Care Home: Elliott Residential Care Home

Similar services:

• Hillside
• Applegarth
• Trevayler Residential Care Home
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)

What the care home does well Service users have written information available about Elliot House. Service users are involved in day to day decisions are well supported to take reasonable risks and support plans reflect their needs.They can choose the staff they want to support them. Some service users are monitored by community psychiatrists and medication and general reviews are held. There are good recruitment practises including obtaining staff checks before staff start work which contribute to good outcomes for service users in terms of protection. Service users told us, " I know I can speak to any staff." " The home helps me get things sorted." Service users told us they have keys to the front door and their own rooms. Service users live in a clean, comfortable and homely environment, which meets their needs well. Service users have been out on day trips in the summer to Cleethorpe and Skegness. These trips were planned for and agreed at the service users meetings. Service users can engage in appropriate leisure activities. Staff have received a lot of training around care practise and health and safety. Staff training is now seen as a priority by the registered provider. Service users are supported by trained and experienced staff. Staff surveys told us, "We are well trained and whatever course we need, we get." "The home makes sure the service users get the care and support they need." Good health and safety practises ensures service user`s welfare in these areas is promoted. Service users views inform the way the service is delivered. What has improved since the last inspection? Support plans are being updated with the required information with regards to guidance from other health and social care professionals. This will ensure service users assessed and changing health needs are met. Individual staff training programmes have been developed and include safeguarding adults, food hygiene and other mandatory training. This will ensure service users needs and the aims and objectives of the home are met. The complaints procedure has been updated but still needs some minor review. This will ensure it includes all the required information that service users will need. Staff recruitment records are in order and will safeguard service users from harm. Staff are receiving regular supervision and appraisals. Service users are supported by a well trained and effective staff team. To ensure service users live in a comfortable environment a programme of redecoration has been ongoing. What the care home could do better: To ensure service users complaints and concerns can be properly raised and heard, the complaints procedure should be updated to include the name and address and telephone number of the Care Quality Commission (CQC). Key inspection report Care homes for adults (18-65 years) Name: Address: Elliott Residential Care Home 46-48 Highfield Street Leicester LE2 1AD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Helen Abel     Date: 2 3 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Elliott Residential Care Home 46-48 Highfield Street Leicester LE2 1AD 01162544458 01162544458 elliott4648@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Elliott,Mr M Elliott care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No person to be admitted to Elliott Residential Care Home in categories LD or MD when 17 persons in total of these categories/combined categories are already accommodated in this home. Date of last inspection Brief description of the care home The home is situated on 46-48 Highfield Street just off London Road, and a short distance from Leicester city centre. The home has 17 places for people with learning disabilities andor mental health needs. It is close to bus routes, a mainline train station, shops, and a variety of places to eat and drink. There are two lounges, a dining room, and a smoking area. To the rear of the home is a secluded paved garden with plants and a fountain. The home has two cats. The weekly fees range from £309-£399 per week - this information was provided on the inspection day. There are additional costs for expenditure such as hairdressing, private chiropody, toiletries, newspapers. A copy of the latest inspection report is available from the home. Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 0 17 17 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was a Key Inspection that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for younger adults. The Inspector spent time planning the areas to focus on based upon information gained from reviewing the homes service history, the last inspection report, the Annual Quality Assurance Assessment (AQAA), and service users & staff surveys. The people living at Elliot House prefer to be called service users and are currently all male. The primary method of inspection used was case tracking that involved selecting three service users and reviewing the care that they received through inspection of the written information available on their care, such as the care and support plans. Discussions took place with service users and staff. The registered provider was present on the day of our visit. Care Homes for Adults (18-65 years) Page 5 of 25 The visit was unannounced and started at 3.10pm in the afternoon and took place over a period of four hours. In addition policies and procedures and records in relation to service users, staff recruitment, complaints, and upkeep of the home were viewed. Upon our arrival, service users were getting ready to eat an evening meal of curry, rice and pitta bread. Due to the service users personal capacities, we will not be providing the inspection report summary in an easy read format. The quality rating for this service is 2 Star. This means the service users experience Good quality outcomes. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 7 of 25 To ensure service users complaints and concerns can be properly raised and heard, the complaints procedure should be updated to include the name and address and telephone number of the Care Quality Commission (CQC). 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessment procedures ensure service users needs and aspirations can be met. Evidence: An assessment process take place before the new person moves into the home. This includes the manager visiting the person in their current setting, collecting assessments from all professionals involved and arranging time for the person to visit and sample the atmosphere. An overnight stay is encouraged. There is a Statement of Purpose and a Service User Guide available to all prospective and current service users. This provides clear information to help people understand what a specialist service the home provides.The admission process is outlined in the Statement of Purpose. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are involved in day to day decisions are well supported to take reasonable risks and support plans reflect their needs. Evidence: Three support plans were examined. They were detailed and and covered all aspects of support in relation to mental, physical and social needs. Service users have signed their support plans copy, and many of the homes key policies and procedures have been signed by them and were seen held with together their support plans. Support plans are regularly reviewed and changed to reflect changing needs. The registered provider and acting manager is keen to ensure all support plans are updated. This will ensure service users have confidence that their assessed and changing needs and personal goals are reflected in their individual plan. Service users are supported to make decisions about their lives in relation to such areas as decor, food, social and vocational activities. Most service user manage their Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: own finances. Service users told us: I am a strict vegetarian.They meet my dietary needs well. I have got a review in the new year, and I can decide what I want to do. I can come and go as I please, as long as I let them know when I will be back. Its alright here. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users have opportunities to engage in vocational, leisure and community activities, are given support in maintaining links with family and friends and enjoy varied and nutritious food. Evidence: Service users may use board games that are also accessible for people with faded sight. There are daily light activities of armchair activities, reading magazines and newspapers, music singalongs, crossword puzzles. Some service users attend day centres, some people help around the house with light domestic duties and assist with purchasing ingredients locally for meals. Service users are supported to visit places of worship in the community. Service user are actively supported to maintain contact with their family and friends. Relatives are free to visit within the times of the agreed visitors policy. Service users Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: have access to a wide range of shops, pubs and bars and eateries, with buses and Leicester train station a short walk away from the home. Service users have been out on day trips in the summer to Cleethorpe and Skegness. These trips were planned for and agreed at the service users meetings. Service users can engage in appropriate leisure activities. The meals are organised in consultation with the service users. A list of likes and dislikes is displayed in the kitchen and staff knew about service users individual dietary and cultural needs. Curry and rice and pitta bread was being served for dinner. A Christmas buffet was being prepared and was served later that evening. A good variety of food was made available. Service users were complimentary about the food, and the staff that do the cooking. Service users surveys told us, I enjoy living here, friendly people. It is fairly good The food is good and the place is kept clean and tidy. The home could make people shut the door behind them and stop the cold coming in. I would like to suggest we have dover sole, scampi, steak diane, prawn cocktail, and French toast please. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users receive appropriate personal support and their health and medication needs are well met. Evidence: Service users support needs are clearly documented and they can choose the staff they want to support them. Some service users are monitored by community psychiatrists and medication and general reviews are held. Good arrangements are in place for accessing additional support from physiotherapists and other professionals to meet additional physical health needs that some service users have. There are generally good systems for storing, recording and administering medication. Most staff have received accredited medication training. Staff on duty during our visit were aware of service users needs around their medication and how to report any concerns. Care Homes for Adults (18-65 years) Page 15 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users concerns are acted upon and good systems are in place to protect them. Evidence: Service users meetings are held regularly. Service users will begin running their own meetings from early 2010. One of the service users will chair and run the meetings. Service users opinions are also surveyed as part of the quality monitoring process. Service users views are listened to and acted upon. The complaints procedure is made available in the written information and clearly displayed in the home. This information needs updating to include the current Care Quality Commissions (CQC) full contact details.This will ensure service users have access to current information in order to raise a concern or complaint. Service users told us, There was an incident last month with another service user. I told the acting manager he dealt with it straight away. The other person was told not to do it again. He dealt with it well. The surveys told us, They look after your needs I know I can speak to any staff. The home helps me get things sorted. Staff have received safeguarding adults and mental capacity act and deprivation of liberties training. All this learning ensures staff are aware of what abuse is, how to report concerns and the safeguards that exist for service users protection. Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: There are good recruitment practices including obtaining staff checks before staff start work which also contribute to good outcomes for service users in terms of protection. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users live in a clean, comfortable and homely environment, which meets their needs well. Evidence: Elliot House is in keeping with the local community with some parking on the main road at the front of the home. Both communal and bedrooms are spacious, and generally well decorated, furnished and maintained. All areas appeared clean. Service users told us they have keys to the front door and their own rooms. Some staff members have undertaken training in infection control. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported and protected by well trained staff and through recruitment practices. Evidence: All staff are on new and ongoing training programme that is linked to the aims and objectives of the home. Staff have received a lot of training around care practise and health and safety. Staff training is now seen as a priority by the registered provider. Each staff member has a training and development record. Service users are supported by trained and experienced staff. Staff surveys told us, We are well trained and whatever course we need, we get. The home makes sure the service users get the care and support they need. Staff have apprasils with the registered provider and staff performance is also checked by service users via their own meetings and being involved in new staffs appointment, induction and staff trail periods. Service users benefit from determining staff training needs and plans. Three staff recruitment files were checked and appeared in order with all the relevant Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: staff checks taken place before staff start working in the home. This ensures service users are safe and supported by the homes recruitment policy. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good health and safety practise ensures service users welfare in these areas is promoted. Service users views inform the way the service is delivered. Evidence: The acting manager works alongside staff with service users in the home. Service users spoke positively about him. He works closely with the registered provider, and meets regularly to discuss operations and make improvements in the home. He is currently developing service users support plans. He is being considered to be the Registered Manager. When we visited he was working away from the home with a service user. Service users representatives are invited into staff meetings, attend their own service users meetings and are able to have input into how the home is run. Good systems are in place to ensure safe working practises in the home. Risk assessments relating to safe working practices are in place and these are regularly reviewed and updated. Staff have received training in first aid, food hygiene, moving Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: and handling and fire safety. Service users and staff health and safety is promoted and protected. Care Homes for Adults (18-65 years) Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 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, Care Homes 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 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 22 To ensure service users complaints and concerns can be properly raised and heard, the complaints procedure should be updated to include the name and address and telephone number of the Care Quality Commission (CQC). The same shall apply to the Statement of Purpose. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!