Inspection on 29/04/05 for Arthur Clarke

This inspection was carried out on 29th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 24/11/05

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 CLARK 1 Albert Road Caversham Reading RG4 7AN Lead Inspector Ruth Lough Unannounced 29 April 2005 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 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 CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Arthur Clark Address 1 Albert Road, Caversham, Reading, RG4 7AN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0118 901 5359 Reading Borough Council Ms Maureen Sabina Watts Care Home (CRH) 28 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home can accommodate 1 respite bed and 1 short term placement for service users over the age of 55. Date of last inspection 19 October 2004 Brief Description of the Service: Arthur Clark is a moderate sized residential care home for service users over the age of 65(OP).The home has 22 beds for long-term residency and 6 beds for respite and emergency short-term placements. The home is not registered for those service users who have mental health or nursing care needs. The local authority, Reading Borough Council, is responsible for the establishment and for the facilities provided. A day centre for the elderly, which is also the responsibility of Reading Borough Council, is linked to the home and shares catering and staff facilities. Service users can only be admitted to the home through a social service referral process. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced visit to review the quality and outcomes for the service users living in the home. The inspection was carried out for 6 hours and involved the inspector examining care and other records, observing the activities carried out, meeting and consulting with the people who live, visit and work in the home. What the service does well: What has improved since the last inspection? What they could do better: The home could make the accommodation that specifically used for respite care breaks more welcoming. The standard of health and safety and the control of infection in parts of the home need to improve to ensure the safety of the service users. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 6 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 CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 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 standard(s) 3, standard 6 is not applicable to the home. The quality and information for the service user needs assessment has improved in depth and quality giving greater knowledge to support the service user. EVIDENCE: The inspector reviewed the service user files for residents who had been recently admitted for both respite and long term stays. The assessment documents reviewed evidenced that a more consistent and detailed approach has occurred to identify the service users needs and choices prior to their admission to the home. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 9 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 standard(s) 7,8,9,and 10 The home ensures that the individual’s needs are met and has suitable procedures for the safe administration of medication. EVIDENCE: The service users were in general complimentary about the care they received and about the staff who support them. The quality of the record keeping in the service users files has been greatly improved and gives a better holistic view of the individual. The staff have spent considerable time with the service users to obtain information regarding personal information, life history and recording the individuals choices for how they wish to live. The records for the service users who are permanently resident in the home have been developed and stored in accordance to Data Protection 1998. However, the information for those who on a respite stay are still kept in a central file – a requirement was made from the previous inspection to rectify this. The inspector reviewed the staff practice for administration and storage of medication which adheres to the required protocols. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13 and 14 The service users and the record keeping confirm that in general their expectations for living within the home have been met. EVIDENCE: The service users informed the inspector that the staff support them to make choices, develop and maintain their interests and take part in the activities created. The home has a recently employed an Activities Organiser who is currently developing a full programme of events and researching the individuals personal preferences. The staff record in detail the outcomes for the individual after the activity has occurred. The service users are encouraged to maintain contact with their relatives and friends and various areas are available to meet either in privacy or in the social setting of the communal areas. Relatives spoken to at the inspection visit were also able to confirm that their family member enjoyed living in the home and the staff made visitors welcome. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 11 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 standard(s) 16 The home ensures that all formal complaints are investigated and suitable actions taken the staff do not record the positive or negative comments received in order to monitor trends. EVIDENCE: The home has a policy and procedure for complaints that is compliant to the regulations and National Minimum Standards. All complaints are recorded appropriately and monitored by the Provider, Reading Borough Council. Information on how to complain is made available in the Statement of Purpose and Service User Guide and displayed in public areas of the home. The home does not have a process of monitoring minor comments or compliments made by service users or visitors in order to monitor how the service is performing. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 12 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 standard(s) 19, 20, 21, 22, 23, 24 and 26. The home is suitable in size and facilities available to meet the service users needs. Deficits in the maintenance and renewal of the fabric of the home will need to be carried out and the cleanliness and hygiene controls need to be maintained. EVIDENCE: Some parts of the home internally required decoration and minor repairs to the plaster and paint work to the bedrooms. The communal living areas and corridors are cheerfully decorated and offer a homely atmosphere. The home has various areas of external garden areas surrounding it, which are not all used to the full to the benefit of the resident’s as they are not maintained and safely accessible. The external paintwork to windows and doors need redecoration and some parts of the tiled/ paved walkways need repair or renewal. The home has recently ensured that pedestrians are assisted to access the driveway with the use of a designated area, handrails and being resurfaced. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 13 The majority of the service user rooms reflect that they have been supported to personalise and individualise their personal space. However, the inspector observed that some of the current bedrooms used for the respite service were bland and unwelcoming. Each bedroom has a lockable storage space and facilities to store clothing and possessions. The lighting in service users rooms was in general appropriate to the size of the area and the service users needs. Some service users did not appear to have bedside lamps should they wish to have additional light. The Inspector was concerned that one bedside light seen was showing heat damage. The home has suitable bathrooms and toilet facilities that are placed in close proximity to bedrooms and communal spaces to support service users maintain personal hygiene and privacy. The home appeared clean although there was a slight odour of stale urine as the inspector entered the building. The laundry area gave greater concern as the floor, sink and rubbish bin did not appear to have been kept to the highest standard. The service users and staff were put at risk as the door to the laundry area was left unsecured and the fire exit blocked by a soiled linen basket. The inspector was made aware by staff that the permanent staff member had left and currently the responsibility had fallen to the care staff to carry out the service users laundry and the responsibility of this area. The service users also commented that they were concerned with the delay in returning their personal laundry. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 and 30 The home has sufficient skilled and experienced care staff on duty. The home does not have sufficient staff to maintain the laundry facilities. EVIDENCE: The staff rota indicates that the home is staffed to suit the needs of the home with the exception of maintaining a laundry service. The home does have periods where agency and bank staff are used to cover vacancies but do ensure that these staff are experience to the home and the service users. The staff team has 7 members who have either attained NVQ 2 or 3 and 4 others who have commenced training. Other training that has been achieved has included dementia, catheter care, supervision, health and safety and infection control. The service users informed the inspector that the staff were flexible and anticipated their needs. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The home does not ensure that the service users and staff are fully protected. EVIDENCE: The home has policies, procedures and training for staff for the protection of service users and staff. Infection control in the home was compromised due to the storage of personal toiletries in communal bathrooms and toilets and standard of cleanliness in the laundry area. Regular health and safety checks and maintenance occurs for the equipment, lift and fire safety. An immediate requirement was issued, by the inspector for a potential fire risk was seen as the home stores large quantities of used cooking oil inappropriately at the rear of the property in close proximity to the building. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 16 ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 2 x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 2 ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 18 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 17 Requirement That service user plans are kept separately and in accordance with Data protection and other statuatory requirements. Oustanding requirement from previous inspection 31/12/05 That the the home makes external areas acessible and safe for service users. That repairs and maintenenceoccurs to the external doors and windows. That a complete review of the lighting available in service users accomodation is undertaken. That the home maintains a high standard of cleanliness for the laundry facilities That the home takes suitable precautions to ensure the fire safety of the home with reference to access to fire exits and the storage of large containers of used cooking oil. Timescale for action 31/05/05 2. 3. 4. 5. 6. 19 19 24 26 38 23 23 16.2 23 23 31/07/05 31/09/05 31/05/05 31/05/05 29/04/05 ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations That the home records all compliments and comments as to monitor trends. ARTHUR CLARK H51-H01-S39521-Arthur Clark-V211895-290405Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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. 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