Inspection on 13/02/09 for Arran House

This inspection was carried out on 13th February 2009.

CSCI found this care home to be providing an Good service.

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

Arran House 26/01/07

Arran House 21/02/06

Arran House 19/12/05

Arran House 16/03/05

Arran House 30/09/04

Arran House 18/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Arran House 1 Old Garden Drive Rotherham South Yorkshire S65 2BT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ian Hall     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Arran House 1 Old Garden Drive Rotherham South Yorkshire S65 2BT 01709382855 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The House of Light Trust Name of registered manager (if applicable) Andrea Ellis Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Arran House is a residential care home. It is registered to provide personal care for a maximum of three people with a learning disability. The House of Light Trust owns Arran House. This is a charitable organisation that owns other care homes for persons with a learning disability in the area. The home is a three bedroom semi-detached house situated on a small residential estate. There is a park and local facilities such as shops and public houses nearby. It is within easy reach of Rotherham town centre and well served by public transport. The home reflects ordinary living principles and the facilities are domestic in scale. There is ample communal space with a long through lounge/dining area and a dining kitchen. Two of the service users rooms are situated on the first floor, with the third situated on the ground floor. There are gardens to the front and rear of the house. The back garden is private and Care Homes for Adults (18-65 years) Page 4 of 26 care home 3 Over 65 0 3 Brief description of the care home access can be gained through the patio doors leading out from the lounge area. Information gained on the 13th February 2009 indicates the current fees are 480 pounds to 665 pounds for residential care and additional charges are made for holidays, hairdressing, toiletries and hobbies. These fee charges only applied at the time of inspection, more up to date information may be obtained from the manager of the home. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 10:30 and concluded at 13:00 on the 13th February 2009. The inspection was conducted by link Care Homes for Adults (18-65 years) Page 6 of 26 inspector Mr I Hall. The site visit included a tour of the building, sampling records, discussions with staff and people who use the service. In addition the inspection took account of information received about the service since the last key inspection on 26th January 2007. This included records of telephone conversations with staff, events notified to CSCI and records of management visits to the home. Prior to the site visit the home carried out a self assessment of the service. This is called the annual quality assurance assessment (AQAA). People spoken with were happy to assist with the inspection. Comments were positive when describing the care and motivation of the staff, these included : its great here the staff are truly smashing. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that peoples needs could be met prior to offering them a place. Evidence: Care plans contained detailed needs assessments; this included such things as daily living, health care, personal care, social interests and areas of risk when appropriate. The assessment formed the basis of the initial care plan. People said they had been able to discuss their wishes and the type of help they needed before they made the decision to live at Arran House. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed during discussions with a member of staff and people living at the home. Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: Copies of contracts and social work referrals and assessments were kept within case files. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were teated with respect and supported to make decisions about their lives and take risks as part of of an independent lifestyle. Evidence: Care plans contain a comprehensive range of information that had been reviewed regularly. They included risk assessments when appropriate. There were many examples of maintaining safety and protecting people for example, when people are cooking or baking in the kitchen and when people are accompanied or supported when going out or within the community such as shopping or going to college. There were examples where staff offered choice in their day to day life such as at meal times, options for college courses and individual preference for everyday living. Staff were fully aware of the plans and could describe individuals needs in detail. People living at the home were involved in their care plans and had signed these; one Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: person said - I know about my care plan and i can look at it whenever i want to. It was clear people were encouraged to make decisions about their lives. Staff spoke to people respectfully and supported their choices. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have their personal and social care needs met in a way that respects their privacy and dignity. Evidence: There were opportunities for personal development and participation in fullfilling activities. People were supported to plan their individual activity and life skills programme. This was recorded within each persons personal development. There were leisure activities both inside and outside the home. People attend the local college, go shopping and visit the cinema. Each week people meet with staff to plan and plan the meals and to shop for food they Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: require. This encourages development of independent living skills. Residents meetings are held regularly this encourages discussion about the running of the home and activities. Friends and families are welcomed. There were facilities for people to have visitors to the house. People have their own items such as televisions and cd players in their rooms. People were enthusiastic when describing the wide range of weekend breaks and annual holidays they had chosen and enjoyed. People were seen to prepare their own food with staff. There was a range of fresh fruit in the kitchen. There were facilities for people to make drinks and snacks at any time. People are encouraged to take an active role in the running of their home. Risk assessments were in place for people using equipment inside and outside the home. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have their health and personal care needs met in a way that respects their privacy and dignity. Evidence: Care plans described how staff would support people with their social and healthcare needs. Staff had a good knowledge of peoples individual likes, dislikes preferred routines and care needs. Staff were observed treating each person as an individual and responding to their changing care needs. This demonstrated that staff understood each persons needs and abilities. People were registered with a family doctor and attend the health centre if necessary. other health services such as dental, chiropody and opthalmic services were available in the wider community with staff accompanying people to appointments if required. Staff assist people with their medications as required. Medicines were stored safely. Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: Staff had received accredited training for administration of medicines to protect and safeguard people living at the home. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home and their representatives feel able to complain and are confident they will be listened to. Evidence: People said they were happy with the care and services provided at Arran House. They were clear when they described how they would deal with anything or anyone who made them feel unhappy. Staff were trained to recognize signs of abuse; the home has a clear policy for dealing with seen or suspected abuse. The complaints procedure ensured that people and their relatives were aware how to make a complaint and who would deal with them. The manager confirmed and records demonstrated that no complaints had been made to the home. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable homely and safe environment suitable for their needs. Evidence: All areas of the home were clean, tidy and well presented. The lounge and dining areas had recently been redecorated and refurbished to a high standard. Accessories had been chosen by people with staff support. The bathing and toilet facilities had been completely updated to a high specification. People had personalized their rooms with pictures, photographs and ornaments. People were able to lock their rooms for privacy and protection of their belongings. People said they were very satisfied with their bedrooms and spent time there listening to music or reading. The manager confirmed the companies future plans to redecorate corridor areas and refurbish the kitchen. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are cared for by a group of staff who have been properly recruited, trained and are sufficient in numbers to ensure their needs would be met. Evidence: There was a training and induction programme to enable staff to meet the needs of people living at the home. Staff confirmed they had received a wide range of training that included national vocational qualifications, health and safety, fire prevention and first aid. The manager confirmed that all new staff had completed the learning and Disability Award Framework (LDAF), this demonstrates staff have received a recognized induction into supporting people who live at the home. Regular professional supervision takes place so the manager can monitor staff performance and development. There is a recruitment policy and procedure that confirms peoples experience with references and criminal records bureau check at an enhanced level to protect people who live at the home. Care Homes for Adults (18-65 years) Page 20 of 26 Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and takes into account their wishes about how the home is run. Evidence: People said, I feel the home is well run, the staff support us in everything we want to do. The manager had many years experience within the caring profession. This enabled her to contribute to peoples care and provide a clear sense of leadership to staff. She had completed the registered managers award and a level 4 national vocational qualification. The manager said that staff were supportive and flexible to the needs of the service. Audits of the quality of the care and service provided were undertaken regularly. The results were published and any areas for improvement were actioned promptly. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Staff meetings took place on a regular basis, this enabled staff to share information and contribute to development of the service. Staff had received training, including fire prevention training this promoted safe working practices and contributed to the health, safety and welfare of staff and people who use the service. Risk assessments had been completed and reviewed regularly. Service records for fire safety and other maintenance records were up to date. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 Continue to redecorate and refurbish the home in accordance with the company business plans. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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