Care Home: Elton Lodge

Similar services:

• The Shelley
• Thorndene
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court

What the care home does well Elton Lodge provides a good standard of care to vulnerable people. The atmosphere was calm and relaxing. Staff were observed interacting with residents in a respectful way. Residents said they were able to participate in a varied activities programme and go out regularly with staff members. Some of the residents were happy to discuss the care provided at the home and all gave positive feedback. Staff members on duty were able to demonstrate a sound understanding of the needs and preferences of the residents. The administrative/recording systems to support care practice in the home are well organised and information is easily accessible for staff. What has improved since the last inspection? Since the last inspection the home has undergone several new areas of refurbishment and improvement. A new call bell system has been fitted. Fire doors throughout the home have been upgraded. The lounge and dining room area has been redecorated and refurbished. An upstairs bathroom has been refurbished and fitted with a walk in shower. An additional patio area has been built in the rear garden to increase seating areas for residents and a new hoist has been purchased. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Elton Lodge 22/24 Selden Road Worthing West Sussex BN11 2LN Lead Inspector Beth Tye Unannounced Inspection 18th March 2008 09:30 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 Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 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. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 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 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) 01903 230798 01903 219082 Elton Lodge Limited Mrs Susan Jane Lamb Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (6), Physical disability of places over 65 years of age (6) Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. only persons over the age of 50 years may be accommodated in the category physical disability(PD) A total of 21 persons may be accommodated at any one time Date of last inspection 11th December 2006 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 Sue 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 DS0000058925.V359329.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Prior to the inspection all relevant information and correspondence relating to the home was examined including the service history and Annual Quality Assessment document, which was completed by the homes manager. During the course of the inspection the inspector spoke to some of the people living in the home and spoke at length to the manager and provider. A tour of the premises was undertaken. The inspector observed residents participating in a craft activity, lunch being served and staff interaction with residents. Three care plans and four staff files were examined and the inspector saw other records including, resident questionnaires, staff training, supervision and appraisal records, maintenance, incident and accident reports and all those relating to health and safety. This is the first inspection of 2007/2008 This is called a key inspection and will determine the frequency of visits/inspections hereafter. What the service does well: What has improved since the last inspection? Since the last inspection the home has undergone several new areas of refurbishment and improvement. A new call bell system has been fitted. Fire doors throughout the home have been upgraded. The lounge and dining room Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 6 area has been redecorated and refurbished. An upstairs bathroom has been refurbished and fitted with a walk in shower. An additional patio area has been built in the rear garden to increase seating areas for residents and a new hoist has been purchased. 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. The summary of this inspection report can be made available in other formats on request. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 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 Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. To ensure residents needs are met appropriately by the home, the manager carries out a full assessment prior to admission. Each resident is provided with a written contract of terms and conditions, which is signed by all involved parties, so residents are clear about their rights within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit, pre-admission assessments were examined for three residents. These identified relevant areas of need including; mobility, communication, health and social needs. This information is then translated into care plans and reviewed on a monthly basis by the manager. Risk assessments were in place for each of the three residents and these contained information relating to their specific needs and assessed areas of risk. This promotes independence for residents in all aspects of daily living. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 9 All records are kept in a locked cabinet only accessible by care staff to ensure confidentiality. Residents spoken to confirmed they are given up to date information about the home prior to admission, including a Service Users guide and complaints procedure. This information helps them (and their families) to make an informed decision about moving to the home and what to expect. All residents have received a copy of their Terms and Conditions for the home, which they or their families had signed following admission. This informs residents of their rights and what to expect of the home. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. All residents have a detailed care plan that identifies the support and care they need. Medication procedures in the home ensure safe practice. Staff respect resident’s privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans of residents were examined as part of the case tracking process. Each care plan contains relevant details relating to the residents health needs and social well being. Information was up to date and easily accessible. There was evidence to demonstrate the manager undertakes monthly reviews and up dates the care plans as changes occur. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 11 Individual risk assessments held on care files support residents to maintain independence where possible and ensures they are safe within their environment. Case tracking, feedback and discussion with the residents confirmed good practice is maintained in the home. Residents and relatives commented ‘the staff are always friendly and professional’ and ‘everything here is efficient, they know my mum well and cater for her needs’ Staff complete a full induction and mandatory training programme. This training provides staff with the skills and knowledge base to respond appropriately to resident’s health care needs. Specialist health needs are referred to community-based professionals via the GP’s. Correspondence held in individual files supported this. Pressure-relieving equipment was seen in use and the residents who needed nursing care had adjustable beds. There are two hoists in the home, one standing and one sitting. A Chiropodist visits the home on a six weekly basis and a hairdresser visits on a weekly basis. The residents seen during the visit were very tidy in appearance wearing appropriate clothing with their nails and hair well groomed. Most residents were alert and cheerful. Staff were observed communicating with them in a caring and respectful manner. In relation to health and personal care needs, observation and feedback from residents and relatives reflected that individuals are treated with respect by staff, and their privacy and dignity is upheld. Staff receive medication training in house. The manager, who is a trained nurse, audits the homes medicines and records on a regular basis. The home has an up to date policy, procedure and code of practice relating to dispensing medication. Medication charts and storage of medicines within the home was examined. Records seen were in good order, demonstrating staff follow appropriate procedures. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. A range of activities is offered within the home. The meals are nutritionally balanced and varied according to dietary requirements and preference. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities are organised at the home on a regular basis, offering stimulation to those residents who are less able to explore interests outside the home. These include art and crafts, music, exercises, coffee club and games. The provider of the service visits the residents each week and most often takes them out on trips to the local community. Residents said they are given the choice as to whether they join in on activities. Residents confirmed that they can choose what they want to do as far as social events and also what times they go to bed and get up in the morning. Flexibility enables individuals to have choice and express a preference in their daily routines. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 13 Residents confirmed that the visiting arrangements for the home are open and visitors can come and go as they please and are made welcome by the staff. Resident’s meetings are held once a month where any matters are discussed and these meetings give the residents the opportunity to give their comments on how they view the home. Staff escort residents to community events and appointments as required. The menu offered at Elton Lodge offers a wide range of balanced, home cooked food. The cook takes in to account the preferences of residents and specialist dietary needs. This promotes choice for the residents and provides an opportunity for them to eat what they prefer. An alternative meal is on offer at lunchtime and teatimes. Residents spoken with said they enjoyed the food and there was plenty to eat. Residents can choose where they want to eat either in the dining area or in their bedrooms. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home has provided residents and their families with information in respect of complaints. Staff receive adult protection training to ensure they can respond appropriately, should an issue of suspected abuse arise. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure included in the Statement of Purpose and Service Users Guide. Residents and relatives feedback spoken that they knew who to complain and felt confident to do so to should the need ever arise. Annual questionnaires are distributed to encourage residents and their families to comment on the standard of service at Elton Lodge. The Commission has received no complaints about the home since the previous inspection. The home holds a complaints log and no entries had been made since the last inspection. All staff have undertaken a full induction and Adult Protection training to ensure they respond appropriately to suspected abuse in the home. A copy of the West Sussex County Council Multi Disciplinary Adult protection Policy is kept in the office for reference. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 15 Staff files seen demonstrate the procedures for the recruitment of staff are robust and provide the necessary safeguards to offer protection to the residents living in the home. All care staff have undertaken a Criminal Records Bureau enhanced check to ensure they are suitable to work with vulnerable people. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The communal areas of the home and residents bedrooms were clean and homely providing the residents with a comfortable living environment. Specialist equipment is provided to maximise the independence of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises showed that all areas of the home were fresh and clean. Communal areas are comfortable and homely and furnishings are satisfactory. Since the last inspection the home has undergone some major refurbishments. A new call bell system has been fitted, all fire doors have been upgraded, the lounge/dining room has been re-decorated and refurbished, an upstairs bathroom has been refurbished and a new walk in shower fitted. An additional patio area has been laid in the rear garden. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 17 Some of the internal décor is dated but a programme of maintenance and redecoration is on going at the home, this provides residents with a comfortable and homely environment. Residents spoken with confirmed that they liked their bedrooms and the home is ‘always kept nice and clean’. Policies and procedures including infection control and fire safety are reinforced by mandatory training. This is supported by the homes policies and procedures. Specialist equipment, including airflow matresses, hoists and a passenger lift, are provided to maximise the independence of residents. Environmental risks are assessed for each resident prior to arrival and this is reviewed on an on-going basis. Residents have access to various communal/seating areas. Chairs and tables are available for visiting in bedrooms as well as tea or meals if the residents prefer to eat alone. Laundry facilities are maintained regularly and correct procedures for washing are reinforced through induction and training. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Resident’s needs are met by the number and skill mix of staff. The recruitment procedures in the home protect residents from harm as far as practicable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Recruitment policies and procedures are in place, to ensure staff employed by the home have the necessary skills and experience to fulfil their roles. CRB checks, terms and conditions and reference checks were seen on file for staff members. This ensures that residents are protected in the home. It was concluded from examining the duty rotas, speaking to staff and residents and information accessed in individual files, that staffing levels are sufficient to meet assessed needs of residents. Records show that staff complete an induction at the start of their employment, then go on to undertake a training programme appropriate to the needs of residents. The manager and provider both agreed that staff would benefit from more specialist training in respect of health care needs such as dementia and mental health issues. They agreed to arrange this at the earliest opportunity. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 19 The ratio for staff to complete NVQ Level 2/3 is currently at 48 , which falls just below the required minimum standard. However, a qualified nurse and trained care staff cover each shift. This ensures residents will have their needs appropriately met by staff within the home at all times. Staff members spoken to, demonstrated commitment and a clear understanding of the resident’s needs. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Resident’s benefit from a well run home and are safe guarded by the homes policies, procedures and record keeping. The management of the home is competent and committed to the best interests and welfare of the people who live and work there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An annual quality assurance system is in place, which includes contributions from residents and their families. Use of consultation with residents, staff and their families ensure those providing and receiving care have an input into how the home is run. Staff, residents and relatives stated that the manager is very approachable and they are included in decision making within the home. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 21 Small amounts of money held for residents is recorded and all transactions signed and dated by the manager or proprietor. Some residents still manage their own finances. How finances are dealt with is agreed as part of the preadmission process. Records reflected supervision sessions for staff were being held and recorded. Other areas of support for staff include regular appraisals, discussion at daily handovers and the hands on approach of management. Regular staff meetings mean staff are kept up to date with changes and able to give their views about how the home is run. Maintenance records show that all systems and equipment used in the home is maintained and serviced by external contractors at the required timescales. Policies and procedures are updated and any amendments or additions are told to staff who have to sign to say they have read and understood them. All care records are kept in a locked office to maintain confidentiality. The inspector examined all health and safety records including fire checks, accident book, maintenance checks, water temperatures, regulation 37 reports and risk assessments. All were found to be up to date and in good order. Overall it was concluded the resident’s health and well being are priority within the home, excellent record keeping and administrative systems support this. Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 22 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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 Standard No Score 16 3 17 X 18 3 3 X X 3 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 4 3 Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Elton Lodge DS0000058925.V359329.R01.S.doc Version 5.2 Page 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!