Inspection on 10/10/05 for Elton Lodge

This inspection was carried out on 10th October 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 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

Elton Lodge 11/12/06

Elton Lodge 16/05/05

Elton Lodge 25/10/04

Elton Lodge 26/04/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Elton Lodge 22/24 Selden Road Worthing West Sussex BN11 2LN Lead Inspector Shelia Gawley Announced Monday 10 October 2005, 10:00am th 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 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. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Elton Lodge Address 22/24 Selden Road, Worthing, West Sussex, BN11 2LN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 230798 Elton Lodge Ltd Mrs Susan Jane Lamb Care Home 21 Category(ies) of Care Home with Nursing 21 registration, with number of places Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. only persons over the age of 50 may be accomodated in the category physical disability (PD) 2. a total of 21 persons may be accomodated at any one time. Date of last inspection 16 05 05 Brief Description of the Service: Elton Lodge is a care home that is registered to accommodate twenty-one service users, over 65 years of age (registration category OP), who may require nursing care. Six of the twenty-one service users may be over 50 years of age with a physical disability (registration category PD). The registered provider Elton Lodge Ltd and the responsible individual on behalf of the company is Miss R Saimbi. The registered manager is Mrs S Lamb . The home is situated in Worthing close to the seafront and town centre. There are twenty-one single rooms arranged over two floors. There is a passenger lift in place. There is a large lounge/dining room plus a separate smaller lounge. There is a garden with a large patio area that is accessed by a ramp. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 10/10/05. The premises were inspected, residents, and staff were spoken to and all expressed that a high standard of care was offered. The premises remain in good decorative order and a new passenger lift, the conversion of a bathroom to a shower room and a full kitchen refurbishment. The manager was available throughout the inspection and she made all documents required available. The overall standard of care observed was good and there was evidence that the needs and opinions of residents are taken into consideration. Residents were very happy with the care offered and felt that they could complain about any issue and it would be addressed. A pre inspection questionnaire has been completed by the manage rand three comment cards have been received at the Commission. These along with the observations made on inspection will contribute to the report. What the service does well: What has improved since the last inspection? What they could do better: Topical medicines are not currently being signed for and the manager stated that she will put this practice in place. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 6 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. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-3 Prospective residents have the information they need to make an informed choice about where to live. Each resident has a written contract/ statement of terms and conditions with the home. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: A Statement of Purpose is in place and was available for inspection today. A Service User Guide is given to all Residents and contains information relating to the home and terms and conditions of their stay. Care plans inspected show pre assessment of residents prior to admission to the home. A recently admitted Resident stated that she had been helped to settle in very quickly. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-9,11 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Resident’s are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Care plans inspected show that Resident’s are recorded and care is given according to those needs. There is evidence of monthly update but not in social needs as it was noted that the social needs of one resident were now quite different from when he first moved in. The manager stated that she would rectify this. Medicines are appropriately stored and there are policies and procedures in place to ensure the health, safety and wellbeing of residents. Three residents self medicate and this is recorded, they also have a lockable space for medication. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 10 Policies and procedures are in place on care of the dying and care after death. Discussion was held with the manager as to when is the appropriate time for discussion with the Resident on their wishes following death, as this was not recorded in the care plans inspected. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion as they were fully inspected fully and met at the last inspection, It was however noted that the kitchen has been fully renovated and a new chef has been employed who will be reviewing the menu over the coming weeks. EVIDENCE: Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16-18 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Resident’s legal rights are protected. Residents are protected from abuse EVIDENCE: Residents spoken to stated that their complaints would be listened to, taken seriously and acted upon, one resident spoken to gave an example of this and stated that she was very happy with the outcome. There is a complaints procedure in place and it is on display. Resident’s solicitors are consulted as necessary to maintain their legal rights, There are policies and procedures on abuse and these were available for inspection. Adult Protection training is in place and evidence of this was seen in staff files. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Residents live in safe, comfortable bedrooms with their own possessions around them. Residents live in safe, comfortable surroundings. The home is clean, pleasant and hygienic Residents live in safe, comfortable surroundings. The home is clean, pleasant and hygienic EVIDENCE: The home’s location and layout is suited for its stated purpose. There are accessible outdoor areas. Nine of the bedrooms have ensuite facilities and Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 14 there are accessible toilet facilities close to bedrooms and communal areas. A bathroom has been converted to a shower room, which is said to be preferred by most residents. The home is well redecorated creating a warm atmosphere in the communal rooms. The majority of the bedrooms had been personalised with pictures, photographs and personal memorabilia according to individual tastes. The requirements of recent environmental health and fire inspections have been met. Bedrooms were clean, tidy and well presented; therefore residents do live in a safe and well-maintained environment. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Staff files inspected had two references and Criminal Records Bureau clearance and a check against the Protection of Vulnerable Adults list. Policies and procedures are in place to ensure the recruitment process is rigorous. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,35,36,38 `Residents 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. Residents benefit from the ethos, leadership and management approach of the home. Residents’ financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of service users and staff are promoted and protected EVIDENCE: The manager is a Registered Nurse and has almost completed the Registered Managers Award. Staff and residents spoken to stated that the manager is very approachable and acts on comments or suggestions. Comment cards received stated that the home is a happy and welcoming place. Resident’s financial interests arte safeguarded and money is held securely and Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 17 transactions recorded. Staff supervision files were available and staff confirmed that they receive supervision. The manager has policies and procedures, staff training, health and safety checks and risk assessments in place to ensure the health, wellbeing and safety of residents and staff. Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 3 x 3 Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 19 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 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 9 Good Practice Recommendations Accurate records must be kept of medicine administered by staff, including medicines prescribed for topical administration Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens, Worthing West Sussex BN11 1RY 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 Elton Lodge H60-H11 S58925 Elton Lodge V246386 101005 Stage 4.doc Version 1.40 Page 21 - 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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