Inspection on 11/10/05 for Ardath

This inspection was carried out on 11th October 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 10/05/05

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 Unannounced Inspection 11th October 2005 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 Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ardath Address 27 Hastings Road Bexhill-on-sea East Sussex TN40 2HJ 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) 01424 210538 Sussex Housing and Care Miss Jane Ann Narborough Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That only older people will be accommodated. The maximum number of service users to be accommodated is thirtytwo (32) That service users accommodated will be aged 65 years or older on admission. 10th May 2005 Date of last inspection 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 DS0000021027.V254230.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection took place over a morning and afternoon in October and lasted four hours. To help gather evidence on how the home is performing the Inspector sat and ate lunch with service users, met with senior staff, examined a range of records and written information and undertook a short tour of the premises. In depth discussions took place with seven service users. 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. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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 Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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 & 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: Documentation in the form of a statement of purpose and a service user’s guide have been produced for the home, these 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 team prior to admission to the home; a selection of these were examined, they had been completed to a good standard 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 DS0000021027.V254230.R01.S.doc Version 5.0 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. The policies, procedures and practices in the home regarding health, personal and social care needs were generally 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 they require from staff to meet their day to day needs in relation to health, personal and social care needs. Several plans were examined, these were generally of a very high quality, however in one instance the plan did not contain guidance for staff on how to manage the service user’s mental health needs; it has been required that this is now addressed. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met. The home are to be commended for the care and support that they are currently providing for one service user who is very unwell; the plan of care contains detailed guidance to ensure that their needs are met and discussions and records examined confirmed a high level of support being provided. Service users also confirmed that medical and other professional help is obtained for them when it is required. Some service users Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 9 look after their own medication, records examined confirmed that risk assessments are undertaken when this is the case; these help identify any potential risks. However staff manage medication for the majority of service users; storage and records were examined and found to be in order. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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, 14 & 15. Arrangements in the home regarding social and recreational needs are good ensuring that a range of activities and pastimes are available for service users. 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. Since the last inspection a ‘book club’ has been formed. One service user spoke very enthusiastically over the fact that the home has a computer with Internet access; she has been taught to use e-mail and now regularly e-mails relations who live abroad. Service users said that they could 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 lunch with service users; the meal was well prepared and service users said that quality of the meals provided was good. They also said that on their birthday the home’s chef will cook them a special meal of their choice, something that they much appreciated. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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 & 18. Arrangements regarding complaints and adult protection are satisfactory. EVIDENCE: The home has detailed complaints and adult protection procedures in place. 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 DS0000021027.V254230.R01.S.doc Version 5.0 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): 19,20,21,22,23,24,25 & 26. 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 some bedrooms and all communal rooms 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. 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 DS0000021027.V254230.R01.S.doc Version 5.0 Page 13 Some bathrooms are fitted with hoists to assist access to baths and handrails and other adaptations are sited throughout the home to assist service users who may have mobility problems. A high standard of cleanliness was found in all areas of the home. It has been required that the current arrangements for those service users who smoke be reviewed to ensure a more comfortable designated smoking area. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 14 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. 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 nice and helpful’, and ‘staff are good’. They also said that there are always enough staff on duty and that they only had to ask if they needed any help. The Inspector was told that over 50 of staff are trained to the level required by national minimum standards. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 15 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): 33,34, 37 & 38. Good management and administrative systems are in place to support the good standard of care that is provided in the home. EVIDENCE: The manager and deputy were not present during the inspection; the senior member of staff who assisted the Inspector demonstrated a clear understanding of the needs of older people and knowledge of the home’s policies and procedures. Since the last inspection a further round of quality assurance questionnaires have been completed by service users; the collated results were on display in the entrance hall; these clearly 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. A selection of records was examined, these were in order and stored securely. The home is fitted with a full fire Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 16 protection system; records examined confirmed that it is tested regularly as is required and that fire drills take place at the prescribed intervals. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 X X 3 3 Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement That the care plan of the service user discussed is expanded to include details fro staff regarding their mental health needs. Timescale for action 11/11/05 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 OP19 Good Practice Recommendations That the current arrangements for those service users who smoke are reviewed to ensure a more comfortable environment. Ardath DS0000021027.V254230.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office 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 DS0000021027.V254230.R01.S.doc Version 5.0 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. 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