Care Home: Sutton in the Elms Nursing & Residential Home

What the care home does well The home is kept clean and tidy and is of a good decorative standard. One of the case tracked individuals said that they were comfortable at the home and felt that staff was kind and thoughtful. This person also said that the staff done extra things for them. The Doctor was called when needed. Staff managed their medications for them. This person felt that there was sufficient staff on duty and they were not kept waiting but when someone went off sick the other staff seemed very busy. If they had a complaint they would go through their relative to the manager of the care home. What the care home could do better: People with physical disabilities from the younger adults age range do not have all their needs assessed or met. When changes occur the evidence in the care plans that were seen do not reflect the changes. Some changes are very important to the individual. There was evidence to suggest that individuals were not consulted about their care package and the support services were not always implemented. Three older people were case tracked also. Information about them was absent in places. The daily records stated that one person had a pressure sore and was to receive two hourly turns but there was no care plan in place for this. An alternating pressure relieving mattress was in place. This person had mental health needs however neither mental health or psychological needs were addressed. This person was nutritionally at high risk and had a low body weight. Staff assisted the individual with a soft diet. The daily records recorded that the individual ate their meals well. Another person newly admitted, had incomplete care records. The inspector was told that the key worker for this new person worked nights. This person had bandages on both legs but there was no care plan for this at inspection. Requirements will be set to correct some of these issues. Outstanding requirements were not looked at at this inspection and the focus of the random inspection was on care issues. The domestic staff left the cleaning trolley unattended with cleaning chemicals on it. This could pose a risk to individuals who live at the home. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Sutton in the Elms Nursing & Residential Home Leicester Road Sutton In The Elms Leicestershire LE9 6QF one star adequate 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Lesley Allison-White Date: 2 2 0 1 2 0 0 9 Information about the care home Name of care home: Address: Sutton in the Elms Nursing & Residential Home Leicester Road Sutton In The Elms Leicestershire LE9 6QF 01455286577 01455286578 admin@drehealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : DRE Healthcare Ltd care home 40 Number of places (if applicable): Under 65 Over 65 40 10 10 old age, not falling within any other category physical disability physical disability Conditions of registration: 0 10 10 To be able to admit the named person of category PD named in variation number V39718 dated 14th March 2007. No person under 55 years of age who falls within category PD may be admitted to the home . No person to be admitted to the home in categories PD or PD/E when 10 persons in total of these categories/combined categories are already accommodated in the home. No person to be admitted to Sutton in the Elms Care Home in categories OP, PD or PD(E) when 40 persons in total of these categories/combined categories are already accommodated in this home. The registered person may provide the following categories of service only care home with nursing to service users of the following gender Either.Whose primary care needs on admission are within the following categories.Old age not falling within any other Care Homes for Older People Page 2 of 11 category Code OP Physical disability Code PD Maximum number of places 40 Date of last inspection Brief description of the care home Sutton In the Elms Nursing Home is a purpose built modern property designed to accommodate up to 39 people over the age of 65years. The home is registered to admit up to 10 people with physical disabilities who are over 55 years of age. The property is situated in a rural village of Sutton Elms, which is near to Broughton Astley village. This area can be easily reached via the M1 motorway and main routes. The rear of the property offers ample parking spaces and views of the countryside. All areas of the premises are accessible for people with mobility impairments. The Statement Of Purpose and Service User Guide (this is information about how the home is managed and the facilities provided) and the current Commission for Social Care Inspection (CSCI) report are available in the entrance hallway to new people and their relatives. The current Employers Liability of insurance is also clearly displayed. Fees range from £457.00 to £688.00 per week. Care Homes for Older People Page 3 of 11 What we found: This is an overview of what the inspector found. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We came to this quality rating at the last key inspection. The focus on inspections undertaken by the Commission for Social care Inspection is on outcomes for individuals and their views of the service provided. The inspection took place on a Thursday. It took over six hours to complete. At the time of inspection there were thirty two people living in the care home. The Registered Manager was not available at this inspection. The outstanding requirement was not checked at this inspection. This random inspection was alerted by a concern raised. What the care home does well: What they could do better: People with physical disabilities from the younger adults age range do not have all their needs assessed or met. When changes occur the evidence in the care plans that were seen do not reflect the changes. Some changes are very important to the individual. There was evidence to suggest that individuals were not consulted about their care package and the support services were not always implemented. Three older people were case tracked also. Information about them was absent in places. The daily records stated that one person had a pressure sore and was to receive two hourly turns but there was no care plan in place for this. An alternating pressure relieving mattress was in place. This person had mental health needs however neither mental health or psychological needs were addressed. This person was nutritionally at high risk and had a low body weight. Staff assisted the individual with a soft diet. The daily records recorded that the individual ate their meals well. Another person newly admitted, had incomplete care records. The inspector was told that the key worker for this new person worked nights. This person had bandages on Care Homes for Older People Page 4 of 11 both legs but there was no care plan for this at inspection. Requirements will be set to correct some of these issues. Outstanding requirements were not looked at at this inspection and the focus of the random inspection was on care issues. The domestic staff left the cleaning trolley unattended with cleaning chemicals on it. This could pose a risk to individuals who live at the home. 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 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 29 19 Schedule 2 The Registered Provider (s) should ensure that all staff records have been through the correct procedure and comply with the Care Standards Act 2000. 31/07/2008 Care Homes for Older People Page 6 of 11 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 1 7 16 (2)(m) Consult with service users about their social interests and make arrangements to enable them to engage in local, social and community activities and to visit, or maintain contact or communicate with, their families and friends. To ensure that all aspects of an individuals health, personal and social care needs are met. 23/03/2009 2 7 13 The registered person shall 23/03/2009 ensure that (c) unnecessary risk to the health or safety of service users are identified and so far as possible eliminated. Individuals should who may choose to remain in their bedrooms and are unable to communicate using speech should be checked on at regular intervals to ensure that they are safe and well. 3 7 13 The registered person shall make arrangements for 23/03/2009 Care Homes for Older People Page 7 of 11 service users (b) to receive treatment, advice and other services from any health care professional. By calling in other specialists they can help identify where appropriate additional help can be offered. 4 8 15 The registered person shall b) keep the service users plan under review. A full evaluation must be made when the needs of individuals have changed. 5 8 14 The registered person shall 23/03/2009 ensure that the assessment of the service users needs is (2) (b) revised at any time when it is necessary to do so having regards to any change of circumstances. When changes arise this should be reflected in the care plan as it acts as guidance that the care and nursing staff will follow. 6 8 14 The registered person shall 23/03/2009 not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so-c) there has been appropriate consultation regarding the assessment with the service user or a representative of the service. Individuals should be consulted about their care plan. In this way it should be reflective of their needs. 7 8 13 The registered person shall 23/03/2009 ensure that (c) unnecessary risk to the health or safety of service users are identified Page 8 of 11 23/03/2009 Care Homes for Older People and so far as possible eliminated. The individuals psychological health should be monitored regularly and preventative or supportive care should be a prominent part of individuals the care for those who have degenerative conditions and or considered to be terminally ill. 8 9 13 The registered person shall make arrangements for the recording, handling, safe administration and disposal of medicines received into the care home. When medication changes from liquid to tablet form this must be re written to ensure that all staff will be made aware of this. A prompt review of this must be made with the General Practitioner. This will avoid the potential for mistakes being made. 9 26 13 The registered person shall ensure that- a) all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. Trolleys should not be left unattended by domestic staff at any time as this could cause damage and the spread of infection at the care home. 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. 23/03/2009 23/03/2009 Care Homes for Older People Page 9 of 11 No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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) Commission for Social Care Inspection (CSCI). 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. 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