Inspection on 07/08/06 for Arden Court Care Centre

This inspection was carried out on 7th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Arden Court Care Centre 07/07/08

Arden Court Care Centre 14/06/07

Arden Court Care Centre 22/09/06

Arden Court Care Centre 08/03/06

Arden Court Care Centre 23/11/05

Arden Court Care Centre 14/03/05

Arden Court Care Centre 14/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Arden Court Care Centre 76 Half Edge Lane Eccles Manchester M30 9BA Lead Inspector Adele Berriman Key Unannounced Inspection 7th August 2006 07:10 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 Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 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. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arden Court Care Centre Address 76 Half Edge Lane Eccles Manchester M30 9BA 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) 0161 707 9330 0161 707 9698 ardencourt@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (3) of places Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 47 service users who require nursing or personal care may be accommodated. Three named service users are under 65 years of age and require care by reason of physical disability. If any of these service users leave or reach the age of 65 years the category will revert to OP. 8th March 2006 Date of last inspection Brief Description of the Service: Arden Court is a care home providing nursing and personal care for up to 47 older people. The registered owners are Ashbourne Eton Ltd. The single room accommodation is provided on two floors with communal day areas on both floors. Access to the first and second floors is by a passenger lift. Entry to the building is via steps or an access ramp and a manned reception is provided. The grounds include a large garden area with some car parking to the rear and side of the building. The home is on a main bus route, is close to the motorway network and a train station is five minutes away in Eccles town centre. Fees for the home are between £355.52 and £528.00 per week. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Monday 7th August 06 starting at 0710hrs. The inspection was carried out over a period of approximately 7 hours by two inspectors. During the inspection, time was spent talking to residents, some staff and the area manager for the service. A sample of resident and staff files were also examined along with other documentation around the home. On the day of the inspection the home had no manager in post and the care manager who would usually deputise was unavailable for duty. A manager from another of the company’s homes had been transferred to Arden Court to manage the home for an interim period. Requirements have been made in this report to improve some of the standards within the home. On the inspection discussion took place between the area manager and the inspectors regarding some of the observations that had taken place during the visit. The area manager was aware of what areas of the service needed improving and stated that an action plan had been developed to move the service forward, and demonstrated a commitment to doing so. A copy of this action plan was forwarded to the Commission. Not all the standards were assessed during this inspection. It is strongly recommended that this report should be read together with the previous report to gain a fuller picture of how the home is meeting the needs of the people who live there. What the service does well: What has improved since the last inspection? There was evidence that some improvements had been made as to how complaints were responded to. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 6 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. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 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 the following standard(s): 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s needs were assessed prior to moving into the home. EVIDENCE: Residents’ needs were assessed before they moved into the home to ensure that their needs could be met by the service. People’s needs were documented on a set pro-forma that was completed by the person carrying out the assessment. Copies of these assessments were present on residents individual care plans and information on the assessments was transferred onto the persons care plan. The written content of the assessments varied in detail, some containing more detailed information than others. Arden Court does not provide intermediate care facilities. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. The failure to monitor people’s needs and to not administer medication at its prescribed time may effect the health and wellbeing of individuals. EVIDENCE: A sample of care plans were examined. These documents contained details of what care and support a person needed from the staff team. The plans also included a social profile on the individual. There was evidence that the majority of care plans were reviewed on a regular basis. Care plans gave the opportunity for staff to record and monitor people’s pressure areas, weight and fluid intake when a need was identified. Some records were up to date and detailed. However, some individual’s records were not. For example one person’s care plan clearly identified weight loss and stated that the individual needed to be weighed on a weekly basis, however, there was no documentary evidence to demonstrate that the person had been weighed for several weeks. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 10 Documentation available at the home demonstrated that residents had access to local healthcare professionals. Care plans demonstrated that staff maintained daily records of what care and support had been offered/delivered to individuals. Several of these records were examined and some were found to contain detailed information about what and how the person had received care and support that day. However, some records were found to be vague and did not demonstrate what support the person had received throughout their day. Medication was stored in an appropriate locked facility and taken around the building in medication trolleys. However, staff were observed administering medication from a trolley that was not big enough for its purpose. During a medication administration round bottles were seen to fall out the trolley due to the lack of space. The area manager for the service was aware of the situation and stated that the situation was being addressed. A contract for the disposal of unwanted medication was in place. An audit of controlled medication took place and the records were correct. Staff were observed administering medication that was prescribed for am/breakfast at 11.30am. The issue of residents receiving their medication late was raised following the previous inspection and a requirement was made. Further concern was raised relating to the times of medication administration by a visiting health professional who visited the home on 30.06.06. This concern was investigated by the service provider. Several Medication Administration Records (MAR) were examined. The majority of the recording was accurate. However, two hand written entries onto the MAR sheets did not contain all the information required. Staff were observed addressing residents in an appropriate dignified manner. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ social and recreational needs were not being met by the home. Mealtime procedures allowed residents choice of food. EVIDENCE: The home was in the process of recruiting an activities co-ordinator. There was little evidence that people had the opportunity to experience social or recreational interests. This was confirmed by several residents who commented that they had nothing to do and were bored. One lady said that she “missed playing bingo like they used to.” People’s care plans contained some information about hobbies etc which was recorded at the time of assessment. However, there was little documentary evidence to demonstrate that people were given a choice of activities. Information relating to advocacy services was available in the home. Visitors were seen entering the home during the inspection. Residents confirmed that they were able to receive visitors at a time of their choice. Residents stated that they enjoyed the food that was served in the home. There was evidence that people had a choice of what they wished to eat for Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 12 breakfast with a hot cooked breakfast being an option. Residents said that generally they received regular hot drinks throughout the day. Meals were served at set times throughout the day. Residents indicated that they were happy with these times. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 13 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 Quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure would protect residents. EVIDENCE: The home had a complaints procedure that was displayed. Since the previous inspection the Commission had received two formal complaints about the home which were in the process of being investigated by the service provider. Complaints received directly by the home were documented and stored in a file. However, some of the complaints recorded did not contain information relating to the outcome of the investigation. Residents said that they were comfortable in raising any concerns or complaints with staff members. A copy of Salford Social Services adult protection procedure was available in the home. Staff files demonstrated that some staff had attended awareness training in adult protection. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 14 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, 22 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was generally well maintained, however, there were some malodours. Failure to replace specialist equipment promptly adversely effects the lives of residents. EVIDENCE: Facilities were available to ensure that the building was accessible to all. These facilities included a ramped entrance and an internal passenger lift between both floors. The home had an ongoing programme of decoration. Since the previous inspection several rooms had been decorated and on the day of the inspection the upstairs corridor was being redecorated. Communal rooms contained comfortable furniture which met the needs of the residents. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 15 Aids and adaptations were present around the building to support individuals’ in their day to day living. One resident raised that he had been waiting for sometime for a broken hoist to be replaced. The gentleman explained that he was having to wait to use another hoist from another area of the building and on occasions this wait was restricting his daily living. This issue was raised with the area manager of the home who was aware of the situation and was in the process of ensuring that a new hoist was available as soon as possible. The home was clean and tidy. However, several areas of the home had a malodour. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 16 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 outcome in this area is poor. This judgement has been made using available evidence including a visit to this service. The number of staff on duty did not fully meet the needs of the residents. EVIDENCE: At the time of the inspection the staffing rota did not reflect the number of staff that were on duty. A member of the nursing staff informed the inspectors that there had been a “mix up” with one member of staff who was on the rota but not on duty and another member of staff who had to have leave the building due to unforeseen circumstances. Staff were observed contacting colleagues and agency staff to find appropriate cover for the shift. Staff were observed to be extremely busy during the visit. Several observations made during the visit demonstrated that there were not sufficient staff on duty to meet the needs of the residents. One resident was observed as having an excessively full catheter bag that was unsafe. This was reported to the area manager who addressed the situation immediately. Two residents sat in the smoking lounge said that they had not had their mid morning drink. Staff on duty apologised to the residents and explained that they had been extremely busy again, this issue was addressed immediately. Residents spoke fondly of the staff team and said that they were excellent carers. However, several residents said that staff just were very busy. One resident said that there was no-one to talk to and staff just come in and out of her room, as they are so busy. Another resident commented that as the staff were so busy you Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 17 had to “wait ages” sometimes for staff to answer the buzzer. A delay in staff responding to the call system was observed during the visit by the inspectors. Positive interaction between staff and residents was observed. Staff were respectful of residents and demonstrated a thorough knowledge of the needs and wishes of individuals. The home had a recruitment policy. The contents of several staff files were assessed and the majority contained evidence of an application form, written references, dates of employment, and induction training. However, some files contained no evidence of training and development. The inspectors were informed that this information may not have been processed at present as they had recently been recruited. The standards relating to staff training and development will be re-assessed during the next inspection. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 18 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, 37 & 38 Quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. Failure to provide management and supervision support may result in the service not being delivered appropriately. EVIDENCE: At the time of the inspection there was no home manager in post and the care manager was not available for duty. Arrangements had been made for a manager of another of the organisation’s homes to be based at the home in the absence of a manager and the care manager. The area manager for the home assisted with the inspection process. The organisation had a corporate procedure for monitoring and improving people’s views on the service. There was no information available during the visit to the home that people’s views and comments had formally been recorded and actioned. During the inspection the area manager actively listened to the views of residents when talking with the inspectors. The area Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 19 manager stated that she was aware of the issues at the home that were in need of addressing and informed the inspectors that an action plan had been devised to address theses issues. A copy of the action plan was forwarded to the Commission shortly after the visit to the home took place. There are no known changes as to how the home manages residents’ personal finances. Staff records were found stored in lockable filing cabinets. However, during the inspection these cabinets were found to be unlocked A policy on health and safety was available in the home. The home had a system in place for the monitoring of hot water temperatures, fire detection equipment etc. Results of all testing and monitoring were documented in one file. Risk assessments relating to peoples’ health, safety and wellbeing were available. An accident book was available for the recording of accidents and injuries and records demonstrate that notifications of significant events are reported to the Commission. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 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 X 18 3 3 X X 2 X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 2 3 Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 21 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 Care plan records need to fully demonstrate that all identified needs are being met and health requirements monitored. The registered person must ensure the appropriate management for the recording, storage and administration of medicines. It is required that residents have the opportunity to make choices relating to and have access to social and recreational interests in their day to day living. The registered person must ensure that all residents have access to appropriate moving and handling equipment. Timescale for action 21/09/06 2. OP9 13 21/09/06 3. OP12 12 21/09/06 4. OP22 13 21/09/06 5. OP26 23 It is required that all areas of the 21/09/06 home are kept free from offensive odour. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 22 6. OP27 18 7. 8. OP31 OP37 8 17 The staffing levels must be reviewed in line with the dependency needs of the residents accommodated to ensure that people’s needs are met and medication is administered at the prescribed time. The home is required to employ a manager for the service. All records containing personal information are required to be stored in a secure facility. 21/09/06 21/09/06 21/09/06 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 OP35 Good Practice Recommendations It is recommended that residents’ monies be held in an interest bearing account. Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Arden Court Care Centre DS0000006693.V307570.R01.S.doc Version 5.2 Page 24 - 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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