Inspection on 24/01/06 for Arlington House

This inspection was carried out on 24th January 2006.

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 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 13/02/07

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 Arlington House 88 Ackers Road Stockton Heath Warrington Cheshire WA4 2EA Lead Inspector Julie Porter Unannounced Inspection 24th January 2006 2:00 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.V268160.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 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.V268160.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Arlington House Address Arlington House 88 Ackers Road Stockton Heath Warrington Cheshire WA4 2EA 01925 267576 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 Old age, not falling within any other category registration, with number (14) of places Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 14 service users in the category of OP (old age not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The matters detailed in the attached schedule of requirements must be completed in the stated timescales 24th May 2005 3. 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 is situated on a bus route. The home provides accommodation and personal care for up to fourteen elderly service users. Accommodation comprises 12 single and one double bedroom, a lounge, conservatory, dining room, two bathrooms and three toilets. The home changed ownership in 2004. 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. Personal care is provided by the staff in the home, and any health and nursing needs are met by the community health services team. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over and afternoon and early evening on 24 January 2006. During the inspection a tour of the building was undertaken. Records kept in the home were also checked. There were twelve people living in the home on the day of the inspection The inspector was able to discuss with three residents what their lives were like living in the home. Two relatives/ friends were spoken with during the inspection regarding the care of their relative. All staff on duty were available to talk with the inspector. What the service does well: What has improved since the last inspection? What they could do better: All complaints must be recorded, investigated and a record kept of the outcome. Staff must receive training relevant to the work they perform and this must include Protecting Adults from harm. Equipment made available to support residents must be serviced to ensure resident and staff are safe. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 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. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 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.V268160.R01.S.doc Version 5.0 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 the following standard(s): 1-3 When the new home brochure is printed and with the new assessment documentation, residents and their families will have information available to them to know that the home can meet their needs. EVIDENCE: The current owners are in the process of up dating the information available to prospective service users. The new brochure is due to go to print and will be made available to the Commission for Social Care Inspection (CSCI) when it is published. See recommendation 1 Two contracts were seen during the inspection, which provided information about the services available; termination of the contract; fees and what not included in the fees for example hairdressing, newspapers etc. and the insurance arrangements in place for the home. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 9 All service users who are referred to the home are assessed by other care professionals who identify their needs. Evidence was seen on residents files of these assessment documents. The home has recently purchased a new careplanning package, which includes assessment documents and should ensure that residents’ needs’ are identified by the homes’ staff and that they can be met by the home. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 9 & 11 Care planning and monitoring means that service users’ needs are met prompty by the staff. Service users’ are encouraged to make decisions, and lead an independent life as possible. EVIDENCE: Two residents’ care plans were reviewed during the inspection and the new care plan documentation has improved the information regarding the residents’ needs. One of the care plans provided important information for staff about how much the resident could do without support. Each of the care plans also recorded input from community services, such as community nurses, GP’s, opticians and chiropody. The assessments covered such needs as continence, nutrition, mobility, medication and care requirements. A moving and handling assessment was also included in this assessment. The homes’ policy regarding medication administration states that residents’ can administer their own medication subject to a risk assessment. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 11 Staff have policies and procedures to following concerning death and dying, these will need to be reviewed to ensure residents and staff are protected. See recommendation 2 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 -15 Routines at the home are flexible to meet the residents’ needs. EVIDENCE: Residents spoken with said that they could choose what time to get up and what time to go to bed. The main meal of the day is served at lunchtime and meals are planned on a four-week menu plan, residents have opportunity to say what they like to eat, which is included on the plan. Evidence was seen that the residents’ likes and dislikes are recorded. During the inspection two residents had visitors from family and friends and one had enjoyed lunch out that day with her family. Since the last inspection residents have enjoyed more opportunities to go on outings, however due to the recent cold, icy weather residents have preferred to stay at home. The owner said that activities will resume with the warmer weather. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 -18 Verbal complaints are not recorded and therefore the home cannot demonstrate that the homes’ complaints procedure is effective. There is a training program for staff to attend training, but staff have not attended training in relation to adult protection, without this residents and staff may be vulnerable. EVIDENCE: Residents spoken with knew who to complain to if they were unhappy with any aspect of their service. They knew the owners and their family by their first names and during the inspection the interaction between staff and residents was light-hearted and respectful. No written complaints have been received by the home. The homes’ complaints procedure promotes residents and families speaking up about concerns but could not demonstrate that verbal complaints are recorded and dealt with effectively. See requirement 1 Staff training records were reviewed and staff did not have current training relating to Adult Protection, although in discussion with two staff they confirmed that they would know what to do if they suspected a resident was at risk. See requirement 2 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 14 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 - 26 The home is clean fresh to ensure that the residents live in a homely comfortable environment. EVIDENCE: During the inspection a tour of the building was undertaken, the home was fresh and clean throughout. The home has twelve single and one double bedroom, those bedrooms seen were well decorated and had been personalised by the occupants with photographs and small items of furniture. The servicing contact for the maintenance of the bath hoists and the stair lift had not been fulfilled; the homeowner agreed that this would be rectified as a matter of urgency. See requirement 3 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has a small staff group, with low turnover, which means that residents can get to know the people who care for them. Appropriate recruitment checks are carried out on all new staff members and this helps to protect the safety of people who live at the home. EVIDENCE: The home owner continues to support staff in achieving recognised qualifications to do the job they perform, on the day of the inspection staff were attending training held in the home in relation to moving and handling. All staff have completed 1st Aid training and training relating to medication administration. A matrix should be used to ensure that all staff achieve the mandatory training relating to the work they do. The home has a low turn over in staff, staff develop good knowledge of residents’ needs and the residents get to know the people who care for them. See recommendations 3 & 4 Two staff files were reviewed and these confirmed that satisfactory references and Criminal Records Bureau (CRB) disclosures had been obtained. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36 & 38 The opinions of the residents is important to the home owner and the staff to ensure that their best interests are safeguarded. EVIDENCE: The homes manager is registered with the Commission for Social Care Inspection (CSCI) and has worked in the home for a number of years. Staff are supervised by senior staff on a day-to-day basis and the manager conducts formal supervision with each member of staff. A sample of health and safety and equipment maintenance records were seen and demonstrated that a full service of the homes fire alarms and equipment was completed in April 2005 and quarterly inspections have been carried out since that date. The home has a current gas safety certificate. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 18 A quality monitoring survey was undertaken by the home owner in October 2005 and comments were seen to be positive “I have found the service excellent” staff were spoken about as “friendly and caring” are some examples. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 19 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 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 2 18 2 X X 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 X 3 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 20 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 2 Standard 16 18 Regulation OP16 OP18 Requirement All complaints must be investigated and the outcome recorded Staff training relating to Adult Protection must be included in the homes mandatory training plan. The hoists and stair lift must be maintained to ensure the safety of the residents and the staff. Timescale for action 31/03/06 31/03/06 3 22 OP23 31/03/06 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 3 Refer to Standard OP1 OP11 OP28 Good Practice Recommendations The homeowner should ensure that the new home brochure complies with Schedule 1 of the Care Homes Regulations. The policy regarding death and dying should be reviewed to protect residents and staff. A minimum of 50 of care staff should achieve NVQ Level II in Care by 2005. DS0000060704.V268160.R01.S.doc Version 5.0 Page 21 Arlington House 4 OP30 A staff training and development plan should be produced for all staff that work at the home. Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Arlington House DS0000060704.V268160.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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