Inspection on 05/10/07 for Aranlaw House Care Home

This inspection was carried out on 5th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Aranlaw House Care Home 12/04/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Aranlaw House Care Home 26 Tower Road Branksome Park Poole Dorset BH13 6HZ Lead Inspector Anne Weston Key Unannounced Inspection 5th October 2007 11:30 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 Aranlaw House Care Home DS0000068542.V352443.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. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aranlaw House Care Home Address 26 Tower Road Branksome Park Poole Dorset BH13 6HZ 01202 763367 01202 420050 kate@aranlawhouse.co.uk 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) Gunputh Associates Ltd Mrs Catherine Mary Hickson Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2007 Brief Description of the Service: Aranlaw House is a purpose built detached house. The home was registered on 1 November 2006. The registered provider is Gunputh Associates Ltd, the registered manager is Mrs Catherine Hickson. The home is registered to provide care to 47 people in the category Old People only. All 47 single rooms have en-suite wet rooms with shower, toilet and hand basin. The rooms are arranged over 3 floors, a number of bedrooms have access to a balcony. Each floor has a separate lounge. The dining room is on the ground floor by the kitchen. There is a reception area and managers office. The home has 2 passenger lifts. There is car parking to the front of the building. There is garden to the side of the home and a small grass covered patio area leading out from the patio doors in the lounge on the ground floor. The home is in a leafy residential street near the amenities of Westbourne. There is public transport access to Bournemouth and Poole. The weekly fees range from £600.00 - £700.00. For further information on fee levels and fair contracts you are advised to refer to the Office of Fair Trading website: www.oft.gov.uk. The Commission for Social Care Inspection (CSCI) October 2007 publication ‘A fair contract with older people? A special study of people’s experiences when finding a care home’ can also be accessed on the CSCI web site www.csci.org.uk Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visits took place on the 5th October 2007 and the 10th October 2007, the first visit was unannounced, and the second visit was announced. The visits were carried out as part of a statutory key inspection, which included reviewing the seven requirements and one recommendation made during the previous inspection. The pharmacy inspector reviewed the medication systems on the 25th October 2007. Further detailed findings in relation to medication systems have been sent to the home by the pharmacy inspector in a separate visit report. A total of 23.5 hours was spent on the inspection process, this included planning for the inspection, the inspection visits, evaluation and report writing. The premises were inspected, this included communal areas and a sample of bedrooms. A range of records and related documentation were examined. Time was spent in discussion with Kevin Gunputh, Kate Hickson and staff. At the time of the inspection 35 people were living in the home, 17 of these people were spoken with, both in communal areas and in their own rooms. People were also observed as a group, having their lunch and tea in the dining room. An Annual Quality Assurance Assessment (AQAA) had been submitted before the inspection visits. Contact was made with health and social care professionals who use the service to inform the inspection process. What the service does well: The home continues to provide good information for people who are considering coming to live there. This means they are able to make an informed decision about Aranlaw House. Assessments of care needs were carried out with people before they moved in, and people were assured that their care needs would be met. The home meets the care needs of people who have low dependency needs. Many people said that staff are kind and caring. There are sufficient staff on duty to meet the needs of the people who live in the home. Examples of experiences from different people included: Staff are very good, pleasant I’m very satisfied, quite content, staff all very helpful I would give it top marks On the whole very nice, caring and friendly Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 6 The home stores medicines securely in people’s own rooms to personalise medicines administration. Open visiting arrangements are in place, visitors felt welcomed into the home. Meals are well balanced and well presented and cater for individual preferences and varying dietary needs. People can be confident that their complaints and concerns will be listened to and taken seriously. Aranlaw House has been built to a high standard and is a very well maintained, clean, safe, comfortable and attractive home. Management showed commitment to achieve compliance with regulation. What has improved since the last inspection? What they could do better: The home are putting some people who have high dependency needs at risk by not properly identifying their health and social care needs and not always showing how specific health needs are being met. More attention must be given to the changing needs of people who use the service. People who have specialised health care needs do not always have their health needs properly monitored and appropriate action and intervention is not always taken. Some medication practices need improvement to ensure the safety of people is promoted. People who use the service do not always have the opportunity to enjoy a full and stimulating lifestyle. The home must ensure there is increased consultation with people about opportunity to be involved in more meaningful daytime activity. Employment practices must be improved to make sure people are protected through robust staff recruitment. The home must be able to demonstrate that all staff have up to date mandatory health and safety training including training in first aid, basic food hygiene, infection control and moving and handling. There must be evidence Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 7 to demonstrate that staff are trained to be competent with all the specialised care they are delivering, for example training in mental health for older people. The health, safety and welfare of the people who live in the home are considered. Further action and monitoring needs to be taken to ensure that people are safe and protected 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. The summary of this inspection report can be made available in other formats on request. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 8 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 Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 is not applicable People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Assessments of care needs were carried out with people before they moved into the home to make sure their care needs were identified and could be met by the home. EVIDENCE: The care records of five people were examined, including the records of two people who had moved into the home during the last two months. Discussion with Kate Hickson, examination of records and discussion with one person (and their relative) who had recently moved into the home showed that a representative from the home carries out a care needs assessment with people before they move in. Kate Hickson confirmed that either the deputy manager, Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 10 a member of senior care staff, or herself carry out the care needs assessments. The assessment records of one person who had moved into the home in September 2007 showed relevant involvement with a relative, the relative had contributed to the written assessment. Comprehensive and clear written information is accessible and available to people, including a Statement of Purpose so that people have all the required details about the service. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans and health care practices do not always promote safe care, potentially placing people at risk. Some medication practices need improvement to ensure the safety of people is promoted. Most people felt comfortable with the staff approach and were generally satisfied with the way that staff delivered their care and respected their dignity. EVIDENCE: The care records of five people were examined and discussion was held with Kate Hickson about care planning. The home have worked hard to develop care plans so that there is information about people’s needs. Care plans did not always show the changes with individual care needs and did not give enough information on how individual needs were being managed. For example with one person who showed confusion and disorientation, often Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 12 wandering into other residents’ rooms, there was a lack of information about their mental health needs and how this impacted on their behaviour. Daily recording showed this person routinely wandering the home during the night, and on one occasion the person was found naked in the corridor. There was no night care management plan in place for this person. Specialist help in relation to this person’s mental health needs had not been sought. Records showed a Doctor had carried out a memory test with another person but there was no information about the outcomes of the memory test. There was a lack of information about another person who had special needs in relation to skin care. This was brought to the attention of Kate Hickson who quickly took action, and by the second day of the inspection a Dermatology Nurse had visited and the home were following a treatment sheet for specialised skin care. Most people generally have access to health care services, care records evidenced visits by health professionals, such as Community Nurses and GPs. People living in the home who have low to medium dependency needs were generally receiving the care and support that they needed. The pharmacy inspector reviewed the medication systems on the 25th October 2007. Further detailed findings in relation to medication systems have been sent to the home by the pharmacy inspector in a separate visit report. Examination of a sample of Medicine Administration Record (MAR) charts showed that there were some gaps in the recording of administration of medicines and the reason for non-administration had not been recorded. When medicines were handwritten on the MAR chart the details were not signed as checked by a second authorised carer to safeguard people. Examination of one person’s care records showed that this person had been self medicating but that the home were now taking responsibility for their medication. The care records did not evidence when the change in medication practice occurred, or why. People said that the staff were kind and staff were observed to be interacting with people in a friendly and caring manner. Refer to the summary for some of the positive experiences expressed by people spoken with during the inspection visits. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The activities programme needs development so that people are offered the opportunity to pursue individual interests. Open visiting arrangements are in place, people are able to maintain contact with visitors, as they wish. The flexibility of the home gives people control over the things which matter to them. Dietary needs of people are well catered for with a balanced and varied selection of food that meets individual tastes and choices. EVIDENCE: The home provides some communal activities, for example bingo and reminiscence sessions. On the first day of inspection a film was being shown in the first floor lounge and two people were watching the film. People said that there were not a lot of activities. One person said one of the reasons they were going to move elsewhere was because “there is not much going on”. Discussion was held about the lack of activities with Kate Hickson, she was advised that improvements must be made with involving people in meaningful Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 14 daytime activities of their own choice, and according to their individual interests and capability. Kate Hickson confirmed that work is in progress to improve opportunities for socialisation and stimulation. The home have purchased a tape of activities and Kate Hickson talked about future plans to buy a vehicle to enable people to go out on local visits, for example down to the beach café and to the local shops. Observation and contact with people and a visiting relative confirmed that people maintained contact with friends and family, as they wished. Visiting is open and flexible and visitors are welcomed into the home. The home make good use of their computer facilities to promote e-mail contact between people and their family and friends, particularly for those people with relatives who live abroad. People confirmed they are able to exercise choice in their lives at the home, for example spending the days where they choose in the home, choosing what they eat and joining in as they wish with what is on offer. People were observed having their lunch in the spacious dining room and discussion was held with people about the provision of food. Staff assisted people with their meal, as needed, staff support with people was discrete and sensitive. Mealtimes are relaxed and allow individuals the time they need to finish their meal comfortably, meals were well presented and tables had laundered linen tablecloths and napkins. A variety of drinks are routinely on offer. Generally people had positive experiences with provision of food, examples of experiences from different people included: Food at the home is quite good, they come and ask you the night before what you would like – give you a choice Food very nice and nicely presented Some very good soup Individual preferences were well catered for, for example one person spoken with is a vegetarian, this person said their preferences were well catered for and they enjoyed their lunch of nut roast on the day of the inspection visit. Another person had a puree diet which was well presented and looked appealing. People were provided with a varied and nutritious diet, including home made soups. Discussion was held with Kate Hickson about the display of menus, she talked about how the home are in the process of developing laminated menus to be placed on individual dining tables. The permanent chef had left, the home had made interim catering arrangements while they were in the process of recruiting another chef. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are confident that their complaints and concerns will be listened to and taken seriously. The homes policy on safeguarding adults gives staff the information they need to ensure people are protected from abuse. Recording and monitoring in relation to safeguarding adults needs to be improved to show people are properly safeguarded. EVIDENCE: The home has an accessible complaints procedure. There have been no complaints recorded since the home opened in November 2006. A number of people were asked whom they would speak to if they had a concern. They all said the management and staff were approachable. The home had received a number of compliments thanking management and staff for their care and attention. The home has a very robust safeguarding adults policy which details very clearly the action all staff must take if they suspect or are disclosed that abuse is taking place. The AQAA confirms that no safeguarding adults referrals have been made and no safeguarding adults investigations have been carried out. Daily recording for July 2007 showed that one resident hit another resident Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 16 across the neck causing scratch marks on the resident’s neck. Kate Hickson said there had not been any further incidents of this kind. There were no records to show safeguarding procedures had been implemented and monitored. Much discussion was held with Kevin Gunputh and Kate Hickson about good practice in relation to professional assessments with people for use of equipment. The importance of people having the individual equipment that would be of benefit to them was highlighted. The particular equipment issue with one person was satisfactorily resolved which meant the person was provided with beneficial equipment. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The living environment is of a high standard and is homely, clean, safe, comfortable and well maintained. EVIDENCE: Inspection of the premises and records demonstrated that routine maintenance and refurbishment work is routinely carried out. Aranlaw House is well appointed with good quality furnishings and is decorated and furnished in a homely, comfortable and safe manner. Lighting throughout the home is domestic in character. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 18 The well maintained environment provides specialist aids and equipment to meet the needs of the people living in the home. Each bedroom has an ensuite facility. People expressed satisfaction with their private rooms, which were individually personalised. The grounds were safe and tidy. Inspection of the premises showed the home was clean. People spoken with confirmed the home is routinely clean. The laundry room is fit for purpose. Kate Hickson confirmed that sheets and towels are laundered by an outside contractor. The home launder personal clothing and have a well managed laundry system. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staffing arrangements mean there are enough staff to meet peoples’ needs. For the most part staff receive the training they need to ensure the people who live in the home are safe. Improvements are needed with training in moving and handling for some staff. Recruitment practices need improving as people are placed at risk through lack of protection. EVIDENCE: Discussion with Kate Hickson, staff and people living in the home and examination of records showed there were enough staff to meet the needs of people. The home were in the process of implementing new training resources and, as such, did not have the evidence to demonstrate that all staff had received the required training, including specialist training. A timescale of the end of January 2008 was agreed for all staff to receive the training necessary for the care they are delivering. Some moving and handling practices were observed which potentially placed one resident at risk. This was brought to the attention of Kate Hickson who quickly made sure that the staff members concerned received refresher training in moving and handling. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 20 Care staff are encouraged and supported to prepare for National Vocational Qualification (NVQ) assessment. There was evidence to demonstrate that management tailor NVQ training to meet individual staff learning needs in order to meet differences in individual learning needs. This shows good promotion of staff equality and diversity. Two staff records were examined. Both files showed recruitment practices included completion of an application form, interview, health check, obtaining references, PoVA First check and Criminal Record Bureau check. On the first staff file it was not clear if the staff member had started before all required employment checks had been completed. On the second staff file the PoVa First check and the Criminal Record Bureau check had both been received after the member of staff had started working in the home. The importance of the home being in receipt of all the required employment checks before staff started working in the home was discussed with Kevin Gunputh and Kate Hickson. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Management have the experience to make sure day-to-day management responsibilities are discharged. Record keeping and auditing systems need improvement to show effective management is in place. The health, safety and welfare of the people who live in the home are considered. Further action needs to be taken to ensure that people are safe and protected at all times. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 22 EVIDENCE: Kate Hickson has a number of year’s experience of owning and managing a care home. She is aware of the need to keep up to date with practice and continuously develop management skills. She is working hard to make sure the home complies with regulation. There are clear lines of accountability within the home. Discussion was held about how management systems must be developed and implemented to make sure management responsibilities are fully carried out. Quality monitoring systems have not yet been embedded. In order to protect residents, the home prefers to have no involvement in personal finances. Therefore, all residents who are unable or have no wish to handle their own affairs have a relative or other representative to deal with their finances wherever possible. Fire records showed that maintenance and checks on fire equipment were carried out. Management could not find the home’s fire risk assessment, evidence was in place to show that a fire risk assessment has been completed. Management were advised that the fire risk assessment should be available and accessible at all times. A record of accidents is maintained, accident monitoring and analyses were not available to show prevention of accidents. Strategies were not consistently in place for the prevention of falls for those people who had been identified as at risk of falling. Examination of daily records showed that not all significant events were being reported through Regulation 37 Notifications, as required. Following the inspection the home have rectified this matter with the submission of four Regulation 37 Notifications. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 23 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 12 (1) (a)(b) Requirement Timescale for action 31/01/08 2. OP7 4 (b) 3. OP8 14(2) 4. OP9 13 The registered person must set out in detail in the service user’s plan the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs are met. Previous timescale of 31/08/07 not fully met. The registered person must 31/01/08 include a risk assessment as part of the individual care plan. Previous timescale of 31/08/07 not fully met. To ensure that the health needs 30/11/07 of people can continue to be met at the home, the registered person must ensure that the person’s assessment is kept under review and revised at any time when it is necessary to do so, having regard to any change of circumstances. There must be arrangements to 30/11/07 ensure the safe handling, administration and recording of medicines including: Recording an assessment when Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 25 there is a change of circumstances which means a person no longer self administers their medication and the home take responsibility for managing that person’s medication. Having an effective system for monitoring medication to ensure that it is given as prescribed and accurately recorded. People must be consulted about opportunity for involvement in meaningful daytime activities of their own choice, and according to their individual interests and capability. Records must demonstrate that all incidents of abuse are followed up promptly and show the outcome of the safeguarding action taken. All required employment checks, including a PoVA First check must routinely be completed before staff start working in the home. All staff must receive training appropriate to the work they are to perform, including specialised training for any specialised care delivery, for example training in mental health. The registered person must establish and maintain a system for reviewing and improving the quality of care provided at the care home. Previous timescale of 31/08/07 not fully met. Strategies for the prevention of falls must be in place for those people who have been assessed as at risk of falling. 5. OP12 16(2)(m) & (n) 31/12/07 6. OP18 12(1)(a) & 13(6) & 17 19(1) (b) 31/10/07 7. OP29 31/10/07 8. OP30 18 31/01/08 9. OP33 24 31/01/08 10. OP38 13 30/11/07 Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 26 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 OP9 Good Practice Recommendations When medicines are handwritten on the medicine record chart a second competent person should check the details are accurate and countersign to protect people. Aranlaw House Care Home DS0000068542.V352443.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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