Inspection on 25/04/06 for Archers Point

This inspection was carried out on 25th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Archers Point 05/02/08

Archers Point 19/01/06

Archers Point 21/04/05

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 Inspection 25th April 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 Archers Point DS0000006884.V290558.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. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Archers Point Address 21 Bickley Road Bromley Kent BR1 2ND 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) 020 8468 7440 020 8467 3478 Mr Om Parkash Grover Mrs Nirmal Kanta Grover Mrs Nirmal Kanta Grover Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 front of the building. The home is within easy reach of Bickleys main line station, local shops and public transport. The resident’s 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 two lounge areas one with a TV, a dining area and various sitting areas around the home. There are 17 single bedrooms, three double bedrooms and seven rooms that 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 accidents. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspection was carried out over six hours. The inspector spoke to four residents but there were no relatives available on the day of inspection. The inspector met with the manager, a tour of the building, including communal areas and bedrooms, kitchen and laundry areas were made. Care plans and medication documentation were inspected. Staff records were also inspected. The inspector felt that there were improvements in several areas and the management has addressed some of the previous requirements What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 6 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 Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 7 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): 1,2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered provider assess the prospective service user either in their own home or in hospital to ensure that the service can meet their needs. Information relating to this assessments were evident of the files tracked. EVIDENCE: The home has a Statement of Purpose and a Service User’s Guide but both these documents need to be updated. Three service users case files were tracked as part of the visit to the service. Terms and conditions of residency were on the files and the room to be occupied was specified. The assessment carried out prior to moving in underpins the service user’s care plan. There was quite a lot of information on file but this needs to be better organised to be accessible. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is poor. The judgement was made using available evidence including a visit to this service. Care plans and risk assessments are not sufficiently detailed to fully reflect the needs of residents. EVIDENCE: The inspector examined four care plans of service users. Care plans contained physical and health issues, nutrition continence and mobility. Mental health and psychological issues must be included in the care plan. Care plans seen did not contain a letter to service users confirming that the home was able to meet all their assessed needs. Daily recordings were brief and should contain more information. The manager informed the inspector that care plans are currently being reviewed to make them more Person Centred. Risk Assessments must be carried out routinely, this was not always evident on the care plans. The manager must inform in writing to the service users that the home can meet their needs.(Req.1) A system in place to ensure that risk assessments are routinely carried out (Req.2) Medication systems were inspected and the inspector noted that there were photographs of service users on each chart. Nearly all the staff have received Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 9 training in the safekeeping, storage and administration of medication. Some staff indicated that they were due to attend this training. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to this service. Residents have choices in their day and are encouraged to take part in the activities in the home. Where needed service users are assisted with feeding in an unrushed manner. EVIDENCE: Friends and relatives are encouraged to visit and there is an open visiting policy where visitors are allowed in the home at any reasonable times during the day and evening. Service users have a choice of dishes at mealtimes. Lunch was served in the dining room and the tables were nicely set with brightly coloured tablecloths. Service users who needed assistance with feeding were assisted in an unrushed manner. There were some in-house activities but this is very limited and there is no record or timetable of what is on offer. The registered manager should have a table of activities for service users. (Recommendation 1) Interaction with service users by staff is mainly task related such as feeding, changing, medication etc. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17, 18 Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to this service. There is an appropriate complaints procedure. Service users have access to this a part of the service use’s guide. EVIDENCE: There were no recorded complaints. There were no incidents recorded. Accidents were recorded in the accident book. The inspector recommends that all staff receive training in how to deal with complaints. The registered manager must ensure that all complaints regardless of how trivial are recorded with the date of the complaint the action taken and outcomes of the complaints. (Req. 2) Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25, 26 Quality in this outcome area is good. The judgement was made using available evidence including a visit to this service. The environment was clean and well maintained that meets the needs of residents and allows them to reside in a homely environment EVIDENCE: There is a continued programme of refurbishment and maintenance both internally and externally. Service users are encouraged to personalise their rooms. All areas of the home were clean and there was no evidence of any unpleasant odours. The kitchen was reasonable and the cupboards and work surfaces appear to be ingood condition. The kitchen has recently been steamed cleaned Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to this service. There was no CRB on file for one member of staff although there was evidence to suggest this has been applied for. EVIDENCE: The staff team consists of care staff, domestic staff and a cook in order to ensure that the resident’s needs were met appropriately. One staff file did not have a current CRB check. However the Povs checks had been carried out. The registered manager assured me that the CRB check had be applied for and a copy of the application was on file.. The provider stated that this member of is supervised at all times. The registered manager must ensure that all staff have a current CRB before they commence working at the home. (Req.3) On the day of the inspection the home was arranging for several staff to undertake their NVQ 2 training. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 36, 38 Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to this service. The home provides opportunities for staff and residents to inform the owners and manager of their views regarding the home. Staff are supervised in line with the National Minimum Standards. EVIDENCE: The provider/manager is a qualified nurse and has undertaken the Registered Manager’s Award. The inspector observed staff engaging with service users to offer drinks and to assist with feeding. The home has a quality assurance questionnaire that has been filled in by service users and their families. However the results of this questionnaire need to be collated and a report sent out to the service users and the Commission. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 15 The owners have a financial and business plan and the CSCI require copies of these to be forwarded to the local CSCI office for information. Insurance is in place and a variety of Health and Safety documents including the Fire drills and, gas, electricity and portable testing appliances were seen. Of these the Gas certificate was out of date and the new certificate need to be sent to the CSCI. The provider explained that the current inspection had been done and is now awaiting the certificate. The care staff is supported with a supervision every 8 weeks by the manager, however the inspector felt that staff did not have a good understanding of what supervision is about and therefore staff were unable to appreciate the benefits of supervision. The inspector recommends that the manager address this issue with staff members either as a team or individually. (Recommendation 2) Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 2 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 18 3 3 x x x 3 3 3 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 3 x 2 x 3 3 2 Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 17 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. 2 Standard OP7 OP7 Regulation 14 .1d 14.1a Requirement The manager must inform in writing to the service users that the home can meet their needs. The manager must have a system in place to ensure that risk assessments are routinely carried out The registered manager must ensure that all complaints regardless of how trivial are recorded with the date of the complaint the action taken and outcomes of the complaints. The registered manager must ensure that all staff has a current CRB before they commence working at the home Timescale for action 30/06/06 30/06/06 3 OP16 22.3 30/06/06 4 OP28 19 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The registered manager should have a table of activities DS0000006884.V290558.R01.S.doc Version 5.1 Page 18 Archers Point 2 OP32 for service users. The inspector recommends that the manager provides some training for staff around supervision and the benefits of supervision. Archers Point DS0000006884.V290558.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup 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 DS0000006884.V290558.R01.S.doc Version 5.1 Page 20 - 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!