Inspection on 22/07/05 for Ernest Luff Home

This inspection was carried out on 22nd July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ernest Luff Home 08/09/08

Ernest Luff Home 06/09/07

Ernest Luff Home 23/11/05

Ernest Luff Home 02/06/04

Ernest Luff Home 18/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Ernest Luff 2-4 Luff Way Garden Road Walton On Naze Essex CO14 8SW Lead Inspector Clare Walker Final Unannounced 22 July 2005 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. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ernest Luff Address 2-4 Luff Way, Garden Road, Walton On Naze, Essex CO14 8SW 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) 01255 679212 01255 674414 auriolegtbentley@fg.co.uk The Ernest Luff Homes Limited Mr Derek William Carpenter Care Home 65 Category(ies) of Old age, not falling within any other category registration, with number (65) of places Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/02/05 Brief Description of the Service: The Ernest Luff home is located in walton on the Naze and consisits of two residential units for older people housed on one site. The home is able to accomodate 65 people. Each person has their own room and many rooms are en-suite. Accomodation is provided over two floors in each building with a pasenger lift to give access. the home was established to run along christian principles and still has a strong christian ethos. Surrounding the home is a grassed area and there is an enclosed garden. Ample parking is provided at the front of the building. Next door to the property is sheltered housing run by the same charitable foundation. Opposite the home is a shopping centre and a church. Public transport is close by. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place on 22 July 2005 over 5 hours. The inspection included a tour of the buildings, discussions with 6 residents, 2 senior care staff, 1 carer and the manager. 11 care files were sampled, staff files were seen as well as health and safety certificates. Ennest Luff Home offers a good standard of care to older people in a homely and well-maintained environment. Residents spoke highly of the care that they received and the respect that is shown to them by staff. “This place is 100 ””I am happy here and feel safe”,”All the girls are really good and helpful..if they can’t do something straight away they always come back to do it” There are regular activities that include physical exercise, quiz afternoons, piano playing and sing-a-longs. Each week there is a Christian service as well as fellowship and bible readings. Individuals spoke of the choice that they had to join in activities or not. Some prefer to spend time reading, knitting or listening to the radio or TV in their rooms. The food was praised as being varied and good. “Meals are very good lots of different things” ”I really like the food here”. Individuals are encouraged to bring possessions from their previous home to make their room personal. Some have people included furniture as well as pictures and ornaments. Family and friends are actively encouraged to visit and many residents spoke of visitors being made welcome. There seemed to be good communication between residents and the staff group. What the service does well: The home provides a warm and caring environment. Individuals are encouraged to take part in activities that continue their connections with families, friends and the local community. Spiritual life is a corner stone of the homes functioning. The environment is well maintained. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 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. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 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 Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 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) 3,5 (6 this service is not offered.) An appropriate assessment of need is made before a person moves into to the home. There is opportunity for people to visit and have a trial stay prior to moving into the home on a permanent basis. Initial planning includes families, friends or representatives. EVIDENCE: There is a pre-assessment form that is completed which outlines the persons needs prior to moving into the unit for a trial period. Once a person moves in a full assessment of need is carried out during the first 2-4 weeks of their stay. This assessment allows individuals to decide if the home is suitable for them and whether the home has the resources to meet the individuals needs. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 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) 7,9,10 Service user plans include health, personal and social care needs. There are clear medication procedures and policies for dealing with medication including self-medication. Respect and dignity is shown to service users. EVIDENCE: The care plans seen demonstrate the homes attention to service users health, social, personal and spiritual needs. Service users said that they felt respected by the staff. Observation of practice demonstrated this. Medication procedures were adequate and practice observed followed procedures. An individual who self medicates does have a locked box for this medication. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 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) 12,13,14,15 A regular programme of activities provides stimulation. Service users have choice as whether to participate or not in activities. Contacts with family, friends and the local community are encouraged. There is a varied diet that takes account of preference and offers choice. EVIDENCE: Service users spoken with felt that the home catered for their needs particularly companionship and Christian fellowship. Individuals said that they could choose rising and bedtimes and how they spent their time. Individuals said that the food within the home is good and varied. There is a weekly menu and individuals choose from three choices for each meal a week in advance. A change in choice can be made up to 10 am on any day. There is always a vegetarian option. Drinks were observed to be freely available. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 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 There is a clear complaints procedure. EVIDENCE: There are no outstanding complaints and there have been none for over a year. Service users spoken to said that they would be confident to make a complaint to the manager. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 12 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) 19,21,23,24,25,26 The environment is safe and well maintained. There are sufficient lavatories and washing facilities. Individuals’ rooms are fit for purpose, comfortable and include personal possessions. All furniture and fittings are suitable and comfortable contributing to a homely environment. The home is clean and hygienic overall. EVIDENCE: The home is well furnished and decorated in a style that is suitable to a homely environment. There is some internal building works taking place to create more en-suite facilities and the works are managed to maximise the safety of service users. There are adequate bathrooms but the shower heads over two baths were found to need de-scaling and the Jacuzzi bath needs either indepth cleaning or replacing. The manager saw the problems and made a note during the tour of inspection. Rooms seen were well furnished and individualised. Overall apart from the bathroom problems noted the cleaning was of a high standard and the communal areas of the some show attention to thought and detail including plants and flowers. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 13 Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 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) 29,30 Recruitment policy and practice safeguards the service users. Staff are trained and are competent. EVIDENCE: There are 41 staff 20 have an National Vocational Qualification of level 2 6 staff are awaiting work to be assessed. There is also a staff training programme which has dates booked for all mandatory training. Staff spoken to demonstrated their understanding of their role, responsibility and function. All staff files reviewed showed that criminal record bureau checks and references are taken up before the individuals begin work. Two files showed that photographs of the staff members are needed. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 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) 31,32,33,34,36,38 The registered manager has skills, experience and knowledge for the job. The leadership, ethos and management of the home has the interests of the service users at the centre of the service offered. A quality process is in place. There are clear accounting systems for safeguarding service users money. Health and safety is promoted and protected. EVIDENCE: The registered manger has the skills knowledge and experience for the job and is completing his registered managers award. A open ethos and leadership style was observed and staff and residents seemed at easy communicating with the manager. The service users are at the centre of the running of the home. A quality process is in place however the outcome of the questionnaires completed has not been collated and therefore has not informed practice or developments within the unit. Monies held for residents by the home have a clear accounting system which is administered by the manager. Staff are Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 16 informally supervised but there is no formal supervision in placed. A review of the health and safety certificates showed all to be in place and up to date. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 17 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 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 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 3 x 2 x 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 2 3 x 1 x 3 Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 18 yes 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 op21 Regulation 13(3) Requirement The registered manager must ensure that 1) the jacuzzi bath is throughly cleaned to remove staining,rust and limescale or replace the whole facility. 2) all showerheads are descaled and fully functioning The registered manager must ensure that each staff file has a photograph of the person employed. The registered person must ensure that the information from quality assurance questionaires is collated and the outcomes of that collation to be used in the annual development plan and to inform practice.(Repeat requirement.) The registered manager must ensure that care staff formal supervision at least 6 times per year and that the supervion sessions include all aspects of practice,philosophy of care in the home, career development needs.(Repeat requirement.) Timescale for action By 1st September 2005 2. op30 Schedule 2 24(1)(a)( b)(2)(3) By 1st September 2005 By 1st of September 2005 3. op33 4. op36 18(2) By 1st September 2005 Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 19 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 Schedule 4 (10) Good Practice Recommendations A record of furniture bought by a service user into the room occupied by him. Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex C01 1RJ 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 Ernest Luff I56-I05 S17812 Ernest Luff V238160 UI 220705 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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