Care Home: Elizabeth House [Poole]

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What the care home does well We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents` needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. Care plans were up to date and fully informed staff of how to care for each resident. The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for all medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection.Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analysed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. What the care home could do better: Where fluid charts are being maintained, these should be totalled each day and action taken in line with a person`s care plan to ensure that they receive sufficient fluid intake. Photographs must be taken of all the staff. Random inspection report Care homes for older people Name: Address: Elizabeth House [Poole] Dolbery Road Parkstone Poole Dorset BH12 4PX two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Martin Bayne Date: 2 2 0 6 2 0 1 0 Information about the care home Name of care home: Address: Elizabeth House [Poole] Dolbery Road Parkstone Poole Dorset BH12 4PX 01202744545 01202307640 elizabeth@care-south.co.uk www.care-south.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Christine Kerr Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care South care home 43 Number of places (if applicable): Under 65 Over 65 11 11 31 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 One named person (as known to CSCI) under the age of 65 may be accommodated within the category of PD (Physical Disability). This condition will not apply after the persons 65th birthday. The person as referred to in condition (1) may be accommodated under the age of 65 (this condition will not apply after the persons 65th birthday) Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Elizabeth House is a large, purpose built home in the Parkstone area of Poole. The building is leased from the Borough of Poole and managed by Care South, a local nonprofit making organisation that owns and manages various care homes and community services in Dorset and the South West. The home is registered with the Care Quality Commission to accommodate a maximum of 43 adults over the age of 65 years, with 11 of these places being registered to accommodate service users with specialist mental health needs, 11 with dementia related needs, and the remainder to accommodate service users with needs relating to old age. No nursing care is provided by the home. Accommodation is offered over two floors, accessed by a 6-person passenger lift. There are various communal areas, thirteen W.C. s seven on the ground floor and a further six upstairs. There are 6 bathroom facilities with assisted baths and all bedrooms are single. Two have en-suite facilities. There is a large conservatory and a secure garden and courtyard area, with further lawn and wooded garden areas. The home is close to many local amenities, and offers access to a main bus route serving nearby towns and villages. Care Homes for Older People Page 3 of 9 What we found: At this random inspection we reviewed the records for the last two people admitted to the home. We spoke with one of these residents, although owing to their mental frailty, they were not able to provide an account of what it was like to live at the home. As part of this review we also looked at how these two residents medication was administered and managed, as well as looking at the management of controlled drugs. We reviewed the recruitment records for the last two members of staff to be appointed to work at the home and were able to speak to one of these staff members. We also carried out a tour of the premises and reviewed accidents and notices sent to the Commission. Since the last key inspection, the Registered Manager has ceased working at the home. We were assisted throughout the inspection by the acting manager, who is currently applying to become Registered Manager of the home. We also met with the area manager for the organisation. The two residents we tracked through the inspection were both in hospital at the time a referral for a placement was made to Elizabeth House through care management arrangements. Both had been visited in hospital to have their needs assessed before the decision was made to offer a placement at the home. We saw that a copy of the care management assessment had also been obtained and used to gain information about the needs of these residents. These procedures ensure that the home only admits those people whose needs can be met at the home. We saw that the pre-admission assessments had been recorded on a template that covered all of the topics within the National Minimum Standards and had been signed and dated. We found that on admission to the home, further in-depth risk and other assessments were completed. These included a nutritional assessment, a falls risk assessment, general risk assessment, skin care assessment and medication assessment. The care files were well-ordered and the care plans reflected the needs of residents concerned, informing staff on how to support each person. We saw that the care plans were being reviewed each month or when care needs changed. We also saw that a photograph of the resident concerned was placed at the front of their care plan so that they could be readily identified. One of the residents we tracked had only been admitted to the home within the last week and so their photograph, although taken, had yet to be placed on their care plan. We saw that generally, residents or their representatives had signed to say that they had been involved in developing the care plans. Concerning one of the residents, their fluid intake was being recorded on a fluid chart, as they had been assessed as being at risk of developing urinary tract infections. The fluid charts had been completed, however the total fluid intake each day had not been calculated, which would have informed that this person was not always having the recommended fluid intake each day. We recommend that action is taking to ensure that when fluid intake is being monitored, daily intake is totalled and if below the recommended amount, this leads to intervention in line with the persons care plan. We looked at how medication was managed within the home by looking at the medication administration records for the two residents we tracked through the inspection, as well as looking at management of controlled drugs. The medication administration records for the two residents had been completed with no gaps within the recording. There was evidence Care Homes for Older People Page 4 of 9 of good practice of any known allergy from which a resident suffers being recorded at the front of their medication administration records; and that where hand entries were made to administration records, a second member of staff had checked and signed that the entries had been made correctly. We found that the home had suitable storage facilities for storing both controlled and non-controlled medications held in the home. We saw that the controlled drugs were being administered and recorded correctly when these were prescribed to residents. As part of this inspection we carried out a tour of the premises, which were clean and free from adverse odours with furniture and fittings in good repair. We saw that residents were able to bring their own possessions and furniture to personalise their rooms. All radiators in residents bedrooms have been covered to eliminate the risk of residents receiving burns from hot surfaces. We were told that by the end of July, the radiators in all the bathrooms will also be covered. Thermostatic mixer valves have been fitted to hot water outlets to protect residents from scalding water. Windows above ground level have had window restrictors fitted to eliminate potential falls from windows. The home has well maintained and enclosed gardens for the enjoyment of residents. We saw that the home had suitable laundry facilities for meeting the laundry needs of the home. We looked at the recruitment records for the last two members of staff recruited to the staff team. We found that all of the recruitment checks had been carried out and the required records in place for one of the staff; such as, the taking up of appropriate references, criminal record bureau check and a check against the register of adults deemed unsuitable to work with vulnerable adults, a health declaration, full employment history with gaps explained and the reason why staff left positions of care. In respect of the second member of staff, there was no photograph on file as required. We require that the home has a photograph of all its staff members. We looked at the homes accident book and found accidents had been recorded correctly and that notifications had been sent to the Commission as required. We also saw that there was a regular review of all accidents that occur in the home, looking at any trends that could reduce the risk of accidents in the home. What the care home does well: We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. Care plans were up to date and fully informed staff of how to care for each resident. The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for all medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection. Care Homes for Older People Page 5 of 9 Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analysed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 29 19 We require that the home has a photograph of all its staff members. So that staff members can be identified. 05/07/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 8 Where fluid charts are being maintained, these should be totalled each day and action taken in line with a persons care plan to ensure that they receive sufficient fluid intake. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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