Inspection on 24/11/05 for Arthur Clarke

This inspection was carried out on 24th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Arthur Clarke 11/03/08

Arthur Clarke 01/12/06

Arthur Clarke 29/04/05

Arthur Clarke 19/10/04

Arthur Clarke 04/05/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Arthur Clarke 1 Albert Road Caversham Reading Berkshire RG4 7AN Lead Inspector Ruth Lough Unannounced Inspection 24th November 2005 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 Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 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. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Arthur Clarke Address 1 Albert Road Caversham Reading Berkshire RG4 7AN 0118 9015359 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) Reading Borough Council Maureen Sabina Watts Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (2) of places Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No service users to be admitted under 55 years of age. Service users category PD to be respite care only. Date of last inspection 29th April 2005 Brief Description of the Service: Arthur Clark is a moderate sized residential care home for service users over the age of 65(OP) and up to 2 service users with a physical disability aged 5565 years of age. The home has 22 beds for long-term residency and 6 beds for respite and emergency short-term placements. The home is run by Reading Borough Council. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to review the quality of service provided and the outcomes for the service users living there. The inspection visit took place over the morning and afternoon of a week day and involved the inspector having discussions with service users, visitors and staff, tour of the home and a looking at records. Service users and relatives gave very positive comments regarding the staff and the services provided. 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. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 6 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 Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 7 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): Standards not assessed on this inspection visit. EVIDENCE: As above. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 8 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 The service users care plans are effective organised tools for staff to follow in order to meet the service users needs. EVIDENCE: This standard was partially inspected due to a previous requirement made during the last inspection visit April 2005 in the regard to keeping service users care plans in one large file and not individually. The care plans and other information relevant to the service users has been reviewed and is now kept in individual files. The depth of recorded information is more holistic and supports staff to have a greater understanding of the service user, their needs and choices of how they wish to live. Staff are documenting well the daily outcomes for the service users. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 9 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): 15 The meals provided by the home are nutritional and varied. EVIDENCE: The home has a four-week rotational menu plan that is changed periodically in accordance to seasonal availability and service users preferences. The home displays the menu of the day in the entrance hall and at each dining table. The home does not display the full menu plan for service users or visitors to view. Service users are consulted each morning on their choices for that days meals and this is recorded and passed to the catering staff. Specialist diets are provided if necessary. Any changes in the service users choices at the mealtimes are accommodated well. The documented choices for the evening meal menus is limited, however service users are able to have alternatives if they wish. Service users are assisted with their meals unhurriedly and discreetly, by staff, and take their meals either in the dining areas or in their rooms. The service users stated that they enjoy their meals and that the quality and variety was appropriate. Service users expressed their enjoyment of the meals available. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 10 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): 17 and 18 Service users are protected from abuse and are able to exercise their legal rights. EVIDENCE: The majority of the service users are supported by their families or are enabled to access an advocacy service, such as Help the Aged, by the home if they should wish. They are also able to take part in the civic process and this is usually by the use of postal voting. The policies, procedures and training provided in place to support that the staff has the necessary information and knowledge to protect the service users from abuse. Staff have a good awareness of possible abuse, reporting and ‘whistleblowing’. Training is given in the induction process and staff are given information in the staff handbook. The home has a good structure of support and information easily accessible from the provider, Reading Borough Council, should the need arise. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 11 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): 19,24 and 26 There are some deficits to the usual good standard of the environment and facilities of the home that could put service users and staff at risk. EVIDENCE: These standards were partially inspected to review the outcomes of the requirements made in the previous inspection in April 2005. The home has a plan of refurbishment and decoration that was evident by the re - painting of walls, new carpets and the completion of the replacement double-glazing programme to all areas of the home. Areas outside the home in the garden, driveway and rear of the kitchen have been improved to offer better fire safety and the security of the home. This has been done through new fencing and gates and the use of suitable storage facilities for the cooking oils awaiting disposal. The homes fire safety and control of infection has been potentially compromised by the redundant furniture for removal left at the rear of the storeroom adjacent to the main building. The inspector was informed by staff that the used mattresses and a bed base had been awaiting disposal for several weeks. This had been delayed as there was an insufficient volume of Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 12 items for the process to occur. The home has limited space to store furniture and equipment when not in use. Some of the service users individual accommodation remains without bedside lighting facilities or has poor lighting. Several of the individual bedrooms do not have lighting that is appropriate should the service user wish use themselves. This was identified in discussion with service users during the inspection visit in April 2005. A requirement was made then that the lighting is assessed to ensure that the needs of the service users are met and appropriate action taken. The inspector was informed that staff considered that some service users could be put at risk if bedside lighting was in place, although this was not reflected in risk assessments or the care plans. The laundry facilities were reviewed as concerns of lost personal clothing or other services cloths being worn had been identified at the previous inspection. Service users relatives and service users raised this issue again during this visit. The inspector was informed that personal laundry occasionally is returned to the wrong person, although labelled. Also staff are dressing service users in clothing not belonging to the individual. The laundry room has the required equipment although the area is not as clean as the high standard found in the rest of the home. Throughout the home the domestic staff maintain a high standard of cleanliness that is reflected in the service users rooms, bathrooms and communal spaces. Appropriate hand washing facilities are placed around the home for staff to use whist carrying out their work. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 13 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): 30 The staff are suitable trained and experienced to carry out their roles in order to meet the needs of the service users. EVIDENCE: The home has a designated senior member of staff who is responsible for the monitoring and implementation of training for all care staff. Training needs are identified through the changing needs of the service users and the supervision and appraisal programme for the staff. All training is resourced from the provider, Reading Borough Council and a variety is on offer that is appropriate to the roles of the staff. All new care staff have the core health and safety training and the principals of care during the first six months probationary period. Information is given to staff to support this in the staff handbook and the documents used during the induction process. Three senior staff are currently undertaking NVQ 4 and have attended additional training such as supervision, risk assessment and training in regard to their specific management roles. Service users and relatives commented that staff understood the service users needs and were quick to recognise when these changed. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 14 Five of the staff team have already achieved NVQ 2 and 3. Nine members of staff are at various stages of completing NVQ levels 2 and 3. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 15 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): 33, 35 and 38 The home is run well with the focus on the wellbeing for good outcomes for the service users. EVIDENCE: The home has a continual programme of monitoring and seeking the views of the service users. This is carried out through the daily contact by staff, service user meetings, reviews of care and the use of questionnaires periodically. Service users and relatives informed the inspector that the staff communicate well and they had confidence in the staff to be able to meet their needs. The provider and home have formal processes of quality assurance that include the regular provider visits (Regulation 26), financial audits and environment health inspections. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 16 The home has a system of handling monies on service users behalf that should ensure that they are safeguarded. The home keeps written records of all transactions that are regularly audited by the provider. A recent audit identified some clerical errors that had occurred for this. These did not put service users financially at risk and were rectified immediately. The home has specific procedures for safe handling of the service users monies and property. Those service users who wish to manage their own financial affairs are supported to do so and secure facilities in their rooms are available for this. The home has suitable training, safe working practices to ensure the wellbeing of service users and staff. Regular maintenance occurs for the equipment, lift, utilities and fire safety with records kept of all inspections or service visits. A recent environmental health visit to the kitchen was very positive regarding the facilities and standards carried out. Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Arthur Clarke DS0000039521.V265373.R01.S.doc Version 5.0 Page 20 - 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!