Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd March 2010. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Emerson Court.
What the care home does well We spoke to a community nurse who was visiting the home at the time of the inspection. She stated that she visits the home every day and is happy with the care that isprovided, she has never seen any practice that would give her cause for concern. She felt that the staff worked well, that the residents appear happy and staff always acted on her instructions. Staff morale appeared to be good and we were told that staff turnover is low, indeed some of the staff have worked at the home for a number of years. One carer stated that they work as a team and help each other out and that they know the needsd of the residents very well. The relationship between the staff and residents appeared to be friendly but professional with staff joking with some residents but being patient and explaining something in a respectful manner to another resident. What the care home could do better: The manager was advised to ensure that when medication was discontinued that it was signed and dated. Individual protocols need to be drawn up for residents whose medication is PRN and that any noted allergies are also highlighted. Thematic inspection report
Care homes for older people
Name: Address: Emerson Court 129 Wingletye Lane Hornchurch Essex RM11 3AR two star good service 30/10/2008 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 thematic inspection of this care home. A thematic 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: Julie Legg Date: 2 2 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Emerson Court 129 Wingletye Lane Hornchurch Essex RM11 3AR 01708442351 01708437338 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Peter George Warmerdam Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Peter George Warmerdam care home 17 Number of places (if applicable): Under 65 Over 65 0 17 dementia old age, not falling within any other category Conditions of registration: 17 0 The maximum number of service users who can be accommodated is: 17 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Emerson Court is a privately owned care home for older people that now offers seventeen places. Most bedrooms have en-suite wcs. It is a large detached property
Care Homes for Older People Page 2 of 8 3 0 1 0 2 0 0 8 Brief description of the care home on a corner plot with forecourt parking. It is set well back from a busy road, in a pleasant residential area not far from the shops and transport links of central Hornchurch. In November 2005 the registered manager bought the home. A major strength of the home is that it has a dedicated and caring team, including two deputies - many of whom have worked at the home for a long time. Care Homes for Older People Page 3 of 8 What we found:
This visit was an unannounced random inspection following concerns raised by an anonymous complainant. On arrival we found the home to be clean, tidy and warm. At the time of this visit there were sufficient staff on duty to meet the needs of the residents and those residents that were sitting in the lounge were appropriately dressed and cared for. The inspection took place between 08.00 and 11.30am. During the inspection we were able to observe care practices, look at documentation which included care plans, risk assessments and medication records. We spoke to two deputy managers, a senior carer, another carer and a community nurse who was visiting a resident during the inspection. At the end of the inspection we were able to give feedback to the proprietor/manager and the two deputy managers. Medication records were checked and found to be generally in good order. It was noted that when medication was stopped a line had been put through the medication record however there was no signature or date when the medication was discontinued. Individual protocols need to be drawn up for residents whose medication is PRN and where an allergy is noted it would be good practice for this to be highlighted. The senior carer stated that she was not aware of any recent medication errors and she felt that there was a good system in place to record medication. She also stated that they had a good relationship with the Pharmacist. Some of the staff are related to each other, with some being in higher positions. One member of staff advised us of her relationship with another member of staff without being asked and was very clear as to who she reported to. None of the supervising staff are supervising their relatives however they were clear that if they observed practice that was not as it should be, they would be able to deal with the situation. One member of staff was able to give us an example of where they had spoken to a relative about the care they were providing. Both the proprietor/manager and the two deputy managers were very clear in ensuring that their relationships were kept professional whilst at work. One of the residents behaviour has given cause for concern and she has been physically aggressive towards staff. However the staff are working closely with the community psychiatric nurse and the Psychiatrist to ensure that the residents medication is meeting her needs. Another resident who suffers from ostoearthirits has recently been admitted to hospital with a stress fracture of her hip. The hospital admission was delayed as this was not picked up on the first x-ray. All hospital visits are recorded and the appropriate care plan and risk assessments are in place. There was no evidence of falls and this resident was previously mobile without supervision however just prior to their admission they were still weight bearing but required assistance from two carers. We were advised that no staff would use a hoist without the necessary training. What the care home does well:
We spoke to a community nurse who was visiting the home at the time of the inspection. She stated that she visits the home every day and is happy with the care that is
Care Homes for Older People Page 4 of 8 provided, she has never seen any practice that would give her cause for concern. She felt that the staff worked well, that the residents appear happy and staff always acted on her instructions. Staff morale appeared to be good and we were told that staff turnover is low, indeed some of the staff have worked at the home for a number of years. One carer stated that they work as a team and help each other out and that they know the needsd of the residents very well. The relationship between the staff and residents appeared to be friendly but professional with staff joking with some residents but being patient and explaining something in a respectful manner to another resident. 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 5 of 8 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 6 of 8 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 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 Care Homes for Older People Page 7 of 8 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - 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!
