CARE HOMES FOR OLDER PEOPLE
Aarandale Lodge Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex SS0 7PR Lead Inspector
Sarah Axam Unannounced Inspection 16th March 2006 08:30 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 Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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.V284273.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Aarandale Lodge Address Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex SS0 7PR 01702 354318 01702 352096 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) 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.V284273.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 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 13th October 2005 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.V284273.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Inspection took 4 hours to complete. Throughout the inspection the manager and senior carer were present. The proprietor Mr Johar attended part of the inspection. Mr Johar and Sandy Halls the registered manager demonstrated that regulatory requirements identified at inspection would be responded to promptly and some identified are already in the process of being addressed. The manager met one requirement identified at the inspection immediately. Four service users and two relatives were spoken with as part of the inspection process. What the service does well: What has improved since the last inspection?
The home has met all of its previous requirements of the last report. Many improvements to the environment and quality of service have been achieved. There is a good quality assurance procedure in place, which includes residents, families and other professional’s views. New furniture has been obtained for both lounges and the good furniture left has been used in individual’s bedrooms. A new Staff/visitors room has been created and there is now a smoking room for the residents. The home has a brand new sign outside and the front drive has had new tarmac laid. There are no odours apparent throughout the communal areas and individuals rooms. A new ramp by the entrance to the back garden is in place. A new bath and hoist on the ground floor and a new tumble dryer for the laundry room has been purchased. New window locks have been fitted to all windows. Thermostatic valves have been fitted to all hot water taps. In each bathroom and toilet new soap dispensers have been fitted. The home has further plans for improvement including new carpets in all communal areas within the next month, new curtains for both lounges and landscaping for the back garden in the summer. Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 Page 6 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. Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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.V284273.R01.S.doc Version 5.1 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): 6 Not applicable EVIDENCE: Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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): 10 Service users individual needs are catered for and privacy is not compromised. EVIDENCE: Service users spoken with informed me they felt in general staff were courteous, respectful and caring. They told me that they had access to health, care professionals and this was carried out in privacy and with consultation. Relatives spoken with confirmed and backed up what residents had told me. Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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): 13 & 15 Aarandale provides a friendly environment in which service users can maintain and receive visitors. EVIDENCE: Two families were spoken with during inspection and they confirmed that they felt welcome when they visited the home. They felt staff were helpful and there were no restrictions on visiting. The homes quality assurance monitoring system, all relatives were asked questions around visits and feedback evidenced that relatives were happy with staff and felt welcome. This monitoring also revealed high praise for the food and meals provided. Service users spoken with informed me that wishes and choice around food was offered and that it was of good quality. Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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): Not inspected on this occasion EVIDENCE: Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 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): Not inspected on this occasion EVIDENCE: Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 Page 13 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): Not inspected on this occasion EVIDENCE: Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 Page 14 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): 35 There is a system in place which safe guards service users finances. EVIDENCE: All residents either have an appointee who is a relative or are under the court of protection the home handles no cash on their behalf. Appointees get invoiced for expenditure used by the organisations monies and receipts are kept for inspection. There is a financial policy and procedures in place. Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 Page 15 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Aarandale Lodge DS0000065514.V284273.R01.S.doc Version 5.1 Page 16 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. 1. Standard OP19 Regulation 23 (4)(b) Requirement The registered manager needs to ensure the report of the fire brigade and the provision of a second fire escape is complied with as a matter of urgency or re-assessment by the fire brigade of this requirement is acted upon immediately. That progress of issue to CSCI. The registered manager must ensure that the visitor’s room is an environment where families are catered for and feel comfortable. Furnishings and décor fit in character along with the rest of the home. Timescale for action 30/03/06 2. OP20 23 (2) (d) (f)(i) 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations That the menu evidences how many meals residents have in a day and times of meals provided.
DS0000065514.V284273.R01.S.doc Version 5.1 Page 17 Aarandale Lodge 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
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