Inspection on 13/02/07 for Arlington House

This inspection was carried out on 13th February 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

Arlington House 10/02/09

Arlington House 24/01/06

Arlington House 24/05/05

Arlington House 27/01/05

Arlington House 21/09/04

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 Arlington House 88 Ackers Road Stockton Heath Warrington Cheshire WA4 2EA Lead Inspector Joan Adam Unannounced Inspection 13th February 2007 09:30 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 Arlington House DS0000060704.V326019.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. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arlington House Address 88 Ackers Road Stockton Heath Warrington Cheshire WA4 2EA 01925 267576 F/P 01925 267576 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) Mr Neil Allcock Mrs Sally Allcock Rose Jewel Care Home 14 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (14) of places Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users in the category of OP (old age not falling within any other category) including up to a maximum of 7 who may in the category of DE(E) (dementia over the age of 65) 24th January 2006 Date of last inspection Brief Description of the Service: Arlington House is a two storey detached property set in its own grounds in a residential area close to Stockton Heath village. The home provides accommodation and personal care for up to fourteen elderly service users. It is staffed by a manager, who is registered with the Commission for Social Care Inspection, and a team of care assistants, with ancillary staff employed for housekeeping and catering duties. The current charges for the home are £316 to £360 per week. The owner provided this information. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 13th February 2007 and took six hours. It was carried out by an inspector of the Commission The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete a questionnaire to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. No responses were received. Comments on the day of the visit from residents such as “it is a lovely place ” “ Staff are lovely “ “ I like living here” was made. During the visit, the inspector spoke with the owner, manager, staff and some residents. The premises and various records held by the home were looked at. Feedback was given to the manager at the end of the inspection What the service does well: The home is well managed and provides good care to the residents living there. There is a quality assurance system in place which gains the views of the residents and their relatives. Comprehensive assessments are carried out and care plans are in place to ensure the home will be able to meet the residents’ needs. There is a good, friendly relationship between staff and residents and the residents said that they are treated with dignity and respect. Residents spoken with said that “ the home is good and staff are friendly” “ The food is really nice”. The home provides a warm and friendly environment for residents and relatives in which to live and visit. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of people’s care needs are carried out before they move into the home so that residents know their needs can be met. EVIDENCE: The files of two newly admitted residents who had moved into the home in recent months were looked at. It contained information from previous care homes that the residents had lived in before they came to Arlington House. There was evidence that relatives had been involved in the pre admission process. The pre-admission assessments had been carried out by the manager. The home is not registered to take residents with intermediate care needs. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 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 met by staff who enable them to maintain their privacy and dignity. EVIDENCE: The care plans of three residents were looked at. Care plans identified areas of need such as pressure area care, mobility, continence, nutrition, mental health needs and general dependency. The care plans contained adequate information to provide care staff with the necessary information for them to look after a person’s needs. Care plans were being reviewed and evaluated regularly. The care plans seen showed that there had been consultation with residents or their families/advocates. The atmosphere at the home was warm and friendly and there was positive staff interaction with residents. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 10 Personal care was carried out in the privacy of the residents’ own rooms and staff were seen to knock on bedroom doors before entering. Comments such as “ the staff are really lovely” “It is very nice living here” “ it is a lovely place” were made by the residents. Medication management and storage arrangements were looked at and were satisfactory. The home used a nomad dosage system. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 11 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities. EVIDENCE: Residents spoken with said that they could make choices of how they spent their day and residents were seen spending time in their bedrooms and some were in the main lounge area and conservatory. Activities are on offer at the home such as bingo, clothing sales, sing-a-longs and professional entertainers are booked on a regular basis. One resident enjoys jigsaws and staff spend one to one time with residents that are unable to join in group activities. Residents are taken out by the staff and local round table volunteers. Some other homes in the area join together for parties at special times of the year. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 12 The menus are varied and the food was appetising. The meal on offer for lunch on the day of the visit was a chicken roast dinner which residents said was one of their favourite meals. Residents said, “ The food was lovely” “ food is really good” Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in place and the residents are protected from abuse. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information as to how to make a complaint. There have been no complaints made to the home or CSCI since the last inspection. A copy of the complaints procedure is displayed on the wall in the home. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance “No Secrets”. The staff receive on going training on adult protection. Both staff members and the home’s training records confirmed this. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 14 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arlington House provides a comfortable environment for those living there and visiting. EVIDENCE: A partial tour of the home was undertaken. All the shared areas and a selection of bedrooms were seen. A good standard of décor was evident and the home was furnished to a good standard. Bedrooms were well personalised with residents’ own furniture, picture and ornaments. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 15 Since the last inspection the main hallway has been redecorated. Some bedrooms have also been redecorated and some new wardrobes have been purchased. The home was clean and fresh on the day of inspection. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix are sufficient to meet the needs of the residents, the home’s recruitment practices and staff training protect residents living at Arlington House . EVIDENCE: There were adequate numbers of staff on duty to meet the needs of the residents living at the home. The home has an on going training programme and copies of courses undertaken were seen on the training matrix. Staff have undertaken training such as moving and handling, fire awareness, first aid, food hygiene, protection of vulnerable adults, safe handling of medicines and dementia. A training programme is in place to enable staff to achieve NVQ level two in care and three out of the fifteen care staff are qualified to this level. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 17 Policies and procedures are in place for the recruitment of staff. Two staff files were seen and both contained evidence of an interview and two references. One did not contain the necessary CRB (Criminal Records Bureau) checks prior to their employment commencing, however a CRB record was in the file from a previous employer. These records are not transferable from one employer to another. The owner applied for a new CRB check immediately. The other staff file looked at contained all relevant safety information prior to employment commencing. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained to influence the running of the home. Staff are fully supervised EVIDENCE: The manager is experienced and has been registered with CSCI. She is at present undertaking NVQ level four in management. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 19 Staff at the home are supervised on a daily basis and formal supervision was given on a regular basis. The inspector saw records of these supervised sessions. The home is not responsible for any resident’s finances. A quality monitoring system is in place and questionnaires are given to residents and relatives to gain their views on the home. Comments are collated in to a report and action taken to address any adverse comments. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 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 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP28 Good Practice Recommendations A minimum of 50 of care staff should achieve NVQ Level II in Care by 2005. Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Arlington House DS0000060704.V326019.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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