Inspection on 25/10/05 for St Elmo Care Home

This inspection was carried out on 25th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

St Elmo Care Home 13/02/08

St Elmo Care Home 25/07/06

St Elmo Care Home 17/05/04

Similar services:

St Vincents

Hamilton House

The Cotswold Home

Newbeech House

Newbeech House

Winton House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE St Elmo Care Home Gorley Road Poulner Ringwood Hampshire BH24 1TH Lead Inspector Keith Hopkins Unannounced Inspection 25th October 2005 1:15 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 St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Elmo Care Home Address Gorley Road Poulner Ringwood Hampshire BH24 1TH 01425 472922 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) St Elmo Care Home Ltd Mrs Marese Carol Mary Pitman Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: St Elmo is set in a residential area close to local amenities and about half a mile from Ringwood town centre. It provides residential care for up to 23 elderly residents, many of whom have dementia. The home is on ground and first floors and there is a stairlift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Seventeen of the bedrooms are single and three are doubles. Five of the single rooms have an en suite toilet. There are two communal toilets on the ground floor and a bathroom on the first floor. There is a garden to the side and front of the property. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a half hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and deputy manager. At the time of the inspection a pre-planned training event involving an external trainer and the majority of the home’s staff meant that the inspector was unable to interview staff on this occasion. Most of the residents were seen to be using the communal areas and several were spoken with briefly in the main lounge, although as the majority of residents have dementia detailed conversations were not possible. The inspector was however able to speak at some length with a visitor. What the service does well: What has improved since the last inspection? Since the last inspection the home has updated its Statement of Purpose and produced an attractively presented brochure. Staff have been more comprehensively trained and residents’ relatives have been consulted on the service offered. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 6 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. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 the following standard(s): 1. Potential new residents are provided with a good level of information about the home before deciding whether to move in. EVIDENCE: Since the previous inspection the home’s Statement of Purpose has been updated and made available to those residents who are able to understand the content. The inspector also saw a copy of an attractively presented colour brochure, made available to enquirers and which states ‘ It is worth taking time and trouble to find a home exactly fitting your requirements. Please phone for an appointment to look around and discuss your care needs in detail and without any obligation’. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 the following standard(s): 9. The home has a sound policy for dispensing medicines, although residents’ safety could be improved by more stringent checking and recording of medicines dispensed. EVIDENCE: The home has a policy for dealing for dealing with medication and uses a monitored dosage system for dispensing. At the time of the inspection medicines were securely stored. Examination of the medication administration records showed that for one resident an omission had been made in that a record had not been made of the medicines dispensed that lunchtime. This appeared to relate to what seemed to have been a pharmacist error in making up the sealed containers. The deputy manager said that she would contact the pharmacy about this. The inspector was informed that no residents are currently able to deal with their own medication, and written risk assessments supported this statement. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged and appreciate the welcoming and homely atmosphere, one commenting that she ‘couldn’t fault the home’. EVIDENCE: At the time of the inspection several residents were relaxing in the lounge, whilst others had chosen to spend time in their bedrooms. Communion is held every month. A singer visits on a regular monthly basis, and internal activities include playing board games, with an ‘extend’ exercise class also being provided on a regular basis. The inspector saw the activities folder, which provided information and ideas for staff to stimulate residents’ interest. During the summer a ‘cream tea’ and a ‘summer supper’ had been held and were attended by some 35 to 40 relatives. A barbeque had been held on 9th August. The inspector was informed that an activities course arranged by the local branch of Age Concern had been attended by three members of staff and that there were plans to involve an occupational therapist in the home. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 11 Visitors to the home are made welcome, the inspector observing that a visitor was offered refreshments by a member of staff. The visitor said that there were ‘good meals‘ provided at the home and that it ‘couldn’t be faulted’ The home’s menus were examined and were varied, with individual preferences known to the cook. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. The home has a suitable complaints procedure, which residents’ representatives are aware of. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a complaints procedure, a copy of which is sent to residents’ representatives at the time of the person’s admission to the home. A copy of the procedure was on display in a prominent position in the hall. A visitor to the home said that she had no complaints but would know what to do if she had. There have been no complaints for the home to deal with since the most recent inspection. The home also has a policy and procedure relating to adult protection. Staff have been trained in this. Both the manager and deputy when spoken with showed a sound awareness of adult protection issues and of whistleblowing and said that they had a good degree of confidence that staff would inform them about suspected abuse. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 the following standard(s): Outcomes for this group of standards were not inspected on this occasion as they were inspected on the previous inspection. EVIDENCE: St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30. Residents are cared for and supported by a well-trained staff group. EVIDENCE: The inspector examined staff training records. All carers have completed moving and handling training and all staff who handle medication have received training in this. Upon completion of the fire training being undertaken at the time of the inspection all staff would have been suitably trained. Other training undertaken by staff includes first aid and basic food hygiene. Health and safety training is to be provided on the 17 November 2005 and training in infection control has been arranged for December 2005. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed with residents’ representatives having a clear and accessible means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. EVIDENCE: The manager has a considerable number of years experience of managing care in a number of settings and has been particularly involved in training. The home’s deputy is also experienced and has obtained NVQ Level 4 in management and care. In July 2005 residents representatives were surveyed and 13 responses were received. The results were positive with 92 of those polled saying that the overall quality of service provision at the home was either ‘excellent’ or ‘good’ with 8 saying it was ‘fair’. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 16 The inspector was informed that no current residents are able to handle their own monies, which are dealt with by relatives or representatives. Should the home need to purchase any minor items such as personal toiletries then this would be done through the homes petty cash system and the relative or representative billed accordingly. The homes laundry has a washing machine which is capable of achieving a washing temperature sufficient to disinfect soiled linen. There is also a tumbledrier. The inspector examined a sample of the homes policies, which included those relating to health and safety and procedures for dealing with COSHH items. Weekly health and safety checks around the building are undertaken together with a room by room risk assessment. St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 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 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP99 Regulation 13 Requirement The home must ensure that all medicines given are recorded. Timescale for action 25/10/05 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 St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 St Elmo Care Home DS0000062111.V261414.R01.S.doc Version 5.0 Page 20 - 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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