Inspection on 16/05/05 for Elton Lodge

This inspection was carried out on 16th May 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 10/10/05

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 Sheila Gawley Unannounced Monday 16 May 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 V226136 160505 Stage 4.doc Version 1.30 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 01903219082 Elton Lodge Limited 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 V226136 160505 Stage 4.doc Version 1.30 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 21 10 04 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 V226136 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 16 05 05. The premises were inspected, residents, visitors and staff spoke to and all expressed that a high standard of care was offered. The premises was noted to have been redecorated at the last inspection and remains in good decorative order however a plan of refurbishment is commencing today with the installation of a new passenger lift. That will be followed by work to the bathrooms, bedrooms and a kitchen refurbishment. The person in charge discussed the planning and resident involvement necessary to carry on care in the home amid this work. The overall standard of care observed was good and there was evidence that the needs and opinions of residents are taken into consideration. Residents mainly felt they could complain and one verbal complain made known on the day is dealt with later in the report. What the service does well: What has improved since the last inspection? What they could do better: A complaint highlighted the fact that supervision of staff could be improved. This to be explored more fully at the next inspection Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 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 V226136 160505 Stage 4.doc Version 1.30 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 V226136 160505 Stage 4.doc Version 1.30 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) 3,4 Residents have their needs assessed prior to admission and their relatives/representatives have knowledge of how the home will meet their needs EVIDENCE: The person in charge confirmed that residents receive assessment prior to admission. Residents and relatives spoken to confirmed that they were assessed prior to admission and that they had knowledge of facilities offered in the home. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 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) 8,10 Resident’s health needs are met. Residents are treated with privacy and dignity EVIDENCE: The person in charge stated that all needs are met and that outside professionals are contacted as appropriates. On relative stated that the RN in charge today had been particularly good at “getting Mum sorted”. He was very grateful. Staff were observed interacting appropriately with residents and offering care in a respectful manner. Residents commented that carers are kind. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 10 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) 12-15 There is an activities programme on display with a range of events. Residents maintain contact with relatives and friends and community activities and they have choice and control in their lives. An appealing and nutritious menu is served. Residents have choice and control over their lives. EVIDENCE: An activities programme is on display and there are regular events. The kitchen was inspected and some deficits were noticed such as drawer fronts and a cupboard door missing. There are detailed in the environmental report seen which states that they can be replaced within the plan for refurbishment. The meals observed being prepared and served were well presented, nutritious and were enjoyed by residents. Those who chose to do so had their meals served in their bedrooms. Some residents require soft diet and this was supplied. Residents spoken to expressed satisfaction with the meals. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 11 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 Resident’s complaints are listened to and acted upon. Residents are protected from abuse EVIDENCE: Residents and visitors spoken to stated that they were very happy with the care and were treated with respect. Most know how to make a complaint but do not need to do so. One resident spoken to stated that she had been put on the commode and left for a long time by a nurse working on night duty. She also stated that the staff member was disrespectful. This resident wished to remain anomies and said that she would discuss this with the manager on her return from laver. She does not wish to speak to anyone before then as she is happy with other aspects of the home and is very pleased in the improvement in her health since admission to the home. She gave permission for me to contact the manager to ensure this was being dealt with. The person in charge on the day stated that Abuse training is in place and abuse policies and procedures were seen in the office. The manager was spoken to on 23 05 05 and she stated that she had identified the nurse involved and that it seems the resident was put on the commode at changeover time and the day staff had not been informed, therefore the day staff found the resident sometime later. The manager stated that there have been some issues with this staff member before and is writing to her inviting her to interview to discuss the issues raised by this complaint. The manager feels this is training and supervision issue that she is willing to address to ensure it does not reoccur. She will move the staff member to day Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 12 duty to ensure supervision. The manager’s approach to this complaint is appropriate. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 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) These standards were not assessed as they were met at the last inspection and the home is about to be refurbished facilities will change. EVIDENCE: Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 14 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) 27, 30 Resident’s needs are met by the numbers and skill mix of the staff. Training is in place to ensure staff are competent. EVIDENCE: Adequate numbers of staff were on duty with kitchen and domestic support. Staff spoken to stated that suitable numbers are on duty, Residents spoken to stated that do not have to wait too long when they use the call bell and 2 visitors spoken to stated that the find the carers come quickly. There is a comprehensive training programme in place and staff individual training files were inspected at the last inspection and met the standard. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 15 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) 32,33,38 Resident’s benefit from the management ethos of the home. The home is run in the best interests of the residents. The health, safety and welfare of residents is promoted and protected. EVIDENCE: All residents, relatives and visitors spoken to stated that the manager is approachable and problems can be brought to her. The recent consultation with the residents on moving rooms due to the refurbishment and the thought the management put into the best place for each resident is evidence that the home is run in the best interests of the residents. Discussion with the responsible individual and the manager evidenced that the home has appropriate health and safety policies in place with systems available to support these to ensure the health, safety and welfare of staff. Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 16 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 x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 3 3 x x x x 3 Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 17 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 Good Practice Recommendations Elton lodge H60-H11- S58925 Elton Lodge V226136 160505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN111RY 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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