Inspection on 31/01/08 for Arundel House

This is the latest available inspection report for this service, carried out on 31st January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Arundel House 01/09/05

Arundel House 27/01/05

Arundel House 05/08/04

Arundel House 26/03/04

Arundel House 08/12/03

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Arundel House Victoria Road Barnstaple Devon EX32 9HP Lead Inspector Jo Walsh Unannounced Inspection 09:30 31 January 2008 st Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 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 Arundel House DS0000022089.V343703.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 and Care Homes for Adults 18 – 65*. 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. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arundel House Address Victoria Road Barnstaple Devon EX32 9HP 01271 343855 NO FAX arundelvictoria@btinternet.com 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) Mrs Barbara Tutt Mr David William Crick Miss Kerry Shute Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18) of places Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum no of placements will be 18 (Eighteen) The category of registration will be Mental Disorder The six service users named in the notice of proposal may continue to live at the home. On termination of their residency the home will revert to its registered categories and the Registered persons must notify the Commission of the fact. 13th November 2006 Date of last inspection Brief Description of the Service: Arundel House provides 24-hour care for 18 adults between 18 and 65 years of age with mental illness, some of who may have a learning disability. Conditions in place allow six service users who are over aged 65 years to continue residing at the home. The accommodation consists of two large, Victorian houses linked to form one home. The home is within level walking distance of the local park and facilities in Barnstaple. Bedrooms are single and spacious, with the exception of one which is small. The bedrooms have views of the adjacent road and gardens. Several of the bedrooms contain a sitting area. To the rear is a large walled garden. The current range of fees at the home is £340 - £450 per week. There are no additional charges. Residents have the opportunity to go on holiday to Spain every year at a discounted rate. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during a week day in January and lasted approximately 6.5 hours. During this time people who live at the home were spoken to at length about their experiences of living at Arundel House. Staff members were also spoken to and the registered manager was available for short period of time to ensure that records kept secure such as staff files were made available. Surveys were also sent to people who live at Arundel House and to some of their care managers. Comments from these and face to face interviews are included throughout the report. Prior to the inspection the home were asked to complete an Annual Quality Assurance Assessment (AQAA), which provides us with information about how the home maintains a safe environment, what staff training has been implemented and how they monitor their quality of care and support. This information has helped to inform the inspection process. What the service does well: Arundel house provides a clean, well maintained and homely environment for people to enjoy and feel safe and comfortable in. People who live at the home said • The home places great importance on the cleanliness and hygiene of the environment here. Staff show much diligence. • This is so much better than where I was previously; it’s a really nice home. • Arundel House is always fresh and clean, a pleasure to live in. A good range and choice of meals are offered to the people at Arundel House, and some have access to their own kitchenette areas where they can make themselves drinks and snacks. Comments from the people who live at the home included ‘‘the food is the best, I really love all the meals, you can always have a choice and I always get seconds.’’ Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 6 The staff group are experienced and offer support in a caring and respectful way to the people who live at Arundel House. Comments from people who live there included • There is good relationships between staff and residents. They are always friendly and helpful and aim to do their best. • We form a good unit, family like. • We have a very good team of carers here, they are prepared to listen and take on board our requests, suggestions etc. • Any problem is always listen to and discussed, such a wonderful group of carers What has improved since the last inspection? What they could do better: Although plans of care give good basic information about the individuals needs in terms of personal, health and social needs, they could be developed further to include more detail about the individuals preferred routines and aims and goals for the future. Plans of care do not always fully show how or if the individual has been involved in the review and development of them. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 7 Medications that are prescribed as needed (PRN) should have clear guidelines for staff as to when the medication should be considered. This should be included in their plan of care so that staff have a clear understanding of if and when a PRN medication should be used. The training programme for staff still needs to include more specialist training in areas such as conflict resolution, particular disorders and the Mental Capacity Act. 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. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Adults) and 3, 6 (Older People) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Potential new people benefit from a good admission and assessment process, which ensures that the home can meet their needs. EVIDENCE: The pre admission assessment information was looked at and discussed with the senior person on duty during the inspection. The home ensures that they get the assessment and care plan information from the funding authority and also a health care assessment from any health care professionals involved with an individual. The deputy manager explained that they try to ensure that all admissions are well planned with a potential new person making several visits to the home prior to them moving in, This may include staying for meals and sometimes even an overnight stay to ensure that it is the right placement for them. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 10 Two people confirmed that they had visited the home prior to moving in and was given information about what the home offers. Staff members spoken to said that they are usually get to know a little about a new person, because they plan a series of pre placement visits. Staff said that prior to a person coming in they discuss their assessment so that they are aware of how to work with an individual. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 (Adults) and 7,14,33 (Older People) Quality in this outcome is good This judgement has been made using available evidence including a visit to this service. Individuals’ care is well planned so that staff has good information to ensure that personal, health and social needs are met in a way that allows people to have choice and control in their lives. EVIDENCE: Three care plans were looked at in some detail, including the plan of the person newest to the home. The information identifies individuals’ basic needs, and tells staff what they need to do to assist the individual, but they could be improved and made more person centred. Plans should be developed and reviewed with the individual concerned or their representative. It was not Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 12 always clear or documented that individuals had been involved in reviewing their plans. Two people said they did have some in put, but others said they did not know what was in their plan of care. Not all plans were reviewed on a six monthly basis, and one did not have all risks assessments fully completed. Staff spoken to said that they did have good information about each person, that they were a small team and knew the personal routines, likes and dislikes of all the people who live at Arundel House. The people spoken to and those who completed surveys expressed a high level of satisfaction in respect of the support and care they received. Staff were able to give examples of how they work to assist individuals to make choices and decisions about their lives. People spoken to said they were given lots of opportunity to decide what they wanted to do with their lives. One person did say that the front door is locked after 10 pm so that could restrict someone who wanted to stay out later, but then went on to say that most people were happy with this arrangement and that if they wanted to stay out later, they were sure you could. There are some restrictions, such as some individuals having small amounts of their personal allowance each day. Where this has been put in place, it is clearly identified as part of a care plan, and reasons why are made clear. One staff member did say that if an individual did ask for all their money, they could not stop them from having it, but would try to reason with them that if they spent all their money in one day, they would not have money for cigarettes for the rest of the week for example. The home has regular meetings, which are recorded. The topics discussed include what menu options people would like, future trips, outings and activities people would like. People spoken to said that they did believe that they could have a real say in how the home is run, in choosing menus and making suggestions about trips and activities. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 (Adults) 10,12,13,15 (Older people) Quality in this outcome is good This judgement has been made using available evidence including a visit to this service. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 14 Arundel House offers people some opportunities to engage in social and leisure activities EVIDENCE: People spoken to who live at Arundel House said • Some times we go out for a drink or a meal, which I really like, we didn’t get to do that in the last place I lived. • I help out at the railway station and really like it • I have done many courses at college but the funding has now been cut so course is more limited. • We have been going out in the afternoons more; sometimes I like to get out. Some people are independent and can access the local town and facilities without support. The home is well placed for access to shops cafes and local park. For those who are unable to go out independently, staff support is available mainly in the afternoons for organised trips or one to one outings. The registered manager stated that since the last inspection, they staff team have agreed that afternoons are the best times for arranging any social events or trips, as this allows individuals who enjoy getting up later to join in and also gives staff time to complete household chores such as cleaning, laundry and cooking the main meal. Staff do appear very task orientated during the morning, although they were observed to take time to chat to individuals. There did not appear to be much encouragement for individuals to get involved in the household chores. One member of staff said that they were encouraged to help with their own room cleaning, and some did have regular tasks such as helping to lay the tables. Everyone spoken to and those who completed surveys said that they were able to have visitors at any time and that their visitors were made welcome, offered drinks and could see them in their room or one of the communal areas. One person confirmed that they could use the house phone to make calls if they wished. Another said that post was received unopened, but staff would help them with any official letters. Staff were observed to show respect in the way they offered support and care to individuals throughout the day of the inspection. One individual was persistent in a request to get something fixed, and despite staff being busy with other tasks they were consistent in reassuring the individual they would assist them within a given timeframe. Individuals spoken to said that staff treated them well comments included • I can’t fault the staff they are the bee’s knees and always treat us very well. • Staff treat us very well Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 15 • Nothing is too much bother; they always help if they can. Everyone spoken to and those who returned surveys expressed a high level of satisfaction about the meal provided. Comments included ‘’ the meals are magnificent although not always on time, the food is the best I have had anywhere, we get a good choice, yes I love the food, can’t you tell.’’ The home offers a good choice and range of meals, and drinks are available throughout the day. Some individuals have small kitchenettes in their rooms where they could make drinks and snacks, and the kitchen is open for people to make their own drinks, although most prefer staff to bring them drinks at set times. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 (Adults) 8,9,10 (Older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. People who live at Arundel House can be confident that their personal and health care needs will be fully met. EVIDENCE: Plans of care looked at detail how staff should support someone in their personal care, and staff were observed to be supporting people in a way that promoted independence and gave the individual respect and dignity. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 17 Daily records show that staff monitor individuals health and emotional well being and liaise with other health care professionals such as doctors, community psychiatric nurse and the mental health care team specialists. The homes medication system was looked at and discussed with the senior person on duty. There is a good recorded audit trail for all medications received administered and returned. Medications are kept secure and only staff who have had training in safe administrations and recording take on this role. Some people self medicate, and this is risk assessed and included in the individuals’ plan of care. One area that should be included in plans of care is, when an individual is prescribed an as needed (PRN) medication, clear guidelines should be included in plans of care as to why, how and when such a medication should be considered. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 (Adults) 16-18, 35 (Older People) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Individuals’ views are listened to and acted upon. EVIDENCE: People spoken to and those who returned surveys said that they knew how to make a complaint and that they were confident that any concerns would be acted upon. One individual said they had complained about their mattress, and they got a new one within quite a short timeframe. Another said that they normally raise any minor issues at the residents meeting and staff work out how to sort things out. The home has a complaints log and records how they resolve any issues raised. No complaints have been made to CSCI since the last inspection and the homes records show they have dealt with several minor complaints satisfactorily. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 19 Good systems are in place to ensure that individuals’ personal monies are kept secure and an audit trail shows how monies are spent. Staff have received training in the protection of vulnerable adults and those who were on duty were aware of what they should do if they suspected abuse of any sort. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30(Adults) 19,26 (Older People) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Arundel House provides people with a clean homely and well-maintained environment. EVIDENCE: During this inspection a tour was made of all communal areas and some of the individual bedrooms. The home is kept cleaned to a very high standard and the Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 21 staff group are commended for their efforts to maintain such a clean environment. The people who live at Arundel all commented on how clean and well maintained the home was. One person said ‘’ the staff work so hard to keep this place fresh and clean.’’ All areas are nicely decorated and furnished and individuals are encouraged to personalise their own rooms. The information given to the commission prior to the inspection (AQAA) gives details of how the registered providers ensure the home is well maintained. During this inspection the heating and hot water had gone off, and the plumber was dealing with this as a new system had recently been installed. Those who needed it had been supplied with other forms of heating in the interim. Policies and procedures are in place to ensure infection control is not compromised. Gloves and aprons were available for staff and those spoken to were aware of good infection control practices. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 (Adults) 27,28,29,30 (Older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Staff are reasonably well trained and supported to do their job, but would benefit from some more specialist training to help better understand the needs of people who live at the home. EVIDENCE: Since the last inspection the registered manager, senior team and the administrator have worked to improve the recruitment processes so that people are no longer placed at any risk of people being employed who may not be suitable to work with vulnerable people. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 23 Three staff files were checked and relevant references and checks were all obtained prior to the person being employed. The registered manager stated that all new staff have an induction programme and also all staff receive regular one to one supervision. Records relating to these matters were not seen during this inspection. The registered manager said she had made sure that all staff had up to date training in all areas relating to health and safety, and was still looking into more specialist training in areas relating to mental health. They should also ensure that training is made available on the Mental Capacity Act. Staff spoken to during the inspection and those who returned surveys all said that they worked well as a team, were given opportunities for training, had regular staff meetings and supervisions sessions. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 (Adults) and 31,33,35 & 38 (Older People) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the people who live there. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 25 EVIDENCE: The registered manager is qualified and experienced to run the home. She has a good understanding of the needs of the people who live at the home and clearly works hard to ensure that the home is run in a way that is inclusive and gives individuals a say in everyday decisions. Ways this is done is by regular community meetings, staff meetings and supervision sessions and being available for people to talk to. The home also uses surveys to gain views on the quality of support and care. People who live at the home said • We all get to have a say on what trips we would like • You can talk to any of the staff, they are all brilliant and will help you out • I have no complaints, but if I did I would go to the manager and she would sort it out. Staff have training in all areas of health and safety to ensure they can do their job safely and competently. Policies and procedures are in place for all safe working practices and the home provided information prior to the inspection to show the maintain the environment and all equipment, so these were not directly checked during this inspection. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 X 40 3 41 X 42 3 43 X 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Arundel House Score 3 3 3 3 DS0000022089.V343703.R01.S.doc Version 5.2 Page 27 YES Are there any outstanding requirements from the last inspection? 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. 1 2 3 Refer to Standard YA7 YA20 YA33 Good Practice Recommendations Plans of care should be more person centred and where possible should be developed and reviewed with the individual or their representative. Any as needed medications (PRN) should have clear directions for staff in plans of care as to if and when the medication should be considered. Staff should have training in understanding mental health and the Mental Capacity Act. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. Arundel House DS0000022089.V343703.R01.S.doc Version 5.2 Page 29 - 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. 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