Inspection on 27/05/08 for Arnold House

This inspection was carried out on 27th May 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Arnold House 168a Oxclose Lane Arnold Notts NG5 6FD Lead Inspector Steve Keeling Unannounced Inspection 13th May 2008 09:30 Arnold House DS0000070954.V365149.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 DS0000070954.V365149.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 DS0000070954.V365149.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arnold House Address 168a Oxclose Lane Arnold Notts NG5 6FD 07841144195 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) St John`s Care Ltd Manager post vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either Whose primary care needs on admission are within the following category: Learning Disability - Code LD. The maximum number of service users who can be accommodated is 4. 2. Date of last inspection Brief Description of the Service: Arnold house is a newly furbished and modernised four-bedded long term residential home for adult’s aged 18-65 with learning disabilities requiring a minimum of 1:1 support. The home has three ground floor bedrooms of which one has en-suite facilities. A forth bedroom is on the first floor, which has an en-suite facility. Communal spaces comprise of a lounge/dining room and a separate external social activities room. The home is situated in Arnold, which has a comprehensive public transport system and has amenities such as a post office, supermarket, optician, dentist, General practitioners surgery, churches, a library and leisure facilities. The quality rating for this service is 1 star this means the people who use this service currently experience an adequate quality outcome. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’. Only one resident had been recently admitted to the home and he was selected to case track. We looking at the quality of the care he received by observation, reading his records and asking staff about the his needs. The acting manager, two members of staff and a relative of the resident were spoken to as part of this inspection. A partial tour of the building was undertaken which included the service users bedroom to make sure that the environment is safe and homely. The fees currently charged for the resident is £950 per week with an additional 1:1 payment of £75.00. What the service does well: What has improved since the last inspection? This is the first unannounced inspection since the service was registered. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Arnold House DS0000070954.V365149.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 DS0000070954.V365149.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admittance assessments are obtained from placing Social Services departments EVIDENCE: Only one resident has been recently admitted to the home. The acting manager had obtained a full needs assessment from Social Services Departments prior to the person gaining residency. The Social Services assessment records were detailed, and provided comprehensive information about the background, support needs and lifestyle preferences of the resident, which included information relating to equality and diversity. Staff confirmed that they were provided with the opportunity to examine the needs assessments to gain an insight into the holistic needs of the resident. Arnold House DS0000070954.V365149.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. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Individual plans of care and risk assessment documentation was not available for inspection therefore it was not possible to fully determine if the residents assessed needs were being met. EVIDENCE: It is a requirement that the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan (the service users plan) as to how the service users needs in respect of his health and welfare are to be met. The care plan should be made available to the service user and after consultation with the service user or a representative of his ensure the plan is revised. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 10 The acting manger said that due to a computer fault the resident did not have any care plans in place to demonstrate that his health and personal care needs, identified within the pre admittance assessment, were being met. There was no evidence of the individual or a representative of his being involved in the development of care plan and a representative of the residents confirmed this. Staff confirmed that the care planning documentation had never been available since the person gained residency, approximately three weeks prior to the inspection. Information within the assessment documentation from Social Services stated the resident is “reliant on others to plan his life, shows no awareness of common dangers and needs supervision and support to be protected from abuse and maintain road safety”. Although daily records showed, and staff confirmed that the resident performed activities outside the home environment, there was no evidence that the required risk assessments had been formulated to ensure that the resident’s safety was being promoted. Staff confirmed that risk assessment have not been made available. To promote the health and safety of the resident CSCI issued an immediate requirement to have effective risk assessment and care planning documentation in place. We observed that the resident is supported to exercise his personal choices and had control of his life. For example, the resident wished to watch television and listen to music on the day of the inspection and staff respected his wishes and preferences. We were not able to verbally communicate with the resident but we did talk to a representative of his who said, “ It’s a lovely warm and secure place, it’s a home from home, the staff are very good, supportive and kind”. Arnold House DS0000070954.V365149.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, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further developments are required to show that resident’s lifestyle activities meets identified needs wishes and aspirations. EVIDENCE: As discussed earlier in the report the resident’s social interests were not identified and documented within care plans. A member of staff said that as he had got to know the resident over the past three weeks he had been able to provide activities, which the resident particularly enjoyed, which included arts and crafts, watching television and listening to music. The resident’s daily records showed that the resident had undertaken daily activities such shopping to purchase groceries and attended religious events Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 12 in the local community. The acting manager was also in the process of registering the resident with Mencap so he could attend gardening activities. The resident was not able to comment on the quality of the food at the home nor was his relative. Information within the pre admittance assessment from Social Services identified that the resident needs to eat “little and often” and to avoid all spicy food. It was also documented in the assessment that due to swallowing problems the resident should be provided with a “fairy soft and moist diet” and requires a smaller fork/spoon so that small quantities of food are in his mouth prior to swallowing” due to a medical condition. As no care plans were available in relation to the needs of the resident we asked a member of staff about the residents dietary needs. Staff said that the resident does not needs a special diet but food needs to be in small quantities. Reference was made to the resident avoiding spicy food, but the need to use a small fork/spoon and the need to have dietary intake on a regular basis was not highlighted. The limited knowledge of staff in relation to the resident’s dietary needs further demonstrates the needs to have effective care plans and risk assessments in place for reference and guidance. Information within the pre admittance assessment from Social Services said that the resident couldn’t perform any meal preparation. Staff said that the resident’s skills have improved in this area but given the lack of care planning documentation the statement could not be substantiated. The acting manager said that as occupancy increases it is planned that a four weekly menu will be introduced and residents will be provided with the opportunity to contribute to the formation of the menu. CSCI will assess the acting managers progress this area at the next unannounced inspection. Arnold House DS0000070954.V365149.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The inspector could not fully ascertain if the resident was receiving personal support to meet his physical and emotional needs in a way he prefers and requires due to ineffective documentation. Measures are being put in place to ensure the management of medicines promotes the safety of the resident at the home. EVIDENCE: It was not possible to determine if the physical, psychological and social needs and preferences of the resident was being met as the residents care planning documentation and risk assessments were not available for inspection. As mentioned earlier in the report CSCI issued an immediate requirement to have all the required documentation in place at all times. CSCI will determine the progress of the acting manager in adhering to the immediate requirement at the next unannounced inspection. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 14 Through observations, the resident appeared to be happy within the home environment. Staff were observed to respect the residents decisions and preferences. Interactions between the staff and residents were calm, considerate and empowering and the resident appeared to be enjoying the interactions. The resident’s relative said, “the staff are very good and my relative is very well looked after at the home”. She also said that the home was chosen as it is a small home and would provide a good standard of personal care, which she believed was the case”. The Social Services assessment document identified the resident as “reliant on care staff to ensure he takes his medication”, staff confirmed this. Information within the statement of Purpose said, “Service users will be encouraged to self medicate. This is risk assessed in the assessment process. Staff will have achieved or received training certificates in safe handling and administration of medicines”. Staff could not verify the aforementioned statement and said that the organisation has not provided any training on the administration of medicines. The acting manager said that no Medication Administration Record (MAR) were available in the home therefore it was not possible to determine if medication had been administered as per prescription. The acting manager stated that it had been arranged that a large pharmaceutical retailer will be providing Monitored Dosage System (MDS) and MAR charts in the near future. It was also stated that the pharmaceutical retailer would provide staff training and a secure medication storage facility at the home. We contacted a representative from the Pharmacy retailer who confirmed the acting managers statement and confirmed that the required training will be performed on the 6th June 2008 for all staff. Arnold House DS0000070954.V365149.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Procures are in place to ensure that concerns and complaints will be listened to and acted upon at the home. Staff had not received sufficient information on the principles of Safeguarding Adults to promote the safety of the residents. EVIDENCE: A complaints procedure for considering complaints made to the registered person by a service user or person acting on the service users behalf is available to all service users and their representatives within the Statement of Purpose. The acting manager has not received, and has not investigated any concerns or complaints since the home was registered. CSCI has not received any concerns or complaints relating to service provision at the home. It is good practice to have the complaints procedure on display in a prominent position within the home. The acting manager stated that the complaints procedure was not on display as the procedure is currently being produced in a format suitable to the needs of the residents. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 16 The service users relative stated that she felt confident in discussing any concerns with the acting manager if she was unhappy with any aspects of care provision. Information within the homes statement of purpose stated “staff receive training on complaints and representation procedures during their induction training”. Staff spoken with did not confirm that the training had been provided at induction and described the induction process as follows, “a basic explanation about fire alarms, how to cut the electricity, fire procedures and the assemble points discussed, that was it, a brief chat, only lasted about 30 minutes”. Staff spoken with confirmed that the organisation has not provided any education of Safeguarding Adults at induction. An examination of the staff training records showed that training in Safeguarding Adults is planned for the 17th June 2006. A member of Staff was asked if he was aware of the Nottinghamshire Safeguarding Adults policy and is the policy available in the home. The staff member said “no”. Although the policy was not available he was able to provide a good account of the actions to be taken if he suspected abuse was happening and attributed his knowledge to training provided by an alternative employer. To ensure that service users are protected a requirement has been made to ensure that the Nottinghamshire Safeguard Adults Policy is made available and staff receive effective education on the principles of Safeguarding Adults at induction. Arnold House DS0000070954.V365149.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment, which is kept clean and hygienic. EVIDENCE: The resident’s relative was asked, “is the home fresh and clean?” The response was “yes it’s a lovely warm and secure, it’s a home from home”. On the day of this inspection visit we found all areas well maintained and homely, offering residents a comfortable and safe environment. The Resident’s bedroom was homely, safe and personalised with many personal possessions such as family pictures, a television, radio and ornaments. Residents can use a secure garden area to the rear of the property, which is tidy and well maintained. In addition the home provides a separate area for Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 18 residents to perform social activities, which is equipped with arts and craft materials, a wide screen television and stereo equipment. Arnold House DS0000070954.V365149.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, 35 and 36. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The provision of staff training will require improvement to ensure staff are competent in performing their duties at the home. EVIDENCE: Two staff files were examined on the day of the inspection. It was evident that policies and procedures in relation to the recruitment of staff had been followed as they contained all required documentation. It is a requirement that staff are qualified, competent and experienced to promote the health and wellbeing of the residents and staff receive training appropriate to the work they are to perform. As mentioned earlier in the report staff said that the induction process was a basic explanation about fire alarms, how to cut the electricity, fire procedures and the assemble points discussed, it was a brief chat and only lasted about 30 minutes. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 20 The acting manager said that the staff had only received the basic induction although an induction package is available on the computer system which could not be accessed due to the fault. Training had been provided in relation to risk assessment and food hygiene principles and two members of staff had received training in managing difficult situations and equality and diversity. Through discussions with the acting manager it was established that staff have not received training facilitated by the organisation in relation to Moving and Handling, First Aid, Infection Control and the Management of Challenging Behaviour. The acting manager said and staff confirmed that staff supervision is not currently performed and as such a training needs assessment had not been carried out. Furthermore a staff training matrix is not maintained by the acting manager, which, if in place, would assist her in identify the training needs of the staff. To ensure that service users health and wellbeing is maintained a requirement will be made to provide CSCI with evidence of the training provision already provided. In addition we will require evidence of the planned training events to address the deficit. CSCI will also require evidence that the induction process is effective in meeting the needs, and promoting the safety, of the residents. Arnold House DS0000070954.V365149.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, 39 and 42. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Further developments are required to ensure that the current management structure is effective in promoting the health and wellbeing of residents. EVIDENCE: The acting manager has a degree level qualification in management and is currently in the process of registering with CSCI. Staff said that the acting manager is supportive and professional at all times. Staff confirmed that they were provided with the opportunity to discuss the service provision at a staff meeting with the acting manager and the managing Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 22 director and said, “ the meeting was constructive and informative, my impression is that they listen to us and we feel valued”. The acting manager said that it is planned that quality assurance questionnaires will be sent to relatives, residents and staff on an annual basis. The quality auditing system is designed to get feedback on the quality of services provided at the home. Due to the service only being in operation for a short period of time, the planned quality assurance monitoring processes have not been initiated as yet. CSCI will determine the quality of the process at the next unannounced inspection. The acting manager stated that it is also planned that resident meetings are to be performed on a regular basis. Documentation was available to facilitate the process but due to the service only being in operation for a short period of time no meetings have been performed as yet. CSCI will determine the quality consultation process at the next unannounced inspection. The acting manager is not the financial appointees for the resident and the acting manager does not collect or receive the personal allowance for the resident. Regulation 18 (2) states, “The registered person shall ensure that persons working at the care home are appropriately supervised”. Although staff supervision documentation was available it was established through discussions with the acting manager and a member of staff that formal supervisions had not been performed. The manager said that it is planned that staff supervision will be initiated. CSCI will determine the quality consultation process at the next unannounced inspection. Regulation 26 requires the Registered Individual to perform unannounced visits to care homes at least once a month to interview, with their consent and in private, residents and their representatives and persons working at the care home as appears necessary to form an opinion of the standard of care provided in the care home. Regulation 26 visits also encompass an inspection of the premises of the care home, its record of events and records of any complaints and prepare a written report on the conduct of the care home. Due to the service being in operation for a short period of time CSCI has not received any copies of the Regulation 26 visits. To demonstrate that the quality of service provision is being monitored we will require the Regulation 26 inspection documentation to be forwarded to CSCI. Given the issues of concern highlighted within this report it is evident that improvements are required. The acting manager appreciated the significance of the shortfalls identified at the unannounced inspection and stated that all areas of concern will be addressed as a matter of priority. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 23 As a result of this inspection the registered individual will be required to provide an improvement plan to show how improvements will be made to address the shortfalls identified within this report. Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 24 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 3 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 1 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 1 33 x 34 3 35 1 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 x 2 x LIFESTYLES Standard No Score 11 x 12 1 13 3 14 x 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x 2 x 2 x x 3 x Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 Requirement To promote the heath and well being of residents the registered person must ensure that care plans are: Formulated to meet the holistic needs of the residents The care plans are effectively re evaluated to identify the changing needs of the residents. Consent to the content of the care plan is obtained whenever practically possible. To promote the heath and well being of residents the registered person must ensure that comprehensive risk assessments are undertaken to identify any activities in which residents participate in are so far as reasonably practicable free from avoidable risks and unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. To promote the heath and well being of residents the registered person must ensure documentation is produced for identifying and recording social interests, and the arrangements DS0000070954.V365149.R01.S.doc Timescale for action 27/05/08 2 YA9 13 27/05/08 3 YA12 16 22/07/08 Arnold House Version 5.2 Page 26 4 YA17 Schedule 3 5 YA18 15 6 YA19 15 7 YA20 13 8 YA23 13 9 YA35 18 made to enable residents to engage in local, social and community activities and to visit, or maintain contact or communicate with, their families and friends. To promote the heath and well being of residents the registered person must ensure documentation is available for identifying and recording dietary preferences and concerns associated with dietary intake is maintained. To promote the heath and well being of residents the registered person must ensure that documentation in available for identifying and recording the resident’s personal support needs. To promote the heath and well being of residents the registered person must ensure documentation for identifying and recording the residents physical and emotional health care needs are maintained and available at all times. To promote the heath and well being of residents the registered person must ensure that the planned improvement in medication management is undertaken as specified by the acting manager. To promote the heath and well being of residents the registered person must ensure the Nottinghamshire Safeguarding Adults procedure is made available at the home and staff have the opportunity to access the policy. To promote the heath and well being of residents the registered person must ensure Staff receive an effective staff induction DS0000070954.V365149.R01.S.doc 22/07/08 22/07/08 22/07/08 22/07/08 22/07/08 22/07/08 Arnold House Version 5.2 Page 27 process. 10 YA35 18 To promote the heath and well being of residents the registered person must ensure a staff training and development programme is initiated to ensure that staff can fulfil the aims of the home and meet the changing needs of residents. To promote the heath and well being of residents the registered person must ensure that all staff are supervised at the frequency set out in the National Minimum Standard. This enables annual appraisals to be linked to the supervision and staff development. This will enable the home to plan future training courses. To promote the heath and well being of residents the registered person must ensure the acting manager is registered with CSCI. To promote the heath and well being of residents the registered person must ensure effective quality assurance and quality monitoring systems are established which takes into account the view of the residents or their representatives to measure success in meeting the aims, objectives and statement of purpose of the home. 22/07/08 11 YA36 18 22/07/08 12 YA37 18 22/09/08 13 YA39 24 22/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Arnold House DS0000070954.V365149.R01.S.doc Version 5.2 Page 29 - 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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