Inspection on 26/04/07 for Arden House

This inspection was carried out on 26th April 2007.

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 House 18/01/06

Arden House 29/09/04

Arden House 28/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Arden House Arden House, Flat A Recreation Road Pickering North Yorkshire YO18 7ET Lead Inspector Karen Ritson Key Unannounced Inspection 26th April 2007 11:00a 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 House DS0000007626.V335014.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 House DS0000007626.V335014.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arden House Address Arden House, Flat A Recreation Road Pickering North Yorkshire YO18 7ET 01751 473569 F/P01751 473569 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) Mrs Karen Frances Blakey Mr Steven John Hermann Blakey Ms Lorelei Smith Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Arden House is a care home providing personal care and accommodation for 12 older people. The home is located in the market town of Pickering, close to shops, pubs, the post office, doctors surgery, dentist and other amenities. The home has accessible grounds to the front and rear of the accommodation. Garden furniture is available for those service users who wish to sit outside. The home is arranged on two floors. The upper floor is serviced by a stair lift. All bedrooms have en-suite facilities. The majority of service users have low dependency levels. Many choose to spend their leisure time in their rooms or make private arrangements to go out. Work is about to begin on some alterations to the home, which will create one new en suite room and an upstairs bathroom. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. The fees range between £340 and £375 per week. Chiropody and hairdressing are additional costs. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 12 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 26/04/07 between 11am and 3pm. Information for this inspection was gathered from the following: • • • • • • • • • • • A tour of the premises Observations of care throughout the day of the site visit. Speaking with service users. Speaking with the manager Speaking with staff. Case tracking service users on the day of the site visit. Looking at information provided by the home in a pre inspection questionnaire. Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The manager was present throughout the day of the site visit. What the service does well: This home provides a very good level of care in a comfortable and homely setting. All service users receive the care they need. They commented that the care was offered from staff who were kind and caring. One service user said: ‘Several people have said they would like to come to Arden House since I have been here as I look so much better and happier, and I am!’ One relative said: ’This care home is what I consider to be perfect for my (relative) who is very happy and feels very safe and lovingly cared for.’ One GP wrote the care was: ‘Excellent’ Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 6 The home writes down the care needed in a plan and involves the service user when it is updated. This makes sure that service users receive the care that is right for them. Relatives wrote that they felt well informed and were made to feel welcome when they visited the home. Complaints are listened to and wherever possible put right. Service users said they were encouraged to say if anything was not to their satisfaction and if there were a problem it would be sorted out. Enough staff are on duty and service users said they had time to chat and offer care in a unhurried way. Staff are well recruited and trained. This makes sure that service users receive good appropriate care. The home is well managed by Lorelei Smith who has been registered with CSCI since the last inspection although she has worked at a senior level within the home for some years. All staff said she was a supportive colleague and service users felt the care offered was at the same high standard they had grown to expect when the home was managed by the proprietors, Mr and Mrs Blakey. Health and safety is a priority within the home and all policies are checks are in place. This makes sure that service users live in a safe and comfortable home. 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 House DS0000007626.V335014.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 House DS0000007626.V335014.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 and 6 People who use the service experience good quality outcomes in this area. Prospective service users and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and are clearly told about the service the will receive. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Each service user receives a thorough assessment of care needs prior to admission to the home. This includes all relevant areas of care and risk assessments where necessary. A personal history is also compiled with each service user, which provides useful information about each person’s life, interests and family connections. This had proved very helpful for all service users and particularly those who have memory difficulties. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 9 One service user said: ‘They know exactly what I need and what I can do for myself.’ The home does not usually offer intermediate care. Clear documentation and focusing upon the needs of each individual ensures that each service user is appropriately placed within the home and that care needs are met. Arden House DS0000007626.V335014.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 and 11 People who use the service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a plan of care, which is drawn up in consultation with either them or a representative and is regularly reviewed. The care plans are person centred, written in plain language, easy to understand and look at all areas of the individual’s life. The plans focus upon current care needs. Service users and their representatives said they received the right care for them. One service user said: ‘They make you feel you are the one that matters.’ Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 11 One relative said: ‘The home has helped my (relative) adjust to life in residential care after living independently for many years.’ A GP wrote: ‘Consistently high levels of care provided.’ Each care plan includes a comprehensive risk assessment, which is reviewed regularly. Individuals are encouraged to be as independent as possible. On relative wrote: ‘They encourage the resident to do as much as they can for themselves and they help them as much as they need.’ All service users said they felt well cared for and never put under pressure to do what they did not feel confident to do. Other care professionals are consulted where appropriate and this is detailed in the plan. Nutritional assessments, pressure areas and continence needs are all detailed where necessary. Medication is well kept and administered according to policy and procedure. This ensures service users safety. All service users said they were treated with regard to their dignity and were shown respect. One service user said: ‘They are all so kind and caring.’ The home is taking part in the Liverpool pathway for the dying approach. This ensures that service users, who can be cared for in the home without a move to hospital or a care home with nursing, receive appropriate care when they are dying. The manager said that staff had used the paper work and felt it had improved their understanding of care for the dying. This sensitive and person centred approach ensures each service user receives the care they need. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 12 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 and 15 People who use the service experience good quality outcomes in this area. People who use this service are enabled to make choices about their life style. Social cultural and recreational activities meet individual’s expectations. They have a balanced diet they enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are offered a range of activities, mainly centred on social events and outings. Several of the residents attend ladies circle meetings. One resident had been ill for a time and had missed the meetings. The manager had suggested that the home should host the next meeting in the lounge and this is what happened, enabling the resident to attend. This had the added benefit of inviting people into the home who were known to several other residents. The home has visits from the representatives of several religious denominations enabling service users to actively follow their religion should they wish. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 13 The home has recently arranged for a personal fitness instructor to visit the home on a weekly basis. Service users spoke enthusiastically about him and said they looked forward to his visits. Most of the residents attended each week. One service user said: ’He has a way of getting to know everyone and treats us all as individuals. He can see what you are able to do and somehow manages to get you to achieve your potential. I am surprised at the things I have been able to do. I have even been on the rowing machine!’ The home also has a regular pat –a- dog visitor. There is an arrangement with a local transport facility to take service users on outings suggested and planned by them. Many service users arrange their own trips and visits. One service user enjoyed a walk most days and another went out frequently with friends and family. This individual approach to recreational activity ensures service users have the opportunity to fulfil their expectations about the way they live their lives. Visitors are welcome at all reasonable hours. One visitor said: ’(the home) creates a welcoming atmosphere and real concern for the needs of each resident.’ Another said: ’They always treat everyone (relatives included) with great courtesy.’ All without exception said they enjoyed the meals. The home does not have a designated cook but staff take a turn in being cook for the day. This appears to work very well. Service users have a choice at tea -time and alternatives are available at all times if a service user has a particular dietary requirement or preference. One service user wrote: ’I am on a diet and every one of the staff gives me meals that suit me.’ A relative wrote: ’Food and care are above my expectations.’ Service users have a nutritional assessment and those who require it have their weight regularly monitored. This individual approach to diet ensures service users have enjoyable and appropriate meals. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 14 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 and 18 People who use the service experience excellent quality outcomes in this area. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users all said that any concern was listened to, acted upon and taken seriously by the staff. There had been no complaints since the last inspection. One service user said: ‘I have absolutely no complaints, but I know they would listen if I did.’ Others said if there was ever even a small problem they had only to mention it and it would be quickly and politely sorted out. GP’s and health care worker wrote that they hadn’t had reason to complain. Service users are protected from abuse through well -trained staff. All staff understood the abuse policy and procedure and were aware of the procedure for the Protection of Vulnerable Adults. This ensures that Service users are safe and well cared for. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 15 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 and 26 People who use the service experience excellent quality outcomes in this area. People who use the service live in a safe, well-maintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well decorated and maintained. It complies with the requirements of the fire department environmental health authority. There is an attractive sheltered garden area to the rear and a garden to the front where service users may walk or sit in the warmer months. One relative wrote: ‘Arden house is clean and comfortable.’ Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 16 Service users were very complimentary about the way the home was decorated and kept clean. One said: ‘It is a beautiful place, I can relax here. I can’t fault it.’ All service users said they had been given the opportunity to visit the home before making a decision about admission and when they had done so they had realised the décor and furnishings suited them better than anywhere else they had seen. This meant they felt very comfortable and at home. The laundry facilities meet the needs of the service users. One service user said: ‘They look after the clothes beautifully.’ Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. Staff in the home are trained and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rotas showed the home is very well staffed. Staff reported having time to talk with the service users in addition to offering the care required. Service users said there were plenty of staff to carry out their duties without having to rush and that there was time to go out in the arranged transport from time to time. Staff are recruited according to policy and procedure and receive all required training. Two members of staff on duty were spoken to. One felt she had completed training she needed and was not planning on extending her knowledge of care beyond the foundation training updates. About 33 of staff have achieved NVQ to level 2 in care. Each member of staff has an individual training plan and this is discussed in supervision. This approach to staffing levels, recruitment and a commitment to staff being adequately trained ensures that service users needs and wishes are met. Arden House DS0000007626.V335014.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect. Service users views and preferences influence practice and they are protected by the health and safety procedures of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lorelei Smith has been registered as manager of Arden House since the last inspection. She has NVQ at level 4 and the Registered Managers Award. Both staff said they received very good support from her as manager and they both felt they worked well alongside her. The home has a basic quality assurance system. Service users are surveyed regarding their opinions of the care they receive on an annual basis. Each year one area of care is targeted. The results Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 19 of these surveys are fed back to service users who are kept updated if there are planned improvements. Service users said they were encouraged to voice their opinions at any time and felt the home would respond to suggestions they made. The home does not handle the financial affairs of any service users. However, there are charges for some services, which are made clear in the contract. These are billed direct to the service user or a person who is acting on their behalf and accounts kept. Evidence was submitted on the pre inspection questionnaire that all relevant safety checks had been carried out. Several certificates of maintenance were seen and were up to date and in order. The home has comprehensive health and safety policies and procedures and a first aid trained member of staff is on duty at all times. This ensures service users are kept safe. Arden House DS0000007626.V335014.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 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP33 OP28 Good Practice Recommendations The quality assurance system could be improved to give inform future improvement of the service. 50 of staff should have NVQ to level 2 in care. Arden House DS0000007626.V335014.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 House DS0000007626.V335014.R01.S.doc Version 5.2 Page 23 - 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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