Inspection on 10/05/05 for Ardath

This inspection was carried out on 10th May 2005.

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

Ardath 22/07/08

Ardath 28/09/06

Ardath 11/10/05

Ardath 19/10/04

Ardath 25/05/04

Similar services:

The Shelley

Springfield House

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 Ardath 27 Hastings Road Bexhill on Sea East Sussex TN40 2HJ Lead Inspector Andy Denness Announced 10 May 2005 14:00 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. Ardath Version 1.10 Page 3 SERVICE INFORMATION Name of service Ardath Address 27 Hastings Road Bexhill on Sea East Sussex TN40 2HJ 01424 210538 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) Sussex Housing & Care Miss Jane Ann Narborough Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places Ardath Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only older people will be accommodated 2. The maximum number of service users to be accommodated is thirty two (32) 3. That service users accommodated will be aged sixty five (65) years or older on admission Date of last inspection 19 October 2004 Brief Description of the Service: Ardath is a part adapted, part purpose built care home situated on the outskirts of Bexhill on Sea. In recent years the home has undergone a major refurbishment which has meant that all bedrooms are now singles with ensuite facilities. The home is situated approximately one mile from Bexhill town centre with its shops and access to bus and rail routes. The home is registered to accommodate thirty-two older people and the registered owners are Sussex Housing and Care (SHAC). Ardath Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced Inspection took place over an afternoon and evening in May and lasted 5 ½ hours. To help gather evidence on how the home is performing the Inspector sat and ate an evening meal with service users, met with staff and the home’s manager, examined a range of records and written information and undertook a short tour of the premises. In depth discussions took place with twelve service users and information was also obtained from comment cards which were returned by 18 service users and three relatives. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ardath Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Ardath Version 1.10 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 standard(s) 1, 2, 3, & 5. Pre-admission procedures are good and help ensure that service users are appropriately placed in a service that is suitable to meet their needs. EVIDENCE: A statement of purpose and a service user’s guide have been produced for the home, these documents provide guidance for prospective service users about Ardath and the service provided; both documents were examined, they were of a good quality. Assessments of service users’ needs are undertaken by the management prior to admission to the home; a selection of these were examined, they were of a satisfactory quality and covered all required areas of daily living. Service users spoken to said that that they had the opportunity to visit the home prior to moving in. All service users are issued with a contract detailing the terms and conditions of their stay at Ardath, this document contained all required information. Ardath Version 1.10 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 standard(s) 7, 8, 9 & 10 The policies, procedures and practices in the home regarding health, personal and social care needs are good and help ensure that identified service user needs in these areas are appropriately met. EVIDENCE: Using the initial assessment of need as a starting point individual plans of care are compiled for each service user; these identify amongst other things what support service users require from staff to meet their day to day needs in relation to health, personal and social care needs. Since the last inspection improvements to the care planning system have continued and all plans examined were of a good standard. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met. Service users also confirmed that medical and other professional help is obtained for them when it is required. Some service users look after their own medication, records examined confirmed that risk assessments are undertaken when this is the case. However staff manage medication for the majority of service users; storage and records were examined and found to be in order. Ardath Version 1.10 Page 9 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, 14 & 15. Arrangements in the home regarding social and recreational needs, visitors and community participation are good and ensure service users choice and variety in all areas of daily living. EVIDENCE: From records examined and discussions with service users it was evident that a range of social and recreational activities are available, including bingo, quizzes and entertainment. Service users said that they can use the home’s mini bus to visit the shops in Bexhill twice weekly. They also said that they have choices in all areas of their daily living including times for getting up and going to be and whether to spend time in their rooms. Menus examined confirmed that a varied menu is provided with alternatives and choices. The Inspector sat and ate the evening meal with service users; the meal was well prepared and service users said that quality of the meals provided was always good. They also said that on their birthday the home’s chef will cook them a special meal of their choice, they much appreciated this. Ardath Version 1.10 Page 10 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 & 18. Current arrangements regarding complaints and adult protection matters are managed appropriately and service users’ legal rights are protected. EVIDENCE: The home has detailed complaints and adult protection procedures in place, both procedures were examined; they were of a satisfactory standard. Records examined confirmed that complaints are managed in line with written procedures by the manager. Service users said that they feel able to complain to the manager should they be unhappy with any aspect of the service that they receive. Ardath Version 1.10 Page 11 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) Physical standards throughout the home are very high ensuring that service users live in a spacious, comfortable, safe, well maintained environment which is suitable to meet their needs. EVIDENCE: An inspection of all areas of the environment confirmed that physical standards throughout are high. All bedrooms comply with the size requirements of national minimum standards; service users said that they are able to bring their own furniture with them; most have done this, which results in pleasant personalised rooms. Service users spoke highly of the standard of their rooms and facilities. They have a choice of two lounges and a dining room to use , all of which are furnished and decorated to a high standard. The home has a small bar, which is open at lunchtime and some evenings. Heating is provided by a gas central heating system with radiators in all rooms, all radiators are guarded and service users can control the temperature of their rooms themselves. Tests confirmed that hot water is delivered to wash hand basins and baths at a safe temperature. The home is fitted with a shaft lift to assist service users access first floor accommodation. Ardath Version 1.10 Page 12 Some bathrooms are fitted with hoists to assist access to baths and handrails and other adaptations are sited throughout the home. A high standard of cleanliness was found in all areas of the home. Written policies are in place regarding infection control and records examined confirmed that all staff are trained in the subject. The laundry was suitably equipped with commercial washing machines and dryers, which comply with the requirements of national minimum standards. Ardath Version 1.10 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 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, 29 & 30. The current numbers and skill mix of staff ensure that service users’ needs are appropriately met. EVIDENCE: Records examined confirmed that staffing levels are adequate to meet service users needs. Service users said ‘ staff are very kind’, ‘we are all looked after very well’ and ‘excellent care at all times’. They also said that there are always enough staff on duty and that they only had to ask if they needed any help. Records examined confirmed that over 50 of staff are trained to the level required by national minimum standards. Staff said that they undertake a range of basic training courses including moving and handling, first aid, fire prevention etc. Records examined confirmed that robust recruitment procedures are followed, when new staff are employed, this includes the use of application forms, the following up of two references, ID checks, criminal record checks, Protection of Vulnerable Adult checks and the issuing of contracts of employment. Ardath Version 1.10 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 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, 33, 35, 36, 37 & 38. Good management and administrative systems are in place to support the high standard of care that is provided in the home. EVIDENCE: The registered manager presents as experienced and competent, she holds the Registered Manager’s Award and is an NVQ assessor; during the inspection she demonstrated a clear understanding of the needs of older people. Last year the home’s quality assurance system was extended by the introduction of questionnaires to be completed by service users; a selection of completed questionnaires was seen, they indicated that service users are very happy living at Ardath and pleased with the service that they receive. The home’s involvement in service users finances is limited to holding some personal spending monies for them. Balances and records regarding this were examined and found to be in order. Ardath Version 1.10 Page 15 Secure storage arrangements are available for service users to use if they so wish. It was noted that records were not kept of some valuables held on behalf of service users; it has been recommended that this is now done. A selection of health and safety records was examined, these were in order. Regular risk assessments of the environment are undertaken and the environment appeared well maintained and safe. Any substances that may be hazardous to health are stored securely and written guidance is available in case of accidents with them. The home is fitted with a full fire protection system; records examined confirmed that it is tested regularly as is required and that fire drills take place at the prescribed intervals. Ardath Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x 3 x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 3 3 Ardath Version 1.10 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. Standard Regulation Requirement Timescale for action 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 14 35 Good Practice Recommendations That service users are consulted over the evening opening hours of the bar. That records are kept of valuables held on behalf of service users. Ardath Version 1.10 Page 18 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Ardath Version 1.10 Page 19 - 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!