Inspection on 26/01/07 for Arran House

This inspection was carried out on 26th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Arran House 13/02/09

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 08/07/2008.

CARE HOME ADULTS 18-65 Arran House 1 Old Garden Drive Rotherham South Yorkshire S65 2BT Lead Inspector Ian Hall Key Unannounced Inspection 26th January 2007 08:00 Arran House DS0000003125.V311221.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 Arran House DS0000003125.V311221.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. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arran House Address 1 Old Garden Drive Rotherham South Yorkshire S65 2BT 01709 361447 NO FAX NONE NONE The House of Light Trust 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) Andrea Ellis Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: 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 access can be gained through the patio doors leading out from the lounge area. Information gained on the 26th January 2007 indicates the current fees are £480.73 to £665.25 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. Arran House DS0000003125.V311221.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 inspection that started at 08:00 and concluded at 12:40. The inspection included a tour of the building, reading records, discussions with staff and service users, observation of service users, and observation of the meals. The inspector also met with the registered manager and another member of staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 6 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 Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 7 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 at least once during a 12 month period. 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 looking at admission and discharge procedures and discussions with service users and staff members. Needs assesments were available within the service user’s care files. They contained appropriate information about the service user’s care needs, which ensured that the service was able to meet the individual needs. EVIDENCE: The statement of purpose and philosophy provide up to date information about the home, care and services offered for service users, their families and advocates. The three case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Management had assessed the needs of prospective service users prior to admission. Short trial visits and overnight stays had been used to assess whether service users needs could be met. Management considered existing service users and their needs to accommodate compatibility so far as possible. Service users confirmed that both they and their family had been involved in discussions about the home and had taken the opportunity to make visits prior to deciding to live at Arran House. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files and discussion with service users and the staff team. There were plans in place to identify the help and support service users needed. They appeared well cared for and their care plans reflected their personal choice and opportunities to make decisions about their lives. Risk assessments were in place to support service users to take risks as part of an independent lifestyle. EVIDENCE: Three service users care plans were checked, these were detailed and identified the personal, social and healthcare needs of service users. There was guidance for staff to enable them to assist service users to meet their needs. The plans checked had been reviewed each month to ensure that the information and guidance provided was still appropriate. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 9 There were records of contact with opticians and dentists and other professionals. Service users agreed that staff encouraged them to make choices about their lives, they were able to choose when to bathe or stay up late to watch a film were two of the examples they gave. Service users felt that staff treated them with respect and kindness. The care plans contained risk assessments that had been regularly reviewed. Staff interviewed were aware of the need to promote service users choice and maximise their independence at all times. Records are safely maintained in accordance with the home’s policy and procedure protecting service users personal information. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files, activity records, inspecting the catering arrangements and discussion with the staff team. Service users were encouraged to maintain and develop social and independent living skills within the home and local community. Service users were encouraged to eat a healthy and varied diet. EVIDENCE: Staff said that family and friends are always welcome as visitors; service users also made visits to the homes of friends and family. Service users confirmed that their relatives were always welcomed into the home and encouraged to stay as long as they wished. There were no visitors on the day of inspection. Service users had regular opportunities to access appropriate activities. Throughout the week service users were supported to attend work, educational and developmental placements within the local community. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 11 Service users and staff stated that a variety of activities were pursued at the weekend, these included visits to town, local shopping centres, the park and pub lunches. Service users were enthusiastic when describing the wide range of weekend breaks and annual holidays that they had both chosen and enjoyed. Through discussions with staff it was evident that service users were encouraged and supported in making independent decisions, these included their choice of meal and their plans for each day. Service users were offered and encouraged to eat a healthy diet. They planned and shopped for food for the weekly menu. Service users helped to prepare the meals on the day of inspection, which helps in developing independent living skills. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files; talking with the registered manager and other staff. Service users confirmed that their physical and emotional needs were met. Safe systems for the ordering, storage and administration of prescribed medication were in place to protect service users. EVIDENCE: The three care plans checked described the actions required by staff to ensure that all aspects of service user’s social support and healthcare needs were met. The staff had a good knowledge of each service user’s individual needs, dislikes, preferred routines and care needs. Staff were observed to treat each service user as an individual and respond skilfully to their changing needs. This demonstrated that staff understood each service user’s needs and abilities. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 13 Staff were observed administering medications and helping service users to take their prescribed medicines. Records were correctly maintained and medicines stored safely. The home had a range of policies and procedures to provide guidance for staff and maintain the safety of service users. Staff had received accredited training for safe administration of medicines. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service; conversations with service users and staff and inspection of the complaints record. The home’s complaints procedure was clear and accessible, ensuring that any complaints made by service users or their relatives would be listened to and action taken to deal with complaints promptly. There was an adult protection procedure, which promoted the protection of service users. EVIDENCE: Staff were trained to recognise signs of abuse; the home had a clear policy for dealing with seen or suspected abuse. Service users confirmed their satisfaction with the care and services provided at Arran House and were clear when they described how they would deal with anything or person who made them unhappy at Arran House. The complaints procedure ensured that service users and their relatives were aware how to make a complaint and who would deal with them. Staff said that the manager was approachable and were confident that any concerns would be listened to and appropriate action taken. The manager confirmed and records demonstrated that no complaints had been made to the home. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. The home was well-maintained odour free and homely. The service users bedrooms were comfortable, individually decorated and furnished to meet their needs. EVIDENCE: All areas within the home were clean, tidy and well maintained. The garden area of the home had recently been resurfaced with seating provided. This provided a pleasant seating area for residents to use when the weather is warm. Service users are encouraged and supported with personalisation of their bedrooms with pictures, photographs and ornaments. The décor of the home was of a good standard and there were plans in place to re-decorate some areas and to replace the kitchen fitments and the living room carpet. This is part of a planned programme of maintenance and renewal, which ensures the home remains in a good overall condition. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including looking at training, supervision records and speaking to available staff. Staff had received training to meet the service user’s general and specific needs. A good range of training was available for staff. Appropriate support and guidance was offered to new staff, enabling them to safely care for service users. The home operated a recruitment policy that promoted the protection of service users. Staff files included the required information. EVIDENCE: The staff spoken to were friendly, approachable and relaxed when talking about the care that they provided. Staff said that they enjoyed working at the home, that there was a family atmosphere and that they worked very well as a team. A training and induction programme for staff was in place enabling them to meet the assessed and changing needs of residents. Discussions with staff and records checked demonstrated that staff had received a good range of training that included Moving and Handling, First Aid and Health and Safety. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 17 A staff training record plan had been devised which demonstrated the training that staff had attended. Individual training records checked demonstrated that staff had been offered the refresher training that they required, to ensure that they were conversant with changing legislation and safe working practices. The manager said that newly recruited staff had completed the Learning Disability Award Framework, (LDAF) award, which will give them a recognised induction into supporting the service users who use the service. A recruitment policy and procedure was in place. Two files checked contained a range of information including two references, declaration of health and qualifications/training. Staff had received a Criminal Records Bureau Check at the enhanced level to promote the protection of service users. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including interviewing the registered manager and observing staff as they work. Rotas and fire safety and other health and safety records were inspected along with the finance arrangements for service users. The staff said that they were well supported by the manager. The health, safety and welfare of residents was promoted and protected. EVIDENCE: The registered manager had many years experience within the caring profession which, enabled her to contribute to the care of service users and communicate a clear sense of leadership to staff. She had completed the registered managers award and an NVQ level 4 qualification. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 19 There was a mutual respect between the manager and staff. The manager commented that the staff were supportive and flexible to the needs of the service. The staff spoke highly of the manager commenting that she was “supportive”, “approachable” and “a good manager”. The staff said that meetings took place on a regular basis enabling them to share information and to contribute to the development of the service. The staff had received training including fire training which promoted safe working practices and the health, safety and welfare of the service users and their colleagues. Risk assessments had been completed and were reviewed regularly. Service records for fire safety and other maintenance records were up to date. Service users finances were properly recorded and personal allowances provided. Management, staff and service user meetings were held regularly the written minutes from these meetings were available for inspection. Audits of the quality of care and services provided were undertaken regularly the results were published and any areas for improvement were actioned promptly. The quality audit tools had been updated and amended appropriately. Policies and procedures had been reviewed annually and promoted best practice and service user choice and independence. Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 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 3 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 3 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Arran House DS0000003125.V311221.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!