Inspection on 05/09/07 for Arle House

This inspection was carried out on 5th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Arle House 24/08/09

Arle House 13/12/06

Arle House 21/07/06

Arle House 04/10/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Arle House Village Road Arle Cheltenham Glos GL51 0BG Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 09:30 5 and 6 September 2007 th 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 Arle House DS0000064574.V343878.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. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arle House Address Village Road Arle Cheltenham Glos GL51 0BG 01242 514586 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) manager.arle@osjctglos.co.uk The Orders of St John Care Trust Miss Louise Samantha Turley Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate two (2) named Service Users under the age of 65 years. The home will revert to the original service user category when these service users reach the age of 65 or no longer reside at the home. 13th December 2006 Date of last inspection Brief Description of the Service: Arle House is a purpose built Care Home providing personal and nursing care; it is situated in a large housing estate close to local shops and other amenities. The Orders of St. John Care Trust is responsible for the management of the Home. The accommodation, consisting of forty-eight single rooms and one double room, is arranged on two floors and has been equipped with a shaft lift to access the first floor. Although none of the rooms have en suite facilities, there are several assisted bathrooms and separate toilet facilities throughout the Home. Some of the bedrooms at the front of the property have the benefit of a small balcony. There are three lounges within the Home plus a large dining room and a number of smaller sitting areas where service users and their visitors may meet. The enclosed rear gardens are easily accessible and have attractive shaded areas where residents are able to sit when the weather permits. The provider supplies information about the home, including the most recent CSCI report in a file at the entrance of Arle House. Current fees range from £364.74 to £742. Hairdressing, chiropody and any personal items are charged extra. Prices are available on request. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection of Arle House over the course of two days in September 2007. The inspector checked the home’s compliance with any outstanding requirements made by the Commission for Social Care Inspection. On this occasion, she chose the care of five of the residents for particular scrutiny. The inspector spoke to each of these people, visited their bedrooms, read all their relevant care records, and, where possible, observed their interaction with members of staff. The inspector also looked at the medication administration processes, particularly with reference to those people who had been selected for case tracking. She observed the medication storage arrangements, the processes for administration of controlled drugs and the protocols in place for selfmedication. The inspector walked around the property, and observed the service of a variety of meals during the course of the two day visit. She also observed the residents’ participation in a selection of activities, meeting the activities coordinator and other people leading the organised events. She checked that residents were able to exercise choice and to maintain social contacts. The inspector also looked at the processes in place to protect the residents from any risk. Arrangements for and records relating to the maintenance of equipment were examined. The inspector read selected personnel and recruitment records and looked at the opportunities provided for training. Finally, she had the opportunity to talk to the manager, her deputy and to the administrator, particularly in relation to general management issues and other responsibilities of their roles. The inspector extends her thanks to all the staff that provided assistance during the inspection processes. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 6 Prior to the inspection, CSCI surveys were distributed to residents and relatives of those living at Arle House. Twenty-one were returned from residents although in the majority of cases, a relative or named member of staff completed the form for them; fifteen responses were sent in from relatives and advocates and three from health professionals who had experience of the home. Eleven members of staff also provided written comments about Arle House. Many of their opinions are reflected in the content of this report. What the service does well: What has improved since the last inspection? Nine people who responded to the questionnaires commented in a variety of ways about improvements in the home in recent months. These usually related to the standard of care provided and to the decorative improvements in the property. Information provided to prospective residents has now been updated and reflects the current situation at the home. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 7 Clearly detailed care documentation is now prepared for each person; the thorough content gives good guidance to the carers of the particular needs of each resident. There has also been a significant improvement in the standard of medication administration recording and general administrative documentation. Much of the home has been subject to decorative improvements and replacement furnishings have been provided in some areas. 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. Arle House DS0000064574.V343878.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 Arle House DS0000064574.V343878.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information so that they may make an informed decision regarding their admission. They may also be assured that their needs will be met, as there is an effective assessment process in place. EVIDENCE: Copies of the Service User’s Guide, known as the ‘Residents’ Guide’, are provided to each prospective resident; these contain detailed information about the facilities provided by the home. Copies of the documentation were seen in many of the bedrooms. The Statement of Purpose is included in a file in the entrance hall and is also available for anyone to read. Both documents have recently been fully reviewed and updated. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 10 During examination of selected residents’ personal files, it was observed that a contract outlining the terms and conditions for admission to the home had been provided to each person. Signed copies of the completed documentation were seen in the records. One person also verbally agreed that she had received a contract when she was admitted to Arle House. Residents and/or their advocates were provided with clear details about any additional financial contributions to which the resident may be entitled. Copies of these letters were also seen in the files. Records seen in the residents’ care files showed that thorough assessments are undertaken of each person’s particular care requirements to ensure that the home is able to meet his or her needs. These processes are undertaken prior to the resident’s admission, usually in hospital but sometimes in the person’s own home. In some cases, further details had been provided by other health and social care professionals previously involved in the care of these elderly people. During the inspection it was observed that one person was transferred to an alternative specialised care facility as it had been identified that Arle House was no longer able to meet this person’s deteriorating needs. Intermediate care is not provided at this home. Arle House DS0000064574.V343878.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home may be assured that all their care needs will be met appropriately and in a manner that respects their privacy and dignity. EVIDENCE: On this visit it was observed that each person had a series of clearly detailed care plans based on an assessment of their needs. In all the examples seen these had been reviewed and updated appropriately and appeared to reflect the person’s current condition. It was also observed that six monthly reviews are undertaken, which may include a close relative or advocate as well as the resident. The completed records showed that everyone’s opinions and any concerns were noted and addressed. Risk assessments were also completed to address any specific issues relating to each person. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 12 All the care planning documentation appeared to give very specific guidance to those people responsible for caring for the residents. It was observed that particularly good information was provided for the care of those people at risk of developing pressure sores. There were clear records to indicate that care from other healthcare professionals is sourced when required. One person had received attention from a community nurse, continence nurse, physiotherapist, chiropodist and the General Practitioner in the last few months. Dental care had been sourced for another resident in recent weeks. On both days of the inspection, each person appeared to be receiving appropriate personal care. However, two relatives did raise concerns in the surveys about the standards of personal care that their relation was receiving, although in one case the problem had been identified to the staff and had now been addressed. Five others, however, commented on the improvement in care in recent months with one person writing,” My uncle is always well cared for” and a resident saying, “you can’t fault the wonderful care here.” The medication administration systems relating to the five selected residents were inspected on this occasion. Storage, medication policies and the management of self-medication procedures were also looked at. Medications are stored, administered and recorded correctly. Medication policies are readily available and a recent copy of a medication reference book is provided for staff information. Homely remedies are managed correctly. Clear instructions are provided to guide staff when to provide “as required” medication. Handwritten medications are recorded correctly. Comprehensive risk assessments are completed for residents who wish to take responsibility for their own medications and lockable facilities provided for the secure storage of drugs in bedrooms, when required. Staff were consistently observed treating the residents with courtesy and respect and addressing them in a polite but friendly manner. One person who spoke to the inspector commented that, “They never make me feel a nuisance, they treat me very kindly. I like living here.” Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are given the opportunity to take part in social activities, as they choose, and to eat a nutritional and balanced diet. EVIDENCE: One of the care staff has now been appointed as activities coordinator, working fifteen hours a week. When she is not on duty other members of the care team lead any arranged events. There is an advertised programme of different activities advertised throughout the home; this is in a format to ensure that all the residents are aware of what is planned to take place. The activities have been developed to suit each person’s individual tastes and needs. Residents’ participation in each event is recorded and monitored. Residents who spoke to the inspector confirmed that they are able to exercise choice in how they spend their days and are not expected to take part in the group events if they do not wish. One person preferred the peace of her own bedroom where she likes to read and “watch the world go by” from the large window. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 14 One lady really enjoys receiving hand care from one of the carers; another person spoke enthusiastically about a recent trip to a local pub. Residents are free to meet with friends and family whenever they wish. They usually talk with visitors in their own bedrooms or in one of the communal rooms. Private celebrations or family gatherings are organised in one of the smaller lounges if requested. Residents are assisted to take some responsibility for their financial matters for as long as they wish or are able. Alternatively, the administrator will store personal monies securely, if they prefer. Information is advertised on the home’s notice board on how to source advocacy, if it is required. The service of breakfast and the mid day meal was observed on this visit. Many people ate breakfast in their bedrooms but the majority of residents sat in the large dining room to eat the main meal of the day. They were provided with a choice of menu; some had alternatives prepared, as requested. Each person was offered a choice of soft drink with the meal; some had alcohol. One person who needed full assistance to eat her food was observed. This task was completed in a sensitive and considerate fashion; the carer talked quietly and encouragingly to the lady and ensured that she ate as much as she wished. Everyone was given the chance to eat his or her meal in a relaxed unhurried manner. Covered plated meals were taken to residents’ bedrooms before the service of food in the dining room. Two trays were checked as they were taken upstairs; the plates had been warmed and the food appeared hot and looked appetising. The majority of those questioned enjoyed the food served; two residents, however, did feel that “it could be better”. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home may be assured that any concerns or complaints they identify will be investigated and addressed appropriately. There are also systems in place to ensure that their rights are protected. EVIDENCE: Details of the complaints procedures are contained in the ‘Residents Guide’ and are displayed in the front hall of the home, providing residents and their families with clear guidance on the processes to follow if they wish to raise a concern. Records relating to complaints received since the last inspection were seen on this visit. In each instance the issues were addressed promptly and appropriate action taken to resolve any shortfalls. Two relatives confirmed in the questionnaires that the Manager had dealt with concerns that they had identified. Detailed policies to address all forms of abuse and whistle blowing procedures are provided at Arle House. The documents are kept in the Manager’s office but are readily available for staff to read. These matters are addressed during induction training and during national vocational training; some of the staff have also attended additional formal Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 16 training on these important subjects. Senior staff have recently been provided with current information about the Mental Capacity Act. POVA (Protection of Vulnerable Adults) legislation is correctly followed at this home. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely environment, which is benefiting from current redecoration. EVIDENCE: On this visit the first floor corridor of the home was being redecorated. Although this was causing some temporary disruption, the improved ambience was already evident. The entrance hall, ground floor corridor and communal rooms appeared tidier and more inviting than on previous visits; new tasteful artwork is now displayed in these areas. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 18 The garden too was well maintained and looked particularly attractive on this occasion. Some residents took the opportunity to enjoy the late summer sunshine in the shaded parts of the garden. A visit was made to the bedroom of each of the residents who had been selected for case tracking. Each room had been personalised with photographs, and treasured possessions. Acceptable furnishings have been provided with some of the more seriously damaged furniture observed on previous visits now replaced. Where appropriate, window restrictors had been installed to protect the residents from any untoward accidents. The home continues to cope with cramped and difficult laundry conditions. It was reported however, that a feasibility study is being conducted into upgrading the current facility. The inspector did observe that some of the residents’ clothes are now ironed prior to return to the owner. On this occasion the entire home was reasonably clean, well ventilated and free from any serious offensive odours. Wheelchairs appeared to be clean and in good working order. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home receive care from a competent well-recruited workforce. EVIDENCE: On the first day of the inspection there were forty-eight residents living in the home. The manager, her deputy plus another two trained nurses were on duty with nine carers to look after the residents. The administrator, the activities coordinator, the handyman, two cleaners, the laundry assistant, cook, and two kitchen assistants were also working that day. Two nurses, seven carers and a kitchen assistant were scheduled to be on duty in the evening with a nurse and three carers working overnight. It was confirmed that nursing, care and domestic staff hours have been increased during 2007. Although there were some concerns raised in the surveys suggesting that there were sometimes insufficient staff on duty to address residents’ needs in a timely way, on the whole people who spoke to the inspector agreed that there were usually enough staff in the building to care for the people living there. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 20 Plans are being made to reorganise work allocation to improve the efficiency of care given to residents. Records show that good progress is being made towards ensuring that at least 50 care staff are trained to National Vocational Qualification, Level 2 in Care or equivalent. Five carers are working towards the qualification at the current time with fourteen already achieving Level 2 and/or Level 3. Nine new members of staff have been recruited to the home since the last inspection. Personnel files relating to five of these people were selected at random and read on this occasion. In each case, the prospective employee had completed an application form providing an employment history. Records had been maintained of the interview processes and POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed. Two written references were provided for each applicant. Records are provided to show that new employees undertake full induction when they commence duties. Training needs are well managed at this home. Clear records are maintained, showing dates of attendance and identifying any staff who may require ‘update tuition’. An additional manual handling course has been arranged at the end of the month to ensure that all the staff have current knowledge on good practice. Members of staff working at Arle House have also attended additional specialist training appropriate to their roles. It was observed that one nurse had attended courses on the following subjects in recent months: ‘First Aid at work’; ‘Introduction to Heart Disease’; ‘Customer Care’, ‘Understanding the Mental Capacity Act’; and ‘End of Life Care’. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents may be reassured that there are robust management systems in place at this home but these would benefit from some further improvement to ensure that these vulnerable people are fully protected. EVIDENCE: The Manager, a trained nurse, is well experienced in the care of older people. She has also undertaken additional management training and is currently studying for a Diploma in Management Studies. She is well supported in her role by her deputy, also a trained nurse and the administrator. The home now has the benefit of strong leadership and committed focussed management. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 22 There are a number of quality improvement measures undertaken at this home. A residents/relatives satisfaction survey was circulated earlier in the year, the results of this survey have now been collated and an action plan prepared to address the issues identified. Good progress has already been achieved in rectifying some of the concerns. Medication processes, care planning, catering services, accidents, incidents and activities are all closely monitored, usually once a month and reports provided. Any issues for improvement are identified and addressed as required. The home will be audited for the ISO 9001 quality award later in the year; an internal audit has just been completed to assess their current status. The home has also been awarded three stars by the Environmental Health Department following an assessment of food hygiene and safety procedures, an assessment of the structure of the establishment and confidence in management, and an assessment of the control systems in place. The home takes responsibility for the personal monies for the majority of the residents; the records relating to the five residents selected for case tracking were checked on this occasion. It was observed that meticulous records are maintained and that individual secure storage is provided. These processes are maintained correctly. Residents’ status in relation to ‘Power of Attorney’ is also maintained on file. This inspection coincided with a visit from the Fire Officer; he undertook a full assessment of the fire prevention measures in place and will provide a separate report shortly. However he identified that the Arle House Fire Risk Assessment is now overdue for review although the inspector understands that these processes are being undertaken corporately. He also pointed out that the ‘Orders of St John Care Trust’ has still not addressed a number of important environmental issues identified in the original fire risk assessment. These must now be addressed as a matter of urgency. Records were provided to show that maintenance and inspection of equipment is undertaken, as directed by the manufacturer. An Environmental Health inspection took place in December; the majority of issues highlighted for attention have now been addressed. Any accidents or incidents are recorded appropriately. Security issues are managed appropriately in this home. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 3 x x x x 3 x 2 STAFFING Standard No Score 27 3 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 2 Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 23.4 Requirement The issues identified for priority attention in the current Fire Risk Assessment for the home must be addressed and rectified. Timescale for action 30/11/07 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 OP26 OP28 Good Practice Recommendations It is recommended that consideration should be given to improving the cramped laundry facilities. At least 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent. Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Arle House DS0000064574.V343878.R01.S.doc Version 5.2 Page 26 - 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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