Inspection on 15/12/05 for Arliemoor

This inspection was carried out on 15th December 2005.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arliemoor 06/11/06

Arliemoor 09/05/05

Arliemoor 09/12/04

Arliemoor 19/04/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Arliemoor Halsdon Cross Holsworthy Devon EX22 6NX Lead Inspector Jo Walsh Unannounced Inspection 15th December 2005 09:30 Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 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 Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 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 Adults 18-65. 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. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Arliemoor Address Halsdon Cross Holsworthy Devon EX22 6NX 01409 254232 01409 259321 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Jacqueline Rowe Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: Arliemoor is a large farmhouse providing residential care for younger men and women suffering from poor mental health. They do not provide facilities for blind people or those with a history of arson. It provides accommodation for 8 service users and has a new recreation room and office facility. It is set in ten acres of countryside and has no close neighbours. The owners have a number of dogs and horses and are happy for service users to become involved in their care. The grounds currently include a spacious garden, poly tunnel with tropical plants, a basic gym and a workshop area. Transport is provided by the home so that service users have access to education, social and leisure events, individual interests, families and friends and links with health services. There is also a bus service in the vicinity, although some service users prefer to use their bikes or walk to Holsworthy, which is two miles away. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced meaning the home were not given prior notice of the inspection visit. The inspection took place during a weekday in December and lasted for just over four hours. The main focus of this inspection was to speak to residents and the staff group, although some time was spent looking at key documents including care plans, resident’s monies, and the fire logbook and medication records. Six residents were happy to give their views about the home and four staff members were also spoken to as well as the registered providers. What the service does well: What has improved since the last inspection? The Statement of Purpose has been reviewed to ensure it contains all information required to help people make a decision about whether the home offers the right care and support. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 6 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. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4,5 Prospective new residents can be confident that a full assessment will be completed to ensure the home can meet all individual needs and that an introduction process will be arranged to help individuals make an informed decision that this is the right place for them prior to moving in. EVIDENCE: The care plans evidence that a comprehensive assessment is completed looking at all aspects of support and care needed for each individual. This ensures the home can meet the complex needs of residents and staff have good information to enable them to work effectively with residents. The newest resident describe how they had been enabled to make several visits to the home prior to moving in so they felt comfortable and knew what they were coming to. Individual files contain copies of the homes written contract with the terms and conditions set out. This ensures that residents are aware of what to expect form the home and what their responsibilities are. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Weekly reviews held with each resident and their key worker ensures that their choices, needs and personal goals are documented and worked towards by the staff team who understand their support needs. The home ensures comprehensive risk assessments are completed to enable any risks to be minimised. EVIDENCE: Two care plans were viewed and discussed with a staff member. The plans follow the care plan approach as identified by each funding Authority and weekly reviews ensure both individuals and staff are aware of any changes in well being, goal plans and future aspirations. Residents spoken to stated that they were very happy with the support and care provided and that they were given opportunities to make choices about their lives in every day situations. One resident described how they could be involved in the daily running of the household, helping to cook and shop but that there was no pressure to make them conform to a rota for example. During the inspection residents were observed to be supported to attend meetings activities. Residents stated that residents/community meetings were held to talk about any issues and to be involved in the decision-making processes of the home. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 10 All residents spoken to felt that their opinion was listened to and valued and all were very complimentary about the skills of the staff. One resident commented that ‘its about acceptance, it doesn’t matter what you say or do the (staff) still accept you’ Any restrictions regarding choice or freedom of movement are recorded as part of the care plan and discussed with all relevant parties. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14 Residents can be confident that there is opportunities for personal development via educational and leisure activities and good staffing levels ensure that individuals are well supported to both access and become part of the local community. EVIDENCE: Residents discussed a range of activities they get involved in, which includes in house sessions such as palates, craft sessions and taking care of the horses and gardening. Other activities include archery, swimming, adult education classes, yoga, art therapy as well as accessing the local facilities. One resident has recently joined the local Samba band. Residents have individual programmes of activities, and this is facilitated by a high staffing ratio and the staff group having a good knowledge of what’s available to access. Residents are supported to maintain family and friends contact and residents spoken to confirmed that any visitors were made welcome, that they were able to invite friends for tea as one resident stated ’just like in a normal home’ There appears to be a high level of commitment from the registered providers and the staff team to ensuring that residents have access to a good range of appropriate and therapeutic activities. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 12 Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The home ensures that a multi-disciplinary approach is adopted so that each individual’s personal and health care needs are fully met. Good procedures are in place to ensure medications are safely administered and recorded. EVIDENCE: Residents confirmed that they have regular access to the consultant, CPNs and that regular meetings take place to discuss how they are going. Documentation within care plans supports the fact that the home liaises with mental health care specialists to ensure the complex needs of residents are regularly reviewed and met in a consistent way. The medication system and records were viewed during this inspection and seen to be accurate and well maintained. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home has a complaints procedure that residents understand and feel comfortable using. EVIDENCE: Individual’s files contain evidence that residents are able to discuss their concerns and complaints and actions to these are recorded. All residents spoken to say they are able to voice their concerns to staff members and feel their views are listened to and acted upon. A couple of the residents described how any issues regarding conflicts with other residents can be discussed as part of a house meeting, or they can talk individually to their key workers or registered providers. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The home is suitable for its stated purpose, is homely, comfortable and well maintained. EVIDENCE: This inspection took place a week before Christmas; the home was decorated with Christmas trees and looked very festive and homely. The home was found to be clean, warm and had a very homely feel to it. Residents talked about the homely environment being one of the key things they liked. One resident stated that they could choose their own colour scheme for their room, and all residents spoken to say they liked their rooms and had free access to all areas of the home. One lounge area is designated as the smoking area, which means that other parts of the home are kept smoke free. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 The staff team have good knowledge and experience of residents needs but would benefit form some ongoing specialist training in metal health. EVIDENCE: Staff spoken to had a good understanding of the current residents needs and some have completed NVQ training. None have the staff have formal training in mental health and it was agreed with the registered provider that this training would help staff better understand the complex needs of the resident group. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The home is managed effectively, efficiently and safely. EVIDENCE: Staff and residents spoken to stated that the management approach was open and inclusive and their views were encouraged and listened to. The home has regular meeting for residents and staff have hand over meetings to ensure a consistent approach is adopted. The registered providers are planning to have a registered manager, and the senior member of staff has just completed the NVQ 4 and registered managers award and is awaiting validation of work completed, and they will then apply to the CSCI to register her as the manager of the home. Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Arliemoor Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000003641.V262905.R01.S.doc Version 5.0 Page 19 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 YA1 Regulation 4.1 (c) Requirement The registered person shall compile in relation to the care home a written statement which shall consist of: (c) a statement as to the matters listed in Schedule 1 and supply a copy to the Commission The registered person shall notemploy a person to work at the care home unless: (b) he has obtained in respect of that person the information and documents specified in (i) paragraphs 1-7 of Schedule 2 Timescale for action 31/07/05 2. YA34 19.1 (b) 31/07/05 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 YA32 Good Practice Recommendations The home should ensure staff have ongoing specialist training in mental health Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Arliemoor DS0000003641.V262905.R01.S.doc Version 5.0 Page 21 - 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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