Inspection on 08/08/06 for Aarandale Lodge

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Aarandale Lodge 18/07/08

Aarandale Lodge 18/07/07

Aarandale Lodge 16/03/06

Aarandale Lodge 13/10/05

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 SS0 7PR Lead Inspector Christine Bennett Key Unannounced Inspection 8th August 2006 09:15 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.V305714.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. 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.V305714.R01.S.doc Version 5.2 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.V305714.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Twenty older persons who may have dementia. Date of last inspection 16th March 2006 Brief Description of the Service: Aarandale Lodge is situated in a residential area close to the town centre of Southend, the sea front and rail and bus links. It is registered for twenty older people who might additionally suffer with dementia. The accommodation is on two levels with a shaft lift to enable access to both floors. It has two lounges, one with a dining area, eighteen single bedrooms and one shared bedroom. It has a large enclosed garden and there is limited parking to the front of the property. The home has an updated Statement of Purpose, Service User Guide and a copy of the last inspection report in the entrance hall. The current scale of charges as at July 2006 is between £370 - £495 per week. Extras charged are for hairdressing, chiropody and newspapers. The Home has changed its telephone number this will be reflected in next inspection report. The new telephone number is the same as the fax number 01702 352096 Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key site visit was unannounced and took place on 8th August 2006 over a nine hour period. At this inspection all the key standards and the progress since the last inspection were assessed. A pre inspection questionnaire had been completed by the home prior to this visit, and 10 surveys sent to residents, of which 9 were returned, 10 to relatives, of which 8 were returned, and 3 to health professionals, of which 3 were returned. The registered manager was available throughout the day to assist with the inspection process. A tour of the premises took place and a random selection of records and policies were examined. Time was spent with the residents, observing care practices, and conversation took place with some of them and any visitors to the home. Staff were also given the opportunity to speak with the inspector. Feedback was given to the registered manager at the end of the site visit. What the service does well: The home benefits from an experienced manager and a stable staff team. Staff had a good understanding of abuse and knew how to report it, although there have not been any complaints or allegations made. People were complimentary about the food, saying there was a good variety and choice. The home makes sure that it is suitable for people, by visiting them in their own home and encouraging them to visit the home before they decide to move in. Residents and relatives were happy with the care that is given. Relatives commented, “I am very happy with the care and attention shown to my mother”, and “I feel that my relative is in very safe hands”. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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.V305714.R01.S.doc Version 5.2 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.V305714.R01.S.doc Version 5.2 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): 1,3,5,6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The home operates a thorough pre admission assessment with care and attention being given to ensure that individual needs can be met, ensuring appropriate admissions. EVIDENCE: The Statement of Purpose and Service User Guide have been in place since October 2005 when the home was registered with the new owners. They reflect the service that the home can offer to future residents. These are displayed in the hall, along with the last inspection report. The manager said that either she or the deputy manager undertake a full assessment prior to offering a place in the home. This is to be sure that the home can meet all a resident’s needs. This assessment is usually held in their home and the home encourage a relative to be present. They are then invited to visit the home and spend time with the other residents to make sure that they think it will suit them. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 9 All of the residents who replied in the survey thought that they had received enough information before moving into the home. One resident gave details of the research her relative had done by reading previous inspection reports on the internet to be sure that they found a home where she would be happy. Another resident said, “I came for a visit – I am happy here”. A review of the placement is done approximately a month after moving in, where everybody involved is invited to decide if it is to remain permanent. Intermediate care is not provided by the home. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents can be sure that their health and personal care needs will be fully met in a way that protects their dignity. EVIDENCE: Residents and relatives were very happy with the care that is given in the home and the way they are treated by staff. This was reflected in the results of the surveys that they had completed as seven said that they always, and two said they usually received the support they needed and that the staff listen to them. One resident said, “the girls are very nice and kind, they do what they can for me” and a relative said, “the staff really seem to care about the residents and nothing is too much trouble for them.” Staff are to receive Customer Care training and supervision includes the importance of a good manner and attitude. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 11 Two care plans were viewed and generally had the information recorded to identify the needs and management of these needs for individual residents. There was evidence of involvement of outside professionals and the manager said that the home has a good relationship with the GPs and community pharmacist. The three surveys returned by health professionals confirmed good communication and had no concerns about the care being given in the home. The manager spoke of plans to involve the residents/relatives in the reviews of their care by sending them an invitation every three months to discuss if any changes needed to be made to make sure the best care is being given to each person. Staff were very knowledgeable about the residents and their individual preferences and were able to provide detailed information about each individual resident. All the residents have lockable storage in their rooms to store any valuables or personal belongings. Three residents have their own telephones and a curtain was seen in the shared bedroom to maintain privacy and dignity for the residents when receiving personal care. They felt that their privacy was respected and confirmed that they can make choices in their every day living. Some staff use terms of endearment to residents and this has been documented in the care plans that the residents are happy to be addressed in this way. Religious beliefs are respected and one resident has specific instructions recorded in her care plan on the arrangements to follow on her death, in order to fulfil her wishes. A visitors’ room is now available on the first floor, in order that residents can have privacy with their visitors if they choose. Medication was stored appropriately in the home. Controlled drugs are stored and recorded well. In general appropriate procedures were being followed. There is a list of staff who have been approved to give medication and a sample signature. A photo of each resident is on the MAR sheets. A protocol must be in place for each medication that has been prescribed to be given “as required” (PRN) to make sure staff are aware what it has been prescribed for, how much and when it might be needed. The recording of these medications checked randomly did not enable the home to keep accurate checks on the amounts held by the home for each individual. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Meals are nutritious and balanced and offer a healthy and varied diet for residents. Daily routines are flexible and visiting arrangements are open and relaxed enabling residents to maintain maximum control over their lives. EVIDENCE: The residents can get up when they choose and have their breakfast at varying times, some choosing to stay in bed or in their room. They can also choose when they go to bed. There is a choice at each meal and the home operates a four weekly menu. The residents are consulted every three months on the choice of menu in order to cater for more choice and variety. Nutritional charts are in place. It is recommended that these be developed to indicate the amount eaten for any resident who has been identified at risk, such as the resident who commented, “I haven’t got an appetite, I used to have”. Other comments made by residents about the food included, “good cook, always given a choice” “I am always asked what I would like to eat” and “If there is something on the menu that I don’t like, I am given an alternative that I do like”. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 13 Open visiting is encouraged for visitors. This is mentioned in the Service User Guide. The deputy manager is doing fund raising with senior member of staff. They have organised a sponsored walk and have invited relatives to participate. The manager gave details of a forthcoming barbecue and said that buffet teas are arranged for each resident’s birthday with relatives invited. An entertainer visits the home every 6 weeks to play the organ and maracas, and group therapy is organised monthly when two ladies come into home and do exercises, games, quizzes etc. The manager recognises the need for more one to one occupation, especially for the people with dementia and is planning to develop this area. There is a daily activities programme on the residents’ notice board. A survey was carried out in March 2006 in which the residents said they would like to go out more and as a result monthly outings are arranged. One resident said, “I always take part in the activities” and listed exercises, shopping trips, quizzes, singalongs, dance, reading, decorating cakes and making things. Others said they do not like to join in, one comment was, “I am quite happy with my own company, I am not interested in activities – I enjoy going out”. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s complaint procedure and staff knowledge of POVA. EVIDENCE: The home has an up to date complaints policy and procedure and surveys from residents and relatives confirmed that they would know who to speak to if they had any concerns. One relative replied in the survey that they are not aware of the home’s complaints procedure. A resident said, “I would tell one of the staff, the issue is always dealt with”. There have been no complaints since the last inspection. All staff spoken with had a good understanding of various forms of abuse, and how to report it. Staff training in this area is ongoing and all staff will be POVA trained by the end of 2006. There have been no POVA issues in the home since the last inspection. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 15 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): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Many improvements have been made to the home making it a comfortable, safe place to live. EVIDENCE: The registered provider has made major changes to the environment since he acquired the home in October 2005. These include redecorating the exterior of the home, laying tarmac to the front drive, and extensive decorating of the communal areas of the home. New furniture, carpets and curtains have been purchased in many areas to make it a more comfortable place to live and the home has a clean, bright feel. One resident said, “It is very pleasant to sit in a clean environment” and another said, “There is a very happy atmosphere, it is always pleasant”. Many areas have been improved to make it a safe environment for the residents and staff. These include a ramp to the back garden, a new bath and hoist, window locks and thermostatic valves to hot water taps. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 16 The manager says the home is now fully compliant with the fire department. This area had to be re assessed due to the complexity of the layout of the home. Improvements mean doors have fire closures, low flammable walls and carpet, no net curtains, low ignition point, intermissant strips on doors and new door furniture. A visitors/staff room is now available on the first floor. The registered provider acknowledges there is still work to be done and intends to redecorate individual bedrooms in the near future. Areas identified at the site visit that could still be hazardous to residents were discussed with the manager and registered provider. These included locks to the laundry door and boiler rooms. The home was very clean and the communal areas had no offensive odours. All the residents commented on the cleanliness of the home in the survey. One bedroom was identified as having an unpleasant smell. Minor areas need to be addressed for infection control. This includes a lid on the bin in the laundry and gloves and aprons available in this area. The home has a pleasant garden area that was being enjoyed by some of the residents on the day of the site visit. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff at the home have the experience, training and are employed in sufficient numbers to meet the residents’ needs. EVIDENCE: The home has a stable staff team and residents, relatives and the staff themselves think they are employed in sufficient numbers to meet the needs of the residents. The surveys from residents confirmed that seven think that staff are always available, and two said they are usually available when you want them. The home does not use agency staff. The rota for the home was seen and needs to be clearer with regard to what staff are on duty and in what capacity. Six members of staff have achieved NVQ level 2 or above in care and two members of staff are hoping to commence this training in the near future. This represents 33 of the care workforce. Recruitment records were checked for three members of staff, one of whom had been employed since the home had been under new ownership. A sound recruitment practice had been carried out with a POVA 1st obtained before commencement of employment. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 18 The deputy manager is in charge of the training programme. One member of staff confirmed that she had received an induction on commencement of work. Evidence was seen of training planned for staff in all areas, including dementia, medication, first aid and POVA. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 19 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): 31,33,35,37,38 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The manager provides stability to the home and has a quality assurance programme to ensure the home is run in the best interests of the residents. EVIDENCE: The home has an experienced manager with many years experience in the care field. The deputy manager is in the process of completing NVQ level 4 in care and management. Residents and relatives’ felt confident in the management of the home and that any concerns would be dealt with. The home has developed a quality assurance system, collecting the views of residents, relatives and any stakeholders to the service. They have produced a report to CSCI on any action to be taken as a result, and also a newsletter for residents/relatives. This ensures that the home is run in the best interests of the people using the service. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 20 Money is only held for one resident in the home, and this had been recorded accurately and stored securely. Evidence was seen of supervision on staff files and staff confirmed that regular supervision takes place. The policies and procedures of the home are up to date and available to staff. First aid training has recently been undertaken, and 16 staff are now qualified. Fire drills are carried out at different times to include night staff. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 21 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 3 X 4 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 3 X 3 Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13(2) Requirement The registered person must ensure the accurate recording of medication. This refers to medicines prescribed as required. The registered person must ensure the safety of the residents. This refers to the accessibility of the laundry and boiler rooms to the residents when using the garden. The registered person must make suitable arrangements to prevent the spread of infection. This refers to the laundry area having gloves, aprons and a bin with a lid provided. Timescale for action 30/11/06 2. OP19 23(2)(o) 30/11/06 3. OP26 13(3) 30/11/06 Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 23 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. OP9 2. 3. 4. OP15 OP12 OP28 Refer to Standard Good Practice Recommendations It is recommended that where the MAR sheet is handwritten, it should be checked and countersigned by a second person It is recommended that nutritional charts are developed to include amounts eaten for residents who have been identified as at risk. It is recommended that occupation on an individual basis continues to be developed, especially for people with dementia. 50 of staff to be trained to NVQ level 2 in care. Aarandale Lodge DS0000065514.V305714.R01.S.doc Version 5.2 Page 24 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.V305714.R01.S.doc Version 5.2 Page 25 - 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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