Inspection on 24/08/06 for Argyle Park

This inspection was carried out on 24th August 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Argyle Park 09/07/07

Argyle Park 17/02/06

Argyle Park 21/12/04

Argyle Park 15/06/04

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 Argyle Park 9 Park Road Southport Merseyside PR9 9JB Lead Inspector Mrs Claire Lee Unannounced Inspection 9.00 24 August 2006 th 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 Argyle Park DS0000017219.V295764.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. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Argyle Park Address 9 Park Road Southport Merseyside PR9 9JB 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) 01704 539001 01704 539001 Mr Albert Marcel Zachariah Mrs Bernardine Sananes Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 31 OP Service users to include 2 named clients under pensionable age The service should employ a suitably qualified and experienced Manager who is registered with the NCSC. 17th February 2006 Date of last inspection Brief Description of the Service: Argyle Park is a purpose built nursing home, which is situated close to Hesketh Park in Southport. The home was built 14 years ago and provides nursing care to 31 older people. All bedrooms are single and have ensuite toilets. The bedrooms are spread over three floors with a passenger lift, which takes wheelchairs for those who are less able. The home has a large combined lounge and dining area, hairdressing salon and well equipped bathrooms with aids to assist those who require help to bathe. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day for 9 hours and 29 residents were accommodated at this time. A site visit took place as part of the unannounced inspection. A partial tour of the premises was conducted and a number of the home’s care, staff and health and safety records were viewed. Discussions were held with 7 residents, 5 staff, the home’s deputy manager and manager. During the inspection 3 residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other residents who also took part in the inspection process. Discussion also took place with 2 relatives. All the key standards were inspected and also previous requirements and recommendations from the last inspection in February 2006 were discussed. Satisfaction survey forms “Have Your Say About …” were distributed to a number of residents prior to the inspection and some were also left for relatives to compete at the time of the visit. Comments included in the report are taken from the survey forms and also during the site visit. The range of fees for accommodation is from £458.50 to £505.00 a month. What the service does well: The home has pleasant welcoming atmosphere and staff were observed to be chatting with residents and visitors. An ongoing programme of decoration and refurbishment is in place and the lounge has recently been decorated. Areas seen were clean, bright and well maintained. There is a good standard of equipment to assist residents with varying dependency needs. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity. A resident said, “The staff are polite always”. The home’s routine is relaxed and based around the wishes of the residents. Those residents seen were appropriately dressed and staff were observed to assist residents with their lunch in a sensitive manner. Comments received from residents, relatives and visitors were favourable and included: Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 6 “Staff have paid close attention to anything (resident) may have indicated and acted at once in a splendid manner” “A doctor has been called in whenever staff have felt it necessary” “Staff are first class” “Visitors are made welcome at any time and this has certainly been the case on every occasion” An activities organiser provides a stimulating social programme for residents. Activities are arranged in the lounge and also given on a one to one basis for residents who would prefer to stay in their rooms. Residents interviewed were complimentary regarding the home’s social programme. The home’s menu is varied and well balanced. The cook meets with residents to ask what they would like from the menu each day and has information on their individual dietary needs and preferences. Residents interviewed commented on the good choice of hot food served. What has improved since the last inspection? What they could do better: Residents who were case tracked did not have a contract stating terms and conditions of residency. The home is in the process of updating this information however when interviewed residents were unsure of contract details and fee rates. The home must ensure all residents are provided with this information. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 7 The home must assess the needs of the residents in more detail prior to taking up residency. This must be carried out to ensure the home can meet their needs in full. The current assessment document does not lend itself to further information being recorded and a new document would be beneficial for this purpose. Staff review care documentation however the review should be a statement of progress measuring the aims and objectives of the care plan rather than a statement of ‘no change’. The home should conduct a review of its medicine policy in light of the points raised in the main report. This would improve the overall practice. Residents are able to self medicate if they wish and the home should complete a risk assess for each resident to ensure they are able to undertake this practice safely. Recruitment procedures are not robust to protect the residents. 4 staff files were examined and these evidenced a completed job application form. POVA (Protection of vulnerable adults) check and CRB (Criminal Record Bureau) disclosures were not available in all files and with regard to references 3 files did not evidence 2 written references. The requirement to ensure recruitment practices are robust must be addressed with urgency as residents are being put at risk. Staff training files were not up to date and it was difficult to evidence the training staff have undertaken. All staff are required to undertake training in safe working practice areas including, infection control, manual handling, food hygiene and first aid. Food hygiene training is an outstanding requirement from the previous inspection in February 2006. Staff interviewed had little understanding of abuse and how an alleged incident should be reported. Abuse awareness must also be included in the training for staff. The home should obtain the latest copy of Sefton’ Guide to the Protection of Vulnerable Adults. A number of files did not evidence a completed induction for staff. This must be given to all new staff when they start their employment. NVQ in care should continue for all staff as the home is currently below the 50 required in this qualification. A number of residents’ financial records were viewed. These were satisfactory however it is recommended that resident sign on receipt of any money they receive. 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. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 8 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 Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 9 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): 2 and 3 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Pre admission assessments are not recorded in sufficient detail to help ensure that the home can meet the needs of the residents. Resident contracts were not available. EVIDENCE: The manager stated that residents and/or their representative are provided with terms and conditions of the home however there were no contracts available for 3 residents who were case tracked. This means that residents do not have the information they need about the service they will receive and how much it will cost them. The manager stated that the home were in the process of updating this information however residents interviewed were unsure of whether they had received a contract and what this entailed. Residents have an assessment of need which is carried out by the manager and/or qualified member of staff. Little or no information had however been Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 10 recorded with regards to certain aspects of health and social care, for example, mobility, risk of falls, diet, family involvement and medication usage. Past medical history must also be recorded as part of the assessment process. The assessment process only provides basic information, further information is required to ensure all care needs are identified and recorded in the resident’s plan of care. The assessment document gives little scope to expand on the information required. A new assessemnt document would be beneficial. The home obtains care mamangement assessments from social services and transfer letters from hospital which help staff with the assessment process. Standard 6 – Intermediate Care is not provided at Argyle Park. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 11 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 and 10 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ health, personal and social care needs are addressed in care plans. Medications practice should be improved to protect the welfare of residents. Residents are treated with respect and dignity. EVIDENCE: The care files of 3 residents were viewed. Residents have an individual care file and the plan of care is based on the initial assessment. The care plans evidence the daily activities of living with reference to diet, mobility, personal hygiene, continence, sleeping, mobility and social background. A resident who required specific clinical input from staff was having their condition monitored and a record was evident of the staff’s observations. Staff care for residents who need wound care however one file did not contain a plan of care for this need. This was brought to the manager’s attention. Another file evidenced a care plan for wound care with reference to the prescribed treatment and progress of the affected site. Care plans are reviewed monthly to reflect any change in the condition of the resident and/or any change in treatment or medication. On occasions when undertaking the reviews staff write, “no Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 12 change”. The evaluation should be a statement of progress measure the aims and objectives of the care plan. Residents must be involved with the evaluation/review process and their consent and agreement sought. Residents interviewed were unsure of details relating to their plan of care and how often it is reviewed. General risk assessments including manual handling instruction are in place for residents who are at risk of falling or who require assistance with their mobility. Risk assessments for, nutrition, care of resident’s skin and self medication had also been completed. There was evidence that a plan of care was in place where a risk had been identified. Residents are weighed on a regular basis to monitor weight gain or loss. Care files viewed evidenced visits by GPs and other health professionals and a resident said, “I can see my GP when I want”. Comments from residents and relatives regarding the care include: “I am happy with the care” “The staff are good” “The staff are attentive and know exactly what to do” “The very friendly care and support which (resident) has continually received has been of the highest possible standard and cannot be faulted” The home has 2 medicine trolleys and medicines are administered from blister packs by the registered nurses. The medication records were generally maintained to a good standard however there were several omissions where staff had not administered certain medications. A resident’s pulse rate had also not been recorded for 2 days when administering the medicine Digoxin. Staff should monitor the effect of the medicine on the pulse rate. This was brought to the manager’s attention and rectified at this time. Records of the receipt and disposal of medication were clear however the new policy for disposal of medications has yet to be incorporated in the home’s main medicine policy. A resident who wished to self administer their own medications had signed a disclaimer for this purpose however the home should also complete a risk assessment for this practice. An audit of the medicines would be beneficial in light of these practice issues which have been highlighted. 2 members of staff check the administration of the medicine Temezapam as this is a medicine liable to misuse. Records seen were satisfactory. Residents who were interviewed spoke positively regarding the standard of privacy and respect offered to the by staff. A relative said, “The staff do not hurry residents when helping them with their meals”. Observation of staff during lunch confirmed this. Staff were seen knocking on bedroom doors before entering and also ensuring that residents were appropriately dressed. Argyle Park DS0000017219.V295764.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home is able to demonstrate that residents are encouraged to be independent and have a choice regarding how they wish to spend their day. Their rights are respected. EVIDENCE: The home has a very pleasant friendly atmosphere and staff give a great deal of thought to arranging social activities to suit individual needs and preferences. Staff were also observed spending time on a one to one basis with residents in the dining room and/or in their bedrooms. Their approach was sensitive and kind. Throughout the morning of this visit residents were having coffee in the lounge, watching TV or meeting visitors. The home employs an activities organiser and she works hard to ensure social interests are stimulating and it was evident through discussion with a number of residents that they enjoy a full lifestyle. Regular outings are arranged to garden centres and the local park. During the afternoon of the site visit a number of residents were taking part in a board game. The social programme for the week is advertised on the notice board in the lounge. A relative said, “Staff make every effort to make sure (resident) is involved with the activities”. Residents are offered Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 14 aromatherapy, massages, music, bingo, quizzes and parties. Visitors were seen popping in and at various times of the day and they were offered light refreshments. A small number of residents smoke and this is permitted in a designated area by the front door. A resident said the hairdressing service was regular and good. Lunch was served in the dining room by the care staff. The dining room tables were attractively laid and the home offers three well balanced meals day with light refreshements at other times. The menu is based over 4 weeks and offers a choice at each meal time. The menu is displayed in the kitchen and in the lounge. Staff ask residents what they would like for lunch and tea. The residents gave very good feedback on the quality and quantity of meals and the contact they have with the cook each day. A resident said, “Lilly (cook) is good and will cook what I like”. A resident who is vegetarian was complimentary with regard to the variety of foods she is presented with and has encountered no problems with her diet. A list of the residents’ preferred foods was available in the kitchen. There has been no recent environmental health inspection however the home are incorporating new food analysis documentation to ensure safe practices ensue. A recent residents’ meeting took place and dietary requests such as serving more fish are being introduced. A resident asked if she could discuss this further with the manager and this was arranged at the time of the site visit. Argyle Park DS0000017219.V295764.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality in this outcome area is adequate. This judgement has been made using available evidence and visit to this service. Residents are aware of how to make a complaint. Abuse policies and procedures are in place to protect the residents however staff are unfamiliar with the home’s documentation and how to report an alleged incident. EVIDENCE: The home has a complaint procedure and a complaint log. Recent entries were seen in the complaint log and it is recommended more detail be recorded as to the content of the complaint, the outcome and any action taken by the home. The Commission has received no complaints and the home has dealt with 2 in house complaints. Staff interviewed were aware of what to do should a resident or relative raise a concern. Residents interviewed felt safe, listened to, and able to speak to the staff and manager if they were not happy about anything to do with their care. The home has an abuse policy however this should include further details as to what constitutes abuse and how an allegation must be dealt with. The home should also acquire a copy of Sefton’s Guide to the Protection of Vulnerable Adults. Several staff members interviewed were unsure of what is meant by abuse and how an alleged incident should be reported. Staff must receive training in this area to improve their knowledge. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 16 The recruitment of staff is outlined within the staffing section of this report. Argyle Park DS0000017219.V295764.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 The quality in this outcome area is good. This judgement has been made using available evidence and visit to this service. Residents live in a safe, well maintained comfortable home. EVIDENCE: Argyle Park is a purpose built home. A partial tour of the building evidenced a clean, airy, comfortable home. The lounge has been redecorated and there are plenty of armchairs and coffee tables. There is no separate dining room however the lounge has dining space with tables and chairs. The home offers single accommodation and bedrooms seen were attractively deocrated with matching bed linen and drapes. Residents bring in their personal possessions and are able to make their rooms ‘homely’. A resident said, “I like my bedroom and it has everything I need”. Bathrooms were equipped with aids to help residents who are less independent and hand rails are in place in the corridors. The hot water to the baths is tested to ensure it is delivered to a safe temperature of 43°C. Records seen were satisfactory.There is small patio area with garden furniture and side garden and a ramp to the main front door. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 18 Residents were sitting on the patio at the time of the site visit enjoying the sun. Wheelchairs in use had footrests in place. Residents interviewed liked the facilities in the home and confirmed that they have access to all areas. The laundry facility is situated in a separate building however the ironing is carried out in a designated space in the home. Staff were seen to be wearing wearing gloves and aprons at the appropriate time and the home has infection control policies. The home was clean and tidy and there were no unpleasant odours. A relative said, “Over many visits it has become very apparent that there are laid down guidelines and instructions to staff for maintaining Argyle Park in a fresh and clean conditions at all times”. Emergency lighting is provided throughout the building and subject to a full maintenance contract and in house monthly checks. Records seen were in date. Argyle Park DS0000017219.V295764.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The quality in this outcome area is poor. This judgement has been made using available evidence and visit to this service. Sufficient numbers of staff are employed however staff require training in safe working practices to ensure they can meet the needs of the residents. Recruitment is not robust to protect the residents. EVIDENCE: At the time of the site visit sufficient numbers of staff were on duty to care for the residents. During the morning 7 care staff, a registered nurse, 2 domestics, a maintenance man, cook and kitchen assistant were on duty. The staffing rota for August 206 was viewed and it was noted that staff names and their positions were not written in full. This should be rectified to ensure this record is accurate. Nurses employed at the home have a current registration with the NMC (Nursing Midwifery Council) that enables them to practice. Comments regarding the staff include: “The staff are very good” “The staff are always on hand” “The attention given by every member of staff involved has been beyond praise and says much for the standards laid down and rigoursouly maintained at the nursing home” Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 20 “A member of staff has made regular visits to attend to (resident’s) needs both days and nights” Comments in surveys suggested that residents felt they were getting all the support they needed, for example with their personal care and meals. With regards to recruitment, poor practice was evident. 4 staff files were examined and these evidenced a completed job application form and oversees workers had the necessary documentation: 3 files evidenced a lack of POVA clearance and CRB enhanced disclosure for employees. One staff file had a photocopied police check from their country of origin. One staff file evidenced that a CRB had been applied for however they commenced work prior to their POVA clearance or CRB being received. A member of staff requires the necessary checks with the Protection of Vulnerable Adults (POVA) register as well as the Criminal Records Bureau (CRB) before commencing employment. With regard to references, 3 files did not evidence 2 written references and a number of references seen were photocopied and not originals. The requirement to ensure recruitment practices are robust must be addressed with urgency as residents are being put at risk. Only one staff file had evidence of an employment contract, the manager stated that these are not currently given out to new staff. There was also no evidence of a job description on file. NVQ training is ongoing and the home are working towards meeting the 50 required for care staff. Curently, 25 staff have achieved a qualifications in NVQ in care. 5 training files seen had not been updated since 2005 and it was difficult to determine what training has been provided for staff. A number of staff have attended some courses in safe working practice areas however 2 new staff members have not received manual handling training and two employee’s manual handling certificate expired in January 2005. The manager confirmed that a rolling programme of training has been introduced for manual handling, food hygiene, first aid and infection control. This must be given to all staff to ensure they have the skills and knowledge to undertake their work. The cook is required to undertake food hygiene. Manual handling training is booked for next month. Staff interviewed confirmed that they were shown round the building when they started however induction documentation seen was not complete or had not been started. Staff must receive a structed induction within the first 6 weeks of appointment. A staff member was unsure whether care practices had been discussed with her when she started at the home. Argyle Park DS0000017219.V295764.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 and 38 The quality in this outcome area is good. This judgement has been made using available evidence and visit to this service. The home benefits from a stable management team and residents are consulted with regard to the running of the home. EVIDENCE: Ms Sananas was appointed as the manager of the home in 2005 and has completed NVQ Level 4 in Management. Ms Sananas also undertakes mandatory training with the staff however she confirmed that she must update her manual handling assessor’s certificate and also a certificate in first aid. A deputy matron and a full compliment of staff support the manager. Residents interviewed were pleased with the general management of the home and stated that they have daily contact with Ms Sananas. A visitor said, “Berni (manager) is very good and has good control of the home”. Staff appreciated the management style and felt it had made the working environment structured and organised. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 22 Quality assurance systems are effective and the manager proactive in addressing quality issues within the home. Residents are approached for their views of the service, they are given surveys to complete and also resident meetings are held. Surveys were last sent out in January 2006 and the most recent resident meeting was held this month. A resident confirmed that she attended the meeting and was able to put forward some suggestions regarding the food. Staff meetings are also held. As part of quality assurance, the manager also ensures resident care files are reviewed regularly and is currently undertaking a review of the home’s policies and procedures. The complaints procedure, whistle blowing policy and abuse policy were reviewed in March 2006. As previously stated the changes to the disposal of medicines should be incorporated in the home’s medicine policy. The manager completes a safety check of the building to ensure all areas are safe and fit for purpose. This was last completed in July 2006. With regards to residents’ finances, personal allowances are dealt with from the administrator’s office at Manchester House (a home within the Argyle Group of homes). These monies are brought over each week for the residents. Financial documents seen evidenced staff signatures and expenditures for hairdressing and trips out. It is recommended that residents sign on receipt of monies paid to them. As previously stated staff training records are not up to date and recruitment practices are poor. These areas must be addressed to improve the overall service. Supervision is given to staff but not on a regular basis. One supervision record seen was not dated or signed. Staff receive a handover at each shift and senior staff support less experienced care staff with their work.Staff interviewed stated that the manager and registered nurses are on hand to help and give advice when needed. A number of maintenance contracts and certificates for equipment and services were seen. Details of these were also provided via the pre inspection questionnaire. Certifcates viewed included gas, environmental health, electric, lift, manual handling equipment and fire equipment. These were all in date. Weekly tests of the fire alarms are conducted, the last one being 21st August and emergency lighting was last checked on 14th August. Fire prevention training was given to staff on 27th April. Any untoward incident that may affect the resident is recorded. The accident book was viewed in relation to this and records seen were satisfactory. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 23 Equality and diversity were discussed in relation to staff and care practice issues. The home has policy regarding this subject and the manager is looking to provide training for the staff. Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 24 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 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X x 3 Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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. 3. 4. 5. Standard OP2 OP3 OP7 OP18 OP29 Regulation 5 14 15 13/18 19 Requirement The home must ensure residents have contracts stating terms and conditions of residency The home must ensure residents are admitted following a full assessment of need The home must ensure resident’s consent and agreement to their plan of care is sought The home must ensure staff receive abuse awareness training The home must ensure staff do not commence employment until a relevant POVA and or a Criminal Records Bureau enhanced disclosure has been attained. The cook must obtain a certificate in food hygiene (This remains an outstanding requirement from the last inspection February 2006) The home must keep a record of all staff training undertaken including full induction training for new staff. Staff must receive training in safe working practice areas. Timescale for action 24/11/06 24/11/06 24/11/06 24/11/06 24/10/06 6. OP30 18 24/11/06 7. OP30 18 24/11/06 Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 26 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. 1. 2. Refer to Standard OP3 OP7 Good Practice Recommendations The home should introduce new assessment documentation The home should ensure the review of care plans is a statement of progress measuring the aims and objectives of the care plan The home should complete an audit of the medicines charts and complete a risk assessment for residents who wish to administer their own medicines. The new policy for disposal of medications should be incorporated in the home’s medicine policy The home should include more information within the abuse policy and obtain a copy of Sefton’s Guide for the Protection of Vulnerable Adults The home should continue with NVQ Level 2 and Level 3 in care to attain 50 staff with a qualification in care The home should ensure residents sign to say they have received their personal monies The home should ensure supervision is given on a regular basis to staff and that records are kept up to date OP9 3. 4. 5. 6. OP18 OP28 OP35 OP36 Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Argyle Park DS0000017219.V295764.R01.S.doc Version 5.2 Page 28 - 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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