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Inspection on 08/03/06 for Arden Court Care Centre

Also see our care home review for Arden Court Care Centre for more information

This inspection was carried out on 8th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff demonstrated they were knowledgeable of the care needs of the residents accommodated. Staff were seen to have good rapport with the residents and some visiting relatives. Staff were kind and sensitive in their approach to the residents. The financial interests of residents appeared safeguarded with the systems in place.

What has improved since the last inspection?

Since the last inspection the care plans have continued to improve and show involvement of the resident or representative in the planning of this care. The manager has commenced studying for a management qualification.

What the care home could do better:

During the previous inspection a requirement was made for the staffing levels to be reviewed in line with the dependency and needs of the residents accommodated. It was evident during this inspection that this requires re reviewing to ensure the needs of the residents can be met in full.The manager may need to review how she comes across to relatives on some occasions particularly when a complaint has been made. Staff awareness must be raised to ensure they preserve the respect and dignity of the residents.

CARE HOMES FOR OLDER PEOPLE Arden Court Care Centre 76 Half Edge Lane Eccles Manchester M30 9BA Lead Inspector Elizabeth Holt Unannounced Inspection 8th March 2006 11:00 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 Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 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 Ashbourne (Eton) Limited Mrs Theresa Ann Largent Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (2) of places Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 35 service users requiring nursing care may be accommodated. Up to 12 service users requiring personal care only may be accommodated in a designated area on the first floor only within the maximum occupancy of 47. Two named service users requiring nursing care are accommodated by reason of physical /learning disability. If a service user leaves the home or the primary reason for requiring care becomes old age, the registration will revert to OP for service users aged 65 years and over. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25(3) of the Registered Homes Act on 4th December 1996 shall be maintained. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 23rd November 2005 3. 4. 5. 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.V278238.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection, which took place on the 8th March 2006. During the inspection time was spent talking to the responsible individual, the registered manager, several of the residents and some members of staff to find out their views of the home. In addition residents files, records and other relevant documentation were examined. As this inspection only looked at a limited number of standards the report should be read together with the previous and any future reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well: What has improved since the last inspection? What they could do better: During the previous inspection a requirement was made for the staffing levels to be reviewed in line with the dependency and needs of the residents accommodated. It was evident during this inspection that this requires re reviewing to ensure the needs of the residents can be met in full. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 6 The manager may need to review how she comes across to relatives on some occasions particularly when a complaint has been made. Staff awareness must be raised to ensure they preserve the respect and dignity of the residents. 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.V278238.R01.S.doc Version 5.1 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.V278238.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: The key standards were assessed at the previous inspection. The home does not provide intermediate care. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 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 Care planning and risk assessments indicated that the residents’ health and social care needs were being met. EVIDENCE: A sample of care files were examined. These included pre admission assessments, which had been continued once the resident was admitted to the home. There was evidence these plans were drawn up with involvement of the resident and or their representative. Nursing problems were identified as necessary. Daily statements were detailed. Medication procedures were not inspected on this visit, however a requirement has been made under standards 14 and 27 that staffing levels must be adequate to ensure medication is administered at the required times. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Residents are assisted to exercise choice and control over their lives however this is compromised if staffing levels are not adequate. EVIDENCE: Staff spoken to said they encouraged residents to choose what they wanted to wear and the where they wanted to spend their time during the day. One of the residents who remained in bed at quarter to twelve said she would rather be up earlier but she was dependent upon the care staff. This example reduces this resident’s ability to exercise choice over her life. Some resident’s were seen wearing ankle socks or had bear legs and one residents name was written in large letters across his socks. This must be the personal choice for the individual residents and documented in their care plans. Staff spoken to were very friendly, warm and attentive to the residents. One resident said; “the staff are great here, there is not one bad one amongst them.” A relative said the staff here are; “very kind, willing and cooperative.” A number of residents were pleased to participate in a game of bingo in the dining room after lunch on the day of the inspection. Staff were seen to be assisting residents in an appropriate manner as necessary. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 11 It was of concern that two residents were still in bed and were awaiting assistance at quarter to twelve. The nurse in charge was still administering the morning medications at this time too. The management must review the deployment of staff and review the staffing levels to ensure the needs of the residents can be met appropriately. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 12 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 Relatives were not always confident that their concerns would be taken seriously and acted upon. EVIDENCE: A discussion with a relative raised concern that as a result of a complaint made in the past that her concerns for her relative’s care were not fully addressed. The complainant considered that the manager did not always show a positive attitude towards her and the concerns raised. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: These standards were assessed during the previous inspection. Plans have been made to arrange a meeting with the provider to discuss the registration issue of only 39 places being available due to changes in room usage and for an increase in the number of nursing places. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 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 The number and deployment of staff was not always sufficient to meet the residents’ needs fully. EVIDENCE: At the time of the inspection the home accommodated 32 residents. There were 2 Registered nurses and 5 care staff members on duty. The requirement made at the previous inspection for a review of the staffing levels in line with the dependency and needs of the residents accommodated was provided, however following the observations made during this inspection there are concerns that the staffing levels are not always sufficient to meet the residents’ needs fully. One resident said he would love to be taken out locally in his wheelchair however this did not happen. Some of the residents were seen to have long fingernails, which were unclean. Staff said they usually tried to do this on a regular basis but it was not always possible. It was pleasing to hear one of the care staff discussing her concerns over a resident who was not eating well. She was suggesting that they put this resident on a food-monitoring chart to observe exactly how much the resident is eating over a number of days. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 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 and 35 The home is run in the interests of the residents and systems are in place to protect residents’ finances. EVIDENCE: The manager was on leave on the day of this inspection. Staff spoken to were generally happy with the atmosphere in the home and felt they worked well as a team. Residents/relatives meetings are held and minutes are taken of these meetings. Systems are in place to manage the personal allowances for 12 residents at the time of the inspection. It was disappointing to note that resident’s monies were held in a non interest bearing account and it is recommended that this is changed to an interest bearing account where possible. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 17 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 2 Standard OP14 OP27 Regulation 12 18 Requirement The care home must be conducted in a way, which respects the dignity of residents. The staffing levels must be reviewed in line with the dependency needs of the residents accommodated and to ensure medication is administered at prescribed times. The home must ensure that the complaints procedure enables residents/relatives views to be listened to and acted on. Timescale for action 15/05/06 15/05/06 3 OP16 22 15/05/06 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 resident’s monies be held in an interest bearing account. Arden Court Care Centre DS0000006693.V278238.R01.S.doc Version 5.1 Page 18 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.V278238.R01.S.doc Version 5.1 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. 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