Inspection on 06/07/06 for Arrowsmith Lodge Rest Home

This inspection was carried out on 6th July 2006.

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

Arrowsmith Lodge Rest Home 15/07/08

Arrowsmith Lodge Rest Home 04/10/05

Arrowsmith Lodge Rest Home 25/04/05

Arrowsmith Lodge Rest Home 06/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Arrowsmith Lodge Rest Home Bournes Row Hoghton Lancashire PR5 0DR Lead Inspector Mr Patrick Rooney Unannounced Inspection 6th July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Arrowsmith Lodge Rest Home DS0000061375.V299492.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arrowsmith Lodge Rest Home Address Bournes Row Hoghton Lancashire PR5 0DR 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) 01254 854311 Mrs Kesavamalar Rajaratnam Care Home 16 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (16), Physical of places disability (1) Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 16 service users to include: Up to 16 service users in the category of OP (Older People) Up to 1 named female service user in the category LD (Learning Disability) Up to 1 named female service user in the category PD (Physical Disability) This condition will no longer apply should the service user no longer reside at Arrowsmith Lodge Care Home or, due to advancing age, fall into the category OP (Older People). Staffing should be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued Through the Commission for Social Care Inspection regarding staffing levels in care homes. 4th October 2005 2. Date of last inspection Brief Description of the Service: Arrowsmith Lodge is a purpose built home, set in a quiet residential area of Hoghton. The home provides services for up to 16 older people, it does not provide nursing care, but provides social and personal care in a small, homely environment. At present, the home offers accommodation in single or shared rooms. The sizes of the rooms vary greatly and there are two rooms with en suite facilities. There are three lounge areas, one of which is a conservatory, leading via a ramp to a large garden area, and another includes the dining area. The service users have access to the first floor by a passenger lift. Current fees for a place in the home range from £310.50 to £358 Arrowsmith Lodge Rest Home DS0000061375.V299492.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 site visit and took place over a six-hour period. A pre inspection questionnaire was completed by the proprietor. The inspector consulted care records and spoke to most of the residents living at the home. He discussed their care with them and visiting relatives. Comments received from residents and relatives were positive and were complementary about the care they receive. The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. What the service does well: Staff at Arrowsmith Lodge work well together as a team and provide a good standard of care for residents. There is a thorough assessment and care planning system in place in which resident’s needs are closely monitored. Residents and relatives said that levels of care are very good. Residents commented: “It is wonderful here”. “The staff are very kind”. “It’s a very good place”. “I am very happy, there is always something for me to do”. The home places high importance on getting to know the residents and what interests them, consequently there are a variety of activities available to meet the needs are all the residents. Routines are relaxed and there was a happy atmosphere in the home. A good variety of food is available to residents with choices always available. Staff are provided with training to allow them to understand and do their job effectively. Recruitment procedures are very good and ensure that the right type of person is employed in the home. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 6 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. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome group is good. The home has a good assessment procedure, which ensures resident’s needs are comprehensively assessed and appropriate care plans made. EVIDENCE: The assessments of three residents were looked at. A full pre admission assessment had taken place, which identified care to be provided including risk assessments. One new resident had expressed a wish to remain in their own room and did not wish to go to the communal areas. This choice was respected and staff were made aware that as part of the care plan the must make regular checks on this resident. Those residents who are funded by Social Services have a social work assessment, which is included in the assessment carried out by the home when assessing the homes ability to meet assessed needs. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 9 Residents spoken to during the visit said they are happy with the levels of care they receive and had all information about the home prior to admission. All residents are provided with a contract, which describes fees to be paid. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome group is good. Residents care plans are comprehensive and ensure health, personal and social care needs are fully met and care is provided ensuring privacy and dignity is maintained. EVIDENCE: During the visit the files of four residents were looked at and their care discussed with them. Each resident had an individual care plan, which provided comprehensive information and detail to ensure that health, personal and social care needs can be fully met. Care plans are reviewed monthly, residents and their families are able to take part in the process. Care plans and reviews contained signatures of the resident or their representative. Each file contained records for monitoring and recording visits by health care professionals including doctors or district nurses. All these records were up to date and provided detailed information. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 11 Residents told the inspector they are happy with the care they receive and everyone spoken to said that staff are kind and respectful to them. The inspector observed good interaction between residents and staff. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is excellent. The home provides residents with choice and routines are flexible, this ensures they are able to exercise control in everyday life. EVIDENCE: Arrowsmith lodge provides and excellent variety of activities for residents. The inspector looked at the activity folder, in which there was recorded a variety of activities to suit individual residents needs. A good deal of research is carried out to identify resident’s interests and past hobbies. For those with dementia there is a memory tray, a reminiscence box and exercises in taste, smell and on going learning sessions. Activities are designed for individual residents a questionnaire is completed for all residents, which indicates their previous interests. Other activities include, library books, magazines, newspapers, Videos, bingo, board games, visiting entertainers, music, luncheon days, pub outings, trips out, shopping, special events i.e. Blackpool illuminations. Residents said: “It is wonderful here”. “The staff are very kind”. “It’s a very good place”. “I am very happy, there is always something for me to do”. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 13 The home provides flexibility with regards to daily routine and each resident has their own preferred getting up time in the morning. Menus showed that there is a good variety of food available and residents are asked what they like. There are always alternative meals available for those who wish. Meals can be taken in resident’s own rooms if they prefer to eat in private. Residents told the inspector they are happy with the meals they receive. Residents are encouraged to maintain their own financial affairs as long as possible. Information regarding access to independent advocacy services is available in the home. Bedrooms are personalised and residents are able to bring items of furniture, pictures and ornaments with them when they are admitted to the home. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome group is good. There are good arrangements in place for residents to raise concerns and the homes policies ensure residents are protected from abuse. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their families. Copies are on the homes notice board and are contained in the service users guide. Residents said that they are aware of the procedure and feel able to raise any concerns with the owner who is always available in the home. The home has a protection of vulnerable adults procedure including a whistle blowing policy. A form is available to staff to record any allegation of abuse. Staff have received training in the protection of vulnerable adults and were able to tell the inspector the procedures to be taken if they had any concerns. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome group is good. The home is well maintained and the environment is clean and comfortable. EVIDENCE: The have been improvements made since the last inspection. Some bedrooms and lounge areas have been painted and cleaned up. There are plans in place to build extensions onto the home to improve lounge areas and create more bedrooms. Residents were happy with their accommodation and their rooms are personalised with their own ornaments and furniture. There are policies and procedures in place to ensure infection control and the home is kept clean and hygienic. At t he time of the visit the home was observed to be clean and comfortable. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome group is good. Arrangements for staffing the home ensure there are sufficient skilled staff on duty to meet the needs of residents. EVIDENCE: Recruitment files for staff were looked at and showed that there is a thorough recruitment process in which references are obtained and Criminal Records Bureau checks carried out prior to employment of staff. Staff records showed that new staff have a comprehensive induction and training to enable them to carry out their duties. A training matrix has been produced which shows staff have received the required training. Certificates of training were seen on staff files. Staff on duty were spoken to individually and said that they are well supported and are given the opportunity to take part in training. Almost 50 of staff are qualified to NVQ 2 and more staff are presently completing this training. During the visit it was noted that there were sufficient staff on duty to meet the needs of residents. Rotas seen showed that there are always sufficient experienced staff on duty. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome group is good. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. EVIDENCE: The owner of the home is also the manager; since she took over there have been many improvements. Residents and staff are happy with how the home is run and there are clear lines of accountability. Resident’s views are taken seriously and resident surveys have been carried out. Residents meetings are arranged and the owner is in daily contact with all the residents. Both residents and staff feel they are able to approach the owner with any ideas or issues they may have. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 18 All the homes policies and procedures have been reviewed and updated. Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid. All safety certificates and risk assessments are carried out and are up to date. Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Arrowsmith Lodge Rest Home DS0000061375.V299492.R01.S.doc Version 5.2 Page 22 - 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!