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

This inspection was carried out on 7th July 2008.

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

Arden Court Care Centre 14/06/07

Arden Court Care Centre 22/09/06

Arden Court Care Centre 07/08/06

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 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Arden Court Care Centre 76 Half Edge Lane Eccles Manchester M30 9BA Lead Inspector Adele Berriman Unannounced Inspection 7th July 2008 11:15 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.V367326.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.V367326.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@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Lisa Marie Astley 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.V367326.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. 2nd August 2007 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. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people who use the service experience adequate quality outcomes. This visit was took place as part of a key inspection of the home which also included a review of all of the information received by the Commission for Social Care Inspection since the previous inspection in 2007. During the course of the visit, time was spent talking to five residents, two staff members and the manager. The visit commenced at 11.15am and finished at approximately 7.15pm. Throughout the visit observations were made of care practices and staff interaction. A selection of records, policies and procedures were assessed and a tour of some areas of the building took place. During the visit the key National Minimum Standards for Older People were assessed. Some time before the visit took place the manager had completed an Annual Quality Assurance Assessment (AQAA). This document gave the opportunity for them to tell us what they thought they did well, how they feel they have improved in the last 12 months, what they feel they could do better and their plans for the next 12 months. All residents spoken to during the visit said that they all enjoyed the activities available. Residents spoke positively about the staff team. One resident said “the staff are very nice” and another resident commented “the staff are very good, you have a laugh.” Residents told us that they received the medical support they needed. The majority of residents spoke positively about the meals served. Not all residents were aware of how to make a complaint if they were not happy. What the service does well: People’s needs are assessed before they move into the home to make sure that Arden Court has the facilities to meet their needs and wishes. Residents have access to local health services to meet their specific needs. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 6 The menu planning is developed to ensure that people receive nutritionally balanced meals. The home is clean and decorated to provide a clean and comfortable environment for people. The manager of the service demonstrated a good knowledge and awareness of actions needed to continually improve the service provided at Arden Court. Organisational policies and procedures were in place to promote the health safety and wellbeing of all. 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. The summary of this inspection report can be made available in other formats on request. Arden Court Care Centre DS0000006693.V367326.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.V367326.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. 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 to ensure that the service had the facilities to meet their needs. EVIDENCE: A pre admission assessment is carried out prior to a person moving into the home. The purpose of the assessment is to ensure that the home has the facilities to meet the individuals’ needs and wishes. Information gained during the assessment is recorded on a set tick box record sheet. The format of the assessment gave the opportunity to record peoples’ health, nursing and care needs but there was little opportunity for the assessor to record peoples wishes specific to their individual lifestyle. Pre admission assessments were present on the resident’s files and formed part of their care plans. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 9 They told us that prospective residents are given the opportunity to visit the home for a meal and to meet residents and the staff team prior to making any decision about moving into the home. Arden Court does not provide intermediate care facilities. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Medication practices do not always demonstrate that residents have received their medication at the prescribed time. EVIDENCE: Each resident had a care plan, five of which were assessed during the visit. Some contained detailed information to describe what the person’s needs were and how these needs were to be met. However, some of the information was contradictory, for example, one care plan stated in one section that the resident was alert and sociable but another section stated that the resident was very confused at times and to ‘orientate and explain all procedures.’ Information on another residents care plan stated that they were partially sighted in one section but in another section it stated that the resident had good eyesight with spectacles. Not all of the care plans seen had been completed in full. For example, information relating to people’s mobility, environment and expressing sexuality Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 11 had not been completed. It is essential that residents care plans contain up to date information and consider all aspects of peoples lives to ensure that the staff team are fully aware of the individual needs and wishes of the people they support. Individual risk assessment specific to resident’s needs and wishes formed part of the care planning process. For example, risk assessments were available for people who were at risk from falls, individuals who smoked and the use of bed rails. Records demonstrated that these assessments were being reviewed on a regular basis. Care plans demonstrated that residents, when required, had received support from local healthcare professionals including tissue viability nurses for support with skin pressure areas and dieticians for support with nutritional needs. One care plan seen had not been updated with the specific guidance of a dietician following their visit in April 2008. It is essential that care plans are updated with information about people’s specific needs to ensure that they receive the care they require. All residents were registered with a local GP and residents spoken to during the visit stated that they could ask to see their doctor at any time and that they felt that their healthcare needs were being met. A random inspection of how medication was managed at the home took place in August 2007. Following this inspection requirements were made to ensure that residents receive their medication as directed by the prescriber, that all records regarding medication must be up to date, clear and accurate and that all staff who administer medication must be assessed as competent to administer medication. During this visit they told us that following the random inspection in August 2007 all staff responsible for administering medication had received medication training but individual staffs’ competence in their role had not been assessed. A monitoring system for medication was in place and they told is that it was the practice of the staff responsible for administering medication to check the MAR sheets prior to finishing their shift. Records were maintained of all medication not used or disposed of. Policies and procedures were available for staff relating to the safe storage, administration and disposal of medication. Appropriate storage facilities were available for all medication and Medication Administration Records (MARs) were available for staff to record all of the medication administered. In general, the MARs were completed appropriately. However there were some inaccuracies in the recording of administration of prescribed creams. Another resident had been prescribed a course of twelve tablets. Records demonstrated that these tablets had been administered on fourteen occasions. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 12 Regular audits of the records of administration must be carried out to ensure residents receive the medication they need Medication was administered to residents by the qualified nurse on duty. Records of the times in which medication was administered throughout the day were maintained and formed part of the on-going monitoring process. Records demonstrated that some breakfast medication was on occasions only being administered at 10.30am. Evening medication is dispensed from 9pm. As some of the records demonstrated that teatime medication was being administered at 7pm this could potentially have an impact on the dosages for people medication if they needed a medication four times a day. Sufficient staff must be available to ensure residents receive their medication at the time prescribed. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A varied menu gives residents the opportunity to make choices about what food they wish to eat. EVIDENCE: The service employs an activities co-ordinator to support residents with social activities in and around the home. Photographs were available in the entrance hall that captured activities that had taken place. Planned activities were displayed on an activity board for all to see. All residents spoken to during the visit said that they all enjoyed the activities available. They told us that they had a choice of whether they wanted to participate in activities. Information contained in the AQAA stated that the service felt they could improve on what activities were available. They felt they could do this by continuing to ask the residents what they would like to see available and encourage wider participation. Residents told us that they were supported to sit and enjoy the garden when the weather was appropriate. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 14 Since the last inspection the service had purchased locks for all residents’ bedrooms, which were in the process of being fitted. The fitting of these locks will give residents more choice and control in the privacy and security of their bedrooms. A lounge had been identified for residents who choose to smoke, this gave residents who did not smoke the opportunity to sit in a smoke free environment. Meals were planned using the electronic ‘Nutmeg’ system which supports the planning of nutritionally balanced meals. Weekly menus were displayed at the home of what food was available. Several residents spoke positively about the food served at the home, one resident said it was “very nice.” Other residents said that the food was ok. The majority of residents said that they always had a choice of food available to them at mealtimes. Visitors were seen entering the building throughout the visit and residents confirmed that they were able to receive visitors at any time. Throughout the visit staff were observed supporting residents in a positive non - discriminatory manner. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents, relatives and visitors would benefit from having information about how to make a complaint readily available. Staff were aware of procedures to protect people from abuse. EVIDENCE: Information relating to the homes complaints procedure was available in the entrance hall and some information was available in bedrooms. None of the copies of the complaints procedures seen during the visit were complete, for example, they did not inform people of the contact addresses of agencies that they could contact regarding a complaint, for example the Commission or the local Primary Care Trust. Residents, their families and visitors should have access at all times to information informing them of who and where they are able to contact if they have a complaint. Some residents said that they would speak to the manager if they had a complaint about the service but several residents were unsure of who they could approach with a complaint. A register was available to record any complaints received about the service provided at the home and was audited on a regular basis by the manager. Six complaints had been received by the service since the previous inspection. There was evidence that all of these complaints had been responded to. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 16 A copy of Salford Social Services joint agency Safeguarding Adults policy and procedure was available at the home along with the organisation’s own policy on adult protection. Since the previous inspection the manager of the service had attended awareness training with Salford Social Services in the joint agency safeguarding procedures and had then delivered the information to the majority of the staff team. The manager of the service continued to demonstrate a good awareness of safeguarding procedures. Three safeguarding referrals relating to the home had been made since the previous inspection. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A continual programme of redecoration promotes a pleasant environment for residents to live. EVIDENCE: The building was accessible to all by way of a ramped entrance at the front of the building and an internal passenger lift that enable people to access both floors. Communal areas were pleasantly decorated and furnished to meet the needs of the residents. All of the bedrooms seen during the visit had been personalised with people’s personal effects and equipment and furnishing specific to meeting the individuals needs. Several bedrooms had been redecorated since the previous inspection. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 18 A ‘handy’ person is employed to carry out general maintenance around the building and to ensure that regular checks of equipment and facilities take place. During the visit the staff on duty were not aware of the where information relating to fire equipment testing was stored. Staff should at all times have access to information and records relating to the testing of fire detection equipment in case of emergencies. The home was clean and tidy. Two areas of the building were odorous. The service should explore alternative ways in which to manage unpleasant odours around the building. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures minimised the risk of unsuitable people being employed to support residents. EVIDENCE: On arrival at the home two nurses and five carers were on duty to meet the needs of the residents. Rotas demonstrated that during the afternoon and evening one nurse was on duty along with five carers. Staff confirmed that this was the usual numbers of staff on duty. Throughout the visit staff were observed as being very busy around the building and medication monitoring records demonstrated that on occasions some medication was not being administered at the time prescribed. One resident said that they sometimes had to wait for staff to take them to the toilet which could result in them waiting too long. A continual review of staffing numbers should take place to ensure that at all times an appropriate number of staff are on duty to meet peoples’ needs. Staff on duty demonstrated a detailed knowledge of residents’ needs and wishes. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 20 Residents spoke positively about the staff team. One resident said “the staff are very nice” and another resident commented “the staff are very good, you have a laugh.” A procedure was available for the recruitment of staff. The files of the five most recently recruited staff were assessed during the visit. The contents of the files demonstrated that appropriate checks of the POVA (Protection of Vulnerable Adults) list and CRB (Criminal Records Bureau) checks had been carried out as part of the recruitment process. Records also demonstrated that two written references were sought prior to newly recruited staff starting employment. Three application forms seen on staff files did not contain a full employment history for the person. The service should always ensure that this information is recorded. Records did not fully demonstrate that all staff had received an induction into their role. A detailed record of all induction training should be maintained. The majority of staff were in receipt of training for their role. A training matrix was made available that demonstrated that the majority of staff had attended fire safety training, food hygiene training, moving and handling training, pressure care, adult abuse awareness and infection control training in the last twelve months. Staff responsible for the administration of medication had received training in the safe handling of medication. Training relating to health and safety, nutrition and care planning had been made available to some staff. During the visit staff confirmed that they had received training relevant to their role and one staff member commented that they would like awareness training on how to support people who are at the end of life. The AQAA stated that over 50 of staff had achieved an National Vocational Qualification (NVQ) level 2. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service benefits from being managed in a manner that promotes choice for residents. The health and safety of residents, visitors and staff is promoted by the organisation’s policies and procedures. EVIDENCE: The manager of the service is a registered general nurse with experience in working in social care environments. Since the last inspection she had registered with the Commission for Social Care Inspection and was in the process of completing her Registered Managers Award. During the visit the manager demonstrated a good awareness of the people who use the service and their needs. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 22 There were several ways in which the manager assesses the quality of the service delivered at the home. These included regular quality monitoring audits and annual satisfaction surveys to gain the views of residents on the service provided, staff meetings and a monthly visit from a representative of the company. Records of only some of these monthly visits were available. A bank accounting system was available to support residents with the management and safekeeping of their monies. All transactions are documented and they told us that residents were able to access their records as and when they wished. For safe management, only designated staff had the task of supporting residents with their monies. A programme of formal supervision for staff had been developed which would give staff the opportunity to meet with their manager and discuss their role six times a year. Comprehensive corporate policies and procedures were available to support and maintain health and safety practices within the home. Information contained in the AQAA stated that the majority of policies and procedures had last been reviewed in January 2006. Policies and procedures should be reviewed on a regular basis to ensure that they contain up to date information about best practice and legislation. There was evidence of risk assessments being carried out to minimise the risk of harm to people. For example, a maternity risk assessment had been completed for a member of staff and assessments for the use of bedrails were in use. Records were maintained of accidents that occurred at the home. Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 23 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 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 3 X 3 X 3 3 X 3 Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 01/09/08 1. OP9 13 (2) Sufficient staff must be available to ensure that residents receive their medication at the time prescribed. Regular audits of the records of medication administration must be carried out to ensure residents receive the medication they need. 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 OP7 Good Practice Recommendations Individual care plans should contain detailed up to date consistent information about people’s needs to ensure that they receive the care they require at all times. Care plans should contain information relating to people’s social and recreational needs and their choices of how they wish to express their sexuality. DS0000006693.V367326.R01.S.doc Version 5.2 Page 25 Arden Court Care Centre 2. 3. 4. 5. 6. 7. OP19 OP26 OP27 OP29 OP29 OP38 Staff should at all times have access to records relating to fire detection equipment. A programme of odour management must be developed to ensure that residents live in an odour free environment A continual review of the number of staff on duty should take place. The service should ensure that staff application forms contain their previous employment history. A record should be kept of all induction training. The homes complaints procedures should be made fully available to residents, their families and visitors at all times Arden Court Care Centre DS0000006693.V367326.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V367326.R01.S.doc Version 5.2 Page 27 - 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. 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