Inspection on 21/04/05 for Archers Point

This inspection was carried out on 21st April 2005.

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

Archers Point 05/02/08

Archers Point 25/04/06

Archers Point 19/01/06

Archers Point 07/10/04

Archers Point 16/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE ARCHERS POINT 21 BICKLEY ROAD BROMLEY KENT BR1 2ND Lead Inspector CHERYL CARTER UNANNOUNCED 21 April 2005 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 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. ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service ARCHERS POINT Address 21 BICKLEY ROAD, BROMLEY, KENT, BR1 2ND Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020-8468-7440 020-8467-3478 MR OM PARKASH GROVER AND MRS NIRMAL KANTA GROVER MRS NIRMAL KANTA GROVER CARE HOME 24 Category(ies) of OLD AGE, NOT FALLING WITHIN ANY OTHER registration, with number CATEGORY (24) of places ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 07/10/2004 Brief Description of the Service: Archers Point is a large detached three storey purpose built residential home for the care of the elderly. the home is set back from a busy main road, with some off street parking to the from. The home is within each reach of Bickleys main line station,local shops and public transport. The residents accommodation is on the two lower floors accessed by a lift. The owners occupy the third floor. Residents have access to a large garden at the rear of the home. The accommodation offers to lounge areas one with a TV, a dining area and various sitting areas around the home. There are 17 single bedrooms and three double, seven rooms have en-suite facilities. There are grab and hand rails on stairs, in passageways, toilets , showers and bathrooms. Specialised bathing and toilet equipment and lifting aids are available. Central heating is provided to all areas of the home and residents can control the temperature of their own rooms. The radiators and hot pipes are guarded to lessen the risk of an accidents.. ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 hours and was carried out as part of the statutory inspection programme. The inspection included a tour of the premises, insp0ection of records, care plans and safety systems. Four members of staff spoke to the inspector and six residents were also spoken. The inspector also spoke to one visitor to the home. The inspector was also able to observe staff during the day. What the service does well: What has improved since the last inspection? What they could do better: The registered persons must ensure that the home updates The Home’s Statement of Purpose and Service User Guide in line with this regulation. The home needs to purchase a Washing Machine with sluicing facilities. There needs to be improvements in infection control. General repairs and refurbishment to the home should be carried out more speedily for example; the carpets in some of the bedrooms need to be changed. The Laundry ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 6 facilities in the home need to be reviewed. Staffing levels should be reviewed and the home should consider employing a cook and domestic in order to free the care staff to spend more time engaging with the service users. The registered provider must provide for staff suitable changing and storage facilities. The home needs to draw up an activity programme for residents. All new staff must undergo an induction programme and CRB checks must be completed before staff could start work at the home. The home needs to carry out monthly inspections of the home according to Regulation 26. 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. ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 6 A service User’s Guide and Statement of Purpose is available to perspective service users and care managers. There is a minor shortfall to meet the requirements for this standard. Service Users are issued with a contract and terms and conditions of the home. This standard has a minor shortfall EVIDENCE: The Statement of Purpose and the Service use’s guide need to be amended to meet the requirements of the National Minimum Standards.. The written contract and terms and conditions must include the room to be occupied by the service user. Each service user is assessed prior to moving into the home and the service users also have a trial period of up to one month before the placement is confirmed. This gives the service users and their relative the opportunity to assess the quality of care offered. The home does not offer intermediate care. Requirements 1 & 2 Recommendation 1 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 Systems are in place to ensure the personal and healthcare needs of residents are met. The practice for administering medication could place service users at risk must be reviewed to ensure safer practices. EVIDENCE: Every resident has a care plan, and this is reviewed regularly. Residents spoken to said that staff was polite and caring and that they were very happy at the home. All service users spoken to were very positive about the home. Residents were generally well presented. None of the residents have pressure sores. Most of the residents are unable to manage their medication and the system for the administration of medication could place service users at risk. Staff potted up medicines into medicine cups prior to administration. This is not a safe practice. There was evidence to show that staff members at the home are aware of the importance of ensuring the service users privacy and dignity. The home has policy and guidelines on the care of the dying and what to do in the event of a death of a service user. Requirement 3 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 10 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, and 15 There was no evidence of regular organised activities in the home. Service Users are encouraged to maintain contact with family and friends as they wish. The home does not employ a cook. EVIDENCE: The Inspector was informed that service users attend church if they wish and friends and family can visit at any time during the day. The home does not employ a cook. On the day of the inspection there were three care staff on duty. One was responsible to preparing the Lunchtime meal, which is the main meal of the day. The Inspector is concerned about this practice, as these impact on the time care staff interact with the service users. Requirement 4 Recommendation 2 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 16, 17 and 18 The home has a complaints policy displayed in the main hallway. However there is no Complaints Log. This could place service users at risk. Not all staff was aware of the policies and procedure with dealing with Adult Abuse and Whistle blowing. EVIDENCE: The home has a Complaints policy but there is no record of any complaints and the home does not have a log. The Inspector raised this issue with the Provider who said that there have been no complaints about the home. The Inspector was presented with a folder with a number of Complements about the home. The Inspector has pointed out to the provider that all complaints regardless of how minor must be logged, investigated and outcomes recorded. All staff must receiving training in Complaints, and all staff including ancillary staff must have training in the Protection of Vulnerable Adults and Whistle blowing. One file inspected did not have a CRB on file. Not all the relevant documents required to meet this standard were on file. Requirement 5 & 6 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 13 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 standard(s) 19, 20, 21, 22, 25 and 26 There is a number of outstanding maintenance and hygiene issues. EVIDENCE: The ground floor smelt of stale urine. Rooms downstairs were extremely dirty. The Laundry room was chaotic with laundry everywhere. The Provider informed the Inspector that the night staff do laundry. The home has three domestic style washing machines with no sluicing facilities. Staff understood the importance of using red bags to separate soiled laundry. However this is not practiced in the home. The Inspector pointed out that there were no tumble driers. The Inspector was informed that the machines are washer driers. There is no evidence that Laundry is routinely separated and soiled laundry washed separately from other laundry. The Laundry arrangements are unsuitable and do not meet the required standard. This is a major shortfall. The disposal of incontinent pads must be reviewed. The repair and maintenance issues needs to be dealt with urgently. The facilities for staff are ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 14 poor. There are no facilities for the purpose of staff changing and storage facilities, or separate toilet facilities for staff. This situation needs to be addressed. Requirements 7, 8, 9, & 10 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, and 30 Staff with appropriate qualities is employed in the home but not all staff have the relevant qualifications, experience or training. EVIDENCE: Four staff files were looked at. Not all files had evidence of identity and the enhanced CRB. Not all files had evidence of induction and training received. One staff has a Level 3 NVQ and two members of staff are currently undertaking Level 2 NVQ. On the day of the Inspection the NVQ assessor visited the home and all staff on duty on that day were being registered for NVQ Level 2 training. There was no evidence of staff meetings. The home does not currently meet the required 50 Level 2NVQ. Requirement 11 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, The Leadership in the home is clear. Systems in place in relation to Service Users Safety need to be reviewed. EVIDENCE: The Manager/Provider of the home is a qualified Nurse currently undertaking the Level 4 NVQ and the Registered Manager’s Award. Regulation 26 visits to the home are not undertaken. The last recorded accident was 13th February 2005. A sample of safety systems in place was assessed with the exception of the fire alarm system. Requirement 12 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 1 1 2 3 x x 1 1 STAFFING Standard No Score 27 2 28 1 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 1 1 3 2 x x x x x 3 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 18 YES Are there any outstanding requirements from the last inspection? 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 6 Requirement The Registered Person must ensure that the Statement of Purpose is updated to include all the areas specified in the Regulation The Registered Person must ensure that the Service User Guide is updated to include the address and telephone number of the CSCI The registered Person must ensure that arrangements for medicines in custody of the home are handled according to the requirements of the Medicines Act 1968 and that medicines are dispensed individually at the time of administration and not prepared in advance. The Registered provider must provide suitable , wholesome and nutritious food which is varied and properly prepared for service users The registered person shall make arrangements, by training staff or by other measures prevent service users being harmed or suffering abuse or being plae at risk of harm. Timescale for action 30.06.05 2. OP! 6 30.06.05 3. OP9 13 31.5.05 4. OP15 16 (i) 31.05.05 5. OP16 13.6 31.05.05 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 19 6. OP18 13(6) 7. OP19 23 2(b) 8. 9. 10. OP26 OP26 OP26 23 (2d) 23 (2K) 23 (3a) 11. OP29 Schedule 2 12. OP33 26 The registered person shall make arrangementsfor all staff including ancillary staff to receive training in adult abuse. The registered person must ensure that the premises are kept in a good state of repair externally and internally. The registered person must ensure that all parts of the home are kept clean. The registered provider must provide any necessary sluicing facilities. The registered person shall provide for staff suitable facilities and accommodation for the purpose of changing and storage facilities. The Registered Person must ensure that all information and documents are obtained in respect of persons working at the care home. The home must be visited according to this requirement and copies of these reports to be sent to the Commission 31.05.05 31.05.05 31.05.05 31.05.05 1.07.05 31.05.05 31.05005 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. Refer to Standard OP2 OP12 Good Practice Recommendations The Statement of Terms and Conditions should include the rooms to be occupied. The Registered Provider should have a daily programme of activites for Service Users that is interesting and stimulating.. ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection SIDCUP AREA OFFICE, RIVER HOUSE, 1 MAIDSTONE ROAD, SIDCUP KENT DA14 5RH 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 ARCHERS POINT G51S6884Archers Point V222792 21-04-05 Stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!