Inspection on 02/02/07 for Arnold House

This inspection was carried out on 2nd 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arnold House 01/12/05

Arnold House 12/11/04

Arnold House 20/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Arnold House 154 Shooters Hill Rd Blackheath London SE3 8RP Lead Inspector Sue Grindlay Unannounced Inspection 2nd February 2007 09:15 Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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 Arnold House DS0000006753.V326827.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 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. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arnold House Address 154 Shooters Hill Rd Blackheath London SE3 8RP 020 8319 4084 020 8319 8752 greenwichoffice@milburycare.com http/www.milburycare.com/home.html Milbury Care Services Limited 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 Olufemi Adeyemi Akinwale Care Home 23 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (8) of places Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 8 places registered for LD(E) in respect of named services users only. Date of last inspection 1st December 2005 Brief Description of the Service: Arnold House is one of a group if six homes for adults with a learning disability, who are resident in the London Borough of Greenwich. It is managed by Milbury Care Services Limited, and has links with the Greenwich Community Learning Disabilities Team. The Home is registered for twenty-three residents, and eight named individuals are over the age of 65. The Home is a modern, two-storey building divided into four flats, two on each floor. The flats have interconnecting doors between the lounge areas, and these are open during the day to allow the residents to socialise. Each flat functions as a separate unit with its own Home leader, staff group, communal facilities and front door. Each flat contains five bedrooms, a bathroom, shower room, laundry, kitchen and ‘quiet room’. There is a large communal garden to the rear, and a drive at the front with parking for several cars. The Home is close to a parade of shops, and buses run past the door towards the shopping centres of Lewisham and Woolwich. A single storey building attached to the Home contains the administrative offices for Milbury Care Services, and a large room that is used for staff meetings, social events and training purposes. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection over six hours. Key standards were covered, and issues arising from the last report were also revisited. The manager and three staff members were spoken to, and several service users were spoken to during the tour of the building. Medication and two care plans were looked at in one flat, and one staff file and other documents were viewed. Provider reports were also read. No relatives or professionals were seen on this occasion, and no questionnaires were sent out. What the service does well: What has improved since the last inspection? What they could do better: Showers and bathrooms could be upgraded to improve the facilities. The central heating system must be checked to prevent the temperature from being uncomfortable to live and work in. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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 Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were assessed on this occasion. Evidence gathered from previous inspections shows that residents are admitted appropriately after a formal assessment of their needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions since the last inspection. Evidence gathered from previous inspections shows that residents are admitted appropriately after a formal assessment of their needs. The Service User’s Guide is nicely laid out in a large typeface. Each resident has a service agreement. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Residents are treated as individuals and are helped to be as independent as they can. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 6 Care plans seen showed that they had been revised and updated as necessary. One care plan had been updated to reflect the deteriorating mobility of the service user. Standard 7 Service users are encouraged to make decisions about their lives from what to wear, or what to eat and where to go on holiday. A bedroom was being decorated in one of the flats according to the colour chosen by its occupant. At the last inspection it was noted that a resident had the use of cot sides but the service user had not signed consent for the use of cot sides, and it was recommended that a consent form be devised and this should be placed Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 10 on the service user’s file to show that this had been an agreed course of action. Although the cot sides have been in place for some time, there is still no recorded consent, and the manager stated that the decision had been taken by the care staff as part of their ‘duty of care’. It remains good practice for consent to be sought, either from the service user or from his or her representative. Standard 9 Risk assessments were on file including use of the stairs. One service user goes out unescorted, and said to the inspector during one inspection that he valued that freedom to do so. His care plan for travelling alone included the fact that he was shown how to use a public telephone in case of emergency. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Residents at Arnold House enjoy a comfortable and stimulating lifestyle. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 12 Many of the service users attend day centres, where they do a range of activities. One service user has a regular weekend job at a sister home sweeping the drive. Standard 13 Residents enjoy a number of activities in the community from going to the pub to the pantomime or theatre. Key workers go out with residents to help them choose new clothes. About five residents went to vote in the election last year. Mencap came to the Home to talk to residents about the election and there were several posters in the flats at that time, reminding residents that they could vote. The message, “Your vote, your choice” and “I Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 12 can vote just like anyone else” was empowering in underlining the rights of service users in this area. Standard 14 During the inspection residents were relaxing either in the lounge or in their own rooms. The Home also arranges opportunities for stimulating and enjoyable outings. Last year all the residents had the opportunity to go away, and holidays were arranged in Norfolk and Greece. Plans are already in progress for this year’s holiday, and many residents are keen to return to a leisure resort in Norfolk where they can enjoy bowling, tennis and a range of entertainments each night. Standard 15 Family links are supported wherever possible. Two sisters go home every weekend, and the family and the home communicate with each other through a communication book. Two cards were seen from relatives of service users thanking staff for their care. Standard 16 The degree to which residents can assist with housekeeping tasks is limited but some are keen to help. One service user likes to vacuum up and empty the bin. Some can make a cup of tea and help to clear the table. One service user makes it his job to take the rubbish out each evening. Another likes to deliver letters to the service user. Standard 17 A four-week menu is drawn up in each flat in consultation with the service users. This can be varied according to need. At the last key inspection it was noted that staff had purchased a range of fresh vegetables including parsnips, carrots and broccoli, and considered it part of their role to introduce service users to new foodstuffs. This particular flat had introduced prune juice and cranberry juice and had encouraged more fruit consumption, and this has been helpful in promoting good bowel habits. Staff acknowledged that there is much information in the public domain now about good eating habits, and they had clearly been pro-active in helping service users to eat healthily. This initiative is continued throughout the home. In one flat, service users were enjoying their lunch, which consisted of finger food such as mini pasties, crisps, scotch eggs and slices of pear, tangerine and banana. A buffet lunch was set out in one flat as the deputy manager was leaving and staff and service users gathered to wish him well. One resident eyed up the food, and said he was impatient to “get stuck in”. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Residents’ emotional and physical health is well maintained in the Home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 18 All the residents seen on the day of the inspection looked clean and well presented. The clothes hanging in one resident’s wardrobe looked extremely well looked after, and it was clear that this person’s key worker takes particular pride in ensuring her key client is well-turned out. Standard 19 All the residents have access to routine healthcare and specialist input is accessed when required. The manager said that they have good input from the physiotherapist and psychiatrist. Currently there are ten service users with mental health issues, and these are reviewed with the psychiatrist at three or six monthly intervals. The psychiatrist will make a home visit if required, to advise on whether medication should be changed or whether to refer the client for psychotherapy or to the psychologist. One resident had been referred to a psychologist who had devised a programme of positive Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 14 reinforcement to prevent the service user from self-harming. The physiotherapist comes each week on a Tuesday to do an exercise group and to advise generally on mobility problems. There was evidence for one resident that she had a routine breast screening check. The G.P. visits to administer the flu jab and to check blood pressure. Dental checks are carried out on an annual basis. Residents’ files have a new health monitoring sheet that is not yet in general use, but if completed and kept up to date would be a good way to ensure that all aspects of health are being appropriately monitored. This is a recommendation (recommendation 1). Standard 20 All residents are registered with the GP in the surgery across the road from the Home. A board in the general office notifies staff about medication changes. A list of homely remedies signed by the G.P. is maintained in the office. This lists the condition, medication, dosage, contraindications and warnings, further information and time for maximum use. The medication record was looked at in one flat. Signatures and initials of staff were seen at the front of the folder. Numbers on the medication file index did not correlate with the relevant record in the file, and this is a renewed recommendation (recommendation 2). The system of medication administration is changing, and a new supplier Intecare is now delivering to the home on a monthly basis. The company representative came to the home to train staff in terms of ordering protocol, administration and storage. Preprinted MAR charts with space at the back of the form to record noncompliance may ensure more accurate record keeping. In addition the home is using the Boots dispensing system, which means that medication is in a blister pack until the point of administration. This too will reduce the margin for error. The commission’s pharmacy inspector will inspect these systems during the next inspection year. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users know that they will be listened to and they are safe from harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 22 The complaints guide for service users is now customised for Arnold House. It is still quite ‘busy’ but makes the points in an accessible way with images to illustrate each stage of the process. A copy of this is in every service user’s file. There have been no complaints since the last inspection, but the complaints log could not be found on the day of the inspection. Two thank you cards from relatives were produced but these were undated. It is recommended that a complaints log be opened to record all complaints, compliments and suggestions in one place. This would demonstrate that the home is responsive to feedback from service users and other professionals, is transparent in recording all comments about the service, and deals with complaints in a timely way (recommendation 3). Standard 23 All the residents appeared to be happy and contented. Staff were observed to speak to residents in a calm and friendly way. One member of staff, helping a resident to stand, encouraged him in a kindly way, saying, “Stand upright like a soldier”. A notice in the office informs staff about whistle blowing, and lists the names and contact numbers of the operations manager, the Regional Director and the Director of Quality Assurance. A signed statement in the file of a new staff member seen at the last inspection says Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 16 that they had received, read and understood the policy in respect of the Protection of Vulnerable Adults. There have been no adult protection issues since the last inspection. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 and 30 The Home provides a safe and comfortable environment for its residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 24 The home is accessible, safe and fairly well maintained. A handyman works full time in the home, responding to maintenance issues as they arise. A number of rooms have been decorated since the last inspection. The lounge and quiet room in Flat D have been painted, new curtains and furniture have been purchased for Flat C and the communal lounges in all the flats were comfortable and attractive. One of the lounges had a vase of flowers on the table. Two recommendations made at the last inspection are renewed on this visit. There were no shower curtains at all in two of the flats, and as some residents are self-supporting in this area, it would be desirable to install a shower curtain for added privacy. The second recommendation was in respect of cooker hoods that had been omitted when the kitchens were Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 18 installed and are effective in removing smells and steam (recommendations 4 and 5). It was noted that the temperature was quite warm in all the flats, and in one bedroom particularly in Flat D, the window had been left open to cool the room but it still felt warm. The manager said that this had already been noted, and following a call to the operational manager, it was agreed that the heating engineer would come out on the next working day to check the central heating, which at the very least is uneconomical if it is producing more heat than is required. However, in the light of the regulations, that heating, lighting and ventilation should be fit for purpose, a requirement is made around this issue (requirement 1). Standard 26 Service users’ bedrooms were all individually and delightfully arranged, and had much evidence of personal interests, such as cars, horses, handbags or football. Two bedrooms in one flat have recently been redecorated according to the resident’s taste. At the last inspection it was also noted that the duvets on some of the beds were quite thin, and staff said that the home is quite warm. It was recommended that an audit be made of bedding in each flat to check that it is still serviceable, and to ensure that service users were warm and comfortable at night. It was noted this time also that many of the beds simply had a duvet cover, and staff said in several cases that this was the resident’s personal preference. It may be that the central heating is so poorly regulated that the temperature is always high. In this case, the requirement that this is put in order (see Standard 24) should result in a reduction in the ambient temperature. There were plenty of blankets available in the hall cupboards if it should turn cold. Standard 27 Bathrooms and shower rooms tended to be less well maintained, and some shower chairs looked old and rusty, and the pull cords for the light were dirty. Some of these are cosmetic items but they give an impression to visitors, and can be easily remedied. The shower room in flat B is to be refurbished under capital spending before April this year. Standard 30 Each flat has its own laundry. The laundries had washable floors, hand washing facilities and were generally clean and tidy. The Home was clean and there were no odours apparent in any of the rooms. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Staff are patient, committed and conscientious in their roles. They are well supported and trained to fulfil the tasks. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 32 Several staff were spoken with on the day of the inspection. All demonstrated a clear understanding of the service users they worked with, and showed in their interaction with the clients a warmth and accessibility. Service users in their turn responded to this approach, and welcomed the dialogue with staff. In last year’s inspection it was learned that the Home had seventeen out of twenty-six care workers trained to NVQ level 2. This equates to a 70 target, which is commendable. At least two staff members said that the ethos of the home is to “put service users first”, and one said that in terms of the care given, “This is a five star hotel!” This standard is exceeded. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 20 Standard 34 There has only been one new member of staff since the last inspection. The record included all the relevant documents as set out in Schedule 2. Standard 35 Training has a high profile at the Home and all staff recently had a study day (delivered over two days so that all staff could attend) in moving and handling, fire safety and food hygiene. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 The Home is well-run and systems are in place to safeguard and monitor the welfare of service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 37 The manager has the Registered manager’s award and continues to press for high standards within the Home. He is proactive in advocating for service users (staff said he puts service users first) but in the words of one staff member, he “tries to accommodate staff as much as possible”. Standard 38 The manager is highly regarded by staff and by service users. One staff member called him, “The best ever”, and another talked about how approachable he can be with new ideas. He is uncompromising in getting the best for the clients, and described how he had persevered in order to obtain Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 22 treatment for a service user who was displaying some disturbed behaviour. This standard is exceeded. Standard 39 Regulation 26 reports are completed on a monthly basis and copies are sent to the Commission. These reports include interviews with a service user and a staff member, and these sometimes give a good flavour of what it is like to live and work in the Home. Copies of the annual review questionnaire were seen on service user files. These contain a range of questions and a five-point scoring system. Key workers are meant to complete these in discussion with service users. Given the way the questions are phrased it is a wonder that any information at all can be extrapolated from them. For example, the questionnaire asks service users to rate on a five-point scale their answer to this question, “The effort we go to [to] satisfy personal preferences”, or, “Staff support service users appropriately with personal care issues”. These have been collated and the outcome published as “Outcome of Annual Service Review and Development Plan”, with an overall home satisfaction level of 86.03 . It is suggested that in order to get any meaningful responses, the questionnaires are designed with service users in mind (recommendation 6). A letter on service user files advises residents that, “A copy of our last CSCI inspection report is available from the home manager if you should wish to see it”. Standard 42 The fire drill record shows that the last fire drill took place in May last year. This was well logged with the names of all service users and staff who participated, time taken to evacuate the building, and a follow up recorded as, “identify knowledge gaps and given training”. The manager said that there was a fire drill in November, but this had not been recorded. This is a requirement (requirement 2). Water tested in one bathroom registered at 38 degrees. In one room, a protective cover had come off the heating pipes, and a hot water pipe was exposed at shin level adjacent to a resident’s bed. This could be a scalding hazard, and the cover should be fixed back in place. A requirement is made around this, and the manager was informed (requirement 3). A sharps box seen in one flat at the time of the last inspection had no name or date of opening, and it was recommended that they be marked with this information. Two sharps boxes were seen on this occasion and neither had any information on them as is prescribed. This recommendation is therefore renewed (recommendation 7). Arnold House DS0000006753.V326827.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 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 1 X Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 24 NO 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 YA24 Regulation 23(2)(p) Requirement The Registered Person must ensure that suitable heating is provided; specifically the central heating system should be checked to make sure it is functioning properly. The Registered Person must ensure by means of regular fire drills at suitable intervals that the persons working at the home, and, as far as practicable service users, are aware of the procedure to be followed in case of fire. The Registered Person must ensure that all parts of the home are free from hazards to the safety of the residents, specifically all hot water pipes must be covered to prevent scalding. Timescale for action 09/03/07 2. YA42 23(4)(e) 09/03/07 3. YA42 13(4)(a) 09/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 25 No. 1. Refer to Standard YA19 Good Practice Recommendations It is recommended that the new health monitoring sheet be completed and maintained by key workers for all residents, to ensure that all aspects of their health needs are being regularly monitored. It is recommended that sections in the medication folder correspond with the index for easier access and to prevent errors. It is recommended that a complaints log be opened to record all complaints, compliments and suggestions in one place, and to show that the home is responsive to feedback from service users, their families and other professionals. It is recommended that cooker hoods be fitted in the new kitchens, to remove cooking odours and to make the environment more pleasant. It is recommended that shower curtains be replaced in all showers. It is recommended that questionnaires designed to elicit the views of service users are designed with service users in mind, and are more accessible to them. It is recommended that all sharps boxes have the name and address of the home and the date of opening written on them. 2. 3. YA20 YA22 4. 5. 6. 7. YA24 YA24 YA39 YA42 Arnold House DS0000006753.V326827.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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