussed with the clients and staff and it was confirmed that the registered manager was aware and was making some enquiries into this idea. DS0000063135.V306242.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16 & 17 Quality in this outcome area is good. There are opportunities for clients to live fulfilling lifestyles both in and outside of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the daily notes there were records of clients involvement within the community on the evening of inspection six clients went to an evening social club, prior to leaving the clients said that they liked going to the evening club, that they enjoyed playing pool, meeting friends and listening to music. During the day Monday to Friday all of the clients attend work placements. Activities included, shopping for cloths and food, watching TV, (a digital TV receiver was installed to have a greater selection of programmes) watching movies, visits to the cinema, spending time with friends at a local club and DS0000063135.V306242.R01.S.doc Version 5.2 Page 13 going out for meals at a restaurant. One client said how much they enjoyed singing karaoke. Clients said that they are involved with doing their own laundry and food preparation and staff were observed being respectful of the clients need for independence and privacy, discussion with clients confirmed that relationships with staff were good. The clients confirmed that they were happy with the meals provided and could have alternatives if they wished. Records of meals prepared demonstrated that the clients had a varied and healthy diet and records were kept of each clients weight and their nutritional needs. DS0000063135.V306242.R01.S.doc Version 5.2 Page 14 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): 18,19 & 20 Quality in this outcome area is good. The personal and healthcare needs of clients are met This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans contained information on the physical and health care needs of clients and records were available of the involvement of specialists in meeting the mental health care needs of service users, with records of on going support from the specialists involved. From the care plans viewed the personal and health care needs of clients had been identified and risks assessments were in place for money management and personal safety. There were records of regular involvement of the general practitioner, chiropodist, optician and dentist. Comments from the general practitioners that visit the home were positive Within the minutes of a staff meetings the registered manager had discussed with staff the importance of ensuring that clients receive their medications DS0000063135.V306242.R01.S.doc Version 5.2 Page 15 promptly and that full records are maintained, at the beginning/end of each shift staff check that all clients have received their medication and a record of this check is retained in addition the registered manager conducts random checks A sample check of the medication system confirmed that records are in place, which include details of medication held and administered. DS0000063135.V306242.R01.S.doc Version 5.2 Page 16 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 & 23 Quality in this outcome area is good. Clients and their representatives can be assured that their complaints will be listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a complaints procedure in place and through discussion with clients it was confirmed that support is available from their keyworker or any other member of staff and that the registered manager was always available. Since the last inspection taking place the home had received one complaint the Commission for Social Care Inspection consider that the registered provider appropriately investigated the complaint following their complaints procedure. The home had an adult protection policy and a copy of the Northamptonshire Adult Protection Procedures was available should they need to refer to it. Discussion with staff and records of training undertaken confirmed that training had taken place on the protection of vulnerable adults. DS0000063135.V306242.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good. The clients live in a home that is well maintained attractive and homely This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was appropriate shared space within the home and bedrooms viewed were pleasantly decorated, and furnished with personal items. Records were available of maintenance and building upkeep, and demonstrated that much work had taken place on making improvements to the internal environment. Records were available of cleaning schedules and food safety standards and all were up to date. DS0000063135.V306242.R01.S.doc Version 5.2 Page 18 During a limited tour of the building all areas seen were pleasant, clean and tidy. The home employs a cleaner and where individual capabilities allow clients participate in daily housework. DS0000063135.V306242.R01.S.doc Version 5.2 Page 19 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): 32,34 & 35 Quality in this outcome area is good. Service users are supported by staff that are aware of their needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two staff members on duty on the evening of the inspection were knowledgeable of the clients individual needs and the level of support required by each. The clients appeared very relaxed and related well with the members of staff. There were records of staff meetings with items on the agenda addressing policies and procedures, such as the medication policy. There were records of staff induction training taking place, to include training on abuse awareness. The two staff confirmed that they had done induction training, one of the staff that had received in house medication training and was looking forward to attending a formal medication training course that was due to take place at the end of the week. DS0000063135.V306242.R01.S.doc Version 5.2 Page 20 A training plan was in place that identified training courses attended, courses booked and when refresher training was required. The registered manager was not available within the home on the evening of inspection therefore access to staff recruitment files was not possible, however information within the pre inspection questionnaire, completed by the registered provider prior to the inspection taking place, demonstrated that safeguarding vulnerable people precautions are followed during the recruitment and selection of staff, such as Criminal Records Bureau clearance and checks on the Protection of Vulnerable Adults register DS0000063135.V306242.R01.S.doc Version 5.2 Page 21 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): 37, 39 & 42 Quality in this outcome area is good. The home is run in the best interests of the service users to protect their health safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The philosophy of the home is to support the clients in living as independent a lifestyle as possible, this is reflected within the care plans and the goals and objectives set between the clients and their respective keyworkers. There are clear and accessible policies and procedures in place for staff and clients. The homes record keeping practice is good all care and administration records looked at were up to date and regularly reviewed. The homes management closely monitors the systems in place. DS0000063135.V306242.R01.S.doc Version 5.2 Page 22 Client meetings take place regularly were the clients have the opportunity to discuss anything of a non personal nature and support is available for clients to discuss any concerns they may have in private, through the keyworker system. Risk assessments were in place that were specific to areas surrounding the clients lifestyles and there was also general risk assessment in place to ensure that the health safety and welfare of clients, visitors and staff was promoted. DS0000063135.V306242.R01.S.doc Version 5.2 Page 23 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 3CHOICE OF HOME Standa3rd No Score 1 X 2 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X DS0000063135.V306242.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations DS0000063135.V306242.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. 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