Inspection on 31/05/06 for Arbrook House

This inspection was carried out on 31st May 2006.

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

Arbrook House 18/06/07

Arbrook House 05/12/05

Arbrook House 25/08/05

Arbrook House 26/10/04

Arbrook House 07/06/04

Arbrook House 25/05/04

Arbrook House 01/04/03

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Arbrook House 36 Copsem Lane Esher Surrey KT10 9HE Lead Inspector Damian Griffiths Unannounced Inspection 31st May 2006 10:00 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 Arbrook House DS0000013300.V293950.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. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Arbrook House Address 36 Copsem Lane Esher Surrey KT10 9HE 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) 01372 468246/7 01372 470760 BUPA Care Homes (BNH) Limited Ms Keena Sinclair Millar Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 44 Residents accommodated, 4 may also fall within the category TI(E) Terminally ill, Elderly 5th December 2005 Date of last inspection Brief Description of the Service: Arbrook house is situated close to Esher town centre and Claremont Landscaped gardens. The home is situated in its own landscaped grounds with its own lake. The home is registered for forty-four older people and the accommodation is provided over two floors and can be accessed by lift. All rooms are for single occupancy and have en-suite facilities. The home has a large communal sitting room and a large dining room. There is a conservatory and separate smoking area for residents who wish to smoke. There is a patio area to the rear of the house overlooking the grounds and the lake. Parking is available at the front of the building. Fee’s ranged from: £860 - £1017 per week and short stays were: From a £190 per night. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of the Commission for Social Care Inspection (CSCI) year April 2006 to 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. Lead Regulation Inspector Damian Griffiths was assisted throughout the inspection by the Deputy Manager Mr Vincent Munieza representing the establishment The IBL process involves a pre-inspection assessment of service information from a variety of sources initially helping to prioritise the order of inspections and identify areas that require more attention during the inspection process. A new Inspection record is compiled from details received from a preinspection questionnaire from the home and notifications of significant events known as regulation 37. Comments and complaints received and previous inspection reports are all considered for inclusion prior to the inspection visit. For more details of ‘IBL’ please visit the Commission for Social Care Website details can be found on the last page this Inspection report. The inspector was with staff and residents at Arbrook House for a period of 7 hrs. This time was spent sampling resident’s care need assessments, care plans, contracts and talking to residents, staff and relatives. Staff files were inspected for evidence of good practice in the following areas: recruitment, allocation of staff skills, daily rotas and training. Ten residents plus one relative and a friend, completed a CSCI Survey distributed during the inspection. The random sampling of the survey group was predominately British, although it was observed that other nationals were residing at the home. The inspector would like to extend thanks to the residents staff and management at Arbrook House for their assistance and hospitality. What the service does well: The home offers a good standard of care within a homely and pleasant environment for the residents of Ashleigh House offering cultural and age appropriate activities and religious services. The grounds were very nice and the home comfortable but a little worn in places. Staffing was good and residents were well cared for and had a variety of opportunities to socialise. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 6 Resident’s enjoyed a good social life and was consulted about future activities and other issues within the home and there. The food was good and the menu varied, although it was not clear whether the residents were satisfied with what was on offer, however, genuine attempts were made to consult with residents. Residents felt that they were well cared for and that in general staff listened to and acted on what they said. What has improved since the last inspection? What they could do better: Information for new residents must be supplied with a copy of the homes Statement of Purpose, Service Users Guide, a copy of the last inspection report and to ensure that this is provided to the individual resident, to be, despite others that may be arranging the placement for them. All residents must receive a full assessment of their care needs and the care plan be reviewed regularly. The complaints system was good and residents were able to make complaints freely however the home must ensure that a full record of the complaints made during the preceding twelve months and the action that was taken in response is completed . Suitable storage facilities were needed in the bathroom areas. The home still has some issues to address from the previous Inspection in the area of recruitment records and must ensure that all documents are in order. Recommendations included: That the Statement of Purpose and The Service Users Guide is regularly updated to include details of any new staff working at the home. That the manager reviews the storage of the care plans to enable the care assistants and nurses to refer to them easily when working with the service users. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 7 That the care assistants become more involved in compiling and updating the service user plans. That the instructions for operating all equipment to be found in the bathroom areas would benefit by being laminated to ensure waterproofing and ease of use and instruction notices, be removed from public areas and the traffic light system be reviewed. That the home conduct a wider quality assurance exercise to include social care and health practitioners such as GP’s as well as residents, friends and family. 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. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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 Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and the Services Users Guide offered new and existing residents useful information about the home. Residents new to the home had received an assessment of their care needs however some assessments for residents on short breaks needed to be reviewed. This Home does not cater for Intermediate Care needs. EVIDENCE: The Statement of Purpose and Service Users Guide explained in plain English useful information about the home that included: Philosophy and commitment, staff and management structure, ability and fee’s, the range of people’s needs catered for and general information about room sizes and location. Half of the residents completing the CSCI survey commented on not having enough information about the home prior to moving in. Some had been assisted by their families and would have benefited by the home ensuring that they had received their own copies of the homes details. BUPA has it’s own website with details of the home available to the public. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 10 Residents had received an initial assessment required to establish the homes ability to meet residents care needs. Eight Care plans folders were sampled including new, long term and short stay residents. New residents received a pre-admission assessment but their care plans were sparse containing little but the appropriate elements to ensure their basic care needs were being met. Some residents were ‘trying the home on for size’ and had been accommodated for over a month. A more detailed assessment of care need was required in order to confirm whether there was any risk to the health and welfare of these residents. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents care plans contained all the relevant health care information but short-term residents care plans were in need of more information. Medication was properly administered and resident’s privacy and dignity was respected. EVIDENCE: Eight care plan folders were inspected in total as stated in the previous section. Full term residents care plans were clear and detailed, however as stated short term residents were in need of additional information to form a complete assessment of care needs. Care plans contained photograph’s of each resident, clear accounts of risk’s assessed and action needed such as: smoking, pressure sore management and personal care were in place. Full family details, contracts, contacts, social likes and dislikes were recorded including residents special instructions in the event of an emergency admission into hospital. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 12 Maladministration of medication had been reported to CSCI by the home as required by regulation 37 of the Care Standards Act 2000, therefore, four samples of service users ‘medical administration records’ were inspected and found to be in good order and accurately reflected the prescribed dosage. Fortunately there were no ill affects to the residents affected. Staff were observed to administer residents medication correctly and securely from the lockable trolley provided and this was stored in a secure place as required. Arrangements for personal care needs to be conducted in a sensitive and dignified way was observed. Staff took time to administer a resident’s medication and residents were addressed in the manner of their choosing. Staff were observed to be aware and understanding of the needs of the residents and were happy in their work. There were however just a few concerns. Instruction notices were observed to be in sight of residents and visitors to the home these must be used discreetly and not be left in view. Likewise the current traffic light system used for the benefit of staff to identify the level of resident needs also needs to be out of sight and contained in a staff area or the residents care plan. Overall, residents confirmed that they always received the care and medical support they needed and two residents consulted felt that these areas were met only ‘sometimes’. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Overall, residents confirmed that they always received the care and support they needed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefited from the activities provided at the home and provided positive feedback. The home opens it’s doors to family and friends and offers a good choice of activities for all to consider. Choice of activities and menus were regularly available for residents to consider. EVIDENCE: Residents commented on the activities available being good and the activities co-coordinator is helpful and enthusiastic. Activities were age appropriate and met the cultural needs of the residents. Nine out of ten residents stated that they always or usually took part in the activities provided at the home. There was an activities room that was a little chaotic but very homely. It was also the location of the hairdressing salon where residents enjoyed regular appointments. Sensitivity and effort had gone into providing residents with areas representing the past including collections of objects and pictures familiar and nostalgic for residents and provided an opportunity for reminiscence. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 14 Volunteers to the home included a vicar from the local church. Religious services were available and there were no issues concerning this aspect of the residents lives mentioned to the Inspector. Residents had received a Spring Questionnaire from their activities coordinator, which provided valuable information about the value of each activity experienced. Residents have the opportunity to discus topics of interest and importance to the home. Every Wednesday, late afternoon, at ‘Super Social’ is held with drinks served before supper and is a favourite opportunity to discuss issues relevant to the residents. Another favourite meeting point included the ‘Sherry Party & Crosswords’ event, exercise class and singalong. Family and friends were always included and encouraged to participate. Information from age Concern was also in evidence for residents wishing advice about independent advocacy services. The chef had conducted a ‘Menu Preference Survey’ for the residents to ensure that the menu and food provision was adequate unfortunately the results of the survey were not available for the inspector on the day of the inspection. Resident’s comments received in the CSCI survey indicated that residents ‘usually’ or ‘sometimes’ liked the food provided. The result of the ‘Menu Preference Survey’ was not available to confirm whether this was acceptable to the residents. The menus and food observed on the day of the inspection was very good. Menus provided a choice of two different meals a day, fresh fish, fruit and vegetables. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service The home’s complaints procedure was well used by the residents however some were unsure of the procedures. The home had all the adequate procedures in place for safeguarding vulnerable adults but needed to ensure that one resident was receiving care adequately. EVIDENCE: The homes `pre-inspection questionnaire’ submitted to CSCI showed there had been 14 complaints submitted over the last 12 months with five cases being substantiated and four partially substantiated there was one complaint pending. The outcome of the remaining four cases was not made clear however eight out of ten residents who took part in the CSCI survey were confident with the complaints procedure. Safeguarding vulnerable adults procedures were in place and staff had received training in this area. There had been one case of unexplained bruising to one resident that required further investigation. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 16 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents enjoyed a comfortable, clean, peaceful environment with access to pleasant and spacious grounds. EVIDENCE: The grounds of driveway and road to the home was well tended as was the rest of the grounds contained in a secluded, private gardens with a small lake for the residents to enjoy. A tour of the premises was conducted and revealed a comfortable, relaxed clean and homely environment that appeared a little worn around the edges. Residents were observed enjoying the lounge and conservatory areas and there was a separate smoking room in use. Storage cupboards and shelving in communal bathrooms required refurbishment or replacement. The home was about to benefit from a planned redecoration programme but the laundry room had not been included. Following the inspection it was established due to flaking paint on walls that this area was also in need of redecoration. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 17 The laundry and hotel services worked well to provide the residents with regular laundered clothes and 100 of residents commenting in the CSCI survey considered the home ‘fresh and clean. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 18 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents stated that they usually had their needs met by the staff. Staff were well qualified and able to meet the needs of the residents however not all staff had a full employment history. EVIDENCE: Six staff files were sampled for details of staff skill mix on each of the rotas, training and recruitment practice. Residents were observed being assisted by staff in an unhurried and dignified manner. Staff consulted stated that they were happy in their work and were positive about the home. Staffing consisted of registered nurses (RGN), senior care staff, care staff and auxiliary workers. The overall range of qualifications from RGN to levels 3 and 2 National Vocational Qualifications was well above the national minimum standards. Training was available staff confirmed in all core areas and evidence of the training programme was provided from December 2005- May 2006. Two out of the six files sampled lacked the full documentation as required in paragraph 1 to 9 of Schedule 2 of the Care Homes Regulations 2001, as amended by The Care Standards Act 2000. A full employment history was missing on two files, without adequate exploration of the reasons for gaps in Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 19 employment. The referee’s chosen by the applicant had not supplied the references on file; alternative references had been obtained from BUPA homes. Eight out of ten residents completing the CSCI survey stated that staff were usually available when they were needed. Staff were observed helping residents as required during the dinner period and rotas confirmed that staff were available during peak times in the morning and evening. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 20 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Management and staff team were working well together and had obtained the necessary skills and qualifications to ensure a safe, well run, and homely environment was maintained for the service users. Service users are given regular opportunities to discuss any concerns and contribute to policies within the home. Health and Safety at the home was well documented. EVIDENCE: The registered manager was not available due to annual leave commitments on the day of the inspection however the deputy manager was helpful and exhibited a good working knowledge of the home and it’s residents and staff. Residents were well informed and had the opportunity of informing staff of their wants and wishes on Wednesday’s ‘Super Supper’ and were given the opportunity to comment on the type of activity available now and in the future Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 21 and the opportunity to discuss with the chef the type of meals preferred, it was recommended that the results be forwarded to CSCI. It is recommended that the home conduct a wider ‘quality assurance exercise’ to include social care and health practitioners such as GP’s as well as residents, friends and family. The home deals directly with residents or family regarding financial matters. There were no concerns expressed or reported in this area. Resident’s weekly allowances are paid into a building society account and only small amounts are kept on the premises. There were no health and safety concerns noted or observed during the inspection and the registered manager had supplied full details of maintenance checks however fire extinguishers checks were overdue. Please see the recommendations and requirements section of this report. Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 22 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 2 X 2 X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 23 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 OP1 Regulation 4(1)(b)(c) & (2) Requirement Timescale for action 26/07/06 2. OP3 15(1)(2) (a) 3. OP16 22(8) 4. OP18 13(6) The registered person must ensure that along with the BUPA homes information new residents are supplied with a copy of the Statement of Purpose, Service Users Guide, a copy of the last inspection and to provide this service to the individual resident ,to be, despite others that may be arranging the placement. The registered person must 26/07/06 ensure that all residents receive a full assessment of their care needs and keep the care plan under review. A sample of four new residents assessments to be submitted with the homes ‘improvement plan’ to CSCI. The registered person shall 26/07/06 supply to the Commission a statement containing the complaints made during the preceding twelve months and the action that was taken in response and submit this with the homes ‘improvement plan’. The registered person will make 26/07/06 arrangements to prevent service users being harmed or suffering DS0000013300.V293950.R01.S.doc Version 5.1 Arbrook House Page 24 5. OP21 6. OP26 7. OP29 8. OP29 abuse or being placed at risk of harm or abuse and review the service user in question and submit details of actions taken with the homes ‘improvement plan’ to CSCI. 23(i) The registered person must ensure that suitable storage facilities are provided and submit this with the homes ‘improvement plan’ to CSCI. 23(d) The registered person must ensure that all parts of the care home are reasonably decorated including the ‘Laundry room’ in the overall redecoration programme and submit this with the homes ‘improvement plan’ to CSCI. 19(1)(a-c) The registered person must not Schedule employ a person to work at the 2 care home unless the person is fit to work at the care home and he/she has obtained, in respect of that person, the information and documents specified in paragraphs 1 to 9 of Schedule 2 of the Care Homes Regulations 2001, as amended by The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2004. This requirement has been partially met from the previous inspection and a revised timescale has been given. 19(1)(aThe registered person must c)Schedul obtain the following information: e2 full employment history Explanation of any gaps in employment Verification of reason for leaving employment Two satisfactory, written references, including, where applicable, a reference relating DS0000013300.V293950.R01.S.doc 26/07/06 26/07/06 26/07/06 26/07/06 Arbrook House Version 5.1 Page 25 9. OP29 19(4) (a-c) Sched’ 2 10. OP38 23(4)(c) (i) to the last period of employment which involved working with vulnerable adults Retrospectively for each member of staff employed by the company after The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2004 came into force on 26th July 2004. This requirement has been partially met from the previous inspection and a revised timescale has been given. The registered person must not allow an agency worker to work at the care home unless he/she has received written confirmation that the agency have obtained the information and documents specified in paragraphs 1-9 of Schedule 2 of The Care Homes Regulations 2001, as amended by The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2004. This requirement has been partially met from the previous inspection and a revised timescale has been given. The registered person must ensure that provision is made for detecting and extinguishing fires by providing proof that the fire extinguishers at the home have been adequately checked and are fit for purpose and submit this with the homes ‘improvement plan’ to CSCI. 26/07/06 26/07/06 Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 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. 2. 3. 4. 5. Refer to Standard OP1 OP7 OP7 OP15 OP21 Good Practice Recommendations It is recommended that the Statement of Purpose and The Service Users Guide be regularly updated to include details of any new staff working at the home. It is recommended that the manager review the storage of care plans to enable the care assistants and nurses to refer to them easily when working with the service users. It is recommended that the care assistants become more involved in compiling and updating the service user plans. It is recommended that the results of the ‘Menu Preference Survey’ be confirmed and minuted at the next residents meeting and a copy be sent to CSCI. It is recommended that the instructions for operating all equipment to be found in the bathroom areas would benefit by being laminated to ensure waterproofing and ease of use, also, instruction notices, be removed from public areas and the traffic light system be reviewed. It is recommended that BUPA Care Homes Ltd review their employment application form to encompass the new requirements of Schedule 2 of the Care Homes Regulations 2001 (as amended by The Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). E.G. request a full employment history instead of the past 10 years only; ask for reasons for leaving previous jobs; ask for gaps in employment to be explained; etc. It is recommended that the home conduct a wider quality assurance exercise to include social care and health practitioners such as GP’s as well as residents, friends and family. 6. OP27 6. OP33 Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Arbrook House DS0000013300.V293950.R01.S.doc Version 5.1 Page 28 - 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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