Inspection on 11/12/06 for Elton Lodge

This inspection was carried out on 11th December 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

Elton Lodge 10/10/05

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 Mrs J Hough Unannounced Inspection 11th December 2006 08:45 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 Elton Lodge DS0000058925.V321281.R02.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. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 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 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) 01903 230798 01903 219082 Elton Lodge Limited Mrs Susan Jane Lamb Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (6), Physical disability of places over 65 years of age (6) Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. only persons over the age of 50 years may be accommodated in the category physical disability(PD) A total of 21 persons may be accomodated at any one time Date of last inspection 10th October 2005 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 DS0000058925.V321281.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one inspector June Hough on 11th December 2006 from 08:45 hrs to 14:15 hrs. The registered person had completed a pre-inspection questionnaire and information from this plus evidence from previous inspections and resident’s and relatives comment cards have been used for the planning and inspection process along with the evidence gained during the inspection visit for this inspection report. Records were examined in relation to resident’s care plans and assessments, medication, accidents and complaints, staff recruitment procedures, and maintenance. A tour of the premises took place and residents and staff were spoken with. The scale of fees is from £470.00 to £630.00 per week. What the service does well: The home is homely, comfortable and clean. Residents praised the staff for their kindness and friendliness. Residents felt able to speak with the manager and staff on any matters. Resident’s meetings are arranged monthly where residents are included in any discussions and decisions made about the running of the home. Residents are offered a good choice of nourishing food. A varied programmed of activities is arranged each week. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 6 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. Elton Lodge DS0000058925.V321281.R02.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 Elton Lodge DS0000058925.V321281.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents have a detailed needs assessment carried out prior to any agreement being made for admission to the home. The home does not provide intermediate care. EVIDENCE: The registered manager or the deputy manager visits prospective residents and carries out pre-admission assessments. The pre-admission assessment is detailed in identifying the health, personal and social care needs of residents. Two resident’s notes were read to check admission procedures and one resident had a completed assessment on file that was detailed and thorough. The second file had no pre-admission assessment. The manager explained that Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 9 this was unusual incident when the resident was discharged from hospital and arrived at the home in an emergency situation without prior notice. However an assessment had been completed on admission to ensure the home could meet the resident’s needs. The home does not provide intermediate care. Elton Lodge DS0000058925.V321281.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have individual care plans that identify the level of care and assistance they require. Residents felt that the staff respected their privacy and dignity at all times. Medication policies and procedures are in place in the home that ensures medicines are administered, stored and disposed of safely. EVIDENCE: Three resident’s notes were read in detail and all care plans and assessments were completed and gave clear direction to staff on the individual needs of each resident and level of assistance required. Care plans/assessments were reviewed monthly and updated as required. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 11 Pressure-relieving equipment was seen in use when needed and the residents who needed nursing care had adjustable beds. Equipment available in the home included one standing and one sitting hoist. Access to support services was either by GP referral or on request. Residents spoken with and information given on resident’s surveys showed the staff met their needs and cared for them very well. Residents said that staff were most considerate when providing personal care to ensure their privacy and dignity and always knocked on their bedroom doors before entering. The medication administration records were accurate and clear. Controlled drugs administered were checked by two persons and recorded in a separate register. Disposal of medicines were managed according to the clinical waste company procedures and recorded and signed by staff. Residents that were self- medicating had a lockable space in which to store their medicines and medicines were recorded and monitored by staff and risk assessments were in place. Elton Lodge DS0000058925.V321281.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A weekly programme of activities is planned taking into account resident’s interests and choices. Residents are offered a good choice of nourishing food. EVIDENCE: Activities take place on a daily basis either from staff or provided from entertainers coming into the home. The proprietor also takes residents on an outing once a week. The pre-inspection questionnaire completed shows that activities include visits to shops, barbeques, exercise club, bingo, crafts, coffee club, fetes, assorted outings, and musical entertainment. Christmas celebrations planned included a sherry and mince pie morning, carols sung by the local girl guides. Residents are given a choice whether they wish to join in on activities and some expressed a preference for certain activities so joined in on those. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 13 Visiting arrangements are open and residents said their visitors were always made very welcome by staff. The menus were seen for a six- week period that showed that a good choice of nourishing food is offered and an alternative meal is available each day. Special diets are also catered for. Residents spoken with said they enjoyed the food and there was plenty to eat. Residents can choose where they want to eat either in the dining area or in their bedrooms. The eleven resident’s surveys completed made positive comments about the food and showed the cook gave consideration to resident’s likes and dislikes when planning menus. Elton Lodge DS0000058925.V321281.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place and all complaints are recorded, investigated and responded to following the correct procedures. Staff showed that they understood their responsibilities in reporting any allegations; incidents or suspicions of abuse to ensure the residents are protected from harm. EVIDENCE: The home’s complaints procedure was displayed in the home. The resident’s surveys indicate that the residents do know how to make a complaint. Residents spoken with said they would not hesitate to speak with the manager of proprietor should they have any concerns. All residents were given a copy of the complaints procedure on admission to the home. The complaints log showed that all complaints were recorded giving the investigations, actions and outcomes. The pre-inspection questionnaire shows that there have been seven complaints made in the past 12 months five of which were substantiated. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 15 The home has policies and procedures in place to protect residents from harm. Staff training records and the pre-inspection questionnaire showed evidence that staff have regular training on the Protection of Vulnerable Adults and are aware of their responsibilities in reporting any allegations, suspicions or incidents of abuse in the home. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and homely environment. EVIDENCE: A tour of the premises showed that all areas of the home were fresh and clean. Communal areas were comfortable and homely and well furnished. The laundry facilities were satisfactory taking into account the size and needs of the home. Residents spoken with confirmed that the home was always kept nice and clean. An environmental health inspection took place in October 2006 when the home met all requirements. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 17 The last fire safety assessment was carried out in December 2003 and all requirements made had been carried out. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels were sufficient to give the residents the care and attention they required. The recruitment procedures in the home ensure the appropriate checks are carried out on all new staff to ensure residents come to no harm. . EVIDENCE: Staff rosters were seen and showed that there is a registered nurse plus 3-4 care assistants working in the mornings and a registered nurse plus 2 care assistants in the afternoon. An extra care assistant works between 4.30 pm and 7.30 pm. At night there is a registered nurse plus 1 care assistant. Both residents and staff spoken with felt the staffing numbers were sufficient to spend time with the residents and give them the care and attention they required. The home had no staff vacancies at present. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 19 Three staff files were checked for new members of staff to ensure all the necessary checks had been completed prior to staff working in the home. All files contained evidence of having an application form, two satisfactory references and a Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) check. Although some dates of these checks could not be clarified the manager confirmed that the Protection of Vulnerable Adults (POVA) checks were always carried out prior to staff working in the home. All new members of staff commence induction training during their first few weeks of employment when they work under constant supervision. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run well by a qualified and experienced manager. Resident’s felt their views were taken into consideration and formed part of any decision making with regard to the running of the home. Policies and procedures are in place for maintaining safe working practices that ensure as far as practicable the health and safety and welfare of the residents and staff. EVIDENCE: The registered manager is experienced and competent to run the home. She has completed her Registered Managers Award in March 2006. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 21 The home is run in such a way that residents and staff feel they can talk to her on any matters and are part of any decision making within the home. The residents and relatives are sent surveys once a year and the last survey carried out was in August 2006 that generated ten responses. Any issues raised as part of the surveys were discussed on an individual basis where appropriate. Resident’s meeting are held once a month and residents said it gave them the opportunity to talk about any ideas or matters and meant they were part of any decisions that had to be made about the running of the home. There are four residents who handle their own money and finances and the home supports those residents who are able to do this. Policies and procedures are in place for maintaining safe working practices and risk assessments completed where necessary. The maintenance records showed all systems and equipment used in the home were serviced and maintained by competent persons. All accidents, incidents and injuries were reported and recorded to the appropriate authorities. Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 22 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 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 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X 3 X X 3 Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Elton Lodge DS0000058925.V321281.R02.S.doc Version 5.2 Page 25 - 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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