Inspection on 01/07/05 for Argyle (The)

This inspection was carried out on 1st July 2005.

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 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 (The) 26/01/09

Argyle (The) 22/08/06

Argyle (The) 23/01/06

Argyle (The) 03/03/05

Argyle (The) 04/08/04

Argyle (The) 06/10/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Argyle 24/25 Broad Walk Buxton Derbyshire SK117 6JR Lead Inspector Marie Bonynge Unannounced 1st July 2005 10.00 am 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 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. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Argyle Address 24/25 Broad Walk Buxton Derbyshire SK17 6JR 01298 23059 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Argyle Residential Home Ltd Mrs Ann Andrew CRH PC Care home only 10 Category(ies) of 10 places Old age registration, with number of places The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None specified Date of last inspection 3rd March 2005 Brief Description of the Service: The Argyle is a large period building, which was formally a hotel. The home overlooks The Pavilion Gardens in Buxton and has a small garden area to the front and side of the building, which provides a sitting area for service users. Accommodation is provided on three floors that are accessed via a passenger lift. Accommodation comprises of ten single rooms, all of which have en-suite facilities. Lounge / Dining facilities are provided on the ground floor. Support services are provided locally with services user having a choice of GP from three practices. Other support services are accessed on request. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection was the environment and the proposed registration of 14 additional places in the category of (OP) Older People. A tour of the building took place and room sizes were sampled. What the service does well: What has improved since the last inspection? What they could do better: It is expected that the rest of the home will be refurbished and upgraded to the same high standard of the new bedrooms and bathrooms. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 6 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 Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 standard(s) 1 and 2 Information is provided for prospective residents and their representatives to assist them in making a decision as to whether to live in the home. EVIDENCE: An informative statement of purpose and service user guide have been produced. These documents tell prospective residents and their representatives what they can expect from the home and the services and facilities that it provides. A statement of terms and conditions and / or contract have been provided to residents. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: None of these standards were assessed on this occasion. They will be inspected at the next inspection of the home. Two requirements have been carried forward from the last inspection report for this section. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: These standards were not assessed on this occasion. They will be inspected on the next inspection of the service. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 11 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 standard(s) EVIDENCE: These standards were not assessed on this occasion. They will be inspected on the next inspection of the service. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 Generally well maintained and comfortable accommodation is provided that contributes to the enhancement of residents every day lives. The proposed refurbishment of the home will assist in increasing this further. EVIDENCE: The Argyle is a large period building, which was formally a hotel. The home overlooks The Pavilion Gardens in Buxton and has a small garden area to the front and side of the building. Accommodation is provided on three floors, a new shaft lift now provides access to all of the floors. A new treatment room has been created, although this is not currently in use, medication is stored in the office. The home is currently registered to provide 10 places, however there are 6 additional bedrooms that were formally part of the hotel and are occupied and The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 13 are part of the care home. These bedrooms are not registered with the CSCI. These bedrooms require some upgrading in terms of their decoration and general fixtures and fittings. The proprietors have upgraded 3 bedrooms on the first floor to a high standard of accommodation that were not previously registered with the CSCI. These rooms are single accommodation with en-suite toilet and sink. They are in excess of minimum space requirements. The proprietors propose to upgrade a further 3 bedrooms on the second floor to the same high standards as those above, these bedrooms are not registered with the CSCI. The proprietors propose to upgrade bedroom numbers 5 and 6 (currently with no internal access) and the adjacent ground floor bathroom. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 The home was suitably staffed that met with the assessed needs of the residents accommodated on this visit. EVIDENCE: A sample of staffing rotas was provided. This indicated that the numbers of staff were adequate for the number of service users. Normal staffing were 3 care assistants AM, 3 care assistants PM and 1 working and 1 sleep in staff at night. A cook and housekeeper are also employed together with the services of a Creative Therapist 2 afternoons per week. Mr Andrew also works at the home. A comprehensive overall training and development plan had been developed and there was a commitment to develop further training in the home. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Systems were generally in place that contributed to the health, safety and welfare of residents. However this could be compromised where potential risks have been identified. EVIDENCE: Certificates of maintenance were examined. These included those for Gas Safety and the maintenance of electrical systems. The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 2 3 3 2 2 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 2 x x x x 2 The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 17 YES 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. 1. Standard OP7 Regulation 15 Timescale for action A nutritional risk assessment and 30.08.05. pressure area prevention score must be introduced. From inspection report . Timescale not expired. Accident records must be 30.08.05 completed fully. From inspection report. Timescale not expired. Arrangements must be made to 01.11.05 ensure that the 6 bedrooms that were formerly part of the hotel are upgraded and are included in the homes written development plan with timescales for achievement. Upgrading of the downstairs 01.11.05 bathroom must include the replacement of the assisted bath and floor and is included in the homes written development plan with timescales for achievement. The ceiling in bedroom 4 must 01.10.05 be made good. Arrangements must be made to 01.11.05 ensure that bedroom doors are fitted locks suited to service users capabilites and accessible to staff in emergencies in consultation with the Fire Officer. Risk assessments on radiators 10.10.05 must be reviewed. The Version 1.40 Page 18 Requirement 2. 3. OP8 OP19 37 23 4. OP21 23 5. 6. OP24 OP24 23 23 7. OP25 23 The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc 8. OP25 13 9. OP25 13 10. 11. OP33 OP38 24 23(1) registered person must ensure that the surface temperature of radiators does not exceed 43C. Risk assessments must be completed regrding the use of electric radiators in residents bedrooms, regarding the large panes of glass in the first flor and second floor bedrooms. Arrangements for the provision and maintenace of window restrictors based on assessment of the vulnerability and risk to residents must be completed. A Quality Assurance and Quality monitoring system must be developed further for the home. The environmental risk assessment must be available in the home. 10.10.05 01.10.05 30.08.05 30.08.05 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 Good Practice Recommendations The Argyle C52-C02 S19921 The Argyle V237460 210705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection South Point, Cardinal Square Nottingham Road Derby DE1 3QT 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. 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