Inspection on 13/10/05 for Aarandale Lodge

This inspection was carried out on 13th October 2005.

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

Aarandale Lodge 18/07/08

Aarandale Lodge 18/07/07

Aarandale Lodge 08/08/06

Aarandale Lodge 16/03/06

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Aarandale Lodge Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex Lead Inspector Valerie Buckle Unannounced Inspection 13th October 2005 11:00 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 Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 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. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aarandale Lodge Address Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex 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) 01702 352096 01702 352096 Mr Navneet Singh Johar Mrs Aunjali Johar Mrs Sandra Halls Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Twenty x older persons who may have dementia. To comply with the report of the fire brigade including the provision of a second fire escape. Work to be completed within six months of registration To relay the tarmac to the front entrance and car park area. Work to be completed within six months of registration. Thermostatic valves to be fitted to all hot water taps accessible by residents. Work to be completed within three months from registration. Date of last inspection Brief Description of the Service: Aarandale Lodge is situated in the Southend/Westcliff area and is in close proximity to the town centre, railway station and local amenities. The home is an older type of premises and has recently had some redecoration. The home has eighteen single bedrooms and one shared room. Each bedroom has a call bell facility and T.V. Point. The home also has a shaft lift. The home has a large garden to the rear of the property and parking to the front of the house. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Not all standards will have been inspected at this inspection. The standards not covered during this inspection will be inspected at the next inspection. Records, policies, practices and procedures have only been sampled. At future inspections other issues may come to light. Where different items are sampled or different people spoken to. This inspection was unannounced and took place over three hours. The new registered manager and owner of the home assisted in the process of the inspection. All of the four requirements from the last inspection are in the process of being met. Three of the four good practice recommendations have been met and one is being met. What the service does well: What has improved since the last inspection? What they could do better: The new manager stated that an action plan is in place to meet the requirements of registration within the agreed time scales, and planned improvements to the home are as follows: Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 6 To redecorate and refurbish the home and make the outside store room safe. To refurbish the laundry area and fit a new roof. The garden is to be landscaped and a ramp fitted so that residents can access the garden safely. A quality assurance system is to be implemented all the care plans are to be reviewed. Families are to be included in social events held at the home. A staff room and visitors room are to be designated and a separate smoking room for residents who smoke. All the staff files, policies and procedures of the home are to be reviewed. An arising issue of concern is one resident’s room, which has an odorous smell, although it has been fitted with a new carpet. A system must be put in place to ensure that the cause of this smell is dealt with and the room is kept fresh at all times. 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. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 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 Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5 New residents are provided with the appropriate information to make a choice about living at the home. A system is in place which gives new residents and their families a chance to visit the home and see whether the home meets the resident’s needs and wishes. Admissions to the home are planned and a full assessment is carried out which includes all the relevant persons involved with the new resident. EVIDENCE: New residents and their family, advocate or friend have the opportunity to visit the home and this helps them make a choice about living in the home. Questionnaires are given to the new residents to complete with their family which identify their individual needs and wishes. Before admission to the home a full assessment is made, which includes the resident, family, friend or advocate and professionals involved in their plan of care. All of the residents have a written signed contract with the home and a service users guide, which includes the complaints procedure and all the relevant information about the home. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Resident’s health and personal care needs are appropriately met and detailed in care plans. Systems are in place for the safe handling, recording and storage of medication. EVIDENCE: The initial assessment procedures detail health and personal care needs of the resident. Care plans in place cover all areas of resident needs. The new manager of the home is currently updating and reviewing all residents care plans and implementing a new system which will be more accessible to staff and include more specific information about residents following discussions with their family. A medication policy and procedure is in place. Medication was seen to be appropriately recorded and safely stored. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 Daily activities are varied and depend on the individual needs and choices of the residents. Visitors are made very welcome and residents are able to make decisions and choices about daily living in the home. EVIDENCE: Activities provided at the home include armchair exercises, quizzes, music and dance, walks out and day trips. Residents are involved in decision making and making choices about daily living and are encouraged to bring personal items from their homes for their individual rooms. Residents care plans contained information on residents choices of foods, activities, daily routines, clothing, getting up, going to bed, health and personal care and risk assessments. The new manager at the home said that she is currently reviewing and updating all the care plans at the home and introducing a new system, a standard care plan which will be more accessible to staff and will identify more fully residents needs and wishes. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Arrangements for protecting residents and responding to their concerns are satisfactory. Systems are in place to protect residents from abuse. EVIDENCE: A system of recording complaints is in place, there have been no recorded complaints since the last inspection. Staff spoken to are aware of Adult Protection issues. An Adult protection procedure was in place. The new manager is setting up training for staff and currently identifying staff who require P.O.V.A. training. Staff files examined included all the required information and CRB and P.O.V.A. checks. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,26 Aarandale Lodge provides the residents with a safe and comfortable environment. Specialist equipment is available to ensure that the less able residents are able to maintain their independence. EVIDENCE: In general, the home was seen to be maintained and decorated to a reasonable standard. The new owners and registered manager are keen to promote a better working and living environment. An action plan is in place to redecorate and refurbish the home. Areas of improvement include, fitting new carpets throughout the home, purchasing new furniture, make safe the outside storeroom, replace the ramp in the garden and landscape the garden. The requirements of registration in the process of being met. The new manager said that thermostatic controls are to be fitted to the wash hand basins in resident’s rooms next month. A second fire escape is to be fitted and the front entrance to the home and car park is to be tarmaced. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 13 Resident’s rooms were seen to be clean and personalised to individual taste and two rooms have had new carpeting laid. Within one of these rooms there was an odorous smell, a large area of lino had been placed over the new carpeting, this could be a tripping hazard and must be made more secure. This new carpet smelt of urine, the new manager said that it is shampooed weekly, but the smell remains. An action plan is to be put in place to remedy this situation. The resident living in this room is to be washed twice daily by staff, the bed linen is to be checked twice daily and changed if soiled. The carpet and lino are to be shampooed daily. Each week the manager will assess the room, if there is no improvement after two months of monitoring the situation, the carpet will be removed and the bedroom will be fitted with lino. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 Staff at the home are well trained and experienced to do their job. They are supported and employed in sufficient numbers to meet the resident’s needs. EVIDENCE: At the time of the inspection there were adequate staff on duty to meet the needs of the residents, the rota showed that there is a mix of staff skills on duty at all times. All new staff complete T.O.P.P.S. training and then complete VQ2. Currently two staff members are carrying out T.O.P.P.S. training and on staff member has completed NVQ3 and further training is planned. The new registered manager is qualified and experienced to do the job, and is a trainer on moving and handling, First Aid, infection control, medication, dementia, POVA and NVQ, she said that staff training needs are identified during supervision, training courses are then planned to support staff in meeting the varied needs of the residents living at the home. The two staff files examined contained all the required information, the new manager said that she is in the process of checking all the staff files to check that they all contain the required information under Schedule 2 Care Standards Act. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,36,37,38 The new manager is committed to providing a good service and a high standard of care and medication to the residents living at the home. Procedures are in place to safeguard residents monies. EVIDENCE: The new manager said that her aim is to provide an environment, which is open and friendly and promotes residents choice. A system is currently being implemented which involves residents and their families completing questionnaires which identify residents needs and wishes, and this information will be contained each in the care plans. Staff supervision takes place regularly and training is available for staff. A system of quality assurance is to be set up, a yearly audit will take place and the manager plans to formulate the views of families and residents into a report for the CSCI. Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 16 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 X 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 X 3 2 3 2 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 3 3 Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? YES 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. 1 Standard OP9 Regulation 13(2) Requirement Medication to be stored at appropriate temperature as guided by the Royal Pharmaceuticals Society. Recruitment processes to include all staff details as per Schedule 2. Maintain a system for reviewing the quality of care and services provided in the home. A report to be sent to the CSCI. Ensure that the odorous smell in resident’s bedrooms is identified and that a system is put in place to ensure that the room is kept fresh. Timescale for action 31/12/05 2 3 OP29 OP33 9 & Sch 2 &4 24 31/03/06 03/03/06 4 OP26 23 (2)(d) 31/12/06 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 Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 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 Aarandale Lodge DS0000065514.V252775.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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